Misinformation about coronavirus disease 2019 (COVID-19) is a significant threat to global public health because it can inadvertently exacerbate public health challenges by promoting spread of the disease. This study used a convenience sampling technique to examine factors associated with misinformation about COVID-19 in sub-Saharan Africa using an online cross-sectional survey. A link to the online self-administered questionnaire was distributed to 1,969 participants through social media platforms and the authors' email networks. Four false statements—informed by results from a pilot study—were included in the survey. The participants' responses were classified as “Agree,” “Neutral,” and “Disagree.” A multinomial logistic regression was used to examine associated factors. Among those who responded to the survey, 19.3% believed that COVID-19 was designed to reduce world population, 22.2% thought the ability to hold your breath for 10 seconds meant that you do not have COVID-19, 27.8% believed drinking hot water flushes down the virus, and 13.9% thought that COVID-19 had little effect on Blacks compared with Whites. An average of 33.7% were unsure whether the 4 false statements were true. Multivariate analysis revealed that those who thought COVID-19 was unlikely to continue in their countries reported higher odds of believing in these 4 false statements. Other significant factors associated with belief in misinformation were age (older adults), employment status (unemployed), gender (female), education (bachelor's degree), and knowledge about the main clinical symptoms of COVID-19. Strategies to reduce the spread of false information about COVID-19 and other future pandemics should target these subpopulations, especially those with limited education. This will also enhance compliance with public health measures to reduce spread of further outbreaks.

Background Perceived risk towards the coronavirus pandemic is key to improved compliance with public health measures to reduce the infection rates. This study investigated how Sub-Saharan Africans (SSA) living in their respective countries and those in the diaspora perceive their risk of getting infected by the COVID-19 virus as well as the associated factors. Methods A web-based cross-sectional survey on 1969 participants aged 18 years and above (55.1% male) was conducted between April 27th and May 17th 2020, corresponding to the mandatory lockdown in most SSA countries. The dependent variable was the perception of risk for contracting COVID-19 scores. Independent variables included demographic characteristics, and COVID-19 related knowledge and attitude scores. Univariate and multiple linear regression analyses identified the factors associated with risk perception towards COVID-19. Results Among the respondents, majority were living in SSA (n = 1855, 92.8%) and 143 (7.2%) in the diaspora. There was no significant difference in the mean risk perception scores between the two groups (p = 0.117), however, those aged 18–28 years had lower risk perception scores (p = 0.003) than the older respondents, while those who were employed (p = 0.040) and had higher levels of education (p < 0.001) had significantly higher risk perception scores than other respondents. After adjusting for covariates, multivariable analyses revealed that SSA residents aged 39–48 years (adjusted coefficient, β = 0.06, 95% CI [0.01, 1.19]) and health care sector workers (β = 0.61, 95% CI [0.09, 1.14]) reported a higher perceived risk of COVID-19. Knowledge and attitude scores increased as perceived risk for COVID-19 increased for both SSAs in Africa (β = 1.19, 95% CI [1.05, 1.34] for knowledge; β = 0.63, 95% CI [0.58, 0.69] for attitude) and in Diaspora (β = 1.97, 95% CI [1.16, 2.41] for knowledge; β = 0.30, 95% CI [0.02, 0.58] for attitude). Conclusions There is a need to promote preventive measures focusing on increasing people’s knowledge about COVID-19 and encouraging positive attitudes towards the mitigation measures such as vaccines and education. Such interventions should target the younger population, less educated and non-healthcare workers.

Background Background Globally, the conspiracy theory claiming 5G technology can spread the coronavirus disease (COVID-19) is making the rounds on social media and this could have a significant effect in tackling the spread of the pandemic. This study investigated the impact of the myth that 5G technology is linked to COVID-19 pandemic among sub-Saharan Africans (SSA). Methods Methods A cross-sectional survey was administered on 2032 participants between April 18-May 16, 2020, corresponding to the mandatory lockdown period in some SSA countries (April 18-May 16, 2020). Participants were recruited via Facebook, WhatsApp, and authors' emails. The outcome measure was whether respondent believed that 5G technology was the cause of the coronavirus outbreak or not. Multiple logistic regression analyses using backward stepwise were used to examine the associated factors. Results Results About 7.3% of the participants believed that 5G technology was behind the COVID-19 pandemic. Participants from Central Africa reported the highest proportion (14.4%) while the lowest proportion (5.4%) was among those from Southern Africa. After adjusting for potential covariates in the multivariate analysis, Central Africans (adjusted odds ratio, AOR 2.12; 95% confidence interval, CI=1.20-3.75), females (AOR 1.86; 95% CI=1.20-2.84) and those who were unemployed at the time of this study (AOR 1.91; 95% CI=1.08-3.36) were more likely to believe in the myth that 5G technology was linked to the COVID-19 pandemic. Participants who felt that COVID-19 pandemic will not continue in their country were 1.59 times (95% CI=1.04-2.45) more likely to associate the 5G technology with COVID-19 compared to those who thought that the disease will remain after the lockdown. Participants who were younger were more likely to believe in the 5G technology myth but the association between level of education and belief that 5G technology was associated with COVID-19 which was significant in the univariate analysis (unadjusted odds ratio OR 1.69; 95CI =1.02, 2.80 =1.02, 2.80), was nullified after adjustments for all potential confounders. Conclusions Conclusions This study found that 7.4% of adult participants from SSA held the belief that 5G technology was linked to COVID-19 pandemic. Public health interventions including health education strategies to address the myth that 5G was linked COVID-19 pandemic in SSA are needed and such intervention should target participants who do not believe that COVID-19 pandemic will continue in their country, females, those that are unemployed and those from Central African countries in order to minimize further spread of the disease in the region.

Weihong Huang is a senior lecturer with Kingston University London, UK. Weihong's recent research focuses on semantic context-aware computing and its application in multimedia and knowledge management towards the Semantic Web. David Webster and Dawn Wood are PhD students at the University of Hull. Tanko Ishaya is a lecturer with the Centre for Internet Computing, the University of Hull, UK. His research focuses on the use of ontologies and agents for personalised e-learning services. AbstractRecent developments of e-learning specifications such as Learning Object Metadata (LOM), Sharable Content Object Reference Model (SCORM), Learning Design and other pedagogy research in semantic e-learning have shown a trend of applying innovative computational techniques, especially Semantic Web technologies, to promote existing content-focused learning services to semantic-aware and personalised learning services. To facilitate this transforming process, this paper presents a novel context-aware semantic elearning approach to integrate content provision, learning process and learner personality in an integrated semantic e-learning framework. As the basis of the computational framework, a scalable and extensible generic context model is proposed to structure the semantics of contextual relations and concepts in various contexts, such as learning content description, learning model, knowledge object representation and learner personality. Corresponding technical and pedagogical developments of this framework also consider compatibility issues with existing technologies (eg, XML/Resource Description Framework) and specifications (eg, IEEE LOM) in order to achieve the best interoperability.

Background: The unprecedented outbreak of coronavirus disease (COVID-19) drastically spread worldwide, resulting in extraordinary measures put in place in various countries including Sub Saharan Africa (SSA) countries. Objective: To assess the factors associated with compliance with the public health measures imposed by various SSA countries. Method: Cross sectional study using self-administered surveys distributed on social media platforms between April 18th and May 16th, 2020, corresponding with the mandatory lockdown period in most SSA countries. Multivariate analysis examined theassociated factors. Results: The prevalence of hand hygiene, quarantine, self isolation practices, wearing of face mask and attending large gatherings during COVID-19 were 94%, 39%, 31%, 64% and 14%, respectively. In multivariate models, older age 49+ years: adjusted OR2.13, 95%CI 1.22,3.71), females (OR 1.41,95%CI 1.03,1.93), Central African countries (OR 3.73,95%CI 2.02,6.87) were associated with wearing face mask. Living alone (aOR 1.52,95%CI 1.04,2.24) during the lockdown was associated with avoiding large gatherings including religious events. Female respondents (aOR 1.61, 95%CI 1.30, 2.00), married (aOR 1.71,95%CI 1.33,2.21) and unemployed (aOR 1.62,95%CI 1.25,2.09) SSAs were more likely to practice self-quarantine measures. Conclusion: The low prevalence of mitigation practices suggest the need for targeted education campaign programs to sensitise the population. Keywords: Facemask; Handwashing; Self-isolation; Mitigation; Survey monkey; Pandemic; Lockdown; West Africa; Eastern Africa; South Africa; Nigeria.

Due to the current COVID-19 pandemic and associated high mortality in sub-Saharan Africa, there is panic amongst healthcare workers because of the higher risk of being infected. This study compared knowledge, attitudes, and perceptions of COVID-19 among healthcare workers (HCWs) and non-healthcare workers (non-HCWs) and examined common associated factors. A web-based cross-sectional study of 1,871 respondents (430 HCWs and 1,441 non-HCWs) was conducted while lockdown measures were in place in 4 regions of sub-Saharan Africa. Data were obtained using a validated self-administered questionnaire via an online survey platform. Mean scores were calculated and summarized using a t test for both groups. Multivariate linear regression analysis was conducted to assess the unadjusted (B) and adjusted coefficients (b) with a confidence interval (CI) of 95%. The mean scores were slightly higher among HCWs than non-HCWs, but not statistically significant. Being worried about contracting COVID-19 was the only common

Mental health and emotional responses to the effects of COVID-19 lockdown in sub-Saharan Africa (SSA) are of serious public health concern and may negatively affect the mental health status of people. Hence, this study assessed the prevalence of mental health symptoms as well as emotional reactions among sub-Saharan Africans (SSAs) and associated factors among SSAs during the COVID-19 lockdown period. This was a web-based cross-sectional study on mental health and emotional features from 2005 respondents in seven SSA countries. This study was conducted between 17 April and 17 May 2020 corresponding to the lockdown period in most SSA countries. Respondents aged 18 years and above and the self-reported symptoms were feeling anxious, being worried, angry, bored and frustrated. These were the main outcomes and were treated as dichotomous variables. Univariate and multivariate logistic regression analyses were used to identify the factors associated with these symptoms. We found that over half (52.2%) of the participants reported any of the mental health symptoms and the prevalence of feeling bored was 70.5% followed by feeling anxious (59.1%), being worried (57.5%), frustrated (51.5%) and angry (22.3%) during the COVID-19 pandemic. Multivariate analysis revealed that males, those aged >28 years, those who lived in Central and Southern Africa, those who were not married, the unemployed, those living with more than six persons in a household, had higher odds of mental health and emotional symptoms. Similarly, people who perceived low risk of contracting the infection, and those who thought the pandemic would not continue after the lockdown had higher odds of mental health and emotional symptoms. Health care workers had lower odds for feeling angry than non-healthcare workers. During the COVID-19 lockdown periods in SSA, about one in two participants reported mental health and emotional symptoms. Public health measures can be effectively used to identify target groups for prevention and treatment of mental health and emotional symptoms. Such interventions should be an integral component of SSA governments’ response and recovery strategies of any future pandemic.

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