2020
DOI: 10.1016/j.puhip.2020.100038
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COVID-19: Unpacking the low number of cases in Africa

Abstract: Coronavirus disease 2019 (COVID-19) has infected over nineteen million people globally with over 700 ​000 fatalities as of 9 August 2020. To date, Africa has recorded the least amount of COVID-19 confirmed cases. As of 9 August 2020, Africa has 1, 037, 135 cases compared to 10, 615, 855 in Americas and 3, 061, 264 in Europe. In this piece, the authors unpack the low numbers of laboratory confirmed COVID-19 cases in Africa - is it a case of limited testing capacity due to poor health systems or otherwise?

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Cited by 96 publications
(87 citation statements)
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“…The lower cases in these three countries and Africa generally has been solely attributed to low levels of testing among the population by some experts. In contrast, Chitungo et al., (2020) argued that even though low testing capacity and poor health systems could be among the reasons for low cases of COVID‐19 in Africa, other factors such as early preventive measures (such as lockdowns) and low risk of importation of the disease from badly affected countries could be more responsible.…”
Section: Introductionmentioning
confidence: 99%
“…The lower cases in these three countries and Africa generally has been solely attributed to low levels of testing among the population by some experts. In contrast, Chitungo et al., (2020) argued that even though low testing capacity and poor health systems could be among the reasons for low cases of COVID‐19 in Africa, other factors such as early preventive measures (such as lockdowns) and low risk of importation of the disease from badly affected countries could be more responsible.…”
Section: Introductionmentioning
confidence: 99%
“…As of 20th February 2021, there have been more than 110 million confirmed infections and over 2.46 million confirmed deaths globally. By the same date, although with concerns of under reporting [ 10 , 11 ], Africa has reported over 3.8 million confirmed cases with over 100,000 deaths [ 12 ]. South Africa has reported over 1.5 million cases with over 49,000 deaths [ 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…Some of the reasons adduced to this include quick action by African governments public support, young population and few old peoples’ homes, favourable climates, and good community health systems. Others include the possibility of pre-exiting protective immune responses due to either having had previous exposure to other pathogens or the BCG vaccination [ 107 108 ]. Genetic factors may also have a significant role.…”
Section: Prospects and Opportunitiesmentioning
confidence: 99%