How Africa is vulnerable to a catastrophic spread of coronavirus
Overstretched health systems cause concern about the continent’s capacity to respond
Dakar — African countries are scrambling to avert an outbreak of the rapidly spreading coronavirus strain, as health officials warn that the poorest countries are ill-equipped to combat the deadly disease.
Across the continent, governments have stationed nurses at airports to check for feverish passengers and have suspended Chinese entry visas, while ordinary people grow increasingly nervous.
There have been no verified infections in Africa to date, but deep trade links with China and often overstretched health-care systems are raising concerns about the capacity to respond to an outbreak.
The World Health Organisation (WHO) on Thursday last week declared a global emergency as coronavirus infections spread, after initially downplaying the threat. “Our greatest concern is the potential for the virus to spread to countries with weaker health systems,” WHO chief Tedros Adhanom Ghebreyesus said.
J Stephen Morrison, director of the Global Health Policy Center at the Center for Strategic and International Studies in Washington, said the disease risked taking root if it reaches certain African countries. He warned that such a scenario could usher in a “global pandemic”.
Several poor African states have recently suffered disastrous viral outbreaks, and they are keenly aware of the threat.
On Saturday, the Democratic Republic of the Congo (DRC) became the latest African nation to ask citizens to avoid travel to China until further notice. The government is “studying the possibility of repatriating citizens presently in China”, government spokesperson David-Jolino Diwampovesa Makelele said.
The Ebola virus raged through Liberia, Sierra Leone and Guinea in 2014-2016, killing about 11,300 people.
Mosoka Fallah, the head of Liberia’s public health institute, told legislators last week that the rapid spread of the new coronavirus is “catastrophic”.
“Steps must be taken as early as possible to prevent it from entering here,” he said, adding that the government had ramped up airport checks.
Anciao Fabiao Paulo, an Angolan student, told AFP that “it’s over” if coronavirus reaches his country. “Our health system is vulnerable and there are no good specialists. With malaria, people are already dropping like flies,” he said.
Coronavirus has killed more than 200 people in China, where it emerged in the central city of Wuhan, and has infected thousands more.
At Senegal’s Blaise Diagne International Airport, health officials peer into a small thermal camera before the passport check.
“The first sign of these communicable diseases is a fever,” said Barnabe Gning, in charge of sanitary control in the West African country’s airports. However, Gning cautioned that thermal cameras are not foolproof.
Similar thermal cameras are now going up across African capitals. These allow people with a high temperature to be identified — the camera screen shows their body heat — and then quarantined pending a lab test confirming a coronavirus infection.
Egypt, Morocco, Ethiopia, Kenya, SA, Rwanda and Mauritius are expected to “enhance screening” because of frequent traffic with China, he said.
Elsewhere, governments have enacted travel bans or urged people to remain indoors, adding to a sense of alarm.
Fears of an outbreak were rife in Nigeria last week, when authorities shut a Chinese supermarket in the capital, Abuja. But they did so to remove expired products.
Botswana announced a suspected case on Friday, also sparking fears. “The first thing is to avoid going to Chinese shops as much as possible,” said Mqondisi Dube, a journalist in the capital, Gaborone.
And in the West African archipelago of Cape Verde, locals are rushing to buy fennel because of false claims it heals coronavirus.
In a sign of extreme caution, some governments are asking Chinese nationals to remain indoors. Nigeria has urged any person arriving from China to “self-isolate” for at least two weeks, even if they are not ill. The Chinese embassy in Mauritania has similarly asked its recent arrivals in the West African country to remain indoors for two weeks.
In Mozambique, the government has suspended visas for Chinese citizens and forbidden its citizens from travelling there.
SA authorities are checking passengers’ temperatures at airports and have listed 11 hospitals that will deal with emergencies if they arise.
Though Africa is one of the few continents not to have confirmed coronavirus cases, the number of suspected cases is increasing. Several countries, including Ethiopia, Kenya, Angola, Botswana and Ivory Coast, have signalled possible infections.
But confirming coronavirus can take time, as health authorities lacking expertise have to send samples to labs in countries such as SA.
“It is very possible that there are cases that are going on the continent that have not been recognised,” John Nkengasong, the director of the Africa Centres for Disease Control and Prevention, told reporters.