Response to the Novel Corona Virus (COVID-19) Pandemic Across Africa: Successes, Challenges, and Implications for the Future.

Response to the Novel Corona Virus (COVID-19) Pandemic Across Africa: Successes, Challenges, and Implications for the Future.
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DOI:
10.3389/fphar.2020.01205
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发表时间:
2020
影响因子:
5.6
通讯作者:
Godman B
Godman B
中科院分区:
医学2区
文献类型:
--
作者:
Ogunleye OO;Basu D;Mueller D;Sneddon J;Seaton RA;Yinka-Ogunleye AF;Wamboga J;Miljković N;Mwita JC;Rwegerera GM;Massele A;Patrick O;Niba LL;Nsaikila M;Rashed WM;Hussein MA;Hegazy R;Amu AA;Boahen-Boaten BB;Matsebula Z;Gwebu P;Chirigo B;Mkhabela N;Dlamini T;Sithole S;Malaza S;Dlamini S;Afriyie D;Asare GA;Amponsah SK;Sefah I;Oluka M;Guantai AN;Opanga SA;Sarele TV;Mafisa RK;Chikowe I;Khuluza F;Kibuule D;Kalemeera F;Mubita M;Fadare J;Sibomana L;Ramokgopa GM;Whyte C;Maimela T;Hugo J;Meyer JC;Schellack N;Rampamba EM;Visser A;Alfadl A;Malik EM;Malande OO;Kalungia AC;Mwila C;Zaranyika T;Chaibva BV;Olaru ID;Masuka N;Wale J;Hwenda L;Kamoga R;Hill R;Barbui C;Bochenek T;Kurdi A;Campbell S;Martin AP;Phuong TNT;Thanh BN;Godman B

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COVID-19疫情已夺去不少人的生命。由于目前传染病和非传染病的流行率很高,而人员、床位和设备方面的资源有限,非洲的情况令人严重关切。除此之外,封锁和其他措施将对预防和管理其他传染病和非传染性疾病产生影响。非传染性疾病是一个日益严重的问题,发病率和死亡率不断上升。世界卫生组织(世卫组织)警告说,缺乏蚊帐和治疗可能导致撒哈拉以南非洲地区新增多达1800万例疟疾病例和多达3万例死亡。记录COVID-19目前的流行率和死亡率,以及减少其在非洲传播和影响的经济和其他措施。此外,还就所有主要利益攸关方群体的前进方向提出了建议。将来自各种出版物的调查结果结合起来,包括基于互联网的出版物以及高级人员的投入。目前非洲的发病率和死亡率低于几个西方国家和美国。这可能是由于多个因素,包括早期煽动封锁和边境关闭,人口年龄较小,缺乏健全的报告系统以及尚未确定的遗传和其他因素。创新正在加速,以解决现有设备的问题。目前正在采取措施,以解决错误信息的程度及其后果,包括罚款。非洲各地也正在采取措施,开始应对COVID-19活动的意外后果,包括封锁措施及其对非传染性疾病的影响,包括精神健康障碍可能增加,而与COVID-19相关的耻辱感增加加剧了这种情况。战略包括延长处方时间、远程医疗和鼓励接种疫苗。然而,需要加快这些进程,以防止发病率和死亡率上升。在世界卫生组织和其他组织的协助下,非洲各地开展了多种活动,以减少COVID-19的传播并解决可能造成灾难性后果的错误信息,这些活动似乎在一些国家发挥了作用。目前正在进行研究,以澄清由于持续的关切而产生的意外后果,从而指导今后的活动。各国正在相互学习。
The COVID-19 pandemic has already claimed considerable lives. There are major concerns in Africa due to existing high prevalence rates for both infectious and non-infectious diseases and limited resources in terms of personnel, beds and equipment. Alongside this, concerns that lockdown and other measures will have on prevention and management of other infectious diseases and non-communicable diseases (NCDs). NCDs are an increasing issue with rising morbidity and mortality rates. The World Health Organization (WHO) warns that a lack of nets and treatment could result in up to 18 million additional cases of malaria and up to 30,000 additional deaths in sub-Saharan Africa. Document current prevalence and mortality rates from COVID-19 alongside economic and other measures to reduce its spread and impact across Africa. In addition, suggested ways forward among all key stakeholder groups. Contextualise the findings from a wide range of publications including internet-based publications coupled with input from senior-level personnel. Prevalence and mortality rates are currently lower in Africa than among several Western countries and the USA. This could be due to a number of factors including early instigation of lockdown and border closures, the younger age of the population, lack of robust reporting systems and as yet unidentified genetic and other factors. Innovation is accelerating to address concerns with available equipment. There are ongoing steps to address the level of misinformation and its consequences including fines. There are also ongoing initiatives across Africa to start addressing the unintended consequences of COVID-19 activities including lockdown measures and their impact on NCDs including the likely rise in mental health disorders, exacerbated by increasing stigma associated with COVID-19. Strategies include extending prescription lengths, telemedicine and encouraging vaccination. However, these need to be accelerated to prevent increased morbidity and mortality. There are multiple activities across Africa to reduce the spread of COVID-19 and address misinformation, which can have catastrophic consequences, assisted by the WHO and others, which appear to be working in a number of countries. Research is ongoing to clarify the unintended consequences given ongoing concerns to guide future activities. Countries are learning from each other.
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