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 IJCM  Vol.11 No.6 , June 2020
COVID-19: Africa’s Challenge and the Need for a Paradigm Shift on the Use of Ventilators
Abstract: Background: The December 2019 Chinese epidemic of Corona Virus Disease [COVID-19], which erupted in Wuhan, South China, was declared a pandemic, by the World Health Organization [WHO], on 12th January 2020. The worldwide spread from China was rapid, but Africa was the last port-of-call. Her first diagnosed case was two months after China’s, on 14th February, 2020 in Egypt. The morbidity and mortality rates have, however, remained lower in Africa than in the developed world, and analysts believe that it was more of a temporary respite, since Africa’s poor health infrastructure will become her eventual albatross. Methodology: Data were collected on COVID-19 and records of the socio-economic capacity of Africa by accessing the relevant previous and current peer-reviewed publications from multiple search engines on internet. The data were, then, collated and comparatively analyzed. Results: The available data revealed that Africa had, mostly, the milder forms of COVID-19, and so, morbidity and mortality were low. Her shrinking elderly population and hot climate were believed to be contributory, but lately, as the pandemic spread, the role of these factors was not exactly predictive. Being low on healthcare infrastructure, Africa could tenaciously leverage on the supportive and preventive measures prescribed by WHO, while the world awaited a vaccine. The role of ventilators in the care of critically ill patients, also, came under scrutiny as some workers were questioning the underlying pathology, and advocating a paradigm shift from high-tech positive end expiratory pressure ventilation to plasmapheresis and packed cell transfusion. Conclusion: Africa faces a huge challenge with COVID-19, but the predicted heavy mortalities may be reduced by some local confounding factors, control of spread and re-focusing of critical care away from the expensive and unavailable ventilators.
Cite this paper: Emejulu, J. , Emejulu, Y. , Uche, E. , (2020) COVID-19: Africa’s Challenge and the Need for a Paradigm Shift on the Use of Ventilators. International Journal of Clinical Medicine, 11, 420-430. doi: 10.4236/ijcm.2020.116035.
References

[1]   Pneumonia of Unknown Cause—China (2020)
https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/

[2]   Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., et al. (2020) Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. The New England Journal of Medicine, 382, 1199-1207.
https://doi.org/10.1056/NEJMoa2001316

[3]   CDC-OPHSS-CSELS-Division of Labour (2020) Outbreak of 2019 Novel Coronavirus (2019-nCoV) in Wuhan, China.
https://www.cdc.gov/csels/dls/locs/2020/outbreak-of-2019-novel-coronavirus-2019-ncov-in-wuhan-china.html

[4]   National Health Commission of People’s Republic of China (2020) Prevention Guidelines of 2019 nCoV, 6 ED, Part I.
http://en.nhc.gov.cn/2020-04/05/c_78815.htm

[5]   Azzi, L., Carcano, G., Giafagna, F., Grossi, P., Gasperina, D.G., Genoni, A., et al. (2020) Saliva Is a Reliable Tool to Detect SARS-CoV-2. Journal of Infection, 9, 57.
https://doi.org/10.1016/j.jinf.2020.04.005

[6]   Chen, X.H., Zhao, B.H., Qu, Y.M., Chen, Y.R., Xiong, J., Feng, Y., Men, D., Huang, Q.C., Liu, Y., Yang, B., Ding, J.Y. and Li, F. (2020) Detectable Serum SARS-CoV-2 Viral Load [RNAemia] Is Closely Correlated with Drastically Elevated Interleukin 6 [IL-6] Level in Critically Ill COVID-19 Patients. Clinical Infectious Diseases.
https://doi.org/10.1093/cid/ciaa449

[7]   Sultan, S. (2020) Very Impressive Analysis of COVID-19.
https://oxycamaras.com.br/very-impressive-analysis-of-covid-19-issue-by-prof-sharif-sultan-
president-of-international-society-of-vascular-surgery

[8]   Coronavirus Africa Summary: Cases, Deaths…—AS English.
https://as.com/

[9]   Live Statistics and Coronavirus News Tracking the Number of Confirmed Cases, Recovered Patients, Tests, and Death Toll Due to the COVID-19 Coronavirus from Graphs Hungary United States India.
https://www.worldometers.info/coronavirus/?

[10]   Coronavirus Live Updates: Deaths and Cases UK, Australia, Canada, Spain…
https://en.as.com/en/2020/04/23/other_sports/1587622611_538823.html

[11]   Davidson, H. and Beaumont, P. (2020) China Coronavirus Cases May Have Been Four Times Official Figure. The Guardian International Edition.

[12]   Google COVID-19 Alert. Wikipedia.
https://g.co/kgs/ZGAQaa

[13]   Africa Records 9106 COVID-19 Recoveries. Africa Centres for Disease Control and Prevention, Africa CDC.
https://guardian.ng/news/world/africa/africa-records-9106-covid-19-recoveries

[14]   Coronavirus: Nigeria to Test 2 Million People in 3 Months. NCDC.
https://www.premiumtimesng.com/coronavirus/390405-coronavirus-nigeria-to-test-3-
million-people-in-three-months-ncdc.html


[15]   Nigeria Carries Out 12,004 COVID-19 Tests Nationwide So Far.
https://www.xinhuanet.com/english/2020-04/28/c_139015766.htm

[16]   Coronavirus Disease. Wikipedia.
https://en.wikipedia.org/wiki/Coronavirus_disease_2019

[17]   2020 Coronavirus Pandemic in Egypt. Wikipedia.
https://en.m.wikipedia.org

[18]   Senegal Records Largest Single Rise in Virus Infections.
https://www.dispatchlive.co.za/news/africa/2020-04-25-senegal-records
-largest-single-rise-in-virus-infections


[19]   2020 Coronavirus Pandemic in Morocco. Wikipedia.
https://en.wikipedia.org/wiki/COVID-19_pandemic_in_Morocco

[20]   Coronavirus in Africa Tracker: How Many COVID-19 Cases & Where. WHO, Johns Hopkins. nCoV.
https://africanarguments.org

[21]   COVID-19 Map—Johns Hopkins Coronavirus Resource Center.
https://coronavirus.jhu.edu/

[22]   African Centres for Diseases Control and Prevention. COVID-19 Dashboard.
https://africacdc,org/covid-19

[23]   Wallace, D.J., Angus, D.C., Seymour, C.W., Bernato, A.E. and Kahn, J.M. (2015) Critical Care Bed Growth in the United States: A Comparison of Regional and National Trends. American Journal of Respiratory and Critical Care Medicine, 19, 410-416.
https://doi.org/10.1164/rccm.201409-1746OC

[24]   el-Sadr, W.M. and Justman, J. (2020) Africa in the Path of COVID-19. The New England Journal of Medicine.
https://doi.org/10.1056/NEJMp2008193

[25]   COVID-Organics: Madagascar Launches Africa’s First Cure for Virus.
https://www.africanews.com/2020/04/22/covid-organics-madagascar-launches-africa-s
-first-cure-for-virus


[26]   Barriers to Mass Testing for COVID-19 in Africa. Atlantic Council.
https://www.atlanticcouncil.org/blogs/africasource/barriers-to-mass-testing-for-covid-19-in-africa

[27]   Scientists in Senegal Produce 3-D Ventilators for Patients.
https://www.tvcnews.tv/scientists-in-senegal-produce-3-d-ventilators-for-patients

[28]   Abuja Declaration: 10 Years On.
https://www.who,int/healthsystems/publications/abuja_declaration/en

[29]   Nigeria’s Heath Care Spending Lags behind Abuja Declaration.
https://www.voanews.com/africa/nigerias-health-care-spending-lags-behind-abuja-declaration

[30]   Kumar, R. and Pal, R. (2018) India Achieves WHO Recommended Doctor Population Ratio: A Call for Paradigm Shift in Public Health Discourse. Journal of Family Medicine and Primary Care, 7, 841-844.
https://www.jfmpc.com/article.asp?issn+2249-4863

[31]   Physicians per 1,000 People. Sub-Saharan Africa.
https://data.worldbank.org/

[32]   Population by Country (2020) Worldometer.
https://www.worldometers.info/world-population/population-by-country

[33]   https://www.share.com>health

[34]   COVID-19: Young Inventors, Local Ventilators to Nigeria’s.
https://economicconfidential.com/2020/04/covid19-young-inventors-local-ventilators/

[35]   John Elflein. Countries with the Lowest Physicians’ Density Worldwide 2016.
http://www.statista.com

[36]   Kathryn Diss. The US Was Warned It Could Run Out of Ventilators amid Coronavirus.
http://www.abc.net.au/news/2020-04-12/why-is-the-US-out-of-ventilators-amid.coronavirus /12137178

[37]   Coronavirus Vaccine to Be Tested in UK from Thursday.
http://www.independent.co.uk/

[38]   South Africa Is Working on Producing 10,000 Ventilators by End of June.
http://qz.com/

[39]   Making Ventilators in Egypt: Tough But Not Impossible.
https://madamasr.com/en/2020/04/11/feature/society/making-ventilators-in-egypt
-tough-but-not-impossible/

[40]   Income Per Capita by Country.
https://www.worldometers.info/gdp/gdp-per-capita

 
 
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