An epidemiological overview of the first waves of the COVID-19 pandemic in African Union member nations

Introduction Despite the fragile health systems in Africa, the continent remained less impacted by the COVID-19 pandemic, with no clear understanding of the distributional patterns across the countries and regions. This study assessed the distribution patterns of COVID-19 infection and the associate...

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Main Authors: Ogbonna C. Nwabuko, Osaro Mgbere
Format: Article
Language:English
Published: European Publishing 2023-04-01
Series:Population Medicine
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Online Access:https://www.populationmedicine.eu/An-epidemiological-overview-of-the-first-waves-of-the-COVID-19-pandemic-in-African,161958,0,2.html
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Summary:Introduction Despite the fragile health systems in Africa, the continent remained less impacted by the COVID-19 pandemic, with no clear understanding of the distributional patterns across the countries and regions. This study assessed the distribution patterns of COVID-19 infection and the associated epidemiological measures across five geographical regions and the 53 African Union (AU) member countries during the first waves of the pandemic up to January 2021. Methods This retrospective cross-sectional study utilized COVID-19 data from publicly available data repositories of the Africa Centers for Disease Control and Prevention (African CDC) and Our World in Data from February 2020 to January 2021. We conducted descriptive and inferential analyses of the reported cases, deaths, active cases, recoveries, and epidemiological measures, including morbidity and mortality rates (MMR), case fatality rate, and case ratios. Results A total of 3196589 SARS-CoV-2 seropositive cases were reported in the AU during the period under review, out of which 77486 died, 536784 remained active cases, and 2582372 recovered. The mean case fatality rate in the AU was 2.21%. The Southern region recorded the highest average reported cases (149314), active cases (26156) and deaths (3942), while the Northern region recorded the highest average recoveries (121372). Conversely, the Central region recorded the least average number of reported cases (4978), recoveries (4554) and deaths (191), while the Western region logged the least average number of active cases (2274). Conclusions The Northern and Southern African regions were worse hit than other regions. However, there is a need to scale-up laboratory testing for SARS-CoV-2 in other regions of the AU to enhance proper case ascertainment, tracing and treatment of COVID-19 cases in a timely manner.
ISSN:2654-1459