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COVID-19 treatment in sub-Saharan Africa: if the best is not available, the available becomes the best

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dc.contributor.authorDubbink, Jan H.
dc.contributor.authorBranco, Tiago Martins
dc.contributor.authorKamara, Kelfala B. B.
dc.contributor.authorBangura, James S.
dc.contributor.authorWehrens, Erik
dc.contributor.authorFalama, Abdul M
dc.contributor.authorGoorhuis, Abraham
dc.contributor.authorJørgensen, Peter B.
dc.contributor.authorSevalie, Stephen S.
dc.contributor.authorHanscheid, Thomas
dc.contributor.authorGrobusch, Martin Peter
dc.date.accessioned2023-01-09T14:42:24Z
dc.date.available2023-01-09T14:42:24Z
dc.date.issued2020
dc.description© 2020 Elsevier Ltd. All rights reserved.pt_PT
dc.description.abstractCommunity transmission of COVID-19 is ongoing in the majority of countries in sub-Saharan Africa (SSA), threatening, as elsewhere, the capacity of national healthcare systems (HCS) in low- and middle-income countries (LMIC). While the epidemic started slowly and late in SSA, currently - subject to often rapid changes - around 20,000 cases per day are reported, despite limited testing. Shortages of personal protective equipment (PPE), as well as sophisticated and expensive molecular diagnostic tests are of concern. However, the biggest worry is the lack of health care workers (HCW) and health care infrastructure as a few figures compellingly illustrate. SSA has only 0.2 physicians per 1000 inhabitants (Europe 3.7, North America 2.6), while 10,000 HCW across the continent were infected by the 23rd of July. In April, the WHO reported less than 2000 ventilators in 43, and only 5000 intensive care unit (ICU) beds in 41 African countries, respectively. Worst though, their distribution is highly skewed. While many countries in SSA having just a few, if any; in countries which govern such resources, like South Africa, they are mainly located in the private sector, creating corresponding access problems. Non-profit organisations help with the procurement of materials at lower prices, like the African Medical Supply Platform; yet, a single N95 mask still costs 2 USD a piece on this platform.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTravel Med Infect Dis. 2020 Sep-Oct;37:101878pt_PT
dc.identifier.doi10.1016/j.tmaid.2020.101878pt_PT
dc.identifier.eissn1873-0442
dc.identifier.issn1477-8939
dc.identifier.urihttp://hdl.handle.net/10451/55728
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/travel-medicine-and-infectious-diseasept_PT
dc.subjectCOVID-19pt_PT
dc.subjectCase managementpt_PT
dc.subjectLMICpt_PT
dc.subjectSARS-CoV-2pt_PT
dc.subjectSierra Leonept_PT
dc.subjectTreatment centerspt_PT
dc.titleCOVID-19 treatment in sub-Saharan Africa: if the best is not available, the available becomes the bestpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleTravel Medicine and Infectious Diseasept_PT
oaire.citation.volume37pt_PT
person.familyNameHanscheid
person.givenNameThomas
person.identifier.orcid0000-0001-6353-9132
person.identifier.scopus-author-id7004266513
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2fcee295-6474-439a-85af-fb3397f771df
relation.isAuthorOfPublication.latestForDiscovery2fcee295-6474-439a-85af-fb3397f771df

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