Business Day

Covid-19 fight can halt malaria progress

• If new crisis interrupts supplies of insecticid­es, mosquito nets and medication, deaths from malaria may climb to the highest level since 2000

- Lukanyo Mnyanda Editor

Africa may see cases of malaria double to the highest level in 20 years if efforts to deal with the Covid-19 outbreak disrupt other health campaigns, according to the World Health Organisati­on.

Africa may see cases of malaria double to the highest level in 20 years if efforts to deal with the Covid-19 outbreak disrupt other health projects, the World Health Organisati­on (WHO) says.

In addition to the diversion of resources towards dealing with the coronaviru­s — which has infected more than 25,000 people on the continent and killed about 1,200 — social distancing and other measures carry the risk that countries will overlook a disease that was linked to about 360,000 deaths in 2018.

SA has the most Covid-19 infections in Africa, though containmen­t measures are showing signs of flattening­t its curve, Matshidiso Moeti, director of the WHO in Africa, said in a video conference on Thursday. As of Wednesday, SA had about 3,600 cases and 65 deaths, according to the latest data from the department of health.

Countries should not lose focus on other health challenges to the coronaviru­s outbreak and

“maintain malaria interventi­ons” to ensure Africa avoids a repeat of what happened with the Ebola outbreak, during which gains made fighting other diseases were reversed, she said.

If the current crisis stops the provision of insecticid­es, mosquito nets and medication, deaths from malaria may climb to the highest level since 2000, according to Moeti.

“We saw with Ebola virus disease outbreak in West Africa that we actually lost more people to diseases that we previously were managing to control like malaria, than we lost to the outbreak itself,” she said. “Let us not repeat that with Covid-19.”

The WHO, which is still reeling from US President Donald

Trump’s decision to withhold funding, got a boost on Thursday when China said it would give the organisati­on an additional $30m (R572m) to fight the disease. The donation from China, which has come under intense scrutiny over the origins of the virus, would be focused on strengthen­ing developing nations’ health systems, the Financial Times said.

The outbreak, which is still seen to be at the beginning stage in Africa, the world’s poorest continent, has raised concerns that it will overwhelm fragile health systems that were already struggling to contain diseases such as measles, polio and HIV/Aids, in addition to malaria.

Children under five years old are the most vulnerable group to malaria, according to the World Economic Forum. Deaths from the disease have halved since 2000, the WEF has said, citing data from the Bill & Melinda Gates Foundation.

Moeti said the WHO was concerned that efforts to deal with coronaviru­s were preventing people from accessing essential and life-saving health services. “Despite progress in immunisati­on, one in four African children are underimmun­ised,” she said.

“To protect communitie­s from diseases like measles, polio [and] yellow fever it is imperative that routine immunisati­on continues.”

While campaigns may need to be postponed because of social distancing, “countries will need to rapidly and safely scale up these activities once the Covid-19 transmissi­on is contained”, she said.

“Malaria deaths could double from 2018 and this would be the highest since 2000. I urge and encourage all countries to maintain malaria interventi­ons.”

WE SAW WITH EBOLA IN WEST AFRICA THAT WE ACTUALLY LOST MORE PEOPLE TO DISEASES THAT WE WERE MANAGING TO CONTROL BEFORE

TO PROTECT COMMUNITIE­S FROM MEASLES, POLIO, YELLOW FEVER ROUTINE IMMUNISATI­ON MUST CONTINUE

 ?? /Reuters ?? Word of caution: Matshidiso Moeti, director of the World Health Organisati­on in Africa.
/Reuters Word of caution: Matshidiso Moeti, director of the World Health Organisati­on in Africa.

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