Africa should “prepare for the worst” as the coronavirus begins to spread locally, the World Health Organization’s director-general said Wednesday, while South Africa became the continent’s new focus of concern as cases nearly doubled to 116 from two days before.
South Africa’s health minister, Zweli Mkhize, this week called that kind of rate “explosive” in the country with the most cases in sub-Saharan Africa. Fourteen of the latest cases were from local transmission — and six were in children under 10.
Though the pandemic is in its early days on the continent, health experts have warned that even facilities in Africa’s richest nation could be overwhelmed by the virus’ spread.
“I think Africa should wake up. My continent should wake up,” said WHO chief Tedros Adhanom Ghebreyesus, who comes from Ethiopia.
Crowded conditions in poor areas could lead to even faster transmission, experts say. Countless South Africans continue to pack into commuter trains and minivan taxis. But the annual pilgrimage of the Zion Christian Church, which attracts about 3 million people, was cancelled.
“We have low-income workers who cannot afford to self-isolate or take time off work,” said public health expert Dr. Atiya Mosam, who also worried about the large population without clean water or sanitation or vulnerable from HIV or tuberculosis.
Others asked how a person can self-quarantine in a crowded slum. The continent has several of the world’s fastest-growing cities.
Africa’s most populous country, Nigeria, announced restrictions on the entry of travelers from countries with more than 1,000 coronavirus cases, including China and the U.S., and suspended visas on arrival for their citizens.
Nigeria has had eight cases of the virus, all in people recently arrived from abroad — one of the latest a 6-week-old baby. The country said one of the new patients, an American, had entered via a land border, a first.
Three other African nations announced their first virus cases: Gambia, Zambia and Djibouti. Thirty-three of Africa’s 54 countries now have cases, with a total of at least 529 midday Wednesday.
Somalia, which announced its first case this week, closed schools and universities for two weeks and warned against public gatherings as the country with one of Africa’s weakest health systems tries to stop the virus’ spread.
“This is really a very scary moment,” said Hassan Kafi, a medical student in the capital, Mogadishu. The country has suffered from nearly three decades of conflict.
Uganda, which has no cases, banned travel to the worst-affected countries. It also suspended religious gatherings and restricted the number of people at weddings to 10 in a country known for mass ceremonies.
Health experts from some 20 African nations participated in a video conference with doctors in China on how to contain the virus.