Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?

Malaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December 2019, a novel pneumonia condition termed coron...

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Main Authors: Nora Nganyewo Nghochuzie, Charles Ochieng' Olwal, Aniefiok John Udoakang, Lucas Naam-Kayagre Amenga-Etego, Alfred Amambua-Ngwa
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2020.01476/full
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author Nora Nganyewo Nghochuzie
Nora Nganyewo Nghochuzie
Charles Ochieng' Olwal
Charles Ochieng' Olwal
Aniefiok John Udoakang
Aniefiok John Udoakang
Lucas Naam-Kayagre Amenga-Etego
Lucas Naam-Kayagre Amenga-Etego
Alfred Amambua-Ngwa
Alfred Amambua-Ngwa
author_facet Nora Nganyewo Nghochuzie
Nora Nganyewo Nghochuzie
Charles Ochieng' Olwal
Charles Ochieng' Olwal
Aniefiok John Udoakang
Aniefiok John Udoakang
Lucas Naam-Kayagre Amenga-Etego
Lucas Naam-Kayagre Amenga-Etego
Alfred Amambua-Ngwa
Alfred Amambua-Ngwa
author_sort Nora Nganyewo Nghochuzie
collection DOAJ
description Malaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December 2019, a novel pneumonia condition termed coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with many clinical, epidemiological, and biological parallels to malaria, was reported in Wuhan, China. COVID-19 is spreading rapidly, and, as of the 3rd of June, 2020, more than 382,507 persons had died from COVID-19. Children under 5 years who suffer high malaria-attributable mortalities are largely asymptomatic for COVID-19. Considering that the malaria burden is highest in low-income tropical countries with little capacity to fund malaria control and eradication programs, the fight against malaria in these regions is likely to be hampered. Access to healthcare has generally been limited, while malaria interventions, such as seasonal malaria chemotherapy and distribution of insecticide-treated bed nets, have been suspended due to lockdowns. Likewise, the repurposing of antimalarials for treatment of COVID-19 shared symptoms and the shift in focus from the production of malaria rapid diagnostic tests (RDTs) to COVID-19 RDTs is a cause for concern in malaria-endemic regions. Children are less affected by the COVID-19 pandemic compared to the elderly. However, due to the fears of contracting SARS-CoV-2, the elderly who are worst affected by COVID-19 may not take children for malaria medication, resulting in high malaria-related mortalities among children. COVID-19 has disproportionately affected developed countries, threatening their donation capacity. These are likely to thwart malaria control efforts in low-income regions. Here, we present perspectives on the collateral impact of COVID-19 on malaria, especially in Africa.
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spelling doaj.art-d226ba2ddb1747c3b3c99b6699a53bf52022-12-21T18:41:37ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2020-06-011110.3389/fmicb.2020.01476561836Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?Nora Nganyewo Nghochuzie0Nora Nganyewo Nghochuzie1Charles Ochieng' Olwal2Charles Ochieng' Olwal3Aniefiok John Udoakang4Aniefiok John Udoakang5Lucas Naam-Kayagre Amenga-Etego6Lucas Naam-Kayagre Amenga-Etego7Alfred Amambua-Ngwa8Alfred Amambua-Ngwa9West African Centre for Cell Biology of Infectious Pathogens (WACCBIP), University of Ghana, Accra, GhanaDepartment of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Accra, GhanaWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), University of Ghana, Accra, GhanaDepartment of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Accra, GhanaWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), University of Ghana, Accra, GhanaDepartment of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Accra, GhanaWest African Centre for Cell Biology of Infectious Pathogens (WACCBIP), University of Ghana, Accra, GhanaDepartment of Biochemistry, Cell and Molecular Biology, College of Basic and Applied Sciences, University of Ghana, Accra, GhanaMedical Research Council Unit The Gambia at LSHTM, Banjul, The GambiaLondon School of Hygiene and Tropical Medicine, University of London, London, United KingdomMalaria remains a major global health burden, killing hundreds of thousands annually, especially in sub-Saharan Africa. In 2019, a Phase IV Expanded Programme on Immunization (EPI)-linked malaria vaccine implementation was underway. However, in December 2019, a novel pneumonia condition termed coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with many clinical, epidemiological, and biological parallels to malaria, was reported in Wuhan, China. COVID-19 is spreading rapidly, and, as of the 3rd of June, 2020, more than 382,507 persons had died from COVID-19. Children under 5 years who suffer high malaria-attributable mortalities are largely asymptomatic for COVID-19. Considering that the malaria burden is highest in low-income tropical countries with little capacity to fund malaria control and eradication programs, the fight against malaria in these regions is likely to be hampered. Access to healthcare has generally been limited, while malaria interventions, such as seasonal malaria chemotherapy and distribution of insecticide-treated bed nets, have been suspended due to lockdowns. Likewise, the repurposing of antimalarials for treatment of COVID-19 shared symptoms and the shift in focus from the production of malaria rapid diagnostic tests (RDTs) to COVID-19 RDTs is a cause for concern in malaria-endemic regions. Children are less affected by the COVID-19 pandemic compared to the elderly. However, due to the fears of contracting SARS-CoV-2, the elderly who are worst affected by COVID-19 may not take children for malaria medication, resulting in high malaria-related mortalities among children. COVID-19 has disproportionately affected developed countries, threatening their donation capacity. These are likely to thwart malaria control efforts in low-income regions. Here, we present perspectives on the collateral impact of COVID-19 on malaria, especially in Africa.https://www.frontiersin.org/article/10.3389/fmicb.2020.01476/fullmalariaplasmodiumCOVID-19SARS-CoV-2ACE2coronaviruses
spellingShingle Nora Nganyewo Nghochuzie
Nora Nganyewo Nghochuzie
Charles Ochieng' Olwal
Charles Ochieng' Olwal
Aniefiok John Udoakang
Aniefiok John Udoakang
Lucas Naam-Kayagre Amenga-Etego
Lucas Naam-Kayagre Amenga-Etego
Alfred Amambua-Ngwa
Alfred Amambua-Ngwa
Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?
Frontiers in Microbiology
malaria
plasmodium
COVID-19
SARS-CoV-2
ACE2
coronaviruses
title Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?
title_full Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?
title_fullStr Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?
title_full_unstemmed Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?
title_short Pausing the Fight Against Malaria to Combat the COVID-19 Pandemic in Africa: Is the Future of Malaria Bleak?
title_sort pausing the fight against malaria to combat the covid 19 pandemic in africa is the future of malaria bleak
topic malaria
plasmodium
COVID-19
SARS-CoV-2
ACE2
coronaviruses
url https://www.frontiersin.org/article/10.3389/fmicb.2020.01476/full
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