Lockdown measures in response to Covid-19 in nine sub-Saharan African countries

Dados Bibliográficos

ID21879609
AutoresNajmul Haider (0000-0002-5980-3460, Royal Veterinary College), Abdinasir Yusuf Osman (0000-0003-3172-5912, Royal Veterinary College), A Gadzekpo (0000-0001-7461-2980, University of Ghana), George O Akipede (Irrua Specialist Teaching Hospital), Danny Asogun (0000-0001-6811-9268, Irrua Specialist Teaching Hospital), Rashid Ansumana (0000-0002-1973-7200, Sierra Leone Urban Research Centre), Richard Lessells (0000-0003-0926-710X, University of KwaZulu-Natal), Palwasha Khan (0000-0002-0873-8355, London School of Hygiene & Tropical Medicine), Muzamil Abdel Hamid (0000-0002-6157-4388, University of Khartoum), Dorothy Yeboah‐Manu (0000-0002-1663-6287, University of Ghana), Dorothy Yeboah-Manu (Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana), Leonard E G Mboera (0000-0001-5746-3776, Southern African Centre for Infectious Disease Surveillance), Elizabeth H Shayo (0000-0001-9131-1784, National Institute for Medical Research), Blandina T Mmbaga (0000-0002-5550-1916, Kilimanjaro Christian Medical Centre), Mark Urassa (0000-0003-0257-6938, National Institute for Medical Research), David Musoke (0000-0003-3262-3918, Makerere University), Nathan Kapata (0000-0002-3877-8809, Ministry of Health), Rashida A Ferrand (0000-0002-7660-9176, London School of Hygiene & Tropical Medicine), Pascalina-Chanda Kapata (Ministry of Health), Florian Stigler (0000-0002-8544-6196, FWF Austrian Science Fund), Thomas Czypionka (0000-0002-3381-1075, Institut für Höhere Studien - Institute for Advanced Studies (IHS)), Alimuddin Zumla (0000-0002-5111-5735, University College London), Richard Kock (0000-0002-6561-3209, Royal Veterinary College), David Mccoy (0000-0001-7305-8594, Queen Mary University of London, autor correspondente)
Ano2020
Volume5
Fascículo10
Páginase003319
Data de publicação2020-10-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-003319
PMID33028699
OpenAlexW3092193474
IdiomaEN
Citações recebidas100
Referências citadas13

Lockdown measures have been introduced worldwide to contain the transmission of COVID-19. However, the term ‘lockdown’ is not well-defined. Indeed, WHO’s reference to ‘so-called lockdown measures’ indicates the absence of a clear and universally accepted definition of the term ‘lockdown’. We propose a definition of ‘lockdown’ based on a two-by-two matrix that categorises different communicable disease measures based on whether they are compulsory or voluntary; and whether they are targeted at identifiable individuals or facilities, or whether they are applied indiscriminately to a general population or area. Using this definition, we describe the design, timing and implementation of lockdown measures in nine countries in sub-Saharan Africa: Ghana, Nigeria, South Africa, Sierra Leone, Sudan, Tanzania, Uganda, Zambia and Zimbabwe. While there were some commonalities in the implementation of lockdown across these countries, a more notable finding was the variation in the design, timing and implementation of lockdown measures. We also found that the number of reported cases is heavily dependent on the number of tests carried out, and that testing rates ranged from 2031 to 63 928 per million population up until 7 September 2020. The reported number of COVID-19 deaths per million population also varies (0.4 to 250 up until 7 September 2020), but is generally low when compared with countries in Europe and North America. While lockdown measures may have helped inhibit community transmission, the pattern and nature of the epidemic remains unclear. However, there are signs of lockdown harming health by affecting the functioning of the health system and causing social and economic disruption

Developing country · Development economics · Disease · Economic growth · Economics · Environmental health · Geography · Pandemic · Population · Sierra leone · Socioeconomics · Tanzania · COVID-19 and Mental Health · COVID-19 epidemiological studies · COVID-19 Pandemic Impacts · Demography · Medicine