Abstract
This chapter provides an overview of public health in Africa in four main sections. One section explores challenges and promises to public health posed by the size and diversity of Africa. The second section explores the challenges and promises of Africa’s infrastructure. The third section explores existing crises like the HIV/AIDS pandemic and emerging crises like food insecurity. However, in the fourth section, I suggest that Africa’s biggest public health challenges are rooted in stigma and fear.
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Works Cited
Africa CDC. 2020. Africa CDC establishes continent-wide task force to respond to global coronavirus epidemic. Africacdc.org. February 5. Accessed September 5, 2022. https://africacdc.org/news-item/africa-cdc-establishes-continent-wide-task-force-to-respond-to-global-coronavirus-epidemic/.
African Society for Laboratory Medicine. 2017. Internationally accredited laboratories in Africa. Addis Ababa, April.
Baelani, Inipavudu, Stefan Jochberger, Thomas Laimer, Dave Otieno, Jane Kabutu, Iain Wilson, Tim Baker, and Martin W. Dünser. 2011. Availability of critical care resources to treat patients with severe sepsis or septic shock in Africa: a self-reported, continent-wide survey of anaesthesia providers. Critical Care.
Biccard, Bruce M. 2021. Covid-19—Why critically ill patients in Africa are taking a bigger hit. theconversation.com, May 22. Accessed August 23, 2022. https://theconversation.com/covid-19-why-critically-ill-patients-in-africa-are-taking-a-bigger-hit-161382.
Biden, Joseph. 2021a. Proclamation 10141: Ending Discriminatory Bans on Entry to The United States. Presidential Proclamation, Washington, DC: Office of the Federal Register.
Biden, Joseph R. 2021b. A Proclamation on Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting Coronavirus Disease 2019. Presidential Proclamation, Washington, DC: Office of the Federal Register.
Chikanda, Abel. 2022. Migration intermediaries and the migration of health professionals from the global south. In Gender, and Health Professional Credentials Margaret Walton-Roberts, ed. Global Migration, 167–186. Toronto: University of Toronto Press.
Epstein, Edmund L., and Robert Kole. 1998. The Language of African Literature. Trenton, NJ: Africa World Press.
Eziakonwa, Ahunna. 2022. Averting an African food crisis in the wake of the Ukraine war. weforum.org, May 16. Accessed September 5, 2022. https://www.weforum.org/agenda/2022/05/averting-an-african-food-crisis-in-the-wake-of-the-ukraine-war/.
Freer, Joseph, and Vanessa Mudaly. 2002. HIV and covid-19 in South Africa. BMJ.
Hanekom, Willem, and Tulio de Oliveira. 2021. South African scientists who discovered new COVID-19 variant share what they know. The Conversation, January 22. Accessed August 23, 2022. https://theconversation.com/south-african-scientists-who-discovered-new-covid-19-variant-share-what-they-know-153313.
Jewell, Britta L., Edinah Mudimu, John Stover, Debraten Brink, Andrew N. Phillips, Jennifer A. Smith, Rowan Martin-Hughes, et al. 2020. Potential effects of disruption to HIV programmes in sub-Saharan Africa caused by COVID-19: results from multiple mathematical models. The Lancet, e629–e640.
Le, Tien. 2021. The U.S. restricts travel from 8 countries as omicron variant spreads. NPR, November 29. Accessed September 7, 2022. https://www.npr.org/2021/11/29/1059772335/us-restricts-international-travel-over-omicron-variant.
Marcus, Lilit, and Barry Neild. 2021. Travel restrictions by country following the Omicron variant outbreak. CNN, December 4. Accessed September 7, 2022. https://www.cnn.com/travel/article/coronavirus-omicron-variant-travel-restrictions/index.html.
Matose, Takunda, and Paul C. Taylor. 2022. Pandemics and race. In Ethical Public Health Policy Within Pandemics, ed. Michael Boylan, 95–115. Springer.
Meldrum, Andrew. 2021. African Union buys 270 million vaccine doses for the continent. abcnews.go.com. January 13. Accessed September 4, 2022. https://abcnews.go.com/International/wireStory/african-union-buys-270-million-vaccine-doses-continent-75235352.
Mogaoatlhe, Lerato. 2020. 4 critical humanitarian issues that African countries should not forget as they fight COVID-19. Globalcitizen.org, May 20. Accessed August 22, 2022. https://www.globalcitizen.org/en/content/covid-19-africa-humanitarian-crises-sdgs/.
MRC/Wits. 2022. About Agincourt HDSS, August 16. https://www.agincourt.co.za/?page_id=1896.
Mueller, Benjamin, and Rebecca Robbins. 2021. Where a vast global vaccination program went wrong. nytimes.com, August 2. Accessed September 5, 2022. https://www.nytimes.com/2021/08/02/world/europe/covax-covid-vaccine-problems-africa.html.
Naicker, Saraladevi, Jonathan B. Eastwood, Jacob Plange-Rhule, and Roger C. Tutt. 2010. Shortage of healthcare workers in sub-Saharan Africa. Clinical Nephrology, 129–133.
Nguimkeu, Pierre, and Sosson Tadadjeu. 2021. Why is the number of COVID-19 cases lower than expected in Sub-Saharan Africa? A cross-sectional analysis of the role of demographic and geographic factors. World Development.
Parker, A., C.F.N. Koegelenberg, M.S. Moolla, E.H. Louw, A. Mowlana, A. Nortjé, R. Ahmed, et al. 2020. High HIV prevalence in an early cohort of hospital admissions with COVID-19 in Cape Town, South Africa. South African Medical Journal.
PEPFAR. 2021. PEPFAR technical guidance in context of COVID-19 pandemic. Technical Guidance, President’s Emergency Program for AIDS Relief.
Ritchie, Hannah, Edouard Mathieu, Lucas Rodés-Guirao, Cameron Appel, Charlie Giattino, Esteban Ortiz-Ospina, Joe Hasell, Bobbie Macdonald, Saloni Dattani, and Max Roser. 2022. Coronavirus pandemic (COVID-19)—Our World in Data. September 7. Accessed September 7, 2022. https://ourworldindata.org/coronavirus.
Robbins, Rebecca, and Peter S. Goodman. 2021. Pfizer reaps hundreds of millions in profits from covid vaccine, May 4. Accessed September 5, 2022. https://www.nytimes.com/2021/05/04/business/pfizer-covid-vaccine-profits.html.
Roche, Rachel, Robert Bain, and Oliver Cumming. 2017. A long way to go—Estimates of combined water, sanitation and hygiene coverage for 25 sub-Saharan African countries. Plos One.
The Government of Botswana; U.S. Department of State Office of the Global AIDS Coordinator; The United States President’s Emergency Plan for AIDS Relief (PEPFAR) Botswana. 2022. The Government of Botswana and PEPFAR celebrate a milestone in Botswana’s HIV response. U.S. Embassy: Press Release, Gaborone in Botswana.
Trump, Donald J. 2017a. Executive order 13780: Protecting the nation from foreign terrorist entry into the United States. Executive Order, Washington, DC: Office of the Federal Register.
Trump, Donald J. 2017b. Executive order 13799: protecting the nation from foreign terrorist entry into the United States. Executive Order, Washington, DC: Office of the Federal Register.
Tugendhaft, Aviva, Marion Danis, Nicola Christofides, Kathleen Kahn, Agnes Erzse, Marthe Gold, Rhian Twine, Audrey Khosa, and Karen Hofman. 2022. CHAT SA: Modification of a public engagement tool for priority setting for a South African rural context. International Journal of Health Policy Management (Agency for Healthcare Research and Quality), 197–209.
Twohey, Megan, Keith Collins, and Katie Thomas. 2020. With first dibs on vaccines, rich countries have ‘cleared the shelves’.” nytimes.com, December 18. Accessed September 4, 2022. https://www.nytimes.com/2020/12/15/us/coronavirus-vaccine-doses-reserved.html.
Vitali, Ali, Kasie Hunt, and Frank Thorp. 2018. Trump referred to Haiti and African nations as ‘shithole’ countries. www.nbcnews.com, January 11. Accessed September 7, 2022. https://www.nbcnews.com/politics/white-house/trump-referred-haiti-african-countries-shithole-nations-n836946.
Wamai, Richard G., Jason L. Hirsch, Wim Van Damme, David Alnwick, Robert C. Bailey, Stephen Hodgins, Uzma Alam, and Mamka Anyona. 2021. What could explain the lower COVID-19 burden in Africa despite considerable circulation of the SARS-CoV-2 virus?” International Journal of Environmental Research and Public Health.
World Health Organization. 2021. The true death toll of COVID-19: Estimating global excess mortality. Geneva: WHO.
———. 2022. WHO launches appeal to respond to urgent health needs in the greater Horn of Africa. who. Int, August 2. Accessed August 2, 2022. https://www.who.int/news/item/02-08-2022-who-launches-appeal-to-respond-to-urgent-health-needs-in-the-greater-horn-of-africa.
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Matose, T. (2023). Contemporary Public Health in Africa Through a Philosophical and Bioethical Lens. In: Boylan, M. (eds) International Public Health Policy and Ethics. The International Library of Bioethics, vol 106. Springer, Cham. https://doi.org/10.1007/978-3-031-39973-2_19
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