Mitigating lockdown challenges in response to COVID-19 in Sub-Saharan Africa.

The coronavirus disease 2019 (COVID-19) which was first reported in Wuhan, China at the end of 2019 ( Luo et al., 2020 ) has spread across the world with remarkable speed, with the World Health Organization (WHO) officially declaring a pandemic in March, 2020. Most countries in sub-Saharan Africa (SSA) are now reporting an increasing number of cases, both imported and acquired locally. As of April 14th, 2020, a cumulative total of approximately, 10,757 confirmed COVID-19 cases with 520 deaths have been reported within the WHO African Region, with South Africa, Algeria and Cameroon recording the highest number of cases ( WHO, 2020a ). A recent analysis has indicated that the risk of transmission of COVID-19 in Africa to be relatively lower than in other continents ( Haider et al., 2020 ). However, the scale of COVID-19 infection in the continent and its impact on population health is still unclear. Routine information systems in many parts of the region are inadequate, and the current data are likely to underestimate the true extent of the epidemic. Furthermore, because it is unclear as to how COVID-19 will interact with conditions such as malnutrition, HIV/AIDS, tuberculosis, and malaria, one cannot be certain that infection fatality rates in Africa will be similar to those that have been estimated elsewhere.