COVID-19 pandemic in Africa is now reaching 'full speed'

JOHANNESBURG (AP) - The coronavirus pandemic in Africa is reaching 'œfull speed'ť and it's good to prepare for the worst-case scenario, the Africa Centers for Disease Control and Prevention chief said Thursday, after a South African official said a single province is preparing 1.5 million graves.

Just a day after confirmed virus cases across Africa surpassed the half-million milestone the total was over 522,000 and climbing, with more than 12,000 deaths. With testing levels low, the real numbers are unknown.

South Africa has the most confirmed cases with over 224,000, and for the first time Gauteng province - home to Johannesburg and the capital, Pretoria - has the country's most cases with over 75,000, or 33%.

Provincial official Bandile Masuku, a medical doctor, startled South Africans when he told reporters Wednesday that Gauteng is preparing over 1.5 million graves. 'œIt's a reality that we need to deal with,'ť he said, and it's the public's responsibility 'œto make sure that we don't get there.'ť

The province in a statement Thursday sought to calm fears, saying it 'œdoes not have over a million already open dug graves'ť and the number refers to the potential capacity. It also said six members of Gauteng's COVID-19 War Room have tested positive for the virus.

Asked about the comments, Africa CDC chief John Nkengasong said 'œthere's absolutely no harm to think ahead'ť and prepare for the worst-case scenario.

'We've crossed a critical number here,'ť he said of the half-million milestone. 'œOur pandemic is getting full speed.'ť

He called for more mask-wearing, saying 'œthis battle will be won or lost at the community level.'ť He also called for more testing, as just 5.7 million tests for the new virus have been conducted across the continent of 1.3 billion people.

With painful memories of many people dying in Africa while waiting for accessible HIV drugs years ago, the Africa CDC on Thursday launched a consortium aimed at securing more than 10 late-stage COVID-19 vaccine clinical trials on the continent as early as possible.

'œWe want to be sure we don't find ourselves in the 1996 scenario where HIV drugs were available but it took almost seven years for those drugs to be accessible on the continent,'ť Nkengasong said.

With any COVID-19 vaccine, a 'œdelay in Africa of even one year would be catastrophic,'ť he said.

He said the new consortium of African institutions will engage with the GAVI vaccine alliance and other entities outside the continent amid efforts to ensure that a vaccine is distributed equitably from the start.

Those efforts are challenged by the United States and others assertively making deals with vaccine makers to secure supplies in advance.

The African Union last month said governments around the world should 'œremove all obstacles'ť to swift and equitable distribution of any successful COVID-19 vaccine, including by making all intellectual property and technologies immediately available.

Africa in recent days has begun taking part in COVID-19 vaccine trials in the face of increasing misinformation on the continent. Trials have begun in South Africa and Egypt, but Nkengasong said a 'œcontinent of 1.3 billion people deserves more than just two countries participating.'ť

A vaccine 'œis the only weapon to allow our lives to return to normal,'ť he said.

Conducting clinical trials in Africa is crucial to see how a vaccine performs in a local context - 'œextremely important," the World Health Organization's Africa chief, Matshidiso Moeti, told reporters Thursday.

Many life-saving vaccines have lagged between five and 20 years from the time they become available in high-income countries to when they're available in low-income ones. That's in part because local data is lacking, said Shabir Madhi, principal investigator of the Oxford COVID-19 vaccine trial in South Africa.

Africa has some 17% of the world's population and less than 3% of its clinical trials, he said. 'œIf anything, the criticism right now shouldn't be about the possibility of using Africans as guinea pigs.'ť

Africa sees few trials 'œbecause there's very little financial incentive on the part of industry,'ť Madhi added. 'œSo the entire conversation needs to be flipped on its head.'ť

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