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International Journal of Infectious Diseases
International Society for Infectious Diseases
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  • Research Article7
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  • Hamukale, Amos2
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  • International Journal of Infectious Diseases17

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  • Research Article
    Open Access

    SARS-CoV-2 prevalence and immunity: a hospital-based study from Malawi

    International Journal of Infectious Diseases
    Vol. 116p157–165Published online: December 17, 2021
    • C. Meinus
    • R. Singer
    • B. Nandi
    • O. Jagot
    • B. Becker-Ziaja
    • B. Karo
    • and others
    Cited in Scopus: 3
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      Our study suggests that official data underestimate COVID-19 transmission. Using sVNTs to estimate immunity in Malawi is feasible and revealed considerable post-infection immunity in our cohort. Subclinical infection and transmission are probably a game-changer in surveillance, mitigation and vaccination strategies.
      SARS-CoV-2 prevalence and immunity: a hospital-based study from Malawi
    • Research Article
      Open Access

      The toll of COVID-19 on African children: A descriptive analysis on COVID-19-related morbidity and mortality among the pediatric population in Sub-Saharan Africa

      International Journal of Infectious Diseases
      Vol. 110p457–465Published online: July 28, 2021
      • Sabina Rodriguez Velásquez
      • Léa Jacques
      • Jyoti Dalal
      • Paolo Sestito
      • Zahra Habibi
      • Akarsh Venkatasubramanian
      • and others
      Cited in Scopus: 9
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        Since its emergence in December 2019 in the Chinese city of Wuhan, the coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected millions of people around the world and caused over 3.9 million officially registered deaths (WHO, 2021). From the onset of this pandemic, the pathogenic aspects in the pediatric population have remained less clear, especially in Sub-Saharan Africa, where specialists' initial projections estimated a high number of cases and deaths (Cabore et al., 2020).
        The toll of COVID-19 on African children: A descriptive analysis on COVID-19-related morbidity and mortality among the pediatric population in Sub-Saharan Africa
      • Research Article
        Open Access

        COVID-19 and Sudden Unexpected Community Deaths in Lusaka, Zambia, Africa - A Medico-Legal Whole-Body Autopsy Case Series

        International Journal of Infectious Diseases
        Vol. 109p160–167Published online: July 4, 2021
        • Luchenga Adam Mucheleng'anga
        • Viktor Telendiy
        • Amos Hamukale
        • Aaron Lunda Shibemba
        • Alimuddin Zumla
        • Cordelia Maria Himwaze
        Cited in Scopus: 8
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          As of June 30th, 2021, the ongoing SARS-CoV-2 pandemic has resulted in 180 million COVID-19 cases (with 3.9 million deaths) reported to the World Health Organisation (WHO). Of these, 5.4 million cases with 141,000 deaths have been reported from Africa (WHO Afro 2021). Currently, 150,000 COVID-19 cases have been recorded in Zambia, with 2,100 deaths (WHO COVID-19 dashboard – Zambia 2021).
          COVID-19 and Sudden Unexpected Community Deaths in Lusaka, Zambia, Africa - A Medico-Legal Whole-Body Autopsy Case Series
        • Research Article
          Open Access

          Post-mortem examination of Hospital Inpatient COVID-19 Deaths in Lusaka, Zambia - A Descriptive Whole-body Autopsy Series

          International Journal of Infectious Diseases
          Vol. 108p363–369Published online: June 16, 2021
          • Cordilia Maria Himwaze
          • Viktor Telendiy
          • Fred Maate
          • Songwe Mupeta
          • Chanda Chitalu
          • Duncan Chanda
          • and others
          Cited in Scopus: 8
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            The SARS-CoV-2 pandemic has caused 171,292,827 confirmed COVID-19 cases with 3,687,589 deaths globally as of June 4th, 2021. Of these 3,530,845 cases occurred in sub-Saharan Africa (SSA) with 131,630 deaths (WHO Coronavirus dashboard, 2021; Africa CDC - Coronavirus Disease 2019 (COVID-19), 2021). Zambia reported its first COVID-19 case in March 2020 and has since recorded 96, 563 cases with 1,284 deaths as of June 4th, 202 (World Health Organisation, 2021). Eighteen months after the first COVID-19 cases were reported from Wuhan, China, several major knowledge gaps on COVID-19 pathology and pathogenesis remain, particularly in SSA.
            Post-mortem examination of Hospital Inpatient COVID-19 Deaths in Lusaka, Zambia - A Descriptive Whole-body Autopsy Series
          • Research Article
            Open Access

            Clinical features and risk factors associated with morbidity and mortality among patients with COVID-19 in northern Ethiopia

            International Journal of Infectious Diseases
            Vol. 105p776–783Published online: March 16, 2021
            • Hiluf Ebuy Abraha
            • Zekarias Gessesse
            • Teklay Gebrecherkos
            • Yazezew Kebede
            • Aregawi Weldegebreal Weldegiargis
            • Mengistu Hagazi Tequare
            • and others
            Cited in Scopus: 29
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              Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus that emerged in Wuhan, China in 2019, has resulted in an unprecedented global pandemic of respiratory illness, termed ‘coronavirus disease 2019’ (COVID-19) (Huang et al., 2020; Zhu et al., 2020; Wang et al., 2020). As of 3 February 2021, more than 104 million cases of COVID-19 and 2.26 million COVID-19-related deaths have been reported worldwide (World Health Organization, 2021). The first case of COVID-19 in Ethiopia was reported on 13 March 2020, and there had been 138,861 cases of COVID-19 and 2116 (1.5%) COVID-19-related deaths as of 3 February 2021.
              Clinical features and risk factors associated with morbidity and mortality among patients with COVID-19 in northern Ethiopia
            • Case Report
              Open Access

              Multisystem inflammatory syndrome (MIS-C) in an adolescent Nigerian girl with COVID-19: A call for vigilance in Africa

              International Journal of Infectious Diseases
              Vol. 105p124–129Published online: February 11, 2021
              • Chizaram Onyeaghala
              • Datonye Alasia
              • Orezioghene Eyaru
              • Nsirimobu Paul
              • Omosivie Maduka
              • Nosakhare Osemwegie
              • and others
              Cited in Scopus: 8
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                At the onset of the COVID-19 pandemic, it was observed that infection was less prevalent in children, with a 2% prevalence for people aged ≤19 years among a Chinese cohort of 72314 cases. (Wu, MacGoogan, 2020) Children were also reported to have a lower risk for severe COVID-19 disease requiring critical care in North America. (Shekerdemian et al., 2020) As the pandemic progressed, reports from European and North American countries highlighted the occurrence of a hyper, multisystem inflammatory process in children that had features like Kawasaki disease (KD) (WHO, 2020).
                Multisystem inflammatory syndrome (MIS-C) in an adolescent Nigerian girl with COVID-19: A call for vigilance in Africa
              • Short Communication
                Open Access

                Institut Pasteur International Network’s efforts to guide control measures against the coronavirus disease 2019 (COVID-19) epidemic among healthcare workers in Africa

                International Journal of Infectious Diseases
                Vol. 103p525–526Published online: December 14, 2020
                • Rindra Randremanana
                • Ramatoulaye Hamidou Lazoumar
                • Mathurin Cyrille Tejiokem
                • Alexandre Manirakiza
                • Brice Wilfried Bicaba
                • Soatiana Rajatonirina
                • and others
                Cited in Scopus: 1
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                  Worldwide, healthcare workers (HCWs) are the most valuable resource during epidemics, but they are also tremendously vulnerable as they work at the front-line (Anonymous, 2020; Chou et al., 2020). While the general population has been advised to stay at home to adhere to social distancing rules, HCWs go to work in hospitals, placing themselves and their family contacts at high risk from coronavirus disease 2019 (COVID-19).
                • Research Article
                  Open Access

                  Evolution and genetic diversity of SARS-CoV-2 in Africa using whole genome sequences

                  International Journal of Infectious Diseases
                  Vol. 103p282–287Published online: November 28, 2020
                  • Babatunde Olarenwaju Motayo
                  • Olukunle Oluwapamilerin Oluwasemowo
                  • Babatunde Adebiyi Olusola
                  • Paul Akiniyi Akinduti
                  • Olamide T. Arege
                  • Yemisi Dorcas Obafemi
                  • and others
                  Cited in Scopus: 22
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                    Towards the end of December 2018, Chinese authorities, through the World Health Organization office in China, made the world known of a new pathogen responsible for a series of pneumonia associated infections in Wuhan, Hubei province (WHO 2020a). The pathogen was later identified to be a novel coronavirus closely related to the severe acute respiratory syndrome virus (SARS), with a possible bat origin (Zhou et al., 2020). The World Health Organization named the disease COVID-19 (Chan et al., 2020), and later declared it a pandemic on 11th March 2020, prompting concerted efforts towards prevention and control worldwide (WHO 2020a).
                    Evolution and genetic diversity of SARS-CoV-2 in Africa using whole genome sequences
                  • Research Article
                    Open Access

                    Africa’s low COVID-19 mortality rate: A paradox?

                    International Journal of Infectious Diseases
                    Vol. 102p118–122Published online: October 16, 2020
                    • Yakubu Lawal
                    Cited in Scopus: 61
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                      Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (World Health Organization, 2020a). The outbreak started in Wuhan, China, in December 2019 (Huang et al., 2020a; Huang et al., 2020b). It was declared a Public Health Emergency of International Concern by the World Health Organization (WHO) on January 30, 2020 and a pandemic on March 11, 2020 (World Health Organization, 2020b; World Health Organization, 2020c).
                    • Short survey
                      Open Access

                      Addressing Africa’s pandemic puzzle: Perspectives on COVID-19 transmission and mortality in sub-Saharan Africa

                      International Journal of Infectious Diseases
                      Vol. 102p483–488Published online: September 29, 2020
                      • Hassan H. Musa
                      • Taha H. Musa
                      • Idriss H. Musa
                      • Ibrahim H. Musa
                      • Alessia Ranciaro
                      • Michael C. Campbell
                      Cited in Scopus: 34
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                        The first cases of the novel coronavirus (2019-nCoV) were reported in late December 2019 in the city of Wuhan, Hubei province in the People’s Republic of China (Morawska and Milton, 2020). Phylogenetic analysis of whole genome sequence data also showed that 2019-nCoV falls within the genus Betacoronavirus, which includes the severe acute respiratory syndrome coronavirus (SARS-CoV), the Middle East respiratory syndrome coronavirus (MERS-CoV), and several bat-derived SARS-like coronaviruses (Chen et al., 2020, Coronaviridae Study Group of the International Committee on Taxonomy of Viruses, 2020, Udugama et al., 2020, Xu et al., 2020).
                        Addressing Africa’s pandemic puzzle: Perspectives on COVID-19 transmission and mortality in sub-Saharan Africa
                      • Short survey
                        Open Access

                        Safeguarding gains in the sexual and reproductive health and AIDS response amidst COVID-19: The role of African civil society

                        International Journal of Infectious Diseases
                        Vol. 100p286–291Published online: September 10, 2020
                        • Rouzeh Eghtessadi
                        • Zindoga Mukandavire
                        • Farirai Mutenherwa
                        • Diego Cuadros
                        • Godfrey Musuka
                        Cited in Scopus: 9
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                          The emergence of coronavirus disease 2019 (COVID-19) in Africa has presented the most severe public health challenge for the continent in recent history, placing 1.2 billion people at risk (El-Sadr and Justman, 2020). Health systems in Africa are already strained (Medinilla et al., 2020) as a result of other infectious diseases, such as HIV, malaria, and tuberculosis (TB) (Mhango et al., 2020). Currently, South Africa – one of the countries with the highest number of people living with HIV and with one of the largest TB burdens in the world (Hansoti et al., 2019; WHO, 2019) – has the highest number COVID-19 infections on the continent (Isilow, 2020) (Figure 1).
                          Safeguarding gains in the sexual and reproductive health and AIDS response amidst COVID-19: The role of African civil society
                        • Perspective
                          Open Access

                          Translation of genomic epidemiology of infectious pathogens: Enhancing African genomics hubs for outbreaks

                          International Journal of Infectious Diseases
                          Vol. 99p449–451Published online: August 12, 2020
                          • Mary Aigbiremo Oboh
                          • Semeeh Akinwale Omoleke
                          • Olumide Ajibola
                          • Jarra Manneh
                          • Abdoulie Kanteh
                          • Abdul-Karim Sesay
                          • and others
                          Cited in Scopus: 3
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                            The novel coronavirus disease 2019 (COVID-19), a viral outbreak caused by the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), first arose in Wuhan, China, in December 2019, and it was declared a Public Health Emergency of International Concern on January 30, 2020 (WHO, 2020b). Seven months into the COVID-19 pandemic, the number of cumulative cases continues to steadily increase. As of August 3, 2020, 17,660,523 cases had been detected, with 680,894 total deaths globally. Africa has borne 4.5% of global morbidity and 2.0% of fatalities (WHO, 2020a).
                          • Perspective
                            Open Access

                            The role of testing in the fight against COVID-19: Current happenings in Africa and the way forward

                            International Journal of Infectious Diseases
                            Vol. 98p237–240Published online: June 30, 2020
                            • Abdul-Aziz Seidu
                            • John Elvis Hagan Jr.
                            • Edward Kwabena Ameyaw
                            • Bright Opoku Ahinkorah
                            • Thomas Schack
                            Cited in Scopus: 17
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                              The dramatic increase in suspected COVID-19 cases in Africa has placed an enormous burden on public and private clinical facilities. To date, the most commonly used method for identifying and confirming the virus is the laboratory-based reverse transcription-polymerase chain reaction (RT-PCR) test. Unfortunately, testing capacities have been limited in many parts of Africa because of inadequate test kits, which have restricted scaling up beyond the few public health laboratories at designated locations.
                              The role of testing in the fight against COVID-19: Current happenings in Africa and the way forward
                            • Perspective
                              Open Access

                              COVID-19 and routine childhood immunization in Africa: Leveraging systems thinking and implementation science to improve immunization system performance

                              International Journal of Infectious Diseases
                              Vol. 98p161–165Published online: June 24, 2020
                              • Abdu A. Adamu
                              • Rabiu I. Jalo
                              • Desire Habonimana
                              • Charles S. Wiysonge
                              Cited in Scopus: 28
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                                Coronavirus disease 2019 (COVID-19) is a respiratory disease caused by a novel virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Gorbalenya et al., 2020). The outbreak of this disease was first reported in December 2019 in Wuhan, China (Lu et al., 2020). The virus can spread from human to human through droplets or contaminated surfaces (Lai et al., 2020). It has an incubation period of 2–14 days and viral shedding has been reported in pre-symptomatic and asymptomatic carriers (He et al., 2020; Lai et al., 2020).
                                COVID-19 and routine childhood immunization in Africa: Leveraging systems thinking and implementation science to improve immunization system performance
                              • Perspective
                                Open Access

                                What works and what does not work in response to COVID-19 prevention and control in Africa

                                International Journal of Infectious Diseases
                                Vol. 97p267–269Published online: June 11, 2020
                                • Erigene Rutayisire
                                • Gerard Nkundimana
                                • Honore K. Mitonga
                                • Alex Boye
                                • Solange Nikwigize
                                Cited in Scopus: 32
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                                  Since its emergence in December 2019 in Wuhan, China, there have been nearly 6,663,304 confirmed cases and 392,802 deaths related to coronavirus disease, as reported from 215 countries and territories (WHO Situation Report-138, 2020). On 11 March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic, pointing to over 118,000 cases of the coronavirus illnesses in over 110 countries and territories around the world and the sustained risk of further global spread. The rapidly evolving COVID-19 pandemic places a heavy burden on healthcare systems.
                                • Short Communication
                                  Open Access

                                  Social consequences of COVID-19 in a low resource setting in Sierra Leone, West Africa

                                  International Journal of Infectious Diseases
                                  Vol. 97p23–26Published online: June 1, 2020
                                  • Danilo Buonsenso
                                  • Bianca Cinicola
                                  • Francesca Raffaelli
                                  • Pietro Sollena
                                  • Francesco Iodice
                                  Cited in Scopus: 30
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                                    Since its first description in Wuhan, China (Zhu et al. 2020), SARS-CoV-2 spread all over the world, being declared by the World Health Organization as a pandemic. SARS-CoV-2, the virus causing Coronavirus Disease 2019 (COVID-19), caused millions of infections and thousands of deaths, causing significant challenges to every health systems, including in high-income countries, where shortages of human resources and devices have been documented (Bressan et al. 2020). Several authorities raised fears of potential consequences of SARS-CoV-2 spread in sub-Saharan Africa.
                                    Social consequences of COVID-19 in a low resource setting in Sierra Leone, West Africa
                                  • Perspective
                                    Open Access

                                    COVID-19 and Nigeria: putting the realities in context

                                    International Journal of Infectious Diseases
                                    Vol. 95p279–281Published online: April 27, 2020
                                    • Chinenyenwa Ohia
                                    • Adeleye S. Bakarey
                                    • Tauseef Ahmad
                                    Cited in Scopus: 51
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                                      The year 2020 was welcomed by a deadly viral outbreak called coronavirus disease 2019 (COVID-19), previously known as 2019-novel coronavirus (2019-nCoV). COVID-19 was reported from Wuhan, the capital and major business city of Hubei province, China (Wuhan city, 2020). In a very short time, the disease spread across China and cases were reported with an exponential increase in morbidity and mortality rates. The disease has evolved and continues to be a very serious emergency across the globe. On March 11 2020 the WHO declared COVID-19 a pandemic, having met the epidemiological criteria of having infected > 100,000 people in at least 100 countries (Callaway, 2020).
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