Table 4.

Potential impact of COVID-19 on CD healthcare roadblocks.

Area	Potential impact of SARS-CoV-2 on key roadblocks
Prevention	– Reduced commitment from governments – Diversion of clinical research to COVID-19 – Public health resources diverted to COVID-19 – Lower media interest in neglected diseases – Limitations on health fairs, campaigns, and community events
Diagnosis	– Decreased visits to healthcare facilities out of fear of contagion – Testing/laboratory resources strained by COVID-19
Etiological treatment	– Decreased visits to healthcare facilities out of fear of contagion – Healthcare personnel strained by COVID-19 – Lack of knowledge on drug interactions with COVID-19, or with COVID-19 drugs
Diagnosis and treatment of clinical complications	– Limited knowledge of interaction between COVID-19 and CCC – Potential impact of COVID-19 drugs on CCC – Strains on health facilities’ ability to manage CCC
Psychosocial	– Increasing poverty due to economic impact of pandemic – Isolation from support networks – Fears about susceptibility to COVID-19 because of CD diagnosis