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. 2022 Mar 25;124:S41–S46. doi: 10.1016/j.ijid.2022.03.033

Table 1.

Selected COVID-19 impacts, actual and projections.

Issue COVID-19 related impact Projections for 2021/2022
Tuberculosis -global (WHO, 2021a)
  • •

    >100,000 TB deaths among HIV negative (+100000) and HIV positive (+5000)

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Malaria - global (WHO, 2021b)
  • •

    14 million more cases in 2020 compared to 2019

  • •

    69,000 more deaths; 47 000/69,000 malaria were linked to disruptions in the provision of malaria prevention, diagnosis and treatment during the pandemic.

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HIV/AIDS – Model estimates (Jewell et al, 2020)
  • •
    Assuming disruption for 50% of the population over a 1 year period:
    • ○
      1•06 times increase in HIV-related deaths;
    • ○
      1•19 times increase in new HIV infections
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Financing/resources – Foreign and domestic
  • •

    Diverted and redirected to COVID-19 response

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Economic performance – Africa (Gondwe, 2020https://unctad.org/system/files/official-document/aldcmisc2020d3_en.pdf)
  • •
    Overall 1.4% decline in GDP
    • ○
      Smaller economies facing contraction of up to 7.8%
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Health services utilisation -Africa (Tessema et al, 2021)
  • •

    Reduced service utilisation

  • •

    Repurposing of services and facilities

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Health service disruptions – Selected African countries (Shapira et al, 2021)
  • •

    >= 1 month, OPD 10-25% decline,

  • •

    Variations in patterns of service disruptions across countries

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