Comparison of COVID-19 Pandemic Waves in 10 Countries in Southern Africa, 2020–2021

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Smith-Sreen, Joshua ; Miller, Bridget ; Kabaghe, Alinune N. ; Kim, Evelyn ; Wadonda-Kabondo, Nellie ; Frawley, Alean ; Labuda, Sarah ; Manuel, Eusébio ; Frietas, Helga ; Mwale, Anne C. ; Segolodi, Tebogo ; Harvey, Pauline ; Seitio-Kgokgwe, Onalenna ; Vergara, Alfredo E. ; Gudo, Eduardo S. ; Dziuban, Eric J. ; Shoopala, Naemi ; Hines, Jonas Z. ; Agolory, Simon ; Kapina, Muzala ; Sinyange, Nyambe ; Melchior, Michael ; Mirkovic, Kelsey ; Mahomva, Agnes ; Modhi, Surbhi ; Salyer, Stephanie ; Azman, Andrew S. ; McLean, Catherine ; Riek, Lul P. ; Asiimwe, Fred ; Adler, Michelle ; Mazibuko, Sikhatele ; Okello, Velephi ; Auld, Andrew F.
• Description:
  We used publicly available data to describe epidemiology, genomic surveillance, and public health and social measures from the first 3 COVID-19 pandemic waves in southern Africa during April 6, 2020-September 19, 2021. South Africa detected regional waves on average 7.2 weeks before other countries. Average testing volume 244 tests/million/day) increased across waves and was highest in upper-middle-income countries. Across the 3 waves, average reported regional incidence increased (17.4, 51.9, 123.3 cases/1 million population/day), as did positivity of diagnostic tests (8.8%, 12.2%, 14.5%); mortality (0.3, 1.5, 2.7 deaths/1 million populaiton/day); and case-fatality ratios (1.9%, 2.1%, 2.5%). Beta variant (B.1.351) drove the second wave and Delta (B.1.617.2) the third. Stringent implementation of safety measures declined across waves. As of September 19, 2021, completed vaccination coverage remained low (8.1% of total population). Our findings highlight opportunities for strengthening surveillance, health systems, and access to realistically available therapeutics, and scaling up risk-based vaccination.
• Subjects:
  COVID-19/epidemiology Humans Incidence Pandemics SARS-COV-2
• Source:
  Emerg Infect Dis. 2022; 28(Suppl 1):S93-S104
• Pubmed ID:
  36502398
• Pubmed Central ID:
  PMC9745237
• Document Type:
  Journal Article
• Place as Subject:
  Africa, Southern ; Angola ; Botswana ; Lesotho ; Malawi ; Mozambique ; Namibia ; South Africa ; Swaziland ; Zambia
• Volume:
  28
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:0212335b822a68a4a7d936157a354b37a445002dc126c45a4c7b8e7a36a9af80
• Download URL:
  https://stacks.cdc.gov/view/cdc/123296/cdc_123296_DS1.pdf
• File Type:
  [PDF - 3.16 MB ]