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Fighting Tuberculosis in Africa: The Current Situation Amidst the COVID-19 Pandemic.

Olivier UwishemaRawa BadriHelen OnyeakaMelody OkerekeSamaa AkhtarMelissa MhannaBilal ZafarAmirsaman ZahabiounKhanafi A SaidMarcos Roberto Tovani-Palone
Published in: Disaster medicine and public health preparedness (2022)
Globally, tuberculosis (TB) is one of the leading infectious causes of mortality, with around 4000 deaths daily. Since the emergence of the coronavirus disease 2019 (COVID-19) pandemic in Africa, the region has experienced a lapse in responses directed at TB control, because the priority has shifted to interventions aimed at managing COVID-19. In addition to an unprecedented burden on the region's already overburdened health systems, another major public health concern is the clinical similarities between COVID-19 and TB, making TB diagnosis increasingly challenging, which may lead to poor prognosis, especially in people with TB and COVID-19 co-infection. A likely implication is that TB patients may stop attending health-care facilities due to fear of contracting or being diagnosed with COVID-19 or to avoid being stigmatized, invariably resulting in a disruption in their access to health-care services. Therefore, massive global support should be provided for TB endemic countries to respond synergistically and strongly to the thousands of TB cases as well as the COVID-19 pandemic.
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