Over the last few weeks, I kept seeing articles saying "Africa can't replicate Europe's coronavirus response" without clearly specifying what should be done differently. I did a lot of reading about those options might be, for economic and public health response /2
By way of background, rich countries have considered ~4 types of response. Goal is to keep people healthy + keep the economy running till a vaccine is available. They involve different combinations of testing and public health spending /3
Approach 3 is "lockdown WITH income replacement." People get paid to stay at home. Denmark is doing this by paying companies, Canada is sending $$ directly to individuals. This controls the virus and helps the economy, but it's expensive for the gov't /6 https://www.bbc.co.uk/news/world-us-canada-52022506
Approach 4 is "testing and containment." Test huge numbers of people, isolate those who are sick, and let others go about their daily life. Singapore and Taiwan were doing this for a while. But it requires very good public health infrastructure /7 https://www.nytimes.com/2020/03/13/opinion/coronavirus-best-response.html
Which approaches could African countries adopt? "Herd immunity" is out, as gov'ts are already taking lots of measures to fight the virus. "Testing and containment" is also out b/c most countries don't have the public health systems for this /8
To be clear, some food distribution is definitely better than nothing. But only 1.5 million people will get this food, and many more people are going to lose their jobs or see their incomes reduced if self-employed, so they're not supported /10
The best option is "lockdown with income replacement." It's possible to do at least some amount of social distancing in most major African cities, and definitely in rural areas. But no one will comply with this if they have to go hungry in doing so /11 https://www.idinsight.org/reports-2/idinsight-covid-19-social-distancing-recommendations
. @grantbrooke of Kenya's @TwigaFoods has a great piece about how markets can be expanded and made safer for buyers and sellers. https://medium.com/@grant_45914/kenyas-market-infrastructure-during-covid-19-some-thoughts-ef915edb99e6 And @kenyanpundit has shared images of this from India. /13 https://twitter.com/kenyanpundit/status/1243221942779461643
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