• Daryl Nzokou Tcheutchoua, Aurel Tiakouang Tankeu, Dominic Leandry Wouna Angong, Batakeh Ba Agoons, Nathan Yves Yanwou Nguemnang, Hugues Clotaire Nana Djeunga, and Joseph Kamgno.
• Public Health Department, Faculty of Medical and Paramedical Sciences, Aix-Marseille University, Marseille, France.
• Pan Afr Med J. 2020 Jan 1; 37: 352.

AbstractThe severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is responsible for the development of a highly contagious disease called coronavirus disease (COVID-19). Ten months after the onset of the pandemic, America and Europe remain the most affected regions. Initially, experts predicted that Africa, the poorest continent with the most vulnerable population and health system, would be greatly affected by the ongoing outbreak. However, 240days after the first confirmed case, Africa is among the least affected region, with lower than expected incident cases and mortality. In this review, we discuss possible explanations and reasons for this unexpected low burden of COVID-19 in Africa. We focus on the characteristics of the virus, specificities of the sub-Saharan African population and local environment.Copyright: Daryl Nzokou Tcheutchoua et al.

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