As the world focuses on the novel coronavirus pandemic, experts fear losing ground in the long fight against other infectious diseases like AIDS, tuberculosis and cholera that kill millions every year. With the coronavirus overwhelming hospitals, redirecting medical staff, causing supply shortages and suspending health services, “our greatest fear” is resources for other diseases being diverted and depleted, said Dr. John Nkengasong, head of the Africa Centers for Disease Control and Prevention, the Associated Press (AP) reported. That is compounded in countries with already overburdened health care systems, like Sudan. Doctors at Al-Ribat National Hospital in Sudan’s capital, Khartoum, shared a document detailing nationwide measures: fewer patients admitted to emergency rooms, elective surgeries indefinitely postponed, primary care eliminated for non-critical cases, and skilled doctors transferred to COVID-19 patients. In Congo, already overwhelmed by the latest outbreak of Ebola and years of violent conflict, the coronavirus comes as a measles outbreak has killed over 6,000 people, said Anne-Marie Connor, national director for World Vision, a humanitarian aid organization. “It’s likely we’ll see a lot of ‘indirect’ deaths from other diseases,” she said. The impact of the pandemic isn’t limited to treatment, but other factors also arise, like access to transportation during a lockdown. Coronavirus-related lockdowns also have interrupted the flow of supplies, including critical medicine, protective gear and oxygen, said Dr. Marc Biot, director of operations for international aid group Doctors Without Borders. “These are difficult to find now because everybody is rushing for them in the same moment,” Biot said. The fear of some diseases resurging is further aggravated by delays in immunization efforts for more than 13.5 million people, according to the vaccine alliance GAVI. The international organization said 21 countries are reporting vaccine shortages following border closures and disruptions to air travel — mostly in Africa — and 14 vaccination campaigns for diseases like polio and measles have been postponed. The Measles & Rubella Initiative said measles immunization campaigns in 24 countries already are delayed, and it fears that more than 117 million children in 37 countries may miss out. Dr. Jay Wenger, who heads polio eradication efforts for the Bill & Melinda Gates Foundation, said recommending the suspension of door-to-door polio vaccinations was difficult, and while it could lead to a spurt in cases, “it is a necessary move to reduce the risk of increasing transmission of COVID-19.” During a pandemic, history shows that other diseases can make a major comeback. Amid the Ebola outbreak in Guinea, Liberia and Sierra Leone in 2014-16, almost as many people died of HIV, tuberculosis and malaria because of reduced access to health care. Rashid Ansumana, a community health expert in Sierra Leone who studied the Ebola outbreak, said the coronaviruss “impact will definitely be higher." According to AP, Health providers are trying to ease the crisis by giving months of supplies to people with hepatitis C, HIV and TB, said Biot of Doctors Without Borders. As countries face difficult health care choices amid the pandemic, Nkengasong of the Africa CDC warns that efforts to tackle other diseases can’t fall by the wayside. “The time to advocate for those programs is not when COVID is over. The time is now,” he said.
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