COVID-19 and neglected tropical diseases in Africa: impacts, interactions, consequences.

Abstract

The world has been assaulted by COVID-19. Unpredictable changes in all sectors of economies and societies will manifest themselves over the coming months and years. The most robust health systems have become overwhelmed and pre-occupied in response to the virus. The impact of COVID-19 will evolve from an acute medical emergency response to a chronic ‘maintenance’ phase, with health services adapting to life with the virus as another infectious agent. However, economic and societal costs will vastly outweigh initial medical costs, given the widely predicted global depression—trivial compared with the cost of preparedness that should have been undertaken. The most vulnerable in society will be driven into deeper poverty. The consequential mental health morbidity and suicidal ideations will place an increased burden on already overstretched services, against the background of mental illness being the world's leading cause of morbidity.1 This is likely to be exacerbated by increased violence and social stress on already depressed economies with high levels of unemployment. There may be hope for a vaccine, but its efficacy, duration of immunity and the complexities of distribution in low- and middle-income countries (LMICs) will be major challenges. The longer-term consequences of the pandemic for Africa will be profound, given health system fragilities.2 In this editorial, we discuss the potential impact of COVID-19 on neglected tropical disease (NTD) programmes as health services seek to function in the newly changed COVID-19 environment