Virus Outbreak Kenya Slums

In this photo taken Tuesday, March 24, 2020, a homeless man prepares to sleep next to others on the side of a road in the Mathare slum, or informal settlement, of Nairobi, Kenya. Many slum residents say staying at home or social-distancing is impossible for those who live hand to mouth, receiving daily wages for informal work with no food or economic assistance from the government, as is maintaining sanitation where a pit latrine can be shared by over 50 people. The new coronavirus causes mild or moderate symptoms for most people, but for some, especially older adults and people with existing health problems, it can cause more severe illness or death. (AP Photo/Brian Inganga)

HARARE, Zimbabwe  — Zimbabwe's public hospital doctors went on strike Wednesday over a lack of protective gear as the coronavirus begins to spread in a country whose health system has almost collapsed. It's the latest blow to a system where some patients' families are asked to provide such basics as gloves and even clean water.

The Zimbabwe Hospital Doctors Association president, Tawanda Zvakada, said the hundreds of doctors are at "high risk" and will return to work when the government provides suitable protection: "Right now we are exposed and no one seems to care."

The doctors returned to work in January after a four-month strike demanding better salaries and working conditions. Zimbabwe has reported three cases of COVID-19 and recorded its first death this week.

Neighboring South Africa's coronavirus cases jumped to 709, its health minister said, as the country with Africa's most cases prepared to go into lockdown first thing Friday.

Health Minister Zweli Mkhize pointed out "intense local spread" in Free State province after a church gathering where five cases were first reported. All five recently traveled abroad. Now almost 30 cases are recorded.

Cases across Africa are now well above 2,400. With Mali, Libya and Guinea-Bissau announcing their first, 46 of the continent's 54 countries have the virus.

As cases rose to 68 in Ghana, some people debated imposing a lockdown. "What are we going to eat?" asked Ali Seidu, a driver in the capital, Accra. Civil servant Abraham Ofei disagreed: "If they do not do it early, by the time they decide it will be too late."

Some African leaders have scolded citizens for not adhering to prevention measures.

"Countrymen and women, I have gone 'round the city and I have seen for myself that many among us are not taking this COVID-19 seriously," Zambian President Edgar Lungu said in Lusaka. "I have seen multitudes patronizing bars or freely hugging and shaking hands at funerals, contrary to health advice." The country has 12 cases.

Congo became the latest to close its borders while reporting its third death. The sprawling nation has one of Africa's weakest health systems and has been battling another global health emergency, an Ebola virus outbreak. While that could be within days of being declared over, Congo also faces a large measles outbreak.

As more African countries impose restrictions on gatherings and travel, many informal workers are suffering. Ethiopia's government in a proposal to the Group of 20 major industrialized nations has said Africa needs a $150 billion emergency financing package because "COVID-19 poses an existential threat to the economies of African countries."

South Africa has an unemployment rate of 29% and the lockdown will hit workers hard. But authorities fear what will happen if the virus sweeps through crowded low-income communities and public transport.

Teeming prisons are another worry across Africa. Ethiopia's state broadcaster EBC cited the attorney general as saying more than 4,000 prisoners with minor offenses or children will be released.

African countries that have not recorded cases are Sierra Leone, South Sudan, Burundi, Malawi, Botswana, Comoros, Lesotho and Sao Tome and Principe, according to the Africa Centers for Disease Control and Prevention. Some have the most fragile health systems on the continent.

For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.

The Associated Press

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