Africa: Nearly 1 in 5 Covid-19 Deaths in the African Region Linked to Diabetes

Brazzaville — The World Health Organization (WHO) finds that 18.3% of COVID-19 deaths in the African region are among people with diabetes, one of the conditions that global studies have found to increase the risk of severe illness and death among patients infected with the virus.

The WHO analysis of 14 African countries, which provided information on COVID-19 and comorbidities, showed that the risk of complications or death from COVID-19 among people with diabetes increases with age, with people aged 60 years and above facing greater risks.

Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation, but with early diagnosis and treatment, many of the harmful effects of the disease can be delayed or even avoided. The disease occurs either when the pancreas does not produce enough insulin [type 1 diabetes] or when the body cannot effectively use the insulin it produces [type 2 diabetes]. The more common is type 2 diabetes.

Over the past three decades, the occurrence of type 2 diabetes has risen dramatically in all countries around the world. The African Region has experienced a six-fold increase, from 4 million cases in 1980 to 25 million in 2014. With around 60% of people living with diabetes undiagnosed, the African region has the highest proportion of people unaware of their status. A study in Kenya found that 60% of people diagnosed with the chronic condition were not on medication.

“Far too many people are in the dark as to whether they have diabetes. People with this chronic condition suffer a double blow if they are also infected with COVID-19,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “We must turn this around by investing in early detection, prevention and treatment of diabetes.”

At the onset and the peak months of the COVID-19 pandemic, health services for diabetes were particularly disrupted. Only about a third of reporting countries in a WHO survey of 41 countries in sub-Saharan Africa indicated that services were fully functional.