And it is not just politicians who have fled the system: almost half of Nigeria’s registered doctors have reportedly moved abroad to find better-paid or less stressful work. Many have moved to Britain. They leave behind a land with low life expectancy, high infant mortality and dire shortages of skilled staff to treat suffering patients.
Despite the massive oil wealth — much of it stolen by those elites who fly abroad when they fall ill — a baby born in Nigeria is likely to live more than three decades fewer than one born in Britain. One study published three years ago by Bangladeshi and Nigerian public health experts concluded that many of the nation’s citizens were dying from preventable conditions. Among them, they highlighted the worst tuberculosis rate in Africa, with almost half a million cases annually. Yet even basic things such as gloves, masks and paracetamol are often missing from frontline services. Only five laboratories could test for coronavirus in this nation of 190m people.
As I write there have been six recorded deaths and 254 registered cases, although as with many countries this will be a fraction of the real number. “This crisis has exposed in the worst possible way the evident weaknesses of our health system,” said Femi Gbajabiamila, speaker of the House of Representatives. “After this is over and moving forward, we must do everything in our power to ensure that we will never again come upon a moment such as this, as ill-equipped as we are now.”
Many countries are in a much worse state than Nigeria, where its thriving technology hub is springing into action to plug some deficiencies. Africa has about one doctor per capita for every 16 per head in Europe. Kenya has 130 ventilators for 50 million people. Compare this with Wales, which has more than three times as many for its three million citizens, and just bought another 1,035 to cope with this crisis.
Yet the east African country is better prepared than Sierra Leone — still recovering from the ebola epidemic that killed so many medical workers six years ago — which has one ventilator for 7.5 million people. Or the conflict-torn Central African Republic, which has three for a population of five million. Almost 20 countries have warned the World Health Organisation that they have no intensive care beds for their most severe cases.
African nations are often used to battling infectious diseases. Nigeria’s rapid reaction to ebola six years ago demonstrated an exemplary public health response, with effective screening, tracking and isolation. Populations are also comparatively young, so less likely to die from this disease. Yet there will still be horrible numbers of fatalities; the economic pain could be even more intense than in richer nations, with vital remittances already falling; and it may prove even harder to dampen down pandemic in the continent’s packed cities.
Already the aid industry is gearing up to beg for more funds, although the decrepit state of many African health services offers grotesque proof of persistent failure. The former aid secretary, Rory Stewart, pointed out Britain has pumped £4.5bn into Malawi over half a century yet the country became poorer. Now we discover it is so badly corroded by corruption and bad governance that it has only about 25 intensive care beds in public hospitals that cater to 17 million people.
We hand about £100m a year to Uganda — which is run by a repressive kleptocracy and deceived donors over refugee numbers to obtain more funds — yet reportedly it has just 55 emergency beds for its 43 million citizens.
These numbers indicate pitiful health systems, even before the virus strikes to expose their deficiencies, and despite the noble efforts of many local health teams. Two weeks ago the pop star Bobi Wine, who has bravely challenged Yoweri Museveni’s festering regime in Uganda, sent me a bouncy new song called ‘Corona Virus Alert’ that aims to spread a message of prevention, social distancing and hand washing. In an interview with a news agency, he argued that Africa’s leaders needed to build better health systems to serve all society instead of spending so much on weapons and silencing their critics.
“For a long time we have been calling out the government of Uganda, like many governments on the African continent that have neglected health care systems,” he said.
“This is the time for them to remember that a functional health care system is not only a benefit for the poor but also the rich, because right now, as we stand, they can’t travel abroad for medical care. They have to face the same ailing medical care to deal with them. And this should be a message to them.”
Bob Wine is right, like many other activists making similar points in other parts of the continent. So dare we hope that amid the fears and tears of this vile pandemic, some of Africa’s most venal politicians and grubbiest elites might finally be forced to accept the devastating consequences of their selfish actions? Or will they just waltz away again once their dance with this deadly virus has ended?
Join the discussion
Join like minded readers that support our journalism by becoming a paid subscriber
To join the discussion in the comments, become a paid subscriber.
Join like minded readers that support our journalism, read unlimited articles and enjoy other subscriber-only benefits.
SubscribeIf anyone seriously thinks that an African leader struck down by this virus won’t move heaven and earth to seek treatment abroad they are living on another planet. They will always find someone they could bribe to take them in – China for example.
These nations will not be well served by “white saviours” in my opinion. They once had those “white saviours” as leaders during the colonial era and they weren’t any better than the current extractive elite governing many African countries. What the white saviours did for the empire, the new corrupt political elite do for personal aggrandisement. The present state of Africa is more nuanced than it would appear from the above article.
Are there really no altruistic, honest leaders of African countries?
No.
I think that answer is sweeping, dismissive and misleading. It’s not a helpful way to view the complexity of political leadership in Africa. We may well ask if there are altruistic, honest politicians anywhere else-in Europe or America? We may also ask if the West is not complicit in a huge way in the graft and exploitation that’s pulling Africa under?
Yes, there is humongous corruption in some African states, but clearly there are leaders who are striving to do their best in the circumstances.
Fair comment, and there may well be some leasers striving to do their best, but I would like to know which ones.
From poor people in rich countries to rich people in poor counties – that’s aid.