Nearly three months after the World Health Organisation declared that Covid-19 was no longer a global health emergency, the woeful consequences of Africa’s policy response to the pandemic are apparent. The continent faces a decade or more of austerity to pay for the consequences of a contagion that actually had minimal impact on African mortality. To better understand how the measures taken by the global health industry will mean a lowering of life expectancies across Africa and reduced spending on its public health and education, look no further than the smallest country on the mainland.
The Gambia announced its first Covid lockdown, in March 2020, at a fragile moment. Following years of President Yahya Jammeh’s dictatorship, the democratic government installed under President Adama Barrow in 2017 had ushered in hope. There was, for instance, a noticeable drop in Gambian youth’s attempts to cross the Sahara and the Mediterranean to reach Europe. Yet the country’s pandemic response has erased those gains, and also dealt a severe blow to Gambians’ confidence in its young democracy.
The timing of The Gambia’s lockdown could not have been worse. In March 2020, as many African countries shut down in accordance with WHO advice, The Gambia’s main market at Serekunda closed for six weeks. Late March is when Gambians buy seeds to prepare for planting, in readiness for the rains. The unilateral closure of markets meant that seeds were widely unavailable. A transport shutdown meant that even where they did have seeds, people could not take them to their villages for planting. Even when public transport restarted, several weeks later, social distancing requirements meant that buses were only allowed to operate at half capacity. As this was uneconomic, many buses did not run at all.
Anyone who did manage to sow crops then had difficulties in harvesting, since social distancing protocols meant that no more than two people could work a plot at one time. When food was finally taken to market, the forced impoverishment of the population meant that few could afford to buy it and much went to waste: the UN estimated on-farm losses of 50% in Africa in 2020.
The aggregated effect of The Gambia’s Covid response was a massive reduction in farming revenue and in available food. In effect, these were policies guaranteed to cause hunger and malnutrition — and to stoke food price inflation through the destruction of stores and harvests. Food inflation quickly grew in 2021 and remains in double digits, much higher than pre-pandemic levels.
At the same time, and as in the rest of the world, the Gambian government threw money at Covid-19. Donor advice on hygiene saw all public institutions forced to buy large plastic vats and gallons of hand wash and disinfectant. This, and the costs of implementing Western biomedical surveillance regimes, was paid for by taking on new debts: the Gambian government implemented a 500 million dalasi (US$10 million) emergency response fund — a vast sum for a country with a per-capita GDP of US$772. This was financed by a World Bank loan of the same value, and by an IMF loan of US$21.3 million.
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