Coronavirus: How fast is it spreading in Africa?

Woman at market in Lagos state, Nigeria Image copyright Getty Images
Image caption Nigeria has been one of the worst-affected countries

Africa is seeing coronavirus cases rapidly increasing and deaths rising, according to the World Health Organization (WHO).

We've looked at the situation across the continent, and examined which countries are of most concern.

How fast is coronavirus spreading?

In terms of overall numbers, Africa currently accounts for only a small proportion of total global cases, but the acceleration in rates of infection in some countries is clearly a cause for concern.

While it took nearly 100 days for Africa to reach an initial 100,000 cases, it took only 18 days for that to double to 200,000. It doubled again to 400,000 cases over the next 20 days.

The upward trend in Africa is starting to resemble other parts of the world that have been badly hit by the coronavirus. Most African countries are now experiencing community transmission, according to the WHO.

This is when a person gets Covid-19 without having been in contact with a known case from abroad or a confirmed domestic case, which makes it hard for for the authorities to track down the source of a local outbreak.

Where are Africa's hotspots?

The two countries with the highest numbers of cases are South Africa and Egypt. They accounted for over 60% of all the new cases reported in late June.

South Africa has the highest recorded number of total cases, while Egypt has the largest number of recorded coronavirus deaths.

South Africa, which imposed one of the world's strictest lockdowns in late March, has seen cases rise steadily after this was relaxed in early May.

The Western Cape province (where Cape Town is located), accounts for nearly half of all cases in the country and more than half of the deaths. But cases are steadily rising in Gauteng province, which includes Johannesburg.

Egypt has seen case numbers rising rapidly since mid-May, but there are indications that this may now have reached a peak with recorded new infections levelling off slightly in early July.

There is also concern about what is happening in Nigeria, which recorded the second-highest increase in deaths from Covid-19 after South Africa in the WHO report for 1 July.

mapped

Confirmed cases around the world

Group 4

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Source: Johns Hopkins University, national public health agencies

Figures last updated 6 July 2020, 09:44 BST

Note: Data for Egypt can be found by selecting the Middle East region from the drop-down menu in both the map and country table below.

Mauritania in West Africa has also seen a steep increase in cases, and has been among those recording the highest increases in recent weeks.

It's worth stressing that parts of the continent have seen relatively few cases, such as some areas of East Africa.

In fact, the latest WHO Africa region report said just 10 countries accounted for more than 80% of all the reported cases on the continent.

How many people are dying in Africa?

The overall death rate has been low compared to the global average, despite the fact that many countries have poor health infrastructure.

data in detail

Scroll table to see more data

*Deaths per 100,000 people

US 129,781 39.7 2,880,422
Brazil 64,867 31.0 1,603,055
UK 44,220 65.9 285,416
Italy 34,861 57.5 241,611
Mexico 30,639 24.3 256,848
France 29,893 46.0 166,960
Spain 28,385 60.8 250,545
India 19,693 1.5 697,413
Iran 11,571 14.1 240,438
Peru 10,589 33.1 302,718
Russia 10,271 7.0 686,777
Belgium 9,771 85.1 62,016
Germany 9,024 10.9 197,607
Canada 8,739 23.6 107,394
Chile 6,308 33.7 295,532
Netherlands 6,127 35.9 50,628
Sweden 5,420 54.4 71,419
Turkey 5,225 6.3 205,758
Ecuador 4,781 28.0 61,958
Pakistan 4,762 2.2 231,818
China 4,641 0.3 84,871
Colombia 4,178 8.4 113,685
Egypt 3,343 3.4 75,253
South Africa 3,199 5.5 196,750
Indonesia 3,171 1.2 63,749
Iraq 2,473 6.4 60,479
Bangladesh 2,052 1.3 162,417
Switzerland 1,965 23.0 32,268
Saudi Arabia 1,916 5.7 209,509
Romania 1,750 9.0 28,973
Ireland 1,741 36.1 25,527
Portugal 1,614 15.7 43,897
Poland 1,517 4.0 35,950
Argentina 1,507 3.4 77,815
Bolivia 1,434 12.6 39,297
Philippines 1,297 1.2 44,254
Ukraine 1,278 2.9 50,053
Japan 977 0.8 19,671
Algeria 952 2.3 15,941
Guatemala 947 5.5 23,248
Afghanistan 898 2.4 33,190
Dominican Republic 794 7.5 37,425
Panama 747 17.9 38,149
Austria 706 7.9 18,280
Nigeria 645 0.3 28,711
Honduras 639 6.7 23,943
Sudan 608 1.5 9,767
Denmark 606 10.5 12,832
Hungary 589 6.1 4,189
Moldova 585 14.4 17,814
Armenia 491 16.6 28,936
Belarus 423 4.5 63,554
Kuwait 368 8.9 49,941
Czech Republic 348 3.3 12,515
North Macedonia 341 16.4 7,046
Yemen 338 1.2 1,265
Israel 331 3.9 29,958
Finland 329 6.0 7,253
United Arab Emirates 323 3.4 51,540
Cameroon 313 1.2 12,592
Serbia 311 4.5 16,131
South Korea 284 0.6 13,137
Norway 251 4.7 8,930
Azerbaijan 250 2.5 20,324
Bulgaria 246 3.5 5,740
Morocco 235 0.7 14,215
El Salvador 223 3.5 7,777
Oman 213 4.4 46,178
Greece 192 1.8 3,519
Bosnia and Herzegovina 191 5.7 4,962
Kazakhstan 188 1.0 48,574
DR Congo 182 0.2 7,411
Kenya 160 0.3 7,886
Senegal 133 0.8 7,400
Mauritania 130 3.0 4,879
Qatar 128 4.6 99,799
Ghana 122 0.4 20,085
Malaysia 121 0.4 8,663
Mali 119 0.6 2,330
Haiti 113 1.0 6,333
Croatia 113 2.7 3,151
Slovenia 111 5.3 1,700
Luxembourg 110 18.2 4,522
Australia 106 0.4 8,586
Ethiopia 103 0.1 5,846
Bahrain 97 6.2 29,367
Kyrgyzstan 92 1.5 7,691
Somalia 92 0.6 2,997
Cuba 86 0.8 2,372
Nicaragua 83 1.3 2,519
Lithuania 79 2.8 1,836
Albania 76 2.6 2,893
Ivory Coast 74 0.3 10,772
Chad 74 0.5 872
Estonia 69 5.2 1,993
Niger 68 0.3 1,088
Kosovo 66 3.6 3,356
Venezuela 65 0.2 7,169
Sierra Leone 62 0.8 1,542
Thailand 58 0.1 3,195
Djibouti 55 5.7 4,792
Tajikistan 53 0.6 6,213
Burkina Faso 53 0.3 987
Andorra 52 67.5 855
Equatorial Guinea 51 3.9 3,071
Tunisia 50 0.4 1,188
Central African Republic 48 1.0 3,969
Channel Islands 47 27.6 571
Gabon 44 2.1 5,620
Congo 44 0.8 1,557
San Marino 42 124.3 698
South Sudan 38 0.3 2,021
Liberia 37 0.8 874
Lebanon 36 0.5 1,873
Uzbekistan 35 0.1 10,143
Nepal 34 0.1 15,784
Guinea 34 0.3 5,610
Mayotte 34 13.1 2,661
Madagascar 32 0.1 2,941
Libya 32 0.5 1,046
Zambia 30 0.2 1,632
Latvia 30 1.6 1,127
Slovakia 28 0.5 1,764
Uruguay 28 0.8 956
Singapore 26 0.5 44,800
Guinea-Bissau 25 1.3 1,765
Isle of Man 24 28.5 336
New Zealand 22 0.5 1,534
Benin 21 0.2 1,199
Tanzania 21 0.0 509
Costa Rica 20 0.4 4,996
Paraguay 20 0.3 2,427
Cyprus 19 1.6 1,003
Angola 19 0.1 346
Malawi 17 0.1 1,613
Cape Verde 17 3.1 1,451
French Guiana 16 5.7 4,913
Palestinian Territories 16 0.3 4,277
Georgia 15 0.4 953
Togo 15 0.2 680
Guyana 15 1.9 273
Saint Martin 15 40.3 78
Montenegro 14 2.2 781
Suriname 14 2.4 594
Martinique 14 3.7 249
Guadeloupe 14 3.5 184
Eswatini 13 1.1 988
Sao Tome and Principe 13 6.2 720
Diamond Princess cruise ship 13 712
Syria 13 0.1 358
Maldives 11 2.1 2,468
Sri Lanka 11 0.1 2,076
Bahamas 11 2.9 104
Iceland 10 3.0 1,863
Jordan 10 0.1 1,164
Jamaica 10 0.3 732
Mauritius 10 0.8 341
Malta 9 2.0 672
Bermuda 9 14.3 146
Mozambique 8 0.0 987
Zimbabwe 8 0.1 716
Trinidad and Tobago 8 0.6 133
Taiwan 7 0.0 449
Comoros 7 0.8 311
Barbados 7 2.4 98
Myanmar 6 0.0 313
Monaco 4 10.3 108
Rwanda 3 0.0 1,105
Brunei 3 0.7 141
Aruba 3 2.8 105
Antigua and Barbuda 3 3.1 68
Réunion 2 0.2 547
Gambia 2 0.1 57
Turks and Caicos Islands 2 5.3 48
Belize 2 0.5 30
MS Zaandam cruise ship 2 9
Botswana 1 0.0 277
Cayman Islands 1 1.6 201
Burundi 1 0.0 191
Liechtenstein 1 2.6 83
Curaçao 1 0.6 23
Montserrat 1 20.0 11
Western Sahara 1 0.2 10
British Virgin Islands 1 3.4 8
Uganda 0 0.0 939
Namibia 0 0.0 412
Vietnam 0 0.0 355
Mongolia 0 0.0 220
Eritrea 0 0.0 215
Faroe Islands 0 0.0 188
Gibraltar 0 0.0 179
Cambodia 0 0.0 141
Seychelles 0 0.0 81
Bhutan 0 0.0 80
Lesotho 0 0.0 79
French Polynesia 0 0.0 62
St Vincent and the Grenadines 0 0.0 29
Timor-Leste 0 0.0 24
Grenada 0 0.0 23
Saint Lucia 0 0.0 22
New Caledonia 0 0.0 21
Laos 0 0.0 19
Fiji 0 0.0 19
Dominica 0 0.0 18
Saint Kitts and Nevis 0 0.0 16
Greenland 0 0.0 13
Falkland Islands 0 0.0 13
Vatican 0 0.0 12
Papua New Guinea 0 0.0 11
Saint Barthelemy 0 0.0 6
Anguilla 0 0.0 3
Saint Pierre and Miquelon 0 0.0 1

Please update your browser to see full interactive

This information is regularly updated but may not reflect the latest totals for each country.

** The past data for new cases is a three day rolling average. Due to revisions in the number of cases, an average cannot be calculated for this date.

Source: Johns Hopkins University, national public health agencies and UN population data

Figures last updated: 6 July 2020, 09:44 BST

The WHO says this could be partly because of the relatively young population in Africa - more than 60% under the age of 25. Current analysis suggests a lower mortality rate in younger people.

But there are still five countries with death rates that are comparable to or higher than the most recent global average rate of 5% deaths from confirmed cases:

Githinji Gitahi, the head of Amref Health Africa, an NGO which specialises in health matters, says the higher rates could be an indication of much higher infection levels than those being recorded, but it could also be as a result of relatively low levels of testing. The fewer tests you carry out, the fewer confirmed cases you find, and so the number of deaths appears relatively high.

The WHO says using community surveillance, where community health workers and other frontline staff report Covid-19 deaths, could be behind the high death rate reported, for example, in Chad.

How much testing is done in Africa?

Ten countries account for about 80% of the total tests conducted - South Africa, Morocco, Ghana, Egypt, Ethiopia, Uganda, Mauritius, Kenya, Nigeria and Rwanda.

There are wide variations in testing rates, with South Africa doing the most and Nigeria doing relatively few, according to Our World in Data, a UK-based project which collates Covid-19 information.

On 4 July, South Africa was doing just over 30 tests per 1,000 people, compared with 72 in the UK and 105 in the US.

Nigeria is achieving 0.7 tests per 1,000 people, Ghana 10 and Kenya 3.

It's worth pointing out that for some African countries, it is impossible to know what exactly is happening due to a lack of any data or data being incomplete.

"We have to take the numbers with a pinch of salt," says Chiedo Nwankwor, a lecturer in African affairs at Johns Hopkins University in the US.

In Tanzania, President John Magufuli has voiced doubts about the validity of virus testing results at the national laboratory, and has allowed only limited data on infection rates and testing to be made public.

Equatorial Guinea had a row with the WHO after accusing its country representative of inflating the number of Covid-19 cases. For a while it held back its data, but has now started sharing it again.

And in Kano state in northern Nigeria, an unusual spike of close to 1,000 deaths was reported in late April, but the government has not still confirmed how many were due to Covid-19.

Note: The graphics in this page use a different source for figures for France from that used by Johns Hopkins University, which results in a slightly lower overall total. US figures do not include Puerto Rico, Guam or the US Virgin Islands.

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