Commentary: mobile laboratories for SARS-CoV-2 diagnostics: what Europe could learn from the East African Community to assure trade in times of border closures.


Journal

Globalization and health
ISSN: 1744-8603
Titre abrégé: Global Health
Pays: England
ID NLM: 101245734

Informations de publication

Date de publication:
23 04 2021
Historique:
received: 02 02 2021
accepted: 12 04 2021
entrez: 24 4 2021
pubmed: 25 4 2021
medline: 29 4 2021
Statut: epublish

Résumé

The emergence of SARS-CoV-2 mutants might lead to European border closures, which impact on trade and result in serious economic losses. In April 2020, similar border closures were observed during the first SARS-CoV-2 wave in East Africa. Since 2017 the East African Community EAC together with the Bernhard-Nocht-Institute for Tropical Medicine BNITM established a mobile laboratory network integrated into the National Public Health Laboratories of the six Partner States for molecular diagnosis of viral haemorrhagic fevers and SARS-CoV-2. Since May 2020, the National Public Health Laboratories of Kenya, Rwanda, Burundi, Uganda and South Sudan deployed these mobile laboratories to their respective borders, issuing a newly developed "Electronic EAC COVID-19 Digital Certificate" to SARS-CoV-2 PCR-negative truck drivers, thus assuring regional trade. Considering the large financial damages of border closures, such a mobile laboratory network as demonstrated in East Africa is cost-effective, easy to implement and feasible. The East African Community mobile laboratory network could serve as a blueprint for Europe and other countries around the globe.

Sections du résumé

BACKGROUND
The emergence of SARS-CoV-2 mutants might lead to European border closures, which impact on trade and result in serious economic losses. In April 2020, similar border closures were observed during the first SARS-CoV-2 wave in East Africa.
MAIN BODY
Since 2017 the East African Community EAC together with the Bernhard-Nocht-Institute for Tropical Medicine BNITM established a mobile laboratory network integrated into the National Public Health Laboratories of the six Partner States for molecular diagnosis of viral haemorrhagic fevers and SARS-CoV-2. Since May 2020, the National Public Health Laboratories of Kenya, Rwanda, Burundi, Uganda and South Sudan deployed these mobile laboratories to their respective borders, issuing a newly developed "Electronic EAC COVID-19 Digital Certificate" to SARS-CoV-2 PCR-negative truck drivers, thus assuring regional trade.
CONCLUSION
Considering the large financial damages of border closures, such a mobile laboratory network as demonstrated in East Africa is cost-effective, easy to implement and feasible. The East African Community mobile laboratory network could serve as a blueprint for Europe and other countries around the globe.

Identifiants

pubmed: 33892773
doi: 10.1186/s12992-021-00700-9
pii: 10.1186/s12992-021-00700-9
pmc: PMC8063167
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

49

Références

Thousands of virus-stranded trucks depart Dover for Calais [ http://www.france24.com/en/europe/20201225-british-army-called-in-to-help-stranded-truck-drivers-get-home-for-christmas ]. Accessed Jan 2021.
Covid-19: French agree to ease virus travel ban [ https://www.bbc.com/news/uk-55418565 ]. Accessed Jan 2021.
Borders of 43 African countries closed as virus cases top 225,000 [ https://www.theeastafrican.co.ke/tea/news/east-africa/borders-of-43-african-countries-closed-as-virus-cases-top-225-000-1443204 ]. Accessed Jan 2021.
Coronavirus tests cause tailbacks at Kenya-Uganda border [ https://www.bbc.com/news/world-africa-52440789 ]. Accessed Jan 2021.
Mobile laboratories in Africa [ http://www.kfw.de/stories/society/health/mobile-labs-africa/ ]. Accessed Jan 2021.
EAC Partner. States adopt the EAC Regional Electronic Cargo and Drivers Tracking System [ http://www.eac.int/press-releases/147-health/1736-eac-partner-states-adopt-the-eac-regional-electronic-cargo-and-drivers-tracking-system ]. Accessed Jan 2021.
Wenzhao Li RT, Hesham El-Askary T, Piechota. Daniele Struppa & Khaled A. Abdel Ghaffar Investigating the Significance of Aerosols in Determining the Coronavirus Fatality Rate Among Three European Countries. Earth Syst Environ. 2020;(4):513–22.

Auteurs

Florian Gehre (F)

Department of Infectious Disease Epidemiology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany. gehre@bnitm.de.
East African Community Secretariat, Health Department, Arusha, Tanzania. gehre@bnitm.de.

Hakim Lagu (H)

East African Community Secretariat, Health Department, Arusha, Tanzania.

Emmanuel Achol (E)

East African Community Secretariat, Health Department, Arusha, Tanzania.

Michael Katende (M)

East African Community Secretariat, Health Department, Arusha, Tanzania.

Jürgen May (J)

Department of Infectious Disease Epidemiology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany.
Tropical Medicine II, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
German Center for Infection Research (DZIF), Hamburg-Borstel-Lübeck-Riems, Hamburg, Germany.

Muna Affara (M)

Department of Infectious Disease Epidemiology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany.
East African Community Secretariat, Health Department, Arusha, Tanzania.

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