The world has dealt with COVID-19 since the beginning of the year with varying countries successfully staving it off. However, the question of how developing countries are doing has crossed the media only a few times. The problem is our inability to know the true extent of their situation since they do not have the same means as more developed countries like ourselves and other impacted countries. Their economic situations are close to being called a crisis while medical care is scarce to come by. In countries like Bangladesh, Nigeria and South Africa, their vulnerability to the virus has increased with the global economic shut-down and sparse supplies. 

The Economic Crisis 

The biggest issue with developing countries is their reliance on “foreign income and tourism”. This ultimately means that regardless of confirmed COVID-19 cases, they will feel the impact of the virus as the world economy faces major setbacks and in some cases come close to halting as some countries' exports are affected. For example, in Bangladesh “only 15% of Bangladeshi workers make over $6 a day”, meaning very few families are able to support themselves in the event of an economic shut down. The World Bank has sent aid across the globe and plans to send out close to $160 billion dollars of relief money to Africa and countries such as Pakistan, India, Ethiopia and more, hoping to help relieve them of economic stress and strengthen “their national health systems.” An issue that has risen with giving aid to these countries is that their situation is not like the United States of America where we can enforce “social distancing guidelines and then pair them with stimulus packages”. Poorer countries, such as Bangladesh, are more spread out with the majority of their population self-employed or working in informal sectors meaning they are not under the tax and benefits system. They tend to live “hand-to-mouth” instead of pay-check to paycheck. This means they are completely reliant on what they make that day to feed their families and survive. Further complicating the matter, with so few resources spread out across the country, we are unable to find the COVID-19 epicenters of these countries. They lack the proper test kits and quantity, resulting in an inaccurate number of positive COVID-19 cases and too few resources for help and trained professionals. 

The Impact on Medical Care

It has been predicted that with the rest of the world’s cases slowly dropping, the new world epicenter for COVID-19 will shift to Africa. Currently, they have “10,000 reported confirmed cases and over 500 fatalities”. While they were not the first to be impacted, their curve of cases has yet to flatten, worrying health officials worldwide. Just this last week, Capetown, South Africa jumped 43% with confirmed cases, alerting the WHO of the rising crisis but no way to determine the true epicenter of the continent. Without proper safety equipment in hospitals, many doctors or nurses try to avoid seeing patients who predict they have the virus, seeing as they won’t be protected themselves. Additionally, there is a severe lack of testing kits available, so they’ve tried to spread them out as much as possible nationwide. A stark example is Nigeria, Africa’s most populous country with over 200 million inhabitants, which has reported almost 900 COVID-19 cases with only 28 confirmed deaths. They have only conducted just over 7,000 tests with only 5,000 of these coming in this past week and being used. This lack of equipment again adds to the ignorance of the true numbers of cases these countries have and how we can help. 

Lastly, countries such as South Africa and Bangladesh have an inability to obtain an adequate amount of medical supplies, and the ones they do have are spread so thin that they are hardly useful. Populations are scrambling to seek help, but social-distancing guidelines like we’ve seen in our own country are impossible to implement in countries where most of their population do not live in an urban setting. For example, in Bangladesh, the entire country only has “432 ICU beds with only 110 outside the capital city of Dhaka”. This ultimately means unless the Bangladeshi population lives inside the city, it’s unlikely they will receive the help they need. Already Bangladesh has over 5,000 confirmed cases and over 150 deaths.  Their inability to give out adequate healthcare has required donations from all around the world to enable people to get the help they need. Bangladesh, Nigeria and South Africa are only a few examples of the countries who rely on each other to take home food and money to their families, and most do not live in a country that has an organized, official census. This makes it hard for health officials to know how much supplies they need to send to these countries and give them aid.

Implemented Strategies

Initially, their ability to sustain their countries through this pandemic has looked grim, but the world has flooded in to help by donating supplies and tests. For example, in Bangladesh, officials have implemented a survey to try to get a good grasp on the exact number of population while increasing their efforts to educate the general population on what COVID-19 is and how to keep themselves safe. Additionally, they are working on an already established census to call citizens to check in on them, making sure they have the help and resources they need. In other countries like South America and Nigeria, they are currently working on educating their populations and trying to implement as little contact as possible with people not related to each other. At the end of the day, the most that can be done is a step by step process that starts with getting the full scope of what these countries are dealing with. This starts with getting more test kits sent out and more government officials working on getting the exact numbers on a population.

Ultimately, the world has been floored by this pandemic, and each day brings a new challenge. But globally, people are gathering to find ways to help countries who are not as equipped to function as normal, while ensuring the safety of everyone is kept at the forefront of their minds.