The Critical Need for Pooled Data on Coronavirus Disease 2019 in African Children: An AFREhealth Call for Action Through Multicountry Research Collaboration

Author:

Sam-Agudu Nadia A123,Rabie Helena4,Pipo Michel Tshiasuma5,Byamungu Liliane Nsuli6,Masekela Refiloe6,van der Zalm Marieke M47,Redfern Andrew4,Dramowski Angela4,Mukalay Abdon8,Gachuno Onesmus W9,Mongweli Nancy10,Kinuthia John910,Ishoso Daniel Katuashi11,Amoako Emmanuella12,Agyare Elizabeth13,Agbeno Evans K14,Mohammed Jibril Aishatu15,Abdullahi Asara M16,Amadi Oma17,Mohammed Umar Umar18,Ayele Birhanu T19,Machekano Rhoderick N19,Nyasulu Peter S19,Hermans Michel P20,Otshudiema John Otokoye21,Bongo-Pasi Nswe Christian522,Kayembe Jean-Marie N23,Mbala-Kingebeni Placide24,Muyembe-Tamfum Jean-Jacques24,Aanyu Hellen Tukamuhebwa25,Musoke Philippa26,Fowler Mary Glenn27,Sewankambo Nelson28,Suleman Fatima29,Adejumo Prisca30,Tsegaye Aster31,Mteta Alfred32,Noormahomed Emilia V33,Deckelbaum Richard J34,Zumla Alimuddin35,Mavungu Landu Don Jethro522,Tshilolo Léon83637,Zigabe Serge38,Goga Ameena3940,Mills Edward J4142,Umar Lawal W15,Kruger Mariana4ORCID,Mofenson Lynne M43,Nachega Jean B444546,Dasoberi Ireneous N,Sam-Woode Clara,Yeboah Georgina,

Affiliation:

1. Pediatric and Adolescent HIV Unit and International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria

2. Institute of Human Virology and Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA

3. Department of Pediatrics and Child Health, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana

4. Department of Pediatrics and Child Health, Stellenbosch University, Cape Town, South Africa

5. Department of Public Health, Centre Interdisciplinaire de Recherche en Ethnopharmacologie, Faculty of Medicine, Université Notre-Dame du Kasayi, Kananga, Democratic Republic of Congo

6. Department of Pediatrics and Child Health, School of Clinical Medicine, College of Health Sciences, University of KwaZulu Natal, Durban, South Africa

7. Desmond Tutu TB centre, Department of Pediatrics and Child Health, Stellenbosch University, Cape Town, South Africa

8. Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo

9. Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya

10. Department of Research and Programs and Department of Reproductive Health, Kenyatta National Hospital, Nairobi, Kenya

11. Community Health Department, Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

12. Department of Pediatrics, Cape Coast Teaching Hospital, Cape Coast, Ghana

13. Department of Microbiology, School of Medical Sciences, University of Cape Coast and Cape Coast Teaching Hospital, Cape Coast, Ghana

14. Department of Obstetrics and Gynecology, School of Medical Sciences, University of Cape Coast and Cape Coast Teaching Hospital, Cape Coast, Ghana

15. Department of Pediatrics, College of Health Sciences, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

16. Department of Medicine, College of Health Sciences, Ahmadu Bello University and Ahmadu Bello Teaching Hospital, Zaria, Nigeria

17. Department of Pediatrics, Asokoro District Hospital, Abuja, Nigeria

18. Department of Internal Medicine, Asokoro District Hospital, Abuja, Nigeria

19. Division of Epidemiology and Biostatics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University Cape Town, South Africa

20. Department of Endocrinology and Nutrition, Cliniques Universitaires St-Luc, Brussels, Belgium

21. World Health Organization Health Emergencies Program, COVID-19 Response, Kinshasa, Democratic Republic of the Congo

22. Faculty of Public Health, Université Moderne de Kinkole, Kinshasa, Democratic Republic of the Congo

23. Department of Medicine, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

24. National Institute of Biomedical Research and Department of Medical Microbiology and Virology, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

25. Department of Pediatrics, Mulago Hospital, Kampala, Uganda

26. Department of Pediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda

27. Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

28. School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda

29. Discipline of Pharmaceutical Sciences, University of KwaZulu Natal, Durban, South Africa

30. Department of Nursing, University of Ibadan, Ibadan, Nigeria

31. Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia

32. Kilimanjaro Christian Medical University College, Moshi, United Republic of Tanzania

33. Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique

34. Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA

35. Division of Infection and Immunity, Centre for Clinical Microbiology, University College London, and NIHR Biomedical Research Centre, UCL Hospitals NHS Foundation Trust, London, United Kingdom

36. Department of Pediatrics, Official University of Mbuji-Mayi, Kinshasa, Democratic Republic of the Congo

37. Sickle Cell Disease Research Center et le Centre de Formation et d’Appui Sanitaire, Centre Hospitalier Monkole, Kinshasa, Democratic Republic of the Congo

38. Hôpital Provincial Général de Référence de Bukavu, Département de Pédiatrie, Service de Néonatologie, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo

39. South African Medical Research Council, Cape Town, South Africa

40. Department of Pediatrics and Child Health, University of Pretoria, Pretoria, South Africa

41. Department of Real World and Advanced Analytics, Cytel, Vancouver, Canada

42. Department of Health Research Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Canada

43. Elizabeth Glaser Pediatric AIDS Foundation, Washington, D.C., USA

44. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa

45. Department of Epidemiology and International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

46. Department of Epidemiology and Department of Infectious Diseases and Microbiology and Center for Global Health, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania, USA

Abstract

Abstract Globally, there are prevailing knowledge gaps in the epidemiology, clinical manifestations, and outcomes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among children and adolescents; and these gaps are especially wide in African countries. The availability of robust age-disaggregated data is a critical first step in improving knowledge on disease burden and manifestations of coronavirus disease 2019 (COVID-19) among children. Furthermore, it is essential to improve understanding of SARS-CoV-2 interactions with comorbidities and coinfections such as human immunodeficiency virus (HIV), tuberculosis, malaria, sickle cell disease, and malnutrition, which are highly prevalent among children in sub-Saharan Africa. The African Forum for Research and Education in Health (AFREhealth) COVID-19 Research Collaboration on Children and Adolescents is conducting studies across Western, Central, Eastern, and Southern Africa to address existing knowledge gaps. This consortium is expected to generate key evidence to inform clinical practice and public health policy-making for COVID-19 while concurrently addressing other major diseases affecting children in African countries.

Funder

US National Institutes of Health

Fogarty International Centre

African Forum for Research and Education in Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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