Officially, more than 50% of cases in Africa are recorded in the South African Republic, though it has a less risky profile thanks to much more efficient governance and quarantine. Other countries with large numbers of cases typically are more developed ones located in the western half of the continent, abundant with natural resources and consequently the site of  major cities with large conurbations, which don’t always even have access to necessary facilities not to mention affordable and qualitative medicine. Taking into account dependency on informal SMEs that lack official support, strict but not always logical approaches to prohibitions, and usually inefficient economics, COVID-19 is sure to leave some states with clear long-lasting effects. Another risk factor is low  penetration of ICT, low diversification and lack of access to sanitation facilities, especially in rural areas. It is worth mentioning that despite the fact that Africa has the lowest number of cases, theirs has amounted to more than 1 million as of August, 16 and the rate of growth would be much higher than the rest of the world even if the available information is true, which is apparently it is not.

Nonetheless, in Africa the main variation in distribution of cases is between large central inland states and small island states. The latter have the lowest number of cases: Mauritius, Seychelles, Comoros, Sao Tome and Principe. These small island states, including Seychelles, have 0% of fatal cases ratio and 99% recovery, which an unprecedented kind of result for Africa and among the best in the world, although they rely somewhat on their isolated status, and the data on these places is forever threadbare owing to their disinterest in gathering sharing their healthcare data globally. Furthermore there are only 100 thousand inhabitants. The population of Mauritius is 1.2 million and the recovery there is 97%, which is also a lot. There are other countries and territories which are located on the continent and have fewer cases, including bigger ones. However, statistics from Africa are not very reliable. Reliable, comprehensive and precise information is required for more efficient work, by governmental and municipal authorities and local medics, and also international development institutions and NGOs. Despite the concerns about data, the threat of humanitarian crisis in Africa is becoming more and more apparent and not only in terms of healthcare. Insecurity, poor healthcare systems, corrupt governance and other severe risks create additional unfavorable conditions and barriers to fighting COVID-19.