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Photo: Two people in a room with walls made of tarpaulins. One person is wearing a transparent plastic visor. Both are wearing gloves and using different disinfectants.
© Light in Captivity

East Africa: fighting infections

Long before the coronavirus, GIZ and its partners in East Africa were working hard to prevent pandemics. As a result, these countries were able to respond quickly when the crisis hit.

Graphic: GIZ: SDG1 No poverty
Graphic: GIZ: SDG 2 Zero hunger
Graphic: GIZ: SDG 3 Good health and well-being
Graphic: GIZ: SDG 10 Reduced inequalities

Airports are high-risk areas when it comes to the spread of infectious diseases. However, when Asma Ali Awadh recently had to fly in East Africa she was pleasantly surprised. ‘I travelled through the airports in Kigali and Mombasa, and the hygiene and precautionary measures in place were exemplary,’ she comments. She should know. The Kenyan doctor is chief trainer for COVID-19 prevention and response training at airports in the region.

In conjunction with the Secretariat of the East African Community (EAC), GIZ contracted the AMREF Flying Doctors to provide training for the staff of 10 international airports. Staff are trained in infection prevention and response. In 2020, almost 250 people from different airport sectors were trained, including check-in, border control and baggage handling. They have now passed on their newly acquired expertise to hundreds of colleagues. ‘That was not something everybody thought of initially – that the virus could also be spread by baggage,’ recalls Asma Ali Awadh. These measures probably protected thousands of travellers from a COVID-19 infection.

Cross-border traffic in a region that is home to 170 million people 

With a view to facilitating safe cross-border transport and trade, 350 experts from major ports and border posts in the region were also given training. They too are passing on their newly acquired knowledge. It was possible to adapt the subject matter covered by courses to address the new pandemic situation because GIZ has been supporting EAC, on behalf of BMZ, since 2017 with a project entitled Support to Pandemic Preparedness in the East African Community (EAC) region. The EAC Secretariat coordinates assistance for the six EAC Partner States – namely Burundi, Kenya, Rwanda, South Sudan, Tanzania and Uganda – in preventing and combating infectious diseases. The training courses at the airports, ports and border crossing points are one example of how the project helps translate the EAC Secretariat’s regional pandemic plan into practice. GIZ is also advising the Secretariat on the preparation of a regional risk and crisis communication strategy and on sustainably mainstreaming the One Health approach in the region.

Asma Ali Awadh, incidentally, was travelling incognito. ‘Nobody knew that I was having a good look to see whether people were actually putting into practice what they had learned,’ she says laughing.

Photo: Kenian doctor Asma Ali Awadh sitting in a chair.
Asma Ali Awadh works as a doctor in Kenya and is responsible for training courses on preventing and responding to COVID-19 at airports in the region.
(© Asma Ali Awadh)

ONE HEALTH IN EAST AFRICA

The One Health approach is based on the finding that human health depends on a large number of factors. This is why, in pandemic prevention and control in the EAC region, GIZ involves representatives of every discipline that is affected by an outbreak of disease, can help control disease, or can minimise the impacts. The aim is to protect human health without losing sight of other factors such as education, business and future prospects. To train experts in pandemic prevention under the One Health approach, GIZ and the University of Heidelberg have developed a regional, interdisciplinary online training course. An advanced course is to follow. The first 25 students in Kenya explored the correlations between agriculture, logistics, tourism and pandemics. 

Portrait photo: Mary Stephen

Interview with Mary Stephen

Technical Officer with WHO Africa’s Health Emergency Preparedness
and Response Team

Six months before the first reports of COVID-19 emerged, the East African Community Secretariat worked with WHO, GIZ, KfW and other partners to simulate a pandemic outbreak. Did you foresee the pandemic?

When we launched the largest cross-border Field Simulation Exercise in Africa in summer 2019, we did not anticipate what would await us a little later. After the experience with Ebola, for example, we wanted to test capabilities to prevent and respond to infectious disease outbreaks in and between Kenya and Tanzania. Because it’s one thing to have a plan and, on paper, the capacity, and another to know what really works in practice.

What does a simulation like this involve?

Around 300 men and women – ranging from smallholder farmers to butchers, border officials, truck drivers, lab technicians, doctors, and representatives of government agencies, as well as national and international organisations – spent four days simulating an outbreak of a contagious disease. Just as though it had really happened. The scenario mimicked an outbreak of Rift Valley Fever, a viral disease most commonly seen in livestock, but that can also affect humans.

Were the participants and the many observers from the region able to learn anything that was important for the COVID-19 pandemic?

Absolutely. It became clear how central cross-border issues and communication are and where there are gaps. And we saw how important One Health’s joint approach is – with stakeholders from public health as well as animal health, trade, logistics, immigration, and environmental organisations. We need this broad view to respond to outbreaks at all levels – local, regional, national and international. We are primarily dealing with zoonoses, diseases transmitted from animals to humans, so we need to take a holistic view of the human, animal and environmental interfaces.

Copyright: © Mary Stephen

  • Photo: A woman uses her hand to check the head area of a protective suit worn by the person standing opposite her.
    Workers at Nairobi Airport in Kenya are trained in hygiene and disease control measures.
    (© GIZ / AMREF)
  • Photo: A person wearing a protective suit holds a document and stands in front of a vehicle. She is speaking to a young man leaning out of the vehicle’s window.
    Participants in a cross-border simulation …
    (© Light in Captivity)
  • Photo: Two people in protective suits stand in the open entrance to a building. There is a wheelchair in front of the building.
    … of a pandemic outbreak in Namanga, a town that straddles the border between Kenya and Tanzania.
    (© Light in Captivity)

Sustainable Development Goals (SDGs)

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