The world has been experiencing a virulent health crisis due to COVID-19 since few months. Africa is not immune as some citizens believed or still believe among whom are naive ones and others who pretend to play the fool.

The spread of the virus is now effective in all countries. Chad recorded its first cases in March. The government immediately initiated measures to limit the spread, in particular by reducing interactions as much as possible and by strengthening the hygiene system. Borders, churches, mosques and schools were immediately closed, as in other countries where the crisis is in full swing. The general tendency to confine people, which so far seems to be the least harm, is a very plausible option for Chad as well; but this requires a number of accompanying measures without which the populations, especially the poorest, would bear the burden of the measure.

In his address on 12 April, the President announced a number of measures of which initiative is to be welcomed, in order to enable the disfavored in our society to survive in this time of crisis, because “…it is the responsibility of the State to provide appropriate support and efficient assistance to our populations and our companies, which are going through hard times on the socio-economic scale”. The support of the State for water and electricity bills for domestic users (households) over 6 and 3 months respectively, the exemption from customs duties and taxes on medical products and equipment are some of these accompanying measures, which are a guarantee of survival in these tumultuous times.

At Bon Samaritain Teaching Hospital…

As soon as the first cases were announced, we immediately seized of the seriousness as well as the health and economic risks of this pandemic, which until now had been seen from afar. As soon as the first cases were announced, resolutions were made more urgently, ranging from reinforcing the hygiene system, to limiting hospital attendance – by the number of caregivers and visitors who were usually and abnormally great – to information and discussion meetings with all staff members. Courses and examinations have been suspended at both the faculty of medicine and the health school. A scientific committee and a college of seven (7) doctors have been set up to anticipate issues of detection of suspicious cases and possible treatment; the medical director of the CHU-BS is a member of the Covid-19 treatment unit set up by the Ministry of Public Health.

Partner support is very important

With the help of the University of Lleida in Spain, a patient selection station has been set up at the entrance of the hospital to detect possible suspicious cases. Thanks to the support of the Recover Foundation in Spain, we have set up a hand sanitizer production unit; we expect to eventually produce 400 liters of hand sanitizer. However, this quantity is simply equivalent to a strictly internal use available to staff for a maximum period of two (2) months. We have also obtained donations from certain partners regarding the reinforcement of barrier measures against the spread of the virus; these include hand sanitizers received from the Breweries of Chad, face masks received from the Apostolic Nunciature, soap and buckets for washing hands received from several Associations of young Chadians.

The protection of healthcare personnel, a strategic choice for the CHU-BS…

The health and economic risk that the spread of the virus presents is enormous. Health care workers are at high risk (both in hospitals and in the neighborhood); indeed, they are the backbone of the country’s entire health care system. If we don’t strengthen their protection, we will see the total collapse of the health system. On our small scale, this means in practice that if one staff member is infected overnight, the entire hospital will be quarantined and thus closed down.

Therefore, the current fight cannot stop at the level of prevention, but it is time to start thinking now about stepping up our strategic response. In concrete terms, there is an urgent need to speed up the process of procuring tests as well as the quantity of personal protective equipment. The project to acquire the COVID-19 laboratory is an absolute necessity for Bon Samaritain Teaching Hospital, given that the country has only one, with a quantity of tests that is very insufficient regarding the population. However, screening is only the starting point of care.

Jean Pierre Ongolo, Project and Communication Officer, CHU-Bon Samaritain N’Djamena-Chad

 

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