“…However, it is not yet clear why this phenomenon did not yet spread widely in Africa. It can be that Africa has managed an effective shut down which limited the spread and this placed them ahead of time compared with other countries or perhaps that they are simply behind in the timeline as a result of poor reporting due to lack of molecular testing capacity ( Nachega et al, 2020 ; Adebisi et al, 2020 ; Quaresima et al, 2020 ). Moreover, data regarding environmental conditions, genetic factors and differing immune responses to COVID-19 are limited and still emerging ( Wang et al, 2020 ; Shi et al, n.d. ; Vetter et al, 2020 ; Prompetchara et al, 2020 ; Ortiz-Fernandez and Sawalha, 2020 ; Araujo and Naimi, 2020 ; Gursel and Gursel, 2020 ).…”