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A cloud of dust lifted slowly off the forecourt of Sebkha health centre where an ambulance had just rushed a patient. Inside visitors milled about as nurses paced up and down the corridors. When one of the nurses passed by, an elderly woman waiting outside the delivery room sat up and asked how her daughter was doing. “Don’t worry madam,” came the reply, “your daughter will give birth safely. She’s in good hands.”

On entering Uganda’s Entebbe International Airport, visitors are greeted by posters on how to prevent COVID-19 transmission, even before having their temperatures taken by medical staff.  Video messages play in the departure and arrival lounges. So far, the number of people in Africa confirmed to have the virus is much smaller than other parts of the world. But as more health ministries in Africa have confirmed the presence of the virus in their countries, what was once a distant threat is now much closer.  

In the epicentre of the Ebola outbreak, in the city of Beni in North Kivu, the World Health Organization (WHO) and the Democratic of the Republic of the Congo’s Health Ministry adopted a strategy once used during the Ebola outbreak in West Africa to simplify vital work of monitoring contacts of patients.