Learning from People with HIV: Their Insights are Critical to Our Response to the Intersecting COVID‑19 and HIV Pandemics in Africa

Abstract

Nearly 70% of the global population of people with HIV (PWH) live in sub-Saharan Africa, in countries that are likely to be severely impacted by the rising third wave of COVID-19. The first case of COVID-19 in Sub Saharan African was not reported until February 28, 2020 in Nigeria [1], but the number of confirmed cases is now growing exponentially (Fig. 1). To date, more than 150,000 cases and 4000 deaths from COVID-19 have been reported [2] in the region. Due to lack of testing infrastructure [3] and stigma around COVID-19 [4], the actual numbers are likely much larger. We do not know yet know if HIV infection is a biological risk factor for SARS-CoV-2 infection or severe COVID-19 disease [5]. Either way, it is readily apparent that COVID-19 and related containment measures are having a profound impact on the lives of PWH. Through conversations with PWH and HIV healthcare providers in East Africa, we have learned ways in which COVID-19 has begun to impact the lives and the care of PWH in the region. We have also seen PWH partnering with HIV healthcare providers to develop creative solutions to local challenges