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As Coronavirus disease (COVID-19) continues to rise globally mutating into new variants, concerns are growing on how to put an end to the virus. Ongoing clinical trials are showing some hopeful results, yet other non-clinical factors such as people's perception of the virus and their attitudes towards COVID -19 guidelines for prevention are important. Most countries in Africa have adopted various preventive measures to slow down the rapid spread of COVID-19. Some of these measures include patient screening, contact tracing, regular hand wash with soap and water, social distancing, use of hand sanitizer lock down and quarantine. However, some of these measures have raised concerns regarding ethical issues in Africa and other countries worldwide. To stop the spread of the virus in Africa, there is a need to address certain practical and ethical issues. This paper presents a reflections on practical and ethical issues on mitigation of COVID-19 pandemic in Africa We conducted a literature search online of various journals and databases including Medline, PubMed, Google Scholar, policy documents and newspaper reports on COVID-19 published from December 2019-September 2020. In our search, we identified keywords "practical", "ethical", "ethics" "COVID-19", "pandemic" "EndCOVID" and "Africa". We included only articles in English. Centred on practical and ethical issues drawn from a Kantian ideology, firstly we discuss how the implementation of pandemic control measures promotes public trust in public health emergency leadership and governance structure. Secondly, we raise the question of what pandemic control policies best promote the greatest benefits to the greatest number of the public. [ABSTRACT FROM AUTHOR]

Stroke is a major cause of death in Sub-Saharan Africa (SSA) and genetic factors appear to play a part. This has led to stroke biobanking and genomics research in SSA. Existing stroke studies have focused on causes, incidence rates, fatalities and effects. However, scant attention has been paid to the legal issues in stroke biobanking and genomics research in the sub-region. Therefore, this article examines the legal implications of stroke biobanking and genomics research in SSA. The article adopts a textual analysis of primary and secondary sources in law. It reports that there are laws from the perspectives of human right, the common law, and intellectual property. However, there are gaps to be filled. The article therefore argues for legislative intervention. It concludes that pending the time the statute will be enacted, genomics researchers in Africa should adopt the ethical guidelines prepared by Human Heredity and Health in Africa (H3 Africa). [ABSTRACT FROM AUTHOR]

Vaccination is a crucial tool for preventing and controlling disease, but its use has been plagued by controversies worldwide [1-6]. In this article, I look at the controversy surrounding the [...]

Objectives: This study aimed to assess communities' perception and adoption of the evidenced-based malaria diagnosis and case management intervention targeted at under-five children. The effectiveness of trained Volunteer Community Health Workers (VCHWs) to diagnose malaria among under-five children using rapid diagnostic testing kit, provide treatment using Artemisinin Combination Therapy and rectal Artesunate were assessed. Design: A qualitative evaluation study was conducted in October 2015. Setting: Communities in the 6 rural wards in Ona-Ara Local Government Area, Oyo State Nigeria. Participants: Caregivers of under-five children, community-based frontline health workers, and community leaders selected using purposively sampling. Methods: Nine Focus Group Discussions and 15 Key Informant Interviews were conducted using a pre-tested guide. Data were subjected to thematic analysis. Results: It was disclosed that VCHWs promoted people's access to prompt and appropriate malaria treatment. The communities accepted the VCHWs; the reasons given for this included the following: effectiveness of VCHWs in case management of malaria; good inter-personal relationship with caregivers; and the positive health outcomes associated with services provided by them. In addition, community members expressed satisfaction with the VCHWs and provided them with all the support needed to function throughout the malaria case management intervention. The VCHWs considered the support as a great source of encouragement. Conclusions: The use of VCHWs to treat malaria was adjudged to be effective and considered acceptable to the communities. The adoption of the intervention and its integration into the primary health system by the government is advocated for in medically underserved rural communities. [ABSTRACT FROM AUTHOR]

Stroke is a major cause of death in Sub-Saharan Africa (SSA) and genetic factors appear to play a part. This led to the development of stroke bio-banking and genomics research in SSA. Existing stroke studies have focused on causes, incidence rates, fatalities and effects. However, scant attention has been paid to the legal issues about stroke bio-banking and genomics research in the sub-region. Therefore, this article examines how genomics research and stroke bio-banking in SSA can be regulated through legislation. The article reports that there are germane issues to be addressed such as appropriate consent model, commercial use of biological samples, ownership right in biological samples and return of research results but that the position of the law on these issues is not satisfactory because there is no statute directly regulating them while existing regulations in these countries are either absent, outdated, conservative or difficult to navigate. The article, therefore, applies the theory of symbolic legislation and argues for legislative intervention through a positive symbolic approach. It recommends that the statute to be enacted should only address policy issues by way of legal rules without being detailed while the understanding of the rules should be fostered in explanatory notes. The explanatory notes should contain examples borne of decided cases, cases settled out of court and the ethical guidelines prepared by Human Heredity and Health in Africa (H3 Africa). Where they are inadequate, recourse may be had to other ethical guidelines subject to the demands of local circumstances. [ABSTRACT FROM AUTHOR]

We conducted a scoping review to ascertain the landscape of ethics regulations for AD/ADRD research in Africa using Arksey and O'Malley's framework. We sourced regulations from the International Compilation of Human Research Standards. We included regulations from 14 countries published between 1997 and 2020. Provisions in the regulations applicable to research in AD/ADRD were part of broader sub‐provisions for research such as with persons under legal disability. Regulations mostly required the appointment of Legally Authorised Representatives, as a major protection for persons with AD/ADRD. Provisions supporting capacity assessment and advance directives were only provided in regulations from five and two countries respectively. No regulation cited the Convention on the Rights of Persons with Disabilities as a foundational instrument for its provisions. In conclusion, regulations specifically applicable to research among AD/ADRD or other cognitively impaired persons in Africa are scarce and provisions in existing regulations mostly lack specificity for practical implementation. [ABSTRACT FROM AUTHOR]

Body size is a profound ground of inequality in modern global society. Moreover, constructions of body size are racially polarized, with blacks being reputed for venerating large body. Proceeding with a triangulation of qualitative methods, this phenomenological study featured forty-two in-depth interviews, eight focus group discussions and eighteen key informant interviews among men and women of varying body sizes in two of the six states of southwestern Nigeria. Findings reflect dominantly neutral meaning of body size among the Yorùbá. This neutrality is dominantly reflected in the literal questioning of meaning that Yorùbá attach to body size, and who becomes a king in Yorùbá land but partially neutral in acceptability of prospective son or daughter in-law. Divinity, orí (fate), ìwà (good behavior) and ọmọlúàbí (good person) are among phenomena that counts in discerning people's worth. Meaning attached to body size is opposed to common-place attitude to body size, making this attitude to be profane while meaning is solemn. This meaning is tremendously in favour of optimum health, and attenuating inequality, for which even black societies are perpetrating in the globalized world. Traditional Yorùbá value of human person is irrespective of body size. [ABSTRACT FROM AUTHOR]

COVID‐19, caused by a novel coronavirus named SARS‐CoV‐2, was identified in December 2019, in Wuhan, China. It was first confirmed in sub‐Saharan Africa in Nigeria on 27 February 2020 and has since spread quickly to all sub‐Saharan African countries, causing more than 111,309 confirmed cases and 2,498 deaths as of 03 June 2020. The lessons learned during the recent Ebola virus disease (EVD) outbreaks in some sub‐Saharan African countries were expected to shape and influence the region's responses to COVID‐19 pandemic. However, some of the challenges associated with the management of the EVD outbreaks persist and create obstacles for the effective management of the COVID‐19 pandemic. This article describes the commonalities between the EVD epidemics and COVID‐19 pandemic, with a view to draw on lessons learned to effectively tackle the ongoing pandemic. Key successes, failures and lessons learned from previous EVD outbreaks are discussed. Recommendations on how these lessons can be translated to strengthen the COVID‐19 response in sub‐Saharan Africa are provided. [ABSTRACT FROM AUTHOR]

Introduction: disparity between the demand for and the supply of organs for transplantation remains a major public health issue of global concern. This study evaluated the knowledge and determinants of willingness to donate organs among outpatient clinic attendees in a Nigerian teaching hospital. Methods: a 43-item semi-structured interviewer-administered questionnaire was designed to assess awareness and willingness of individuals attending Neurology, Psychiatry and Geriatrics Outpatient clinics to donate bodily organs for transplantation. Association between participants' characteristics and willingness towards organ donation was investigated using logistic regression models. Results: a total of 412 participants were interviewed and mean age was 46.3 (16.1) years. There were 229 (55.6%) females and 92.5% had at least 6 years of formal education. Overall, 330 (80.1%) were aware of donation of at least one organ for transplantation purposes but only 139 (33.7%) were willing to donate organ. In analyses, adjusting for sex, marital status, family setting and educational status, male gender AOR [2.066(1.331-3.2016)] secondary education [AOR 5.57 (1.205-25.729) p= 0.028] and post-secondary education [AOR-6.98 (1.537-31.702) p= 0.012 were independently associated with willingness towards organ donation. Conclusion: the survey revealed high level of awareness but poor willingness towards organ donation among older Nigerians attending outpatient clinics of a premier tertiary hospital. Male gender and educational attainment were significantly associated with willingness to donate. Educational programs that particularly target women and less educated older Nigerians are needed to promote organ donation in Nigeria. [ABSTRACT FROM AUTHOR]

There is a pervasive assumption that African people revere large body size, although indigenous oral knowledge relating to body sizes has not been systematically studied. Hence, using a triangulation of qualitative methods, this study explores Yorùbá indigenous knowledge via Yorùbá concepts, Ifá literary corpus, Yorùbá proverbs, oríkìand sayings relating to body sizes. Findings indicate that the glorification of a large body size does not disregard small body size in Yorùbá culture and that Yorùbá knowledge acknowledges the health protectiveness of a small body, thereby eulogizing both large and small body sizes. And in addition, Ifá literary corpus did not suggest a preferential attitude to any body size, hence, Yorùbá indigenous oral knowledge is dispassionate towards body sizes. [ABSTRACT FROM AUTHOR]

Research is a global enterprise requiring participation of both genders for generalizable knowledge; advancement of science and evidence based medical treatment. Participation of women in research is necessary to reduce the current bias that most empirical evidence is obtained from studies with men to inform health care and related policy interventions. Various factors are assumed to limit autonomy amongst the Yoruba women of western Nigeria. This paper seeks to explore the experience and understanding of autonomy by the Yoruba women in relation to research participation. Focus is on factors that affect women's autonomous decision making in research participation. An exploratory qualitative approach comprising four focus group discussions, 42 in-depth interviews and 14 key informant interviews was used. The study permits a significant amount of triangulation, as opinions of husbands and religious leaders are also explored. Interviews and discussions were audiotaped and transcribed verbatim. Content analysis was employed for data analysis. Findings show that concepts of autonomy varied amongst the Yoruba women. Patriarchy, religion and culture are conceived to have negative impact on the autonomy of women in respect to research participation. Among the important findings are: 1) male dominance is strongly emphasized by religious leaders who should teach equality, 2) while men feel that by making decisions for women, they are protecting them, the women on the other hand see this protection as a way of limiting their autonomy. We recommend further studies to develop culturally appropriate and workable recruitment methods to increase women's participation in research. [ABSTRACT FROM AUTHOR]