Article content continued

In Nigeria, the coronavirus has so far infected 174 people, including Abba Kyari, Buhari’s chief of staff, a man regarded as the second-most powerful in the country. Four out of 36 state governors and a son of former Vice President Atiku Abubakar have also tested positive. A former senior executive of the state oil company, Suleiman Achimugu, was the first Covid-19 fatality.

‘Total Collapse’

Dozens of senior public officials, including state governors and lawmakers, have gone into isolation. If they get sick, they will have to rely on a weak health system that is at risk of crumbling under the weight of a larger outbreak, according to Francis Faduyile, head of the Nigerian Medical Association, an umbrella group for doctors.

“The health system is not strong enough,” Faduyile said by phone from Lagos. “Over the years, it’s been denied normal funding and things are not where they’re supposed to be. If the burden of the coronavirus is added, it may be too heavy; it may actually cause a total collapse.”

Among Nigeria’s registered health professionals are 75,000 doctors, 180,709 nurses and 25,000 pharmacists, according to the health ministry. With 0.5% hospital beds per 1,000 people and a population of roughly 200 million, that’s far below thresholds set by the World Health Organization. Only five laboratories are able to test for the virus.

Health spending at around 5% of the budget in the past decade falls short of the African Union’s recommended minimum of 15% and has been mostly focused on recurrent spending, with little capital investment made over the years, according to BudgiT, a civil-society group that tracks government expenditure. A National Health Act that came into effect in 2015 and requires that 1% of government revenue is set aside for basic health care has yet to be implemented.