Geneva:Health officials in Africa say the rollout of rapid diagnostic tests for COVID-19 could be a game changer for their fight against the coronavirus but also warned Thursday that increased testing could drive up confirmed cases on a continent that has seen them decline or plateauing as case numbers soar in the West.

Some experts worry that Africa so far has lacked the ability to test widely enough, especially in hard-to-reach rural areas, and that its case counts therefore don't reflect reality and impede tracking the virus.

African countries are gearing up to introduce antigen-based rapid diagnostic tests on a large scale, and this will be a game changer, we think, in the fight against COVID-19, Dr. Matshidiso Moeti, the World Health Organisation's regional director for Africa, said.

These high-quality rapid tests will help meet the huge unmet need for testing in Africa. Speaking from Brazzaville, Congo, at an online news conference, Moeti noted that WHO Africa region comprising sub-Saharan Africa plus Algeria - has seen a downward trend from a daily average of more than 15,000 cases in July to less than 4,000 in the past month - prompting some governments to pull back from their toughest containment measures.

As countries ease restrictions on movement, some increase in cases is expected, but preventing an exponential rise is absolutely critical, she said.

From early on in the pandemic, officials at WHO headquarters in Geneva, including the U.N. health agency's Ethiopian director-general, Tedros Adhanom Ghebreyesus, have expressed concerns that COVID-19 could have a big impact on weaker health systems like those in Africa.

However, developed countries with world-class health systems so far have been among the ones hardest hit by virus outbreaks. WHO's 54-nation European region tallied 927,000 cases in its latest weekly count, a new record high.

Dr Susan Ndidde Nabadda, head of the Ugandan National Health Laboratory Services and Central Public Health Laboratory, suggested that it could take some time to ensure proper authorizations and a high-quality process before rapid diagnostic tests on a broader scale because there is no longer really a lot of emergency in Africa.

Nabadda cited reports indicating that the identification of COVID-19 cases increased in Guinea once the west African country started rolling out the RDTs, noting that we might see more numbers coming on board as the tests are deployed more widely.

She said the relative lack of testing in Africa could be one of the reasons why African case counts were lower than in developed countries.

WHO announced last month that it and leading partners have agreed on a plan to roll out 120 million rapid diagnostic tests for COVID-19 to help lower- and middle-income countries make up ground in a testing gap with richer countries.

The antigen-based rapid diagnostic tests for which WHO issued an emergency use listing are intended to provide better testing access to areas where it is harder to distribute the PCR tests often in many wealthier nations.

The rapid tests look for antigens, or proteins found on the surface of the virus. They are generally considered less accurate though much faster than PCRs, which are higher-grade genetic tests. PCR tests require processing with specialty lab equipment and chemicals. Typically, delivering results to patients takes several days. 

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Addis Ababa (PTI): India and Ethiopia on Tuesday elevated their historical ties to a strategic partnership, as Prime Minister Narendra Modi held wide-ranging talks with his Ethiopian counterpart Abiy Ahmed Ali during which they discussed issues of bilateral and mutual interest.

Modi, who arrived here from Jordan on his maiden bilateral visit, was accorded a ceremonial welcome at the National Palace ahead of the bilateral talks, reflecting the vibrant India-Ethiopia relations rooted in shared history and a promising future.

"We are elevating India and Ethiopia relations to a strategic partnership. This step will provide new energy, new momentum and new depth to our ties," Prime Minister Modi said during the delegation-level talks.

He thanked PM Ali for his support in India's fight against terrorism. "The support of friendly countries in this struggle against terrorism holds great significance," Modi said.

"Today, we got the opportunity to deliberate on the key aspects of our cooperation, such as economy, innovation, technology, defence, health, capacity-building and multilateral cooperation. I am pleased that today, we have decided to double the student scholarship for Ethiopia in India," Modi said.

Modi said that India and Ethiopia have shared contact, dialogue, and exchange for thousands of years. The two countries, which are rich in languages and traditions, are symbols of unity in diversity, he added.

"Both countries are democratic powers committed to peace and the welfare of humanity. We are co-travellers and partners of the Global South. On international platforms, we have stood shoulder-to-shoulder," he said.

The two sides signed eight MoUs/agreements, including upgrading ties to 'Strategic Partnership', customs cooperation, establishing data center at the Ethiopian Foreign Ministry, UN Peacekeeping training cooperation, debt restructuring under G20, more ICCR scholarships and AI short courses for Ethiopians, and support for maternal and neonatal healthcare.

Modi said the African Union's headquarters in Ethiopia makes the country a meeting point of African diplomacy. "Inspired by the common vision of an inclusive world, in 2023, India ensured that the African Union became a G20 member," he said.

In 2023, during India’s G20 Presidency, the African Union was admitted as a permanent member of the G20.

Modi said that though this is his first visit, he felt a deep sense of belonging and warmth, reflecting the thousands of years of connection between the two countries.

On his part, Prime Minister Ali said the two countries share over thousands of years of connection through trade, diplomacy, education, culture and even in our food and traditions. "These ties continue to shape a deep friendship, collaboration and mutual respect between our people," he said.

"We also appreciate your consistent message that Africa's priorities must lead the partnership. These kinds of dignified, respectful messages for Africa are very important. Mr Prime Minister, keep pushing. That is the type of message we are expecting from all our trusted friends," Ali said.

He said this aligned fully with Ethiopia's development plan - African-owned, African-led, and African-defined.

"Today, we meet with a clear focus to shape a modern partnership, grounded in sovereignty, self-reliance and practical cooperation. Our cooperation is rooted in equality and South-South solidarity," he said.

"Our economy is performing strongly. Last year, we grew 9.2% and this year we are expecting 10.3% GDP growth. Besides GDP growth, our FDI inflow is also rising big time. India is the leading source for our FDI," he said.

"We have more than 615 Indian companies which are investing in Ethiopia. This all gives our cooperation a strong foundation of trust. I think our decision today that we elevate our historic relationship to a strategic relationship is the right decision," he added.

Ethiopia also conferred its highest award - The Great Honour Nishan of Ethiopia - on PM Modi. He is the first global head of state to receive this award.

Prime Minister Modi also went to the Friendship Park and Friendship Square in Addis Ababa with PM Ali.

In a warm and special gesture, PM Modi was earlier received by his Ethiopian counterpart at the airport and accorded a warm and colourful welcome.

"Ethiopia is a nation with great history and vibrant culture," Modi said.

PM Ali informed his Indian counterpart about the varieties of Ethiopian coffee during informal talks.

"At Addis Ababa airport, took part in a traditional Coffee Ceremony with Prime Minister Abiy Ahmed Ali. The ceremony beautifully highlights Ethiopia’s rich heritage," Modi said.

In a unique gesture, the Ethiopian Prime Minister drove Modi to the hotel.

On the way, he took a special initiative of taking PM Modi to the Science Museum and Friendship Park, which was not in the itinerary.

"Gratitude to Prime Minister Abiy Ahmed Ali for showing me glimpses of Ethiopian history and culture at the National Palace Museum in Addis Ababa. It was a powerful reminder of Ethiopia’s rich traditions," Modi said in a post on X.

The Nobel Peace Prize-winning Ethiopian PM’s special gestures show remarkable respect for Modi, sources said.

"Thank you Ethiopia for a welcome that was unforgettable. The Indian community showed remarkable warmth and affection. India-Ethiopia friendship is going to get even more robust in the times to come," Modi said.

When Modi arrived at the hotel, he was warmly welcomed by the members of the Indian community. Local artists performed dances. Some of them danced on the theme of the popular Hindi song 'Aisa Des Hai Mera' to welcome him.

On Wednesday, Modi will address the Joint Session of Parliament and share his thoughts on India's journey as the "Mother of Democracy" and the value that the India-Ethiopia partnership can bring to the Global South.

PM Modi arrived in Ethiopia from Jordan, where he held a one-on-one meeting with King Abdullah II at the Husseiniya Palace on Monday before the delegation-level talks.

India and Jordan also inked MoUs in the fields of culture, renewable energy, water management, digital public infrastructure and twinning arrangement between Petra and Ellora, aimed at giving a major boost to bilateral ties and friendship.

From Ethiopia, Modi will visit Oman on the final leg of this three-nation tour.