ABSTRACT
This paper is being written at a time when the recent pandemic, namely COVID-19 has shaken the entire world in a manner that has never been seen in modern history. The ecology, socio-economy and weak health systems make Africa an area favorable to the occurrence of various diseases and disease outbreaks. This paper explores forty-eight (48) years of disease outbreaks in the WHO African region of the World Health Organization (WHO). Twenty-five (25) Integrated Disease Surveillance and Response priority diseases were selected, and their outbreaks described and analyzed. Using inferential spatial statistics, spatial clusters at the health district level, specifically hot spots of those outbreaks were produced and analyzed. Population at risk those hot spots were estimated. Results show a consistent report of outbreaks during the selected period with 52 outbreaks on average per year. Poliomyelitis, cholera, yellow fever, meningococcal disease and measles were the most reported epidemics. Democratic Republic of the Congo (DRC) and Nigeria were the countries reporting the highest number of outbreaks (5 on average per year) with the latter country having the highest population at risk (39M people). Despite efforts to limit their number, some disease outbreaks such as malaria, cholera, and measles continue to have a burden in terms of morbidity and mortality, while others such as poliomyelitis, yellow fever and diarrhoeal disease have shown a declining trend and the wild polio virus transmission has been eliminated in the region. Results suggest that concerted public health action may help reduce the occurrences of outbreaks in the region. Results can be used to inform preparedness and prevention activities. Priority public health actions should target DRC and Nigeria, but also identified hot spots and areas with existing risk factors within other countries.