Africa's high asthma rates are driven by urbanization, air pollution, and poor air quality. Cities are growing rapidly, leading to increased exposure to pollutants from vehicles, construction, and industrial activities. Additionally, climate change and poor diets, particularly those high in refined grains and low in fruits and vegetables, may contribute to the rising asthma cases.
A 2013 study estimated that around 119 million people in Africa suffer from asthma, which is nearly half of the global asthma population according to WHO figures.
Many asthma cases in Africa go undiagnosed due to a lack of awareness, cultural attitudes that dismiss symptoms, and limited access to formal diagnostic tests. Socioeconomic factors also play a role, as many families cannot afford medical care, leading to delayed or missed diagnoses.
A study conducted between 2018 and 2021 found that one in nine teenagers in six African countries had asthma symptoms, but only a fraction of them had been formally diagnosed. This highlights a significant gap in diagnosis and treatment.
Lagos suffers from poor air quality due to dust, clogged drainages, and industrial activities. These factors exacerbate respiratory issues, including asthma, leading to complaints of chest pain, severe coughs, and other lung-related problems.
Asthma in Africa is called a 'silent epidemic' because its symptoms are often overlooked or dismissed, and many cases go undiagnosed. Unlike diseases with visible symptoms, asthma can remain hidden until a severe attack occurs, making it a growing but underrecognized health crisis.
Cities like Durban in South Africa, which is highly urbanized, have the highest asthma rates. In contrast, less developed cities like Blantyre in Malawi report lower rates, suggesting a link between urbanization and asthma prevalence.
While the direct impact of climate change on asthma is still debated, experts believe that increased dust and pollution due to changing weather patterns may worsen asthma symptoms. However, more research is needed to fully understand this connection.
A silent asthma epidemic could be affecting millions of people in Africa. It’s estimated almost half of all the asthma sufferers in the world live on the continent, but many face barriers to diagnosis and treatment. Dorcas Wangira, the BBC’s Africa Health Correspondent in Nairobi, Kenya talks us through the growing body of research looking into how asthma is affecting children and teens in Africa.
We also hear from Doyin Ogunye, a campaigner for better air quality in Lagos, Nigeria, about the links between asthma and air pollution.
Instagram: @bbcwhatintheworld Email: [email protected] WhatsApp: +44 0330 12 33 22 6 Presenter: Hannah Gelbart Producers: Josh Jenkins, Mora Morrison, Carolyne Kiambo and Maria Clara Montoya Editor: Rosanna La-Falce