Cameroon and COVID-19: Face masks are compulsory — but unaffordable for many ⁰

Eric Wule has a problem. He lives in Kumba, a city in southwest Cameroon, and this week his government has told him — together with all other 25-million citizens — that it is illegal to appear in public without a face mask. This is part of the government’s measures to prevent the spread of the coronavirus. As of April 18, Cameroon had recorded 1 017 cases of the disease, including 22 deaths.

But surgical masks are in short supply, and Wule is struggling to find one. The masks that are being sold, he cannot afford: the price has quintupled, from 100 CFA francs (about R3.12) to between 500 CFA francs and 1 000 CFA francs.

Wule is not the only person struggling to comply with the emergency regulations. There are simply not enough face masks in Cameroon for everyone. 

“The masks are scarce and even seem unavailable. Families and friends will use that which is available in turns just to escape police trouble,” commented one civil society activist, who asked not to be named.

Many people have started making masks themselves, from fabric, but this comes with its own risks. “They have not been well educated on how to use these reusable masks. The management of the cloth mask is also problematic. They are being fabricated in homes and no attention is paid to sterilisation after fabrication. The Covid-19 status of the persons fabricating them are also not known,” said Dr Ade Harrison Manju, the director of Benakuma district hospital.

Harrison has also observed people trying on face masks before purchasing them. “This seems to be a new mode of transmission. Imagine buying a mask that has been tried on previously by about 10 people whose status you do not know. It is risky!” he said.

The World Health Organisation cautions that wearing a mask alone is not an adequate defence against Covid-19, and that “there is currently no evidence that wearing a mask (whether medical or other types) by healthy persons in the wider community setting, including universal community masking, can prevent them from infection with respiratory viruses, including Covid-19.”

The politics of protection

One campaign designed to support Cameroonians in this difficult time is the Survie-Cameroon-Survival Initiative, which aimed to raise €1-million for relief efforts. But it was declared illegal by the government, perhaps because it was founded by Maurice Kamto, the main opposition leader. The interior ministry has taken steps to freeze the campaign’s bank account.

For his part, Kamto has accused President Paul Biya of being absent during this crisis, and has asked Parliament to declare a power vacancy and organise new elections. Kamto may have a point: Biya had not been seen in public for about a month. This week, following Kamto’s stinging criticism, the presidency released a photograph of Biya meeting the French ambassador to Cameroon. A tweet from Biya’s account read: “On the menu for our exchange this afternoon: managing the Covid-19 pandemic in Cameroon, France and around the world.”

Kamto was not impressed. “Cameroonians are expecting him to address the nation, to tell them exactly what is going on, to share his vision,” said Kamto, speaking to the Washington Post. “Whether that photo is real? Authentic? I don’t know.”

Nkongho Felix Agbor, a renowned Buea-based human rights  lawyer, condemned the politicisation of Covid-19. “This is not the time [for] playing politics with the lives of our people, many of whom are dying. There is a need for a collective action,” he said.

Others see the government restriction as unwise. Ndansi Elvis, a United States-based Cameroonian with deep knowledge of health economics, calls it “insanity.” He thinks it is an act of cowardice for the government to order the closure of the account of a solidarity fund aimed at fighting this pandemic, simply because of political rivalry. “Are the funds to be used in sponsoring any terrorist act? Can government convince those donating from all over the world to donate to its own fundraiser when they know well that because of credibility issues people may not donate as much?”

Source: Mail/Guardian