Health

Abstract In this chapter Cilliers covers Africa’s unique epidemiological history from the early migration of homo sapiens to the devastation of HIV/AIDS and, more recently, the unfolding impact of COVID-19. It explains how humans’ proximity to nature, slow urbanisation and Africa’s distinct climatic conditions have led to an unusually high burden of communicable diseases, particularly the HIV/AIDS pandemic. The chapter also explains the double-burden of communicable and non-communicable disease evident in Africa. The chapter highlights the central role that infrastructural improvements and urban planning play in supporting better health outcomes and impact that poor basic infrastructure and lack of urban planning has in much of Africa. The chapter places a particular emphasis on the central role of potable water and water-borne sanitation in preventing the spread of disease. Finally, scenario analysis is used to demonstrate the relationship between health and economics.