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Dear Editor, Coronavirus disease 2019 (covid-19) is an infectious disease caused by a newly discovered coronavirus. Most people infected with covid19 virus experience mild to moderate respiratory illness and recover without special treatment. Those that are more likely to develop serious illness are older people and those with underlying medical conditions like cardiovascular disease, diabetes, chronic respiratory disease and cancer [1]. The global spread of the virus has overwhelmed health systems, and caused widespread social and economic disruption especially in most African countries including Zambia. A review of covid-19 in Africa shows that, inadequate spike in covid-19 has reduced government budgets, leading to underfunded health care , poor governance, significant public debt rises, and large infrastructure gaps. Considering Africa 's weak health systems and its lack of physicians, health care workers, medications and medical supplies, infections with covid-19 are likely to increase, and will mostly lead to unreported humanitarian crisis[2].The covid-19 pandemic has had a huge toll on individuals, families, communities, and societies across the world. People’s daily lives have been profoundly changed, economies have fallen into recession, and many of the traditional social, economic, and public health safety nets have been put under unprecedented strain. In order to help control the infection in the community, there is need to test suspects for covid-19 as well as individuals who have been in contact with them. One of the main things learnt so far is that the faster all cases are found, tested and isolated, the harder it is for the virus to spread. This principle will save lives and mitigate the economic impact of the pandemic [3]. However, to be able to achieve this, there is need to have effective testing facilities. Most developing countries like Zambia are far from achieving this because of several challenges being faced in the testing of covid-19. One of the challenges is the lack of decentralization in covid-19 testing; testing in EDITORIAL LETTER Open Access

Challenges of Coronavirus Disease 2019 Testing in Resource Limited Settings: A Case of Zambia