Sub-Saharan Africa has of course also suffered greatly from SARS-CoV-2, they just have not the means to count their cases. SARS-CoV-2 does not behave differently in Africa than in other regions of the world, especially not in low-vaccination (or even no-vaccination) countries.
«Rather than an ‹African paradox,› the far simpler explanation is that COVID-19 has affected African countries just as the virus has everywhere else, but has gone undocumented.»
In countries with a younger population, less deaths from acute COVID-19 are expected, although the number of additional direct deaths from COVID-19 is still substantial. The disease burden burden, i.e., morbidity, also remains high, maybe even more given the sub-par health infrastructure.
«Rather than an ‹African paradox,› the far simpler explanation is that COVID-19 has affected African countries just as the virus has everywhere else, but has gone undocumented.»
https://www.bu.edu/sph/news/articles/2022/morgue-data-reveal...
In countries with a younger population, less deaths from acute COVID-19 are expected, although the number of additional direct deaths from COVID-19 is still substantial. The disease burden burden, i.e., morbidity, also remains high, maybe even more given the sub-par health infrastructure.