Behind the Blessing Gift of the Nile (Abay) River Basin

The river basin has a complex hydrology composed of about 84% Abay/Blue and 16% White, Nile as a main tributary including other miscellaneous wetlands and lakes. To tackle the epidemics of any communicable disease Ethiopia had less than 12 regional laboratories for disease surveillance under National Public Health Institute before the pandemics of covid-19. Coverage with basic health services is low across Sudan and extremely scant in some areas of the southern Sudan and Darfur. The only country with better health infrastructure is Egypt from the region which was not above optimum. Therefore, the region must be focused on integrating disease surveillance and monitoring system by focusing on upgrading the current status of health infrastructures specially integrated disease surveillance and monitoring system must be established between Ethiopia, Sudan and Egypt beyond the regional cooperation. The attitude of the regional governments of Ethiopia, Sudan and Egypt must be circling on cooperation issues rather than politicizing the water gift, unless the outbreak of any pandemic may be aggravated by the socio-economic status, climatic condition and demography of the region.