Covid-19 1 year on: The challenge for low-middle income countries

History has shown that epidemics are a story of inequalities [1]. In early 2020, the World Health Organisation (WHO) described the Covid-19 pandemic as a public health emergency of international concern [2]. In many countries this meant the demand for critical care services has exceeded availability in terms of workforce, resources and equipment. Since the start of 2021, there has been a significant increase in infections in Africa, with new and different variants of SARS-CoV-2. However, little has been published on the impact of Covid-19 in low-resource settings and role of critical care nurses and services. This critical commentary is partly based on our reflections as members of a health partnership in Zambia, to capacity build Emergency, Trauma and Critical Care Nursing and also utilises current available evidence