The 1990 African Championships in Athletics were held in Cairo, Egypt between 3 and 6 October.
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Nigeria (NGR) | 10 | 10 | 9 | 29 |
| 2 |  Kenya (KEN) | 9 | 9 | 7 | 25 |
| 3 |  Morocco (MAR) | 6 | 5 | 2 | 13 |
| 4 |  Ethiopia (ETH) | 4 | 2 | 6 | 12 |
| 5 |  Egypt (EGY) | 3 | 5 | 4 | 12 |
| 6 |  Ivory Coast (CIV) | 2 | 0 | 1 | 3 |
| 7 |  Madagascar (MAD) | 2 | 0 | 0 | 2 |
 Mozambique (MOZ) | 2 | 0 | 0 | 2 | |
| 9 |  Senegal (SEN) | 1 | 2 | 2 | 5 |
| 10 |  Algeria (ALG) | 1 | 1 | 3 | 5 |
| 11 |  Ghana (GHA) | 1 | 1 | 1 | 3 |
| 12 |  Tanzania (TAN) | 0 | 3 | 0 | 3 |
| 13 |  Uganda (UGA) | 0 | 2 | 1 | 3 |
| 14 |  Mauritius (MRI) | 0 | 1 | 5 | 6 |
| Totals (14 entries) | 41 | 41 | 41 | 123 | |
Championships of the Confederation of African Athletics | ||
|---|---|---|
| Senior |  | |
| U20 | ||
| Youth | ||
| Cross Country | ||
| Regional | ||
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