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Courting Controversy in Coronavirus Country: Belgium and El Salvador

As countries try to deal with an epidemic that is novel to the world of public health, with no tried-and-true templates to follow, there have been various quite differing approaches to the COVID-19 crisis. Some of these approaches have inevitably roamed into the realm of the controversial and polemical, polarising people at home and abroad. In previous blogs 7dayadventurer.com has sketched the go-it-alone path adopted by Sweden✱,Two Antithetical Approaches to the COVID-19 Crisis: A Controversial Outlier Versus a a Low-key Over-achiever (10-May-2020)and the denialist response of President Bolsonaro to the epidemic in BrazilCovid/Ovid 2020: Crisis (Mis)Management – How the World’s Leaders are Responding? (02-Apr-2020)  

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Belgium’s unenviable record – with an asterisk This blog turns the spotlight elsewhere, on to an unlikely duo, two vastly dissimilar countries whose strategies towards the pandemic have proved controversial, each in it’s own way. Belgium, a small European state, has surprised and shocked many observers by its prominence on the table of world’s worst affected countries. The country has recorded 815 deaths per million of population (as at the 1st of June), easily the worst per capita toll in “First World” Europe (next closest Spain, 580/one million). Although Belgium has some distinguishable factors which contribute it its fatality rate—the country and especially the capital Brussels is the sixth-most dense in Europe, and Brussels has a very international and mobile population, a high number of Belgians reside in nursing homes (accounting for more than half of the disease’s victims)—there’s another (statistical) factor that goes a good way to explaining why there has been 9,580 recorded victims of the disease. Belgium counts both the deaths confirmed as resulting from coronavirus and the deaths which are suspected to have been caused by the disease (most countries do not include this second category in their official COVID-19 counts). (“Is Belgium the world’s deadliest COVID-19 country or just the most honest?’, (Bevan Shields), Sydney Morning Herald,  01-Jun-2020,  www.smh.com.au).

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🔺 Belgians returning home to a coronavirus-hit country

In defence of over-counting Belgian virologist Prof Steven Van Gucht has deflected criticism of both Belgium’s numbers and its method of calculating corona casualties, commending Belgium for its honesty in selecting the more inclusive determination of the death toll. Van Gucht has argued that “public health shouldn’t be a political game or a contest on who is doing better than someone else”, adding that other governments not being honest with the public about the true scale of their outbreaks will be caught out on it later. Not everyone in Belgium applauds such transparency and honesty with the corona data, some within the kingdom’s business leadership have expressed alarm than the methodology used to ‘inflate’ mortality and morbidity numbers may have a deterrent effect on tourists returning to Belgium once the economy reopens (Shields). 4C493246-E52B-4B76-996E-50A896586029

(Source: www.graphicmaps.com/)

El Salvador’s tough stand on lockdown transgressors part of a worrying authoritarian trend? Pre-existing conditions in the Central American country of El Salvador have dictated the government approach taken to coronavirus. El Salvador’s high incidence of both gang activity and homicide prompted president Nayib Bukele (at 38 youthful and very social media savvy, eg, >1.9 M Twitter followers) to act hard and fast. Bukele’s government took a preemptive approach to the outbreak, schools and colleges were suspended and a state of emergence declared before the country had recorded its first confirmed case of the virus. Borders were closed, public gatherings in excess of 500 people banned, anyone caught driving cars without a sanctioned reason were detained at confinement centres for a 30-day period. Quarantine-breakers have been dealt with, summarily and harshly. Towns in El Salvador deemed to not be complying with the president’s strict lockdown orders have been cordoned off by the police, barring public egress [‘Savior or Strongman? El Salvador’s millennial president defies courts and Congress on coronavirus response’, (Patrick Oppman), CNN, 21-May-2020, www.edition.cnn.com].

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The new Salvadoran president has gone particularly hard on the country’s street gangs, the maras, who he fears would take advantage of the state of emergency to increase their criminal business activities when the security forces were busy policing the lockdown measures. Most controversial has been Bukele’s treatment of gang prisoners during the crisis –  shockingly dehumanising images have emerged of large numbers of half-naked convicts shackled and huddled together in tight-knit formation (with zilch regard for social distancing), resembling a great amorphous mass of  “human cargo” [’El Salvador’s president accused of using coronavirus to bolster autocratic agenda’, (Patrick J Mc Donnell & Alexander Renderos), Los Angeles Times, 01-May-2020, www.news.yahoo.com].

Recently Bukele has copped a lot of flak for the way he’s handled the crisis, including from labour organisations decrying the draconian quarantine measures as abuses of human rights. The legality of his actions has been questioned as has the increasing militarisation of the regime [‘One Year After Taking Charge, Nayib Bukele Faces Severe Criticism for Handling of COVID-19′, (Zoe PC/ Tanya Wadhwa), News Click, 03-Jun-2020, www.newsclick.in/].

El Salvador’s ‘hip’ president: taking a selfie before his speech at the UN 🔻

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Shades of  the White House As an outsider—both as the son of an immigrant family from the Middle East and from a minor centre-right party which sits outside the political establishment traditionally dominated by the two main parties in El Salvador)—the president has deliberately attempted to work outside the mainstream including the National Assembly (NA) to achieve his aims. And he’s not adverse to employing military muscle to intimidate opponents while also reaching out to El Salvador’s impoverished with cash and food handouts (to buttress his personal popularity with the social base). Political opponents in the NA have accused Bukele of using the pandemic to consolidate an authoritarian regime, and of seeking to violate the national constitution (Oppman). The similarities seemingly extend to shared personal traits. President Bukele has disclosed his prophylactic use of hydroxychloroquine, while referencing Trump’s use and endorsement of the drug. The El Salvador authorities have managed to hold the death toll thus far to 53 (06-Jun-2020) at the cost of drastic restrictions on individual liberties.

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✱ Sweden‘s top epidemiologist has now conceded the government’s laissez-faire approach was seriously flawed – with a status quo of 43 fatalities per 100,000 people and Sweden finding its borders with its Scandinavian neighbours remaining firmly closed [‘Top epidemiologist admits he got Sweden’s COVID-19 strategy wrong’, (Bloomberg), National Post, 03-Jun-2020, www.nationalpost.com] as at  06-Jun-2020 some countries simply don’t count deaths occurring in nursing homes in their COVID-19 tallies, the UK only belatedly included them later in the crisis if Belgium applied the same criteria as most countries the recorded number of deaths by COVID-19 would be around half of what it is such as deploying the army inside the Legislative Assembly as ‘bouncers’ [‘Nayib Bukele’s military stunt raises alarming memories in El Salvador’, (David Agren), The Guardian, 16-Feb-2020, www.theguardian.com]

Coronavirus and Age Vulnerability: The Riddle of Japan

Both the medical experts and the empirical evidence on the ground tell us that the elderly are the cohort in the community most susceptible to COVID-19. The Office of National Statistics (UK) calculates that people aged 80 and over have >59% risk of dying from coronavirus (www.ons.gov.uk/). The pandemic’ age bias skewed against older populations is one explanation, in the absence of much hard data, put forward to explain the African continent’s current low rate of mortality due to the virus – overall 111,812 confirmed cases and only 3,354 deaths (as at 25-May-2020) [‘Coronavirus in Africa tracker’, BBC News, www.bbc.co.uk/]. The percentage of the African population aged under 25 is 60% (in sub-Saharan Africa the number over 65 is only 3%)[‘Coronavirus in Africa reaches new milestone as cases exceed 100,000’, (Orion Rummler), Axion, 22-May-2020, www.axios.com].

And if we needed any more empirical proof of the salience of the age factor, there is the tragic example of Italy’s corona-toll. 32,785 dead from COVID-19 in a country with the oldest population in Europe. Nearly 58% of the country’s deaths in the pandemic have been Italians aged 80 and over [Statistica Research Department, (22-May-2020), www.statista.com/].

4E0F4A05-F587-45ED-BC34-E10F32BB0CFBWith Italy’s grim corona-death tally falling disproportionately heavily on the country’s senectitude, you would think that it would not bode well for Japan which has the world’s highest percentage of older people (28.2% aged 65 and more) [Population Reference Bureau, www.pbr.org/]. When you add in other demographic factors relevant to Japan, this would seem doubly ominous for the “land of the rising sun” – a population of >126 millions on a land area of 377,944 sq km, including the mega-city of Tokyo  with its notoriously packed commuter trains. On top of all these is Japan’s proximity to China, the virus’ original causal point.

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(Source: www.quora.com)

Japan, unpropitious conditions for avoiding an global epidemic? With such cards stacked against it, worried Japanese health officials might have feared a catastrophe eventuating on the scale of that befalling the US, Italy and UK. And Japan has not come out of the pandemic unscathed but the result-to-date (25-May-2020)—16,550 confirmed cases and 820 deaths—is much better than many comparably sized and larger countries. Of course, Japan’s  public health authorities are very mindful, as is every country, of being swamped by a second wave of the coronavirus. 

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(Photo: www.english.kyodonews.net)

How has Japan done as well as it has?   Good question! The Japanese themselves can’t really explain how they’ve managed to escape a major outbreak of the virus. WHO has called it a “success story”, but it’s one that continues to mystify. In so far as explanations were forthcoming from Japan’s health ministry, it was attributed at least in part to a raft of cultural factors. First, hygiene and cleanliness is something ingrained in the Japanese psyche, Japanese people tend not to shake hands and hugs others, preferring to bow as the form of greeting. Second, the practice of wearing face masks was already the norm in Japan ante-COVID-19 (the Japanese go through 5.5bn a year, averaging 43 per head of population) [‘Most coronavirus success stories can be explained. Japan’s remains a ‘mystery’’, (Jake Sturmer & Yumi Asada), ABC News, 23-May-2020, www.abc.com.au; ’How Japan keeps COVID-19 under control’, (Martin Fritz), DM, 25-Mar-2020, www.dm.com].

Other cultural factors  Other suppositions put forward to explain the Japanese success include the practice of inoculating young children with BCG vaccinations, which according to its advocates give Japanese people a basic immunity which helps their defence against coronavirus. Physiology was also cited as a factor in guarding against the disease, the low obesity of Japanese is thought to help, as is the Japanese diet (eg, natto, a soybean yoghurt, is thought to boost the immune system) [‘’From near disaster to success story: how Japan has tackled coronavirus’, (Justin McCurry), The Guardian, 23-May-2020, www.msn.com/; ‘Has Japan dodged the coronavirus bullet?’, Richard Carter & Natsuko Fuhue, Yahoo News, 14-May-2020, www.au.news.yahoo.com; Sturmer & Asada].

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(Photo: www..Forbes.com)

The “Diamond Princess” In addition to all of the domestic factors hindering Japan’s fight against COVID-19, an external element exacerbating the early outbreak in Japan was the debacle of the “Diamond Princess” cruise ship. When the international ship docked at Yokohama in February, the Japanese authorities injudiciously prevented healthy passengers and crew on-board from disembarking during the quarantine – with no separation made between well and contaminated passengers, and no self-isolation of the sick! This led to a blow-out of virus contamination which eventually infected 712 passengers, creating the first big cluster of coronavirus outside of Wuhan [‘How lax rules and missed warnings led to Japan’s second coronavirus-hit cruise ship’, (Ju-Min Park), The Japan Times, 07-May-2020, www.japantimes.co.jp]

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A cautious reaction from politicians, one eye on the XXXII Olympiad? Let’s look in detail at what Japan did – or didn’t do! When the disease first arrived, the government took a cautious approach to tackling the virus. Borders initially remained open and Chinese visitors were still allowed into the country in huge numbers, 89,000 came in February (after the first outbreak), which was on top of the 925,000 who visited during January! Prime Minister Abe came in for a lot of flak, some including a former PM, Yukio Hatoyama, accused him of holding off from going full-tilt against the pandemic so as to preserve the Tokyo Olympics event (Fritz). Critics railed against a lack of leadership  from the Abe government, criticising its failure to appoint anyone to take firm control of the crisis, and that those efforts to counter the virus were hamstrung by the multiplication of bureaucratic silos [‘A Japan divided over COVID-19 control’, (Hiromi Murakami), East Asia Forum, 08-Mar-2020, www.eastasiaforum.org].

Lockdown-lite, testing-lite The Abe government’s belated state of emergency saw sport suspended and schools closed,  but overall only a partial lockdown was imposed, many businesses, restaurants were permitted to stay open, albeit with reduced hours. Citizens were asked to stay home but compliance was only on a voluntary basis, with no surveillance technology deployed and no punitive action taken against anyone failing to adhere to the government’s request.

E9A72ED4-14DC-4A46-9E41-40E010868FE8 (Image: www.japantimes.co.jp) Targeted testing It was in testing that Japan adopted a very different crisis approach to most of the leading western countries. Rather than going for high volume, it deliberately tested under capacity. By mid-May it had tested a mere 0.185% of the country’s population, averaging two tests per 1,000 people, cf. Australia, >40 per 1,000 (Sturmer & Asada). It was highly selective, only those with serious virus symptoms were tested. The rationale for such a low-testing regime was concern for the capacity of widespread testing infrastructure, by limiting testing this would lighten the load on testing centres. Rather than mine-sweep the country with testing, the Japanese pursued a strategy of targeting virus clusters as they were identified to pinpoint the sources of the infection [‘Has Japan found a viable long-term strategy for the pandemic’, (Kazuto Suzuki), The Diplomat, 24-Apr-2020, www.thediplomat.com; Gramenz].

Consequently, Japanese medical experts concede that the official counts may be well short of the reality, which puts a rider on the country’s achievement. Even with a smaller number of cases Japan found itself lacking in IPUs (only five per 100,000 people cf. 35 in the US) , there was also a shortage of PPE as well as face masks which were rationed out only two per household (and derided as “Abe-no masks”). This calls into question the faith that the Japanese placed in the robustness of the nation’s health system [‘Japan’s Halfhearted Coronavirus Measures Are Working Anyway’, (William Sposato), Foreign Policy Magazine, 14-May-2020, www.foreignpolicy.com].

Self-complying social distancing? Social distancing, a nightmare to try to enforce in people-dense Tokyo, was not a major focus for authorities. This was largely left to the goodwill of the individual, aided by some subtle social shaming – government workers walking through Tokyo nightlife areas with signs asking people to go home (Sposato). In any event the authorities’ measures were only partly effective – Japanese people continue to flock to the cherry blossom spring events in large numbers. Where social distancing was more manageable was in shutting off obvious potential hotspots, closed spaces with poor ventilation (karaoke clubs and pubs), crowded places with many people people in the immediate vicinity and other close, intimate contact settings (Suzuki).

0D10DA6D-10A8-4290-96EF-C6A0276AF7B8 Cherry blossom time: no voluntary social distancing here (Photo: www.bloomberg.com) Tokyo transport Tokyo’s mass transit network is a petri dish in-waiting for coronavirus, but it appears that preventive measures (some pre-planned) have lessened the impact on public health. Tokyo business working hours have been staggered and large companies like NEC started to adopt telecommuting and teleworking, as well as a big increase of people riding bikes to work occurring. Consequently, transits at Tokyo’s central station on May 18th was down by 73% on the corresponding day in 2019 [‘Remote possibilities: Can every home in Japan become an office?’, (Alex Martin), The Japan Times, 23-May-2020, www.japantimes.co.jp]. 

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(Image: Getty Images/AFP. P Fong)

Most pundits and observers conclude that Japan, with its ageing population and all its drawbacks and encumbrances, has (so far) warded off the worst of the pandemic. With no “silver bullet” in sight, we are left to speculate whether that they have achieved this outcome by sheer good luck, by good judgement, by the personal habits and cultural traits (especially hygiene) of its citizens, or by a combination of all of the above (McCurry).

Endnote: Low tester, early starter Another Asian country which has mirrored Japan’s pattern of choosing not to test in high volumes is Taiwan. The Taipei China republic, commencing measures to counter the virus as early as anyone did, had tested only 2,900 people per million of population (Worldometer, as at 20th May), but it’s mortality rate (deaths per million) was only 0.3 (total of seven deaths) compared to Japan which was 6.0 per million.

˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚ as at 25-May-2020 the largest metropolis prefecture in the world, around 14 million people Japan’s health officials had themselves projected a worse-case scenario of up to 400,000 deaths (Gramenz) to be fair, there are constitutional impediments in Japan that prevent the declaration of a full, European-style lockdown (McCurry) a Kyodo news poll indicated that 57.5% of people were unhappy with the government’s handling of the emergency. In so far as Japanese people have given credit to the success, it has gone to medical experts for efficiently managing Japan’s cluster tracing and containment efforts, rather than to Abe who many view with distrust based on its past track record [‘Time to Give Japan Credit for its COVID-19 Response’, (Rob Fahey & Paul Nadeau), Tokyo Review, 18-May-2020, www.tokyoreview.net]

Two Antithetical Approaches to the COVID-19 Crisis: A Controversial Outlier Versus a Low-key Over-achiever

When a novel virus comes along, such as we are facing now, there is no medical vade mecum, no universal guidebook to follow, no one proven route to safely navigate the crisis. Governments weigh up the choices, then in consultation with medical experts, decide on a strategy and do modelling on how to chart the optimal course through the unpredictable straits of COVID-19. Local factors in each country, the conditions, the capacity to respond, the culture, all shape what direction the fight against the virus takes.

The following focuses on just two of the 212 countries and territories which have reported cases of the novel coronavirus disease. The two countries, Sweden and Vietnam, have very different societies, cultures and political systems. Each has followed its own distinct strategy and have produced results that are polarities apart from each other. 116AE22A-C20A-44B7-8594-033B776F0116

🇸🇪 Sweden One thing you can’t accuse the home of ABBA and Ingmar Bergman of is sheepishly following the flock. While countries like the US and the UK ‘sleepwalked’ for precious weeks at the start of the crisis, Sweden went out on a limb. From the get-go, Sweden identified itself as an outlier, a contrarian country in the coronavirus war. It adopted a particular course and implemented it. Or to put it another way, Sweden opted for a “change very little”,  “wait and see” position, which amounts in effect to the pursuit of a “herd (or community) immunity” approach. Put simply it means you intentionally expose as many people as possible in the community to infection and so (the theory goes) the majority become immune to the virus. It’s effectiveness hinges on (quickly) minimising the number of high-risk people overall. For it to work, there needs to be an infection rate of at least 60%. Critics of herd immunity, and there are many in both the medical and non-medical world, describe it, among other things, as a “let it rip” strategy.

Getting back to Sweden’s experience, the Social Democrat government under Stefan Lofven, and state epidemiologist Anders Tegnell, were at the outset confident of success with a “let it happen ASAP” approach. Sweden stopped organised sporting fixtures and closed university buildings but it eschewed a strategy of mandatory lockdowns (restaurants, bars, cafes and schools for pupils under 16 all stayed open) for a libertarian-like “principle of responsibility”, trusting the Swedish populace to “behave like adults” and do the right thing voluntarily.

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The figures tell a different and disconcerting story: Sweden with a population of just 10.33 million has a reported Covid death toll of 3,225 (as at 10-May-2020) – with capital Stockholm overwhelmingly the primary hotspot. As illustrated below, compared to it’s Nordic neighbours Sweden’s mortality figures resonate like a distress beacon in the ocean, and in per capita terms it even outstrips the horrendous, spiralling toll of the US.

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The mortality rate for Sweden has prompted even the Swedish chief medical scientist Dr Tegnell to comment that it is now a “horrifying large number” [‘Sweden’s near “horrifying” death toll of 3,000 from coronavirus with 87 new fatalities, including a child under ten’, (Ross Ibbotson), Daily Mail (UK), 07-May-2020, www.dailymail.co.uk]. The body responsible, the Swedish Public Health Agency has come under mounting pressure (increasingly internal) for the current situation. A group of 22 scientific researchers from Swedish universities and institutes have called on the SPHA for a rethink of the strategy and a more cautious approach [‘Sweden: 22 Scientists Say Coronavirus Strategy Has Failed’, (David Nikel), Forbes, 14-Apr-2020, www.forbes.com].

A consequence of “granny-killer metrics”   A leading molecular virologist from Sweden’s Karolinska Insitutet has accused the government of taking unnecessary risks and sacrificing the elderly (half of the total deaths are from aged care homes), as well as placing the health of their carers and hospital workers in jeopardy [‘Sweden urged to reconsider controversial coronavirus advice as infections rise sharply’, (John Varga), Express, 07-May-2020, www.express.co.uk].

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A Stockholm bar: elbow distancing only

Defending the hard to defend The Swedish authorities have tried to defend its strategy—citing dramatic drops in the use of public transport and a survey which the agencies conclude is evidence that people are practicing safe distancing from each other during the crisis (Ibbotson)—unfortunately the visual evidence from photos and videos within Sweden suggests otherwise with crowded restaurants, bars and parks still the norm and few people seeming to be social distancing. So far, the government for the most part is holding the line and appears to be committed to the long haul, although they have now given some ground, banning outdoor gatherings of more than 50 (Nikel).

There are some outside observers who still take a sanguine view of outlier Sweden’s methods of dealing with the crisis. Stanford School of Medicine (US) professor, Michael Levitt, has been critical of other countries with a different approach, the so-called “first mover” countries like Australia, Austria, New Zealand, Denmark, Czech Republic, Israel and Greece, who he says have paid too heavy a price for locking down their communities – resulting in severe damage to their economies, social upheaval, the loss of an academic year for students, and still having not attained herd immunity [‘Granny-killer metrics don’t add up in Australia’s costly coronavirus battle’, (Andrew Probyn), ABC News, 08-May-2020, www.abcnews.com.au]. No doubt the decision-makers in Sweden would find this external support comforting, and of course Sweden could turn around and say to the growing number of doubters that it’s approach is keeping people in jobs, keeping businesses from closing down, and the economy afloat … but at what a human cost! This is the Solomonic trade-off.

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(Source: www.irishtimes.com)

Update since originally published(information updated to 21-May-2020) SWEDEN has overtaken the UK, Italy and Belgium to record the highest coronavirus per capita death rate in the world. Sweden has recorded 6.08 deaths per million inhabitants, higher than the UK, USA and Italy (www.express.co.uk/).

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🇻🇳 Vietnam With international media attention on the COVID-19 dilemma focused largely on the US and the Eurocentric world, the efforts of Vietnam in the war against coronavirus has garnered little notice till recently. Many observers would be surprised to discover that the South-East Asian country has had zero recorded deaths from the virus, out of a total of 288 confirmed cases (10-May-2020). Surprising…for a few reasons. First, it seems a bona fide claim, unlike some of it’s S.E. Asian neighbours who claim also to have done well with little to substantiate it. As a general rule, S.E. Asian numbers, even more so African numbers, are often problematic as there has been an inadequate amount of testing carried out to gauge progress accurately.

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(Photo: AP)

Second, Vietnam shares a (northern) border with China, the country of coronavirus origin, plus in normal times Vietnam is a busy destination with frequent international flights from nearby Taiwan, Hong Kong and China itself, leaving it, one would think, quite susceptible to to the importation of the infection. Third, Vietnam has an estimated 97 million people but for a medical emergency of this magnitude it lacks the allocatable resources and health infrastructure of the more economically dynamic Asian states. It simply can’t afford to engage in the level of mass testing that say South Korea has managed [‘Vietnam shows how you can contain COVID-19 with limited resources’, (Sean Fleming), World Economic Forum, 30-Mar-2020, www.weforum.org].

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Why has Vietnam done so well in the war against the “invisible enemy”? Part of the explanation is that Vietnam has approached the crisis very much like a military campaign. In fact war rhetoric has been employed by the government, which constantly speaks of “fighting the enemy”.  The country’s response was early and proactive, border closures, rigorous mass quarantines of whole towns for weeks, were implemented up front, not just as a last resort like some places elsewhere [‘How Vietnam is winning its “war” on coronavirus’, (Rodion Ebbighausen), DW, 16-Apr-2020, www.dw.com]. The authorities conducted targeted testing and thorough contact-tracing procedures. To compensate for the country’s limited resources they created low-cost test kits for wide distribution (“70-minute rapid test kits”). A6CC16C9-E6A6-4813-A11A-AEF36EAE87A2

“Rice ATMs” initiative: Made available 24/7 to Vietnamese people during the time of pandemic   (Photo: www.vietnamnet.vn)

An ingrained culture of compliance  The key to what Vietnam has achieved is the central government’s ability to secure almost universal integration into the fight against the disease. Communist Vietnam’s authoritarian one-party state structure with a highly organised army and security apparatus makes this task more easily obtainable (whereas in a liberal society where plurality is the norm this would be nigh on impossible). The regime can much more easily mobilise the people to adhere to it’s rules and restrictions…there is a prevailing culture of compliance, and a range of effective mechanisms in the hands of Hanoi to attain that compliance. The government-controlled media and the high numbers of Vietnamese people exposed  to social media have facilitated this. Apps have been a standard part of the public information campaign to get the government message out –  and the degree of transparency about COVID-19 and the government’s plan to counter-attack it, has raised public confidence and made it more receptive to what Hanoi is saying   [‘The Secret to Vietnam’s COVID-19 Response Success’, (Minh Vu & Bich T Tran), The Diplomat, 18-Apr-2020, www.thediplomat.com].

DC2AB93E-53FE-4E0D-A969-A48C722114F1 The government has called on a raft of idiosyncratically-Vietnamese cultural devices to creatively drive home it’s theme. ”Viral hand-washing” songs have been popularised among the people and most effectively, the regime have resorted to propaganda art, something with a long tradition in communist Vietnam. Calling on the familiar slogan, “In war, we draw” (again, invoking the war metaphor), the government has fostered a patriotic response in Vietnamese to get 100% behind the war on the virus (#TogetherWeWillWin), resulting in the production and dissemination of visually-powerful and meaningful posters like these two (above and below). COVID-19 has also prompted the release of special stamps to help unify the Vietnamese people [‘“In a war, we draw”: Vietnam’s artists joint fight against Covid-19’, (Chris Humphrey), The Guardian, 09-Apr-2020, www.theguardian.com; Fleming].

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Coercion and collaboration Another side of Vietnam’s use of “soft power” to get everyone thinking as one can be seen at work in the coronavirus emergency. The socialist ethos in Vietnam operates on one level as a “surveillance state“…ordinary Vietnamese are conditioned, not just to obey rules, but to help the authoritarian regime’s realisation of it’s goals by spying on neighbours and reporting back to the authorities the activities of non-conformists or of anyone breaching the public health regulations (Humphrey).

Notwithstanding this further encroachment on civil liberties, the Vietnamese people as a whole, having accepted the seriousness of Hanoi’s fight against coronavirus, are on board, and appear genuinely proud of their country’s success in avoiding thus far any serious outbreak of the epidemic in a country with a healthcare system woefully ill-equipped to deal with harmful effects on it’s large population (Ebbighausen).

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The Vietnamese achievement, having been successful so far in keeping a lid on the epidemic, might lead it’s citizens to feel or at least hope that they are out of the woods. But even if they are in the clearing now, there’s another forest looming largely in the shape of the economy, which of course is another matter entirely. Over 85% of Vietnam’s enterprises have been adversely effected by the crisis. Tourism, which Vietnam like so many is highly dependent on,  could be looking at a loss of $US3 to $US4 Bn in 2020, and so on down the line of the country’s businesses. At the moment business leaders in Vietnam are preoccupied with exploring new economic opportunity that may arise for the country post-crisis [‘Vietnam is set to lose billions due to coronavirus, and it’s already feeling the impact of the deadly outbreak’, (Kate Taylor), Business Insider Australia, 25-Feb-2020, www.businessinsider.com.au].

EndNotePeering inside that can of worms The UK Johnson government initially toyed with the idea of going the herd immunity route, before being awakened to it’s senses by a vociferous chorus of British medical experts recounting the dire ramifications of such a gamble. After chief epidemiologist Prof Neil Ferguson did some remodelling, the UK government (belatedly) switched to a suppression approach. The Netherlands in March announced it would follow Sweden’s strategy but the Dutch prime minister then walked back the herd immunity line, opting instead for what has been described as “lockdown light” [‘Caught Between Herd Immunity And National Lockdown, The Netherlands Hard Hit Bt Covid-19 (Update)’, (Joshua Cohen), Forbes, 27-Mar-2020, www.forbes.com]

─────  the medical critics would be quick to point out that, if herd immunity can’t be accomplished by vaccination (and there is no vaccine for coronavirus yet, not even on the horizon), then it is an extremely risky business to dabble in. It puts the old and vulnerable into the position of sacrificial pawns for the greater good; it can also expose a country’s health-care system to intolerable demands on its resources (not to neglect the heightened personal danger for nursing staff and medics); a third drawback with the approach is that mortality from coronavirus is a reality for the under 70s and under 60s as well  in an implicit admission of a failure of it’s voluntary compliance arrangements, Sweden announced recently that it would close bars and restaurants which flaunted the social distancing guidelines [‘Sweden is shutting down bars and restaurants where people defied social distancing guidelines’, (Kelly McLaughlin), Business Insider, 28-Apr-2020, www.businessinsider.com] like Myanmar for instance which admits to only six deaths from the virus. A population of 55 million, according to a World Bank estimate it has only 249 ventilators in the whole country. The Myanmar regime’s lack of transparency, the sheer logistics of trying to safely social distances and the attribution of it’s very low fatality level to the country’s diet and lifestyle, cast more than reasonable doubts on the true extent of the epidemic in the republic [‘Zara’s Billionaire Owner Was Praised For Helping in the Coronavirus Crisis. Workers In Myanmar Paid the Price’, (Nishita Jha), BuzzFeed News, 07-May-2020, www.buzzfeed.com]

International Conference on the Great Manchurian Plague: A Pioneering Blueprint for Public Health Advances and Safeguards

Once the authorities in Manchuria had secured a firm handle on the plague outbreak in Heilongjiang, Kirin and Fengtian provinces by February 1911, little time was wasted calling for a conference of international medical specialists to enquire into all aspects of the epidemic and promote the advancement of future disease control. Scientists including disease specialists from many countries were invited to attend the location chosen for the conference, Mukden (Shenyang), which was one of the cities in North-East China hardest hit by the pneumonic epidemic.

B1888135-B036-4C07-9615-30CB41114CBEDespite the pressingly urgent need to canvas expert international input into the dire health catastrophe, China must have had some reservations about what it was doing. Both Russia and Japan with undisguised Manchurian ambitions already held firm footholds in N.E. China (control over railway lines, ports, territorial concessions, etc), plus other Western powers controlled Chinese treaty ports further south. But with no politicians taking part in the conference and all attendees pledging that it’s focus was to be on scientific investigation and not about imposing any further external controls on China, the central government pushed on with it [‘In 1911, another epidemic swept through China. That time, the world came together’, (Paul French), CNN, 19-Apr-2020, www.cnn.com]. Dr Wu Lien-teh, the “plague fighter-general” of Harbin, was appointed conference chairperson. There were a few “nationalistic frictions” with the Japanese mainly resulting from some anti-Chinese remarks injudiciously made by the Japanese delegate, Professor Kitasato, before leaving Tokyo for the conference, but this did not impede the cohesion of the conference  [Eli Chernin (1989). “Richard Pearson Strong and the Manchurian Epidemic of Pneumonic Plague, 1910—1911” (PDF)Journal of the History of Medicine and Allied Sciences. 44(3): 296–319. doi:101093/jhmas/44.3.296PMID 2671146].

🔻 Safety precautions at Harbin plague site

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A congress of international disease experts The International Plague Conference (IPC) was a ground-breaking series of ‘firsts’, the first international scientific symposium held in China, the first time in modern history of a multi-nation approach focusing on disease control. The conference also anticipated the purpose of later world bodies dedicated to international health maintenance, the League of Nations’ Health Organisation (LNHO), established in 1923, and  it’s successor, the UN’s World Health Organisation (WHO), created after the Second World War.

3A6D176E-BB45-4C08-B823-02421AA93931Scientists from ten countries joined host China at the Plague Conference in the repurposed Shao Ho Yien palace – the US, UK, France, Russia, Japan, Italy, Germany, Austro-Hungary, Netherlands and Mexico, an indication of how seriously the international medical community took the Manchurian outbreak and its implications. The delegates were drawn from several relevant and related fields including epidemiologists, virologists, bacteriologists, tropical medicine specialists and illness consultants.

🔻 Contemporary coverage of the conference in ‘The Lancet’

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The conference, getting into the “nitty-gritty’  High on the conference’s agenda was the question of aetiology, what were the Great Manchurian Plague’s causal factors? American delegate Richard P Strong, who arrived prior to the conference, undertook pathological experimentation which verified the infectious role played by tarbagan marmots in the plague (which he published in the Philippine Journal of Science, 1912). The experts had to sift through a raft of unhelpful faux-scientific beliefs and assumptions to get to “the scientific root of the bacteria”, again underlining the IPC’s emphasis on science and medicine. Containment was another key issue at the conference. The discussion was around what worked best in the plague? Measures like ‘blanket’ quarantines, travel bans, face masks and ad hoc plague hospitals (swiftly assembled to isolate the infected from the healthy), all got a big tick…an endorsement of Dr Wu Lien-teh’s positive measures in the war against the pneumonic epidemic, deemed by the conference delegates as essential tools in the fight against future outbreaks and waves of plague (French).

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🔺 The admirable Dr Wu

Seeds of a nationwide public health service  One of the conference’s finest and far-reaching achievements was to establish the Manchurian Plague Prevention Service (under the helm of Dr Wu). The MPPS and Wu identified medical education as the “holy grail”, the service’s role was to  disseminate materials to the public, promote the efficacy of sanitary conditions and health in the community, and overall playing a leading role in adopting Western medicine (Xīyào) and methods of disease control in China. MPPS provided the model for a future Chinese national health service (French).

The follow-up to the three-and-a-half week International Plague Conference put Chinese medicine on the path to modernisation. Many of the country’s medical advances began here …. the IPC laid down a blueprint for handling future plagues which included the use of autopsies,  instructional dissection and cremation, all of which became institutionalised practice afterwards (Chernin).

Medicine and health before politics The Mukden IPC in April 1911, conducted in an atmosphere free of politicising, demonstrated the cooperative humanitarian efforts of a group of medical professionals…when left to it by the politicians, they showed single-minded unity of purpose, what could be achieved, collectively and internationally, to counter the danger of a disease with immediate and future global ramifications for public health. I need not emphasise the stark contrast with the management of the world’s current pandemic in which some of the major powers, distracted from the only really important priority, are happy to engage in a ”political blame game” over the coronavirus‘ origins, instead of co-operating with each other to meet a pernicious and deadly health risk to the planet head-on and in unison. 68AB1396-87F8-4C65-85CC-6A6CF4F990FD

Endnote: Lessening future shock The gains in medicine and public health protection coming out of the conference were soon put to use in China. Disease re-emerged in the 1919 malaria epidemic and the 1921 plague (again in Harbin) which was to test China’s embryonic national quarantine system. Dr Wu again took charge to guide China through these medical crises. The improvements in public health since 1911, it is estimated, reduced casualties in the second outbreak of pneumatic plague by four-fifths [‘Portraits of a plague: the 19th-century pandemic that killed 12 million people’, History Extra, 21-Jul-2015, www.historyextra.com].

Not Missing the Human Touch: Robots Stepping Up in the Time of COVID-19

 

Intelligent design, AI, artificial humanoids, bionic life, androids, cyborgs, have all moved outside of the cloistered environment of the lab and the science fiction genre and are all embracing the day-to-day functions of human existence. Well, perhaps not all of these products of imagination and creativity – but with the restrictions placed on human communication in the all–enveloping cloud of the coronavirus crisis, automatons are the new “white knights” coming to the rescue (or relief) of humans.

The sudden emergence of the pandemic has propelled Medtech companies into the war on COVID-19. Drones as well as robots are being enlisted in the fight, taking the load off medical professionals and health care systems. Delivery robots are used as a way of circumventing the danger of human-to-human contagion. UVD robots are employed to kill viruses and bacteria in rooms to avoid the need for human involvement [‘Robots And Drones Are Now Used To Fight COVID-19’, (Bernard Marr), Forbes, 18-Mar-2020, www.forbes.com].

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‘Xenex’ Germ-zapping robots (CBS News)

As healthcare experts and governments search for the optimum strategy to contain and suppress the coronavirus outbreak, other intelligent humans are finding new applications and roles for intelligent non-humans in the health emergency crisis. It starts, appropriately enough for a public health disaster, at the medical coal face, in the ICU wards where doctors and nurses have been overwhelmed, physically and emotionally, with the skyrocketing workload of coronavirus-affected patients. In Lombardy in northern Italy, one of the first hotspots of the pandemic outside of China, six robot nurses have been fast-tracked into hospital service in Varese where they help lighten the human nurses’ face-to-face load and reduce their risk of personal infection. The robots man the wards, monitor the medical equipment and communicate remotely with doctors. Similarly in India, at a hospital in Chennai, ‘Zafi’ the robot does the rounds, transporting food and medicine to virus patients to lessen the risk to hospital medical staff [‘Tommy the robot nurse helps keep Italian doctors safe from coronavirus’, (Flavio LoScalzo), Reuters, 02-Apr-2020, www.reuters.com].

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Pepper the robot  (Photo: Reuters)

Japan is using humanoid robots as reception staff at hotels to greet patients with mild coronavirus symptoms. Robots like ‘Pepper’ at Kyogoku in Tokyo greet arriving patients and instruct them how to check-in while reassuring them with warm and positive messages [‘Pepper the robot set to greet COVID-19 patients checking in Tokyo hotels’, Hindustan Times, 01-May-2020, www.hidustantimes.com].

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With the need for pristine clean surfaces in public spaces to prevent the spread of the virus outbreak, a number of countries now employ robots as cleaners. At Hong Kong International Airport autonomous cleaning robots known as “Intelligent Sterilisation Robots” use UV light and air sterilisers to routinely clean and disinfect key operational areas of the airport [‘Clean me up, Scotty: Hong Kong airport debuts cleaning robots, disinfection booth in fight against COVID-19’, Coconuts, 30-Apr-2020, www.msn.com].

Such medical uses of robots have been replicated across a range of countries hit by the pandemic. With people confined to their homes under quarantine orders and required to maintain a distance of at least 150 cm from other humans, robots on wheels are being increasingly used to deliver products to them, or to deliver food to overworked NHS workers (Britain).

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(Photo: www.uk.news.yahoo.com)

Singapore has brought into service a robot with the decidedly unsexy name of “O-R3”, whose job it is to patrol the city’s parks and monitor the behaviour of joggers. This ever vigilant robot spots transgressors and warns them about the need to practice social distancing in public [‘Robot in Singapore tells joggers to stay home’, SBS, 28-Apr-2020, www.sbs.com.au]. Joggers and walkers in Singapore need to ultra-alert around the parks as the city has a second social distancing-monitor robot, Boston-built Spot the robotic dog (Robocop?)…if O-R3 doesn’t nap the violators, Spot (below) might.

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(Photo: CNA)

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Tunisia’s ‘Robocop’ looks more like a military style armoured vehicle  
(Photo: AFP)

Tunisian authorities have had a similar idea to curtail the incidence of virus infection in the capital Tunis. The police have been using a robot (a ‘Robocop’) who ‘walks’ the city beats, stopping and questioning people who it suspects should not be on the streets during lockdown. The Robocop asks people to produce their IDs which can be scanned by the robot’s in-built computer [‘Coronavirus: Tunisia deploys police robot on lockdown patrol’, (Rana Jawad), BBC News, (03-Apr-2020), www.bbcnews.com].

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Robot Cop (Source: The Hindu)

Chennai Police (southern India) are on the same wavelength as Tunis’, deploying it’s new “Robot Cop LD v5.0” equipped with a two-way intercom to surveil citizens in coronavirus hotspots in the city during containment. The Robot Cop is un-humanoid in appearance and has been described as “an oversized box on wheels” [‘Chennai Police Deploys “Robot Cop” in COVID-19 Hotspot’, (Kishalaya Kundu), Beebom, 01-May-2020, www.beebom.com].

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(Photo: BBT University)

Robotic engineers in Japan have produced avatar robots who can stand in for university graduands in virtual graduation ceremonies. BBT University in Tokyo uses ‘newme’ robots dressed in black graduation gowns and caps with mobile screens showing the student’s face attached to a motherboard. The robot proxies line up to be officially presented with a testamur by the university president while the actual graduate watches via Zoom from a safe distance at home [‘BBT University in Japan has graduates attend ceremonies via robots in light of Covid-19’, (Guan Zhen Tan), Mothership, 02-Apr-2020, www.mothership.sg].

Declaring War on an Internal Enemy Hiding in Plain Sight: The ❛Deep State❜

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In the fiercely combative arena of Washington DC politics, one term that gets bandied about a lot—before and continuing through the time of pandemic—is the notion of the existence of a “Deep State”. Whenever the expression gets publicly uttered, it’s purpose is to serve as the answer to some or other momentous development or outcome. Left there hanging in the air, vague, nebulous, mysterious and unelaborated but always unambiguously pejorative – the innuendo of conspiracy.

Alternately called “a state within a state”, the “shadow government” or “the permanent state”, the Deep State connotes images of shadowy individuals talking in soto voco, practicing the political dark arts.

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So, what actually is a deep state? In get to the essence of this concept let’s survey a cross-selection of responses to the question:

a type of governance made up of networks of power operating independently of the state’s political leadership in pursuit of their own agenda and goals [Wikipedia]

a conspiracy theory which suggests that collusion and cronyism exists within the US political system and constitute a hidden government within the legitimately elected government [Wikipedia]

a body of people, typically influential members of government agencies or the military, believed to be involved in the secret manipulation or control of government policy [Oxford English Dictionary].

the idea that a cabal of unelected security officials across a number of government bodies maintain influence over elected politicians [Will Worley, The Independent (UK)]

(“the seed for many tantalising conspiracy theories”…the existence of a premeditated effort by certain federal government employees or other persons to secretly manipulate or control the government without regard for the policies of Congress or the President [Robert Longley]

an underworld of unaccountable authority [Peter Dale Scott]

belief in an informal or parallel government that exists to countermand legitimate, usually more democratic, institutions (whose usage includes) a catch-all term applied to any number of extraordinary, usually violent, episodes, eg, JFK assassination, 9/11, etc. [Ryan Gingeras]

a massive informal government comprising untold thousands of bureaucrats, technocrats and plutocrats committed to driving president-elect Trump from power [Breitbart]

(how it functions) when elected governments threaten the deep state’s domestic or international interests, actors aligned to this coalition (the military, the clandestine service, the mafia and far-right activists) employ any means to reverse the state’s political course…these coalitions within the government work to ‘veto’ or ‘fine tune’ policies related to national security [Ola Tunander]

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The topicality of the Deep State as a conspiracy theory and as a form of politics in practice, as I indicated at the start, resides within, indeed permeates, the present US political realm, but the political phenomena itself did not start in the US. Let’s first look at the modern origins of the deep state – in early 20th century Turkey.

Turkey: volatile zero-sum-game The notion of an unofficial para-authority, a deep state within the nation’s polity, has probably existed since the time of antiquity, but as a normative concept it can be traced back to the rise of the Young Turks movement in Turkey (revolution of 1908). In the struggle for power in the vacuum created by the disintegration of the Ottoman Empire, the Young Turks, and Kemal Ataturk who would become the ‘architect’ of the modern Turkish Republic, used criminal elements to eliminate political opponents. Ataturk’s group, through a violent, intra-government resistance to the ruling clique in Turkey, destabilised and undermined it (from within), eventually establishing control over state and society for itself. Turks called this secret network, derin devlet (literally the “deep state”). Since then, the phenomena has been replicated elsewhere, eg, Soviet Union/Russia, Egypt, Pakistan, with the tradition maintained in Turkey up to the (present) Erdogân era, eg, the failed military coup in 2016 seeking to overthrow the Erdogân autocracy [‘Turkey’s “Deep-State” and the Ergenekon Conundrum’, (H Akin Ünver), Middle East Institute, 01-Apr-2009, www.mei.edu].

Erdogân state (Source: www.time.com)

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Deep state sans conspiracy Drawing together the different threads of responses, a deep state exists when a network of different groups covertly coalesce, forming a power base independent of and parallel to the legitimate government, with the purpose of pursuing its own objectives. In practice it tends to exercise soft power (rather than the more violent type seen in Turkey) by undermining and discrediting the legitimate government, with the aim of subverting its operation and bringing it down. The collusive elements of the network or cabal is typically drawn from the state’s security services, the bureaucracy, the military, the media, the private sector, even from organised crime.

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The deep state in America It was general-turned-GOP governor Dwight D Eisenhower who first alerted America to the dangers of a deep state emerging…at his farewell address in 1961 he said: “We must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military-industrial complex”. A couple of years later the assassination of Eisenhower’s successor John F Kennedy provided conspiracy theory obsessives with endless material for imaginative speculation. Inevitably some of that speculation has joined the dots between the never-satisfactorily explained Kennedy murder and the Deep State. A perusal of the web turns up numerous posts with titles like ‘JFK was Murdered by the Deep State’ and ‘JFK Was Assassinated by LBJ, Establishment, Deep State’…fairly self-explanatory but these generally fact-thin ‘revelations’ detail a deep state hit squad of assassins and conspirators which includes Lyndon B Johnson and a coterie of southern Democrat politicians, the American mafia, Texas oil tycoons, Fidel Castro, the CIA, the KGB and a host of other nominated suspects. And of course popular movies like Oliver Stone’s 1991 JFK was a further shot-in-the-arm for political conspiracy buffs and the perpetuation of the Deep State/JFK thesis (portraying “a cabal of shadowy officials as the puppet masters behind Kennedy’s assassination”)◘. As Professor Paul Musgrove remarked, “the deep state is catnip for conspiracy theorists” [‘How a Conspiracy Theory Went From Political Fringe to Mainstream’, (Tom Porter), Newsweek, 08-Feb-2017, www.newsweek.com].

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Deep State rhetoric: How to vilify your opponents and turn back criticism, it’s all a conspiracy by the enemy! The term finally acquires staying power and everyday currency in the US political lexicon with Donald Trump’s transition to the presidency in 2016/2017. Trump, a self-acknowledged outlier of Washington politics, came to office promising to “drain the swamp in DC”, his avowed aim, to ditch the old, distrusted model of federal government. With Trump doing things very much his own (peculiarly idiosyncratic) way in the White House, this caused waves, there was a “natural pushback” from a bureaucracy accustomed to a very different approach under Obama. This is a normal part of the process of regime change in parliamentary democracies universally – a residual if usually temporary feature of the culture of resistance to government change. [‘President Trump’s Allies Keep Talking About the “Deep State”. What’s That?’, (Alana Abramson), Time, 08-March-2017, www.time.com].

The practice of leaking information From within the president’s fold, warnings of “covert resistance” from within to the president, emerged. Talk of a “Deep State” was heard from the far-right, Trump strategist Steve Bannon among the voices. The complaint was that elements within the bureaucracy, the State Department, Pentagon, wherever, were leaking damaging information to a media hostile to Trump (eg, New York Times, Washington Post), to which Trump’s “knee-jerk” reaction was to label it as “fake news”. Two points need to be made about the leaking of information from democratic governments: as Abramson has noted, this is “not a new dynamic” or unique to the US, career civil servants—who are extra-political—have always leaked information to the press. The (legitimate) government from time to time itself will leak favourably information to the media (Abramson).

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Watching the president The second point is that the various federal government agencies, being non-partisan, see a component of their role to act as a check on wayward and irresponsible behaviour by an incumbent chief executive that would be harmful to the nation. Previous directors of the CIA have stated that the military would refuse to follow orders given by Trump which are unlawful [‘US Military to Disobey Trump’s ‘Illegal’ Nuclear Strike Order’, Sputnik News, 15-Nov-2017, www.sputniknews.com]. In such a scenario, the “permanent national security apparatus” has a right to act, as “a check on the civilian government” (Musgrave).

Another Deep State linkage with the coronavirus for conspiracy fans? The “Covert-19” pandemic?

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Using the Deep State catch-phrase to your own advantage Opposition to Trump, to his style of presidency and approach to government, in the form of hostility from almost the entirety of the mainstream US media, the leaking of information from within the ‘citadel’ such as the charge that Russian interference in the 2016 elections assisted a Trump victory, have provided the ammunition for the Trump’s enablers and supporters to construct a narrative of a deep state, a ‘conspiracy’ of anyone seeking to subvert the presidency, including foreign powers (like China) and many bureaucrats they see as loyal to the former president (Obama).

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Trump has turned internal criticism of himself into an excuse to fire officials, creating scapegoats for the shortcomings of the administration he heads. Inspector General of the Intelligence Community Michael Atkinson, sacked after alerting Congress of Trump’s attempts to pressure Ukraine’s leader into investigating the president’s domestic political opponents, remarked pointedly that he was dismissed, not for failing to do his job but for doing it properly [‘Trump’s safari into the wilderness of the deep state’, (Jacob Heilbrunn), Spectator (America), 08-Apr-2020, http://spectator.us]. Numerous other subalterns from the White House staff, Pentagon, Homeland Security, FBI, Treasury, Attorney General, etc have suffered the same fate after earning Trump’s ire. As Professor Timur Kuran, an economist who has studied the deep state concept in both Turkey and the US, said: in many authoritarian regimes, dictators often blame their failures on a “deep state enemy” within the legitimate state [‘Deep State: Inside Donald Trump’s Paranoid Conspiracy Theory’, (Michael Hanford), Rolling Stone, 09-Mar-2017, www.rollingstone.com].

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Connecting coronavirus to the Deep State conspiracy In the turmoil of the COVID-19 crisis in America, it didn’t take long for a number of Trump’s cronies and followers to play the pandemic conspiracy card. TV commentator Rush Limbaugh has labelled the coronavirus a deep state hoax (calling health experts fighting the virus outbreak functionaries of the deep state). The right-wing “shock jock” has said the crisis was being used by as a political weapon to destabilise and undo the Trump presidency [‘Rush Limbaugh: coronavirus a “common cold” being “weaponised’ against Trump’, (Martin Pengelly), The Guardian, 26-Feb-2020, www.theguardian.com]⦿. Other “true-believers” of the DS conspiracy myth see the coronavirus crisis as a plot to destabilise global markets and cripple the US economy, or alternately a Deep State plan to suppress dissent and impose “mandated medicine” on to the unsuspecting masses [‘Right-wing conspiracy theorists see coronavirus as a plot against Trump’, (Mikael Thalen), The Daily Dot, 26-Feb-2020, www.dailydot.com; ‘Scientist with 4 Degrees from MIT Warns ‘Deep State’ Using Coronavirus Fear-Mongering To Suppress Dissent’, (Carmine Sabina), The Western Journal, 17-Mar-2020, www.westernjournal.com].

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there have been numerous other Deep State scenarios internationally, a classic one in recent history was the 1973 Chilean coup where foreign elements, the American CIA and IT&T, combined with a right wing military clique in Chile to overthrow the democratically-elected Allende government many of the conspiracy hypothesisers who accept that Lee Harvey Oswald killed Kennedy, depict the gunman as having been an agent of the Deep State with hindsight we can see earlier instances of the (unnamed) deep state in American politics, beavering away to undermine a US president – in the Thirties and early Forties the Dulles brothers, Foster and Allen, exploited their key diplomatic roles in arms of the Roosevelt administration to covertly pursue their own agendas which were at variance with FDR’s policies, David Talbot, The Devil’s Chessboard: Allen Dulles, the CIA, and the Rise of America’s Secret Government (2015) one of the wildest is the QAnon Deep State conspiracy which alleges that a “cabal of Satan-worshiping pedophiles” have joined up with Hollywood liberals and Democrat politicians to try to overthrow the Trump regime sometimes hitting back with his own brand of fake news, such as his unsubstantiated tweet claim that President Obama wiretapped Trump Tower before the election a view with popular backing among sections of the Alt-Right, patriot-militia groups in the US ⦿ Limbaugh last month, looking to cloak the ‘conspiracy’ in an even more sinister light, suggested to his viewers that there were eighteen earlier strains of the disease which he has likened to the common cold, therefore COVID-19 was nothing to be concerned about, he reasoned. Limbaugh’s woeful ignorance—the 19 in the disease’s name refers to the year it was first identified, 2019—earned him much scorn and derision from liberal America (although amazingly it didn’t deter a Trump lackey from repeating the gross misinformation in a “Fox & Friends” rant against WHO) , ‘Coronavirus skeptic Rush Limbaugh thinks COVID-19 means there were 18 other COVIDS’, (Brian Niemietz), Daily News, 12-Mar-2020, www.nydailynews.com