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Showing posts by: Sloane Snodgrasse

Building a Better Bike: The Evolution of the Modern “Safety Bicycle”

The absence of cars in cities during the coronavirus lockdown has been a boon to cyclists, both for the recreational kind and for commuter cyclists. There has been an “unprecedented surge in popularity” of bicycle traffic—even in the land of the automobile, the United States—with many bike shops since March reporting a doubling of their average sales…such is the demand now that bike manufacturers can’t build them fast enough [‘Cycling ‘explosion’: coronavirus fuels surge in US bike ridership’, (Miranda Bryant), The Guardian, 13-May-2020, www.theguardian.com ; ‘Australia is facing a ‘once in a lifetime opportunity’ as cycling booms, advocates say’, (David Mark), ABC News, 16-May-2020, www.abc.net.au ] DA6811A6-36BE-4DE2-8932-FD04CEA9AE65

The renewed present enthusiasm to take up bike-riding in response to the pandemic recalls earlier periods of “bike-mania”in the West—late 1860s to mid-1870s and the 1890s—as the humble bike was evolving into its modern form. Credit for the basic look of the standard, no-frills bicycle as we we think of it today is generally given to John Kemp Starley for his 1885 invention, the “Rover Safety Bicycle”. The Rover’s similar-sized wheels, chain drive attached to the crankshaft and rear wheel, diagonal frame and relative lightness (20kg) retains the basic design of the modern bicycle [‘Pedal Your Way Through the Bicycle’s Bumpy History’, [Evan Andrews),

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The bike by various other names

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1890s, the world gone crazy for the bicycle

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(Image:

Instrument of freedom and independence Health-wise physicians gave their approval. And ordinary folk suddenly were able to explore the countrysides, visit towns and places – far and near. Just about everyone, it seems, got into the act of riding bicycles – royalty and rulers in places like Russia, Zanzibar and Afghanistan took up cycling; First-wave feminists – Susan B Anthony declared that “bicycling emancipated women more than anything else”; women were especially enthusiastic as the activity allowed them to escape their voluminous and cumbersome Victorian skirts for more practical attire such as bloomers. When the lighter, less unwieldy safety bicycles came along, police in the UK were quick to adopt them in their work. Likewise, the NYC police commissioner Teddy Roosevelt mounted the city police on bikes to apprehend the new “public danger” of ‘scorchers’ (“speed demon” cyclists ) (Smith).

The conventional explanation for the demise of the bicycle boom is the rise of the commercially-viable automobile, but other factors may have contributed to the bicycle’s decline, such as the rapid growth of the early mass transit systems such as streetcars and trams which were a more practical alternative to bikes, especially in bad weather (Britannica).

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(Source: Aspetar Sports Medicine Journal)

Endnote

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Russia’s Coronavirus Anomaly, a Question of What You Count

From the start of this month Russia began a gradual re-opening of services after a ten-week pandemic lockdown. This is happening despite new cases of COVID-19 continuing to materialise – the tally of confirmed case of the virus has now ticked over the 500,000 mark (as at 12-Jun-2020). There are several reasons contributing to the decision to re-open, some political and some economic.

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Concern for the damage sustained by the Russian economy by the pandemic was foremost to the Kremlin but President Putin also wanted things functioning as close to normal in time for two upcoming events important to him. The 75th end of WWII anniversary military parade in Red Square—a PR showcase of Russian power—postponed from May is rescheduled for 24th of June. Even more personally important for the Russian leader is the July 1 vote✱, Putin has put up far-reaching constitutional amendments for approval, the main outcome of which could see Putin’s iron-grip on the federation extend till 2036.

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(Photo: Reuthers / SPUTNIK)

Discontent with Russia’s approach to the crisis An underlying reason for the hasty end to the national lockdown might be that it hasn’t been as successful as hoped. The tracing app utilised in Moscow (the epicentre of the country’s COVID-19 outbreak) has had issues with its effectiveness. Putin’s personal popularity was at risk with public resentment voiced at the prolonged restrictions (murmurings of Orwellian and Soviet-like echoes). The medical response by the Kremlin has been called out by many front-line responders for its shortcomings. One doctor, Anastasia Vasilyeva (leader of a Russian doctors’ union), frustrated at the president’s insistence that the public health crisis was under control, has been at great risk to herself distributing PPE to medical workers on the front-line, provoking retribution from the Kremlin [‘The doctor who defied a President’, ABC News, (Foreign Correspondent, Eric Campbell), 06-Jun-2020, www.abcnews.com.au]. This is symptomatic of Moscow’s neglect of the regions who are expected to handle both the outbreaks without the medical infrastructure to deal with a large volume of cases and the economic fallout from the crisis without adequate financial assistance [‘Russia’s coronavirus cases top 300,000 but deaths suspiciously low: ‘We conceal nothing’ Kremlin says’, (Holly Ellyatt), CNBC, Upd 21-May-2020, www.cnbc.com].

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Counting the virus’ toll: a small exercise in data massaging? Some Russia watchers have cast doubts about the reported COVID-19 figures released by Moscow. This includes WHO has questioned Russia’s low death toll, describing it as ‘unusual’ [‘WHO asks Russia to review its Covid-19 death toll in rare rebuke’, (Natalia Vasilyeva), The Telegraph, 11-Jun-2020, www.telegraph.co.uk]. While the number of Russian virus cases is comparatively high, the official record of fatalities is disproportionately low compared to the rest of Europe…Russia’s fatality rate is 0.9% cf. UK’s, 14.4% (roughly 10% of the mean figure for Western Europe) [‘How Russia’s Coronavirus Outbreak Became One of the World’s Worst’, (Madeline Roache), Time, 15-May-2020, www.time.com]. The Kremlin has rejected the criticism that it is withholding the full impact of the pandemic, but outside observers pinpoint an anomaly in the methodology it uses to count cases. Unlike say Belgium (which is strictly inclusive), Russia has not counted deaths as caused by the coronavirus where other co-morbidities are present, ie, if a patient tested positive for the virus and then had a subsequent critical episode, the cause of death is not recorded as COVID-19 [‘Russia Is Boasting About Low Coronavirus Deaths. The Numbers Are Deceiving’, (Piotr Sauer & Evan Gershkovich), The Moscow Times, 14-May-2020, www.themoscowtimes.com].

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A deserted, locked-down Red Square  (Source: www.citizen.co.za)

Compartmentalising the fatalities This persuasively accounts for the recent discordant mortality statistics reported by Russian sources, eg, if you separate fatalities directly attributable to coronavirus from other fatalities for May, the unexplained “excess deaths” recorded for Moscow is up about 5,800 on that occurring during the previous three Mays [‘New data suggests Russia may have a lot more COVID-19 deaths than it says it has’, (Alexandra Odynova), CBS News, 11-Jun-2020, www.cbsnews.com]. A look at Dagestan, a region with one of the largest clusters outside of the capital, is also instructive. As of mid-May it had experienced 35 deaths listed as caused by coronavirus, but in the same timeframe it recorded 650 deaths attributed to “community-acquired pneumonia”. One explanation from Russia watchers is that “local officials want to present Moscow with ‘good’ figures” (Ellyatt). If the Kremlin were to publish both sets of figures in its official data, such transparency would deflect much of the doubt and questioning by outsiders (Sauer & Gershkovich).

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✱ that Putin is prepared to push through the referendum at this time and risk aggregating the public health and safety of Russians, confirms for many the president’s prioritising of his own  political motives [‘Russian officials, citing COVID-19, balk at working July 1 constitutional referendum’, CBC News, 11–Jun-2020, www.cbc.ca] many medical practitioners in Russia have been disaffected by both a critical shortage of equipment to fight the virus and by unpaid wages [‘Exclusive: Did Russia pass the coronavirus test? Kremlin spokesman Dimitry Peskov Responds’, (M Chance, Z Ullah & N Hodge), CNN, 09-Jun-2020, www.amp.cnn.com] the COVID-19 emergency has exposed the deteriorating state of the Russian health service in the Putin era – the Semashko system infrastructure allowed to run down while the private medical sector has flourished [‘Can the Russian Health Care System Cope with the Coronavirus?’, (Estelle Levresse), The Nation, 09-Jun-2020, www.thenation.com]

The Pandemic’s “Holy Grail”, the Elusive Vaccine: For the “Global Public Good” or an Inward-looking Assertion of Vaccine Nationalism?

At this point in the war on COVID-19 there are over 120 separate vaccination projects—involving Big Pharma, the public sector, academe, smaller biotech firms and NGOs—all working flat out worldwide trying to invent the ‘magical’ vaccine that many people believe will be necessary to bring the current pandemic to an end. While nothing is guaranteed (there’s still no cure for the HIV/AIDS virus around since the Eighties), the sheer weight of numbers dedicated to the single task, even if say 94% of the efforts fail, there’s still a reasonable chance of success for achieving a vaccine for coronavirus [“Former WHO board member warns world  against coronavirus ‘vaccine nationalism’”, (Paul Karp), The Guardian, 18-May-2020, www.theguardian.com].

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(Source: CEPI)

If and when the vaccine arrives, will it get to those in greatest need? The way the coronavirus crisis has been handled between nations so far doesn’t exactly give grounds for optimism. Collective cooperation on fighting the pandemic has been sadly absent from the dialogue. We’ve seen the US attack China over coronavirus’ origins with President Trump labelling it the “China virus” and the “Wuhan virus”, and China retaliating with far-fetched accusations of America importing the virus to Wuhan via a visiting military sporting team, and the whole thing becoming entwined in a looming trade war between the two economic powers. EDAEAA0E-8F72-4391-8C0E-7E16A7168494

(source: www.socioecomonics.net)

The advent of COVID-19 has introduced us to terms such as “contact tracing”, “social distancing”, “covidiot” and the like, but recently we‘ve been hearing a new term thrown about, one with more ominous implications – “vaccine nationalism”. As the scattered islands of scientific teams continue the hunt for the “silver bullet” that presumably will fix the disease, there is a growing sense that the country or countries who first achieve the breakthrough will adopt a “my nation first” approach to the distribution of the vaccine. There are multiple signs that this may be the reality…the US government has launched the curiously named “Operation Warp Speed”, aimed at securing the first 300 million doses of the vaccine available by January 2021 for Americans [‘Trump’s ‘Operation Warp Speed’ Aims to Rush Coronavirus Vaccine’, (Jennifer Jacobs & Drew Armstrong), Bloomberg, 30-Apr-2020, www.bloomberg.com]. In the UK Oxford University is working with biopharma company AstraZeneca to invent a vaccine that will be prioritised towards British needs.

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(Source: IndiaMart)

A “vac race” Not to be outdone, China, operating through Sinovac Biotech, is at the forefront of testing potential cures for COVID-19. The pressing need for a vaccine to safeguard its own population aside, Beijing’s rationale includes a heavy investment in national pride and the demonstration of Chinese scientific superiority (cf. Trump’s motivation). The Sino-US rivalry over finding a cure for the pandemic has been compared to the Cold War era ”Space Race” between the US and the USSR (Milne & Crow). A political war of superpower v superpower on a new battlefield…noted as bring part of a longer trend of the “securitisation of global health “ where the health objective increasingly has to share the stage with issues of national security and international diplomacy (E/Prof Stuart Blume, quoted in ibid.).

An environment of competition in lieu of collaboration Even prior to the start of serious talk about the vaccine, the coronavirus crisis was provoking an “everyone for themselves”, non-cooperative approach. With the onset of equipment shortages needed to combat the virus outbreak, an international bunfight developed over access to PPE (personal protection equipment). 3M masks destined for Germany were intercepted by the White House and re-routed to US recipients; French president, Emmanuel Macron, seized millions of masks that were on route to Sweden; Trump purportedly tried to buy CureVac, a German biopharma company working on the vaccine [‘Why vaccine ‘nationalism’ could slow the coronavirus fight’, (Richard Milne & David Crow), Financial Times, 14-May-20320, www.ft.com/]. India (under Hindu nationalist Modi), the world’s largest supplier of hydroxychloroquine (touted as a cure for the virus), withheld it from being exported. As part of this neo-protectionism of the corona medical trove, more than 69 countries banned the export of PPE, medical devices and medicines [‘A New Front for Nationalism: The Global Battle Against a Virus’, (Peter S Goodman, Katie Thomas, Sui-Lee Wee & Jeffrey Gettleman), New York Times, 10-Apr-2020, www.nytimes.com].

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Politics and economics over science and global health? Will narrow self-interest and economic advantage prevail? Will Big Pharma sell the virus panacea to the highest bidders? A zero-sum game  in which those who can’t afford the cost fall by the wayside? There are precedents…the distribution of the H1N1 vaccine for the 2009 Swine Flu was predicated on the purchasing power of the higher-income countries, not on the risk of international transmission [‘The Danger of Vaccine Nationalism’, (Rebecca Weintraub, Asaf Britton & Mark L Rosenberg), Harvard Business Review, 22-May-2020, www.hbr.org/]. The availability of the vaccine is seen as integral to restarting the global economy (Milne & Crow).

The eclipse of multinationalism? With WHO in the eyes of some international players seemingly tarnished by its relationship with China, and by Trump’s undermining of its effectiveness by threatening to withdraw American support, multilateralism is on the back foot. There have been some attempts to stem the tide, CEPI (Coalition for Epidemic Preparedness Innovations’), with a mission of promoting a collective response to emerging infectious diseases, is trying to advance both the development of coronavirus vaccines and equitable access to them (http://cepi.net/).

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Getting to an “equitable distribution” of the vaccine As CEPI recognises, and is committed to redressing, there is no formal mechanism in existence for fairly distributing vaccines for epidemics…one step being taken is to try to get  an equitable distribution strategy accepted by the G20 nations. The only way forward to ensure that allocation is fair and prioritised according to needs is through a coordinated global effort (Milne & Crow; Weintraub eg al).

The fear is thus well founded that if and when a vaccine is discovered and developed, the richer nations will secure a monopoly over it and prevent it getting to poorer nations where it would be urgently needed by the elderly, the immunocompromised and the “first responder” health workers. There are many who hope fervently that a different scenario will be played out, that a more enlightened type of self-interest will prevail. This would require the wealthier countries seeing the bigger picture – the danger that if they don’t redistribute the cures, the outcome will be an adverse effect on the global supply chain and on the world‘s economies. As Gayle Smith (CEO of “One Campaign“, a Washington-based NGO fighting extreme poverty) put it: it is in the richer countries‘ own interests ”to ensure that the virus isn’t running rampant in other countries” (Milne and Crow). “If an international deal can be reached“, CEPI CEO Dr Richard Hatchett said, ”Everyone will win, if not, the race may turn into a free-for-all” with the losers in plain sight [‘Why the race for a Covid-19 vaccine is as much about politics as it is about science’, (Paul Nuki), The Telegraph (UK), 10-Apr-2020, www.telegraph.co.uk].

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(Source: www.euroweeklynews.com)

PostScript: Its no done deal! – reining in the wave of vaccine optimism Even some of the scientists working on developing a vaccine are less than sanguine about the prospects. As immunologist Professor Ian Frazer (UQld) explains: there is no model of how to attack the virus. Trying to come up with a vaccine for upper respiratory tract diseases is complicated due to “the virus landing on the outside of you”, as we have seen with the common cold. What’s needed is “an immunise response which migrates out to where (the coronavirus) lands” [‘No vaccine for coronavirus a possibility’, (Candace Sutton), News, 19-Apr-2020, www.news.com.au].

 

_______________________________________________________________________________ a matter of getting “the maximum shots on goal” as Jane Halton, a former member of the WHO board, put it with Trump aided and abetted in this mission by Peter Navarro (who Bloomberg calls “Trump’s Trade Warrior”) enthusiastically leading the charge in the undeclared trade war with China with funding from the Bill and Melinda Gates Foundation

The Kerala COVID-19 Template: How to Lead in the Fight against a Pandemic

When the coronavirus pandemic eventually reached India, it was always going to pose a challenge of epic proportions for a country of 1.3+ billion people, with such a dense population domiciled  in such close quarters, and with a widespread underbelly of poverty. The Spanish flu of 1918 inflicted a death toll on India in the many millions, something no doubt in the back of the minds of public health officials. So, two or three months into the crisis, on paper, India’s COVID-19 record, on paper, doesn’t look as frightening as many other nations. As at 17-May-2020, so far it has had a shade under 91 thousand confirmed cases and a total of 2,872 deaths (www.worldometers.info).

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(Photo: Indranil Mukherjee / Agence France-Presse – Getty Images)

There is a perception within medical circles however that these figures don’t portray the full extent of the outbreak. India’s urban areas are packed with masses of people living face to face, beset with poor sanitation conditions, up to 100 people sharing the same toilet in some cases, adding up to a recipe for catastrophe in plague time. Obtaining a test for coronavirus in India has tended to not be straightforward, thus the level of testing has lagged woefully behind what is desirable, eg, by well into March India was averaging only five tests per ten lakhs (one million) people, compared with South Korea which had managed 4,800 per ten lakhs.

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Too many migrant workers waiting for too few buses to take them home after the lockdown was announced (Photo: Yawar Nazir – Getty Images)

Containment measures have been far short of perfect, and with some glaring omissions…there has been passive resistance to the lockdowns from sceptical Indians, and the ban on public gatherings has from time to time been skirted round (some ‘scofflaw’ political parties continue to hold mass rallies). Although India’s borders were closed fairly promptly, some have been critical of the procrastination of Indian leaders’ during the crucial early days of the crisis, one Indian epidemiologist characterised it as a “let’s wait till tomorrow” attitude [‘India Scrambles to Escape a Coronavirus Crisis. So Far It’s Working’, (J Gettleman, S Raj, KD Singh & K Schultz), New York Times, 17-March-2020, www.nytimes.com]. This early reticence to act emanated from Delhi. The Modi BJP government, initially seemingly more concerned with the impact on India’s under-performing economy, issued no public health warnings or media briefings at the onset of the pandemic [‘What the world can learn from Kerala about how to fight covid-19’, (Sonia Faleiro), MIT Technology Review, 13-Apr-2020, www.technologyreview.com].

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(www.anayahotels.com)

Kerala, leading from the periphery Kerala is one state that these general criticisms of Indian public health efforts against COVID-19 cannot be levelled. The small southwestern Indian state is one of the most picturesque parts of the land with its coconut trees and irenic and serene back-waterways. Known as a tourist mecca, Kerala, population 35 million, is more affluent than many parts of India (GDP per capital GB£2,200). 20% of India’s gold is consumed here, and it produces over 90% of the country’s rubber. Literacy is nearly 20% higher than the overall Indian average, and life expectancy too, is higher (www.holidify.com). All of these were contributing factors buttressing Kerala’s capacity to cope with the disease when it came.

Local vulnerabilities to the epidemic Kerala was coronavirus “ground zero” for India’s very first patients. Three students returning from Wuhan were tested positive and hospitalised (in all 70% of the state’s total virus patients have come from outside India). Certain preconditions pertaining to the state exacerbated the risk of disease outbreak, including a large number of Keralite migrant workers in the Gulf states, a huge expat population (working in Kerala from other Indian states), porous borders, and an early summer monsoon season (contributing to Kerala’s high rate of annual communicable diseases) [‘Coronavirus: How India’s Kerala state flattened the curve’, (Soutik Biswas), BBC News, 16-Apr-2020, www.bbcnews.com].

Preparation and planning Kerala was prepared for COVID-19 before the onset of the disease. The earlier Nipah viral outbreak (NiV) In Kerala (2018) proved a good trial run for the health service, giving the local authorities an opportunity to iron out chinks in it. Kerala’s communist-left coalition  government had established a strong social welfare foundation, investing in the state’s infrastructure with a focus on health and education, and on tackling the state’s poverty. [‘How the Indian State of Kerala flattened the coronavirus curve’, (Oommen C Kurian), Guardian,  21-Apr-2020, www.theguardian.com].

Minister Shailaja (Source: www.manoramonline.com)

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Shailaja ‘Teacher’, a woman with a plan When the epidemic arrived in Kerala, the proactive state health minister KK Shailaja took charge. With the full backing of Kerala chief minister, Pinarayi Vijayan, she had already organised a rapid response team to focus on targeted clusters, and liaised with the provincial councils. Kerala adopted the WHO protocols of test, trace, isolate and support. Rigorous contact tracing was employed, utilising detailed “route maps”. Testing of suspected carriers was decisive, with a quick, 48-hour turnaround of the result [‘Kerala has best coronavirus test rate in the country, but is it enough?’, (Vishnu Varna), The Indian Express, 01-Apr-2020, www.indianexpress.com], allowing them to move quickly on to the quarantine phase. 17,000 people were quarantined under strict surveillance, the poor without quarantine facilities were placed in improvised isolation. Recovered patients were duly released back into the community. Quarantine compliance was achieved through an admixture of phone monitoring (>340,000 calls and a neighbourhood watch system [‘The coronavirus slayer! How Kerala’s rock star health minister helped save it from Covid-19’, (Laura Spinney), The Guardian, 14-May-2020, www.theguardian.com; Kurian]. One of the sternest challenges, very early on, came from the district of Pathanamthitta. A family returning from Italy tested positive, but refused to disclose their movements upon return to Kerala. The civil servant in charge of the district, PB Nooh, and his team, worked round this obstacle by accessing the family’s GPS phone data, allowing them to trace all of their contacts (almost 300 people!). Nooh’s staff then tested the contacts for infection, thus shutting down the risk of the virus being exponentially transmitted to others in the community, ie, “breaking the chain” (Faleiro).

The coronavirus certainly didn’t miss Kerala, one-fifth of all Indian cases of the disease have occurred in the state. Under Shailaja, Kerala hit the ground running, before the end of January, screenings of arrivals at all four of the state’s international airports was introduced. The government imposed a lockdown even before the national lockdown was called…schools, malls, cinemas, public gatherings, were closed down, and the lockdown was stricter and longer than the national one (Kurian). Face masks were distributed to slum dwellers. Planning was precise and focused, a state stimulus package of Rs20,000 crore was directed towards the economic and medical crises.The medical task force was mobilised (doctors on leave were recalled, others asked to delay their leave). Those suffering hardship included migrant workers from other states were provided with free lunches by the state.

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Communication with citizens informing them about all aspects of the crisis was clear and consistent (“Break the Chain” campaign which emphasises public and personal hygiene). Accordingly, community participation, both voluntary and active, was forthcoming. Some Keralites made accommodation available (including vacant homes in some instances) to those in need when requested to by the government [‘The Kerala Way of Tackling a Pandemic’, Times of India, 20-Mar-2020, www.timesofindia.com].

The Kerala government’s campaign against the virus has been aided by the polity’s decentralised nature of it’s structures. The coordination achieved allows the local councils to follow through on a lot of the public health measures needed to be implemented in the crisis (Biswas). The result of all this detailed planning and effort by Kerala – 587 confirmed cases and only four deaths and apparently no significant community transmissions (17-Apr-2020).

The state of Kerala and Shailaja ‘Teacher’ (so known because her occupation before entering politics was that of science teacher) are not resting on their laurels, being very mindful of the chance of a second wave of COVID-19 due to impending factors—Prime Minister Modi’s anticipated ending of the national lockdown, which will trigger a mass return of Kerala’s migrant workers based in the Gulf, and the approach of the tropical wet season in Kerala (June) [‘Kerala Lays Down Specific Plans To Tackle Monsoon Amid COVID-19 Pandemic’, NDTV, 15-May-2020, www.ndtv.com]. Minister Shaijala has been making preparations for such an event, many of the state’s teachers have been retrained as nurses to cope with a new upsurge in virus hotspots (Spinney).

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EndNote: No time for Kerala complacency but a most worthy blueprint on offer  The threat of new clusters emerging in Kerala remains very real, especially coming from outside, with a spike as recent as this past Friday—imported from neighbouring Tamil Nadu and Maharashtra as well as from overseas—reminding Shailaja and Co that the battle’s still far from won. Nonetheless, for elsewhere in India and beyond, there are lessons from Kerala‘s formidable achievement to be had from the state’s “nimble-footed, community-oriented, cautiously-aggressive approach” to the outbreak [Kurian; ‘Kerala reports 11 new Covid-19 cases’, (Ramesh Babu), Hindustan Times,16-May-2020, www.hindustantimes.com].

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the Kerala government is Marxist in ideology but pragmatic in practice, it’s policies are moderately social-democratic, with a highly-privatised public health system (Kurian)

The National Health Emergency ‘Tyranny’: The Lockdown Through Libertarian Eyes

The majority of countries where coronavirus infection rates have experienced an upward curve have resorted to locking down the community to varying degrees. In the USA, more than elsewhere, this has tested the faith of those of a libertarian disposition. In recent weeks we have seen the mega-massive jolt to the economy and enforced closures of businesses resulting in millions of workers finding themselves in the dole queues. Many libertarians, albeit with reluctance, accept the inevitability of the present state intervention as the only means available of providing the fiscal stimulus to keep people and businesses afloat.

8B2670AB-5F2C-43D3-A075-CE2FDBE664E5Its when it comes to the matter of mandatory quarantine as a counter-virus measure, that the issue becomes more thorny for libertarians. The classic libertarian position would see voluntary self-isolation as the ideal solution in an ideal (ie, libertarian) world… compulsory quarantine is the last resort to them. Some of a libertarian mind would reject it outright – on ideological grounds, while also claiming it to be an ineffective measure as a social curative. Others accept it as a legitimate move given the uniqueness of the Covid-19 crisis situation, but with a very clear rider that the measures taken need to be temporary only. As shown below, this aspect of  libertarianism is a “hot-button” issue currently for many in the US with skin in the game [‘What libertarians would do in response to coronavirus’, (Bonnie Kristian), The Week, 13-Mar-2020, www.theweek.com]. 

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Gadsden flag: associated with libertarianism & the American Tea Party

Social distancing as an imposed, mandated practice during the pandemic, fails the libertarian test. The pure libertarian much prefers to see voluntary compliance by the individual, in the expectation (or hope) that most people will ultimately do the right thing [‘Libertarianism and the Coronavirus Pandemic’, (Andy Craig), Cato Institute, 25-Mar-2020, www.cato.com]. Accordingly, a small minority of  US states (five?) have not enforced the distancing and stay-at-home edicts, their leaders pledging to hold fast to the “sacred liberties” of their citizenries. But most everywhere else the pandemic has hit, certainly in urban areas, the civil authorities have gone for some form of lockdown.

Escape from Lockdown 13 For the average “Joe and Joanna Citizen” in Main Street, Anywheresville, being locked down inside four walls indefinitely is one of the hardest things to cop. For most people “cabin fever” will inevitably set in…confined at home, unable to congregate and socialise in cafes, eateries and bars with friends and colleagues or do road trips. In First World societies such as the US, Western Europe or the Commonwealth of Nations, freedom of movement is such an inherently natural expectation, once deprived, resistance to these rigid controls can reach a tipping point which easily spills over into increasingly bold attempts to subvert or defy the government’s edicts. Recently we have witnessed this perhaps at its apogee in the Midwest and Southern states of the US. Protest groups, the new scofflaws of Trumpian America, have mushroomed in particular in “rust-belt” states such as Michigan, Ohio, Indiana, Pennsylvania and West Virginia.

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(Photo: AP Photo/Paul Sancya)

As the lockdowns extend from weeks into months bunches of pro-Republican conservatives have more and more blatantly violated the stay-at-home orders of mostly Democratic governors (in contrast serving GOP governors like South Dakota’s Kristi Noem, continue to play the libertarian card, steadfastly refusing to implement a stay-at-home order regardless of virus outbreaks within the state). For the protesters, egged on by the schizophrenic tweets of President Trump, a call to “Liberate Michigan” (Virginia, etc) and amplified by the Fox press, one prime target of their vitriol has been Michigan governor Gretchen Whitmer who has mandated a strict ”stay home, stay safe” executive order to counteract the virus. This month organised gatherings of protesters have assembled outside the Capitol building and the governor’s home, flaunting the restrictions and demonstrating their displeasure at Whitmer’s policies. Some of the dissenters have been armed with AR-15s and AK-47s, very few wearing face masks but brandishing Confederate and Gadsden flags and even Nazi emblems (loosely equating the state “governor/tyrant” with Nazis). Some protesters have held up signs such as “The cure is worse than the virus” (which, if you have watched the president’s coronavirus press briefings ‘sideshow’, has a faintly familiar ring to it).

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(Photo: REUTERS/Alyson McClaran)

This orchestrated “Operation Gridlock”, in Michigan and elsewhere, is organised by a conservative patriot/militia group with connexions to Trump’s education secretary, Betsy DeVos. One of its objectives (successful) was to grind city centre traffic down to a standstill, including the blocking of ambulances conveying patients. Protesters in various states have also tried to intimidate health workers engaged in the frontline of the fight against the pandemic. So far Whitmer has remained resolute in maintaining  a strict state lockdown, pointing to the gravity of the state’s health predicament (Michigan has had 37,778 confirmed cases and 3,315 deaths due to coronavirus, as at 27-April-2020) [‘Conservative group linked to DeVos family organises protest of coronavirus restrictions in Michigan’, (Igor Derbyshire), Salon, 16-Apr-2020, www.salon.com; ‘Trump Supporters Are Staging Armed Protests to Stick it to Coronavirus’, (Caleb Ecarma), Vanity Fair, 16-Apr-2020, www.vanityfair.com].

🔻 Gov. Whitmer (Photo: U.S. News & World)

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What’s motivating the scofflaw behaviour? Researchers at the University of Maryland have concluded that “quarantine fatigue” has set in. Increasing numbers of fed-up or plain bored Americans are venturing outside of “the box” in defiance of state stay-at-home orders. Many of these are exercising, or as the weather gets warmer, going to the beach (most of the escapees are doing these things without bothering to practice safe distancing) [‘Quarantine fatigue is setting in: Smartphone data shows thousands are fed up after weeks under lockdown’, (Ralph R Ortega), Daily Mail, 27-Apr-2020, www.dailymail.com].

The inalienable right to be ‘selective’  The gatherings of those discontented with the status quo in America have exercised their right to protest against their state’s political leaders. Interestingly, their decision to protest on this occasion, as has been noted, does not signify their endorsement of the right to protest per se – a perfectly admirable and consistent libertarian trait. Previously when sectors of the Left in America took to protesting issues such as climate change and police brutality, these Right-wing elements were vigorously supporting the conservative politicians’ endeavours to bring in legislation to outlaw protests [’The hypocrisy of the anti-lockdown protests’, (Anthony L Fisher), Business Insider Australia, 22-Apr-2020, www.businessinsider.com.au]. 

825CADA6-E17D-41DB-B9C4-DF74764216D6 🔺The ‘tyranny’ avengers (Photo: Nikolaus Kama/AFP via Getty Images)

These insurrectionists and those who facilitate and encourage them, argue that they are motivated, nay compelled, by the (temporary) loss of their basic liberties… evoking the First Amendment and the Founding Fathers, they portray Whitmer and other governors as tyrants, preventing their right to come and go as they wish, to work and leisure untrammelled. Thus, it comes back to that same nub at the core of libertarian values, the right to do as one pleases — (with the rider)…so long as it doesn’t harm anyone else. This added qualifier is fundamental to the credo of libertarian theory.

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“Inviolable freedom”…so long as it doesn’t harm harm anyone else The casualty toll of the Covid-19 health crisis in the US—the worse in the world by far—is rapidly overtaking that of the total of American lives lost in the ten-years of the Vietnam War. Disproportionally, the pandemic everywhere is killing the older and the most vulnerable, people with co-morbidities. Coronavirus, the epidemiologists have shown us, is transmitted from a human host to a human recipient, the more people interacting with each other, the more likelihood of transmission, the greater the incidence of morbidity and mortality from the virus, simple as that!

An unavoidable trade-off The temporary suspension of liberties is the price to pay to preserve lives. Yes, the measures are inconveniences and hardships on individuals, but they’ve been imposed on the population for a health safety reason – the greater good of the community and the health of all. Yes, the libertarians have some grounds to quibble, a few of the measures taken have been over-the-top and seem disproportionate. Even Gov. Whitmer, a rising Democrat star on the national political scene, has at times pulled the wrong rein (eg, barring people from purchasing garden equipment and baby restrainers for cars seems to be over-zealous)  [‘Quarantine Protesters Are No Heroes of Civil Disobedience’, (Jonah Goldberg), National Review, 22-Apr-2020, www.nationalreview.com].

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🔺 Colorado protesters visualising a totalitarian pivot by their governor? (Photo: AP)

FN: Heat in the kitchen Democrat governors in “swing states” like Gov. Whitmer—caught in a pincer of intimidatory Scofflaw defiance, demands from business to re-open and constant sniping from a divisive chief executive at 1600 Pennsylvania Ave—are not the only ones feeling the mounting pressure of the moment. Florida’s GOP governor, Ron DeSantis, has copped plenty of flak himself. He was very late in issuing stay-at-home orders, having rejected calls to close Florida’s crowded beaches, citing the libertarian manta of free choice. When the lockdown finally came, church services got a “go free” card from the restrictions. Consequently, the state’s coronavirus ‘scorecard’ is now 32,138 confirmed cases and 1,088 deaths (27-April-2020). The current virus “hot spots” in Florida don’t augur well for a lifting of it’s restrictions any time soon. On top of this gloomy prognosis, Florida, being a ‘bellwether’ state, Trump will be expecting DeSantis to deliver it to the Republicans in the November elections [‘Anti-quarantine protests, Trump pressure on governors on political tightrope over coronavirus’, (Deidre Shesgreen & Maureen Groppe), USA Today, 23-Apr-2020, www.amp.usatoday.com].

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the protests have by no means been confined to these states – such happenings have been increasingly the done thing from Pennsylvania to Nebraska to California. Nor have lockdown protests been confined to America, ‘Berlin police anti-lockdown protestors accusing Angela Merkel of “banning life”’, SBS News, 25-Apr-2020, www.sbsnews.com.au the same kind of pro-Trump people that Hillary Clinton (unwisely) labelled a “basket of deplorables” in the 2016 presidential campaign ”schizophrenic” because at the same time the president at his daily podium is officially asking Americans to adhere to the prescribed Covid-19 safety measures there’s obviously other underlying factors in the tendency towards civil disobedience in Midwestern states and perhaps more so in the South – greater religiosity (and associated with that) scepticism towards scientific evidence and government experts, and even the “Siamese twins” attachment of many Americans to car culture (especially in suburbia and rural regions), ‘The American South has resisted social distancing measures — and we’re all going to pay the price’, Raw Story, 03-Apr-2020, www.rawstory.com

Tangier as International Zone: A Multicultural Free Port at Africa’s Doorway

Tangier is a coastal city in northern Morocco that looks out across the Strait of Gibraltar to Tarifa, Spain, a distance of just 20 miles, hence its sobriquet, “the Door to Africa”. Strategically located at the cusp of Africa and Europe, Tangier has a long history of interactions with foreign cultures and civilisations – having been occupied at different periods by Phoenicians, Carthaginians, Romans❈, Vandals, Arabs, Moors and Berbers (Islamic and pre-Islamic), Byzantine Greeks, Spanish, Portuguese and English.

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Tangier in the scramble for Africa By the beginning of the 20th century, during the “Scramble for Africa”, the territory of Morocco (which Tangier falls within) was divided up between Spain and France (and held as “protectorates”). The clandestine deal between the two prompted objections from Germany demanding a “slice of the (African) cake”. A provocative response by impetuous and volatile emperor Wilhelm II in Tangier precipitated an international crisis in 1905. Tensions were dampened down by the ensuing Act of Algeciras: Germany was appeased with a portion of the French Congo, but at the same time Britain and France consolidated their alliance.

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Tangier’s special status Under an agreement (the Tangier Convention) signed by France, Spain and the UK in 1923, Tangier became an International Zone (TIZ), effective from 1924. The tripartite administration of TIZ was later extended to include the US, Belgium, Portugal, Netherland, Sweden and Italy. Forms of everyday official life in the enclave reflected its new internationalised nature, although limited to a very select band of foreign countries. As CG Fenwick described it at the time, TIZ was ”a condominium of select states, a limited board of trustees acknowledging no political responsibility to the nations of the world at large“ (Fenwick, C. G. “The International Status of Tangier.” The American Journal of International Law, vol. 23, no. 1, 1929, pp. 140–143. JSTOR, www.jstor.org/stable/2190247. Accessed 14 Apr. 2020).

The judiciary adopted a mixed court comprising two English judges and one each from France and Spain, and the type of law adhered to, analogous to French law (Brown, R. Weir “International Procedure under the Tangier Convention.” Journal of Comparative Legislation and International Law, vol. 7, no. 1, 1925, pp. 86–90. JSTOR, www.jstor.org/stable/753030. Accessed 14 Apr. 2020). 19185FCA-97A1-4D95-A7F3-7B9644221A8C

🔺 Tangier, 1924 (Photo: www.pinterest.com)

TIZ was neutral and demilitarised, retaining for zonal security a small force comprising 250 native Moroccan gendarmes under the command of a Spanish major assisted by other subordinate officers from the vested-interest countries. If needed, there was a provision to call on the sultan of Morocco to bolster security strength (Delore, Gabriel. “The Violation by Spain of the Statute of Tangier and Its Consequences as They Affect the United States.” The American Journal of International Law, vol. 35, no. 1, 1941, pp. 140–145. JSTOR, www.jstor.org/stable/2192608. Accessed 14 Apr. 2020).

The various international diplomatic corps in Morocco were consolidated in the city of Tangier (apparently the sultan preferred that they be accommodated there rather than Fez, Morocco’s principal city),  together with other municipal services, further reflecting the special character of TIZ (Brown).

Political authority in TIZ The Zone’s political structure (from 1928) had as its basic unit of governance a Legislative Assembly (membership: 4 from France, 3 each from Spain, GB and Italy, 1 each from the Netherlands, Belgium, Portugal and the US). Real power however lay with the Committee of Control – with consuls representing Belgium, France, GB, Italy, the Netherlands, Portugal and Spain. The Committee had the power to veto the Legislative Council and to dissolve it. At a grass-roots level there was an administrator in charge. Under the TIZ Statute the authority of the sultan, acting through a mandūb (proxy), was recognised (though the sultan’s sovereignty over TIZ was nominal) (Graham H Stuart, (1945). The Future of Tangier. Foreign Affairs, 23(4), 675-679, www.foreignaffairs.com)◘.

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Tangier International Zone Area: 373 km. Pop Est.(ca 1936) approx 50,000 (Muslims 30,000, Jews 12,000, Europeans 8,000-something). Currency: £ pounds sterling

Casablanca or Tangier? By this time Tangier had acquired a reputation for cosmopolitanism and diversity,  being a destination for international businessmen, black marketeers, smugglers, diplomats, military men, refugees, writers and spies. It is widely thought that the classic war espionage film Casablanca (1942) was “inspired by the international ambience of Tangier” (Rachid Tafersiti, L’image de la Ville entire Cinema et Urbanisme, quoted in “The bar at Cinema Vox in Tangier”, Cinema Vox, www.cinemavox.ma)◍. More transparently, Tangier was the subject (or the mood-creating backdrop) for a spate of American mystery/thriller B-movies in the Forties and Fifties with titles like Tangier (reviewed by Variety, 1946: as “spy melodrama with plenty of hokum”) and The Woman from Tangier.

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Franco’s takeover  In 1940, with France totally blindsided by the immediate, existential threat to Paris from the German Wehrmacht, General Franco, using the pretext that  he was protecting Tangier from a possible Italian invasion launched a surprise invasion of Tangier (‘Spanish protectorate in Morocco’, Wikipedia, http://en.m.wikipedia.org). With Spain in military occupancy of the city, its soldiers tried to turn TIZ into a garrison town, imposing themselves, stopping citizens, checking their IDs, etc. The invasion and aftermath brought protests from UK and US and the Francoist state had to give assurances that the city would not be fortified and that the international institutions would be restored  (‘U.S. Protests Step of Spain in Tangier’, New York Times, 16-Nov-1940, www.nytimes.com). At the end of the war the Allies forced the Spanish to withdraw…the TIZ continued until 1956 when the independent Kingdom of Morocco was created with Tangier subsumed within the new Maghreb nation.

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PostScript: About a decade after its international status was terminated, Tangier became a sought-out destination for a whole new category of outsiders, the ”beat generation”, Western writers and artists like William S Burroughs. Within a few years other counterculture devotees were flocking to Tangier as it became part of the Moroccan hippie trail (although soon upstaged  by Marrakech as the preferred ‘Mecca’ for Western non-conformists in Morocco).

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❈ Tangier first acquired the status of a free city in 38 BC under imperial Rome ◍ gambling was not permitted in Moroccan cities, whereas the activity flourished in nightclubs in the International Zone, so the fact that it is featured in Casablanca gives further credence to the idea that Tangier was the template for the movie (Cinema Vox) ◘ the Statute was criticised for several shortcomings – including a lack of democracy, Tangierinos were disenfranchised; and TIZ’s economic interests were neglected (Stuart)