The 1961 Annexation of Goa: Taking a Decolonising Broom to the Remnants of Estado Portugués da Índia

International Relations, Military history, Political geography, Regional History

Having cut itself adrift of British colonial imperialism after WWII, the newly independent Union of India still had a few pieces of the Sub-continent’s geographical jigsaw it wanted to replace. Portugal, a waning colonising power had retained some small fragments of it’s once great empire within the territory of India. Principal among these was Goa on the western coastline of India, held by Portugal since 1510. Together with the tinier exclaves of Daman, Diu, Dadra and Nagar Haveli, they comprised what parent Portugal called the Estado da Índia.

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In the early Fifties India tried to negotiate with Portugal to get it to hand over Goa and the other exclaves, but Portugal and its dictatorial leader António de Salazar point-blank refused to relinquish the territories. Lisbon’s position was that Goa, Daman, etc were not Portuguese colonies but provinces and an integral part of metropolitan Portugal, and that furthermore the Republic of India did not exist at the time Portugal acquired them. Indian prime minister, Pandit Nehru, having failed to arrive at a diplomatic solution, soon adopted a more direct approach to bring about decolonisation. In 1954 3,000 unarmed Indian activists captured landlocked Dadra and Nagar Haveli unopposed and it was governed as a de facto state until incorporated into the Indian Union in 1961◘ [‘Dadra and Nagar Haveli: When an IAS officer became the instrument of accession’, (RR Dasgupta), Economic Times, 10-Aug-2019, www.economictimes.com].

Primeiro Ministro Salazar

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Issue heats up: India ratchets up pressure on Portuguese Goa
The shooting of Indian activists in 1955 by Portuguese police for trying to enter Goa only hardened public opinion against the Portuguese colony, spurring on a Goan resistance movement which had been active for decades. Resistance took the form of Gandhi-esque non-violence as well as armed conflict targeting colonial officials (funded and aided by the Indian government). Groups like the “Free Goa Party” were fighting an intermittent guerrilla war against Portuguese control of  Goa [‘1961 Indian annexation of Goa’, Military Wiki, http://military.wikia.org].

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Lisbon dug it’s heels in, rejecting a call for a referendum to decide the colony’s future. The government worked the diplomatic channels to try to drum up international support for its cause, with scant success. Britain, reminded of its 1899 alliance with Portugal by Salazar, choose to stay out of the dispute [‘Goa Falls to Indian Troops’, (Richard Cavendish), History Today, 61(12), Dec 2011, www.historytoday.com].

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Nationalist fervour spills over into full-blown invasion
By late 1961 the Goa situation was at flashpoint, especially after an Indian passenger vessel was fired on by Portuguese shore artillery (killing one passenger and injuring the boat’s chief engineer). In December an out-of-patience Nehru, ignoring calls from the US and the UK not to use force to achieve India’s neo-colonialist aims, launched “Operation Vijay” (Victory). A two-pronged assault, one detachment of forces invaded the enclave Daman and the second, Goa itself. With overwhelming military superiority on land, sea and air, the Indians overran the Portuguese forces within two days…the Portuguese commanders once they assessed the hopelessness of their situation surrendered quickly, disobeying Salazar’s order to fight to the last (a prudent decision which kept the casualty toll on both sides of the conflict low (52))✪ (Military Wiki).

Portuguese POWs in Goa, 1961

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(Photo: AP)

Aftermath of “Goa’s Liberation”: Legal perspective
A motion in the UN Security Council to censure India’s unilateral aggression and demand it withdraw it’s troops from Goa was vetoed by the USSR. Delhi attempted to deflect international criticism by justifying the invasion as “self-defence” (Nehru later conceded this line of argument had been a sham) and held to the view that the UN’s commitment to the goal of decolonisation gave it the right to ‘liberate’ what was India’s “sovereign territory” [‘What not to do in Hong Kong: Lessons from Goa, 1961’, (Bruce Gilley), The Article, 02-Sep-2019, www.thearticle.com]. Some legal observers have described the 1961 takeover as a case of legitimacy overriding legality (the yardstick of which Delhi’s act of force didn’t meet) [‘The annexation of Goa’, Australian Magna Carta Institute, www.ruleoflaw.org.au]

Indian stamp commemorating the 50th anniversary of the  Goa annexation 🔻

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Lisbon’s reaction: Propaganda, “fifth column” mobilisation and terror
Portugal made no attempt to retaliate militarily  but immediately severed all diplomatic ties with India, refusing to recognise the de facto takeover of Goa by Delhi, and offered the territory’s 650,000 residents Portuguese citizenship. Salazar took the loss of Goa and the other possession very hard, feeling let down by the UK and betrayed by a UN “controlled by communist countries and an African-Asian bloc”. The Portuguese did not let it rest there though, Lisbon devised a scheme to undermine India’s position in Goa. The Plano Gralha was launched at a time when India‘s attention was focused on the worsening confrontation with China (which would erupt into open border war in October 1962). Utilising the Portuguese national radio station, Emissona Nacional, the regime’ propaganda channels reached out to disaffected Goans—many of whom were Catholic and wary of integration into a Hindu-dominated nation—in the hope of fomenting active resistance to Indian rule. The plan also called for a series of terrorist attacks on Indian ports – planting bombs on ships anchored in Bombay and Mormugao (Goa), other targets were identified. In 1964 bombs were planted at two locations in Goa by Portuguese PIDE agents to create havoc and spread terror in the province [‘Records show colonizers were not done with Goa”, Times Of India, 19-Dec-2011,  www.timesofindia.com].

Salazar’s Portugal eventually gave up it’s campaign of subversion but relations between India and Portugal remained estranged until after the Carnation Revolution in 1974 which saw Portugal’s authoritarian Estado Novo regime overthrown and the country set on the path to democracy and full decolonisation. With the new government in Lisbon, finally came recognition of India’s sovereignty over Goa and the exclaves and the restoration of diplomatic relations between the two former enemies.

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(Source: Flickr)

Footnote: India did not emerge from it’s 1961 act of annexation with its reputation unscathed. The US, the UK, the Netherlands and Pakistan were particularly vehement in their criticisms …charges  of “naked militarism”, “reckless adventurism” and hypocrisy (for having  previously preached the non-use of force to pursue national agendas) abounded. The anachronistic behaviour of Portugal didn’t escape international criticism either, pilloried for hanging on to its colonies way too long [‘Annexation of Portuguese India’, http://infogalactic.com/]. 

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originally there were many more enclaves making up the Portuguese State of India, but by the time of India’s independence these were the ones still in Lisbon’s possession
◘ Portugal disputed the takeover in the International Court of Justice, which in its 1960 (mixed message) judgement ruled that Portugal did have sovereign rights over the territories but that India also had the right to deny Portugal passage to Dadra and Nagar Haveli across Indian territory
they also refused to carry out Salazar’s “Scorched Earth” orders to destroy everything of worth in Goa rather than let it fall into Indian hands (upon repatriation to Portugal the senior officers from Goa were punished for their failure to comply with the PM’s directives)

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

Commerce & Business, International Relations, Politics, Public health,, Science and society

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.
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(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].

 

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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 UPU: Unobtrusively Beavering Away, Working for Cooperation and Democracy in the World of International Postage

Commerce & Business, Economics and society,, International Relations, Political geography, Regional History

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In
the age of virtual communication and instant electronic transactions, many people see the traditional mail service as less and less relevant in our daily lives, it is fashionable these days to scornfully dismiss it as “snail mail”. It may seem passé to many but the international postal system is still an active and vital service that bridges the gaps between vast distances, and it is one that is governed by a UN world body with a continuous history back to the last quarter of the 19th century.

8DBEA6CD-6CAB-4576-BDCD-3FE3956B6952The Universal Postal Union (UPU), (French: Union Postale Universelle), originally the “General Postal Union”, was established in 1874 with the task of laying down regulations and bringing uniformity to the setting of tariffs (including the transit costs) for mail exchanges between countries. Prior to it’s inception, a complicated, loose bilateral system prevailed where an individual country would have to establish postal treaties separately with each other country it wished to correspond with. Sometimes this involved calculating postage for each leg of the journey and finding mail forwarders in a third country if there was no direct delivery to the country of destination [‘Universal Postal Union’, www.parcelsapp.com/].

66C0DD85-C1B2-4825-817B-662E53BDDFB3The initial mid-19th century impetus to create such a global entity came from American frustrations at postal communication with Europe, especially with France, but the decisive thrust came from Heinrich von Stephan, a senior Prussian postal official from the North German Confederation (and later the Reichspost), whose advocacy prompted the Swiss government to host the inaugural international postal conference leading to the formation of the UPU.

According to it’s own mission statement, the UPU is “the primary forum for co-operation between postal sector players…(helping) to ensure a truly universal network of up-to-date products and services” (www.upu.int). It is also tasked with responsibility for the coordination of member nations in promoting efficient postal services including the monitoring of postal security, stamp design, etc.

8AFD1E81-EE32-4F2A-A51E-931FCFDA4ADCUPU’s role also includes the resolving of any polemical issues that may arise between member nations. The great explosion in E-commerce trade has tended to exacerbate cost anomalies in postage tariffs. In 2018 US companies were paying twice as much to mail an item to a US customer than it cost China (and other subsidised Asian countries) to send items to the same US customer (www.parcelsapp.com/). US president, Donald Trump, threatened to pull the US out of the international body if it failed to make reforms to the system (this provocative move has been part of the outlier American president’s global trade war campaign against China). The US exit was averted in 2019 with the brokering of a deal allowing it to start setting its own postal rates from July 2020, with other high-volume mail member-countries to follow suit from 2021 [‘U.S. Avoids Postal ‘Brexit’ as Universal Postal Union Reaches a Deal’, (Abigail Abrams), Time, (26-Sep-2019), www.time.com].

9034B022-D614-4BA3-8FC1-BDF718103B10This issue aside, the habitually low-profile UPU has been largely free of controversy✶, but one other minor discordant note occurred in 1964 when the Fifteenth Congress of UPU voted by a large majority to expel South Africa from membership. This was controversial because several country delegates raised the objection that the action was unconstitutional, arguing that a member could only be expelled for violating UPU’s regulations. The South African delegate initially refused to budge but did so after other African delegates demanded his expulsion [“Universal Postal Union.” International Organization, vol. 20, no. 4, 1966, pp. 834–842. JSTOR, www.jstor.org/stable/2705750. Accessed 21 May 2020].

6FCB5809-EB84-47BF-9ADA-90EF7F0FC09FThe UPU has gone from a largely Eurocentric organisation in 1874 to a truly universal one today with about 192 countries of the world (plus territories) signed up۞. A number of other non-member states and territories get their mail routed through a third (member) country including Andorra (through France and Spain), Taiwan (through Japan and US), Kosovo (through Serbia), Northern Cyprus (through Turkey), Micronesia (through the US) and Somaliland (through Ethiopia) [‘List of members of the Universal Postal Union’, Wikipedia, http://en.m.wikipedia.org].60D7C770-39D4-47D8-B54E-A77AD8F22E4B

Berne HQ (Source: www.jurist.org/)

Footnote: UPU is said to be the world’s second-oldest intergovernmental organisation, after the International Telecommunication Union (ITU), founded 1865, which, like the UPU, is a specialised agency of the UN.

PostScript: Addressing the problem of the unaddressed
The Postal Union engages in a number of ongoing projects, one of which is the “An Address for Everyone” global initiative – Deirdre Mask has made note of the surprising fact (at least to those in the relatively affluent First World) that even today, the majority of people in the world do not possess a street address!◙ UPU involves itself in making a contribution to remedying this situation, because of the spin-off benefits that such a simple thing as having a prescribed address brings…providing the recipients with “a legal identity, allowing them to participate in the political process, be part of the formal economy” including e-commerce, access credit, receive personal services and engage with the “information and communication age” [Deirdre Mask, The Address Book, (2020); www.upu.int/].

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✶ it’s not surprising if a lot of folk have never heard of the Universal Postal Union, the UPU has traditionally followed the low-profile path of the quiet achiever. As Richard John has noted, it’s preference has been to negotiate policies well out of the limelight, gaining it something of “a reputation as a secretive Postal Illuminati“…by keeping out of politics, John contends, this allows the UPU to be so effective (‘Here’s why Trump threatened to pull out of a 144-year-old postal treaty’, Original World News, 19-Oct-2019, www.originalworldnews.com)
۞ Palestine has special observer status; post-apartheid South Africa was readmitted in 1994
◙ and not just confined exclusively to the slum and shantytown dwellers of the Third World, Mask points to the phenomena existing in parts of rural America such as West Virginia

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

International Relations, Medical history, Public health,, Regional History

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.
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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].