Showing posts tagged as: Coronavirus
Angela’s Germany: A Science-Guided Response to the Present Pandemic
As Europe moves through Autumn, a number of countries are reporting new records for coronavirus infections. This month Italy recorded a 24-hour total of over 10,000 new cases for three consecutive days, while France recorded its highest ever total of new cases for a single day, 32,427. Similarly, the Czech Republic broke the 10,000 barrier for the first time (1,105 cases). Even in Germany, virus cases for a single day reached a pandemic high of 7,830 [‘Italy steps up coronavirus restrictions as Europe fights second wave’, Euronews, 18-Oct-2020, www.euronews.com].
October 4 2020 (Image: WELT)
Not withstanding this current setback in the fight against the pandemic, Germany has easily been the stand-out performer among the larger countries trying to combat Covid-19 in Europe. A raft of factors have been advanced to explain Germany’s success. Obviously, it hinges ultimately on a collective effort by the government, medical authorities and experts, and compliance by the nation. A lot of the credit for steering the ship into relatively safe waters (fingers crossed) goes to the leadership of Chancellor Angela Merkel. Almost from day one she did a number of things right. Projecting a visage of calm and composure, she was upfront with the German people. Honestly and transparently, she was prepared to admit when the government didn’t always have the answer at a given time. Building trust requires candour and elicits consent and compliance. From when the pandemic hit, she was proactive and decisive. There was no “coronavirus denying” by the leadership (unlike the errant course charted initially by the US and UK governments), but an immediate marshalling of efforts to tackle the problem facing it※ [‘The secret of Germany’s COVID-19 success: Angela Merkel Is a Scientist’, (Saskia Miller), The Atlantic, 20-Apr-2020, www.theatlantic.com].
There were other factors relating to demographics and the public health response that were vital—average age of coronavirus patients was lower than elsewhere; better delivery of testing than many countries; careful and comprehensive tracking of cases (>90%); modern, maintained public health system;local responses—but in a sense everything flowed from the chancellor who has been at the helm of the German state since 2005. With a science background (PhD in quantum chemistry), Merkel knew to listen to the scientists, the public health experts, like the celebrated virologist Christian Drosten. As a scientist herself she respected their views, knew that this was essential to finding out what was needed⚡. Drawing on the well-funded scientific-research organisations and university medical departments that she had maintained, she was able to coordinate these into a single, effective coronavirus task force (Miller).
(Photo: Getty Images)
One observer has attributed Germany’s (and Merkel’s) success to the “Four L’s” which may in the event of a new wave of Covid be integral to “bending the curve quickly once again – luck, learning, local responses and listening. The ‘luck’ amounted in part to being in the right place at the right time…having acquired and readied the coronavirus PCR tests in advance so they were “available in Munich when the first tests showed up there”, but this could arguably be equally attributable to due diligence and preparedness, and an instinctual willingness to follow hunches. Learning from the experiences of other countries who had prior exposure to coronavirus also played a key part – in this Germany was fortunate to have had a delayed arrival of the disease. The German authorities were able to look at the strategies of countries such as South Korea, Taiwan and Japan, see what was working well there, and cherry-pick. Germany’s political structure, emphasising localised divisions of authority (government by lander), permitted a decentralised approach to the pandemic which allowed the bureaucratic response to the crisis to be speeded up. The fourth ‘L’, listening to the scientific experts, was not just what Merkel, but what politicians at the local level in Germany◔ did assiduously [‘The four simple reasons Germany is managing Covid-19 better than its neighbors’, (Julia Belluz), Vox, 15-Oct-2020, www.vox.com].
(Source: www.dw.de/)
Of course Chancellor Merkel’s policies in the crisis have had their detractors—business lockdowns and restrictions that go on for lengthy periods are sure to draw displeasure—her measured approach however has been demonstrably unifying and has resulted in overwhelming support from the electorate rallying behind her (approval ratings for the chancellor during the pandemic have been as high as 86%).
PostScript: Denialists and Bunglers Inc
Last month British PM Boris Johnson, in an all-too characteristically ham-fisted way, tried to deflect criticism of his government’s abysmal handling of the pandemic vis-vís (especially) Germany by putting the UK’s worse handling of the crisis down to the ‘fact’ that the UK is “a freedom loving” country [‘Why is Germany doing better than the UK at fighting a resurgence of Covid-19?’, The Local – De, 26-Sep-2020, www.thelocal.de/].
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※ “communicating with scientific rigour, (and) with calm…(Merkel) disarms hysteria” (Ricardo Roa)
⚡ compare and contrast with you know who!
◔ such as the leader of the Free State of Bavaria, Markus Söder, one of the country’s politicians on the short list to succeed Ms Merkel
The Moral Guardians’ War on ‘Pernicious’ Comic Books
As all of us are only too aware, COVID-19 has cut a swathe through public gatherings, large aggregations of people are a “no-no” in 2020. Across the globe all manner of events have been on the receiving end of a different sort of cancel culture treatment. The superhero-studded world of comic book conventions has not been immune to this contagion. Comic-cons everywhere, including the San Diego Comic-Con International, America’s oldest comic book convention, have been red pencilled in this year of the plague. But if we turn the clock back some 70 years we might observe a time when the existential threat was directed at the product itself, the actual comic books.
(Photo source: www.theverge.com/)
There were no organised comic-cons in the more cautious and conformist 1940s and 50s, but this in no way equated with a lack of popularity of comic books. In fact the Forties had been a Golden Age, especially for American comic books, Comic strip creators were riding high with a slew of superhero characters—including Superman, Wonder Woman, Batman and Captain America, the Avengers and Captain Marvel—proving lucrative for companies like Detective Comics (DC Comics), Entertaining Comics (EC Comics) and Timely Comics (Marvel Comics). By mid-decade comic books were the most popular form of entertainment in the US (with 80 to 100 million copies being sold per week!) By the late 1940s comic books were well and truly being marketed towards adults as well…”fed by the same streams as pulp fiction and film noir, titles (began to tell) lurid stories of crime, vice, lust and horror” [David Hajdu, The Ten-Cent Plague: The Great Comic-Book Scare and How It Changed America, (2008)].
♦️ Wonder Woman (Sensation Comics, 1942)
‘Seduction of the Innocent’
Dark clouds appeared over the comics industry’s blue skies in 1954 with the publication of Seduction of the Innocent by a Bavarian-born neurobiologist Fredric Wertham. The book was “a full-throttled attack on the lurid contents of various crime, horror, and even super-hero titles, (with an emphasis on) graphic illustrations of wife-beatings, sado-masochism, and gruesome murders”⁕ Sean Howe, Marvel Comics: The Untold Story, (2012)]. Wertham’s inditement of the American comics of the day was that they corrupted impressionable youth, inveigling them into fanaticising about evil, leading them on a ruinous path to criminal behaviour, etc.[‘History of Comics Censorship, Part 1’, CBLDF, www.cbldf.org/].
♦️ Crime SuspenStories, 1950
1940s, North and bonfires
Wertham was not the first critic to take aim at the US comic book industry. In the view of CBLDF✥, since the 1930s “the comics medium has been stigmatized as low-value speech”. In 1940 conservative commentator Sterling North urged parents and educators to guard against the influx of “mayhem, murder, torture and abduction—often with a child as the victim” in contemporary comic strips. North also decried the incidence of “voluptuous females in scanty attire, machine gun (-wielding hoodlums) and “cheap political propaganda” in the comics. The effect on children, he went on to say, of these “badly drawn, badly written and badly printed” strips was “a strain on young eyes and young nervous systems” as well as constituting “a violent stimulant” to them [North, Sterling. “A National Disgrace”. Childhood Education. 17.1, 1940: 56. Print.]. During WWII religious and patriotic organisations conducted public burnings of ‘disapproved’ comic books in American neighbourhoods – in ironic juxtaposition of the war being fought overseas concurrently against Nazi Germany (’Comic Censorship, Part 1’).
♦️ Dr Wertham, researching
“Pop culture McCarthyite”
But it was Seduction of the Innocent that struck the strongest chord in a 1950s America “looking over its shoulder” for real or imagined enemies of society in the grip of a hysteria heightened by McCarthyism. It triggered a public outcry, prompting an investigation into the industry by a Senate sub-committee. Publicity from the hearing was damning and the fallout was devastating. Comic books were denounced by Wertham and other moral crusaders as contributing to juvenile delinquency⚉. At the height of the moral panic, comic book publishers were sometimes treated as though they were mobsters, and the cartoonists, as if they were pornographers [‘The Caped Crusader’ (Jeet Heer), Slate, 04-Apr-2008, www.slate.com; ’Comic Censorship, Part 1’].
The emasculated comic book
Threatened with both public and government censure, the comics industry choose to self-regulate, introducing the Comic Code Authority, “a censorship code that thoroughly sanitized the content of comics for years to come”. The new code (something analogous to the film world’s draconian Hays Code) was taken to ridiculous lengths, it forbade comics from showing zombies, vampires, ghouls and werewolves; words like ‘horror’ and ‘terror’ couldn’t be mentioned in the story lines; nor could criminals be portrayed sympathetically and the institution of marriage could not be seen to be disrespected (Howe).
♦️ The imprimatur of the self-censor
Comic book publishers were forced to produce ‘purified’ comics suitable for a younger market—more infantile and tamer stories, squeaky-clean but ‘dopey’ heroes replacing the previous super-overachievers—in short, “safe fantasies” for the youngest readers (’Comic Censorship, Part 1’).
The economic and human toll
The new reality of the world of comic books decimated the industry’s hitherto prosperity…between 1954 and 1956 the number of titles produced was cut by more than half – from 650 in 250 over that two-year period!✧. By summer 1954 15 comics publishers in the US went belly-up. EC Comics, up to then one of the market leaders, discontinued all its comics lines…its much-vilified publisher William Gaines switching production solely to the satirical Mad magazine. Over 800 jobs in the industry vanished more or less immediately (Howe; Hajdu). Many talented inkers and pencillers left the industry for good, many for economic reasons but others due at least in part to the stifling of their creative artistic output.
Endnote: Demise of adult comics
Both Wertham and North in their hatchet jobs on the comics genre made the error of completely disregarding the significant adult readership of comic books. The recovery of the industry, the winning back of that readership, took many years…it didn’t really happen until the emergence of ‘Underground’ comics in the 1960s with publications like Zap Comics and comic artists like R Crumb§ [‘History of Comics Censorship, Part 2, CBLDF, www.cbldf.org/].
♦️ Detective Comics, 1945
PostScript: The Wertham thesis unpacked
After it became accessible in 2010 Wertham’s research on comics books was investigated and his conclusions found largely baseless…Wertham was said to have manipulated data, overstated, compromised, and fabricated evidence. A further weakness of his work was that he used non-representative samples as the basis for his conclusions. Scorn was also poured on Wertham’s contentions that the comic character Superman harboured Nazi SS tendencies, that the Batman/Robin relationship had homoerotic overtones, and that Wonder Woman was a lesbian role model (Wertham saw this as wholly undesirable)[‘Fredric Wertham’,Wikipedia, http://en.m.wikipedia.org; Heer].
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⁕ that serious comics of the period were laden with violence, misogyny and racism, could not be disputed (Heer)
✥ Comic Book Legal Defense Fund
⚉ a sense of elitism also coloured Wertham et al’s dislike of popular comics. Wertham considered their consumption blocked children from an appreciation of literature and fine arts (Hajdu; Heer)
✧ over 100 pieces of anti-comic book legislation came into effect in the Fifties (Hajdu)
§ the fashionability of adult readership was further advanced by the advent of graphic novels
The Americas, Pandemic on the Back of Poverty: Peru and Ecuador; and a Southern Cone Contrarian
As Europe starts to pull itself out of the worst of the coronavirus outbreak, the Americas for the most part are still firmly mired in the devastating crisis of the pandemic…more worryingly, COVID-19 cases continue to rise and even accelerate in some countries as Latin America seems to be turning into “pandemic central”, the ‘new’ Europe❅. This is occurring despite the continent comprising only eight percent of the world’s population and having had the advantage of time to prepare for the virus which reached its shores some six weeks after ravaging Europe.
(Source: www.maps-of-the-world.net)
Smallness helps
The picture of Central and South America is not uniformly bleak. Some of the smaller countries, such as Uruguay, Paraguay and El Salvador, have managed to restrict their nation’s outbreaks to low levels of infection and casualties. This last mentioned country was surveyed in an earlier blog entitled Courting Controversy in Coronavirus Country: Belgium and El Salvador – June 2020). Among the Southern Cone countries, Argentina and Uruguay stand in contrast to their neighbours Chile and Brazil. Argentina (population of >45 million)—its commendable performance vs the virus slightly tarnished by a recent upsurge following an easing of the lockdown—has a total of 39,557 COVID-19 cases and only 979 deaths, compared with Brazil (whose leader Jai Bolsonaro has taken a recklessly dismissive attitude towards the pandemic). Even on a per capita basis Argentina‘s figures are still a fraction of the human disaster befalling Brazil which has racked up 1,038,568 cases and 49,090 deaths (population: 212 million). The Argentine Republic’s results are also way better than Chile’s record of 231,393 cases and 4,093 deaths (from just 19 million) [‘Argentina’s president enters voluntary isolation amid coronavirus surge’, (Uni Goñi) The Guardian, 18-Jun-2018, www.theguardian.com].
Brazil: COVID-19 mural message (Source: Getty Images)
Uruguay: Stellar success of an outlier
Uruguay has fared as well as anyone in Central/South America in avoiding a pandemic catastrophe on the scale of some of its neighbours. A tiny population (3.5 million) helps immeasurably but the sheer lowness of its corona numbers stands by themselves – just 1,040 confirmed cases and 24 deaths. This has been achieved despite a demographic profile that should have made it highly vulnerable to the disease: the largest regional proportion of elderly citizens and a population which is 96% urban. And an outcome secured not by lockdowns and quarantines (allowing Uruguay to preserve its national economic health cf. the stricken economies of its large neighbours Brazil and Argentina), but by eliciting the voluntary compliance of its citizenry – and through the luxury of having a near-universal, viable health care system✺ [‘Why Is Uruguay Beating Latin America’s Coronavirus Curse?’, (Mac Margolis), Bloomberg, 30-May-2020, www.bloomberg.com].
Uruguay (Photo: Daniel Rodrigues/adhoc/AFP via Getty Images)
Peru:
Aside from Brazil the country in the region most in strife due to the pandemic at the moment is probably Peru. Peru’s statistics are stark – over 247,925 confirmed cases and 7,660 deaths in a population of 32 million. What is particularly troubling about Peru is that, unlike Brazil, at onset it seemed to be pulling all the right reins, implementing one of Latin America’s earliest and strictest lockdowns. Months of enforced lockdown have however failed to flatten the curve of infections. Peru finds itself in a demoralising “double whammy”, the public health catastrophe continues unabated❈ while the recourse to a tough national lockdown has further crippled the economy [‘Poverty and Populism put Latin America at the centre of the pandemic’, (Michael Stott & Andres Schipano), Financial Times (UK), 14-Jun-2020, www.amp.ft.com; ‘Peru’s coronavirus response was ‘right on time’ – so why isn’t it working?’, (Dan Collyns), The Guardian, 21-May-2020, www.theguardian.com]✪.
⇑ Andean pabluchas patrol Cuzco streets to enforce social distancing and mandatory mask measures (Photo: Jose Carlos Angulo/AFP/Getty Images)
Indicators of the poverty trap
The economic predicament Peru finds itself stems from the country’s high reliance on an informal economy (reaching some 70%). What Peru has in common with Brazil—and has been exacerbated by the pandemic—is very high social inequality. The poorest Peruvians cannot afford to stay home, to isolate as they should. Many are without bank accounts and under the informal economy have to travel to collect their wages, those without home refrigerators also need to shop frequently – all of which makes them more vulnerable to be exposed to the virus [‘Latin America reels as coronavirus gains pace’, (Natalia Alcoba), Aljazeera, 15-Jun-2020, www.aljazeera.com]. Disease and impoverishment have converged in Peru to make the predicament more acute for those of the poor who need life-saving oxygen of which there is now a scandalous critical shortage – the situation being exploited by profiteering hit men (the sicarios) controlling the black market oxygen supplies [‘In Peru, coronavirus patients who need oxygen resort to black market and its 1,000 percent markups’, (Simeon Tegel), Washington Post, 18-Jun-2020, www.washingtonpost.com].
Ecuador and Guayaquil ⇓
Ecuador:
In Ecuador the pandemic epicentre is the western city of Guayaquil, the country’s largest city. This is thought to be due to a couple of factors, the city’s sprawling slums where “many residents live hand-to-mouth and routinely violate the government lockdown…in order to work”, and because many Guayaquil exchange students and migrant workers came back to the city from Spain and Italy in March [‘COVID-19 Numbers Are Bad In Ecuador. The President Says The Real Story Is Even Worse’, (John Otis), NPR, 20-Apr-2020, www.npr.org]. The unpreparedness and inability of the authorities to cope with the crisis has affected the woeful degree of testing done, the lack of hospital facilities for patients and even the capacity to bury the dead as the bodies of coronavirus victims were left piling up on the city’s streets. In the wake of the disaster the Guayaquil Council entered into a slinging match with Quito (the national government), asserting that the government has under-represented the city’s death toll by as much as four-fifths, that it failed to provide it with the health care backup demanded of the disaster, as well as calling out the corruption of public utilities which has accentuated the crisis (Alcoba). Ecuador currently has 49,731 confirmed cases and 4,156 fatalities in a population of 17 million.
⋕ ⋕ ⋕ ⋕ ⋕ ⋕
End-note: The hypothesis of virus protection at high altitude
Among the multitude of worldwide research projects triggered by the pandemic, a multi-country study looking at Bolivia, Ecuador and Tibet has advanced the theory that populations that live at a height of above 3,000 metres have significantly lower levels of susceptibility to coronavirus than their lowland counterparts. The study attributes the capacity of high altitude to nullify the disease down to the fact that living at high altitude allows people to cope with hypoxia (low levels of oxygen in the blood), and that the altitude provides a favourable natural environment—dry mountain air, high UV radiation and a resulting lowering of barometric pressure—reduces the virus’ ability to linger in the air. The COVID-19 experience of Cuzco in Peru seems to corroborate this hypothesis, being lightly affected compared to the rampage elsewhere in the country – the high Andean city has had only 899 confirmed cases and three deaths. Similarly, La Paz, Bolivia, the world’s highest legislative capital, has recorded only 38 coronavirus-related deaths to date⊠ [‘From the Andes to Tibet, the coronavirus seems to be sparing populations at high altitudes’, (Simeon Tegel), Washington Post, 01-Jun-2020, www.washingtonpost.com].
<Þ> all country coronavirus counts quoted above are as at 20-June-2020
……………………………………………………………………………………………………
❅ for week ending 20th June 2020, confirmed cases for Latin America represented half of all new coronavirus cases (Source: WHO)
✺ a like-for-like comparison to Uruguay might be Paraguay – also a small population (6.9 million), only 1,336 cases and 13 deaths but at the cost of a draconian lockdown with an economy-crippling end-game.
❈ even prior to COVID-19 striking, the Peruvian public health system was struggling due to “decades of chronic underinvestment” (eg, spending <$700 a day on health care) (Tegel, ‘In Peru’)
✪ the strict lockdown has been less rigorous when removed from the urban centres…in outlying areas, in the northern coast and the Amazonas region (particularly bad in the Amazonian city of Iquitos) it was less “honoured in the breach than the observance” leading to the formation of new virus clusters (Collyns)
⊠ other experts discount the study’s findings noting that most coronavirus infections occur indoors, negating the relevance of UV levels (Tegel, ‘From the Andes’)
Coronavirus Responses and Patterns in Africa: Southern and West Africa
Three months ago when the COVID-19 outbreak started to move around the globe, the World Health Organisation issued a warning to the continent of Africa whose nations were just starting to feel its impact [‘Coronavirus: WHO tells African countries to ‘prepare for the worst’, Eye on Africa, 18-Mar-2020, www.france24.com]. The pandemic was late in reaching Africa and initially slow to make inroads, taking 98 days to register its first 100,000 confirmed cases but is now accelerating – only taking 18 more days to hit the 200,000 mark of cases [‘COVID-19: WHO warns of virus acceleration in Africa’, Vanguard, 14-Jun-2020, www.vanguardngr.com]. Overall African fatalities sit at 6,793 (16-Jun-2020) with just five countries (Algeria, Egypt, Nigeria, South Africa and Nigeria) accounting for 70% of the deaths✹.
Southern Africa: To date South Africa has been the nation most heavily affected by the public health emergency – over 73,000 confirmed cases and 1,568 deaths (16-Apr-2020). The Western Cape province has become the epicentre of the RSA pandemic, recording so far around 75% of the country’s fatalities. The province’s high incidence of cases has been attributed to the presence of poor, densely populated townships like Khayelitsha, a shantytown of 500,000 people. Cape Town’s thriving tourism (before the closedown) has also been advanced as contributing to the outbreak’s toll. South Africa, with a more developed economy and better health care system, has conducted more a million virus tests, while many other African countries have racked up only a few thousands. The clear implication of this is that ”the disease is spreading undetected elsewhere on the continent” [‘Cape Town becomes South Africa’s coronavirus hotspot’, (Jevans Nyabiage), South China Morning Post, 12-Jun-2020, www.amp.scmp.com].
⍐ Bulawayo, Zim. (Photo: Philimon Bulawayo/Reuters)
South Africa’s smaller, northern neighbour Zimbabwe has done surprisingly well on paper in the crisis (four deaths recorded only), but with the rider that testing for the disease—hampered by a critical shortage of health equipment and infrastructure—has been very limited…by 10th April it had tested a mere 392 people [‘In Zimbabwe, lack of tests sparks fear COVID-19 goes undetected’, (Chris Muronzi), Aljazeera, 10-Apr-2020, www.aljazeera.com].
(Image: SABC News)
West Africa: Results of the fight against the pandemic in West Africa have been mixed. Senegal began its counter-measures early in January, closing the borders, implementing contact-tracing, etc. The country was able to produce a test kit for COVID-19 costing only $1 per patient and has managed to accommodate every coronavirus patient either in hospital or in a community health facility. African countries who experienced the 2013/14 Ebola virus outbreak like Senegal put that experience to good use, prohibiting large gatherings, strict night-time curfews, banning intercity travel, etc. Côte d’Ivoire (the Ivory Coast) followed Senegal’s approach, declaring a state of emergency and trying to impose curfews in it’s main city Abidjan, but the country’s buoyant economy has taken quite a hit from the coronavirus crisis. Ghana has utilised an extensive system of contact-tracing and a “pool-testing” mechanism which follows up only on positive results [‘Why are Africa’s coronavirus successes being overlooked?’, (Afua Hirsch), The Guardian, 21-May-2020, www.theguardian.com; ‘Women unite against COVID-19 in Senegal’, Relief web, 10-Jun-2020, www.reliefweb.int].
The speeding up of coronavirus cases in a small African country like Guinea-Bissau has occurred notwithstanding it’s small population and limited testing, reflecting a reality stretching across the whole continent, the sheer incapacity of weak and under-resourced national health infrastructures to cope with the pandemic [‘West Africa facing food crisis as coronavirus spreads’, (Emmanuel Akinwotu), The Guardian, 16-May-2020, www.theguardian.com].
⍐ Kano (Photo: Reuters/Luc Gnago)
In Nigeria, Africa’s most populous country, the most worrying hotspot has been the north in Kano state and metropolis. The pandemic has gotten out of hand here because of a confluence of factors, including the state government’s early failure to admit the presence of coronavirus (which it initially tried to pass off as an upsurge in other illnesses), costing it vital lost time in the fight against the disease; the closure of Kano’s only testing centre for a week in April; acute shortages of PPE; and the pre-existing displacement of 1.8m people in the region [‘Covid-19 Outbreak in Nigeria Is Just One of Africa’s Alarming Hot Spots’, (Ruth Maclean), New York Times, 17-May-2020, www.nytimes.com].
Dakar, Senegal (Photo: John Wessels/AFP via Getty Images)
PostScript: A young and rural population Africa’s avoidance of the worse excesses of COVID-19 thus far has prompted the theory that the continent’s demographics is working in it’s favour. A study in the journal BMJ Global Health attributes this to Africa’s young, rural-based population▣ …60% of the population is under 25, cf. Europe (95% of its deaths from the virus have been people over 60). BMJ hypothesises that Africa will likely suffer “more infections but most will be asymptomatic or mild, and probably (go) undetected” [‘Africa’s young and rural population may limit spread and severity of coronavirus, study says’, (Jevans Nyabiage), South China Morning Post, 28-May-2020, www.amp.scmp.com].
↜↝↜↝↜↝↜↝↜↝↜↝↜↝↜↝ ↜↝↜↝↜↝↜↝↜↝↜↝↜↝↜↝ ✹ Egypt and South Africa alone account for nearly 48% of the entire continent’s corona-related deaths ▣ the study focused on Kenya, Senegal and Ghana
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.
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.
(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].
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].
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].
(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❂.
(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.
(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].
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/).
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].
(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