The Americas, Pandemic on the Back of Poverty: Mexico and Venezuela

International Relations, Media & Communications, National politics, Politics, Public health,, Society & Culture

While Brazil has sown up the unenviable title of the worst coronavirus hotspot in Latin America, Mexico has steered a similar course to disaster in the face of the pandemic. As Brazil’s coronavirus count climbs to well over 1.1 million confirmed cases and closing in on 53 thousand fatalities, the galloping toll in Mexico—60% the size of Brazil population-wise—now registers 191,410 cases and 23,377 deaths  (as at 24-June-2020).

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(Source: www.lonelyplanet.com)

False security?
Among some Mexicans there seem to be a sense that the country’s demographics which are skewed toward the young—around 85% of the population is under 55—may act as a barrier against coronavirus. This confidence may be misplaced due to several factors: pre-existing health conditions in Mexico which affect younger cohorts as well—make the population more vulnerable to the ravages of coronavirus, as the table below indicates [‘Many young Mexican at risk from Covid-19’, (James Blears),
Vatican News, 31-March-2020, www.vaticannews.va]. the death-rate from COVID-19 among maquiladora workers in the border region of Baja California was found to be 25 times higher for the age bracket 40-49 than in the corresponding San Diego County, [‘COVID-19 killing young maquiladora workers, study shows’, (Salvador Rivera), Border Report, 11-Jun-2020, www.borderreport.com].

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A league of populist leader ‘bedfellows’?
The way Mexico under its president, Andrés Manuel López Obrador, has approached the pandemic has disturbing parallels with that of Brazil’s leader Bolsonaro, and with the US under Trump. Despite a difference of ideological orientation—Obrador (who’s commonly known within Mexico as AMLO) is a Left-populist whereas Bolsonaro and Trump are Right-populists—the Mexican leader has pursued much the same course with similar outcomes. AMLO’s government was slow to engage in the fight against COVID-19 in the critical early period. The virus apparently entered Mexico via overseas returnees, primarily wealthier Mexicans returning from business trips to Italy and skiing holidays in Colorado, and then spread to low-income groups [‘Mexico’s Central de Abasto: How coronavirus tore through Latin America’s largest market’, (Mary Beth Sheridan), Washington Post, 21-Jun-2020,
www.washingtonpost.com].

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🔺 AMLO, pressing the flesh (Photo: Mexico’s Presidency Handouts/Reuters)

How not to contain a pandemic
Like his US and Brazilian counterparts, AMLO justified his inaction by being dismissive of the disease, continually downplaying its risk to people, and he was negligent by example. After the outbreak Obrador toured the country, holding rallies sans face masks, nonchalantly meeting and greeting supporters, freely shaking hands, embracing people and even kissing them✱. The president’s advice to the Venezuelan people was simply to continue to “live life as usual”…until late March he was encouraging people to go out, attend fiestas, dine in restaurants and go shopping, airports remained open◘  – a clear indicator that Obrador’s priority was the health of the economy rather than the health of the public [‘Poverty and Populism put Latin America at the centre of the pandemic’, (Michael Stott & Andres Schipano), Financial Times, 14-Jun-2020, www.amp.ft.com; ‘AMLO’s feeble response to COVID-19 in Mexico’, (Vanda Felbab-Brown), Brookings, 30-Mar-2020, www.brookings.edu].

Abject lack of medical preparedness.
Obrador’s dangerous indifference to the crisis extended to a half-hearted medical intervention. Testing for COVID-19 has remained woefully low, no program of widespread testing or of contact tracing – these vital measures dismissed as being impractical for a population of 128 million (Sheridan; Stott & Schipano). The reluctance to test extensively is no doubt also related to Mexico’s health care incapacity. Despite having gone through the experience of the 2009 H1N1 influenza outbreak, subsequent Mexican administrations have permitted the country’s health sector to run down, funding to hospitals and medical centres have been cut by millions. Mexico has only 1.4 hospital beds for every 1,000 persons and just over 2,000 ventilators all up. The shortfall extends to physicians, medical equipment including PPE and coronavirus test kits [‘Mexico’s coronavirus-sceptical president is setting up his own country for a health crisis’, (Alex Ward), Vox, 28-Mar-2020, www.vox.com].

Shooting the messenger
Inevitably AMLO has copped a lot of internal criticism for his irresponsible response to the crisis. Rather than taking positive measures to try to undo the disaster of his own creation, Obrador has gone on the attack against the Mexican independent media. Again invoking the Trump playbook, he has railed against the “fake news” and “Twitter bots” who have opposed his government’s handling of the situation. Independent investigations in fact have brought to light the clandestine activities of Notimex (the state-owned news agency) which has created a network of bots and fake accounts to discredit prominent journalists and label them as ‘criminal’ [‘Mexican President López Obrador frets about the spreading virus of fake news, but not COVID-19’, (José Miguel Vivanco), Dallas News,16-Jun-2020, www.dallasnews.com]. 

AMLO has taken to giving regular video ‘sermons’ to the masses (he calls them “Decalogues to emerge from coronavirus and face the new reality”)…these are not as you might surmise updates on how the government is attempting to counter the pandemic, but an uninspiring mish-mash of banalities about staying positive, eating corn and getting sun and fresh air. With the unchecked escalating death toll from the disease, many believe Obrador has given up any pretence to even trying to combat the virus [‘Mexico’s president has given up in the fight against the coronavirus’, (León Krauze), Washington Post, 19-Jun-2020, www.washingtonpost.com]. In this most unpropitious context AMLO is now taking an imprudent gamble by lifting restrictions – despite the curve of Mexican infections continuing to shoot upwards.

🔻 Mega-mercado, Mexico City

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Footnote: Mexico City epicentre
Mexico City accounts for about one quarter of all COVID-19 deaths in Mexico. The offical
 counts however are only starting points to explain the catastrophe. A Mexico City study by Nexos magazine found that there was an “excess mortality” of more than 20% unaccounted for by the official figures [‘8,000 ‘excess deaths’ in Mexico City as coronavirus rages: study’, Ajazeera, 26-May-2020, www.aljazeera.com]. One of the capital’s biggest clusters is the wholesale mega-market, the Central de Abasto. The enormous mercado providing 80% of the city’s food is a petri-dish for the virus which has cut a scythe through its 90,000-strong workforce, infecting its tomateros, chilli vendors and other workers whose need to keep working is often greater than their fear of the pandemicφ. The vendors and carters have another reason for continuing working even when they become ill – working class Mexicans are accustomed to poor quality health care and often harbour a distrust of hospitals (Sheridan).

⏦⏦⏦ ☤☤☤ ⏦⏦⏦

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(Image source: www.studentnewsdaily.com)

Venezuela: Showcase numbers but a lack of transparency
Although the available statistics relating to Venezuela don’t reflect the dramatic numbers in Mexico, the situation in the South American country is peer bit as parlous. Venezuela has fessed up to 4,186 cases and 35 deaths (24-Jun-2020), but these figures have little credibility with independent observers. Venezuela has done very limited testing for the disease with the testing data guarded very carefully by the government [‘Hunger, Infection, and Repression: Venezuela’s Coronavirus Calamity’, (Stephanie Taladrid), The New Yorker, 29-May-2020, www.newyorker.com]. Doubters outside the country have noted that Venezuela’s health system was already in a state of collapse before COVID-19 arrived, citing as evidence:  the country‘s functioning intensive care beds are estimated to number between 80 and 163; nil or intermittent supply to water to two-thirds of hospitals; power cuts off at regular intervals; shortages of gloves and face masks in 60% of hospitals; 76% of hospitals shortage of soap and 90% were short of sanitising gel [‘Venezuela’s Covid-19 death toll claims ‘not credible’, human rights group says’, (Tom Phillips), The Guardian, 27-May-2020, www.theguardian.com]. 

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 🔺 Maduro: “People, we are identity”

President Maduro—already embroiled in a political and socio-economic crisis acerbated by long-term US trade sanctions on Venezuela—imposed a national lockdown in March. A side benefit to the lockdown (now extended to July) is that it allows the regime more scope to crack down on its critics…the obvious targets being opposition politicians and increasingly journalists, doctors and nurses who report adversely on Maduro’s handling of the pandemic (especially if they query the reported official numbers). [‘Venezuela’s Zulia State emerges as coronavirus hot spot’, Reuters, 24-Jun-2020, www.news.yahoo.com].

Footnote: Rich and poor, a widening of the divide 
At the point of corona impact, the contrast between Venezuela’s masses and the elite have sharpened even more. The brunt of the economic crisis has fallen squarely on the poor and middle-class citizens – skyrocketing prices, scarcity of necessities, a greatly devalued Venezuelan bolivar, the oil price plunge (oil accounts for 98% of Venezuela’s export revenues), and over-reliance on the informal economy by the lower socio-economic classes [‘Why coronavirus could be catastrophic for Venezuela’, (Katy Watson & Vanessa Silva), BBC News, 12-Apr-2020, www.bbc.com]. With corruption, cronyism and nepotism ingrained in Venezuela, the Maduro regime and its acolytes—the heirs of Chavismoism—continue to benefit lavishly from black-market and other illicit financial activities [‘Freedom in the World 2020: Venezuela’, Freedom House, www.freedomhouse.org].

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✱ AMLO preferring to travel and mingle accompanied only by his personal amulets for ‘protection’

  only in the last week of March did the government retreat a bit and start to urge the public to stay-at-home

φ the CDMX-run market only acted, bringing in health workers, ramping up testing and contact tracing, after workers starting dropping in significant numbers (Sheridan)…as with the rest of Mexico, too little, too late

 beneficiaries of this state largesse and privilege include the bolichicos, the wealthy children of the regime’s top leaders 

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