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MARGARET Chan, the head of the World Health Organisation, issued an unusually stark warning this week, declaring: “I have never seen a health event threaten the very survival of societies and governments in already very poor countries. I have never seen an infectious disease contribute so strongly to potential state failure.”
In a speech delivered on her behalf at a conference in the Philippines, she also spoke of the dangers associated with “rumours and panic spreading faster than the virus”, and cited a World Bank statistic to the effect that 90pc of the eventual cost may be related to “irrational attempts of the public to avoid infection”.
She was referring, of course, to the Ebola outbreak in West Africa. Not entirely surprisingly, she appears not to have acknowledged that when Médecins Sans Frontières and others, including the Guinean government, pointed to an impending disaster six months ago, WHO declared it wasn’t an epidemic.
Peter Piot, who was a member of the Belgian research team that identified Ebola back in 1976, recently noted in an interview with Der Spiegel that one of the reasons why the seriousness of the problem initially eluded WHO is because its “African regional office isn’t staffed with the most capable people in the world but with political appointees”.
Cuba’s is a constant presence in disaster zones across the globe.
He added: “And the headquarters in Geneva suffered large budget cuts that had been agreed to by member states. The department for haemorrhagic fever and the one responsible for the management of epidemics were hit hard.”
It took until August for WHO to declare Ebola a public health emergency of international concern. The first country to respond to the call to fight the disease was Cuba. It helped that, as Foreign Minister Bruno Rodriguez Parrilla said at the United Nations last month, there were already more than 4,000 Cuban health workers deployed in 32 African countries.
As Monica Mark noted in the British newspaper The Observer last Sunday, “That a nation of 11 million people, with a GDP of $6,051 per capita, is leading the effort says much of the international response.
“A brigade of 165 health workers arrived in Sierra Leone last week, the first of a batch of a total of 461. In sharp contrast, Western governments have appeared more focused on stopping the epidemic at their borders than actually stemming it in West Africa.”
Cuba’s involvement isn’t unusual, mind you. It’s a constant presence in disaster zones across the globe. It provided the largest medical contingent, for instance, after the 2010 earthquake in Haiti and provided care for almost 40pc of the victims.
Likewise, the 2005 earthquake catastrophe in Pakistan drew a strong Cuban response, when Pervez Musharraf had the good sense to override American objections and welcome volunteers from Cuba who were willing to travel to remote areas and assist, among others, women who would not have fronted up to a male doctor.
It has been reported that, when shown pictures of Cuba’s top honcho, many of the victims, unaware until then of the island-nation’s existence, were also suitably impressed by the size of Fidel Castro’s beard.
There was African background, too, to the revelation a couple of weeks ago that back in 1976 US secretary of state Henry Kissinger drew up plans to “smash Cuba” with air strikes. The immediate cause for his irritation was Havana’s decision to deploy troops to Angola, to help the newly independent nation fend off military attacks directed or sponsored by apartheid South Africa.
Kissinger, doddering but not yet gone, has been unwilling to respond to the documented disclosures. It’s worth noting, though, that Havana was one of the first ports of call for the freshly liberated Nelson Mandela, primarily because he wanted to personally thank Castro for Cuba’s crucial role in defeating apartheid.
It has not escaped notice, meanwhile, that the American response to the Ebola outbreak has been a troop deployment rather than medical assistance. It was initially reported that the medical personnel accompanying the troops may assist Ebola victims, but that possibility was officially nixed soon thereafter.
That’s not to say that the deployment is pointless. The field hospitals that the troops have been instructed to set up should prove most useful. However, as the UN and its various organs have pointed out, what Sierra Leone, Liberia and Guinea need above all are medical personnel.
All three are incredibly poor states, among the top 20 in that unfortunate category, despite being rich in resources such as diamonds and bauxite. National dysfunction has meant these resources are ruthlessly exploited by Western firms without substantially benefiting the denizens of these countries.
In the case of West Africa, early intervention would have undoubtedly helped not only to reduce the toll of more than 4,000, but also reduced the likelihood of the disease seeping across international borders.
Published in Dawn, October 15th , 2014
