Africa

A new COVID-19 variant

Early in the pandemic I thought it likely that COVID-19 would have multiple waves, perhaps three like the 1918 influenza pandemic. So I never thought that the pandemic would end quickly. But over the last six or seven months I keep finding myself thinking that this time, finally, it must be ending. In June I had both of my COVID-19 vaccinations, cases in the US were plummeting, and I thought that by this winter it would have finally ended. Then Delta arrived, and filled the emergency rooms of the US south. This fall I was able to travel to Lisbon, where I am carrying out historical research on the 1918 influenza pandemic. When I arrived this October Portugal was the most vaccinated country in Europe, and was the subject of a front page article in the New York Times. And yet since I’ve arrived I’ve seen the case right rise dramatically. Not long ago I was looking at the New York Times country data page, and saw that cases in Portugal had increased 116% in two weeks. The country’s case rate may pass that of the US before long. Keep in mind that not only does Portugal have a high vaccination rate, but also people are very good about wearing masks here. It’s common to even see people wearing them in the street, at least if the street is crowded.

While Portugal is facing serious challenges, the situation is far better here than it is in other places, such as Austria. The COVID-19 incidence there is growing at a stunning rate. The government is implementing firm measures, but is facing mass protests. Other countries, such as the Netherlands, are in the same situation, as we have seen from the protests in Rotterdam. Still, the situation is much worse in Eastern Europe, where in some countries such as Bulgaria only a quarter of adults are vaccinated.

It’s in this context that we are receiving news about a new -as yet unnamed- variant in South Africa. There is a lot that we don’t know about this variant yet. The German news channel recently interviewed one expert who suggested that it might be 500 percent more infectious than Delta, although he stressed that we just don’t know yet. Even such qualified statements are dangerous. We will have more data soon. Still, there is a lot of speculation that this variant might partially evade vaccines, because there are so many mutations, including a number involving the virus’s spike protein.

Nations are rushing to block flights from South Africa. Britain was very slow to respond to the Delta variant, and allowed travel to continue for weeks after it was clear that Delta might lead to a new wave. But after the news of this new variant emerged Britain blocked air travel from Southern Africa. Many other nations are also imposing travel restrictions. Of course, this variant has already been found in Israel. And in Hong Kong -where it was brought by a traveler from South Africa- it managed to spread to one other person in a quarantine hotel. Blocking travel from South Africa will help to buy some time, which might be put to use gathering data on the virus. It might also give people the time to be fully vaccinated and get their boosters, if they are in countries in which vaccines are readily available. But in the end, it won’t be enough. Without a complete border and air travel shut down, a highly infectious virus will certainly spread globally.

Given that Delta is already so severe in Europe, the timing for the emergence of this variant could not be worse for this region as it heads into winter. People are exhausted from the pandemic. But it’s not over. Please, if you are not vaccinated, hurry to be vaccinated now, so that your body has time to build immunity. While all medical treatments have risks, the risks of COVID-19 are much greater, billions of people have had the vaccines, and a new variant is coming. And if you are eligible for a booster, now would also be a good moment for that too. Two months ago there was a significant debate around whether boosters were necessary. Given what’s happening now in places like Portugal, there’s no doubt that only focusing on the severity of cases, and not on transmission, is a poor public health approach.

Let’s hope that this proves to be a false alarm, and that the new variant doesn’t greatly increase severity, transmission, or vaccine evasion. We all deserve some luck.

Shawn Smallman, 2021

Before entering restaurants in Taiwan people sanitize their hands and have their temperature taken. Image courtesy of Isabella Mori.

A malaria vaccine and a strange tree

Photo by Olga Stalska on Unsplash

On October 6, 2021 the World Health Organization made a historic announcement. They had approved the world’s first malaria vaccine, which had been in development for more than thirty years. Of course, this amount of time is trivial compared to the history of malaria itself. The disease is one of humanity’s oldest scourges. There are tombs along the Nile that hold mummies who died of malaria. As Rome collapsed in the late fourth and fifth century malaria ravaged Italy, and depopulated entire regions. When a Spanish conquistador descended the Amazon river from Peru to the Atlantic, the friar Carvajal reported that the river bank was so densely settled that each town lay only a crossbow shot from the next one. A hundred years later these communities had vanished. And even today in Africa and southeast Asia every year hundreds of thousands of children either die or are left with life long disabilities (such as epilepsy) from the disease. In many regions, it’s almost impossible to avoid, although the WHO has put great effort into promoting sleeping nets and insecticides.

I recently did a podcast interview with Dr. Marylynn Steckley, who talked about her experience researching in Haiti, while both she and her family suffered from frequent illness. Malaria makes some parts of the world difficult to live and work in for everyone, including outsiders. Although I have not had malaria, I have known many people who have, and for whom it had an enduring impact on their health. Indeed, for many of my Africanist colleagues it was almost assumed that they would acquire the disease, and perhaps live with it’s long term effects. Some of my African colleagues -such as one archaeologist- have many stories about their bouts with the disease.

It’s ironic that during this terrible COVID-19 pandemic we finally have some positive news. This is not only the first vaccine against malaria, but -as many observers note- the first against any parasitic disease. As such, it’s a proof of principle. Some people have wondered if it might prove to be impossible to develop vaccines against these class of diseases, since parasites have evolved to overcome the human immune system for long periods of time. Now we have seen that it can be done.

The vaccine is known as RTS,S/AS01, and it has its limitations. It’s only effective around 40% of the time. It also requires four doses. Even so, given that more 200 million people a year are infected with malaria, this can prevent an immense amount of suffering. More vaccines are in the development process.

There is something remarkable about this new vaccine. It relies on an ingredient from an evergreen tree (the quillay tree) that grows in only one place in the world, Chile on the Pacific coast of South America. This rare ingredient is an adjuvant, which is an ingredient in a vaccine that helps to create an immune response in the human body. The first useful medication for malaria was quinine, which comes from a tree grown in the Amazonian region. Now, once again, Indigenous knowledge and a South American plant, is proving vital in the struggle against malaria. It also places intense pressure upon the stocks of the quillay trees, especially as this ingredient is also being used to develop at least one COVID-19 vaccine and a shingles vaccination. There is currently a technological race on to understand how to extract this ingredient from seeds and immature Quillay trees, because currently the supply replies upon mature trees of at least thirty years of age.

Humanity still has a long way to go in this fight against a killer that even affected pharaohs. But -with help from an usual Latin American tree- the world has its first vaccine, and that is an immense step forward.

Shawn Smallman, 2021

An intro class lecture: New languages- the example of Sheng

AIDS prevention tapes in Oaxaca’s Indigenous languages. Photo by Shawn Smallman. Tapes by Frente Comun contra el SIDA, Oaxaca, courtesy of Bill Wolf.

Several years ago I wrote a lecture for my “Introduction to International Studies” course that looked at the emergence of new languages.  While people are aware of language loss, fewer people know that new languages are also forming. So I used this lecture as a means to talk about cultural globalization.  I’ve talked about Sheng before on the blog, but I thought that another faculty member might want to use this lecture.

It’s important for me to say that I based this lecture on an several peer-reviewed articles, as well as articles in the popular press, but I did not note them. So this material is not original, but I can’t cite the original authors. My apologies to these scholars.

Shawn Smallman, 2020

Cultural Globalization and Language: The Example of Sheng

Terms:

Michif

Haitian creole

Lingua Geral

Sheng

Kenya

KiSwahili

Gaelic

Saami/Sami

Argot: a secret vocabulary and language for a particular group

(silent t in “argot”)

pidgin: an artificial language created for use between speakers of different languages

Patois (pronounced pat’wa): a dialect separate from the standard language

 

Lecture Outline:

Cultural Globalization

New Languages in the Americas

Language Creation in Africa

Sheng: Structure and Perceptions

Urban Languages in Africa

Resources on Youtube:

  • Dr Seuss in Jamaican Patois
  • Language is a Virus (really good, must use): /www.youtube.com/watch?v=quPGg08C2pE
  • “Jorm and Rabbit in Nairobi”: music video in Sheng
  • Search Scottish Gaelic Discovery Channel(http://www.youtube.com/watch?v=YwVCrgvvHeE)
  • Discovery Channel video on Saami on Youtube

Ethiopia, Innovation and COVID-19

In Taiwan, before entering museums (and many other public institutions, offices, etc.), one needs to enter the Real-Name System (with one’s cellphone, by scanning the QR Code), on top of getting one’s temperature taken / sanitize hands with alcohol. By leaving one’s name and contact information, if a person got infected by COVID-19 and have been to the museum, the government will know who he / she have been in contact with. Photo by Isabella Mori.

One of the realizations that has come with COVID-19 is that the old binary between developed and developing countries is deeply flawed. Some nations that are less wealthy (Vietnam, Thailand) have succeeded very well in limiting the virus’s spread (at least in June 2020), while some wealthier countries (the United States and Great Britain saw their governments fail to control the outbreak, despite not only their relative wealth, but also sophisticated health care systems.

In the United States the CDC and FDA decided not to adopt a test for COVID-19 that was recommended by the World Health Organization (WHO). But their effort to create their own test was badly flawed. When that test proved not to work, it set the US testing back perhaps a month or more behind other nations at the most critical moment in the virus’s spread within the United States. In contrast, countries that adopted the WHO’s recommended test were able to test their populations at scale.

In Boston, there was a testing debacle after a number of people were infected at a Biogen conference. Even after people reported symptoms and repeatedly sought testing they were unable to be tested, because they did not meet the overly strict criteria that included travel to China, or contact with someone from China. The result was a disaster, which saw the outbreak flare so that Boston had one of the worst outbreaks in the world. Meanwhile, Vietnam carried out a very thorough testing program that has allowed to control the outbreak to this date.

One of the most interesting points for me has been the relative difference in innovation between some developing countries and the United States, which is the home of Silicon Valley. In the U.S. there is still no national contact tracing app. Instead individual states (such as North and South Dakota) have had develop their own. But at a national level, the rate of innovation has been painfully slow. In contrast, some developing countries have moved with amazing speed. One of the success stories has been Ethiopia. As Simon Marks described in an article on the Voice of America website, Ethiopian developers quickly created seven different apps to help with everything from contact tracing to supporting health care workers. What is clear is that the size of nation’s economy does not necessarily correspond to its ability to innovate and adapt. American exceptionalism aside, wealthy nations must overcome the hubris and sense of exceptionalism, which have hampered their response to the pandemic. When developed nations take an interest in the the innovations in places from Ethiopia to Thailand, their own response will improve.

A few years ago, I was in Hong Kong, Macau and Shenzhen. When I asked at a coffee shop in Hong Kong if I could pay with a credit card, the clerk said that they could do that. Would I mind waiting while they took the machine out from the cupboard? It would take just a minute to find the keys to the cupboard. At this point, I was embarrassed and ask them not to. But they wanted to help me, and insisted on hooking up the credit card machine for the foreigner. But credit cards felt antiquated in a world in people used WeChat to pay for their subway cards, get their groceries, and order deliveries. People never had touch a device to put in a PIN. When I came back, I realized how antiquated our entire payment architecture is. I think about this during the pandemic every time I go to a gas station or department store and have to first swipe a card, and then put in my PIN on a grungy pad. Of course this is the tip of the iceberg. Why do I still need to pay bills with a check in an age of Venmo and Paypal? In Australia checks have nearly disappeared as a payment form, and it has been more than a decade since most people used one. Five years ago I was talking with an Australian. She said that she was stunned when she moved to the U.S. and people still wanted checks. And why do forms in the US still ask for my department’s fax number?

In Shenzhen I saw the sophisticated drones, electronic devices, and pristine infrastructure. Afterwards when I traveled to New York and saw the state of the airport, it felt like traveling twenty years back in time. In the United States, there is a sense of exceptionalism, which equates modernity and power with being American. But from Asia to Africa there are innovations, technologies and approaches that Western nations -particularly the United States and Britain- would benefit from adopting, particularly during this pandemic. It’s not that the developed/developing binary doesn’t isn’t useful in some circumstances. But in some respects it can conceal more than it reveals.

Shawn Smallman

Venezuela and Zimbabwe

“Food Insecurity in Zimbabwe,” By Mangwanani (Own work) [Public domain], via Wikimedia Commons
Last weekend 7.6 million Venezuelans voted to reject a new Constituent Assembly called for by President Nicolas Maduro. Desperate to prevent the Assembly from taking place, the opposition’s leadership have also called for a mass strike this Thursday, and may appoint their own Supreme Court. The Venezuelan military is deeply tied to the current regime through corruption, including profits from controlling the distribution of food. All of Venezuela has been in an economic and social free fall, which has profoundly undermined the health care system. In this context, perhaps it is unsurprising that over 98 percent of the people who voted rejected President Maduro’s call for a Constituent Assembly, and called instead for free and transparent elections.

Endless war in the Eastern Congo

The Democratic Republic of the Congo, from the CIA World FactbookThe Council of Foreign Relations website has useful background reports on a number of major issues, such as cyber security, but by far the best is their report on the Eastern Congo. This conflict has taken more lives than any other conflict such World War Two, and at times threatened to destabilize much of Africa. Nonetheless, it seldom receives media coverage, especially compared with events in Iraq and Afghanistan, even though 5 million people have died of violence and starvation during the years of crisis in the region. The CFR’s new storyboard combines multiple media formats such as text, video, a slideshow, maps and a timeline. The video itself is about ten minutes in length, yet provides most of the key information needed to understand they key actors and issues in the crisis. Overall, the video is concise, well-organized and thoughtful. The slideshow also does an excellent job of integrating text, images and audio. I mainly teach online, and I find that students particularly like formats that ask them to interact with the media, such as the slideshow. Together, the different media address all the key issues: child soldiers, rape as a weapon of war, Belgium’s horrific colonial involvement in the region, the history of U.S. involvement during the Cold War, the long shadow cast by the Rwandan genocide, and the participation of a U.N. force. I will be teaching an “Introduction to International Studies” this spring quarter in an online format, and I’ll likely be using this page in the week on security. For any instructor who wants to include African content for this section of an introductory course in International Studies, this website provides a great resource. Recommended.

Shawn Smallman, 2016

South Africa and Nuclear Security

Image of South Africa taken by NASA. Source: CIA World Factbook, South Africa
Image of South Africa taken by NASA. Source: CIA World Factbook, South Africa

Terrified of outside intervention, the South African military created six atomic weapons, which were dismantled after the collapse of apartheid. The nuclear material, however, was preserved, despite requests (by the United States and others) that the South African government convert this material into a less-dangerous form. This material is stored at a site called Pelindaba, which is the country’s main nuclear research center. In 2007 two separate teams attacked the facility, and were defeated by sheer luck. A recent account of this event makes for terrifying reading, less because of how close the attackers came to succeeding than for the lackadaisical response of the South African government. According to this account, recently posted on African Defense magazine, President Obama has twice written private letters to President Jacob Zuma, to ask that South Africa convert the uranium into a form less readily converted into nuclear weapons. The South Africans have failed to respond. This article merits careful reading.

The concept of human security is currently gaining traction in International Relations theory. This paradigm defines security as those issues that threaten not only the state but also the population. This approach has many merits, particularly given the rise of non-state actors as threats, and the impact that climate change may have on entire populations. Advocates of a security paradigm known as realism, however, critique human security as being a “slippery slope.” If you adopt this approach to security, what problems are not security issues? While I believe that human security has many advantages over realism as a means to address global challenges, this particular critique by realists does give me pause. Events such as the attack on Pelindaba are particularly dangerous, in way that seems to merit a clearly defined theoretical approach. One can only hope that behind the scenes South Africa is taking more steps to ensure security at this site than seems to be the case based on this report.

Shawn Smallman, Portland State University

NPR’s “Life after Death.”

I know that people may be tired of hearing about Ebola, which is a painful topic. Still, I have to strongly recommend a new storyboard by NPR reporters called “Life after Death,” which describes one village’s experience with the outbreak. The storyboard combines audio interviews and stunning photographs to create an account that is moving, informative and beautiful. It illustrates the the human reaction to the outbreak, and the toll that the disease continues to take from the community after people stop dying. I think that this storyboard shows the potential of new media, which combine the content of text-based journalism, with the artistic expression of photo-journalism. One alert- if you are viewing this at work, you probably should put on your headphones before you click on the link above.

If you are interested in global health, you can find my book on the AIDS Pandemic in Latin America here.

Shawn Smallman, Portland State University

Ebola and Air Travel

ID-100153388One of the most controversial questions during the current Ebola outbreak has been whether restricting air travel to West Africa is more of a help or a hindrance. There have been passionate arguments on both sides, and the question has become politicized. For a balanced look at the question, see this recent National Geographic article. I found some of the better comments on this piece to be nearly as enlightening as the article itself. The bottom line is that there are pros and cons to both policies, which need to be acknowledged by each side in the debate. …

Ebola and “exponential growth”

WHO: Map of Ebola Cases in Guinea, Liberia and Sierra Leone as of 6 September 2014
WHO: Map of Ebola Cases in Guinea, Liberia and Sierra Leone as of 6 September 2014

The Ebola outbreak in West Africa has not received the resources it merits, in part because other Ebola outbreaks proved relatively easy to contain. Those epidemics, however, tended to take place in a rural context, and Africa has changed profoundly since the 1970s. The urbanization and transportation networks that are remaking the region have also meant that it is far easier for diseases to spread. The current outbreak is expanding exponentially. The latest map on the Ebola outbreak by the World Health Organization makes clear the scale of the challenge that the global community now faces. When you look at this map, keep in mind that these are confirmed cases. So this map is an underestimate. According to some calculations, there may be 100,000 cases in Africa by December. Without rapid and massive international aid, this outbreak will not be controlled. On Twitter? I recommend following Laurie Garrett (Pulitzer prize winner for her writing on public health), who has a great commentary on the outbreak, which includes key documents such as this map. If you are interested in global health, you might also be interested in my book on the AIDS Pandemic in Latin America.

Shawn Smallman, Portland State University

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