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Showing posts with label Ebola. Show all posts
Showing posts with label Ebola. Show all posts

Tuesday, March 31, 2015

Why should the West be concerned with the intentions of the Islamic State in Africa? (Part II)

Links: A. ISIS supporting Al-Shabaab in Africa?
           B. ISIS eager to recruit South Africans.

In Part II we will focus on the Islamic State (IS) in Sub-Saharan Africa.  The Muslim states of West Africa are vitally important, because they will discreetly provide financial and material support to Islamic extremist groups, while publicly disavowing any involvement or knowledge of these organizations.

Mauritania.  To start, Mauritania is a bit of a mystery.  The government gives the appearance of being deeply observant of all Islamic Laws and traditions.  At the same time, Mauritania has steered a very moderate course diplomatically, snuggling up to France in particular.  In truth, Mauritania is a lightly-populated country that consists almost exclusively of SAND.  Eventually, the engineers and researchers will find oil in Mauritania, mark my word.

Al-Qaeda in the Magreb.   Al-Qaeda remains active in West Africa, in Mali and Niger in particular.  In 2013, Al-Qaeda more-or-less surprised everyone by hopping the coat tails of a Tuareg insurrection in northern Mali.  The Tuaregs, who had made repeated complaints to the government in Bamako, were suffering from private French companies occupying oases and disturbing traditional Tuareg trading patterns.  The Tuaregs felt that they had no choice but to take up arms, at least long enough to attract the European press.  But before you can say, "Camel Fart", Al-Qaeda had hijacked the Tuaregs little rebellion.  The Tuaregs quickly faded away, but Al-Qaeda in the Magreb (AQM) meant business, attacking Malian military and government installations as far south as Timbuktu.  In steps the French, who roll up AQM in record time (not many prisoners taken, from what I understand).  In the Fall of 2014, AQM, taking advantage of a government focused exclusively on combating Ebola, popped back up in northern Mali.  And this time, they were better armed and willing to involve others.  AQM repeatedly crossed the border into Niger and conducted raids against simple villages, along with the usual attacks against government and civilian targets in Mali.  Again, the French military has arrived on the scene, and I expect and even more thorough accounting of AQM.  I can hear you now, asking, "why all this AQM bullshit when the post is supposed to be about the IS"?  The answer is simple; the post is about the IS.  Al-Qaeda and the Islamic State are, for all practical purposes, the same organization.  They are both Sunni-based, violent, terrorist groups dedicated to the removal of infidels from their "Holy Land".  They communicate with each other, they assist one another, and they play-up the western media's insistence on separating the two. As always, this is only my opinion.  Come see me in a year and remind me how wrong I was.

Al-Shabaab.  One fact that is not debatable is that the IS was born into the Al-Qaeda family.  In its former life, it was known as "Al-Qaeda in Iraq".  After the death of Abu Musab al-Zarqawi, Abu Bakr al-Baghdadi was appointed as the leader of the organization, and a new name, "the Islamic State in the Sham" (ISIS) was chosen.  Folks, I'm leaving out all sorts of important background to the genesis of IS, but this post has to stay within reasonable limits.  Al-Baghdadi really began to make the IS about himself, and let it be known to Al-Qaeda head Ayman Al-Zawahiri, that IS was able to function on its own.  Now this is as close to a complete rift with Al-Qaeda as ever occurred.  Zawahiri didn't have much to bitch about because the IS was kicking ass and taking names all over Iraq and Syria.  More recently, as the organization stretches its legs a bit, relationships have been established with like-minded Sunni extremist groups around the world, including Africa.  Al-Shabaab, that nasty bunch of turds that tried to turn Somalia into an Islamic State ruled by Islamic Courts (sounds wonderful, doesn't it?), have established themselves in the townships of Kenya, which are ripe recruitment areas.  Social Media is the master at bringing people together, and the IS and Al-Shabaab have been expressing support for one another for some time.  These two groups need each other.  Al-Shabaab needs the organizational skills, the discipline, and the funding of the IS, and the IS needs the geographic reach, and the potential recruitment opportunities available to Al-Shabaab.  They are both Sunni based, therefore there will be no trouble finding ideological (read: idiot-logical) common ground.  Al-Shabaab has established a presence as far south as South Africa and as far west as Namibia.

Boko Haram.  Ehen the Nigerian based terrorist organization, "Boko Haram", announced its support for the IS, the news was treated as a truly important development.  During the same week, the combined military forces of Nigeria, Chad, Cameroon and Benin inflicted defeat after defeat on Boko Haram, who was now only in control of four northern communities (from twenty just the week before).  It was no surprise that Boko Haram (BH) wanted to change the headline, and the press obliged.  The poor Nigerian Army; after months of getting raked over the coals by the domestic and international press, they finally have a very successful strong of victories, and they get upstaged by BH's announcement of love for the IS.  The truth is, even though BH has very recently received a black eye and a bloody nose, this organization is built similar to the Lord's Resistance Army in Uganda, and it is more than able to retreat into the jungle and reconstitute itself.  I find BH to be the most dangerous terrorist group on the continent, and that includes north Africa.  Anyone engaged against BH needs to be familiar with its history, as BH is very loyal to its founding principles and the accompanying religious ideology.  The organization was originally established in support of providing Islamic education in northern Nigerian schools.  At the time, there was a need for a bit of a "siege mentality", as the Islamic community in Nigeria had many opponents.  Through concentration of resources and discipline, the Islamic community in northern Nigeria was able to effectively establish a network of Islamic schools.  As is often the case, this well-meaning effort got out of hand.  BH quickly morphed into a organization that allowed no disagreement and enforced the strictest of Islamic codes.  Instead of living peacefully with the Christian community, BH made every effort to either drive them off or convert their children.  When it became apparent that the Nigerian authorities were either unwilling or unable to respond, BH began large-scale forced conversions.  Instead of focusing on education, BH became a para-military organization, bent on proselytizing extremist Islam.  At the zenith of its reach, BH was smart enough to reach out to other like-minded organizations, which will provide a lifeline, if the Nigerian military is successful in forcing BH out of Nigeria.  BH is present in Ghana, in Cote d'Ivoire, and in the Cameroon.  Many of his soldiers are "brainwashed" teens, some not much older than ten, eleven years of age.  In many cases, these young fighters are the most dedicated.  I won't mention the fate of the young girls that are randomly kidnapped.  Suffice to say that the lucky ones are forced into sometimes plural marriages with men usually many years older.

Because of the growing population rate in sub-Saharan Africa, the pressure on the various national economies will only increase.  At the moment, even the most optimistic economies like South Africa, Nigeria, Namibia, Botswana, Gabon and Ghana, have unemployment rates for post-high school males as high as forty percent.  This group of unemployed, bored, many times hungry, unable to afford university fees, young men are the perfect targets for the IS.  Since the Islamic faith has done such an outstanding job introducing Islam to poorer African communities, many of these young men are already halfway home.        

Monday, March 2, 2015

Combating The Spread Of Extremism In The Third World (Part I)

Links A. Impact Of The Repudiation Of Third World Debt
          B. Council On Foreign Relations Comments Regarding Terrorism And Debt


Frequently, I include links that present a viewpoint with which I disagree.  I am convinced in the efficacy of this strategy in fully understanding the issue at hand.  If you aren't prepared to give fair consideration to all perspectives, that don't expect anyone to listen to whatever bullshit you have to offer.  Attentively considering the opposing viewpoint will invariably provide you with more information about the subject, which will strengthen your ability to craft a useful and reasonable opinion.  Having spent many years in Africa, I have a strong opinion regarding the issue of African Debt (to banks, related financial mechanisms, and countries).  Very few on the list of donors can seriously argue that their motivation for providing financial assistance was anything more than a means to acquire more money/resources or influence.  In fairness, I must say that my research has uncovered a few organizations that have absolutely no motivation for personal gain in their efforts to provide aid.  Most of these organizations have a religious support network, which introduces the problem of "conversion coercion through the alleviation of hunger" (I invented that phrase, thank you).  If I were starving, would I convert to being a Baptist instead of a Roman Catholic?  I can't say, but I have no doubt that if Boko Haram were threatening to chop off my head, I would be memorizing lines from the Quran in a heartbeat (God knows your heart.  He also expects you to value the gift of life.  A temporary "fib" about personal religious conversion won't condemn a person's eternal soul, at least not in my mind's Judgment Day).

But I digress.  Recently a U.S. government spokeswoman (can't recall if she was an administration official or from Foggy Bottom) slid off the edge of her talking points a bit by rambling on about "giving ISIS jobs" to discourage them from committing acts of terror.  Note to State Department:  No one uses a guillotine anymore, and public executioners for the State of Texas usually need some medical background.  I do appreciate the sentiment, though.  It reminds us that the young people volunteering for ISIS are doing so in a vacuum (tell the truth: how many of you just had a mental picture of a bunch of Middle-Eastern types, stuck inside of a Hoover?); the international culture that our generation in particular has fostered, that eschews anything faintly religious or moral, promotes the importance of "feeling good" over just about everything else, creates heroes out of criminals, and sexualizes everything from a Big Mac to a chainsaw.  Oh how I long for the days of my youth, when an individual was admired for getting a job at sixteen, avoiding children before marriage, finishing college, respecting old folks, and loving the United States of America.  But again I digress.  This is a tough subject.  The truth is, we need to be more successful in creating jobs and the opportunity for a future for young people, regardless of the language they speak.  There is no "one solution fixes all", but lets take a look at Africa, where ISIS and Al-Qaeda have been so successful recently at recruiting young people.

Actually, economic conditions have greatly improved in a number of African countries (for the purposes of this post, Africa is south-of-the-Sahara).  Success stories include Botswana, Gabon, Namibia, Angola, Mozambique (hey, remember how bad it was BEFORE?), Zambia and even Rwanda (I refuse to add Uganda to the list, regardless of their economic growth and GDP; any society that openly advocates the murder of people for their sexual preference will receive no type of acknowledgement from me).  Some signs of improvement had been noted in West Africa as well, and then Ebola had to show up and ruin everything.  I'm still optimistic about West Africa.  The determined efforts to keep the Ebola outbreak from becoming a full-blown plague were largely successful.  A new crop of national leaders in Cote d'Ivoire, Mali, Liberia, Sierra Leone and Senegal appear to be singularly focused on improving the lives of their people.  All in all, I believe that the continent of Africa is ripe for some recognition from the West; that its efforts to control unemployment, fight corruption, and root out terrorists have not gone unnoticed.  I'm not speaking of something as temporary as an extension on loan repayments.  I believe the time has come for Europe, Asia and North America to eliminate all African debt.  Furthermore, it should be done without conditions.

Monday, January 26, 2015

Sub-Saharan Africa 2015: What To Expect

Link: Brookings Evaluates Sub-Saharan Africa 2015

When I consider the prospects for Sub-Saharan Africa in 2015, by habit, I always start with
political considerations.  But Africa has changed, evolving and adjusting to international economic trends much more quickly than I expected.  I don't think we can under-estimate the impact that communication has had on Sub-Saharan Africa.  The relative simplicity and low cost involved with cell phone networks has brought every dark corner of Africa into the light.  I remember the cell phone revolution as it arrived in South Africa.  It seemed as if overnight, everybody had one.  The real-time contact engendered by the presence of cell phone networks as instrumental in getting the continent reasonably wired on the net.  I remember being in Bangui, Central African Republic, sometime in 2001, and suffering from water shortages and no taxis or public transportation.  But the internet cafĂ© was up and running, thanks to the world's first home-made satellite dish and a motley combination of modern and World War II-era French Army generators.  From my perspective, the arrival of the cell phone ushered in a techno-economic revolution in Africa.  We had BACP (Before the Arrival of the Cell Phone) and AACP (After the Arrival of The Cell Phone).  I think this date-differentiation can be accurately used when examining economic trends in the Middle East and the Indian Sub-Continent.  The cell phone has made that much of a difference, folks.

Africa in 2015 is connected.  Abidjan is connected to Maputo, and YaoundĂ© is chatting with Tokyo.  Sadly, the last bit of "African mystery" is gone.  An archaeologist can be digging in Mali and be interrupted by a phone call from Dublin.  But in this instance, there can be no doubt that the benefits of technology outweigh the negatives.  African banks and stock markets have real-time communication with the big guys in Europe, Tokyo and New York.  The western investments in oil and mining no longer have to wait for value-impacting information from on-site.  That information is available as it occurs.  Wow.  More so than in many years, I am optimistic for the future of Sub-Saharan Africa.  The days of military coups and brutal dictators seems to be ending.  Africa still suffers from the ass-boil that is Robert Mugabe, but everyone dies eventually, right?  Some folks see Museveni in Uganda as a dictator, and also young Kabila in Kinshasa.  But these guys seem to be out of touch and behind the times.  The world has become so much smaller, and the money to be made in Africa isn't limited to African money.  There is Euro to be made, and Dollars.  The Chinese seem to be all over Africa, but I think we will see a bit less of them in 2015.  I think the trend away from despots and one-party rule will continue, because there is more money to be made in a competitive system, and even the nasty guys will end up chasing the bigger $.

Let's start with China in 2015.  The Chinese started 2014 on a rampage, flying from capital
Dakar Railway Station;  Source: J.W.H. van der WAAL
to capital, promising all sorts of funding for development projects.  In the past, the Chinese have been good on their word.  They have built roads, dams, and blocks of flats.  Everyone, I mean EVERYONE, took notice when the Chinese offered to finance the rebuilding of the Dakar-Niger Railway.  This ambitious and absolutely overdue plan included building an additional rail line, linking Bamako, Mali and Freetown, Sierra Leone.  As things stand at present, the Dakar-Niger Railway is a mess.  It rarely is able to keep to a schedule and its ability to transport is limited.  Any rain or weather-related incident is likely to shut the rail system down for weeks.  The real problem is the lack of repair of the track system.  Why does this issue attract the attention of EVERYONE (as I stated earlier)?  Because this rail system transports the gas that keeps the various mines in Mali and Guinea in operation, not to mention the other materials it transports that are essential to those particular mining operations that basically belong to western investors.  Ideally, Mali should be able to rely on transport of goods in three directions: Dakar, Freetown, and Abidjan.  I have no doubt that in my lifetime I will see this develop.  But the anticipated rebuilding of the Dakar-Niger railway hit a huge snag.  The Chinese went back to Beijing, took out their calculators, met with banking and economic officials, and announced that "they had never actually agreed to finance the project....that it was all just conversation".  In the end, I think the Chinese will realize that the benefits outweigh the cost, and will provide a definite amount of invaluable goodwill. 

Now for some serious conversation.  African countries need to continue the move away from one-commodity economies.  Nigeria, that doesn't mean you continue moving towards being totally dependent on oil, it means to diversify your economy, so that when the price of oil tanks, your economy doesn't crash as well.  Cote d'Ivoire and Ghana have been successful moving away from a reliance on cocoa, as has Mali with cotton and Botswana with Diamonds.  I am concerned about the falling price of oil and its impact on juvenile economies such as Cabo Verde and Equatorial Guinea. I don't really have much sympathy for Nigeria.  They are sitting on a gold mine of resources, and all they can do in Lagos is fight their own cousins for every Dollar, while the nastiest of insurgencies terrorizes and brutalizes children all over the north of the country.  How does a nation with the resources and international connections of Nigeria, not have an army worth a damn?  All this may
Goodluck Jonathan
Source: World Economic Forum
change if Goodluck Jonathan losses the election in February (it ain't gonna happen, folks).  I would be willing to take a chance on the other guy just for the sake of change.  Ebola in 2015: I believe this outbreak of Ebola is winding down, and Africa learned some invaluable lessons on how to respond.  This particular outbreak could have been monstrous.  For Liberia, Guinea and Sierra Leone, it was.  But the protocols that were put in place and followed worked exactly as expected.  This bodes well for the future.  Unfortunately, West Africa will take some time to climb out of the economic and social disaster that Ebola wrought.  The rest of Africa needs to step up, especially South Africa, who pretends to be a leader, but always seems to be missing at the table during a crisis.  I think China will revisit its commitments, and return with a smile.  The Dakar-Niger project will begin, and positive economic fallout will help with the Ebola recovery.

I think this subject was a bit heavy to tackle in one post, but wither way, as a lover of Africa, I'm looking forward to 2015.  I purposely left South Africa out of the conversation.  They seem to be chugging along just fine down south, on their own schedule and in their own little world.  Zuma had a tough year in 2014, and I anticipate that his enemies are smelling blood, so to speak.  South Africa has always been a bit obsessed with its own identity and importance in the world.  It's sad, because I believe that Nelson Mandela truly wanted South Africa to be the leader of the continent.  Heck, even Nigeria seems to draw more attention from other African states.  South Africa does remain popular for illegal immigration though, as people from all over go searching for jobs and opportunities.  I believe that the fall in the price of oil will be a boost to South Africa, which has always been so sensitive to that commodity.  South Africans have a tendency to worry when the Rand hits a free-fall against the Euro and the Dollar.  They shouldn't.  It directly impacts the all-important tourist industry, not to mention the increasing number of investors from the United States, looking for a good value for their Dollars.

Tuesday, November 4, 2014

Who's At The Door, Ebola or Al-Qaeda?

Links: A. French Troops Battle Terrorists In Northern Mali
           B. France Retaking Its Former Empire

You have to feel for the poor people of Mali.  The country is landlocked and would probably be a complete desert if it weren't for the Niger River.  Mali shares a border with Cote d'Ivoire
which, until recently, allowed Mali access to the second busiest port in West Africa (Dakar being first).  Unfortunately, in 2002 Cote d'Ivoire's turn came up on the African civil war Merry-Go-Round, which split the country between north and south and lasted until 2011.  The conflict has ended and Cote d'Ivoire has recovered in record time. The roads between Mali and Cote d'Ivoire are again full of trucks carrying goods between Bamako, Mali and the port of Abidjan; although, sadly the condition of the roads leaves a lot to be desired.  For roughly a decade Mali was solely dependent upon its road and rail (gulp!) links to the west: namely, Dakar, Senegal.  In 2012, Mali suffered through the Tuareg Rebellion.  The nomadic Tuareg people of northern Mali (Tuaregs are also present in southern Algeria and northern Niger), revolted in reaction to feeling marginalized by the government in Bamako and the mining activity, which they claimed damaged pastoral grazing lands.  It didn't take long for the world's favorite parasite, Al-Qaeda (in this incarnation, Al-Qaeda in the Maghreb - AQIM), to join the rebellion alongside the Tuaregs.  Not surprisingly, AQIM quickly pushed the well-meaning Tuareg aside and began to threaten other interests (read: French) further south (which included the occupation of Tombouctou).  The French Army arrived in January 2013 and one month later the issue was resolved.  The French military has always come to a fight ready to win both quickly and completely.  I remember when the United States military carried the same reputation. 

Ibrahim Boubacar Keita,
President of Mali
The Tuareg Rebellion cost Malian President Amadou Toure his job; the transitional military government kept its word and respectably clean elections were held in August 2013.  Ibrahim Boubacar Keita was sworn in on September 4, and he has done a superb job to date.  The Ebola outbreak in Guinea and Liberia brought the attention of the world to west Africa.  Mali has a long border with both Guinea and Liberia, and given the state of Mali's infrastructure (and low international expectations), great concern was expressed that Mali would also suffer an outbreak.  President Keita put national sensitivities aside and asked the United States and Europe to send medical experts.  The International Red Cross (IRC) was already in place, and all necessary authority and support was given by the Malian Ministry of Health to facilitate the education and preparation of both cities and rural communities.  Medecins Sans Frontieres (Doctors Without Borders) arrived, as did the Center for Disease Control from Atlanta and the World Health Organization (WHO).  Mali already had capable, modern hospitals in Bamako and Sikasso, and the Center for Tuberculosis and AIDS Research (SEFERO).  Screening facilities and Isolation Units were set up at all border crossings and Ports of Entry.  Heeding the request made by President Obama, Mali has kept open its border posts with Liberia and Guinea (despite intense pressure put on President Keita from internal groups).  To date, Mali has registered only one positive case of Ebola, and that was the tragic instance of a now-deceased two-year old child from Guinea who was transported across the border by her grandmother after the death of her mother.  No doubt additional confirmed cases will occur, but all in all, Mali has set an example for other nations (not only third world) to follow when bordering a contagious viral outbreak.

Again, exhibiting a willingness to take advantage of every opportunity, AQIM has made its presence known again.  I've heard it said that after the nuclear apocalypse, the only things left alive will be cock roaches and Cher.  Well, lets add AQIM to the list.  These nasty, parasitic desert rats dug some deep tunnels to escape French and Malian justice, and now the resources of the government are tied up not only in combating the threat of Ebola, but also in trying to build a durable, functioning transportation network to support a growing economy.  Earlier in the year, the Chinese had come around, promising all sorts of goodies.  In fact, China and Mali had negotiated Chinese financial sponsorship of an $11 Billion new railway system to replace the existing rail to Dakar (built in 1884; last real servicing completed in 1924) and to build an entire new railway from Bamako to the port city of Conakry, Guinea.  Sadly, in the last few weeks the Chinese have started to hedge on their commitment, issuing a statement that discussions took place but no obligations were agreed upon.  Bullshit.  The Chinese economy has started to show signs of trouble, which would make reconsideration of expensive foreign projects only routine.  Eleven billion dollars is nothing to the Bank of China, but it could actually change the lives of 15 Million Malians.  What is my interest in this situation?  I love west Africa.  I'm half-French and I truly enjoy the Francophile community.  And everyone, who is willing to do their part, deserves an opportunity.

Wednesday, October 29, 2014

U.S. Troops Head To Africa To Fight Ebola

Links:  A. 3,000 U.S. Troops To Deploy To West Africa
            B. U.S. Troops To Africa For Ebola Mission
            C. U.S. Military Quarantined After Ebola Trip

I have been finding reasons to avoid writing this post because I'm not very clear on my own
emotions regarding this mission.  In September, when the Ebola virus was tearing a hole through Liberia and Guinea, President Obama anticipated the need for U.S. assistance and ordered the military to respond (I'm assuming that the military and not the President's staff, developed the deployment agenda).  A plan was created which would eventually call for three thousand troops from the 101st Airborne Division to deploy to locations in West Africa (see Links A and B).  The first group of U.S. military personnel, Army Major General Darryl A. Williams and his staff of ten, just completed a tour of Liberia.  During the tour Major General Williams and his crew observed the screening procedures and medical assistance measures in place in all areas of the country.  Its safe to say that they reached some level of exposure to the virus.  As is explained in link C, they will be isolated and monitored for twenty-one days, which is understandable.

As the first link points out, the military will be tasked with building a 25-bed portable hospital in Liberia.  It is expected that 17 treatment centers will eventually be built in the area.  Along with building facilities to treat patients with Ebola, the U.S. military will train up to 500 health-care workers a week to combat the disease.  My friends in the region tell me that currently "you can't throw a stone without hitting a white person".  I assume that many of the white people in question are Americans, as my cousin in Bamako tells me that the Center for Disease Control (CDC) has commandeered the nicest hotel in town.  My close friend, who owns a luxury car business in Abidjan, Cote d'Ivoire, is very impressed with the medical facilities that seem to be popping up all over the country.  Medecins Sans Frontieres (Doctors Without Borders) is there, and the World Health Organization is too.  The International Red Cross (IRC), which has permanent offices in all the capital cities of the region, has been active from the beginning, and are probably responsible for keeping the number of Ebola cases as low as they are.  In the Spring, with the first confirmed cases, the IRC began sending volunteers out into the rural areas of Guinea, Liberia, Mali, Sierra Leone, and Cote d'Ivoire, to stress the need for sanitation and education.  Most importantly, the IRC took note of the local health facilities and what was needed to set-up screening centers and isolation units.  I am impressed with the response to date of the United States and European health communities.  So far the procedures put in place appear to be working.

I have heard it said that the true reason behind President Obama ordering troops to deploy to Africa is to assist in evacuations and crowd control.  I assume "crowd control" would include "riot control".  Orderly crowds being moved by authorities have a tendency to get out of hand in Africa (my comment is not racist; it is the product of my years of living in Africa).  Actually, orderly crowds can become quite "disorderly" anywhere, not just in Africa.  I believe the initial projections by the experts in Atlanta (CDC) forecast that the outbreak would have spread to Mali and Cote d'Ivoire by now.  Given the impossibility of adequately controlling border crossings (sound familiar?), the CDC probably assumed that infected persons who had not yet begun to show symptoms would be traveling as usual.  Keep in mind that many folks see the borders in African as more of a suggestion than anything else.  The valuable gold and diamond mines in
Diamond Mine in Sierra Lione
Mali, and other countries, traditionally employ workers from bordering states.  I believe that the CDC was correct in assuming that the situation would be much more serious than it is, hence the in-depth planning for mandatory evacuations and (if needed) crowd control.  This is in addition to the fact that some people will not voluntarily leave their homes, and in the instance of a deadly virus like Ebola, they cannot be left behind. The issue is not just the health of the resident; anyone who stays in the contamination zone becomes a potential carrier, who may find a way to rejoin healthy people and start the contagion all over.  At this point I haven't bought into the argument that the troops are really here to control people.  I'm not that cynical.  But then see me again next week.   

Monday, October 13, 2014

The Ebola Virus Disease At Its Source

Link: CDC Information On The Ebola Breakout


You know the old expression, "When it rains, it pours"?  I was unable to locate the origin of the expression, but I'm sure its one of the most popular in the English language.  Throw a dart at a map of Africa, and more than likely you will hit a country that is suffering from some event that justifies the use of "when it rains, it pours".  Liberia and Guinea are two nations located on the Gold Coast
(southwest coast) of Africa.  The name Gold Coast refers to the belief that in colonial times the region was rich in Gold deposits.  Other countries on the Gold Coast include Sierra Leone, Cote d'Ivoire, Ghana, Nigeria, Togo, Benin, and Cameroon.  At present, the eyes of the world are focused on this part of Africa because of an outbreak of the Ebola virus in Guinea and Liberia.  Both Guinea and Liberia are attempting to rebuild and recover after decades of civil strife.  At one time or another during the same period, Sierra Leone and Cote d'Ivoire were also engaged in civil wars.  Recently, though, a wave of tremendous hope and optimism had been taking hold in west Africa.  Change was the order of the day, highlighted by serious efforts at reconciliation and fraud-free elections.  Aid was pouring in, and Chinese companies seemed to be everywhere, building dams and roads into the jungle.  Serious discussions were taking place which would hopefully result in the elimination of African debt, and there was talk of education, healing, national soccer teams in the World Cup, and creating a tomorrow that is better than today.

And then Ebola shows up to put a wrench into the works.  The Ebola virus is very contagious and has a mortality rate of 90 percent and higher. This particular outbreak first appeared in a small village in Guinea and has now spread to Liberia and Sierra Leone, choosing a target population that is ill-equipped to fight back. The people in this region are the poorest in the world.  The average daily caloric intake as compared to western nations is miniscule (and, for the western nations, shameful).  The body that is healthy is best able to avoid catching the virus, and the body that is healthy is best able to recover from infection.  Simply put, the people of Guinea and Liberia do not eat enough to stand a chance against this virus.  The governments of Liberia and Guinea, in concert with numerous international health organizations, have done a very respectable job limiting the outbreak to particular provinces.  Given the lack of resources available, this fact is impressive.  The best news for all is that for the most part the international community has reacted swiftly and without fear.  To the physicians, nurses, and other health workers who have traveled to Guinea and Liberia, the struggle is not only to limit and smother the outbreak, but to save the lives of those already affected.  During previous outbreaks, persons who had contracted the virus were frequently left to die.  A determination of infection was a death notice, because no one wanted to treat someone who was carrying such a highly contagious and deadly virus.  I'm relieved to say that my contacts in both countries report that persons who have tested positive are treated with respect and humanity, and every effort is being made to help their bodies fight the virus.

Currently, vaccines are being tested in Mali and Cote d'Ivoire.  There has been serious concern (and a bit of panic) that the virus would spread from Guinea and Liberia into Mali and Cote d'Ivoire; as of 12 October 2014, no cases of Ebola have been confirmed in either country.  The World Health Organization (The United Nations) has been highly visible in Bamako, Mali and in Abidjan, Cote d'Ivoire, as has Medecins Sans Frontieres (Doctors Without Borders).  The United States Center for Disease Control (CDC) has also made its presence felt.  Finally, the international community is reacting to a health crisis as it should; with resources, manpower and sacrifice.  Earlier today (at Mass, no less), a friend asked me why the international community does not respond to famine and genocide with the same vigor and generosity.  The answer is quite simple.  Famine and genocide are not contagious.  Two million persons at risk from starvation in Eritrea and Ethiopia cannot result in even one case of hunger in the United States.  Warlords slaughtering innocent villagers in Somalia and Sudan does not lead to someone getting shot or stabbed in Copenhagen or Osaka.  In the United States, this current Ebola strain has resulted in the death of one Liberian national in Dallas and the positive infection of a health worker.  The degree of separation gets smaller and smaller, and people realize this.  So smothering this recent outbreak of Ebola at the source makes perfect sense.  The wealthier nations are happy to spend the money, and if locals are cured as well, then all the better.

I'm confident that this particular outbreak of the Ebola virus has reached its peak of infection.  Vaccines have arrived, and people are learning what they must do to avoid contamination. Although 4033 persons have died from this episode, I believe more and more infected persons will recover, as medicine and health care starts to take effect.  West Africa is a hot spot for all sorts of nasty diseases, and I'm optimistic that the current governments in this part of the world will make health education a priority.  The numerous companies involved with mining in Guinea, Cote d'Ivoire and Mali should not suffer too much from the slow down, and hopefully cocoa production will not be affected.  I realize I am being very optimistic, but doesn't it sound more pleasant than the non-stop media cacophony about one person with the flu in Baton Rouge and another person sneezing in Des Moines?  In 1994, Richard Preston wrote a fictional novel called "The Hot Zone", about a hemorrhagic fever outbreak in the United States.  For the longest time, it was all people could talk about.  I'm glad to say that Preston's book remained fictional.  But it did serve as a warning to our various health and disease-related organizations that we had better have a game plan.  I think this Ebola outbreak in West Africa has demonstrated that we do have a plan, both domestically and internationally.  Because we have fifty states and hundreds of international ports-of-entry, mistakes will happen.  But overall, I'm impressed with our response.