Features
Covid-19: The Epidemic and the Economy
Dr. Vitarana very simply explains the basic facts about the virus, its current level of transmission in Sri Lanka, the difficulties Sri Lanka will face in obtaining a vaccine for the entire population within a short-time frame, and calls for “community action” to end the pandemic. He calls the current mode of transmission, “uncontrolled community spread.” He suggests there could be 80% asymptomatic transmission and cites a figure of 30% test positivity from a random PCR study in Colombo by the CMOH.
by Rajan Philips
“What I have learned about pandemics is you have to be very humble. There is no mission-accomplished moment.”
Dr. Vin-Kim Nguyen
Perhaps every medical professional would agree with the sentiment in the above comment by a Vietnamese Canadian doctor, who is affiliated to two international hospitals, one in Montreal, Canada, and the other in Geneva, Switzerland. Unlike doctors who would give you the unvarnished truth, governments and politicians generally have different arrangements with truth and humility. Lack of humility and premature celebrations of victory are all too common in government and politics in Sri Lanka and elsewhere. The country seems to be now paying the price for the government’s premature declaration of victory over Covid-19 and prodigal distractions thereafter – changing constitution just for the heck of it and changing the heck out of the positions of doctors in public health agencies. The infection total is now past 21,000 and the death toll is reaching 100. A sevenfold increase in both in just over seven weeks. What is worrisome, apart from the rate of increases, is the absence of any indication that the government is in control and is able to arrest the trend, let alone reverse it.
Sri Lankan numbers are still peanuts in the global context. At Sri Lanka’s rates, the US should have under 400,000 infections and 2,000 deaths. But the superpower has a staggering 13 million infections and over a quarter million deaths. But the finally-on-his- way-out Donald Trump, after single handedly leading America to become the super spreader of the coronavirus, maniacally believes that but for his brilliant stewardship tens of millions of more Americans would be infected by now and a million of them would have died. Americans have managed to get rid of Trump, thanks to their unsung heroes who faithfully counted nearly 160 million votes in the most contentious of situations and the judges who boldly rebuked and threw out every one of Trump’s vexatious pseudo-legal challenges. But America is stuck with the coronavirus which is still spreading in its deadly mutation. And the vaccines, though the result of globally coordinated scientific efforts at the highest level, are not going to be overnight panaceas. Again, every medical professional is saying that.
Logistically, there are several hoops to pass through even after one or more of the three lead vaccine candidates are approved for use. Their mass production, storage and transport are all huge challenges, which can be done but not in any hurry. And worldwide vaccination thereafter will be an unprecedented health intervention on a global scale. Then come the challenges of keeping records for multiple inoculation, verifying vaccine effectiveness, and tracking virus transmission after vaccination by pre-symptomatic and asymptomatic carriers. According to experts the now ongoing clinical trials alone are not sufficient to be conclusive about any of this, given the speed at which vaccine development is necessarily being undertaken. The consensus upshot is that masks and physical distancing cannot be dispensed with easily or quickly even after vaccination programs get underway in different countries. All of this would invariably lead to delaying the resumption of economic activity to pre-pandemic levels. Sri Lanka is not alone in this, but there are many things that individual countries will have to do themselves on their own.
From Infection to Recession
Last week I mistakenly left out what would have been the last paragraph in my article. The paragraph was about Dr. Tissa Vitarana’s statement entitled, “Community action can end the Covid-19 pandemic,” that appeared in the Sunday Island on November 8. That statement is by far the best and the most comprehensive, if not the only, public health policy paper on the subject by anyone who is associated with the present government. There should be no surprise about such a statement coming from a former Director of the MRI and a respected professional and academic. He has also been a Minister in the previous Rajapaksa governments, briefly Governor of the North Central Province, and now a National List MP. What is surprising is that Dr. Vitarana’s expertise and thinking for dealing with Covid-19 are not able to find any resonance at any level in this government.
Dr. Vitarana very simply explains the basic facts about the virus, its current level of transmission in Sri Lanka, the difficulties Sri Lanka will face in obtaining a vaccine for the entire population within a short-time frame, and calls for “community action” to end the pandemic. He calls the current mode of transmission, “uncontrolled community spread.” He suggests there could be 80% asymptomatic transmission and cites a figure of 30% test positivity from a random PCR study in Colombo by the CMOH. He fears that waiting for the vaccine to control the virus could be a “distant dream.” The reason is that apart from logistical delays, Sri Lanka should be in a position to buy the available vaccine for 60% of the population in addition to the expected WHO’s free vaccine for 20% of the population, to vaccinate 80% of the population – the threshold “to break the chain of transmission in a population.”
Until then, it is “community action” that should be relied upon, along with the public health infrastructure and a knowledgeable population observing basic health practices, to contain the community spread of the virus. Dr. Vitarana is confident that “if a good example is set from the top (no large gatherings etc.) and the people follow the health guidelines, the country can get rid of the Covid-19 scourge.”
In fairness to Dr. Vitarana, he is not asking to be in charge of this community action plan, and he is confident in the abilities of doctors in the Epidemiology Unit and of the armed forces for tracking and tracing. And if Dr. Vitarana is just a retired professional without political involvement, no one would be suggesting that he should be recalled from retirement to head this or that coronavirus task force. The only reason that some of us are puzzled about his apparent exclusion, is that he has been so much a part of the PA/UPFA/ULF/SLFP/SLPP governing political formation for 26 years – all the way back from 1994, when some of the current bigwigs were in and out of the country and would not have known the difference between a parliamentary system and a presidential system.
Put another way, the mystifying exclusion of Dr. Tissa Vitarana and the inexplicably ridiculous transfer of Dr. Anil Jasinghe from Health to the Environment, are not signs of a government that is prepared to utilize the best available people and the all the available institutional resources to “methodically” (to borrow presidential terminology) deal with the current pandemic crisis. Equally, if things have been working, and there is no surge of infections, nobody will be talking about Dr. Vitarana or Dr. Jasinghe. And there is no certainty either that everything about containing Covid-19 is going to get better. At least, there are no encouraging signs that things are indeed getting better.
The saving grace for everyone is that the recovery rates are high and the death rates are still low. It would also seem that the symptoms of infected are people are not as severe in Sri Lanka as elsewhere, and hospitalization is not currently overwhelming. Will all these factors hold at their current manageable levels, or can they get out of control? I have not come across any discussion about future projections either through technical modelling, or based on experience and commonsense. The overall uncertainty affects decision making about the levels to which social and economic activities can be allowed to open up or resume. In the absence of certainty and determination, it will not be possible to plan for or promise economic growth, let alone prosperity. Even if Sri Lanka is somehow able to resume significant economic activities, it still will have to face a very sluggish world outside.
It is a sign of the times that the British government has officially declared that it is heading towards its worst recession in three centuries. That last one was in 1709 and was caused by a fierce European winter which ravaged economies and caused famine. This time the British economy is expected contract by 11.3%, worse than every country in Europe other than Spain which is staring at a 12.4% GDP drop. Rishi Sunak, Britain’s Punjabi-Hindu Chancellor of the Exchequer, told the House of Commons last week, “Our health emergency is not yet over, and our economic emergency has only just begun.” The emergency could apparently get worse if Brexit goes wrong. In any event, the British government is not expecting the economy to return to pre-pandemic levels until the end of 2022. That generally is the sentiment in most countries. And China cannot play the same saviour role it played during the 2007-2008 global financial crisis.
This is also the context in which Sri Lankan government leaders should rethink and revisit many of the premises and projections that were included in the new budget. If it is “day-dreaming” to think of buying vaccine to vaccinate 60% of the population, by what yardstick of reality can one expect 60% market capitalisation? Until Covid-19 is brought under reasonable control, it would not be realistic to expect the economy to return to anywhere near full throttle. Clearly, a total lockdown is not the answer, even though it would be the easiest to implement and to claim victory.
Economic targets and infrastructure investments that are inappropriate for the current situation, that are environmentally harmful, and do not carry long term benefits should be avoided. Inappropriate examples include construction of highways and mass paving of 100,000 kilometres of currently unpaved rural roads. The latter would be a drainage disaster. Potential projects that deserve investment green light, are helping garment factory workers to build their own houses, urban and rural water supply and sanitation schemes, countrywide drainage control, and water management as part of agriculture and food production. Such targeted economic activities can go hand in hand with “community action” to contain Covid-19.
Features
US’ drastic aid cut to UN poses moral challenge to world
‘Adapt, shrink or die’ – thus runs the warning issued by the Trump administration to UN humanitarian agencies with brute insensitivity in the wake of its recent decision to drastically reduce to $2bn its humanitarian aid to the UN system. This is a substantial climb down from the $17bn the US usually provided to the UN for its humanitarian operations.
Considering that the US has hitherto been the UN’s biggest aid provider, it need hardly be said that the US decision would pose a daunting challenge to the UN’s humanitarian operations around the world. This would indeed mean that, among other things, people living in poverty and stifling material hardships, in particularly the Southern hemisphere, could dramatically increase. Coming on top of the US decision to bring to an end USAID operations, the poor of the world could be said to have been left to their devices as a consequence of these morally insensitive policy rethinks of the Trump administration.
Earlier, the UN had warned that it would be compelled to reduce its aid programs in the face of ‘the deepest funding cuts ever.’ In fact the UN is on record as requesting the world for $23bn for its 2026 aid operations.
If this UN appeal happens to go unheeded, the possibilities are that the UN would not be in a position to uphold the status it has hitherto held as the world’s foremost humanitarian aid provider. It would not be incorrect to state that a substantial part of the rationale for the UN’s existence could come in for questioning if its humanitarian identity is thus eroded.
Inherent in these developments is a challenge for those sections of the international community that wish to stand up and be counted as humanists and the ‘Conscience of the World.’ A responsibility is cast on them to not only keep the UN system going but to also ensure its increased efficiency as a humanitarian aid provider to particularly the poorest of the poor.
It is unfortunate that the US is increasingly opting for a position of international isolation. Such a policy position was adopted by it in the decades leading to World War Two and the consequences for the world as a result for this policy posture were most disquieting. For instance, it opened the door to the flourishing of dictatorial regimes in the West, such as that led by Adolph Hitler in Germany, which nearly paved the way for the subjugation of a good part of Europe by the Nazis.
If the US had not intervened militarily in the war on the side of the Allies, the West would have faced the distressing prospect of coming under the sway of the Nazis and as a result earned indefinite political and military repression. By entering World War Two the US helped to ward off these bleak outcomes and indeed helped the major democracies of Western Europe to hold their own and thrive against fascism and dictatorial rule.
Republican administrations in the US in particular have not proved the greatest defenders of democratic rule the world over, but by helping to keep the international power balance in favour of democracy and fundamental human rights they could keep under a tight leash fascism and linked anti-democratic forces even in contemporary times. Russia’s invasion and continued occupation of parts of Ukraine reminds us starkly that the democracy versus fascism battle is far from over.
Right now, the US needs to remain on the side of the rest of the West very firmly, lest fascism enjoys another unfettered lease of life through the absence of countervailing and substantial military and political power.
However, by reducing its financial support for the UN and backing away from sustaining its humanitarian programs the world over the US could be laying the ground work for an aggravation of poverty in the South in particular and its accompaniments, such as, political repression, runaway social discontent and anarchy.
What should not go unnoticed by the US is the fact that peace and social stability in the South and the flourishing of the same conditions in the global North are symbiotically linked, although not so apparent at first blush. For instance, if illegal migration from the South to the US is a major problem for the US today, it is because poor countries are not receiving development assistance from the UN system to the required degree. Such deprivation on the part of the South leads to aggravating social discontent in the latter and consequences such as illegal migratory movements from South to North.
Accordingly, it will be in the North’s best interests to ensure that the South is not deprived of sustained development assistance since the latter is an essential condition for social contentment and stable governance, which factors in turn would guard against the emergence of phenomena such as illegal migration.
Meanwhile, democratic sections of the rest of the world in particular need to consider it a matter of conscience to ensure the sustenance and flourishing of the UN system. To be sure, the UN system is considerably flawed but at present it could be called the most equitable and fair among international development organizations and the most far-flung one. Without it world poverty would have proved unmanageable along with the ills that come along with it.
Dehumanizing poverty is an indictment on humanity. It stands to reason that the world community should rally round the UN and ensure its survival lest the abomination which is poverty flourishes. In this undertaking the world needs to stand united. Ambiguities on this score could be self-defeating for the world community.
For example, all groupings of countries that could demonstrate economic muscle need to figure prominently in this initiative. One such grouping is BRICS. Inasmuch as the US and the West should shrug aside Realpolitik considerations in this enterprise, the same goes for organizations such as BRICS.
The arrival at the above international consensus would be greatly facilitated by stepped up dialogue among states on the continued importance of the UN system. Fresh efforts to speed-up UN reform would prove major catalysts in bringing about these positive changes as well. Also requiring to be shunned is the blind pursuit of narrow national interests.
Features
Egg white scene …
Hi! Great to be back after my Christmas break.
Thought of starting this week with egg white.
Yes, eggs are brimming with nutrients beneficial for your overall health and wellness, but did you know that eggs, especially the whites, are excellent for your complexion?
OK, if you have no idea about how to use egg whites for your face, read on.
Egg White, Lemon, Honey:
Separate the yolk from the egg white and add about a teaspoon of freshly squeezed lemon juice and about one and a half teaspoons of organic honey. Whisk all the ingredients together until they are mixed well.
Apply this mixture to your face and allow it to rest for about 15 minutes before cleansing your face with a gentle face wash.
Don’t forget to apply your favourite moisturiser, after using this face mask, to help seal in all the goodness.
Egg White, Avocado:
In a clean mixing bowl, start by mashing the avocado, until it turns into a soft, lump-free paste, and then add the whites of one egg, a teaspoon of yoghurt and mix everything together until it looks like a creamy paste.
Apply this mixture all over your face and neck area, and leave it on for about 20 to 30 minutes before washing it off with cold water and a gentle face wash.
Egg White, Cucumber, Yoghurt:
In a bowl, add one egg white, one teaspoon each of yoghurt, fresh cucumber juice and organic honey. Mix all the ingredients together until it forms a thick paste.
Apply this paste all over your face and neck area and leave it on for at least 20 minutes and then gently rinse off this face mask with lukewarm water and immediately follow it up with a gentle and nourishing moisturiser.
Egg White, Aloe Vera, Castor Oil:
To the egg white, add about a teaspoon each of aloe vera gel and castor oil and then mix all the ingredients together and apply it all over your face and neck area in a thin, even layer.
Leave it on for about 20 minutes and wash it off with a gentle face wash and some cold water. Follow it up with your favourite moisturiser.
Features
Confusion cropping up with Ne-Yo in the spotlight
Superlatives galore were used, especially on social media, to highlight R&B singer Ne-Yo’s trip to Sri Lanka: Global superstar Ne-Yo to perform live in Colombo this December; Ne-Yo concert puts Sri Lanka back on the global entertainment map; A global music sensation is coming to Sri Lanka … and there were lots more!
At an official press conference, held at a five-star venue, in Colombo, it was indicated that the gathering marked a defining moment for Sri Lanka’s entertainment industry as international R&B powerhouse and three-time Grammy Award winner Ne-Yo prepares to take the stage in Colombo this December.
What’s more, the occasion was graced by the presence of Sunil Kumara Gamage, Minister of Sports & Youth Affairs of Sri Lanka, and Professor Ruwan Ranasinghe, Deputy Minister of Tourism, alongside distinguished dignitaries, sponsors, and members of the media.
According to reports, the concert had received the official endorsement of the Sri Lanka Tourism Promotion Bureau, recognising it as a flagship initiative in developing the country’s concert economy by attracting fans, and media, from all over South Asia.
However, I had that strange feeling that this concert would not become a reality, keeping in mind what happened to Nick Carter’s Colombo concert – cancelled at the very last moment.
Carter issued a video message announcing he had to return to the USA due to “unforeseen circumstances” and a “family emergency”.
Though “unforeseen circumstances” was the official reason provided by Carter and the local organisers, there was speculation that low ticket sales may also have been a factor in the cancellation.
Well, “Unforeseen Circumstances” has cropped up again!
In a brief statement, via social media, the organisers of the Ne-Yo concert said the decision was taken due to “unforeseen circumstances and factors beyond their control.”
Ne-Yo, too, subsequently made an announcement, citing “Unforeseen circumstances.”
The public has a right to know what these “unforeseen circumstances” are, and who is to be blamed – the organisers or Ne-Yo!
Ne-Yo’s management certainly need to come out with the truth.
However, those who are aware of some of the happenings in the setup here put it down to poor ticket sales, mentioning that the tickets for the concert, and a meet-and-greet event, were exorbitantly high, considering that Ne-Yo is not a current mega star.
We also had a cancellation coming our way from Shah Rukh Khan, who was scheduled to visit Sri Lanka for the City of Dreams resort launch, and then this was received: “Unfortunately due to unforeseen personal reasons beyond his control, Mr. Khan is no longer able to attend.”
Referring to this kind of mess up, a leading showbiz personality said that it will only make people reluctant to buy their tickets, online.
“Tickets will go mostly at the gate and it will be very bad for the industry,” he added.
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