Posts Tagged ‘Ebola’

abbottdutton

Australian Prime Minister Tony Abbott (L), and Australian Health Minister Peter Dutton (R) during a press conference in Sydney, Australia, 5 November 2014.

 

As we have pointed out before, Australia has been slow and mealy-mouthed in sending aid/health workers to try and control the Ebola outbreak at source.

Yet even now some small move has been made, as PM Abbott and Health Minister Dutton have been dragged kicking and screaming to the table, people around the world, and indeed at home, could be forgiven for being a little confused about Australia’s response to the Ebola crisis.

The government has been sending out somewhat mixed signals over what help it can offer, as is now pointed out for the world to read on the front page of the BBC website in the UK. Nice.

First, the Abbott government refused to send any official medical or military personnel to West Africa, a decision for which he was widely criticised on this blog, inside Australia, and overseas, at the same time as President Barack Obama was saying the US should be encouraging health workers to volunteer to go to the frontline.

Mr Abbott has now bowed to pressure and announced Australia will be contributing A$20m (£11m; $17m) to help fund a British Ebola response clinic being set up in Sierra Leone. However, the prime minister has been vague about who will be staffing it.

The Australian side of the operation has been contracted out to the private health provider Aspen Medical and Abbott suggested most of the staff would be recruited locally, but contradictorily health officials in Sierra Leone have said the principal thing they are lacking is qualified local doctors.

Meanwhile, the managing director of Aspen Medical, Glenn Keys, has said around 350 Australians have registered with the company to go and help.

What is clear is that the prime minister is sticking by his line that no government medical teams or military personnel will be dispatched.

Mr Abbott said the decision to contract in Aspen had been reached after Britain agreed to treat any Australians who become infected while in West Africa, something the Australian leader had said was his principal concern.

It’s now emerged though, that the European Union had already made a similar offer to treat Australian staff that Mr Abbott had rejected.

 

How many innocent lives could Australian workers have saved in the last few weeks? We will never know.

How many innocent lives could Australian workers have saved in the last few weeks? We will never know.

 

Yet the media in Australia have been perfectly silent in asking him “Why?”, and still are. Especially as the end result is Australia’s response has looked very tardy and been delayed by crucial weeks. Meanwhile the poor of West Africa continue to face death rates from Ebola of up to 90% of all those infected.

Add to that the strong criticism Australia has faced after it became the first developed country to ban the issuing of visas to anyone from Sierra Leone, Guinea and Liberia. The Sierra Leonean government called the move “discriminatory” and “counter-productive” suggesting it created a climate of panic.

As the BBC say, anyone who’s visited Australia will know they take a tough line on bio-security. There are strict rules about bringing in food products due to fears of bringing in disease.

But given that only a handful of people have been tested for suspected Ebola in Australia and all have tested negative, the government here risks being accused of showing a lack of compassion in the eyes of many around the world.

What is more important is that if this outbreak is not stopped AT SOURCE, and somehow transmits itself into other poor areas of the world with bad sanitation and inadequate health services – the rest of Africa, India, Pakistan, Central and Southern America, great swathes of South East Asia, even China – then we would be looking at an Armageddon scenario. In the face of which, Abbott and Dutton looked nothing more nor less like rabbits stuck in the headlights. So much for “strong leadership”, eh?

obama in churchMeanwhile, the political and media beat up worldwide on the outbreak has continued, with near hysteria levels, in the USA in particular.

A couple of weeks back we predicted that there wouldn’t be another Ebola case in the USA in the next seven days. It’s now 14 and counting.

But has the fever of commentary died down? Hardly. And why is so annoyingly obvious. The Republicans knew that by making Obama look “weak” on Ebola, by terrifying the population, in simple terms, then they would hurt the Democrats. And so they did, as seen in their “wave” of wins in the mid-terms on Tuesday just gone.

In fact, as is widely acknowledged, Obama’s response has been a small miracle of intelligent healthcare policy.

That he has not received the credit for acting smartly, promptly and effectively – not just in the USA, but in West Africa – is truly sickening.

mitch-mcconnell-glum
Excellent article on Rachel Maddow’s site today, which effectively skewers any idea that the Republican Party somehow now have a mandate to govern. The arguments should be read widely in America today: very good commonsense thinking.

It’s going to be a hot topic in the coming days and weeks. Having taken control of the Senate, is there a new GOP mandate for it to pursue with its new-found control of both houses of Congress?

That’s a question Republicans and Democrats will be debating in coming days, as the GOP makes the case that its election victories add up not only to an electoral “wave”, but to a mandate – a genuine endorsement of conservative policies – while Democrats cast them as something less.

Part of the problem is that we’re dealing with terms that have no specific, generally accepted meaning. For example, was this a “wave” election? Maybe, but there is no actual definition of the word, and because it’s somewhat subjective, opinions vary.

A “mandate,” meanwhile, also seems to mean different things to different people. Traditionally, it’s supposed to be part of a democratic model: a candidate or a party presents an agenda to the public, the public then endorses the candidate or party, and the winners claim a popular mandate. That is, by prevailing in an election, the victors believe they’ve earned the popular support needed to pursue the policy measures they presented during the campaign.

As of this morning, Republicans are predictably claiming just such a mandate, and at the surface, it may seem as if they have a point. The GOP took control of the Senate, expanded their House majority, flipped some state legislative bodies, and fared surprisingly well in gubernatorial races. The result, they say, is an endorsement from the American people that affords them the right to pursue their top priorities.

It’s a nice argument, which just happens to be wrong.

The Republican right can't have it both ways. But they will try.

The Republican right can’t have it both ways. But they will try.

Right off the bat, perhaps the most glaring flaw with the Republican pitch is that the GOP seems to believe only Republicans are capable of claiming a mandate.

Two years ago, President Obama won big, Senate Democrats kept their majority for a fourth-consecutive cycle; and House Democratic candidates earned far more votes than their House Republican counterparts.

Did this mean Dems had a popular mandate for their agenda? GOP leaders replied, “Absolutely not.”

Indeed, the Republicans said the opposite, concluding that Obama and his agenda may have been endorsed by the nation, but it was the GOP’s job to kill the every Democratic priority anyway. They proceeded to be the most obstructionist Congress in history, rendering the nation effectively ungovernable.

Elections have consequences? Republicans have spent the last two years insisting otherwise. It’s laughable for GOP officials to now change their mind and declare, in effect, “Mandates only exist when we win.”

What’s more, the obvious question for those arguing that Republicans have a mandate this morning is simple: “A mandate to do what, exactly?”

Think about the policy platform Republicans emphasised over the course of the last several months. Let’s see there was … well, we can’t forget about … but they certainly pushed … there was a real debate about issues such as … Ebola-stricken terrorists crossing the border from Mexico?

Look, it’s not exactly a secret that the GOP’s priorities, such as they are, do not enjoy broad national support. The party did its best to obscure its unpopular ideas for fear of losing. Incoming Senate Majority Leader Mitch McConnell (R-Ky.) even went so far as to tell reporters the other day, “This is not the time to lay out an agenda.”

Not to put too fine a point on this, but that, in a nutshell, effectively ends the “mandate” debate. A party, no matter how well it does in an election, cannot claim a mandate for a policy agenda that does not exist and was not presented to the people. Vaguely blathering on about smaller government, or using explicitly abusive negativity, (as we said yesterday), doth not a mandate make. What exactly do the Republican Party stand for as opposed to against?

Republicans ran an “agenda-free campaign.” Did it produce big wins? Yes. Unarguably. Did it create a mandate? Very obviously not.

AbbottThe Australian government is facing yet more criticism for not sending health workers to Africa to help fight Ebola.

A 25-bed US field hospital that will treat international health workers who contract the virus is due to open soon.

The Australian government now has no excuse not to fund health workers to travel to Africa, said Labor health spokeswoman Catherine King. And she’s right.

“It is now up to the Abbott government to act,” Ms King told journalists in Canberra on Friday.

Australia has so far refused to send health workers to Africa because it says it could not evacuate and treat them if they got infected with the virus.

It has provided A$8m (£4.4m) to frontline services and A$40m (£22m) to the World Health Organization and has not ruled out increasing that contribution.

‘A risky situation’

“We will not be putting Australian health workers in a risky situation in the absence of evacuation plans and an appropriate level of medical care and we cannot currently supply that,” Foreign Minister Julie Bishop said last month.

But the Australian Medical Association, the Public Health Association, the Healthcare and Hospitals Association and non-government organisation Medecins sans Frontieres have all called for the Australian government to substantially increase its contribution.

Sierra Leone and Amnesty International have condemned Australia’s decision to suspend entry visas for people from Ebola-affected countries in West Africa as “counterproductive” and “discriminatory”.

Ms King said there was a split in Cabinet about its response to the crisis, with Immigration Minister Scott Morrison “taking charge” and Prime Minister Tony Abbott and Health Minister Peter Dutton losing control of the debate.

Nearly 5,000 people have died of Ebola so far. More than 13,700 people have been infected in total, the vast majority in the West African countries of Liberia, Sierra Leone and Guinea.

UPDATE NOV 5th It has today been announced that the Abbott Government have caved in and will allow volunteer medical staff to travel to the affected areas in a government-supported effort.

Ebola in Liberia

Watching the world go into collective meltdown over the Ebola outbreak in West Africa is highly instructive for anyone who is interested in how the media works, how politics works, and how groupthink works.

The media are rubbing their collective hands with glee. Suddenly they have a new and potentially terrifying threat to wax lyrical about: ISIS terrorism is so last week, right?

Now a “deadly” virus that most people have never heard of, that’s escaped from the nasty, mucky, dark continent of Africa, and threatens us nice white people in our impeccably clean western societies, offers the media a chance for wall-to-wall coverage, most of it hysterical and uninformed.

Politicians now fall neatly into two camps. Those who give a shit about tackling the outbreak, and those who simply give a shit about blaming someone else, and always on the other side of the aisle.

And groupthink has merely descended into group terror. You can’t blame people for being scared, but the level of fear has reached ridiculously high proportions astonishingly quickly.

So here’s a few facts.

ebolavirusEbola can be and is deadly, (with morbidity rates as high as 70% in some of the countries currently under attack), but the vast majority of people infected (perhaps upwards of 90%) will survive IF they receive proper medical care, such as simple matters including rehydration.

This is actually higher than some other much more common severe illnesses.

The huge death numbers in West Africa are because the sanitation, medical and social systems there are completely inadequate to deal with the illness.

The strain of Ebola affecting Sierra Leone, Nigeria and Liberia is not airborne. You HAVE to have an exchange of bodily fluids to catch it. The rapid transition rate in West Africa is because poor people are caring for sick relatives in their own homes, and avoiding contact with saliva, blood and bodily wastes (or surfaces contaminated with them) is extraordinarily difficult in those circumstances.

In reality, as you can see here, the spread rate of Ebola against other serious illnesses is very slow. This is partly, tragically, because in poor countries the sick don’t live long enough to pass the virus on to very many people. Ebola is actually a very inefficient virus. It kills its victims too quickly.

The solution to the Ebola crisis is very simple. By all means isolate the very few cases that will occur in advanced countries, and treat those people with all due care for the treating staff as well. The majority of infected people will recover, especially if they are treated early. Impose travel bans if you wish, though it would be much more sensible to implement heat screening of in-bound passengers, such as was used during the SARS crisis in China.

There is also evidence from previous outbreaks that educating the local community about how to handle patients and reduce infection-risk is an effective way to slow or end outbreaks. This is another area of activity that should be ramped up.

In the meantime, though, whatever else we do, we must DRAMATICALLY increase aid to West Africa. We should be FLOODING the area with capacity to deal with the crisis, AND to deal there with any aid workers from advanced countries who become infected, keeping them there instead of repatriating them to their home country. Although conditions in these countries are extremely difficult, it is not beyond the wit and wisdom of mankind to isolate and treat the virus there. What IS needed is willpower and decisive action and plenty of fast money.

If this was a war, an immediate and resolute response would be found.

Well, this is a war. A war to save potentially hundreds of thousands of poor victims worldwide. This is not a war to protect the West. It was and is and will be a war to protect countries in Africa (and possibly elsewhere) from being set back 25 years in their development, through the avoidable death of countless innocent people.

Rabbit caught in headlights? Pretty much.

Rabbit caught in headlights? Pretty much.

In this regard, the failure of the Australian government to yet send staff to the area is staggeringly weak and vacillating.

Health Minister Peter Dutton waffles on about not knowing where to treat any staff who contract the virus.

Well, here’s a question to answer, Mr Dutton. If Ebola gets into the slums of the poorer countries of Asia (such as especially the Philippines and Thailand) or the favelas of South America, it will then GENUINELY be too late to stop a worldwide humanitarian disaster. What will you do then?

If you are genuinely concerned about the safety of our aid workers or troops, (and not simply trying to save money and hope someone else does the heavy lifting) then explain the situation simply and clearly, and ask for volunteers.

Action, this day. Nothing else is acceptable.

PS Don’t expect to see the commonsense in this article reported in mainstream media, so feel free to share it.