Showing posts with label cholera. Show all posts
Showing posts with label cholera. Show all posts

Saturday, July 08, 2017

No love, in the time of cholera!

I went to graduate school because of my naïveté.  Living in my own bubble, I thought that the causes of the miserable human condition all around me in India and elsewhere had not been clearly understood, and that graduate school would lead to a breakthrough.

Turned out that I did learn a lot through my six years--problems continue primarily because of politics that prevents us from doing the right thing.

I don't mean politics as in elections and voting, but politics as in how we as individuals and groups prefer to view the world and, therefore, how to respond to the human condition--whether it is at the street corner or in a far away country.

Consider cholera, for instance.  Sure, once upon a time humans thought that this disease and fatality was some mysterious event.  But, a cholera outbreak in London during the height of its Industrial Revolution and urbanization was also when we humans figured out what was going on.  It is a story of geography and maps.  (Wikipedia can help, if it interests you.)

My point is this: If there are people dying from cholera in the year 2017, it ain't because we don't know what causes cholera.  We know all too well.  We know how it spreads.  We know how it kills.

So, why do people die from cholera?  Politics.

The worst of that politics is being played out in Yemen:
The Yemeni farm laborer was picking crops in a hot field when the call came. His children, all seven of them, had fallen gravely ill.
Some were vomiting, others had diarrhea, and all were listless, indicating that they had fallen victim to the latest disaster to afflict this impoverished corner of the Arabian Peninsula: one of the worst outbreaks of cholera infection in recent times.
No amount of graduate schooling by any number of eager-beaver students can help, when we are hell bent on making the human condition miserable.
For much of the world, cholera, a bacterial infection spread by water contaminated with feces, has been relegated to the history books. In the 19th century, it claimed tens of millions of lives across the world, mainly through dehydration and electrolyte imbalance.
That ended with modern sanitation and water systems. When it pops up now, it is usually treated easily with rehydration solutions and, if severe, with antibiotics.
Yep, we thought had condemned killing by cholera to history.  And then we watch it happen in real time:
Since a severe outbreak began in late April, according to Unicef, cholera has spread to 21 of the country’s 22 provinces, infecting at least 269,608 people and killing at least 1,614. That is more than the total number of cholera deaths reported to the World Health Organization worldwide in 2015.
How fucked up are we humans!
In October, the government stopped paying civil servants, prompting strikes from sanitation workers and leading to garbage pileups and septic backups. That contaminated the wells that many Yemenis rely on for water, providing the ideal environment for cholera to spread. The outbreak picked up speed in April, after dirty rainwater further polluted the wells.
Not everyone who is exposed to cholera will contract the disease. But in places like Yemen, where more than 14 million of Yemen’s 27 million people lack access to clean water and 17 million do not have enough food, people are far more vulnerable — particularly malnourished children.
“The average person lives on tea and bread. It’s just one meal a day,” said Jamie McGoldrick, the United Nations humanitarian coordinator for Yemen. “They are in a weakened state, and that is why they are getting sick.”
Making matters worse, the war has damaged 65 percent of Yemen’s medical facilities, denying more than 14 million people access to health care.
You have to wonder why we can't seem to get along, right?

Meanwhile, acute resource constraints in a remarkably rich world:
The United Nations says it needs $2.1 billion for its work in Yemen this year, but it has received only 29 percent of that amount despite repeated pleas for donations from aid groups.
In addition to shedding my naïveté, there is one huge difference between the graduate school me versus the me now--I am not a starving graduate student.

So, I did the only thing that I could--I donated, to my favorite group that does phenomenal work in such situations: MSF.


Monday, June 26, 2017

The World According to Saudi Arabia

Five weeks ago, I included the following photograph in this post:

,
That NY Times photo ran with the caption: "A woman with cholera was treated at a hospital in Sana, Yemen, on Sunday."

Yes, cholera!

Over the five weeks, the president made a triumphant return to the country after having gained even more confidence from touching the orb.  Saudi Arabia, which is one the main reasons why Yemen is in a completely messed up state, also gained in confidence from the president touching the orb, and decided to let Qatar and Iran know who the big dog is in that part of the world.

Meanwhile, nobody cared about Yemen.

Is it any surprise that things have become worse, as if that is even possible?
Seized by violence and teetering on the edge of famine, Yemen is grappling with another danger that threatens to outpace them both: cholera.
"We are now facing the worst cholera outbreak in the world," international health authorities said in a statement Saturday.
Cholera is one of the easiest to stop, if you think about it.  Right?
The disease should not be so ferocious. Preventing cholera is pretty simple in theory: wash your hands with clean water, drink clean water, and eat food that has been boiled or cooked.
But ...
But clean water in Yemen is a luxury. Municipal workers in Sanaa have not been paid in months. And so we have no electricity, rubbish piling high in the street, and a crippled water system.
The sewer system stopped working on 17 April. Ten days later, cholera hit.
How terrible!
Yemen now suffers three-way tragedy: a population under siege, suffering the violence of war and unable to work or access nutritious food or health care; an economic collapse that has led to a rise in criminality; and now a devastating health crisis.
This all leads to what could be the largest cholera outbreak of our lifetime.
America couldn't care, even though the world knows that we are an accomplice in Yemen's deepening humanitarian crisis:
"There's a U.S. imprint on every civilian death inside Yemen that's caused by the Saudi bombing campaign," Democratic Sen. Chris Murphy of Connecticut told NPR's Michele Kelemen last month after the U.S. signed a new arms deal with Saudi Arabia.
"The Saudis simply could not operate this bombing campaign without us," he continued. "Their planes can't fly without U.S. refueling capacity. They are dropping munitions that we've sold them. We are standing side by side with them often when they are reviewing intelligence about targets."
As Fareed Zakaria noted, "Saudi Arabia played Donald Trump":
The United States has now signed up for Saudi Arabia’s foreign policy — a relentless series of battles against Shiites and their allies throughout the Middle East. That will enmesh Washington in a never-ending sectarian struggle, fuel regional instability and complicate its ties with countries such as Iraq that want good relations with both sides. But most important, it will do nothing to address the direct and ongoing threat to Americans — jihadist terrorism. I thought that Trump’s foreign policy was going to put America first, not Saudi Arabia. 
Shame on us, and on the 63 million voters!