SARS, Wars and the Farce


The depression hits  me  on a warm and humid Bangkok evening. I am just through with dinner in the city’s crowded Sukhumvit business district, my head full of the War on Iraq and I spot these people- with masks on their faces.


A couple of weeks ago anybody with a cloth covering his face in this city would have been branded a `jihadi’ a possible Arab/Muslim/dark skinned/dark intentioned `terrorist’. The city has been on alert well before the war on Iraq started to prevent `Arab looking’ people from doing bad things- for eg., looking Arab.


Just around the time of the Anglo-American attack on Iraq,  if  there were to be an  `Arab’ behind a mask in Bangkok – the entire city would have been evacuated.


Apparently, not anymore. Respectable people wear  masks now in Thailand, Singapore, Malaysia, Hong Kong. In fact mandatory they say to save yourself from SARS- the flu-like virus that has much of south-east Asia in deep panic. Tourists are canceling their trips in droves, schools are closing down, economies plunging, governments in crisis and the Chinese- oh those `super-contaminating  Chinese’- are being spurned everywhere.


Suddenly, an irrational panic grips me.  God- there is no escape. If the Apostles of Armageddon running the White House do not get you some mysterious malevolent microbes will. For a fleeting moment, a deep frozen moment, I lose hope. We are finished. They will get us one way or the other. 


This is what the new/OLD colonial world order is going to be all about- complete helplessness for us common citizens. Caught between SARS and THEIR Wars the only safe place is soon going to be- you guessed right- on planet Mars.


Yes, the people I saw wearing those masks have a right to protect themselves. I will not mock them in any way. To paraphrase Voltaire I do not believe these masks medically help them  in any way but I will defend to death their right to wear them. And then there are so many of THEM out there who deserve to have a mask fixed on their faces anyway (so we won’t have to `read their bloody lips’).


Yes, there are these microbes and many of them are dangerous. Yes, people have died and still continue to do so. And it is indeed true we really do not know which way this pandemic is going to turn out. There are constant references to the great Influenza outbreak after World War One which killed an estimated 20 to 40 million people. Is SARS going to be that big ?


I am no kin to any Indian sage and I cannot predict such things. But I am betting neither can the `medical experts’ or the `media’ give us a real idea of what is going to happen. At this stage, given the sparse information on hand about SARS, it is all idle speculation- an activity that SOME people usually make lots of money out of.


Even assuming the deeply depressing thought that much of humanity is going to be wiped out by SARS over the next year (that is what the media is making it sound like) let us take a step back from this approaching abyss, take a deep breath (go ahead, do it while it is still safe) and reflect on a few questions about other aspects of this PANDEMONIUM of a pandemic.


First the CONTEXT:  Why are we so full of fear only of THESE microbes and not those dozen other ways in which people die completely avoidable deaths ?


To anyone who is not already aware of these facts let me spell them out:


- 250,000 to 500,000 people die every year around the world due to ordinary influenza, the common `garden variety’ flu. In the United States alone, with a vaccine and medical care available, flu kills 36,000 people die every year.


- Anywhere between 1  to 2.7 million die every year due to Malaria- a vast majority of them in Africa, particularly children


- Tuberculosis kills 2 million people every year and 98 per cent of these in developing countries


- HIV/AIDS claimed 3 million lives in 2002, including an estimated 610,000 children.


- Traffic accidents kill 300,000 people every year in Asia alone.


- The Anglo-American invasion of Iraq killed at least 10 to 15,000  Iraqi soldiers and over 2,300 Iraqi civilians in just the initial two weeks and maybe several hundred British and American troops.


And I am not even counting those millions who die of poverty and malnutrition around the globe annually. Every year the Indian media attributes hundreds of deaths to the `cold wave’, `the heat wave’, `too much rain’ and `too little rain’. The fact is these deaths have nothing to do with the weather- in my country there people die every hour, wantonly, in PERFECTLY good weather. We all know WHY.


I would say this. If we choose to cover our faces let it be in anger and in shame- not just due to some microbes alone.


The RECORD so far: Here is the latest status of the number of SARS cases worldwide and deaths so far since 1 November 2002 when the disease is supposed to have broken out in southern China. In almost six months since the outbreak a total of 4439 cases of SARS and `suspected’ SARS have been recorded in 26 countries  and 263 people have died. The mortality rate due to SARS is estimated between 3 to 4 percent- just above that of normal influenza-but even this is not confirmed because the total number of real SARS cases is not yet known. Nor is its exact method of transmission clearly understood- which is why wearing masks may not be a useful precaution at all. 


The MEDICAL ESTABLISHMENT: The alarm bells about SARS started ringing only when the WHO issued a global alert in mid-March . A war of words broke out soon between the WHO and the  Chinese health authorities- the latter being accused  of `hiding information’ about SARS in its first few months. The Chinese said something back, which nobody understood (they are never going to be a `superpower’ this way). 


One of the big critiques of bodies like the WHO from health activists has been the way they have adopted a purely `vertical’ approach to global health problems at the cost of a sustained, holistic and long-term approach. So whenever there is an outbreak or more usually an `outcry’ about a particular disease WHO and other global health officials organize a `posse’, mobilize some resources, and ride into the wilderness ready to `lasso’ the villain. Once the `critter’ is temporarily caught or suppressed the issue is then mostly forgotten.


There is no attempt to even address underlying causes of new virus and diseases emerging for eg., due to super-intensive techniques of animal husbandry, recycling of animal offals in animal feed, the use of a variety of artificial hormones and growth-enhancers  and of course from biological warfare experiments. Nor is there any attempt to mitigate the conditions, such as overcrowding, poverty and lack of housing infrastructure, under which infectious diseases such as SARS spread so rapidly. The WHO has  failed to push policies that tackle other basic social and economic determinants of public health also – such as conflict, environmental pollution and privatization of  health care.


The MEDIA: Has anybody really asked how much of the SARS scare is due to the media’s penchant for simplistic, alarmist reporting ?  One of the first `big’ SARS cases to make the headlines was that of Johnny Cheng, a Chinese-American businessman who died  at a hospital in  Hanoi, Vietnam after flying in from Hong Kong. Just a month ago Hanoi was one of the `epicentres’ of the SARS pandemic going by media reports. No more.  The country seems to have slipped down the hit list of  `no go’ places with just 63 reported SARS cases and 5 deaths.


How did this `super-contagious’, `killer’ disease get contained in a crowded country like Vietnam with a very average public health system ? Nobody in the media is following the Vietnam story anymore because that is not on the map of the usual globe-trotting elites.  Hong Kong, Singapore and Toronto are on that MAP and hence the panic about viruses traveling on the business class seat next to THEM. (If nothing else, maybe there is a great `success story’ out  there in Vietnam, with details of how a poor, third world country has successfully contained this deadly new infectious disease.)


And what happened to the media follow up to the various other health scares we have had in the past decade all around the globe ? Bubonic plague in India, Ebola in Africa, the Mad Cow Disease in the UK ( I won’t take a dig at Tony B on this one) ? And why was there virtually no coverage in the `international media’ of the  influenza outbreak in Madagascar in mid-2002, where more than 27 000 cases were reported within three months and 800 deaths occurred despite rapid intervention ?


There is an apocryphal story going around this part of the world which shows how much of a media `thing’ this SARS scare probably is. The question asked is why is this new form of flu being called the Severe Acute Respiratory Syndrome ? `Severe’ and `Acute’- two synonymous terms together – WHY ? Apparently- the term `Severe’ was added (only in early March this year) to avoid an awkward acronym resulting from what was originally dubbed  the Acute Respiratory Syndrome ?  What’s the secret here- cover your face and save your — ?


That story is most probably a  bad joke-but let me tell you- I think so is the way the entire SARS scare is being reported and played out.


I AM NOT SAYING that the deaths due to SARS are not a real, serious tragedy or that it could not turn into a dangerous pandemic. Far from it. There is no moral mathematics involved here, please. Every human life is precious- Iraqi or American, Chinese or Singaporean. A very unique, irreplaceable Universe of its own- disappears forever with each physical death.  All I am pleading for is some more PERSPECTIVE.


WHY are those dying of malaria, tuberculosis, HIV/AIDS and poverty in most developing countries every day not making the headlines ? Is it not because those who die unseen, unheard, untreated are not in the same league as the Gold Card holding frequent flyers of our world ? Is it not because there is such a `low probability’ of a TB infected African child coughing in the same air-conditioned corridors as our elites frequent ?


A couple of years ago a senior editor of one of India’s major newspapers, when asked by a women’s rights activist to publish a story about high rates of malnutrition among girl children, is reported to have refused and said ` The readers of our newspaper do not suffer from malnutrition’.  Sure, Mr Let Them Eat Cake-  but aren’t YOU and YOUR readers who are the CAUSE of malnutrition in India. ( Ahem, what I wanted to say was -’ Will someone pass me that cutting edge of the French Revolution !’)


When one hears stories such as these a question arises in my mind. This is just a nasty, nasty question that I just can’t get out of my head. COULD IT BE that those who die unseen, unheard, untreated are themselves MICROBES in the worldview of our Masters ? Has the microbe become a metaphor for the unwashed, unwanted millions who don’t fit into the corporate globalisation of our Empire builders ?


Good riddance, THEY suppose, of those teeming, troublesome microbes- of so little value to the Empire. Microbes, who cannot afford to BUY and have nothing to SELL.


And from this high point of MORAL CLARITY it is just a little leap away to identifying  those other microbes that need to be dealt with. The bearded, turbaned, different, DISSIDENT, multi-tongued microbes. To be screened and searched at every airline check-point, discouraged, disinfected, disposed off like a dirty secret. Microbes, whose very EXISTENCE, is a form of biological warfare to SOME.


No, I  really want to bring this subject up.  However depressing the subject is to me and many of you reading this. It is important to see where our dear world is headed towards. A world in which there are perishable, pestilent MICROBES and there are those HUMAN BEINGS- moulded in the image of GOD.


OK, OK not all of us are microbes of course. Many of us are a slightly higher caste- tolerated, employed, paid, domesticated, sheep, cattle. And there is also that special category – well-fed, trained dogs. God bless the creatures- I really have nothing against their species. ( In fact, some of them are my best friends) But I can’t help objecting to the worst of  canine qualities  that many of these four-legged ones in our midst display. Whining and Dining with the Masters, Biting and Barking at the Poor.


 I know all this is getting a bit too depressing and I don’t like it one bit. I have been reading too much Orwell these days, and that too, on the front pages of daily newspapers.


So how does one get out of this Animal Farm we all seem to be trapped in ? I would say- let’s go back to our roots and our traditions- the great traditions of the ancient microbes.


Think of it- the microbes- the first form of LIFE on Planet Earth. Microbes- mating, multiplying, mutating into higher, more virulent forms of cognitive, COMBATIVE life. Weathering all storms, RESISTING all predators and surviving every sterile environment.  Microbes evolving, exploring, EXPLODING till every form of LIFE finds its place under the sun.


( I know now why Dubya does not believe in the Theory of Evolution. Doesn’t matter. The Theory doesn’t believe in him either.)


I have got it figured now. What this globe really needs now is a Movement of All Microbes  and the Mother of All Movements. A million MOAMS to match all THEIR murderous, misanthropic MOABs.



Satya Sagar is a journalist based in Thailand. He can be reached at [email protected]


ENDS


 

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