COVID-19 and Teenage Pregnancies

by Grace Ndanu

A group of girls dressed in traditional Masaai clothing
Source: Creative Commons

It takes a lot of love, effort and dedication to be a good mother. For that reason, I believe it is important that everyone has the choice whether or not to be a parent, and when to take on that responsibility. Unfortunately, many girls around the world do not get to choose. Globally, the COVID-19 pandemic remains a pain to society because it is definitely complicating the efforts of reducing teenage pregnancies. It has caused an immeasurable disruption to every aspect of our lives in the last few months. To contain the spread of the novel coronavirus, governments have taken drastic measures to minimise the spread. Learning has been suspended, with schools being closed indefinitely. Religious meetings and worship programs have been affected similarly meaning there will be no more youth programs in the religious institutions, including churches and mosques for the time being.

In Kenya, the Ministry of Education has put in place strategies to ensure continuity of education through distance online learning delivered through radio, television and the internet. However, these strategies have further widened the inequality gap, as learners from poor, vulnerable, and marginalized households are unable to benefit from continued learning through these platforms due to lack of access. Further, with the loss of livelihoods particularly in low income households, some children may be forced into income-generating activities to support their families’ survival. Also, school closure has stopped the provision of school meals and sanitary towels.

And it’s more complicated for girls living in refugee camps or girls that are internally displaced. For them, school closures are even more devastating as they are already a disadvantaged group. Girls at secondary level are only half as likely to enroll as their male peers. While the magnitude of the COVID-19 crisis is unprecedented, we can look to the lessons learned from the Ebola epidemic. At the height of the epidemic, five million girls were affected by school closure across Guinea, Liberia and Sierra Leone, the countries hardest hit by the outbreak. And poverty levels rose significantly as education was interrupted.

There is evidence that links poverty with teenage pregnancies during this pandemic. One reason is because many young girls are getting involved in economic activities to supplement what their parents are bringing home. On the other hand, as the cases rise day by day there is a strain on the healthcare system, leading to the disruption of healthcare services, re-prioritization of sexual and reproductive and health services and a. shortage of contraceptive commodities and essential drugs. As SRHR services are reducing, sexual behaviour is rising since the teenagers have nothing to do, and it seems to be more risky where parents don’t really care what their children are doing while at home. I feel that there will be more unintended pregnancies all over the world, many of which will occur among teenage girls.

As I have discussed, there is no culture or tradition, it just happens. There are girls, especially those who come from communities or families that are rooted in culture and traditions, these girls must undergo what their parents wants them to, and the girls have no choice in the matter because their hope was school where they would run for help.

A positive pregnancy test
Source: Creative Commons

For example, in the Maasai community, when a girl is at least nine years old she is circumcised then married after two to four weeks. These girls are now expected to take care of their husband and to bear children at that early age.

Unintended pregnancies among teenagers may result in some difficulties in the lives of young girls. There are unsafe abortions, which may happen as a decision of the girl maybe to feel clean and also as a result of family decision in order to keep the family name clean. There is increased poverty where a girl who is being provided everything with the struggling parents bring another baby who needs to be taken care off and be provided everything as they are babies and as they grow all the way to adulthood. At some point there may be denial where by the parents kick out their daughters because of getting pregnant early because they have disgraced the family. This may cause psychological problems because she doesn’t have the supporting system which may force her to get married not only at an early age but also to an old man who may be violent on her. If not marriage she may have suicidal thoughts. Early pregnancies are the leading cause of deaths among the teenage girls because their bodies are not yet matured to give birth. The girls who are forced into marriage as teenagers, the responsibility that they are given drains them off because also their minds are not yet matured to do what is expected of them, which may lead them to be beaten and abused. Everyone deserves to enjoy their childhood.

Something has to be done before it’s too late. The governments should have committees that will develop and implement proven solutions. Different stakeholders should work to respond and to prevent by meeting the unique needs of adolescents by may be providing sanitary towels and also help them access SRHR services. The people responsible for taking care of pregnant teenage girls should teach them how to improve their sexual and reproductive health and well-being. Lastly I believe there are already existing activists in our towns and villages and they can potentially help to reduce negative coping mechanisms, such as child, early and forced marriage, especially during this time, where every energy is driven to the corona situation.

Cataclysm: COVID-19 in Brazil

As the number of novel coronavirus (COVID-19) cases continue to grow in the United States (U.S.), another epicenter has been growing in South America. As the sixth most populous country in the world, Brazil has experienced an uptick in COVID-19 cases and deaths alongside an array of national controversies that make the response efforts considerably more difficult. This blog addresses Brazil’s growing importance in the COVID-19 discussion and how it impacts human rights issues concerning indigenous peoples, environmental degradation, favela communities, and good governance.

As of late-June, more than 1.3 million Brazilians have been diagnosed with COVID-19, while over 55,000 have died from the virus. Brazil’s most populated state, São Paulo, is currently the country’s epicenter with nearly 250,000 confirmed cases of COVID-19. The northeastern state of Ceará has the country’s second-largest number of confirmed cases (100,000+), while Pará in the northwest is nearing 100,000 confirmed cases. Additionally, the iconic city of Rio de Janeiro has over 105,000 confirmed cases of COVID-19. Unfortunately, Amazonas has to the highest COVID-19 death rate of any state with 67 deaths per 100,000 cases, compared to Bahia’s 11 deaths per 100,000 cases, which highlights the disproportionate impact of COVID-19 on indigenous communities that have been systematically killed, displaced, and denied access to health care and other preventative services that could help fight the spread of the virus.

Indigenous Peoples of Brazil

As the largest Brazilian state in the Amazon region, Amazonas is known for its indigenous communities who often live in isolated villages and have poor access to health care. In the city of Manaus, which has a population of 2 million+ and is only accessible by aircraft or boat, many recent respiratory-related deaths have resulted in quick burial in mass graves, which has likely led to a severe underestimate the pandemic’s toll on the local population. In the remote community of Betania, the Tikuna tribe has five government medical workers that accommodate an approximate 4,000 inhabitants, but they are not treating the sick due to lack of protective equipment and COVID-19 testing supplies. One considerable threat are the indigenous community members who are not quarantining and are, instead, traveling in and out of town for work.

These unprecedented events compound the colonial legacy that has threatened Brazil’s indigenous peoples for centuries. Centuries ago, indigenous tribes throughout the Amazon were decimated by diseases brought by Europeans. In a way, history is repeating itself because the Brazilian government’s ineffectual response to the crisis have allowed COVID-19 to ravage the surviving indigenous communities and put them on the brink of genocide. Aside from the tribes who have contact with the modern world, the Brazilian Amazon inhabits 103 uncontacted tribes who have virtually no knowledge or resources to protect them from the threat of COVID-19. Signing this petition will help urge Brazilian officials to protect the surviving indigenous communities throughout the Amazon.

Deforestation in the Amazon

Since COVID-19 has reached these Amazonian communities, deforestation in the region has also proliferated. The Amazon is the largest rainforest in the world and is important to the global ecosystem because it absorbs approximately 5% of the world’s carbon dioxide (CO2) emissions. Thus, protecting the Amazon is pivotal for stalling the effects of climate change. However, for years, the Amazon has been ravaged to accommodate the agricultural industry as well as illegal loggers and drug traffickers. As a result, indigenous leaders fear that the COVID-19 pandemic will be used to exacerbate the destruction these industries have already caused.

During the month of April, deforestation in Brazil increased by nearly 64% which resulted in more than 150 square miles of rainforest destruction. In response, 3,000+ Brazilian soldiers were deployed to the region to prevent illegal logging and other criminal activities that contribute to deforestation. Some worry that such activity in the rainforest will lead to outsiders giving indigenous communities infectious diseases, namely COVID-19. Brazil’s Secretariat of Indigenous Health (SESAI) has made efforts to distribute N95 masks, gloves, and goggles to the region, but activists warn that the only way to protect uncontacted tribes is by keeping illegal loggers and miners out of these areas. Despite the Brazilian government establishing three military bases to prevent illegal actors from permeating the region, they are only expected to be present for 30 days. This is because Brazil’s main environmental enforcement agency, Ibama, is expected to take over these efforts but are currently understaffed and underbudgeted.

Favelas in the Age of Social Distancing

More than 11 million Brazilians live in favelas which are shantytowns outside of urban centers. Already hit hard by gun violence, unsanitary conditions, and militaristic police presence, people living in Brazil’s favelas struggle to adhere to social distancing measures. Research has found that people living favela-like conditions spend roughly 50% more time per day with others than people in less-impoverished areas. Often, favelas are composed of two or three rooms with five or six people sharing these spaces. As such, favela conditions enable the spread of COVID-19, and with precious little assistance from the government, Brazil’s most impoverished communities are left to fend for themselves.

With little government help, residents of Paraisopolis in Sao Paulo (population: 100,000) have offered a community-based solution. Due to donations and volunteer work, residents have responded to COVID-19 by organizing distribution of free meals, ambulatory services, and neighborhood watch persons. They even designated one building the quarantine house and repurposed closed schools in self-isolation centers. In Rio, members of the gang City of God drive through the local favelas, blaring a recorded message ordering people to stay home. Other gangs have become knowledgeable about COVID-19 in order to deliver essential goods to favela residents and have even gone as far to enforce social distancing measures by preventing restaurants from putting tables out. These forms of gang vigilantism in Brazil’s favelas demonstrate the lack of government support and tension with local police.

Small grave onlooking a favela.
At the bottom of this block destined to the burials of COVID-19, is the favela of the Vila Nova Cachoeirinha housing complex. Source: Léu Britto, Creative Commons.

Trump of the Tropics

These criticisms are largely attributed to the leadership of Brazilian President Jair Bolsonaro who notoriously dismissed COVID-19 as a “little flu”. Aside from personally ignoring social distancing measures, Bolsonaro has organized large rallies in an effort to confront local governors who have locked down their regions. Recently, after ignoring federal regulation that require wearing a face mask in all public places, a judge ruled that Bolsonaro (and any public official) is not exempt from this policy and should expect a 2,000-reais ($387) fine like anyone else. Bolsonaro even fired his Health Minister, Luiz Mandetta, in April after he supported social distancing measures. His successor has since promoted a reopening of the economy and unproven medical treatments for COVID-19.

Known by many as the “Trump of the Tropics,” Bolsonaro has successfully maintained a strong coalition of supporters such as the agriculture community, evangelical Christians, and the military. Unlike the U.S., Brazil is an emerging economy with a weak social safety net that makes it difficult for government officials to convince people to stay at home. Health care access and the conditions to work from home are also quite limited. Recent cell phone tracking data has revealed that 45-60% of Brazilians are not complying with social distancing measures, likely due to the fact that they have to choose between feeding their families and being exposed to the virus. As such, it is assumed Bolsonaro’s defiance of a public health approach to COVID-19 is an effort to appeal to his core supporters. Bolsonaro has also slashed regulations and enforcement of land grabbing, which exacerbates the deforestation crisis currently impacting the Amazon.

Human Rights in Brazil

As demonstrated, Brazil has an array of chronic human rights problems that have been compounded by the arrival of COVID-19. In 2016, a constitutional amendment was passed that limited public expenditures in Brazil for the next 20 years. As a result, we are now witnessing how these austerity measures have affected access to housing, food, water, and sanitation when Brazilians need it the most, particularly within the most vulnerable groups – women, children, Afro-Brazilians, indigenous peoples, rural communities, and informally-settled persons.

Much like the U.S., Brazil’s COVID-19 response has mostly been subnational social distancing measures and an emergency basic income to placate the masses. However, these efforts are clearly inadequate considering Brazil’s COVID-19 cases are surging alongside another potential Zika outbreak. As a result, Brazil has effectively become the most prominent COVID-19 case study in the Global South, a nation plagued by a deadly virus and an array of human rights issues. Human rights experts suggest fiscal stimulus and social protection packages would only be the beginning of a COVID-19 response because many of these concerns are the consequence of marketization and privatization of public goods and services. As such, the COVID-19 pandemic serves as an opportunity to reverse the market-based ideology that has failed so many countries, especially the Land of the Palms.

Please sign the petition to help urge Brazilian officials to protect the surviving indigenous communities throughout the Amazon.

Juneteenth 2020: Celebrating the Past, Fighting for a Better Future

Juneteenth in yellow, black, red and green with black power fist
Source: Yahoo Images

“The people of Texas are informed that in accordance with a Proclamation from the Executive of the United States, all slaves are free. This involves an absolute equality of rights and rights of property between former masters and slaves, and the connection heretofore existing between them becomes that between employer and hired laborer.”

What is Juneteenth?

Celebrated on June 19th, Juneteenth commemorates the official end of slavery. Although President Lincoln signed the Emancipation Proclamation on January 1, 1863, the U.S. government made little effort to enforce the executive order, allowing Texas and other Southern states to uphold the institution of slavery for two and a half years after it was declared illegal. It was not until Union Major General Gordon Granger arrived in Galveston, Texas, on June 19, 1865, that the news of freedom and the end of the Civil War reached the enslaved people there. Alternatively called “Freedom Day,” “Emancipation Day,” and “Cel-Liberation Day,” African Americans have celebrated Juneteenth since the late 1800s.

History

In the decades following the ratification of the 13th Amendment, Juneteenth celebrations grew in size and popularity. Some formerly enslaved men and women and their descendants made pilgrimages back to Galveston to celebrate the holiday. Early celebrations often included a ritual in which revelers tossed ragged garments that enslaved people would have been forced to wear into the river and adorned themselves in fancy clothes taken from their former plantations. In 1872, a group of African-Americans ministers and businessmen purchased 10 acres of land in Houston and created Emancipation Park as a place to hold the city’s annual Juneteenth celebration. The festivities typically involved fishing, barbecue, rodeos, baseball, and prayer services.

In the early 1900s, Juneteenth celebrations declined, as White employers did not recognize the holiday and would not let Black people off work if the holiday fell during the work week. Educational text books for students marked the official end of slavery as January 1, 1863, without mentioning its continuance through the end of the war. American Independence Day was celebrated on July 4, and Juneteenth went largely under the radar. Celebrations were revived in the 1960s at the height of the Civil Rights Movement, and cities across the country reinstated the festivities. Through the tireless efforts of Al Edwards, an African-American state legislator, Texas declared Juneteenth a state holiday in 1980. Other states are following his lead. In fact, 45 states and the District of Columbia have either made Juneteenth a state holiday or an official day of observance; however, it is not yet a national holiday. This year, several corporations, including Target, Twitter, Nike, and the NFL have announced that June 19 will be a paid holiday for their employees.

Protest sign reads "End White Silence. Black Lives Matter"
Source: Creative Commons

The Struggle Continues

As we celebrate the official end of institutionalized slavery, it is important to remember that the struggle for true freedom and equality for African-Americans is far from over. As the country is waking up to the duel pandemics of COVID-19 and systemic racism, Juneteenth celebrations are expected to be particularly festive and well-attended this year. Following the deaths of George Floyd, Breonna Taylor, Ahmaud Arbery, Tony McDade, Rayshard Brooks and countless other victims of anti-Black violence, there is a renewed sense of urgency and activism around the Black Lives Matter movement. Massive protests are happening all over the country with hundreds of thousands of Americans demanding an end to systemic racism and police brutality. In order to truly understand and participate in Juneteenth celebrations, it is important to remember the horrors of slavery, the extreme violence inflicted on Black people in the years following liberation, and how these legacies continue to plague our society. In anticipation of Juneteenth, the Equal Justice Initiative has released a new report – Reconstruction in America – describing the various ways in which White people and the State invented new forms of slavery, perpetuated anti-Black sentiment and justified violence and oppression. As Bryan Stevenson aptly reminds us, “Slavery did not end in 1865, it just evolved.” Today, Black Americans still do not enjoy the same freedoms and rights as White people, as they continue to experience lynching, police brutality, mass incarceration, and unequal justice disproportionately to their White counterparts.

While Juneteenth in years past has focused on celebrating the advances that Black people have made in the United States, this year is expected to center around a call to action. For White people who want to show their support, this includes showing up for the causes of anti-racism and equal justice, understanding the structural and institutional underpinnings of white supremacy and white superiority, exploring their own complicity in upholding a racist social order, and using their privilege and agency to take actionable steps to dismantle racism, both in their personal lives and on an policy level.

History is calling the future from the streets of protest.

What choice will we make?

What world will we create?

What will we be?

There are only two choices: racist or anti-racist”

– Ibram X. Kendi

To learn how to build an anti-racist world, watch Ibram X. Kendi’s inspiring TED talk.

Juneteenth in Birmingham

Juneteenth festivities will be held in Kelly Ingram Park on Friday, June 19, starting at noon. Make sure to drive down First Avenue South to see the freshly painted Black Lives Matter street writing commissioned by the city.

Taking It To The Streets

by Peter Verbeek, Ph.D.
Associate Professor,
Program Director MA Program Anthropology of Peace and Human Rights

Large crowd of individuals with masks on march in the streets holding signs that say Black Lives Matter
Source: Yahoo Images

On March 9, 2020, the IHR published my blog entitled ‘A Time to Recognize and Safeguard The Rights That Connect Us.’ On that date, there were 717 reported cases of the corona-virus infection in the US and 26 reported deaths. Today, about 3 months later, on June 6, 2020, while I am finishing writing this new blog, there are 1.94 million reported cases of the corona-virus infection in the US, with 111 thousand reported deaths. These numbers take one’s breath away; they invite retreating into a state of silence – to a state of being ‘comfortably numb’ (3), and to leave it all to others, whomever they might be, to deal with this shocking reality. But I cannot afford to become a passive bystander to this, no-one can. Not when so many scientists and practitioners are speaking up and calling for action on the urgent human rights aspects of the pandemic, not when so many health-care workers are putting their own health and well-being on the line for the care and comfort of COVID-19 patients, and not when so many of those most affected by and at risk for COVID-19 are out in the streets protesting against the human rights violations of police brutality and murder, and for the equal justice to which they have an inherent right and that is so long overdue.
On March 6, 2020, UN High Commissioner for Human Rights, Michelle Bachelet, M.D, urged policy makers and governments “to take great care to protect the most vulnerable and neglected people in society, both medically and economically” while devising and implementing measures to curtail the virus outbreak. She also wrote that “human dignity and rights need to be front and center in that effort, not an afterthought,” and added that “COVID-19 is a test for our societies, and we are all learning and adapting as we respond to the virus.”

Here in the US, the “COVID-19 test of our society” that Bachelet referred to, once again highlights the glaring inequalities and deep-rooted racism that continues to severely harm and disadvantage people of color, in particular African-Americans, and that in all its ugliness diminishes life for us all. In a statement released on June 3, 2020, Bachelet commented that “structural racism and police violence are of course found across the world,” and that “the anger we have seen in the US, erupting as COVID-19 exposes glaring inequalities in society, shows why far-reaching reforms and inclusive dialogue are needed there to break the cycle of impunity for unlawful killings by police and racial bias in policing.” She added “in addition, there must be a profound examination of a wide range of issues, including socio-economic factors and deep-seated discrimination. To move forward, communities must be able to participate in shaping decisions that affect them and be able to air their grievances.”

What role does science have to play in bringing about solutions for what plagues our society? What can scientists do to make things better? Taking my cues from conservation science and from my own work in the behavioral science of peace I propose two things: (a) taking our science to the streets-metaphorically, and (b) taking a holistic and comprehensive approach to the crises that we face. My inspiration for the former comes from an article that was released this week in the Proceedings of the National Academy of Sciences of the United States of America (PNAS), which documents the mass extinction and biodiversity loss caused by human activity and how it threatens our mere survival. It is one of the most urgent calls for “humanizing conservation” that I have come across in the last 10+ plus years.

I’ll let the authors, Gerardo Ceballos, Paul R. Ehrlich, and Peter H. Raven, speak for themselves:

“In view of the current extinction crisis and the lack of widespread actions to halt it, it is very important that scientists should metaphorically take to the streets (my italics). We have, for example, started a new global initiative we called “Stop Extinctions,” to address and publicize the extent of the extinction crisis and its impacts on the loss of biodiversity, ecosystem services, and human well-being, aspects still rather ignored by most people. There is time, but the window of opportunity is almost closed. We must save what we can, or lose the opportunity to do so forever. There is no doubt, for example, that there will be more pandemics if we continue destroying habitats and trading wildlife for human consumption as food and traditional medicines. It is something that humanity cannot permit, as it may be a tipping point for the collapse of civilization. What is at stake is the fate of humanity and most living species. Future generations deserve better from us.”

The major crises of the present time, the corona-virus pandemic, systemic racism, and the ecocide of climate change, mass extinctions and biodiversity loss are not disjointed separate crises, but, rather, interlinked existential crises that are impacting the entire world population. Attempts to solve one of them without considering the others are folly and doomed to failure. Attempts to solve one of them in one part of the world without considering the rest of the world are equally foolish and doomed to failure. What this implies for policy is that “we the people” need political leadership and governance informed by the science that shows how and why these crises are interlinked and why they constitute existential crises.

This also implies that across natural and social disciplines scientists need to develop and publicly share comprehensive solutions in ways that both clearly inform and can drive policy. I think that the times of coasting through a scientific career from tenure track to tenure on strictly basic research with no immediate applied value for society are over. Every science career should involve interlinked basic and applied work, and tenure and promotion reviews as well as grant reviews should be updated so as to properly assess achievements in each of these interlinked domains. The crises facing us are too formidable not to enlist all available good minds in both properly delineating the relevant component parts of the crises that we face as well as developing solutions to them.

Person holds up sign that reads "Science is Real"
Photo: Liz Lemon; Source: Flickr

While I have confidence in science in the part it can and must play in dealing with the crises that we face, my confidence in politics and governance here in the US in its present form is at an all-time low. In my opinion, the kind of informed and enlightened leadership that draws on science to map out the immense problems that we face to find the appropriate solutions, is, with few notable exceptions, missing in action here in the US, whether we look for it to the left or right of the political spectrum or right down the center aisle. As a consequence, the global leadership that is needed to guide international partnership efforts to combat global crises, leadership for which the US as the main democratic superpower is uniquely qualified, is equally lacking at present. Global partnerships developed and spearheaded by the US and built on mutual trust and respect that accomplished so much good for so many in the past, from defeating fascism and bringing down the iron curtain to establishing a universal human rights framework and systems to deal with global health responses, are, to put it bluntly, pretty much in shambles right now. Looking in solely on the status quo of the political side of things here in the US and their global effects, the future for humankind appears to look grim, indeed.

In his Gettysburg Address President Lincoln, exhorted Americans to resolve that government of the people, by the people, for the people, shall not perish from the earth. I think that President Lincoln’s call to preserve the essence of what and who we are as a nation has rarely been more urgent than now. I also think that the thousands of lawful nonviolent protesters that are out in the streets right now, are heeding President Lincoln’s call for action magnificently, showing America’s inherent greatness in doing so. I am deeply moved when I see the people most affected by the corona-virus pandemic and most at risk, risking their well-being by taking their rightful call for justice and equity, so long overdue, to the streets. I say to you, your lives matter tremendously, to all of us, and to the future of this country! And I say to you, take it beyond the streets! Run for office and practice to become the informed and enlightened leaders and policy makers that we so desperately need right now! I have my vote and science at the ready to share with you!

And to return to the call by the eminent conservation biologist Paul Ehrlich and his colleagues, yes, we must take our scientific knowledge “to the street,” as scientific knowledge is truly of the people, by the people, and for the people. We must step down from our ivory towers and speak up publicly and clearly about what the facts tell us and what we see as solutions to the crises that we face. Yes, we need those peer reviewed publications to keep our work valid and meaningful, but we should work with our institutions and granting agencies to provide free access to these journal articles to all. The existence of large for-profit publishing houses dominating the journal article universe becomes untenable in the face of the role that science has to play in combating the existential crises that threaten us all.

We must overcome any distrust and tribalism that hampers collaboration between natural and social science. We need good minds in both major areas of science to work together on the interrelated crises of the corona-virus pandemic and ecocide. For those of us working in the behavioral science of peace we must call a spade a spade when it comes to human rights violations right here at home. Attacks on human dignity, whichever form they may take, and irrespective of where they take place, or who commits them, from teargassing lawful and peaceful demonstrators during a respiratory disease pandemic to publicly insulting and disparaging individuals and groups holding a different opinion than one’s own, are attacks on human dignity and thus constitute human rights violations and should be properly labelled as such (Universal Declaration of Human Rights, see Articles 1,3,5,12,19,20).

Three pairs of hands painted blue and green to represent the earth
Source: Yahoo Images

As peace scientists, we must also speak up about the solid evidence that our biological inheritance includes a capacity for peace through our ability for empathy and for taking the perspective of others, and through our natural preference for reciprocity and justice (1). We can point anyone who has any doubts about the content validity of our comparative findings to the international news feed showing peaceful demonstrations from Asia to Europe to Africa and the Middle East in solidarity with the protests against police brutality and murder and systemic racism that are going on throughout much of the US. Politicians of all stripes should be made aware of the fact that people in vastly different cultures across the globe all demonstrate a shared disposition to not take kindly to injustice. And we can point anyone who expresses doubts in how science and government can effectively work together to deal with crises as monumental as the corona virus pandemic to New Zealand, where the Prime Minister Jacinda Ardern announced yesterday that the country has officially eradicated COVID-19 and will return to normal after the last-known infected person recovered.

News reports show that many of the protesters who have taken their grievances to the streets of America following the murder of George Floyd are young. As US scientists let’s take to the streets – at least metaphorically – to offer our support and to help make a difference toward a just society and a sustainable future for all – in sum, toward a sustainable peace. As Paul Ehrlich and his colleagues propose, “future generations deserve better from us.”

(1) Verbeek, P. (2018). Natural peace. In P. Verbeek & B.A. Peters (Eds.), Peace ethology. Behavioral processes and systems of peace. Hoboken, NJ: John Wiley & Sons, Ltd. Publishers

Pigmented Pandemic: Racial and Ethnic Disparities in COVID-19

Ubiquity of the novel coronavirus (COVID-19) has drastically changed the way we behave in almost every corner of life. One silver lining drawn into these unprecedented times is that many people are more appreciative of their families, friends, and communities. However, the odds of being in a social network that knows someone who has been diagnosed or died from COVID-19 are greater if you are a racial/ethnic minority living in the U.S. As such, this blog focuses on COVID-19’s disproportionate effect on communities of color and how a human rights approach can help address racial/ethnic health disparities.

Racial/ethnic minorities are particularly vulnerable to reduced access of health services and the psychosocial stressors of discrimination which is why some argue that racism is a fundamental cause of health inequalities. These disparities are largely due to the disadvantaged economic and social conditions commonly experienced by many racial/ethnic minorities. Compared to Whites, racial/ethnic minorities are more likely reside in densely populated areas, live further from grocery stores and medical facilities, represent multi-generational homes, and be incarcerated. Additionally, racial/ethnic minorities disproportionately represent essential worker industries and have limited paid sick live. As a result, the living and working conditions for many racial/ethnic minorities put them at odds with threat of COVID-19.

Vestiges: Black American Health Disparities

Black Americans have disproportionate rates of COVID-19-related risk factors such as diabetes, hypertension, and obesity. As such, they are disproportionately dying of COVID-19 in many counties across the U.S. These disparities are even more alarming at the state-level. For example, in Georgia, 83% of all COVID-19 cases linked to a hospitalization were Black patients despite the community only representing a third of the state’s population. Also, in Michigan, Blacks represent 14% of the state’s population but 41% of the COVID-19 deaths. On a national level, Blacks (13% of the total population) represent 33% of all COVID-19 hospitalizations, while Whites (60% of the total population) represent 45% of all COVID-19 hospitalizations.

Not only do Black Americans disproportionately live in many of the U.S.’s early COVID-19 hotspots (e.g., Detroit, New Orleans, and New York), they are also more likely than their White counterparts to experience poverty and have no health insurance. For centuries, the labor of Black Americans has been deemed “essential”, while the COVID-19 pandemic adds insult to injury. In the medical field, Blacks are less likely to be health professionals and more likely to represent personnel that cleans, provides food, or work in inventory. As such, Black essential workers who are not on the frontlines are more likely to acquire COVID-19 in the pernicious form of regularly contacting cardboard, clothing, or stainless steel. Thus, health disparities in the Black community demonstrate how the legacy of slavery and segregation thrive in the social and economic conditions of COVID-19.

Segmented: Latino American Health Disparities

Many Latinos in the U.S. have immigrant status and work in high-risk essential industries such as agriculture, food service, and health care. This largely explains why Latinos are up to three times more likely than Whites to be infected and hospitalized by COVID-19. These striking outcomes are compounded when considering that Latinos face other disproportionate hurdles such as inadequate communication resources and language barriers. Also, Latinos often socialize in “mixed status” immigrant networks which means those who are undocumented are not eligible for COVID-19 stimulus funding.

A recent Pew poll found that Latinos are almost 50% more likely than the average American to have been laid off or lost a job due to the pandemic. This is particularly salient to Latinos with a high school education or less and those ages 18-29. However, immigrant Latinos were less likely to lose their jobs but more likely to take a pay cut. As a result, the Latino experience during the COVID-19 pandemic is not only fraught with social and economic drawbacks, much like other communities of color, but complicated by the fact that their large immigrant population is ineligible for needed resources and often relied on in the essential workforce. These outcomes suggest the social and economic consequences of COVID-19 are uniquely challenging to Latinos, namely immigrants with limited access to resources that are often afforded to citizens.

Overlooked: Native American, Native Hawaiian, and Pacific Islander Health Disparities

Often overlooked in the racial health disparities conversation are outcomes for Native Americans. Some state health departments (e.g., Texas) classify Native American COVID-19 statistics as “other” which ultimately dismisses the unique health profile of this underserved population. However, early statistics from Arizona and New Mexico suggest Native Americans represent a disproportionate number of COVID-19-related deaths and cases, respectively. Reports from health authorities in Navajo Nation, which is comprised of areas in Arizona, Utah, and New Mexico, indicate this community’s confirmed COVID-19 prevalence rate is the highest in the country, although they have a test rate higher than most U.S. states.

In March, the Seattle Indian Health Board requested medical supplies from local health authorities but instead received body bags and toe tags. This callous response demonstrates that local authorities in Washington state have actively devalued the lives of Native Americans during these trying times. The Cheyenne River Sioux Tribe in South Dakota have responded to their state’s negligence by refusing to end COVID-19 highways checkpoints across tribal land. Cheyenne River Sioux Tribe Chairman Harold Frazier argues that the checkpoints are the best thing the tribe has to prevent the spread of COVID-19 because they are only equipped with an eight-bed facility for its 12,000 inhabitants. The nearest critical care facility is three hours away.

Also overlooked are COVID-19 outcomes among Native Hawaiians and Pacific Islanders (NHPI). Early reports from California, Hawaii, Oregon, Utah, and Washington indicate that NHPI have higher rates of COVID-19 when compared to other ethnic groups. A precursor to these outcomes is that NHPI have some of the highest rates of chronic disease which puts this demographic at higher risk of COVID-19. Much like other racial/ethnic minority groups, NHPI are more likely to work in the essential workforce and live in multi-generational households. Thus, these conditions allow COVID-19 to proliferate among NHPI enclaves.

Person with a protective mask preparing food with a front door sign that reads "No Mask, No Entry".
Thank you essential workers! Source: spurekar, Creative Commons

Health and Human Rights

Health is argued to be a fundamental human right. Ways this can be achieved is through creating greater access to safe drinking water, functioning sanitation, nutritious foods, adequate housing, and safe conditions in the workplace and schools. As such, health exists well outside the confines of the typical health care setting. However, the U.S. has yet to officially ratify the Universal Declaration of Human Rights which ultimately prevents the government from being held accountable for the socioecological influences that generate health disparities across racial/ethnic minority groups.

These health disparities are not debatable and even acknowledged by the U.S. Commission on Civil Rights. In response, national efforts, state-level policies, and public health programs have successfully reduced these disparities but have only made modest progress. Thus, comprehensive, systemic, and coordinated strategies must be implemented to achieve health equity. Although solving this daunting task cannot achieved by the U.S. government alone. It must also incorporate non-profit and philanthropic on-the-ground efforts already seeking this goal as well as greater public awareness about the impact social and economic policies have on racial/ethnic health disparities.

Despite these discrepancies, the COVID-19 pandemic serves as an opportunity for social change. More specifically, these unprecedented events bring greater light to issues such as poverty, homelessness, unemployment, and migration, all of which disproportionately affect communities of color. As a result, the ubiquity of COVID-19 has gathered people from every corner of the justice community to declare that health is a human right, thus bringing us one step closer to true equity and inclusion.

Human Rights in Times of COVID-19: Public Safety vs. Individual Liberty

The flyer for the webinar with pictures of the three panelists

The tension between the authority of governments to impede on individual rights in times of public emergencies and the implications for human rights is a topic that has come into focus as the world reels from the impacts of COVID-19. On Thursday, May 21, the Institute for Human Rights hosted its first webinar on Human Rights in Times of Covid-19, which focused on how we navigate this tension between public safety and individual liberty. Our panelists included Dr. Kathryn Morgan, the Director of the African American Studies Program at UAB and an expert in civil rights, race, and criminal justice policy, Dr. Natasha Zaretsky, a Professor of History at UAB who focuses on contemporary U.S. culture and intersecting histories of women, gender, and families, and Dr. Robert Blanton, the Chair of Political Science and Public Administration at UAB who specializes in international human rights with a focus on human trafficking. We are grateful to our panelists for taking the time to share their expertise on this topic as we navigate this difficult time, and we’re grateful to the UAB/IHR community for your interest and engagement. If you missed the webinar and would like to watch it in its entirety you can find it here. Below is a recap of the event. 

Dr. Morgan focused on the implications of this tension for civil rights in the U.S., reminding us that governments do have the authority and the responsibility during a pandemic to impose restrictions on certain rights afforded by the Constitution in order to keep the most people safe. However, as we are seeing, this is not a cut and dry issue, and there is a lot of disagreement over how to keep people safe and keep the economy functioning. To this end, she mentioned three major concerns: one, what kind of restrictions will be put in place?, two, how long will this go on?, and three, how will these measures be enforced? She also mentioned the variable impact these restrictions and the virus itself will have on different sectors of the population, pointing out how this virus is disproportionately affecting black and brown people who are dying at much higher rates than white people. Dr. Morgan also expressed concern over how federal and state responses to the virus will impact people with disabilities, suggesting that times like this often exacerbate discrimination against these vulnerable populations. 

“When we look at service workers. When we look at people who are in essential positions that help to keep society running, even in a shutdown. Many of those people are from marginalized groups. They are exposed to conditions that really exacerbate the problems of exposure to the coronavirus.”

Dr. Zaretsky discussed the way that partisan division and hostility are shaping this conversation around individual liberties and public health, comparing it to the debate over vaccinations in the U.S. On the one hand, people want and need to work, but at the same time, we see that social distancing and work from home measures are effective in slowing the spread of the virus. And while this seems like a particularly loud and divisive situation, one that the Trump administration is actively inciting, Dr. Zaretsky reminded us that the media is proliferating the opinions at the polar ends of the spectrum, which likely do not represent the views of most Americans. While lockdown protestors are demanding that the economy be reopened so that they can get haircuts and pedicures, it doesn’t seem like they’re considering that this requires other people to risk exposure to the virus so that they can perform these services. What is important to remember is how interconnected we all are. However, in the absence of no comprehensive national plan to end the pandemic, the rampant spread of misinformation, and the politicization of masks and other safety measures, we are left with division and hostility rather than a sense of unity toward a common goal of resolving this crisis. 

“In the context of this pandemic, there is no such thing as individual liberty…it is bringing into view how profoundly interconnected we all are.”

Dr. Blanton spoke of how this tension is playing out on the global stage and how different nations are regarding their human rights commitments during this time. In balancing the human rights with the public good, international law provides a set of standards that calls for restrictions to be necessary, proportionate and non-discriminatory in nature. Of course restrictions on the freedom from things like arbitrary imprisonment or torture should never be lifted under any circumstances. However, Dr. Blanton mentioned what he called “coronavirus coups” happening in places like Hungary, where democratically-elected presidents are using the pandemic to suspend elections and appointment themselves rulers for an indefinite period of time. Other governments have used the pandemic to undermine civil society by using emergency powers to detain journalists and activists and health care workers who criticize the government. In moving forward, Dr. Blanton stressed that the “protection of human rights should not be viewed as an impediment to handling the crisis so much as an essential component of an effective response.”

“Several countries have used the pandemic as an excuse to undermine the rule of law or undermine democratic processes.” 

Community questions

We were pleased to have so much engagement from community members who sent in questions on Facebook for our panelists to address. Here are some of the questions and the responses: 

Would you say now is a good time for the U.S. to join the United Nations in guaranteeing health care and food as positive human rights? 

Dr. Blanton responded to this by saying that this crisis has brought into focus the mediocre job our country does in providing the positive rights, including health care. This has shown the weakness in our existing power structure in that the federal government is pushing to centralize power around the pandemic but at the same time is not able or is not willing to provide the goods and services that states need to combat the virus. He said the U.S. is unusual in its position on not identifying healthcare as a human right, though this is clearly something that needs to change.

Dr. Zaretsky also touched on how this crisis has exposed and exacerbated the pitfalls of the health care system, expressing a cautious optimism that this may serve as an impetus to reframe the healthcare debate in a way that makes forging comprehensive and long-term policy changes possible. Again, this is an example of how the extreme positions have been foregrounded and the wants and needs of the majority go unaccounted for. But there is no denying anymore that changes must be made going forward. 

What about labor rights? They are always tennis to non-existent in the U.S., but especially hard-hit right now as the U.S. and other countries like them slide further under the rug, risking worker safety while they’re at it as part of their coronavirus response. 

In addition to the weakness of our labor unions in the U.S., we fall behind other developed countries in terms of wage levels and working conditions. The crisis is bringing a lot of attention to that, but Dr. Blanton is not terribly optimistic that anything will come of it. The problem is that this requires hefty structural change, not just short-term attention. Dr. Zaretsky pointed out that there have been several labor uprisings during all this – at Amazon and Instacart for example – but these don’t get a whole lot of attention in the media. The focus is largely on militia groups storming the capitols, and the concerns of workers are getting lost in the shuffle. 

It’s easy to think of the two sides during this pandemic as people who resent not being able to shop or eat versus people who are afraid that they will die, but how do you draw the line between what different groups want and how do you decide which voices are listened to? How can a government make both sides feel that they’re being heard? Is there a way to defuse this resentment? 

A big part of this problem, according to Dr. Zaretsky, is that the Trump administration is ratcheting up this animosity by using divisive rhetoric rather than trying to rally people around a common cause. Trump is pitching this as a populist class struggle, and this narrative is dominating the media coverage. This is unfortunate because while there are differences in how Republicans and Democrats think this needs to be handled, the majority of Americans on both sides are in agreement about the need to take the virus seriously and are trying to do what they can to stop the spread. 

We are grateful to our panelists and to all the community members who joined us for the webinar. If you missed the event, you can check out the recording on our Facebook page. 

Double Tragedy

By Grade Ndanu

Two individuals in hazmat suits stand in front of a Kenyan woman as the first cases of Covid-19 are diagnosed
Source: Yahoo Images

As we watch the news and as I write these lines, the novel corona virus epidemic that started in China, has affected more people than the severe Acute Respiratory Syndrome. Globally on the 30th January 2020 the World Health Organization of the United Nations declared the epidemic a public health emergency of international concern. This defines the outbreak as an extraordinary event which is determined to constitute a public health risk to other states through the international spread of disease and to potentially require a coordinated international response. Countries and airlines suspended travel from affected areas, which is all the countries to be specific and initiated a comprehensive screening at airports.

Wherever we are in the world, we are all living the COVID-19 pandemic. The virus is a public health challenge for the entire global population. Many countries shut down to prevent the spread of the virus. And it came to that day that students never returned to class, employees are working remotely if they can, cinemas are shut, and shops are closed. Basically everything stopped, maybe it’s because the world may have been caught off guard by the size and ramifications of the COVID-19 crisis.

Me being in a unique family, I will share what we are doing to keep safe from the virus and at the same time busy. First we take all the precautions that we are supposed to. We regularly and thoroughly clean our hands with an alcohol based hand sanitizer or just wash them with clean water and soap. All the surfaces including the floor we clean using soap and jick to kill the germs and any bacteria that may be there.  We also try our best to practice respiratory hygiene where we cover our mouth and nose when we cough or sneeze. Us being divided in groups that we call families, we tend to help and guide the young ones.

In the centre we are girls of different ages which makes three different groups. The least ages is ten and below. They do coloring and drawing almost daily, and my opinion is, they enjoy which makes them happy. The middle group of ages eleven to fourteen.  They usually have their sessions on Thursdays where they are taught about different things for example, last Thursday they were taught about being in a good company, how to stay out of bad company, and how to be a good example. The other group is of ages fifteen and above, and am in that group.  We usually have our meetings every Saturday. In this group we are not taught we learn from each other. We are still young to learn about marriage, but yes that was our last topic. Thanks to our mom who acts as our facilitator who we ask very may questions and on top of she teaches us how to bake every Saturday.

Due to the deadly virus, all countries are under lock-down meaning we are all stuck in quarantine. Home is where everyone should feel safe. Being at home means, above all else, being in a place that is dear to you. It should mean protection. But for many children, adolescents, and women, home is a place of violence and abuse. Girls and young women kept at home are safer from the disease but face increased inter-family tensions and an overload of domestic work. Girls, especially those from marginalized communities and disabilities, may be particularly affected and also cutting them off from essential protection services and social networks.

Economic stress on families due to the outbreak can put children, and in particular girls, at greater risk. Girls who are often considered to be adults in the society, experience from very early age the negative social norms that demand they do what women do when they are considered matured for example, cleaning, cooking and child care. Apart from child labor, there is also sexual abuse that is going on. A lot of rape cases before this pandemic the victims were raped by people who they know and also people who are very close to them. Now, we are all stuck with our families whether good or abusive ones. I am really worried of the girls, boys and women who are stuck with their abusive relatives. Even if there are helplines one can’t ask for help because the abuser may overhear the conversation and he may decide to do worse so that the victim may never open up.

Talking of girls, there are girls who are at a greatly exposed to the societal cultural beliefs and practices. In the urban areas, everything seems to have stopped or controlled right now but in the rural areas everything is normal. No lock-downs or restrictions and even no curfews. Meaning that there are so many girls who are undergoing Female Genital Cut, who are helplessly waiting to undergo the cut. Some parents are giving out their daughters hands for marriage. The parents feel that they are free to do anything with their daughters. When schools were on the girls told the teachers what was going on and that prevented many cases of retrogressive cultural practices. Now there is no school where girls would go to their rescue. Am certain these girls feel abandoned.

Activists, social workers, and with the government should be concerned at the potential rise on domestic and cultural violence during this epidemic. While quarantine measures are necessary to reduce the spread of the virus, they should be implemented in a way that guarantees protection for children and women. Measures should be in place so teachers can stay in contact with their pupils. Risk factors should be identified and taken care off.  should be visits to the communities, homes, and houses particularly where it is suspected that there might be a girl, child, or a woman in danger.

Let us not just worry about our families and friends. Let us also think of those other people that we don’t know who are vulnerable not only to violence and retrogressive cultural practices but also those who sleep hungry because they luck something to eat. As we remember them in our daily prayers lets wash our hands and take all the precautions that we need to be safe.

COVID-19: A Glimpse to the East

An image of a crowd of people in Wuhan, China. They are all wearing masks as a response to the COVID-19 pandemic.
2019-20 Wuhan coronavirus outbreak. Source: Wikipedia. Creative Commons.

COVID-19, otherwise known as the 2019 novel coronavirus, has spread to many countries around the world, affecting many immunocompromised populations and impacting millions of people worldwide. My colleagues have referenced hotspots where the response has impacted the most, from the Middle East to migrants right outside U.S. borders. They have illustrated how discrimination, isolationism, and plain ignorance have shattered families and populations, destroyed economies, and brought fear and terror into the hearts and minds of Earth’s people. It is in that essence that this article will continue to explain the impact of COVID-19 in another hotspot of the world, Asia.

The Asian continent, comprising 48 countries, according to the United Nations, encompasses immense diversity and roughly 60 percent of the global population within its boundaries. This diversity includes, but is not limited to, having the highest and lowest points on Earth, “the world’s wildest climatic extremes,” and “the birthplace of all the world’s major religions.” For the sake of this article, I will be focusing on three countries that are handling the virus very differently, India, China, and South Korea.

Food Insecurity

Having one of the highest populations in the world, India is often referenced as a case study when examining the impact of overpopulation, economics, and food security. In 2012, Uttar Pradesh, India’s most populous state, 60 million out of 200 million people were considered living below the poverty line. Economic inequality has further negatively impacted India’s poorest communities with “57 billionaires controlling 70 percent of India’s wealth” as of 2017. Such inequality has led to the increase in poverty, a lack of medical equipment and access, poor living conditions, and a lack of food.

An image of Indian Census data from 2011. The country is seen with an immense population density per square kilometer. Uttar Pradesh and the city of Kolkata are most dense.
Demographics of India. Source: Wikipedia. Creative Commons.

However, this pandemic has exacerbated the lack of access to food by Indian residents that comes on the heels of Prime Minister Nahendra Modi’s announcement to begin a “21-day nationwide lockdown.” With such an announcement also came with rising panic from Indians, crowding grocery stores and shops with people panic buying everything in sight. Under Modi’s plan, the “Prime Minister’s Poor Welfare Scheme”, individuals will be able to receive five additional kilograms of rice or wheat for the next three months. Although proposed to benefit 800 million people, many are wary of its success due to the closure of interstate travel, trains, and flights. It is under this lockdown that residents could face two years in jail and a financial penalty if they leave their home for non-essential reasons. In an interview with Time, an autorickshaw driver expressed concern over Modi’s decree to lockdown the entire country. Before the decree, his main concern was to save enough money to help get his son through college. However, “as he stays home with no daily income, his main concern is putting food on the table. He’s not sure what he will do” once those savings run out. When examining a singular issue impacted by COVID-19, the situation in India highlights the issues that countries with an enormous informal sector may face due to economic hardship and lack of infrastructure. For example, India can grow enough food for its growing population, although millions are left underfed due to “bottlenecked supply chain[s], inadequate logistics, food wastage and sharp societal inequalities.” The virus has further called to attention the lack of food security that many around the world face on a daily basis which infringes upon their basic human rights and a Sustainable Development Goal that must be achieved by 2030, Zero Hunger.

Government Control

An image of the spread of the coronavirus in January. The Wuhan province is shown to be the most effective, colored in black.
Timeline of the 2019-20 coronavirus pandemic from November 2019 to January 2020. Source: Wikipedia. Creative Commons.

Being the most populated country in the world, China is often criticized for its drastic measures and horrifying treatment of Muslim minorities. When examining the pandemic, COVID-19 is known to have originated in the Wuhan province in China and was noticed by Chinese ophthalmologist Li Wenliang. Dr. Wenliang had used a private online chat to explain his worry for the novel virus, which quickly went viral, resulting in him being reprimanded by Chinese police. Following this observation, the province had shut down, cutting off transportation and sealing residents off from the outside world. In an interview with Dr. Bruce Aylward, “the leader of the World Health Organization team that visited China,” had praised the Chinese government’s decisive actions towards preventing the spread of the virus:

“I think the key learning from China is speed — it’s all about the speed.” — Dr. Bruce Aylward

Although the Chinese government has sought to demonstrate its prowess and handling of the virus, through building hospitals in 10-days and publishing photos of patients who have been cured of the disease, many human rights groups have expressed concern and worry over the treatment of those who have been critical of the government. For instance, Chen Qiushi, a Chinese human rights lawyer, was “put under quarantine”, Fang Bin, a citizen journalist, disappeared in February, and Li Zihua, another journalist, was taken away by a group of men. Dr. Wenliang had died due to the virus early February of 2020. With the news of his death, thousands of comments flooded Chinese social media site Weibo criticizing the Chinese government and censorship in the country with top hashtags such as “Wuhan government owes Dr Li Wenliang an apology” and “We want freedom of speech.” According to the British Broadcasting Corporation (BBC), when they searched for the hashtags a day after Wenliang’s death, they disappeared having been censored alongside many comments aimed at the Chinese government.

From Wuhan province, we now turn to the Xinjiang province in Western China, where the imprisonment of millions of Uyghur Muslims could prove to be a breeding ground for the virus as it spreads throughout the world. You can read more IHR blogs about The Uyghur Muslims in the context of Crimes Against Humanity here and how this crisis is affecting refugees on the US-Mexico border here. In Xinjiang, there are an estimated three million people detained in re-education camps in Western China, mostly of Uyghur Muslims who have been suppressed by the Communist Party. As alleged by Jewher Ilham, the daughter of a jailed Uyghur academic, some of the “conditions at the detention centers offered the perfect chance for coronavirus to spread” citing “systematic abuse, serious overcrowding and poor sanitary conditions inside the camps.” Given allegations of China’s unwillingness to publish the truth about these conditions combined with the alleged suppression of critics and ethnic minorities, it is deeply concerning to gauge the risks of infection amongst those who have been cited as not having enough to eat or doctors on staff to treat those infected. This is also a signal to international groups and organizations to ensure that all people have the chance to be cured and not suffer as a result of the virus or violating the human rights to freedom of speech.

An image of China divided into province. The Xinjiang province is highlighted with the highest concentration of Muslims
Xinjiang Region, China. Source: Flickr, futureatlas.com. Creative Commons.

Some Potential Success?

Amongst all the panic buying and the loss of toilet paper throughout the country, there seems to be some light at the end of the tunnel manifesting itself through ‘flattening the curve’. This method has seemed to be close to perfected by South Korea whose growth in COVID-19 cases has significantly slowed compared to the United States. When examining South Korea, many writers have explained the situation by comparing it to religion and culture, chalking it up to higher levels of social trust and the lingering aspect of Confucianism. However, that does not seem to be the case. By flattening the curve, South Korea has demonstrated that it is due to “competent leadership that inspired public trust.” Having tested more than 5000 people per million inhabitants than the United States, it is no wonder that taking early action and mobilizing health officials could lead to a successful response.

“No sacred Confucian text advised Korean health officials to summon medical companies and told them to ramp up testing capacity when Korea had only four known cases of COVID-19.” — S. Nathan Park

Compared to China, India, and even the United States, South Korea did not have to “lockdown entire cities or take some authoritarian measures,” rather, they learned from their past experience with MERS (Middle East Respiratory Syndrome). Such preparation allowed the South Korean government to be proactive and “improve hospital infection prevention and control.” Combined with South Korea’s industrial and developmental advantages over both China and India, the government was able to take a proactive approach and deter the worst effects of the virus. Once South Koreans started getting sick in early February, the government immediately began “testing aggressively to identify cases — not only testing people who are so sick that they’re hospitalized but also mild cases and even suspected cases.” This initiative has allowed South Korea to quarantine those at a high risk while also managing to keep their factories, schools, hospitals, and entire cities open while other countries around the world are having to shut down everything to contain the spread.

An image of the cumulative and new cases of coronavirus in South Korea. The graph is showing a flattening of the curve.
2020 coronavirus cases in South Korea. Source: Wikipedia, KCDC. Creative Commons.

Conclusion

Looking back at India, China, and South Korea, it becomes apparent that a swift and proactive response is necessary in order to not allow for the lockdown of entire cities and countries. However, that proactivity must balance itself between being lax and aggressive. For example, China’s efforts to curb the spread of the news rather than the virus has made human rights concerns more apparent to the world, especially since the freedom of speech for civilians is being curbed to protect China’s global reputation. In India’s case, the pandemic has shown many human rights groups and countries the issues that a country with a massive impoverished population faces during difficult times. By being able to demonstrate good leadership and mobilizing experts, South Korea has ultimately done what many other countries would only hope to accomplish. Such success has already inspired other Asian countries to follow suit, especially Singapore, Japan, and others. And although South Korea’s population is significantly small compared to that of India and China, their success is one that can be successfully implemented worldwide. Instead of casting these successes aside as an element of Confucianism or culture, it is necessary for us to be able to model our response like South Korea’s so that were such an event to occur again, we will be able to swiftly contain the spread rather than suffer through weeks and months at home without physical human interaction.

Where Social Distancing is Impossible

US-Mexico Border
Source: Yahoo Images

As the COVID-19 outbreak crosses borders throughout the United States, the Center for Disease Control has released recommendations for maintaining public health, which includes working from home, hand washing, and staying six feet away from any person, if possible. For the past few weeks, I have noticed people in my own community adapt to this new way of life. Kroger and Home Depot put masking tape six feet apart in the checkout lines, and every company I’ve ever heard of has sent me a helpful email explaining their own “pandemic plan.” Amidst the anxieties associated with this global pandemic, focus understandably turns to our immediate family and community. I may get frustrated about the lack of toilet paper in my local grocery store, but millions are incapable of following any of the CDC’s guidelines. Areas with a lack of hand-washing stations, affordable healthcare, clean water, internet, housing, and infrastructure do not allow for proper social distancing. Even at the United States’s southern border, relief agencies are struggling to address the growing pandemic.

Thousands of migrants along the United States-Mexico border are stuck in limbo. Many have fled from Central America, fleeing domestic violence, gangs, and death threats, to seek shelter in the United States. However, due to the threat of COVID-19, “The U.S. closed its border to asylum-seekers, Mexico suspended refugee processing, and many migrants are afraid to go home to their native countries, even if it were safe to travel.” Therefore, people seeking asylum are left on their own to find shelter, food, water, and medical care in a place that lacks these things when there is not a global pandemic occurring. Volunteers that would usually come to help have been quarantined, basic supplies have become hard to find due to panic buying, and any assistance from medical staff has been stretched thin as case numbers continue to rise in both Mexico and the United States. Additionally, asylum-seekers have to be concerned for their own safety even after they have made it to the border and received a court date for immigration hearings. Human trafficking, sexual assault, and gang violence are all risks in the camps, and since immigration hearings have been put on hold indefinitely, asylum-seekers have to wait even longer in these dangerous areas. Aid efforts become increasingly complex with more restrictions put in place by Mexican and United States governments each day.

Pew Research Center Graph showing countries that have closed their borders due to coronavirus
Source: Pew Research Center

As economies are negatively impacted by the virus, countries are becoming increasingly isolationist. 90% of the world’s population currently live in countries with restricted travel, while almost 40% live in countries with closed borders. These countries include Canada, China, Japan, and Ecuador, with Greece suspending asylum claims at its border with Turkey, much like the United States’s current policy with asylum-seekers at its southern border. Millions of United States citizens have filed for unemployment, and businesses and individuals are struggling to stay financially afloat and pay rent. It makes sense that countries like the United States are turning their attention to the plight of their own citizens, but according to the United Nations (UN) Secretary-General Antonio Guterres, “If we let the virus spread like wildfires, especially in the most vulnerable regions of the world, it would kill millions.” For many relief agencies and nonprofits, grants and funding for the year have already been distributed. However, the funds are typically earmarked for certain programs. Unfortunately, many of these programs, like funding for computer education, community engagement, and language classes, cease to exist in a world with COVID-19. Now, funding is needed to help displaced persons combat the threat of COVID-19, but it would require authorization to transfer funds from one program to another. Jan Egeland, Secretary-General of the Norwegian Refugee Council, has said that banks have not financially supported relief agencies who would help UN sanctioned countries like Iran and North Korea because they fear being sued by the US government. Bureaucratic lag in providing humanitarian resources will likely mean death for thousands, particularly those with limited resources. With donor countries being overwhelmed with their own coronavirus crises, where would the funding come from?

War-torn countries and refugee camps in countries like Syria and Sudan receive assistance from the UN in the form of educational, medical, and financial resources. When we see pictures of a child fleeing violence and war in Syria, it is understandable why the UN would come in to help. However, rhetoric around the US-Mexico border paints a different picture. Often, this population is thought of as simply a group of people seeking the “American dream”. In truth, these asylum-seekers and refugees are fleeing for their lives, just like refugees on other continents. Regardless of opinions surrounding citizenship and legal status, the reality is that thousands of people have come to this region to escape deadly violence. Executive Director of Global Response Management (GRM), an organization that provides medical care to vulnerable populations worldwide, Helen Perry explains the unique situation, “There’s not a lot of great oversight. Normally in a displacement situation, the UN would come in at either the request of the country they’re fleeing from or the country that’s receiving them…but unfortunately at the border that’s not happening because both governments [Mexico and the US] are sort of unwilling to admit that there’s a problem.” As a former nurse in the US Army, Perry is especially adept at assessing the needs of struggling communities. When she came to the US-Mexico border for the first time in 2018, she was surprised to see people facing similar levels of violence to patients she had helped in Yemen who had fled the Civil War there. Fortunately, her organization continues to provide aid along the border, but COVID-19 adds an additional layer of complications. The dire situation described above was her take last year, and her organization has had to make adjustments due to the pandemic, including creating a makeshift hospital. They’re not the only organization building makeshift shelters. A government agency tasked with building the US-Mexico border wall is currently creating semi-permanent lodging for its construction workers so they can continue building, despite concerns at COVID-19. These workers, like asylum-seekers on the other side of the wall, are worried about their health and how a lack of resources could impact them and their families.

Asylum-seekers and refugees have limited access to news updates, so there is a lack of knowledge in the camps about COVID-19 and its impact. Border towns like Tijuana are already overwhelmed with patients who are US citizens, so it would be virtually impossible for a non-citizen to get accepted should the need arise. They have been instructed by relief agencies to attempt to follow the previously mentioned CDC guidelines about social distancing and handwashing, but this is incredibly difficult in the camps. Tents are small, and many people have to sleep next to each other. Water stations and bathrooms are few and far between. As coronavirus tests are barely accessible to US citizens, finding one would be challenging for someone in the camps.

Discussions of this contagious virus have created anxiety for any empathetic person. Despite the grim reality, there are some positive efforts taking place. GRM is currently working on a twenty-bed field hospital near the Matamoros camps, although they may face more challenges as United States volunteers may not be allowed to travel there. Al Otro Lado, a legal services organization, and the Refugee Health Alliance have distributed medication and additional hand washing stations to many asylum-seekers. While there are few suspected cases of COVID-19 at the camps as of yet, these actions could be crucial in containing the virus should an outbreak occur. It’s important to remember wise words by Richard Blewitt, UN representative for the International Federation of Red Cross and Red Crescent Societies, “At this time we need global and local solidarity and compassion with all those affected by COVID-19, wherever they live.”

Responding to COVID-19 in Developing Countries: An Appeal from Our Friends at Nashulai Maasai Conservancy in Kenya

Photo showing Maasai men standing next to each other in a field.
Maasai men at Nashulai Conservancy. Source: nashulai.com

Just a few short months ago, the IHR hosted Nelson and Maggie Reiyia from Kenya who spoke to us about Nashulai Maasai Conservancy, wildlife conservation, preservation of culture, and how to empower whole communities from the inside out, especially girls and women.

How long ago this seems now, in the midst of the COVID-19 crisis. The impetus of this blog post is Nelson and Maggie’s desperate appeal to help support their people who have been hit extremely hard by this crisis, and to show how COVID-19 affects people in the developing world.

COVID-19 in developing countries

While we have raised awareness of what this crisis means for some of the most vulnerable and marginalized in our own society, having to deal with a pandemic in developing countries is a whole different endeavor. The virus itself and the sickness it causes are only half of the danger. Major societal issues such as widespread poverty, economic deprivation, and lack of access to water, food, sanitation, and healthcare present huge challenges for people in the Global South. The COVID-19 crisis threatens already fragile economies and has the potential to negatively impact human rights, education, basic resource allocation, and food security. Under-resourced healthcare systems and hospitals are likely to be overwhelmed, creating a probability for higher death rates. A majority of people in developing countries also lack access to water and soap, increasing the likelihood of infections and facilitating the spread of the disease. In addition, there are no social safety nets or government bailouts for workers and businesses, exacerbating scarcity, political struggles, violence, and poverty.

Women and children talking in Maasai house.
Women and children in a Maasai house at Nashulai Conservancy. Source: Nora Nord, nashulai.com

In other words, it is not just the virus that threatens people’s lives in developing countries, but the whole context – poverty, underdevelopment, structural violence, lack of government resources to respond to the pandemic – that puts lives in peril and threatens the existence and survival of whole communities.  People in developing countries are doubly at risk.  This crisis will leave deep scars, not only with regards to lives lost, but also with regards to international development gains made in the last decades in development, human rights, and human dignity. These are the issues Nelson and Maggie are afraid of. They are not only worried about the immediate impact of this crisis on their people, but also about the setback this crisis will cause to the wildlife, economic, and cultural advances that have sustained and elevated their community for the last years and made Nashulai indispensable for their society. Their people, their project, and their way of life are in peril of survival.

What COVID-19 means for Nashulai Conservancy

Nashulai is a community-led conservancy in the Maasai Mara in the southwestern part of Kenya, close to the border to Tanzania. The Maasai are an indigenous community of strong and brave warriors, but poverty and lack of development have negatively affected their quality of life. Most Maasai exist on less than $1 a day, depending mostly on their livestock for food and income. More recently, due to Nashulai’s efforts, the community has been able to garner revenue through tourism by offering safaris and running guest houses and camps. About 2,000 people live on Nashulai’s 6,000 acre conservancy, and an additional 3,000 people live in the surrounding communities. Most of them reside in traditional Maasai villages, in which small dwellings arranged in a large circle for community living. Women, men, and children live together in small spaces and share food, resources, and chores with one another. Men mostly look after cows, sheep, and goats or work in local tourist camps and lodges, while women prepare food, raise children, and make jewelry and art work to sell to tourists. Livestock is sold on twice-weekly open markets in exchange for grains, oil, salt, and other basic necessities.

Picture showing a Maasai man with his cattle in a Maasai village.
The Maasai live in close-knit communities where women, men, and children of different families share all aspects of everyday life. Source: Marianne Nord, nashulai.com

COVID-19 has put all of this in danger. The markets are closed due to government safety measures, leaving people without food and without income. Tourist streams have run dry, which means no money and no jobs (90% of employed Maasai rely on the tourist industry). The communal way of Maasai life is in direct opposition to the guidelines of social distancing and self-isolation. There is no running water in Maasai homes, making constant handwashing not an option. Healthcare in the rural areas of Kenya is difficult access in the best case, and Sekenani health clinic in the conservancy is not equipped to deal with COVID-19 cases. It is unclear what should happen to people who become infected. There is a lack of information and education about the crisis, and an absence of guidance of what the WHO guidelines of handwashing, social distancing, and self-isolation and quarantine mean for people in places like Nashulai. There is no electricity beyond solar power, and while some people have phones or radios, spreading news and information is extremely difficult.

The situation is dire. People are starving.

Nelson and Maggie have developed an emergency plan to provide each household with basic food items, to repurpose part of Nashulai’s tourist camp to isolate sick people, and find ways to educate the community about safety measures and health. They have established a strategy on how they can become self-sustaining in terms of food production and continue their important conservancy work over the next months. However, because their stream of revenue has been cut, they rely on us, their friends, to support them, the Maasai people in their community, and the long-term survival of their project.

Please visit Nashulai Maasai Conservancy’s website if you would like to learn more and/or if you would like to donate to Nashulai Maasai Conservancy’s COVID-19 Emergency Fund.