Showing posts with label WHO. Show all posts
Showing posts with label WHO. Show all posts

Friday, 19 February 2021

The G20 should coordinate the global response

A vaccine against geopolitical rivalries

Victor Angelo

 

Boris Johnson convened an extraordinary virtual G7 summit today. He justified it by saying it was urgent to find an agreement that would allow a global response to covid-19, i.e. access for all to the immunisation possible. He added that it would also be an opportunity to coordinate demand for vaccines to avoid a headlong rush to the few quantities already available. The summit would be the occasion to resolve the competition between states, which, if it continues, could lead to serious political fractures between traditional partners, as seen recently in the increased tension between the EU and the London government.

The UK holds the G7 presidency in 2021. Hence the legitimacy of Johnson's initiative. But the prime minister may have other objectives well beyond seeking a global response to the pandemic. The man is a skilled politician with a knack for spectacular actions. He will try to make the most of the opportunity that the leadership of the G7 offers him to show his constituents that he has a global stature capable of setting the agenda of the group of the most developed countries. If this translates into an increase in international cooperation, which badly needs to be stimulated, we can only be grateful.

I fear, however, that it will not achieve that result. The subject of the meeting is clearly a priority, but it cannot be limited to the G7 countries. It is true that Australia, South Korea, and India have also been invited to take part in the summit. India counts in terms of vaccine production. But the invitation reflects, above all, the UK's specific interest in strengthening its relations with these countries and not the contribution they can make to getting vaccines to the poorest and most remote parts of the world. It also reflects another political agenda, one that is shared by others, especially Joe Biden. That of thwarting the geopolitical ambitions of the main rivals of the United States and its Western allies. But making international policy at the cost of a pandemic does not seem to me to be ethically acceptable.

In fact, it would be more appropriate to organise a G20 meeting to deal with the harmonisation of vaccine distribution and define everyone's contribution to achieving this objective. The G20 has the merit of sitting at the same table all the G7 countries plus China and Russia, among others. Coordination with these two States is fundamental for a rapid, effective, and generalised fight against the virus. The intrusion of hegemonic rivalries should not be admitted when it comes to responding to a problem that threatens the health of all, social progress, and the stability of the future. According to World Bank estimates, the pandemic has already pushed a dramatic number of people back into extreme poverty - it could be around 115 million. Moreover, the lack of access to vaccines for people in the poorest countries will cause a global distortion with unimaginable consequences. Among other things, international inequalities would become even more accentuated, even explosive. The worsening of imbalances between regions of the globe is one of the greatest risks facing us.

The G20 is currently chaired by Italy. The Italian executive, now with Mario Draghi at its head, faces immense internal problems. It is not in a position to play a leading role on the international stage at a time when the latter needs a giant to mobilise it in an undisputed way. Draghi is scheduled to hold a global summit in Rome on 21 May on the pandemic and related issues. May is, however, an eternity away when urgent decisions are needed.

In the meantime, in a positive spirit, I hope that today's G7 meeting will make it possible to strengthen COVAX, the mechanism set up by the WHO, in collaboration with various organisations, to guarantee countries with limited financial and operational resources equitable access to covid vaccines. If this happens, we will have to recognise that the initiative taken by Boris Johnson will have had some merit.

 

(Automatic translation of the opinion piece I published today in the Diário de Notícias, the old and prestigious Lisbon newspaper)

 

Thursday, 16 April 2020

The US leadership


These days, for a European, to watch American TV is painful. And deeply troubling. The country is going through a major crisis, a very complex one, that combines serious health challenges with widespread economic hardship. Both challenges are immense. On top of that, there is a leadership tragedy. The President has lost the support of key State governors and of the country’s intelligentsia. The messages coming from the White House and from the key States are full of contradictions. There is no common direction. Many lives are lost every day, in the most developed country in the world, a good deal of them because there aren’t enough medical resources available, others because of poor policy guidance. The President’s press briefings look like boxing matches. He spends hours repeating the same simple sentences, the only ones he can articulate. It’s most unfortunate that the pandemic happens when the leadership in Washington is so incompetent and shallow.

I should not be writing about this, because I am not a US citizen. It is up to the country’s voters to decide whom they want next. But as we live in a period of global crisis, we tend to look in the direction of the US for leadership. That’s the reason why I write about the matter. We need the US to lead. And what we see leaves no room for optimism. One of the few positive things is to see the resolve of politicians like the New York Governor Andrew Cuomo, a Democrat, or the Ohio Governor Mike DeWine, a Republican, as well as the California Governor Gavin Newsom (Democrat) and the Maryland Governor Larry Hogan (Republican). There are many more in action and doing the right things, but I just mention a few of them, in a balanced manner. The problem is the lack of clarity and support coming from the Federal government.

Another positive development concerns the medical research that is taking place in the US with a view to beat the virus. That research is done in collaboration with foreign institutes. That is certainly very encouraging. It brings together the best minds in the universities, philanthropic foundations and the private sector.

In the meantime, billions of dollars have already been spent in support of small businesses and individual workers. That is good but it is a short-term answer. The durable approach is to make the health system stronger, affordable to all, intensify the health education campaigns and re-open the economy as much as it is possible. For us, in addition to all that, we would like to see the US taking the lead in the UN Security Council, at the political level, and being much more engaged with WHO, at the technical level. The US must go back to the multilateral system. Its place is in the global scene, not simply in the Rose Garden.


Wednesday, 15 April 2020

Leading the international response


It is massively wrong to criticise the World Health Organisation (WHO) at this stage. We are still in unknown territory and unchartered waters as far as the Covid-19 pandemic is concerned. We don’t know what is going to happen in Africa and in other parts of the world, where the health systems are extremely weak. WHO has a technical presence in those countries and lots of experience in assisting them. As such, the wise thing to do would be to strengthen its operational capacity. That means that its authority must be recognised, and additional resources mobilised. To weaken and destabilise the organisation, as President Trump is doing, is unacceptable. We do not expect the current US President to provide the leadership it should, as head of the strongest State on earth. Donald Trump does not understand the world we live in and the role the US should be playing. But, at least, he should keep quiet as far as WHO is concerned.

The sad thing is that we are confronted with a devastating global calamity at a time there is no real global leadership. The US is getting more and more confused with its internal politics. The turmoil is amazing out there. Elsewhere, in the other regions of the world, there is no visionary leader, nobody of gigantic stature, capable to call the international action. The Prime Minister of New Zealand, Jacinda Arden, is sometimes mentioned. She is indeed an example. But her country is too small and too far out for her to be able to play a global role. All the other potential leaders are too busy with their own national situation – or messing things up, as it is the case with Narendra Modi of India.

I see a role for the UN Secretary-General. But I also recognise that his voice must be amplified by the international media, for that role to be effective. And that is not very easy to achieve at the moment.

Tuesday, 14 April 2020

Time for exceptional leadership to step up


This is a time of great anxiety. It’s a global challenge. It would require global political leadership, men and women in decisive positions of authority that would come together and would address the crisis with a single voice. It is not enough to have the G7 or the G20 finance ministers talking about debt relief and access to tremendous amounts of theoretical money. It is also not enough to get statements from the IMF, the WB or the WHO. Even the UN Security Council, if it could agree on a resolution, that would be good but insufficient. We need the key heads of State and government to agree on a joint declaration that would be some guide of roadmap out of the crisis. It would send an exceptionally important message of togetherness, cooperation and hope.

Unfortunately, we are very far from such a common position. The world is leaderless and more fragmented than ever.

If we can’t have a global message, why don’t we try to agree on a common European position at the leadership level? Is it too difficult to formulate a joint way forward, that would be larger than just talking about the post-crisis recovery, something of a shared vision about the kind of European society we would like to build together, after such a unique test?

The moment calls for leadership that can unite people and envision tomorrow’s world.  

Friday, 10 April 2020

The Security Council and the pandemic


Yesterday, the UN Secretary-General addressed the Security Council on the Covid-19. It was the right move because the pandemic is not just a global health problem but also a serious threat to international peace and security, as well as a major humanitarian challenge for less developed States. I recommend an attentive reading Mr Guterres’s remarks. They are very thorough. The link is as follows:


China, Russia and South Africa adopted a very similar line of response to the Secretary-General. They basically stated that Covid-19 is a public health issue and therefore it should not be discussed in the Council.

That’s a very narrow approach. It’s terribly wrong. They know it, but their main concern was to avoid a political discussion that would give the UN some room for a more active and comprehensive role. That has confirmed a trend we know well: to keep away from the Security Council the most strategic issues the world is confronted with. And to marginalise the UN Secretariat when it is in their own interest, as major countries.

Monday, 6 April 2020

Boris Johnson and Covid-19


Wishing a speedy recovery to Prime Minister Boris Johnson of the UK. He has been transferred this evening to intensive care because of the coronavirus. This sad moment sends a very strong message to the population. The coronavirus is a very threatening disease and people must follow all the official protocols the health authorities have adopted. The Prime Minister is a strong person, not old at all, and surrounded by the best medical care one can get. Notwithstanding all that, he is struggling. He has been sick for eleven days or so. If that can happen to the leader of the UK, we must pay a lot of attention to the virus. This is no small matter.

Friday, 27 March 2020

The required leadership is lacking


When the challenge is huge and its evolution unpredictable, the best approach is to concentrate all the efforts on containment. You limit the fire as much as possible. That means reducing the impact of the challenge and look for ways and means of controlling it. It also implies we mobilise everyone that can be called upon. The issue concerns everyone and each person can play a role in addressing it. That must be the message the leaders should bring forward. The collective effort. It’s a phase by phase combat but it is also part of a broader plan to resolve it. That must be said and repeated until every citizen gets to understand what is at play and the direction the leaders are taking.

This time the challenge is unique, profound and global. It requires a good combination of local actions and international cooperation. It concerns all nations. As such, we must put a much stronger emphasis on a concerted response. That emphasis and that type of action are still missing. Those who have the authority to call for that must act now. They have to move beyond their current timidity. Hesitation is not acceptable.

Wednesday, 25 March 2020

Again about India and the pandemic


Yesterday I wrote a few lines about India’s decision to confine her citizens. It’s a 21 days lockdown for 1,3 billion people. Many, in my part of world, cannot understand the magnitude and the complexity of such a decision. They do not know that hundreds of millions in India have no regular job. They live in cities and struggle, every day, to get some sort of casual work, that will give them enough rupees to buy the daily food their families and themselves need. That is how the informal sector operates, each day being a new beginning. And most of the people survive within the informal, occasional economy. If the economy is brought to a standstill, as it is now the case, that means no means of survival. It is just dramatic. Then, the solution is to try to go back to their ancestral villages and do some very basic farming. That’s what has happened in the last days or so. Millions have travelled back, in crowded buses, lorries and on the few trains that are still operating. As they moved back, one on top of the other, they might have caught the virus from their fellow travellers. If so, that means the virus has been passed on to an incalculable number of people and brought from the cities to the rural areas. That would be mass contagion. We will see. But we can be at the gate of a major public health problem in the largest country on earth. It would give the pandemic crisis a new, terrifying dimension. I can only hope this scenario is not going to happen.

Friday, 6 March 2020

Contain, contain, contain


Today’s word is containment. Every government should ask themselves what they can do to more efficiently contain the epidemic. That must be the priority. But containment is not just about the disease. It is a lot, a great deal, about the disease. Indeed. But is also about the panic and the epidemic’s impact on key sectors of the world’s economy.


Sunday, 1 March 2020

A challenging March


As we get into March, we can be sure we will have major challenges in front of us. The coronavirus will probably be the most critical. It has all the key ingredients to confuse many of us. People will keep pressing the panic button and the political leaders will be jumping in all directions, just to show to the citizens that they are moving as required. Then, there will be the economic impact. On the economic side, the crisis can be multifaceted. There will be less demand, the supply chains will be disrupted, and many enterprises will face serious cash problems. In addition, the stocks will not be able to recover the immense value that has been lost during the past week and probably the week ahead.

Obviously, the health systems will be under serious stress. They will become distorted as much of the resources will be focused on the Covid-19 pandemic.

Adding to the above, we will see an escalation of the conflict between Turkey and Syria, supported by Russia, a new migratory crisis and a Brexit on the rocks.

This is a time that calls for a new type of leadership.

Tuesday, 25 February 2020

Don't panic and be prepared


The coronavirus is impacting the world economy in an extraordinary manner. Yesterday and today, the financial markets lost trillions of dollars. That’s about real people’s money as well as pension funds and other institutional investors. That’s wealth that simply evaporates. Every time a new person is found sick, here and there, specially in the most developed economies, that sends a shockwave across the markets. There is a massive reaction because the world has become a village and people are constantly on the move. Besides that, what is produced here needs components from afar and a supply chain that crosses half of the planet.

The key point at this stage is to be able to show to the public opinion that the epidemic can be contained. In addition, it is important to underline that most of the cases can be easily treated in the right hospital environment. Panic would bring a major global crisis.


Monday, 24 February 2020

Coronavirus at the heart of Europe


It has been a crazy day in the financial markets. All of them were deeply in the red. The coronavirus outbreak in Italy is a little bit the straw that broke the camel’s back. Northern Italy is a wealthy region. It is very well connected to the heart of Europe. And that has generated some serious panic. Now, the response must be the opposite. To keep everyone, calm. To show that we have the means to circumscribe the outbreak. It is not an easy task. But that’s the role we expect the political authorities to play. So far, the Italians and their neighbours are playing the appropriate cards. Let’s hope they will keep doing it. If any of them decides to restrict the border crossings that will send a very negative signal to the public opinion.

Sunday, 23 February 2020

Italy's immediate challenge


As we start the last week of February, the key issue in our part of the world is the outbreak of coronavirus in Northern Italy. In the last forty-eight hours the number of infected cases has grown fast. About ten towns in the Lombardy and Veneto regions have been placed under quarantine measures. Major events, such as the Venice Carnival, have been cancelled. And, above all, there is no objective information about the way the disease has spread in that part of Italy. That must be investigated as a matter of priority. Besides that, the test for the next twenty-four hours is about the progression of the infections, particularly to see if there are new cases outside the areas that have now been placed under control. Let’s hope that will not be the case.

Monday, 10 February 2020

Coronavirus and daily routines


The coronavirus outbreak keeps making the headlines. It is on all the major news channels and papers. There is uncertainty and that causes some level of preoccupation.

In our part of the world, there are only very few cases of people infected. Seen from the perspective of the ordinary person on the street, the disease remains a distant threat. People don’t wear masks. If one went out with a mask that would generate a lot of anxiety around. But everybody knows we live in a globalised world. The contamination can spread fast. People are also aware of the economic importance of China. In many ways, some of us are more concerned with the economic impact than with the public health dimensions.  

In the current context, let’s keep the focus on the public health aspects. The key points are to contain, to reassure and to avoid unnecessary alarm. It is also advisable to combat all types of stereotypes.

Daily routines should go on.

Saturday, 1 February 2020

Follow the WHO rules


The measures taken by many countries to prevent the spreading of the coronavirus epidemic do not take into account the procedures established by the World Health Organisation. They make WHO appear as irrelevant, which is another way of attacking the multilateral system, in particularly the UN.

The measures go well beyond the recommended protocols. Many of them have a political justification and not just a public health concern. They are taken to tranquilise the domestic public opinion in those countries. And they have also a strategic dimension, in the sense they want to send a message to the Chinese authorities, a message that says that China can be isolated from the international community. They are an attempt to point out, basically, that the Chinese strength has very fragile clay feet. That China is not as strong as its leaders want the world to believe.

I totally disagree with such an approach. In this case, I say no to geopolitical games. It is true that China has its own fragilities. But this is not time to take advantage of a major health and social challenge to try to teach a lesson to the leaders in Beijing. The moment calls for serenity and international coordination.

Monday, 20 October 2014

Ebola: Bring the resources to West Africa

I wrote my bi-weekly column to the Portuguese magazine Visão this morning. Everybody is writing about Ebola these days. I also did. It is the second time in recent weeks that I focus on this matter. I just felt it was necessary once more to emphasize that the fight against the epidemic ought to be fought in West Africa. Rich countries and permanent members of the UN Security Council have the duty of assistance. They should make all types of resources available. The disease has crushed the response capacities of Liberia, Guinea and Sierra Leone. These countries are in need of immediate help. And it is the duty of the developed world to assist. International solidarity is a key pillar of the new international order. We should insist on that. And also on the fact that we are saving lives. For now, it is the lives of West Africans. That´s a strong reason. But later on, if we are late to act, it could be our own lives, in our part of the world. And that´s also a strong reason for us to move without any further delay. 

Saturday, 20 September 2014

Sierra Leone´s Ebola keeps everyone at home

Sierra Leone is locked down for three days. The last day will be tomorrow. During this period no-one can be on the streets, anywhere in the country, unless it has a valid official reason. People have to stay in-doors and wait for the Ebola sensitization teams to visit the home and do the talk about the disease.

It is a major dramatic decision to lock everyone in at home for three days. I saw the President on TV, when he explained the reasons. Dr Ernest Bai Koroma, a man I know very well, we had many private lunches together and also many official meetings, looked old and tired. This tragedy has taken a very heavy toll on him and on his countrymen and women.

But his words were very wise. I really hope people will follow the health guidance that is provided. And that the international community will be up to the challenge and willing to augment the assistance. The disease is controllable but the country calls for additional support. And the population has to get rid of the political divisions, the ethnic fears and believe the President. 

Thursday, 18 September 2014

President Obama´s Ebola call is vital

The decision taken by President Obama regarding the deployment of about 3,000 military personnel to Liberia to help the country to fight Ebola is a game changer. It has placed the epidemic in its true context as a grave menace to the political stability of the country and the neighbouring states, as well as a major human security threat. It is the survival of the entire region that is at stake, its peace and unity.

Ebola, as I have said in these pages in the recent past and also in my Portuguese language columns, is much more than a public health challenge. It has, of course, health dimensions that none can ignore. It is destroying very fragile national health systems, as it is already the case in Liberia. But it is above all a national and regional security threat for West Africa.

The countries concerned need all the help they can get.

Unfortunately, very few countries outside the region are taking the issue with the attention it requires. Maybe that will change a bit now that the US President has given Ebola the prominence it requires.

Saturday, 13 September 2014

Cuba sends 165 health personnel to Sierra Leone

Cuba has decided to deploy 165 medical and health services personnel to Sierra Leone to help in the fight against the Ebola pandemics. They will serve for a six-month period.

This is great news. It should be reported on the big media. It is important to show that West Africa is facing a major crisis and that the countries of the region need a much stronger response from the international community. 

Monday, 8 September 2014

The Western public opinion is not getting the point on Ebola

New research information shows that Ebola could spread across a number of regions of West and Central Africa. It is also already destabilising Liberia and Sierra Leone and could easily bring havoc to other neighbouring countries beyond Guinea. It would be a serious mistake to underestimate the human, social, economic and political costs of the pandemic. And we continue to see some opinion makers in our part of the world missing the point.