Ebola: how the international community failed to respond in time

This morning we learned that sad news that Thomas Eric Duncan has died in Ebola in Texas. While much of the recent coverage of Ebola has focused on the United States, an outstanding piece in the Washington Post (Out of Control: How the World’s Health Organizations failed to stop the Ebola disaster) provides an excellent history of the Ebola outbreak. Through interviews with medical personnel in West Africa, it describes how it was that the international community failed to intervene until too late.

Prof. Smallman, International Studies, Portland State University.

What do we know about Ebola?

"Airline Route On World Map" by digitalart at freedigitalphotos.com
“Airline Route On World Map” by digitalart at freedigitalphotos.com

One of the questions now being raised is whether public health decisions are being based on sound science. At the center of this debate is the question of testing travelers from affected countries for fever, which some infectious disease researchers -and people in the countries themselves- argue is unlikely to be successful. But there is also the larger question of how much we know about the transmission of the virus. For a good discussion of these issues, see David William’s article in the “LA Times.” Williams interviewed C.J. Peters, a senior and respected figure in the field of infectious disease, who points out what we still don’t know about this virus.

Shawn Smallman

Ebola in the United States

"Anti Virus" by hyena reality at freedigitalphotos.net
“Anti Virus” by hyena reality at freedigitalphotos.net

With the arrival of Ebola in Texas, the media coverage of Ebola has increased dramatically. Reuters has a good video talking about the current situation with Ebola (click here). As the video discusses, people are starting to ask questions about mass transit and other technologies that bring people into contact. Could you transmit Ebola through the key pads for debit cards? Elevator buttons and handrails in public buildings. Cash? Is the United States so different that it could not have a significant Ebola outbreak? On the one hand, Ebola has been controlled in Nigeria through an effective health response. On the other hand, there are many things about Ebola that researchers are still learning, such as the implications of recent Canadian scholarship suggesting that Ebola can be spread by an airborne route in the lab. Ian MacKay (a key source for information on the outbreak) has a good blog post on the different meanings that “air-borne transmission” may have for a medical researcher as opposed to the lay person. The bottom line is that it may be possible in the lab, but is unlikely to be a major transmission route in the real world. But people have many questions, and there needs to be clearer information available. …

Malcolm Fraser’s Dangerous Allies

"Globe Retro" by vectorolie at freedigitalphotos.net
“Globe Retro” by vectorolie at freedigitalphotos.net

Malcolm Fraser was the Prime Minister of Australia from 1975 to 1983. He has recently written Dangerous Allies with Cain Roberts, in which he analyzes Australia’s grand strategy from the 19th century to the present. At its core, his argument is that Australia has always adopted a policy of “strategic dependency,” first with Britain and then with the United States. Given Australia’s economic and military weakness in the nineteenth century, he believes that this was an inevitable choice. At the same time, this approach has consistently led Australia into disaster. Fraser clearly has no love for Churchill. He describes the losses and perils that Australia faced from Gallipoli during World War One, to North Africa in World War Two. By 1941 Australian forces were far from the home front, which was left vulnerable by the British debacle in Singapore. Overall, Fraser’s depiction of Australia’s relationship with Great Britain is one in which the nation made great sacrifices for little reward. …

Spies of the Balkans: A book review

Heinkel He 111 during the Battle of Britain. This file comes from Wikipedia Commons.
Heinkel He 111 during the Battle of Britain. This file comes from Wikipedia Commons.

We live in a time obsessed with spying. Wikileaks and Snowden have shown that non-state actors are now important actors in espionage, while also raising fundamental questions about the right to privacy. Now the BRICS (Brazil, Russia, India, China and South Africa) are talking about building their own undersea cable, in order to evade U.S. eavesdropping on their transmissions. This would enable South America to communicate directly with Europe without passing information through the U.S. We now know that the U.S. recorded even German Chancellor Angela Merkel’s phone conversations. Other nations are outraged, but they might do the same if they had the capability. Spying seems to flourish more now than at any time since the end of the Cold War. In this context, the espionage genre is not fading away. …

Kwame Appiah’s Cosmopolitanism, A Book Review

"Glass Globe" by suphakit73 at freedigitalphotos.net
“Glass Globe” by suphakit73 at freedigitalphotos.net

Kwame Anthony Appiah’s Cosmopolitanism is an engaging, well-written examination of the idea of cosmopolitanism, which will lead students to think deeply about the meaning of global citizenship. At the core of the book is Appiah’s question, what obligations do humans have to each other? I used the book last year in my “Foundations of Global Studies Theory” class, and had the opportunity to read my student’s reflections on the work in their book reviews, which has shaped this review. Based on their feedback and the class discussion, I think that this book would be an excellent choice for an “Introduction to International and Global Studies” course.

Appiah’s work is deeply shaped by his own bi-cultural upbringing, with roots in both Ghana and England. One of his strengths as an author is the ability to make students see how these issues apply to their own lives by relating philosophical questions to his own experience. He also frequently uses case studies or thought experiments to make his point. In both my student’s book reviews and the class discussion my students tended to refer to these examples, which led them to remember his arguments. Appiah’s writing style was clear, jargon-free and accessible, another boon in my class where students were reading authors such as Marx and Chakrabarty. …

Lost Franklin Expedition Found

John Rae, the great explorer, who learned the fate of the Franklin expedition from the Inuit.
John Rae, the great explorer, who learned the fate of the Franklin expedition from the Inuit.

In all the annals of Arctic exploration, there is no disappearance so famous as that of the lost Franklin Expedition. In 1845 Captain John Franklin led 128 men and two ships to search for the North West passage to Asia through the Arctic. Not a single man survived to be seen again. In the aftermath of the tragedy, the British admiralty and Lady Franklin sent out expedition after expedition to find out the fate of lost ships. In the end, it was an explorer on land, John Rae, who learned from the Inuit that the ships had sunk, and that the men had been so starving during their escape overland that they had resorted to cannibalism. For this discovery, he was ostracized by many of his peers, because Victorian gentleman would never eat one other; as such, he had insulted the dead.

This history has become part of Canadian identity. It’s a staple in Canadian literature and poetry, as Margaret Atwood discussed in her book, Strange Things. Stan Rodgers, the great Canadian folk singer, sang about Franklin in his iconic song the Northwest Passage. The only traces of what happened from the crew were two notes left in a cairn, miraculously discovered in the high Arctic. What happened to the crew after they left this record in April 1848? …

Ebola and “exponential growth”

WHO: Map of Ebola Cases in Guinea, Liberia and Sierra Leone as of 6 September 2014
WHO: Map of Ebola Cases in Guinea, Liberia and Sierra Leone as of 6 September 2014

The Ebola outbreak in West Africa has not received the resources it merits, in part because other Ebola outbreaks proved relatively easy to contain. Those epidemics, however, tended to take place in a rural context, and Africa has changed profoundly since the 1970s. The urbanization and transportation networks that are remaking the region have also meant that it is far easier for diseases to spread. The current outbreak is expanding exponentially. The latest map on the Ebola outbreak by the World Health Organization makes clear the scale of the challenge that the global community now faces. When you look at this map, keep in mind that these are confirmed cases. So this map is an underestimate. According to some calculations, there may be 100,000 cases in Africa by December. Without rapid and massive international aid, this outbreak will not be controlled. On Twitter? I recommend following Laurie Garrett (Pulitzer prize winner for her writing on public health), who has a great commentary on the outbreak, which includes key documents such as this map. If you are interested in global health, you might also be interested in my book on the AIDS Pandemic in Latin America.

Shawn Smallman, Portland State University

Ebola update

"3d Rendered Virus" by chrisroll
“3d Rendered Virus” by chrisroll

There is a great deal of news today about Ebola, which has now spread to Senegal, the fifth country in West Africa to be affected by the outbreak. The nation has tried to protect itself by banning flights from affected countries, but this is unlikely to be effective given that most people cross the border by ground transport. In Liberia the government has lifted the quarantine on the slum community of West Point, after widespread media reports that the quarantine was being flouted by people who bribed police to leave. At this time, quarantines do not seem to be effective in dense urban environments in developing countries; they are difficult to enforce, and the social costs are high. …

Nuclear Sabotage in Europe

"Nuclear" by luigi diamanti at freedigitalphotos.net
“Nuclear” by luigi diamanti at freedigitalphotos.net

In a previous article, I discussed how the French government has sought to suppress evidence regarding the massive costs that a nuclear accident would entail. But an accident is not the only danger facing nuclear reactors as a recent incident at Belgium’s Doel 4 nuclear reactor makes clear. Some person -most likely an employee at the plant- deliberately damaged an oil drainage system from a turbine, which caused so much damage that the plant will be closed until after the New Year. Now Belgium may face blackouts if winter demand for electricity is particularly high. The Doel 4 incident is particularly worrying because the plant is located in a heavily populated part of Europe.

Remarkably two other reactors are also offline in Belgium, because cracks were found in reactor casings, which means that Belgium has lost more than half of its nuclear capacity. While people often argue that renewable power is too intermittent to be relied upon, events in Belgium again make the point that there are also major risks in relying on nuclear power. In this particular case, we know very little about the sabotage. Was it carried out by an isolated individual? If so, what was their motivation? Clearly threats to to the integrity of nuclear reactors do not always come from outside the plant. Currently the case in Belgium is being investigated by the Belgian police. Do these forces have the expertise to investigate nuclear crimes? The Belgian case also should make security experts and plant owners question their practices. How carefully are plant employees screened, and what monitoring systems are in place? …

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