International Conference on the Great Manchurian Plague: A Pioneering Blueprint for Public Health Advances and Safeguards

International Relations, Medical history, Public health,, Regional History

Once the authorities in Manchuria had secured a firm handle on the plague outbreak in Heilongjiang, Kirin and Fengtian provinces by February 1911, little time was wasted calling for a conference of international medical specialists to enquire into all aspects of the epidemic and promote the advancement of future disease control. Scientists including disease specialists from many countries were invited to attend the location chosen for the conference, Mukden (Shenyang), which was one of the cities in North-East China hardest hit by the pneumonic epidemic.

B1888135-B036-4C07-9615-30CB41114CBEDespite the pressingly urgent need to canvas expert international input into the dire health catastrophe, China must have had some reservations about what it was doing. Both Russia and Japan with undisguised Manchurian ambitions already held firm footholds in N.E. China (control over railway lines, ports, territorial concessions, etc), plus other Western powers controlled Chinese treaty ports further south. But with no politicians taking part in the conference and all attendees pledging that it’s focus was to be on scientific investigation and not about imposing any further external controls on China, the central government pushed on with it [‘In 1911, another epidemic swept through China. That time, the world came together’, (Paul French), CNN, 19-Apr-2020, www.cnn.com]. Dr Wu Lien-teh, the “plague fighter-general” of Harbin, was appointed conference chairperson. There were a few “nationalistic frictions” with the Japanese mainly resulting from some anti-Chinese remarks injudiciously made by the Japanese delegate, Professor Kitasato, before leaving Tokyo for the conference, but this did not impede the cohesion of the conference  [Eli Chernin (1989). “Richard Pearson Strong and the Manchurian Epidemic of Pneumonic Plague, 1910—1911” (PDF)Journal of the History of Medicine and Allied Sciences. 44(3): 296–319. doi:101093/jhmas/44.3.296PMID 2671146].

🔻 Safety precautions at Harbin plague site

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A congress of international disease experts
The International Plague Conference (IPC) was a ground-breaking series of ‘firsts’, the first international scientific symposium held in China, the first time in modern history of a multi-nation approach focusing on disease control. The conference also anticipated the purpose of later world bodies dedicated to international health maintenance, the League of Nations’ Health Organisation (LNHO), established in 1923, and  it’s successor, the UN’s World Health Organisation (WHO), created after the Second World War.

3A6D176E-BB45-4C08-B823-02421AA93931Scientists from ten countries joined host China at the Plague Conference in the repurposed Shao Ho Yien palace – the US, UK, France, Russia, Japan, Italy, Germany, Austro-Hungary, Netherlands and Mexico, an indication of how seriously the international medical community took the Manchurian outbreak and its implications. The delegates were drawn from several relevant and related fields including epidemiologists, virologists, bacteriologists, tropical medicine specialists and illness consultants.

🔻 Contemporary coverage of the conference in ‘The Lancet’

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The conference, getting into the “nitty-gritty’ 
High on the conference’s agenda was the question of aetiology, what were the Great Manchurian Plague’s causal factors? American delegate Richard P Strong, who arrived prior to the conference, undertook pathological experimentation which verified the infectious role played by tarbagan marmots in the plague (which he published in the Philippine Journal of Science, 1912). The experts had to sift through a raft of unhelpful faux-scientific beliefs and assumptions to get to “the scientific root of the bacteria”, again underlining the IPC’s emphasis on science and medicine. Containment was another key issue at the conference. The discussion was around what worked best in the plague? Measures like ‘blanket’ quarantines, travel bans, face masks and ad hoc plague hospitals (swiftly assembled to isolate the infected from the healthy), all got a big tick…an endorsement of Dr Wu Lien-teh’s positive measures in the war against the pneumonic epidemic, deemed by the conference delegates as essential tools in the fight against future outbreaks and waves of plague (French).

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🔺 The admirable Dr Wu

Seeds of a nationwide public health service 
One of the conference’s finest and far-reaching achievements was to establish the Manchurian Plague Prevention Service (under the helm of Dr Wu). The MPPS and Wu identified medical education as the “holy grail”, the service’s role was to  disseminate materials to the public, promote the efficacy of sanitary conditions and health in the community, and overall playing a leading role in adopting Western medicine (Xīyào) and methods of disease control in China. MPPS provided the model for a future Chinese national health service (French).

The follow-up to the three-and-a-half week International Plague Conference put Chinese medicine on the path to modernisation. Many of the country’s medical advances began here …. the IPC laid down a blueprint for handling future plagues which included the use of autopsies,  instructional dissection and cremation, all of which became institutionalised practice afterwards (Chernin).

Medicine and health before politics
The Mukden IPC in April 1911, conducted in an atmosphere free of politicising, demonstrated the cooperative humanitarian efforts of a group of medical professionals…when left to it by the politicians, they showed single-minded unity of purpose, what could be achieved, collectively and internationally, to counter the danger of a disease with immediate and future global ramifications for public health. I need not emphasise the stark contrast with the management of the world’s current pandemic in which some of the major powers, distracted from the only really important priority, are happy to engage in a ”political blame game” over the coronavirus‘ origins, instead of co-operating with each other to meet a pernicious and deadly health risk to the planet head-on and in unison.
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Endnote: Lessening future shock
The gains in medicine and public health protection coming out of the conference were soon put to use in China. Disease re-emerged in the 1919 malaria epidemic and the 1921 plague (again in Harbin) which was to test China’s embryonic national quarantine system. Dr Wu again took charge to guide China through these medical crises. The improvements in public health since 1911, it is estimated, reduced casualties in the second outbreak of pneumatic plague by four-fifths [‘Portraits of a plague: the 19th-century pandemic that killed 12 million people’, History Extra, 21-Jul-2015, www.historyextra.com].

Not Missing the Human Touch: Robots Stepping Up in the Time of COVID-19

Medical history, Public health,, Science and society

 

Intelligent design, AI, artificial humanoids, bionic life, androids, cyborgs, have all moved outside of the cloistered environment of the lab and the science fiction genre and are all embracing the day-to-day functions of human existence. Well, perhaps not all of these products of imagination and creativity – but with the restrictions placed on human communication in the all–enveloping cloud of the coronavirus crisis, automatons are the new “white knights” coming to the rescue (or relief) of humans.

The sudden emergence of the pandemic has propelled Medtech companies into the war on COVID-19. Drones as well as robots are being enlisted in the fight, taking the load off medical professionals and health care systems. Delivery robots are used as a way of circumventing the danger of human-to-human contagion. UVD robots are employed to kill viruses and bacteria in rooms to avoid the need for human involvement [‘Robots And Drones Are Now Used To Fight COVID-19’, (Bernard Marr), Forbes, 18-Mar-2020, www.forbes.com].

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‘Xenex’ Germ-zapping robots (CBS News)

As healthcare experts and governments search for the optimum strategy to contain and suppress the coronavirus outbreak, other intelligent humans are finding new applications and roles for intelligent non-humans in the health emergency crisis. It starts, appropriately enough for a public health disaster, at the medical coal face, in the ICU wards where doctors and nurses have been overwhelmed, physically and emotionally, with the skyrocketing workload of coronavirus-affected patients. In Lombardy in northern Italy, one of the first hotspots of the pandemic outside of China, six robot nurses have been fast-tracked into hospital service in Varese where they help lighten the human nurses’ face-to-face load and reduce their risk of personal infection. The robots man the wards, monitor the medical equipment and communicate remotely with doctors. Similarly in India, at a hospital in Chennai, ‘Zafi’ the robot does the rounds, transporting food and medicine to virus patients to lessen the risk to hospital medical staff [‘Tommy the robot nurse helps keep Italian doctors safe from coronavirus’, (Flavio LoScalzo), Reuters, 02-Apr-2020, www.reuters.com].

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Pepper the robot  (Photo: Reuters)

Japan is using humanoid robots as reception staff at hotels to greet patients with mild coronavirus symptoms. Robots like ‘Pepper’ at Kyogoku in Tokyo greet arriving patients and instruct them how to check-in while reassuring them with warm and positive messages [‘Pepper the robot set to greet COVID-19 patients checking in Tokyo hotels’, Hindustan Times, 01-May-2020, www.hidustantimes.com].

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With the need for pristine clean surfaces in public spaces to prevent the spread of the virus outbreak, a number of countries now employ robots as cleaners. At Hong Kong International Airport autonomous cleaning robots known as “Intelligent Sterilisation Robots” use UV light and air sterilisers to routinely clean and disinfect key operational areas of the airport [‘Clean me up, Scotty: Hong Kong airport debuts cleaning robots, disinfection booth in fight against COVID-19’, Coconuts, 30-Apr-2020, www.msn.com].

Such medical uses of robots have been replicated across a range of countries hit by the pandemic. With people confined to their homes under quarantine orders and required to maintain a distance of at least 150 cm from other humans, robots on wheels are being increasingly used to deliver products to them, or to deliver food to overworked NHS workers (Britain).

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(Photo: www.uk.news.yahoo.com)

Singapore has brought into service a robot with the decidedly unsexy name of “O-R3”, whose job it is to patrol the city’s parks and monitor the behaviour of joggers. This ever vigilant robot spots transgressors and warns them about the need to practice social distancing in public [‘Robot in Singapore tells joggers to stay home’, SBS, 28-Apr-2020, www.sbs.com.au]. Joggers and walkers in Singapore need to ultra-alert around the parks as the city has a second social distancing-monitor robot, Boston-built Spot the robotic dog (Robocop?)…if O-R3 doesn’t nap the violators, Spot (below) might.

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(Photo: CNA)

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Tunisia’s ‘Robocop’ looks more like a military style armoured vehicle  
(Photo: AFP)

Tunisian authorities have had a similar idea to curtail the incidence of virus infection in the capital Tunis. The police have been using a robot (a ‘Robocop’) who ‘walks’ the city beats, stopping and questioning people who it suspects should not be on the streets during lockdown. The Robocop asks people to produce their IDs which can be scanned by the robot’s in-built computer [‘Coronavirus: Tunisia deploys police robot on lockdown patrol’, (Rana Jawad), BBC News, (03-Apr-2020), www.bbcnews.com].

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Robot Cop (Source: The Hindu)

Chennai Police (southern India) are on the same wavelength as Tunis’, deploying it’s new “Robot Cop LD v5.0” equipped with a two-way intercom to surveil citizens in coronavirus hotspots in the city during containment. The Robot Cop is un-humanoid in appearance and has been described as “an oversized box on wheels” [‘Chennai Police Deploys “Robot Cop” in COVID-19 Hotspot’, (Kishalaya Kundu), Beebom, 01-May-2020, www.beebom.com].

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(Photo: BBT University)

Robotic engineers in Japan have produced avatar robots who can stand in for university graduands in virtual graduation ceremonies. BBT University in Tokyo uses ‘newme’ robots dressed in black graduation gowns and caps with mobile screens showing the student’s face attached to a motherboard. The robot proxies line up to be officially presented with a testamur by the university president while the actual graduate watches via Zoom from a safe distance at home [‘BBT University in Japan has graduates attend ceremonies via robots in light of Covid-19’, (Guan Zhen Tan), Mothership, 02-Apr-2020, www.mothership.sg].

Declaring War on an Internal Enemy Hiding in Plain Sight: The ❛Deep State❜

Media & Communications, Military history, National politics, Political History, Politics, Public health,

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In the fiercely combative arena of Washington DC politics, one term that gets bandied about a lot—before and continuing through the time of pandemic—is the notion of the existence of a “Deep State”. Whenever the expression gets publicly uttered, it’s purpose is to serve as the answer to some or other momentous development or outcome. Left there hanging in the air, vague, nebulous, mysterious and unelaborated but always unambiguously pejorative – the innuendo of conspiracy.

Alternately called “a state within a state”, the “shadow government” or “the permanent state”, the Deep State connotes images of shadowy individuals talking in soto voco, practicing the political dark arts.

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So, what actually is a deep state? In get to the essence of this concept let’s survey a cross-selection of responses to the question:

a type of governance made up of networks of power operating independently of the state’s political leadership in pursuit of their own agenda and goals [Wikipedia]

a conspiracy theory which suggests that collusion and cronyism exists within the US political system and constitute a hidden government within the legitimately elected government [Wikipedia]

a body of people, typically influential members of government agencies or the military, believed to be involved in the secret manipulation or control of government policy [Oxford English Dictionary].

the idea that a cabal of unelected security officials across a number of government bodies maintain influence over elected politicians [Will Worley, The Independent (UK)]

(“the seed for many tantalising conspiracy theories”…the existence of a premeditated effort by certain federal government employees or other persons to secretly manipulate or control the government without regard for the policies of Congress or the President [Robert Longley]

an underworld of unaccountable authority [Peter Dale Scott]

belief in an informal or parallel government that exists to countermand legitimate, usually more democratic, institutions (whose usage includes) a catch-all term applied to any number of extraordinary, usually violent, episodes, eg, JFK assassination, 9/11, etc. [Ryan Gingeras]

a massive informal government comprising untold thousands of bureaucrats, technocrats and plutocrats committed to driving president-elect Trump from power [Breitbart]

(how it functions) when elected governments threaten the deep state’s domestic or international interests, actors aligned to this coalition (the military, the clandestine service, the mafia and far-right activists) employ any means to reverse the state’s political course…these coalitions within the government work to ‘veto’ or ‘fine tune’ policies related to national security [Ola Tunander]

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The topicality of the Deep State as a conspiracy theory and as a form of politics in practice, as I indicated at the start, resides within, indeed permeates, the present US political realm, but the political phenomena itself did not start in the US. Let’s first look at the modern origins of the deep state – in early 20th century Turkey.

Turkey: volatile zero-sum-game
The notion of an unofficial para-authority, a deep state within the nation’s polity, has probably existed since the time of antiquity, but as a normative concept it can be traced back to the rise of the Young Turks movement in Turkey (revolution of 1908). In the struggle for power in the vacuum created by the disintegration of the Ottoman Empire, the Young Turks, and Kemal Ataturk who would become the ‘architect’ of the modern Turkish Republic, used criminal elements to eliminate political opponents. Ataturk’s group, through a violent, intra-government resistance to the ruling clique in Turkey, destabilised and undermined it (from within), eventually establishing control over state and society for itself. Turks called this secret network, derin devlet (literally the “deep state”). Since then, the phenomena has been replicated elsewhere, eg, Soviet Union/Russia, Egypt, Pakistan, with the tradition maintained in Turkey up to the (present) Erdogân era, eg, the failed military coup in 2016 seeking to overthrow the Erdogân autocracy [‘Turkey’s “Deep-State” and the Ergenekon Conundrum’, (H Akin Ünver), Middle East Institute, 01-Apr-2009, www.mei.edu].

Erdogân state (Source: www.time.com)

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Deep state sans conspiracy
Drawing together the different threads of responses, a deep state exists when a network of different groups covertly coalesce, forming a power base independent of and parallel to the legitimate government, with the purpose of pursuing its own objectives. In practice it tends to exercise soft power (rather than the more violent type seen in Turkey) by undermining and discrediting the legitimate government, with the aim of subverting its operation and bringing it down. The collusive elements of the network or cabal is typically drawn from the state’s security services, the bureaucracy, the military, the media, the private sector, even from organised crime.

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The deep state in America
It was general-turned-GOP governor Dwight D Eisenhower who first alerted America to the dangers of a deep state emerging…at his farewell address in 1961 he said: “We must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military-industrial complex”. A couple of years later the assassination of Eisenhower’s successor John F Kennedy provided conspiracy theory obsessives with endless material for imaginative speculation. Inevitably some of that speculation has joined the dots between the never-satisfactorily explained Kennedy murder and the Deep State. A perusal of the web turns up numerous posts with titles like ‘JFK was Murdered by the Deep State’ and ‘JFK Was Assassinated by LBJ, Establishment, Deep State’…fairly self-explanatory but these generally fact-thin ‘revelations’ detail a deep state hit squad of assassins and conspirators which includes Lyndon B Johnson and a coterie of southern Democrat politicians, the American mafia, Texas oil tycoons, Fidel Castro, the CIA, the KGB and a host of other nominated suspects. And of course popular movies like Oliver Stone’s 1991 JFK was a further shot-in-the-arm for political conspiracy buffs and the perpetuation of the Deep State/JFK thesis (portraying “a cabal of shadowy officials as the puppet masters behind Kennedy’s assassination”)◘. As Professor Paul Musgrove remarked, “the deep state is catnip for conspiracy theorists” [‘How a Conspiracy Theory Went From Political Fringe to Mainstream’, (Tom Porter), Newsweek, 08-Feb-2017, www.newsweek.com].

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Deep State rhetoric: How to vilify your opponents and turn back criticism, it’s all a conspiracy by the enemy!
The term finally acquires staying power and everyday currency in the US political lexicon with Donald Trump’s transition to the presidency in 2016/2017. Trump, a self-acknowledged outlier of Washington politics, came to office promising to “drain the swamp in DC”, his avowed aim, to ditch the old, distrusted model of federal government. With Trump doing things very much his own (peculiarly idiosyncratic) way in the White House, this caused waves, there was a “natural pushback” from a bureaucracy accustomed to a very different approach under Obama. This is a normal part of the process of regime change in parliamentary democracies universally – a residual if usually temporary feature of the culture of resistance to government change. [‘President Trump’s Allies Keep Talking About the “Deep State”. What’s That?’, (Alana Abramson), Time, 08-March-2017, www.time.com].

The practice of leaking information
From within the president’s fold, warnings of “covert resistance” from within to the president, emerged. Talk of a “Deep State” was heard from the far-right, Trump strategist Steve Bannon among the voices. The complaint was that elements within the bureaucracy, the State Department, Pentagon, wherever, were leaking damaging information to a media hostile to Trump (eg, New York Times, Washington Post), to which Trump’s “knee-jerk” reaction was to label it as “fake news”. Two points need to be made about the leaking of information from democratic governments: as Abramson has noted, this is “not a new dynamic” or unique to the US, career civil servants—who are extra-political—have always leaked information to the press. The (legitimate) government from time to time itself will leak favourably information to the media (Abramson).

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Watching the president
The second point is that the various federal government agencies, being non-partisan, see a component of their role to act as a check on wayward and irresponsible behaviour by an incumbent chief executive that would be harmful to the nation. Previous directors of the CIA have stated that the military would refuse to follow orders given by Trump which are unlawful [‘US Military to Disobey Trump’s ‘Illegal’ Nuclear Strike Order’, Sputnik News, 15-Nov-2017, www.sputniknews.com]. In such a scenario, the “permanent national security apparatus” has a right to act, as “a check on the civilian government” (Musgrave).

Another Deep State linkage with the coronavirus for conspiracy fans? The “Covert-19” pandemic?

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Using the Deep State catch-phrase to your own advantage
Opposition to Trump, to his style of presidency and approach to government, in the form of hostility from almost the entirety of the mainstream US media, the leaking of information from within the ‘citadel’ such as the charge that Russian interference in the 2016 elections assisted a Trump victory, have provided the ammunition for the Trump’s enablers and supporters to construct a narrative of a deep state, a ‘conspiracy’ of anyone seeking to subvert the presidency, including foreign powers (like China) and many bureaucrats they see as loyal to the former president (Obama).

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Trump has turned internal criticism of himself into an excuse to fire officials, creating scapegoats for the shortcomings of the administration he heads. Inspector General of the Intelligence Community Michael Atkinson, sacked after alerting Congress of Trump’s attempts to pressure Ukraine’s leader into investigating the president’s domestic political opponents, remarked pointedly that he was dismissed, not for failing to do his job but for doing it properly [‘Trump’s safari into the wilderness of the deep state’, (Jacob Heilbrunn), Spectator (America), 08-Apr-2020, http://spectator.us]. Numerous other subalterns from the White House staff, Pentagon, Homeland Security, FBI, Treasury, Attorney General, etc have suffered the same fate after earning Trump’s ire. As Professor Timur Kuran, an economist who has studied the deep state concept in both Turkey and the US, said: in many authoritarian regimes, dictators often blame their failures on a “deep state enemy” within the legitimate state [‘Deep State: Inside Donald Trump’s Paranoid Conspiracy Theory’, (Michael Hanford), Rolling Stone, 09-Mar-2017, www.rollingstone.com].

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Connecting coronavirus to the Deep State conspiracy
In the turmoil of the COVID-19 crisis in America, it didn’t take long for a number of Trump’s cronies and followers to play the pandemic conspiracy card. TV commentator Rush Limbaugh has labelled the coronavirus a deep state hoax (calling health experts fighting the virus outbreak functionaries of the deep state). The right-wing “shock jock” has said the crisis was being used by as a political weapon to destabilise and undo the Trump presidency [‘Rush Limbaugh: coronavirus a “common cold” being “weaponised’ against Trump’, (Martin Pengelly), The Guardian, 26-Feb-2020, www.theguardian.com]⦿. Other “true-believers” of the DS conspiracy myth see the coronavirus crisis as a plot to destabilise global markets and cripple the US economy, or alternately a Deep State plan to suppress dissent and impose “mandated medicine” on to the unsuspecting masses [‘Right-wing conspiracy theorists see coronavirus as a plot against Trump’, (Mikael Thalen), The Daily Dot, 26-Feb-2020, www.dailydot.com; ‘Scientist with 4 Degrees from MIT Warns ‘Deep State’ Using Coronavirus Fear-Mongering To Suppress Dissent’, (Carmine Sabina), The Western Journal, 17-Mar-2020, www.westernjournal.com].

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there have been numerous other Deep State scenarios internationally, a classic one in recent history was the 1973 Chilean coup where foreign elements, the American CIA and IT&T, combined with a right wing military clique in Chile to overthrow the democratically-elected Allende government
many of the conspiracy hypothesisers who accept that Lee Harvey Oswald killed Kennedy, depict the gunman as having been an agent of the Deep State
with hindsight we can see earlier instances of the (unnamed) deep state in American politics, beavering away to undermine a US president – in the Thirties and early Forties the Dulles brothers, Foster and Allen, exploited their key diplomatic roles in arms of the Roosevelt administration to covertly pursue their own agendas which were at variance with FDR’s policies, David Talbot, The Devil’s Chessboard: Allen Dulles, the CIA, and the Rise of America’s Secret Government (2015)
one of the wildest is the QAnon Deep State conspiracy which alleges that a “cabal of Satan-worshiping pedophiles” have joined up with Hollywood liberals and Democrat politicians to try to overthrow the Trump regime
sometimes hitting back with his own brand of fake news, such as his unsubstantiated tweet claim that President Obama wiretapped Trump Tower before the election
a view with popular backing among sections of the Alt-Right, patriot-militia groups in the US
⦿ Limbaugh last month, looking to cloak the ‘conspiracy’ in an even more sinister light, suggested to his viewers that there were eighteen earlier strains of the disease which he has likened to the common cold, therefore COVID-19 was nothing to be concerned about, he reasoned. Limbaugh’s woeful ignorance—the 19 in the disease’s name refers to the year it was first identified, 2019—earned him much scorn and derision from liberal America (although amazingly it didn’t deter a Trump lackey from repeating the gross misinformation in a “Fox & Friends” rant against WHO) , ‘Coronavirus skeptic Rush Limbaugh thinks COVID-19 means there were 18 other COVIDS’, (Brian Niemietz), Daily News, 12-Mar-2020, www.nydailynews.com

Behind the Coronavirus Counts, How well do the Numbers Stack up?

International Relations, Media & Communications, Medical history, Natural Environment, Politics, Public health,

Every day we are reminded of the global reach of the novel coronavirus crisis. We know it’s a pandemic because WHO and other health agencies publish data showing that 211 countries and territories have been affected by the disease. The international media coverage tends to focus largely on the unenviable “big five” chart-toppers who have been most affected – the US, Italy, Spain, France and the UK. A number of sites publish constantly updated lists of the growing toll of Covid-19 casualties, a sort of sombre “score card” listing all the countries who have recorded instances of the disease.

Confirmed Coronavirus Cases: Globally tracked, country-by-country – as @ 23-Apr-2020

Country Total casesTotal deaths Region
USA850,00047,700Americas
Italy 188,00025,500Western Europe
Spain 208,50021,750Western Europe
France 160,00021,500Western Europe
UK134,00018,300Western Europe
Sources: WHO http://covid19.who.int/;
http://worldometers.info/

When we scroll through the world tables of where the pandemic has landed, it’s instructive to look at the comparative totals by continent – Europe has a bit over 1.28 million confirmed cases recorded, and the Americas, 995,510 (predominantly from the US), compare these to South-East Asia, a bit more than 38,572 and Africa, a mere 18,234 cases✺✺.

(Source: www.vietnamcredit.com.vn)

From a statistical standpoint we might wonder if the published data gives a true impression of the extent of of the pandemic? It needs to be kept in mind that the numbers we have are those that have been reported to the World Health Organisation. Population differences aside, it is clear that the low numbers in South-East Asia and Africa (examples: Cambodia 122 cases, zero fatalities✺✺, Myanmar 139 cases, five fatalities✺✺, Ghana 1,279 cases, 10 fatalities✺✺, Ethiopia 117 cases, three fatalities✺✺) mask the full impact of the catastrophe. They are a product of limited testing by countries in these regions … widespread poverty, surplus populations, lack of resources and infrastructure mitigate against the capacity to take corrective, safety monitoring measures.

(Photo: www.theborneopost.com)

Limited testing capacity and weak surveillance
The small numbers of recorded cases and handful of reported deaths in Africa and S.E. Asia (the Caribbean is another such case in point) can engender a false security and justify a lack of action by such already economically and health-challenged countries, thus the risk of infections spreading is magnified. In the early phases of the outbreak some S.E. Asian states were slow to acknowledge the risks…even as late as mid-March, Myanmar’s government was still attributing it’s low number of cases to the superior “lifestyle and diet” of the locals. The fight against Covid-19 by Third World countries is further retarded by a failure to test widely and in the numbers necessitated by the crisis. It shouldn’t be overlooked that some of these countries have quite repressive regimes that don’t rank the goal of a universal healthcare system as their highest priority [‘Experts Doubt Low Coronavirus Counts of Some Southeast Asian Countries’, (Zsombor Peter), VOA, 29-Mar-2020, www.voanews.com].

(Photo: www.upnews.info.com)

For the bulk of African countries the story is similar. A by-product of their lack of development is that their health systems are fragile before the onset of coronavirus hits them. Awareness of the inability to cope with a full-blown health crisis, had led some leaders to advocate so-called “miracle cures” for the virus (eg, Madagascar’s president’s championing of untested traditional plant remedies). Nigeria (Africa’s largest nation by population)  shows only 981 confirmed cases and 31 deaths✺✺ to date but is looking as vulnerable as anyone in Africa. Oil exports are the hub of Nigeria’s economy and the fall of the world’s crude oil price to a record low will hamstrung the country’s efforts to contain any future eruptions of the disease [‘Coronavirus: How drop in oil price affects Nigeria’s economy’, (Michael Eboh), Vanguard, 17-Mar-2020, www.vanguardngr.com]. The outbreak of pandemic hotspots in Nigeria could be devastating, especially in the north, given the country’s population of nearly 200 million people and it’s inadequate healthcare capacity.

(Photo: www.newswirenow.com)

Too good to be …
Some countries have reported being lightly or relatively lightly touched by the onslaught of the coronavirus, these results have surprised outside observers. One such country that raises eyebrows in this respect is Russia. The republic has 146 million people and shares long borders with China, yet it fesses up to having had only 68,622 cases✺✺ (well under half of that of the UK) and suffered only a comparatively low 615 deaths✺✺ from the epidemic (most of those since the start of April). If you cast aside the anomalies, on paper it’s an excellent result! But whether Soviet or post-Soviet, there’s always an air of suspicious doubt about Russian information. The Russian Bear has had form in the past with cover-ups…a prime example—the Soviet Union throwing a tarpaulin over the Chernobyl nuclear disaster in the 1980s —indicative of a less than honest response to major disasters [‘The Very Low Number of Russia’s Reported COVID-19 Cases Raises Questions of a Cover-Up’, (Rick Moran), PJ Media, 22-Mar-2020, www.pjmedia.com].

Image: www.asianews.it

Russia, if it so erred, is not “Robinson Crusoe” in deliberately underreporting the pandemic’s effect. China for nearly three months from the initial outbreak didn’t include asymptomatic patients in the official stats, and only rectified this oversight on April Fools Day [‘China acknowledges underreporting coronavirus cases in official count’, (Mark Moore), New York Post, 01-Apr-2001, www.nypost.com]. For six weeks after WHO declared a global health emergency Indonesia did not report a single Covid-19 case (unlike most of it’s S.E. Asian neighbours). Considering the republic’s population size (more than 270 million) and it’s close links with China, this aroused widespread suspicion of underreporting and criticism in a Harvard University study which seemed to belatedly jolt Indonesia into disclosure. The first notification by Djakarta of coronavirus cases occurred on 2nd March, and from then on Indonesia’s curve has been on an upward trajectory – currently 8,211 cases, 689 deaths✺✺ [‘Why are there no reported cases of coronavirus in Indonesia?’, (Randy Mulyanto & Febriana Firdaus), Aljazeera, 18-Feb-2020, www.aljazeera.com].


Doubting a hermetically-sealed “Hermit Kingdom”
North-East Asia’s renegade, secretive state, North Korea, can be added to the list of countries purporting to be Covid-19–free. Pyongyang‘s official line has been met with disbelief from several external sources such as South Korea and Radio Free Europe which asserts that disclosures from within North Korean military circles confirm the occurrence of coronavirus cases in the border areas [‘What Is the Coronavirus Doing to North Korea’, (Nicholas Eberstadt), New York Times, 22-Apr-2020, www.nytimes.com]

Addendum: (Coronavirus as at 0130 hrs EAT time, 25-April-2020)
USA 890,200 cases | 50,403 deaths
Italy 189,973 cases | 25,549 deaths
Spain 219,764 cases  | 22,524 deaths
France 158,183 cases | 21,856 deaths
UK 143,464 cases | 19,506 deaths

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✺✺ figures as at 0130 hrs EAT time, 25-Apr-2020
just over the last week the African continent experienced a sudden surge in infections, ‘Africa’s 43% jump in virus cases in 1 week worries experts’, (Gerard Zim Rae), ABC News, 23-Apr-2020, www.abcnews.go.com
although Russia did close its eastern border with China after the virus breakout