The Americas, Pandemic on the Back of Poverty: Mexico and Venezuela

International Relations, Media & Communications, National politics, Politics, Public health,, Society & Culture

While Brazil has sown up the unenviable title of the worst coronavirus hotspot in Latin America, Mexico has steered a similar course to disaster in the face of the pandemic. As Brazil’s coronavirus count climbs to well over 1.1 million confirmed cases and closing in on 53 thousand fatalities, the galloping toll in Mexico—60% the size of Brazil population-wise—now registers 191,410 cases and 23,377 deaths  (as at 24-June-2020).

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(Source: www.lonelyplanet.com)

False security?
Among some Mexicans there seem to be a sense that the country’s demographics which are skewed toward the young—around 85% of the population is under 55—may act as a barrier against coronavirus. This confidence may be misplaced due to several factors: pre-existing health conditions in Mexico which affect younger cohorts as well—make the population more vulnerable to the ravages of coronavirus, as the table below indicates [‘Many young Mexican at risk from Covid-19’, (James Blears),
Vatican News, 31-March-2020, www.vaticannews.va]. the death-rate from COVID-19 among maquiladora workers in the border region of Baja California was found to be 25 times higher for the age bracket 40-49 than in the corresponding San Diego County, [‘COVID-19 killing young maquiladora workers, study shows’, (Salvador Rivera), Border Report, 11-Jun-2020, www.borderreport.com].

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A league of populist leader ‘bedfellows’?
The way Mexico under its president, Andrés Manuel López Obrador, has approached the pandemic has disturbing parallels with that of Brazil’s leader Bolsonaro, and with the US under Trump. Despite a difference of ideological orientation—Obrador (who’s commonly known within Mexico as AMLO) is a Left-populist whereas Bolsonaro and Trump are Right-populists—the Mexican leader has pursued much the same course with similar outcomes. AMLO’s government was slow to engage in the fight against COVID-19 in the critical early period. The virus apparently entered Mexico via overseas returnees, primarily wealthier Mexicans returning from business trips to Italy and skiing holidays in Colorado, and then spread to low-income groups [‘Mexico’s Central de Abasto: How coronavirus tore through Latin America’s largest market’, (Mary Beth Sheridan), Washington Post, 21-Jun-2020,
www.washingtonpost.com].

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🔺 AMLO, pressing the flesh (Photo: Mexico’s Presidency Handouts/Reuters)

How not to contain a pandemic
Like his US and Brazilian counterparts, AMLO justified his inaction by being dismissive of the disease, continually downplaying its risk to people, and he was negligent by example. After the outbreak Obrador toured the country, holding rallies sans face masks, nonchalantly meeting and greeting supporters, freely shaking hands, embracing people and even kissing them✱. The president’s advice to the Venezuelan people was simply to continue to “live life as usual”…until late March he was encouraging people to go out, attend fiestas, dine in restaurants and go shopping, airports remained open◘  – a clear indicator that Obrador’s priority was the health of the economy rather than the health of the public [‘Poverty and Populism put Latin America at the centre of the pandemic’, (Michael Stott & Andres Schipano), Financial Times, 14-Jun-2020, www.amp.ft.com; ‘AMLO’s feeble response to COVID-19 in Mexico’, (Vanda Felbab-Brown), Brookings, 30-Mar-2020, www.brookings.edu].

Abject lack of medical preparedness.
Obrador’s dangerous indifference to the crisis extended to a half-hearted medical intervention. Testing for COVID-19 has remained woefully low, no program of widespread testing or of contact tracing – these vital measures dismissed as being impractical for a population of 128 million (Sheridan; Stott & Schipano). The reluctance to test extensively is no doubt also related to Mexico’s health care incapacity. Despite having gone through the experience of the 2009 H1N1 influenza outbreak, subsequent Mexican administrations have permitted the country’s health sector to run down, funding to hospitals and medical centres have been cut by millions. Mexico has only 1.4 hospital beds for every 1,000 persons and just over 2,000 ventilators all up. The shortfall extends to physicians, medical equipment including PPE and coronavirus test kits [‘Mexico’s coronavirus-sceptical president is setting up his own country for a health crisis’, (Alex Ward), Vox, 28-Mar-2020, www.vox.com].

Shooting the messenger
Inevitably AMLO has copped a lot of internal criticism for his irresponsible response to the crisis. Rather than taking positive measures to try to undo the disaster of his own creation, Obrador has gone on the attack against the Mexican independent media. Again invoking the Trump playbook, he has railed against the “fake news” and “Twitter bots” who have opposed his government’s handling of the situation. Independent investigations in fact have brought to light the clandestine activities of Notimex (the state-owned news agency) which has created a network of bots and fake accounts to discredit prominent journalists and label them as ‘criminal’ [‘Mexican President López Obrador frets about the spreading virus of fake news, but not COVID-19’, (José Miguel Vivanco), Dallas News,16-Jun-2020, www.dallasnews.com]. 

AMLO has taken to giving regular video ‘sermons’ to the masses (he calls them “Decalogues to emerge from coronavirus and face the new reality”)…these are not as you might surmise updates on how the government is attempting to counter the pandemic, but an uninspiring mish-mash of banalities about staying positive, eating corn and getting sun and fresh air. With the unchecked escalating death toll from the disease, many believe Obrador has given up any pretence to even trying to combat the virus [‘Mexico’s president has given up in the fight against the coronavirus’, (León Krauze), Washington Post, 19-Jun-2020, www.washingtonpost.com]. In this most unpropitious context AMLO is now taking an imprudent gamble by lifting restrictions – despite the curve of Mexican infections continuing to shoot upwards.

🔻 Mega-mercado, Mexico City

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Footnote: Mexico City epicentre
Mexico City accounts for about one quarter of all COVID-19 deaths in Mexico. The offical
 counts however are only starting points to explain the catastrophe. A Mexico City study by Nexos magazine found that there was an “excess mortality” of more than 20% unaccounted for by the official figures [‘8,000 ‘excess deaths’ in Mexico City as coronavirus rages: study’, Ajazeera, 26-May-2020, www.aljazeera.com]. One of the capital’s biggest clusters is the wholesale mega-market, the Central de Abasto. The enormous mercado providing 80% of the city’s food is a petri-dish for the virus which has cut a scythe through its 90,000-strong workforce, infecting its tomateros, chilli vendors and other workers whose need to keep working is often greater than their fear of the pandemicφ. The vendors and carters have another reason for continuing working even when they become ill – working class Mexicans are accustomed to poor quality health care and often harbour a distrust of hospitals (Sheridan).

⏦⏦⏦ ☤☤☤ ⏦⏦⏦

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(Image source: www.studentnewsdaily.com)

Venezuela: Showcase numbers but a lack of transparency
Although the available statistics relating to Venezuela don’t reflect the dramatic numbers in Mexico, the situation in the South American country is peer bit as parlous. Venezuela has fessed up to 4,186 cases and 35 deaths (24-Jun-2020), but these figures have little credibility with independent observers. Venezuela has done very limited testing for the disease with the testing data guarded very carefully by the government [‘Hunger, Infection, and Repression: Venezuela’s Coronavirus Calamity’, (Stephanie Taladrid), The New Yorker, 29-May-2020, www.newyorker.com]. Doubters outside the country have noted that Venezuela’s health system was already in a state of collapse before COVID-19 arrived, citing as evidence:  the country‘s functioning intensive care beds are estimated to number between 80 and 163; nil or intermittent supply to water to two-thirds of hospitals; power cuts off at regular intervals; shortages of gloves and face masks in 60% of hospitals; 76% of hospitals shortage of soap and 90% were short of sanitising gel [‘Venezuela’s Covid-19 death toll claims ‘not credible’, human rights group says’, (Tom Phillips), The Guardian, 27-May-2020, www.theguardian.com]. 

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 🔺 Maduro: “People, we are identity”

President Maduro—already embroiled in a political and socio-economic crisis acerbated by long-term US trade sanctions on Venezuela—imposed a national lockdown in March. A side benefit to the lockdown (now extended to July) is that it allows the regime more scope to crack down on its critics…the obvious targets being opposition politicians and increasingly journalists, doctors and nurses who report adversely on Maduro’s handling of the pandemic (especially if they query the reported official numbers). [‘Venezuela’s Zulia State emerges as coronavirus hot spot’, Reuters, 24-Jun-2020, www.news.yahoo.com].

Footnote: Rich and poor, a widening of the divide 
At the point of corona impact, the contrast between Venezuela’s masses and the elite have sharpened even more. The brunt of the economic crisis has fallen squarely on the poor and middle-class citizens – skyrocketing prices, scarcity of necessities, a greatly devalued Venezuelan bolivar, the oil price plunge (oil accounts for 98% of Venezuela’s export revenues), and over-reliance on the informal economy by the lower socio-economic classes [‘Why coronavirus could be catastrophic for Venezuela’, (Katy Watson & Vanessa Silva), BBC News, 12-Apr-2020, www.bbc.com]. With corruption, cronyism and nepotism ingrained in Venezuela, the Maduro regime and its acolytes—the heirs of Chavismoism—continue to benefit lavishly from black-market and other illicit financial activities [‘Freedom in the World 2020: Venezuela’, Freedom House, www.freedomhouse.org].

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✱ AMLO preferring to travel and mingle accompanied only by his personal amulets for ‘protection’

  only in the last week of March did the government retreat a bit and start to urge the public to stay-at-home

φ the CDMX-run market only acted, bringing in health workers, ramping up testing and contact tracing, after workers starting dropping in significant numbers (Sheridan)…as with the rest of Mexico, too little, too late

 beneficiaries of this state largesse and privilege include the bolichicos, the wealthy children of the regime’s top leaders 

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].

The Government’s War on Coronavirus: The Great COVID-19 War from Ground Level

Economics and society,, Environmental, Futurism, Media & Communications, Medical history, Science and society

(Source: www.thesummitexpress.com)

A few years ago one of the incumbents of the revolving door that is the Australian prime ministership intoned: “these are the most exciting times to be alive”… well, for “exciting” substitute “worrying and challenging” and you have the status quo, 2020. We are getting bombarded daily, even hourly it seems, with mixed messages from news sources – it was okay to go to the football last Sunday and mingle with crowds of much more than the 500 limit but somehow it’s not okay to do this on Monday, the day after (what changed?!?); the medical experts warn us to keep a distance of one-and-a-half metres from anyone else, yet it’s fully expected that people will still travel on trains and buses which will generally make that an impossibility; the government tells us not to fly overseas but it’s still okay to fly within Australia (a lifeline to the national carrier?). 

(Image: www.nature.com)

Every day media outlets offer up a doomsday book of horror stories…”London faces stricter lockdown after coronavirus advice ‘ignored’” |”Italy coronavirus deaths rise by record 475 in a day” |”All of us have to assume we have the virus’: COVID-19 infections rise past 300 in NSW” |”Yes, young people are falling seriously ill from Covid-19” |”Trump spent weeks downplaying the coronavirus. He’s now pretending that never happened” | “Stay home’. Grey nomads unwelcome as Top End coronavirus tensions grows’ | “Coronavirus UK: Boris to impose FOUR-MONTH quarantine for elderly under ‘wartime’ measures” | “China blaming US for coronavirus? It refuses to come clean about origin” | “Privacy fears as India hand stamps suspected coronavirus cases” | “Coronavirus: One dead every 10 minutes in Iran as government faces backlash over late response” | “Spring Breakers Pack Some Florida Beaches, Ignoring Social Distancing Warning Amid Coronavirus“ | “Italy overtakes China in coronavirus toll”. Panicked consumerism born of exaggerated fears of limited resources, foolhardy apathy as the young party on regardless in fatalistic Titanic style (‘Millennialmania’), doom and gloom, finger-pointing recriminations, the media has been full of it for two months…sorry, we don’t do calm, rational, measured responses here. 

A corona red world, March 2020 (Credit: www.abcnews.go.com)

It’s a climate ready-made for rumour-mongering and this is not confined to the West…China is rife with rumours ‘explaining’ the epidemic’s origin starting with the fiction of it’s supposed transmission from bats in January. The rumours soon became more fanciful and more conspiratorial, ranging from coronavirus being deliberately released to cull excess numbers of pensioners in society to it being a bio-weapon brought to Wuhan by the US Army to it being the consequence of the zodiac signs being out of harmony in the Year of the Rat!

The pandemic has caused divisiveness. Not just between rival countries trying to shift the blame and score political points, but at a grass roots level. We’ve seen the spectacle of shoppers in supermarkets fighting over the providence of a single pack of toilet roll.We’ve got incorrigible prepper-minded hoarders boasting online of their Fort Knox-sized storage bunkers of stockpiled household essentials, counter-balanced by the shopper-shaming of overzealous buyers queueing up with 150 rolls of toilet paper in their trolly (human behaviouralists tell us that buying ridiculous quantities of toilet rolls gives us reassurance, a warm and fuzzy feeling in a time of fear). The supermarkets, one of the very few sectors doing spectacularly well out of the crisis, have responded (too late) with partial war rationing to head off the panic buyers. War rationing seems apt as democratic governments across the world channel their inner Churchill and rush to set up “war cabinets” to deal with the extraordinary and unprecedented situation.

Deserted departure lounges 🔺

Whole industries grind to a halt, workers laid off with mortgages and bills that won’t disappear, while those of us investing in the stock market have taken an instant massive hit and the Aussie dollar plunges ever lower. Border closures, tourism industry bottoming out, small businesses going to the wall, nightlife, restaurants, bars, cafes, shows, movies, public events, etc…all nix! The hackneyed T-shirt slogan “Keep calm and carry on” is now “Keep calm, stay home and don’t go anywhere”. Lockdowns, compulsory home quarantine for targetted groups of the population, Pacific cruising virus-traps, a safe and effective vaccine for the virus still up to 18 months away. Talk in the UK of prioritising “herd immunity” uncomfortably evokes the spectre of eugenics. Some have called for the euthanasia of family pets, which is drawing a long bow even if you accept the possibility (far from definitively proven at this stage) that the virus was transmitted to humans by pangolins (scaly ant-eaters) in a Wuhan wet market. What next, euthanasia vans going round the suburbs to collect the weak and elderly? Reality at the moment looks increasingly like an unbelievable dystopian novel or movie! Welcome to the scary new world of indefinite uncertainty. 

Thanks to COVID-19 we’re learning a slew of new buzzwords, for a start social distancing and elbow bump (sounds and looks dorky but it’ll catch on, trust me), and us non-statisticians in the community are already tired of hearing TV expert commentators rabbiting on about the merits of “flattening the curve”. I am waiting to hear (and am surprised not to have heard it yet) the adjective “Orwellian” uttered in the current crisis. 

Bay County beach, Fla. (Ya Photo: WJHG/WECP)

I don’t know anyone who envies the governments or the frontline health care sector at the moment, but the government responses do have their critics? To take the scenario I am most familiar with, Australia…on the credit side the mortality rate is low (so far) though the morbidity rate is climbing fast and winter and the flu season are on the near horizon. However, under the government’s partisan “war cabinet” a coordinated approach to the crisis seems to be missing. We are looking for more systematic and less chaotic here! One example, the distribution of scarce essential goods depleted by panic buying is held up by a failure to get councils involved so they can free up the delivery schedule. Some medical and communications experts have asked where the government’s public awareness campaign is? Unlike some other countries, we are bereft of the myriad of community billboards and the television and social media advertisements which can raise awareness in the public of the disease. Overcoming ignorance is a first step to diminishing fear and apathy.

As with something this truly extraordinary, of such novel complexity and uncertainty, despite (or perhaps because of) the deluge of information, more questions than answers remain…should we lockdown cities or not? What are we not doing here to stem the crisis that appears to be working overseas? Face masks, yes/no? Test for virus or not test? Can I be infected, recover and be infected a second time? What’s the shelf life of an infected surface? What do I do if I’m at high-risk and social distancing is not a viable option? Should we let the grandparents babysit our pre-schoolers any more? And then of course there’s the greatest imponderable of all, when is this whole nightmarish scenario going to end?

No issues with social distancing here (Photo: AP)

All the punter at ground zero can do is listen to the official medical advice, make sure we inform ourselves about Coronavirus 101 and get the basics down pat. This means identifying the likely symptoms—persistent cough, sore throat, runny nose, headache, (and more seriously) fever, shortness of breath, difficulty in breathing—all the usual suspects. Understand that coronavirus can be either symptomatic or asymptomatic, that it can be mild as well as severe, and that lethality generally (but not universally) hinges on considerations of age and serious pre-existing health conditions. Learn how to avoid contagion, what to do with the lethal weapons which are our hands – washing and drying them the correct way, eschewing the convention of shaking hands with people and start guesstimating our own personal space in public, sneezing into your elbow, not your hands, cleaning and disinfecting surfaces and door handles, using hand sanitisers, etc. Thus armed against ignorance, and hopefully the pandemic too, we will bunker down for the long haul, tough it out and try (very hard) not to add to the growing count of national virus statistics.

and thus creating a self-fulfilling prophecy
almost as unedifying was the sight of Aldi staff hurling blocks of toilet paper into the air so that demonic shoppers could jostle and wrestle each other for the prized commodity (classy look!)
surgical masks have become a bit of an “us and them” issue, adding to the emerging divisive atmosphere…the war cabinet’s medical experts (in line with WHO’s recommendations) have pooh-poohed the wearing of masks for the general populace as not beneficial and unnecessary, saying they only need to be worn by people diagnosed with the disease. Given that the Chinese community in Australia tend to wear the masks sometimes for cultural reasons as much as protection, this leaves them open to wild and inaccurate assumptions about their health status as a group
this will probably require a judgement call as some of the medical advice has been contradictory
the latest edict in the social distancing caper from the war cabinet limits indoor gatherings of 25 in a space of 100sq m (one person to every 4sq m). I can’t wait to see police officers turning up in clubs and pubs armed with measuring tapes

PS. All the big business houses and major financial institutions have started sending out “touchy-feely, look we really are human” messages, along the lines of we’re here to help “our people” get through COVID-19 … excuse me while I go and bolt down my raging cynicism to the floor.