Friday, 24 April 2020

Managing Covid-19 and Related Pandemics



It is another Friday and after some time of being absent from this platform I am finally back to commit to bringing weekly articles having cleared the obstacles that were in the way. In my last article before the break, I had invited writers from across the readership to volunteer their services to ensure that we all had articles as I went about with my endeavors. A few promised to feed us but did not actually come through, but finally here we are.

There is only one thing that the world is talking about and that is the Covid-19 outbreak. Before I went absent, I managed to provide basic details of what the disease is all about. A lot has changed between then and now as we have now registered confirmed cases in the country. The coming in of the new cases and the updates on the outbreak in the country is bringing in a lot of reactions and the result has been the outright increase in epidemics that we have to deal with on top of the Covid-19 pandemic; misinformation, poverty, stupidity, blind politics and the other epidemics you can add to the list.

By the time I am drafting this, there are more than 2.6 million coronavirus infections and the same has claimed more than 184, 000 deaths. The numbers will be more than what I have reported by the time you read this and while the situation is resolving in other countries, the natural trajectory of the pandemic entails that things might get worse before they get better in our country. This point is very important to note because we do not need to be caught unaware and to be spreading misinformation and propaganda over something that others knew would happen months before it happened. That brings us to the other epidemics that we will have to struggle with amid this Covid-19 crisis and these are happening at state, community and individual level.

Weeks before we registered the first case in Malawi, there was a lot of talk on the diagnostic capacity and hiding of cases. I will get into that later but some people took it to the social media to celebrate that Malawi had not yet registered a case despite our neighbors having some. I quickly dismissed the joy as premature and my reason was simple; as a nation, we did not utilize the honeymoon phase in which we did not have cases to prepare for this time when this pandemic has knocked on our doors. We have seen the effect of this lack of state-level preparedness as we are yet to see the authorities get to be decisive about the public health measures we are going to use to curb the disease as a country. This is one side epidemic that has been and will continue to cost us; lack of preparedness.

As Malawians, we have always been heavily political and these coronaviruses could not have hit at a worse time considering our political mess. Close to a year has gone after going to the polls but we are yet to get over the May 2019 election for reasons everyone who can click the link to this blog knows. The combination of the political situation and the global pandemic has led to the politicization of the response to the pandemic both at all levels from the state to the individual to an extent that there are some who are of the belief that the government is inflating the number of cases to ensure that we do not have the fresh elections that the Constitutional Court demanded on earlier this year. I am aware of the ruling party’s abilities, but I beg to differ on this one. My argument is simple. If we are to look at the surrounding countries, they are registering comparable numbers of cases and I do not think that they have elections that the ruling elite want to avoid over there. That is the other pandemic; politicization of the pandemic.
In line with the politicization of the cases, the mainstream social media have been awash with allegations and propaganda relating to various aspects of the disease from diagnostics through statistics to treatment. Those of us who are health workers have had to answer a lot of “is it true” questions preceded by the most ridiculous of rumors and assertions. Worse still, some health workers have joined in the bandwagon of those who are spreading false rumors about the pandemic. Misinformation, then has become the other pandemic that we need to fight as some of the messages are leading people into unnecessary panic and fear while on the other extreme end some misinformation is leading people into believing that Covid-19 is less of a danger than it actually is. There is only one way this would go if these waves of misinformation are to be left unchecked and that is an increase in the transmission.

I was trying to avoid mentioning the other serious accessory epidemics, but I would like to think that there is lack of leadership in the response to Covid-19. In the west, we saw Boris Johnson, the British Prime Minister and Donald Trump leading the way in giving information about Covid-19 to the people they lead. In these information sessions, they were flanked by experts who took questions about different issues relating to the pandemic response. Closer to home, presidents in countries like Uganda and  South Africa have been addressing the populace on the measures that their governments are taking to curb the spread of the virus and to help the citizenry in the wake of the economic hardships brought about by the virus. The story has been different here because while we have seen our leader address us on the pandemic on a couple of times (well, maybe one), the job of updating the country has been left in the hands of the cabinet committee tasked to respond to the outbreak. I would have had no issues with that, ideally but truth be told I am not convinced that our men in the cabinet are handling this well. Lack of decisiveness is nicely twinning with lack of leadership to counter the efforts to prevent the rapid spread of the disease.

I will skip the issue of those who itch to share misinformation and the issues we will have due to what I call the 21st century, money-driven and click-bait sort of journalism. This I might attack the next time I get to make time to write, but to make misinformation on social media worse, the mainstream print, television and media houses could do better in the coverage of the pandemic.
I will not go in detail on how to tackle each of those accessory epidemics but I will address them in general terms. We have heard about the general measures of avoiding crowds, washing hands and avoiding touching of the face. We got the numbers to call to seek help and to ask for information. Perhaps if we start to go by that, some of these issues would go.

While I understand the volatility of our political situation, it is important to remember that not everything revolves around politics. The management of Covid-19 and the public health measures instituted are not meant to target a certain political grouping and as such they need to be viewed soberly. Media houses should do their part in extinguishing rumors that may potentially fuel carelessness and neutralize control efforts.

The government needs to rise to the occasion. As a nation we have been sleeping on this pandemic but I am glad that some strides are being made towards the right direction. Experts need to be roped in to guide public health interventions and treatment efforts by the government to ensure that the already ailing health system is not overwhelmed by the virus at some point. We also need to learn from countries that have done well and adapt the measures they have taken to our context. The fact that there is a hard lock down in South Africa does not mean that we should also institute a lock down; the fact that the governor of the New York metropolitan area is pestering his president for ventilators does not mean that we also need ventilators and the fact that South Korea went to the polls in the midst of this global pandemic does not mean that we should do the same. The copying and pasting of interventions might prove costly because there is no universally applicable playbook for the prevention of the spread of Covid-19. At a time when Malawi and the world at large are plagued by this pandemic, we need the leadership to step up and coordinate this response; epidemiologists, health workers, scientists, faith leaders, innovators, economists, law enforcement and all other relevant professionals need to sit on one table and figure out a way of preventing the spread of this outbreak and to ensure that preventive measures for the disease do not worsen the living conditions of the masses.

Covid-19 related strikes and demonstrations? Masks and gloves in the streets? Why don’t we talk about those in subsequent pieces.

Have a lovely weekend. Remember. Covid-19 is real. And oh. Kuvota tivota. Koma mochedwa.