Category: Public health

  • RNZ Pacific

    Some New Zealand people becoming ill with covid-19 have never engaged with the health system before, says Minister for Pacific Peoples Aupito William Sio.

    He was commenting after an announcement that two people arriving at Middlemore Hospital for non-covid reasons on Wednesday later tested positive for the virus.

    Sixty-six hospital patients are now considered close contacts, 34 remain in the hospital and have been moved to isolation wards and the others are being followed up for testing.

    Aupito told RNZ Morning Report that the two cases were worrying, however, there were some people in the community who never engaged with the health system until it was too late.

    “There are pockets of our wider Auckland community that are hard to reach.”

    That meant it was crucial for health officials to work closely with those who had ties within their local communities.

    “It’s really important for our government agencies to be working closely with our providers – both Māori, both Pacific and generally – people who are known to the local communities, who have long-standing relationships and trusting relationships with people so they can step forward.”

    Nineteen new community cases were reported in Auckland today — the same number as yesterday, with just one yet to be linked, the Ministry of Health said.

    Slow to trust government
    Regarding cases identified in social and transitional housing, Aupito said some are slow to trust government agency officials particularly when they are seeking personal information.

    The government was reliant on the providers who ran the housing for help and there was confidence that they were cooperating.

    “What we’re asking is that everybody plays their part to keep everybody safe to contain the spread.”

    Aupito also knew of people who were nervous about coming forward because they might be in households where they were the sole breadwinner, or they might be looking after elderly relatives as well as children.

    The minister said the current delta outbreak was not out of control.

    “What we are seeing is the way that delta behaves; it’s much more infectious, more aggressive and so we’re seeing the tail-end of the original outbreak and the officials are giving us a great deal of confidence that if everybody plays their part and we continue with the testing in the suburbs of interest that we’re heading in the right direction.”

    Officials are able to say with some certainty that most future cases would be household contacts. Some clusters were already dormant, he said.

    ‘Great deal of confidence’
    “So as long as we are able to contain it … that’s giving us a great deal of confidence,” he said.

    Yesterday Prime Minister Jacinda Ardern signalled that even if there’s a shift in alert levels next week, the regional boundary would likely remain along with some other restrictions.

    Asked how long Auckland might have to remain closed off, Aupito said reopening the border was not featuring in discussions at the moment.

    “I think we’ve got to have a certain degree of containment of the current cases and of course the officials are able to determine future cases based on household numbers.”

    This article is republished under a community partnership agreement with RNZ.


    This content originally appeared on Asia Pacific Report and was authored by APR editor.

    This post was originally published on Radio Free.

  • The issues most important to Michel Foucault have moved from the margins to become major preoccupations of political life. But what did Foucault actually teach?

    This post was originally published on Dissent MagazineDissent Magazine.

  • RNZ News

    Prime Minister Jacinda Ardern says the New Zealand government still has “broad control” of the covid-19 delta outbreak in Auckland.

    Ardern and Director-General of Health Dr Ashley Bloomfield rep0rted at today’s latest government briefing that there were 19 community cases
    — far less than half the previous day.

    However, while yesterday’s total of 45 new community cases in Auckland was the highest it had been in some weeks, just four remained unlinked, Dr Bloomfield said.

    On Tuesday, new covid community cases had dropped to just eight.

    Ardern said there was broad control of the outbreak, and “control is key”.

    “We simply do not have enough people vaccinated in Auckland or in New Zealand to tolerate a widespread outbreak but maintaining control is not a given,” she said.

    “We still need the restrictions that we’re using, I know they’re incredibly hard and they will ease but for now they’re doing a job for us that’s why we need people to keep following them.”

    Two new sub-clusters
    Dr Bloomfield said there were now two new sub-clusters in the city.

    “One of which they’re calling the Southeast Auckland household cluster – there are five households in that one – and then there’s one just identified, the West Auckland cluster.

    “It’s those two sub-clusters that are really giving rise to the new cases at the moment.

    “So of the other ones that were active only none of those have actually had new cases in the last few days.”

    Watch the update here:

    Today’s New Zealand government covid media briefing. Video: RNZ News

    Ardern said it was highly likely the boundary around the Auckland region would remain, even if restrictions were eased. The government was giving full consideration to easing restrictions, but removing the regional boundary was not under consideration.

    Cabinet is set to review the country’s alert level settings on Monday.

    “We are giving full consideration to easing [alert level restrictions], but there’s a number of ways we can consider that. What is not in consideration is removing that regional boundary at this time.”

    83 percent of eligible Aucklanders get first dose
    Ardern said only 3 percent of cases in this outbreak were fully vaccinated, with 83 percent of eligible Aucklanders now having received the first dose of the vaccine.

    About 80 percent of the eligible population nationwide had either had its first dose or had booked in for the first dose.

    Nationally, 92 percent of over 65s have had their first covid vaccine and nearly 90 percent have either had or are booked in to have this second.

    “It is possible to hit 90 [percent] and we need everyone to put that effort in,” Ardern said.

    “We can be world-leading in getting our population vaccinated.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • In this in-depth analysis, published in two parts this week, Lila Sari looks at vaccine distribution in Indonesia, and the surprising entrance of political parties into the roll-out. 

    Part 2: Party approaches

    What role exactly do the political parties play in vaccine distribution? How do they access the vaccines, how do their approaches differ and what motivates them? I’ll be looking at these questions across two articles this week. In part 1, I examined the broader practices of vaccine acquisition and distribution by political parties and their partners. In Part 2, I look at how this plays out in Golkar, PDI-P and NasDEM’s approaches.

    The Golkar Party

    Media reports suggest that Golkar has received a large allocation of coronavirus vaccines from the government. Golkar was among the first to launch a party-led vaccination program, commencing on 21 March 2021. It has created a new a unit to run vaccinations and provide other pandemic-related services, which it calls “Yellow Clinics” (yellow is the colour of the party). Using these Yellow Clinics as its main facility, the party claims it had administered at least 200,000 doses of vaccines as of late August 2021. From the Yellow Clinic Instagram account, we can learn that the focus of distribution was Jakarta, with most of the mass vaccination events held at the central office of the party in Jakarta. Other regions in Java (West, Central, and East Java), Aceh, and South Kalimantan received the rest of the vaccines, but in much lower numbers. At the time of writing, the Yellow Clinic vaccination program continues, with the party now offering Pfizer vaccines for free in Jakarta.

    Herd immunity/herding constituents: parpol and COVID-19 vaccines in Indonesia #1

    Online and social media shows that several political parties are actively involved in the vaccination program.

    Golkar’s ability to access the vaccines promptly and in large numbers was undoubtably a product of the party’s key role in the ruling coalition at the national level. Golkar general chairperson Airlangga Hartarto sits in the cabinet as the coordinating minister for economic affairs, a position which places him at the center of power and gives him the capacity to influence the Ministry of Health and other important agents in vaccine distribution, like PT Bio Farma.

    Golkar is the quintessential elite party in Indonesia. It is dominated by wealthy and influential businesspeople, former bureaucrats, and former generals. These connections give it the organisational and financial capacity to convene and run many mass-vaccination programs. Between March and September, it seems Golkar thus primarily conducted its own vaccination campaign independently, though on a few occasions it collaborated with businesses and held mass vaccination events at factories, including at the PT Santos factory in Karawang, West Java, and a PT HM Sampoerna factory in East Java.

    Golkar vaccination events, especially those in Jakarta, have also focused on promoting Airlangga Hartarto, the party chairperson, presumably reflecting his ambition to run in the presidential election in 2024.

    A Golkar billboard in Jakarta. Photo by Yus Prinandy.

    PDI-P

    The core party in the ruling coalition, PDI-P has about a fifth of the seats in the national parliament, and President Joko Widodo is a party member. At the regional level, the party is also strong: in the 2018 local election, it won six of 17 provincial elections and 97 of 171 city/ district elections.  PDI-P’s pattern of delivering mass vaccinations is different from Golkar. PDI-P is more diverse in terms of regional distribution, branding, and partnerships.

    I have found media and social media reports of the party running mass vaccination events in many regions in Java, the southern part of Sumatra (Lampung, South Sumatra, Jambi), and Central Kalimantan. These are all areas where PDI-P is strong politically. The party still, however, focuses on Java more than other regions. Meanwhile, unlike Golkar events which often promote Airlangga, PDI-P mass vaccinations often do not place much emphasis on central party bosses, but rather highlight the role of local leaders who hold posts at the central and regional level. Some of them are national and regional parliament members, and also leaders of regional branches. For example, in Kendal Regency (Central Java), the mass vaccination promoted local figures such as head of the district branch, the provincial party leader, and the national parliament member from the region, Tuti Nusandari Rusdiono. The event also featured a local health official as a ‘’supervisor”.

    Another example, a mass vaccination event in Bangka Belitung Province, put up a banner with five photos on it. They included the PDI-P’s crown princess and speaker of the DPR, Puan Maharani, a local member of the DPR, chairs of the provincial and district branches in the region, and the mayor. The mass vaccination itself was held at the so-called Rudi Center—an office that belongs to Rudianto Tjen, a DPR member and a prominent PDI-leader.

    Mayor of Semarang City, Hendrar Prihadi and three Projo (pro-Jokowi) members in a mass vaccination on 16 September 2021 in Semarang (credit: Abdul Mughis).

    Meanwhile, when it comes to collaboration, because PDI-P dominates the government at the central level and in many regions, the party can engage easily with local governments, and POLRI/TNI in holding these events. It can also readily use public facilities and resources, including community healthcare centers or Puskesmas, and local health offices (Dinkes) as well as local police or army resources, to provide both venues and personnel for their activities. In fact, according to one source in a government agency in Central Java, doctors from public healthcare facilities often complain about having to do extra work at these party-led vaccination events.

    NasDem Party

    NasDem is a new party that was founded by old oligarchs and political elites associated with Golkar and the Democrat Party. Similar to Golkar, it is an important part of the national governing coalition. Party leaders have tried hard to make themselves different from their predecessors, Golkar and the Democrat Party, and to create a new image to attract voters. Still far from being dominant in parliament and cabinet, the party has growing influence and power in some regions. In 2018, governor candidates supported by NasDem won elections in North Sumatra, West Java, Central Java, West Kalimantan, Southeast Sulawesi, and NTT. Furthermore, party chairperson, Surya Paloh is a media mogul who owns the MetroTV network.

    Hence, it is not surprising that NasDem seems to have acquired quite a large quota of vaccines for its mass vaccination programs. Like PDI-P, the party relies upon, and foregrounds, politicians who sit in the DPR and in the provincial governments to lobby for access to vaccines. According to media reports I have compiled, NasDem has been dispensing more than 200,000 doses of vaccines, mostly in the greater Jakarta region but also elsewhere, including West Java, Central Java, Papua, NTT, and Bangka Belitung

    Some of the politicians in charge of vaccine distribution happen to be related to local government heads, which presumably also makes it easier for them to acquire vaccines. Take the example of Nusa Tenggara Timur (NTT Province) in eastern Indonesia. One DPR member from here, Julie Laiskodat, is the wife of the NTT Governor, Viktor Laiskodat. Both are NasDem elites and run businesses. As a DPR member and the governor’s wife, Julie could easily negotiate with the Ministry of Health to get a vaccine share for NTT Province. As the wife of the Governor, she leads various organisations responsible for women’s affairs (PKK, Bunda PAUD, etc.) in the province, which gives her an added incentive to get a vaccine quota and allocate it to her constituency. Unlike other politicians who hold only one-off or at most a few mass vaccination events, she is holding vaccination events in NTT regularly: twice a week from August, and scheduled to last until December.

     

    Are party campaigns helping achieve herd immunity?

    It is difficult to access reliable data on the number of doses allocated to parties, because these allocations take place through informal and non-transparent processes. Therefore, I tried to gather data from online media and social media, and compiled claims by party leaders about the number of vaccines parties were distributing. I identified eight political parties as being involved in vaccine distribution between March and September 2021. If each political party—based on public claims in the media—has distributed around 200,000 doses (a rough estimate), this will generate a total of around 1.6 million doses. This number is miniscule compared to the targeted population of 208 million and will contribute very little—less than 0.5 percent—to achieving the national vaccination coverage goal.

    Sometimes parties and the leaders of the government’s  COVID-19 taskforce suggest that these party-led vaccination programs help outreach in low coverage regions and among marginalised groups (e.g., transgendered persons and rubbish pickers), as informed by one Partai Solidaritas Indonesia member While it is hard to know about the latter claim, we can test the argument about regional coverage using information from parties’ social media and online media.

    Before checking that information, we should see how the coverage rate of vaccinations varies across provinces in Indonesia (Figures 1 and 2). These figures use data from the Ministry of Health’s vaccination dashboard (SMILE) that are publicly available.

    Figure 1. Graph of dose 1 and 2 vaccination rate in 34 provinces as of 6 September 2021. Source: https://vaksin.kemkes.go.id/#/vaccines

    Figure 1 shows us that very few regions have achieved high vaccination rates (i.e., above 60%) for dose 1. The most successful provinces in this regard are DKI Jakarta, Bali, Riau Islands, and Yogyakarta. The ministry of health has prioritised these regions as centers of the economy, government, and tourism. Other provinces, however, are at or below 40% coverage rate. For second dose administration, Jakarta is the highest; Riau Islands, Bali and Yogyakarta are all still below 40% while other provinces are even further behind.

    Now, where have political parties been holding their vaccination events? What regions did they focus on? Figure 2 shows the spatial variations of regions covered by political parties during the period of March to September 2021.These data are based on my own counts of events covered in the mass media and party social media accounts.

    Figrue 2. Spatial variation of party-led vaccination programs. Source: various online media and social media.

    Comparing the two figures, it is obvious that the parties are not distributing their vaccinations in places where coverage and capacity are low. Instead, they dispense vaccines in Java, particularly Jakarta and West Java, where the national vaccination roll out is working relatively effectively. The argument that party campaigns help to attain herd immunity and reach out to the areas where vaccines are most needed is weak.

    Conclusion

    What are we to make of these party-led vaccination programs? The examples presented above imply that the parties are using these programs to promote the popularity of party leaders and cadres. The parties do so by crafting an image that they are being responsive and helpful to the government, whilst also sending out a message that they have fought hard to get an allocation from the government to their people.

    These events are heavily political—but political in the distinctive clientelistic sense that is the dominant mode of politics in Indonesia. The newly democratized political system has generated intense competition among parties and politicians. It also makes winning elections expensive. The political parties and their leaders need to always be finding new ways—even during this global pandemic—to keep their supporters loyal and win over new voters. The fact that is often incumbent DPR members who organise these events in their own electoral districts shows that the parties are using these events to provide favors—potentially lifesaving favors—to their political supporters in their own base areas. Distributing vaccines is thus an excellent way to supplement the old-fashioned forms of patronage distribution, such as handouts of money, food, government jobs and contracts, which are typically more costly—politicians often have to provide these themselves – and have less impact.

    While the benefits to the parties and their politicians are clear, whether these events really help the national vaccine roll out is less so. The party-led vaccination programs surely target and prioritise their own constituents and supporters, meaning that those with the right political connections have the privilege of getting vaccinated before those who lack such connections. This can disrupt the targeting of those who need vaccines the most.

    The post Herd immunity/herding constituents: parpol and COVID-19 vaccines in Indonesia #2 appeared first on New Mandala.

    This post was originally published on New Mandala.

  • A man recieves medical care in his home while a woman in the background looks concerned

    We have witnessed the evolution of a social and moral binary in the United States: vaccinated and unvaccinated. Immersed in a culture of blame and condemnation, around the spread of COVID-19, we have also seen the rise of a brand of humor that author Kelly Hayes characterizes as “recreational dehumanization.” So how should we be talking about vaccination and mass death, and how can we be constructive? In this episode of “Movement Memos,” Kelly talks with activist Johnny Dangers, about overcoming vaccine hesitancy, and Shana McDavis-Conway, with the Center for Story-Based Strategy, about how we can constructively frame the moment.

    Music by Son Monarcas, Johannes Bornlof, and Million Eyes

    TRANSCRIPT

    Note: This a rush transcript and has been lightly edited for clarity. Copy may not be in its final form.

    Welcome to “Movement Memos,” a Truthout podcast about things you should know if you want to change the world. I’m your host, writer and organizer Kelly Hayes. Today, we are talking about the ways in which we relate to tragedy, and how we can curb some of the disturbing trends we’re seeing, in terms of how we’re processing our anger about the pandemic. We’ll also be hearing from my friend, activist and journalist Johnny Dangers, about overcoming vaccine hesitancy in our communities, and from Shana McDavis-Conway, with the Center for Story-Based Strategy, about how we should be narrating our politics in this moment, and what kind of framing we should reject right now.

    When we started this show, back in January of 2020, I had no idea we would be talking so much about death. I didn’t think we would be avoiding the subject, because a show about building the relationships, knowledge, and analysis we need, if we’re going to change the world, was always going to involve a lot of discussion of death, and people dying, because the forces we are up against are deadly and always have been. The abolitionist scholar, Ruth Wilson Gilmore, defines racism as “the state-sanctioned or extralegal production and exploitation of group-differentiated vulnerability to premature death,” and the United States is an avid manufacturer of conditions that bring about premature death for differentiated groups. We are also living in a time of global climate catastrophe, so even in the absence of the pandemic, a reckoning with our relationship to mass death was an imperative, but here we are, coping with the delta surge, after a period when many people believed the worst of the pandemic was over, and people are not just slipping into despair, but also schadenfreude, which to me, honestly, is more frightening than despair. Despair can make us feel like we’re drowning, but a drowning person can be helped out of the water. I feel like I have a better sense of how to interact with that than with a person whose relationship with death has become so warped that they would laugh or make jokes as thousands of people drown. To me, that’s a lot more frightening than despair, both in terms of the harm being done to people’s psyches, and in terms of what it will ultimately make us capable of tolerating, as a society.

    We have witnessed the evolution of a social and moral binary in the U.S.: vaccinated and unvaccinated. Even President Joe Biden has weighed in to cast “the unvaccinated” as the villains responsible for all of our problems and difficulties restoring normalcy — even as the federal government discontinues pandemic unemployment benefits, and mass evictions unfold in an economy where billionaires have seen a $1.8 trillion surge in their wealth during the pandemic. In other words, billionaires have gotten 62 percent richer, at a time when over 86 million Americans have lost their jobs, and over 688,000 people in the U.S. have died of COVID-19. For many of us, the pandemic has been a time of devastation and disruption. For the rich, this era has accelerated the consolidation of wealth that they have enjoyed since the 1970s, when the US economy continued to grow, but wages began to stagnate, thanks to the innovations of neoliberalism. Neoliberal policies gutted public services, including public health, and public education, disempowered workers and initiated decades of ever-increasing inequality.

    Now, we’re living in a gig economy, where young people Venmo each other lunch money, to avoid going hungry, and desperate people launch gofundmes to pay medical bills or avoid eviction — and usually fail to get the help they need. The destruction of public education has also meant the destruction of political memory, so most people don’t even fully understand this trajectory, or how badly they’ve been screwed. So here we are, experiencing what should be a watershed moment, when we should be saying “no” to these capitalist patterns of consolidation, and human and environmental sacrifice, but instead, we have a narrative around returning to normalcy, and the villains who are preventing that return, we are told, are “the unvaccinated.” This narrative overlooks the fact that children, who are not eligible for vaccination, are filling up pediatric ICUs, and that disabled people, who either can’t take the vaccine or haven’t benefited from it, are also dying. And let’s of course forget the fact that all of this resistance was historically predictable, and that our society has simply created the perfect storm for hesitance to blossom into polarization and the rejection of facts.

    Now, I am not telling you not to be upset or angry that people are resisting vaccination. I am angry and upset about it myself, and some days, I’m downright heartbroken. Preventable suffering and death have always enraged me, which is why I became an activist. And maybe that’s why I’ve had better luck than some people I know in persuading hesitant people in my life to consider vaccination — because it is not unthinkable to me that people would refuse to accept the grim reality or their situation, or ignore a moral obligation to help other people survive, or to reduce suffering. I am very accustomed to negotiating with that kind of refusal. I have spent years watching people cling to normalcy, maintaining their own routines, disconnecting their own sense of well-being from the suffering of others, and indulging in an unrealistic sense of optimism about their own fates amid a deteriorating situation — all of which are behaviors we have observed during the pandemic. I am used to trying to reason with people about things that are, to me, obvious moral imperatives. Most people aren’t, and to make matters worse, our experience of public discourse increasingly occurs online, where we are conditioned to treat dialogue as an observed competition — something to be won in the eyes of spectators, rather than something that pursues mutual agreement or understanding. We have been conditioned to applaud commentary that resonates with us emotionally, regardless of how it impacts the situation we’re upset about.

    But even worse, we have become incredibly reductive when analyzing social problems. Right now, the problem of vaccine hesitancy is rampant, and we are also faced with the right-wing weaponization of vaccine anxieties. Last week, Shane Burley and I both talked about the role the right-wing is playing in undermining efforts to stop the spread of the virus. We’ve all seen it in the news: the demagoguery and the misinformation, the hostility and violence around masking, the death threats being made against pharmacists and clinicians. Friends, I find the people perpetrating all of that duly terrifying, so I don’t want anyone to think I am downplaying the nature of what they are doing, or how dangerous it is, when I say this: projecting a fascistic persona on all unvaccinated people is incredibly harmful.

    The human rebelliousness, and distrust of doctors and authority that we are seeing right now are not unprecedented during times of mass illness. We just happen to live in a fractured, fucked up society that is amplifying the worst kinds of conspiratorial thinking that arise in these situations. Historian Steven Taylor published a book about pandemics in 2019 which anticipated rampant conspiracy theories, the scapegoating of targeted groups, and the risky behaviors of people who seem to think they’re exempt from infection. His predictions were gleaned, not from the study of conservatives, but from the study of how people have acted during pandemics.

    In that book, The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease, Taylor issued the following warning: “During the next pandemic, the likelihood of seeking vaccination in people with high intolerance of uncertainty will likely depend on the availability of information about the safety of vaccines. If there are widely publicized doubts about vaccine safety, then it is likely that people who are intolerant of uncertainty will worry and procrastinate about whether to seek vaccination.”

    Trump set the tone with his coverups and lies, but the far-right is generally very opportunistic about conspiracy theories, so it’s not surprising that they’re a major conduit for misinformation. But spreading misinformation is also a profitable branding maneuver in a capitalist society. The Center for Countering Digital Hate found that just twelve content creators are responsible for almost two-thirds of anti-vaccine content circulating on Facebook. The same study indicated that those content creators use social media platforms to target Black people in the U.S., exploiting fears of experimentation and medical racism to spread misinformation. The Vaccine Confidence Project has found that exposure to even a small amount of online vaccine misinformation can reduce the number of people willing to take a COVID vaccine by up to 8.8 percent.

    Some imprisoned people distrust the vaccine because of this country’s history of experimentation on prisoners. Even today, imprisoned people in the U.S. experience non consensual procedures, such as sterilization, and unauthorized medical treatments, that some call experimentation.

    But many people have begun to conflate the status of being unvaccinated with being a right-wing fascist, and even among those who don’t go that far, there is a culture of blame that has emerged, around the current wave of mass death we are witnessing, where people are viewed as deserving of less empathy, or maybe even deserving to die, because they just should have gotten vaccinated. One of the ugliest manifestations of this tendency has emerged in the Herman Cain Awards subreddit, where the social media posts of people who are vaccine resistant are featured alongside news that they’ve died of COVID-19.

    I realize that we all respond ungenerously to other people’s misfortunes, at times, particularly if we think they’ve caused a great deal of harm in this world. But there is a difference between the party I intend to throw when Henry Kissinger dies and treating mass death as a source of entertainment. The recreational dehumanization of other people, who are dying horribly and alone, is a really bad sign, in terms of where we’re at as a society. In the years ahead, as things get harder, what spectacles of suffering will we accept, or welcome, or allow ourselves to enjoy? I think we’re making those decisions now.

    And let’s remember that this persona, of the Republican anti-vaxxer, is being projected onto everyone who is unvaccinated, or laying in a hospital bed, or otherwise suffering from COVID-19. I am aware that some of the people who are dying had no sympathy for others, or any regard for the harm they may have caused. Some even mocked the suffering of others. But we are not supposed to be like those people. We are not supposed to emulate what we find most abhorrent in this world. Our enemies lose nothing by embracing death and suffering as entertainment, because in many cases, that is wholly consistent with their politics. Our politics, our beliefs, our ways of relating to other people, are supposed to exist in opposition to all of that. We lose something when we engage with mass suffering and mass death as entertainment, and we are already so hardened, and complicit in so much harm in this society. We also lose something when we flatten problems, turning everyone who is being unhelpful into caricatured villains, who we can rage against, and mock for entertainment, while the worst and most effective villains in our society laugh all the way to the bank.

    As Abdullah Shihipar recently wrote in Business Insider:

    It’s not easy to hear, but making fun of these deaths effectively means we have stopped resisting mass death and have accepted its reality. It’s tempting to think that there is some cosmic justice when an anti-vaxxer dies, but it’s just the reality of how a virus spreads. Yes, anti-vaxxers are dying, but so are scores of other people. I don’t write this just to lecture others, but rather to hold myself accountable. Using humor like this is an easy distraction and a façade from the shame we should feel that this is where our country is at during such a late stage in the pandemic.

    I recently had a conversation with my friend Johnny Dangers about vaccine hesitancy. Johnny is an independent journalist and activist who has done some great outreach work, having conversations with people about vaccination, and even accompanying people to get vaccinated. His efforts have included some tremendously successful on-the-ground efforts to encourage people experiencing homelessness to get the jab. I recently asked Johnny about those experiences, and some of his thoughts on hesitancy. Here’s some of what he had to say.

    [music]

    Johnny Dangers: I think people have this image of people who are unvaccinated as anti-vaxers and those people definitely exist, but I’m in Portland, so I realize the vast majority of people that I’m talking to are going to be people who would be wanting to get the vaccine, but just, for various reasons, have not. And when I’m talking to people on the street, that’s going to be younger people or people of color. Most all the reactions that I’ve got have angry people from older white guys, which isn’t that surprising. And in the clinics, I noticed a lot of the people are immigrants, they’re older immigrants and they’ll bring their family there. So it’s people that should have been reached, the first people reached and they’re some of the last people that have been reached to potentially get the vaccine.

    So I try to come at it with an understanding of those failures and from a place of love and understanding. And I get why people think immediately of the person who has wild conspiracy views that they’re seeing online and is very unlikely to actually get the vaccine. But on the ground, when you’re talking to people, a lot of the people that have still not got it, are not those people. They’re people that are your allies on the ground, are people that you are going to be supporting in any number of organizing efforts, and you should work to reach those people where you’re at, so they can get the vaccine. Because at the end of the day, nobody deserves to die or to get sick or to get hospitalized because they were fed misinformation.

    [music]

    Since the beginning of the pandemic, I’ve tried to help in whatever ways possible, be that masks or just informing people the right information. So when people were able to start getting vaccine appointments, I tried to help reach out with people through vaccine websites, even if they’re in Florida or Wisconsin, where I grew up, or here in Portland, because it was really hard to get an appointment.

    So fast forward to July, the appointments ended and they finally started drop-in appointments at clinics here. So Multnomah County started a program where they would offer a $100 Visa gift card if people went to one of these county clinics, but they didn’t advertise that these existed. So you just had to know about it. And they were only on certain days, in certain places.

    So nearby, on Tuesdays, they had a, Multnomah County clinic where they were offering this special $100 dollar visa gift card. So right away, thinking of how I could best organize this, I decided I’d bike around the neighborhood and see who would be interested in going there. So I’d to the transit stops, the bus stops and the train, which is pretty nearby, and the grocery store, and the parks, and a few of the bigger houseless encampments and just talk to people. I went from there on how to best approach talking to people.

    So pretty early on, it reminded me a lot of knocking doors for somebody where people had snippets of information. So the best practices, I kept it simple and to the point and opened with very non-confrontational language. So my normal thing, I’d be on my bike or I’d be walking the bike, say walk up to somebody that’s waiting for the train and maybe they have a couple minutes, five minutes. Maybe the train’s going to be there in 60 seconds. I’d point to my shoulder because not everybody necessarily speaks English or can hear well or hear English well. So I’d point to my shoulder, say, “Have you had an opportunity or a chance to get the COVID vaccine yet?” So that’s fairly non-confrontational language because I’m attempting to reach people that have not got it. So if they have, you know, it’s not a big deal, I got the vaccine and I’d have a different conversation with them. But you really want to be non-confrontational with people that have maybe waited and maybe get frustrated if somebody’s been asking them about it.

    So a lot of time [they would] say, “Well, I haven’t had a chance to get it yet.” And then I would immediately go into, “Well, just a couple blocks away, there’s a Multnomah County clinic where they have a special program where you get a $100 Visa gift card you can use anywhere.” So I start right away with where it is and why. And then I can judge, if they’re interested or if they have questions or if they’re just done, [and] it’s not going to happen. And most of the time, you get very positive reactions from people that have, one, either got the vaccine already or two, are interested in talking to you about it.

    [music]

    KH: Not everyone is going to do the kind of work that Johnny is doing, and personally, there are days when I feel like I’m out of moves, when it comes to talking to people who might actually listen to me about things like vaccination, or wearing a mask, or being cautious. So, if that’s where you’re at, I am not asking you to burn yourself out trying to recruit people to get shots, or to bang your head against the wall when it comes to staunch anti-vaxxers. But I would ask you to remember that we are all storytellers, and that people use narratives, not facts, to make sense of the world. We all understand the world in stories. That means that the way we frame events, when discussing them with other people, in terms of what we mock, or what we simplify, or what nameless crowd we paint as villainous, all of this affects our collective potential. I recently had a conversation with Shana McDavis-Conway, the co-director for the Center for Story-Based Strategy, and she also had some thoughts on the way this phase of the pandemic is being framed.

    [music]

    Shana McDavis-Conway: My organization’s methodology is called story based strategy, which is why we’re the Center for Story-Based Strategy. And that intervention, it’s a “framework for building narrative power for organizations. And it’s one that is participatory in nature. So it’s about creating a democratic intervention in communications and narrative work so that the folks who are most directly impacted have an opportunity to contribute to the stories that are being told about them.

    So I mention that because I think one of the challenges with media coverage and with popular memes around people impacted by COVID really ignore the folks who are being directly impacted. So they prioritize as the primary victims those of us who are vaccinated, who are perhaps relatively healthy, and they show the villains as folks who are dying.

    And so of course, this is deeply dehumanizing and it uses a classic drama triangle of hero, victim, villain to place the folks who have absorbed misinformation, who have challenges with getting access to being vaccinated, who have health issues and reasons that they might be susceptible to COVID, it’s presenting them as the villains, as opposed to the victims actually of right wing forces, who are the true villains. So I do think that there’s an opportunity for us to use that drama triangle and flip it to try to tell a story that really illustrates and brings out of the shadows these right wing forces that are involved in misinformation. So I think that’s a strategic approach that I’d love to see us use more. I also think that part of why these kind of contemptuous places and storytelling is so seductive and provocative it’s because we do love humor and we’re in the middle of a serious crisis.

    We’re also in the middle of collective grief. And humor is one of the ways that we try to deal with and manage our grief. And so when we let the realm of humor only exist in dehumanizing stories, it kind of abdicates the possibility of using humor to actually evoke other kinds of emotion and to get people to take action, to intervene in ways that would actually make life better for the majority of Americans and for folks across the world, whether that’s increase access to COVID vaccines worldwide, whether that’s increasing access here in the US, whether that’s policy interventions or supporting mask wearing. There’s all sorts of things we could ask to do. And we could actually use humor to get people excited about that, so that there’s a space for people to use that gallows humor in a way that actually provokes positive action.

    KH: As I mentioned earlier, this society hasn’t exactly handed people the skills they need to have constructive, persuasive conversations with each other about complicated issues like vaccine hesitancy, or much of anything really. So I asked Shana what advice she might have for people who are trying to develop a practice of education and persuasion, rather than just angrily emoting at people, or engaging in recreational contempt.

    SMC: Well, I think my advice, and I’m just thinking about this, because it’s a tool that I was just training some folks on today is to think about imagining a liberatory future and what liberation could look like for all of us. So I think it’s so easy for us to get trapped in our current present moment. How can we tell a bigger story about the future that we want to see together, a future where we’re probably all healthy and safe and surrounded by people that we love? And I think starting there and then having the conversation about how we get there is more effective I think. Let’s start with the love and the vision that we want to get to in the future. We have a tool that we use called the 4th Box that does that. It’s available on our website for free. And it’s actually a visual tool to get people to think about how we imagine liberation for ourselves and it’s my favorite tool for tough conversations with people we may disagree with.

    KH: And if you are interested in checking out the 4th Box, please hit up the show notes at the end of this episode’s transcript, on our website, and you will find a link to that tool and some other great resources from the Center for Story-Based Strategy. As someone who has been facilitating direct action and organizing workshops for years, I find the resources that the Center for Story-Based Strategy creates absolutely invaluable.

    One of the things we talk about a lot on this show is the march of right-wing power and the threat of authoritarianism, and it’s really important to me that people understand how that connects with our relationship to mass death. At this time last year, I was co-organizing a week of memorialization for victims of COVID-19 because I felt like we needed that outlet for our basic human emotions. I was also terrified by the lack of commemoration I was seeing, for political reasons. Because I know what the further normalization of mass death could mean for a country with our political trajectory.

    As I said, we have a serious problem of complicity with the mass disposal of human beings in the United States. We know it, and the rest of the world knows it. And right now, that complicity is escalating, as our tolerance for suffering and mass death escalate. That’s what losing to the fascists looks like, and it doesn’t happen all at once. It will happen if more and more of us start believing that it is either not our responsibility, or not in our power, to save millions of people whose deaths are wholly preventable. There are ways in which we, as a society, already enact that kind of learned helplessness, but it can get much, much worse, and it will, if we allow it. And while I am not going to pretend we can save every person who is imperiled, as climate catastrophes continue to unfold, and things like water scarcity and famines grip countries around the world, but we are going to be faced with a lot of decisions, in the coming years: Will we aspire to save as many lives as possible, and to sustain dignity and comfort for as many people as possible? Or will we continually down-size the sphere of people whose survival matters, until most of us find ourselves adrift, in the realm of human surplus? The latter is what our enemies are counting on. They want to put ourselves first to the bitter end, and to harden, and to stop seeing other people as worth fighting for, particularly when it comes to criminalized people and migrants, whose well being will be continually pitted against our own by the powerful. The fascists and the neoliberalis are hoping we will be pacified by our fears, and that we will cooperate with the mass sacrifice of others, if it means that we get to reenact normalcy a bit longer.

    We cannot fight the people who would destroy us without fighting for our own humanity. Because, as is always the case in politics, our own imaginations, and our own impulses, are a front of struggle, and that front cannot be neglected. That means we must dismantle our notions of disposability. We can do that here and now, by being more vocal about things like vaccine apartheid, disability rights, migrants rights, and the rights of imprisoned people. A people without empathy cannot defeat fascism. It thrives among them. And I am really worried by what I am seeing in some people, in terms of their willingness to accept mass sacrifice, and this dilapidated version of normalcy we’ve been handed, as if there are no alternatives. My mantra, when it comes to fascism, is that we surrender nothing and no one, and that’s not some fair weather ideal, reserved for the brink of full blown authoritarianism. It’s the position we have to take under neoliberalism and capitalism. It’s the position we have to take now: that disabled people are not disposable, that migrants are not disposable, that imprisoned people are not disposable — and that people who make bad choices, or simply have the wrong information, in this fucked up society, are not disposable. We have to live that belief now and build culture around it. The humor we engage in, and our public performances of contempt and vilification, are part of the culture we build. We have to remember that.

    There is no innocuous way to enjoy mass death. You have to hold onto your humanity the whole time. I’m sorry. I know it hurts. But to stay fully human, you’re stuck with that pain, and your humanity is needed.

    To all the people who are about to write me angry emails about this episode, I just want you to know that I share your anger. I am not asking you to feel any particular way about the people you’re upset with, including me. Your feelings are your own, and I hope you get everything that you need to cope in these times. I don’t think most of us are getting what we need, in terms of healthy outlets for our grief, or our pain, or constructive outlets, that might help us make a larger difference, so I hope we can work together to address some of that as well.

    If you need help connecting with grief counseling, a project I co-organized called the Mutual Aid Mourning and Healing Project can help connect you with remote assistance, and I will be adding a link to that effort in the show notes as well.

    I know we’re all carrying a lot of stories right now that enrage us, and that hurt us, about people who didn’t have to die, or people who should be living full or healthy lives right now, but cannot, due to a lack of communal effort around public health. But I want us to remember that there are other stories, too. Stories about people who did everything right, who are still dead or living ruined lives, because in the end, it’s this system that’s screwing us the most. There are a lot of stories we are not hearing, and some of them are about the lives of everyday people, and how they wound up confused, or afraid of the vaccine, or simply in denial about the urgency of the moment — much in the same way that so many people are in denial about the urgency of climate change. And, I think, in a lot of cases, if we heard those stories, we would have no difficulty processing the fact that those people don’t deserve to die.

    So I wanted to make sure we all carried at least one of those stories with us, too, to help us remember that not everyone fits the stereotypes we might project on them. So I want to return for a moment to a story my friend Johnny told me about a man named Henry, who Johnny reached out to about getting the jab.

    [music]

    JD: So on one of the early weeks in July, I was biking around and I’m in the Kenton Park neighborhood of Portland, which is in North Portland and that’s a historically black neighborhood, but people have been being pushed out of that neighborhood as it slowly gentrifies. So I’m near the library area and I try to talk to everybody, especially younger folks, because a lot of younger folks haven’t got the vaccine. But I see Henry, and Henry is, it turns out, an 83 year old black man. I pull over from the bike and say, “Hey, how are you doing, man? Have you had a chance to get the vaccine yet?” Very friendly, and he immediately goes into why he hasn’t gotten the vaccine. Henry’s from North Portland, but immediately says, “I wanted to get that vaccine right away. I wanted to get it for months, but the VA is telling me that I have to go to Vancouver and I hear there’s a lot of cases up there and I don’t know how to get there. And it’s been hard to schedule.”

    So I know immediately, Henry is, he wants to get the vaccine. He just doesn’t know where. He even mentioned that Vancouver, they have a lot of stuff going on there and kind of alluded to the racism in Vancouver, that Vancouver has a lot of Proud Boys, they have a lot of far right extremists. And that may have been a reason he also didn’t want to go to Vancouver, to the VA. So it sounded like he didn’t really have access or help to go to one of the clinics or that he could go to a lot of these other places. So, I said, “Hey Henry, there’s a clinic just down the road. I can walk you there.” It was about five blocks away. It was really hot that day. It was like 90 degrees and Henry is 83 years old. He’s got his veterans hat on and a t-shirt, a very cool rainbow mask on.

    So I walk my bike with Henry to the clinic in North Portland. We’re going pretty slow because he’s an older guy and he starts telling me some of the reasons why he hasn’t gone, alluding to not wanting to go to Vancouver. He started telling me about his time in the service and that his uncle was part of the Abraham Lincoln Brigade. I’m a big history buff because I think through history we can correct the mistakes of the past and learn going forward. So it was incredible to hear him talk about his uncle being in the Abraham Lincoln brigade, which only about 3 to 4,000 Americans went and fought in the Spanish Civil War against the fascists there. He said his uncle returned, did not get killed in service over there. And he had served overseas, post World War II in Europe.

    By that time, we had reached the clinic and you could tell he was very excited to get there. He was like, “How much further is it?” Because it was pretty hot that day. And I’m like, “It’s right there.” And he crossed the road and he thanked me and he got the shot, didn’t have any issues. It was a great feeling to know that I was able to help Henry, who I kind of thought of my grandparents, how I had to help set up their appointment and I was prodding them and they had issues themselves back in Wisconsin, and… when I went out and I try to help people get the vaccine, I think of the people that have not been reached like Henry who absolutely, somebody should have went to where he lives and he should have been one of the first people in Portland to get the vaccine, back in December. And it took all the way until the beginning or the middle of July to get it.

    Like yesterday, two days ago, when I went out and I talked to a few of the people, I would think of my brother who needed a little bit of prodding, but there’s a lot of people that maybe didn’t have somebody to do that prodding. And then they just haven’t got it months later, and then I’ll see the 25 year old in the hospital and that could have been my brother if he had moved to another state and was getting bad information.

    KH: There are so many people like Henry out there, whose stories we don’t know or understand. Some of those people may have been battered with misinformation. Some of them may be in absolute denial about the state of the world we are living in. It’s okay to be upset with those people, or even angry with those people, for not doing the right thing, but if you are listening to this show, you probably aren’t someone who simply wants to be right, and to feel justified in your feelings. You’re probably someone who wants to make the world a better place, and people who want to make a difference have to do more than be right. They have to be constructive. And if you can’t engage constructively with unvaccinated people, that’s actually okay, because there is a lot to be angry about that we can rage against very constructively, together, while targeting the people who created the conditions under which we are experiencing this mess, and the conditions under which we will experience a larger era of collapse. I am not telling you to take a pollyanna approach to these times, because I think our anger has a lot of value, but I want us to think carefully about who we target and how, and what we are trying to accomplish by doing so, as we build culture, and as we spell out, one joke or interaction at a time, what our humanity is worth to us. So let’s ask ourselves, in what spirit are we engaging with this moment? Are we sharing stories about people who didn’t believe in the vaccine, who are dying, because those stories are tragic and we want people to be aware, or are we simply becoming people who laugh at suffering and death while the world burns?

    I said earlier that losing to fascism looks like us losing our empathy, and cooperatively assuming our roles in a capitalist death march while others are ground under. It looks like indifference to death, or even assuming others were less deserving of survival than we are. That’s not the thought I want to leave you with today, so let me also say this: winning looks like the creation of a world where people understand that our fates are connected, and that we can demand more than life and death on the terms set by the capitalists. We can demand a society where people are not forced to endure deprivation, and where people have access to healthcare, and housing, and education — and all of the political memory that a real education can bring — and we can make that world. Because when we look at who the real villains are in this society, the people who are truly enforcing misery, there are a lot more of us than there are of them. So let’s try to remember that.

    I also want to thank our listeners for joining us today, and remember, our best defense against cynicism is to do good and to remember that the good we do matters. Until next time, I’ll see you in the streets.

    Show Notes

    You can check out the 4th Box tool that Shana mentioned here. I also recommend checking out the self-paced online workshops offered by the Center for Story-Based Strategy and the many resources available on their website.

    To keep up with Johnny Dangers, you can follow his work on Facebook, Instagram and Twitter.

    Further reading:

    Making fun of anti-vaxxers who died of COVID-19 is a dark indication that we’ve all surrendered to the disease by Abdullah Shihipar

    The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease by Steven Taylor

    Updates: Billionaire Wealth, U.S. Job Losses and Pandemic Profiteers by Chuck Collins

    The Most Influential Spreader of Coronavirus Misinformation Online by Sheera Frenkel

    Inmates Weren’t Told They Were Given An Anti-Parasite Drug Instead Of COVID-19 Meds (AP)

    Resource:

    The Mutual Aid Mourning and Healing Project connects people with free grief-related services.

    This post was originally published on Latest – Truthout.

  • In this in-depth analysis, published in two parts this week, Lila Sari looks at vaccine distribution in Indonesia, and the surprising entrance of political parties into the roll-out. 

    What role exactly do the political parties play in vaccine distribution? How do they access the vaccines, how do their approaches differ and what motivates them? I’ll be looking at these questions across two articles this week. In today’s article, Part 1, I’ll examine the broader practices of vaccine acquisition and distribution by political parties and their partners, and in Part 2 I’ll look at how this plays out in Golkar, PDI-P and NasDEM’s approaches.

    Part 1: Vaccines and politics

    Aiming to attain herd immunity by March 2022, Indonesia has been rushing to vaccinate 208.2 million people out of its total population of 271 million. On 26 June 2021, President Jokowi doubled his already ambitious target of vaccinating 1 million persons per day. But Indonesia still has a long way to go. As of 19 September 2021, eight months after the beginning of the roll out, only 79.5 million of people had received one dose while 45 million had two doses of vaccines.

    To accelerate vaccine delivery, the government has instructed several institutions to help the Ministry of Health and local governments to deliver the vaccines. The first, and main, track of the vaccine rollout relies on diverse state bodies. The Indonesian Police and Army (TNI/POLRI), the Coordinating Agency for Family Planning (BKKBN), and even the State Intelligence Agency (BIN) have been involved in administering vaccinations in several regions. According to the Ministry of Health’s dashboard data, this main track has delivered 167.5 million doses.

    In addition to these public sector institutions, the government has expanded the vaccination delivery track to the private sector, using private companies and state-owned enterprises. This second track, which the government has dubbed the Gotong Royong (mutual cooperation) vaccination program, uses a very different modality than the standard government approach. Companies and enterprises are expected to use their own funding and resources to acquire and deliver different vaccine brands or types. In particular, the Gotong Royong program uses the Sinopharm vaccine, unlike the Sinovac-Bio Farma, AstraZeneca, Pfizer, Novavax, Moderna, and BioNTech vaccines used in the standard program. The goal is for these companies to then deliver these vaccines to their own employees.

    As part of the Gotong Royong program, the government also uses the Indonesian Chamber of Commerce (KADIN) to provide brokerage services to bring together the private sector and the Ministry of Health and PT Bio Farma, the state-owned enterprise responsible for importation and distribution of vaccines. This track has delivered 915,295 first doses (6.1% of the total targeted population for vaccinations) and 663,515 second doses. Whereas 28,413 companies have applied to participate in this program, only 258 (less than 1% of the applicants) have received an allocation from the Ministry of Health and PT Bio Farma.

    This program makes sense for the private sector: it is more efficient and economical for companies to vaccinate their workers than to test them regularly and spend money on supporting infected workers. By vaccinating their workers, companies hope to be able to run their businesses at full capacity.

    Despite the mobilisation of so many actors in the vaccination roll out, it seems this is not enough. Politicians in Indonesian’s national parliament have criticised the slow progress and uneven distribution in vaccination delivery. Perhaps it is this criticism which has pushed the government to open a third vaccination track, a track that involves these politicians and their parties. This third track, however, is not clearly stipulated in government regulations on the vaccination program (the latest being Ministry of Health Regulation No. 10/2021 and the Minister of Health Decree No. 4638/2021).

    Nevertheless, reports in online media and social media show that several political parties have been actively involved in the vaccination program. These include parties from the government’s ruling coalition, like the Democratic Party of Struggle (PDI-P), Golkar Party, National Awakening Party (PKB), National Democrat Party (NasDEM), and National Mandate Party (PAN), as well as the opposition parties, like the Prosperous Justice Party (PKS) and the Democrat Party (PD), and even small parties like the Indonesia Solidarity Party (PSI).

    This is a highly unusual practice. To my knowledge, Indonesia is the only country where political parties are not only organising their own vaccination programs but also actually injecting vaccines into people’s arms.

    In fact, it seems like the program is accelerating, with political parties competing to give out vaccines, and using the program as a way to demonstrate their ability to work with the government and achieve the important national goal of reaching herd immunity. Interestingly, each party has claimed to be the first to deliver a coronavirus vaccination program.

    What role exactly do the political parties play in vaccine distribution? How do they access the vaccines, how do their approaches differ and what motivates them?

    At first, when I noticed reports of party vaccination programs, I assumed that they were buying the vaccines they were delivering, as with companies using the Gotong Royong track, rather than drawing on government stocks.

    After all, the parties present their campaigns as if they are solely their own initiatives. Most of the parties mentioned above have been running mass vaccination activities in ways that resemble election campaign events. For example, they use big banners with photographs of their prominent leaders, and hand out t-shirts, and goody bags containing party merchandise, food, and souvenirs to people who come to get vaccinated.

    These events typically include speeches from elite politicians, who are usually members of the national parliament (DPR) or the local parliament (DPRD) in the area concerned, or they might be the local chairperson of the party regional branch. Sometimes, the national chairperson (Ketua Umum) of the party appears. Typically, in these speeches the politicians concerned praise how responsive and concerned their party is about the community and how they have worked hard, or fought, to ensure community members get the vaccines. Sometimes, they claim that the mass vaccination event involves collaboration with state institutions, private sector actors, and/or mass organisations. Sometimes, party leaders bring along leaders from the local government and/or local police and army officials, representatives of private companies, and of mass organisations.

    They also claim to have provided funds to distribute these vaccines. Such claims are partly true, as politicians and parties apparently do finance some elements of these vaccination events. They provide cadres and resources to organise registration, provide the venue, as well as snacks, lunches, and fees for the medical staff providing the vaccinations. However, it turns out that, unlike the Gotong Royong program, parties do not need to buy the vaccines they deliver. Instead, they receive them from the Ministry of Health. This is where the lobbying capacity of party bosses comes in.

    How do they access vaccines?

    In general, my respondents from political parties and local media explain that their party received an allocation of vaccines from the Ministry of Health. In their capacity as the Ministry’s counterparts in the DPR, members of the Commission IX of the DPR, which is responsible for health and labor affairs, can submit a request to the Ministry to allocate buffer stocks—stocks left over from the quota used for the government-led vaccination program. Then, based on the Ministry’s assessment, the Ministry can grant them a quota. These politicians normally prioritise distribution to their own electoral districts (daerah pemilihan or dapil).

    In short, much like other government benefits and programs, COVID-19 vaccines have now become a political commodity which politicians can use to solidify their constituency and supporters. This is an important opportunity for them to survive in what observers have called Indonesia’s “patronage democracy” as written by Aspinall and Berenschot in Democracy for Sale: Elections, Clientelism, and the State in Indonesia. When parties and politicians habitually provide their supporters with benefits of various kinds, it makes sense for them to view the coronavirus vaccination program as a new political commodity they can distribute.

    Aside from this channel, some respondents from the national government, as well as local experts and members of watchdog institutions in some regions, explained that some parties have been able to access vaccines from other state institutions, such as local governments, POLRI and the TNI. As explained above, these institutions also received vaccine allocations and were responsible for delivering jabs through the government-led vaccination program. They have discretion on how to deliver their vaccines. They can use their own facilities, such as local public health clinics and hospitals, police or military health institutions, or partner with private healthcare services, or even partner with mass organisations, or, it turns out, with political parties.

    This discretion has opened up opportunities for parties and politicians to use these allocations for their own promotional purposes, though typically presented as joint effort or kerjasama (cooperative) schemes. Party elites request the allocation from the national or local government, POLRI and the TNI to deliver the vaccinations under their party’s banner. In return, the parties will name these institutions as their partners, and they will pay for the vaccinators’ fees and other operational costs to deliver the vaccines.

    What is behind vaccine hesitancy in Indonesia?

    Perceived religious prohibition, vaccine coercion, anti-Chinese sentiment and reliance on alternative health and hygiene practices are contributing to low vaccination acceptance.

    In fact, it is not only parties who use this approach. In some regions, according to my anonymous sources, some big business groups have also used the kerjasama scheme. These are typically business groups owned by oligarchs—i.e., the super wealthy individuals who dominate both political and business life in Indonesia. Such companies can sometimes use the quotas allocated to central government agencies, local governments, and POLRI/TNI, bypassing the formal Gotong Royong vaccination track provided for the private sector. Of course, they label the vaccination events they then run as a form of collaboration with the real owner of the vaccine quota. But in fact, these companies acquired the vaccines for free and much more quickly than they would as part of the Gotong Royong track, with no need to wait for KADIN to process their proposals. By doing so, I estimate they save around 75% of the costs they would incur if using the Gotong Royong track.

    To access vaccines, political parties and the companies thus need to lobby and negotiate with government institutions which are authorised vaccine distributors. But having access to political power and good connections with those institutions helps. In many cases, party leaders and other politicians have family connections with the governor or other local officials, and this, too, can allow access.

    Take, for example, in one region of Indonesia, where a senior politician, who is also the owner of one of the biggest conglomerates in the region. He is known to have close connections with two generals who hold very high positions in the country, are from the same region as the elite politician and served as his adjutants when he was in the office. Having this close connection as a patron gives the elite politician easy access to use the police quota in the region for vaccination events run by his companies.

    Another example can be seen in a woman politician, a prominent party elite, and member of the DPR. She is also the wife of a former two-time mayor in the region. Her husband is a senior politician with a colourful background.  He retains much influence in the city including in the prison sector, given that he spent some years in jail for corruption. The woman has good access to the Ministry of Health as she is a member of the DPR’s Commission IX. Once she attained the quota, she distributed it where she and her husband have many fans: in the prisons and among networks of women’s Islamic devotional groups.

    Tomorrow: How Golkar, PDI-P and NasDEM approach vaccine distribution.

    The post Herd immunity/herding constituents: parpol and COVID-19 vaccines in Indonesia #1 appeared first on New Mandala.

    This post was originally published on New Mandala.

  • Covid-19 Response Minister Chris Hipkins and Director-General of Health Dr Ashley Bloomfield today gave a briefing on the vaccine rollout and current cases which showed a sharp jump over the past few days.

    Dr Bloomfield confirmed there were 45 new community cases of covid-19 today – all in Auckland.

    Of these cases, 33 were known to be household or contacts of existing cases. All had been isolating at home or in quarantine during their infectious period, Dr Bloomfield said.

    He said many of today’s cases were linked, and in some sense “they were expected”.

    Hipkins said the 45 new cases were a “sobering number”. But because they were known cases, alert level decisions were made on many other factors.

    “I would encourage people not to read too much into it. We’re still aiming to run this into the ground,” he said.

    Dr Bloomfield said quite a proportion of the cases were among groups of people who were in transitional or emergency housing.

    “Teams are working very hard with a range of agencies to support those people.”

    He said everyone in Auckland must stay within their bubbles and wear face masks.

    Watch the update

    RNZ News video of the media briefing.

    Dr Bloomfield said the Ministry of Health was asking workers in construction, hospitality and retail, who were working in level 3, to get two tests at least five days apart over the next couple of weeks, whether they had symptoms or not.

    “I would like to emphasise, this testing is voluntary,” he said.

    Hipkins said that at midnight the requirement would come into force for all border workers and roles where they might come into contact with covid-19 to be vaccinated.

    As at this morning, 98 percent of active border workers had been vaccinated with at least one dose and 93 percent were fully vaccinated, he said.

    That included 95 percent of port workers.

    “I do want to remind anyone who works at the border but has yet to be vaccinated that they now have 24 hours until midnight tomorrow night to get their first vaccination if they wish to continue to work at the border,” Hipkins said.

    Vaccine rollout update
    Dr Bloomfield said 80 percent of the eligible population in Canterbury had now had its first dose of the vaccine. He said that by Christmas most Cantabarians would be fully vaccinated.

    “Keep up the good work Canterbury,” Dr Bloomfield said.

    Yesterday, 44,000 doses of the covid-19 vaccine were administered.

    Nationally, 78 percent of the eligible population – 12 years and over – had had their first dose of the vaccine, Hipkins said.

    Nearly half of the eligible population was now fully vaccinated.

    Hipkins said 55 percent of Māori had had their first dose, 29 percent their second.

    Among Pasifika, 71 percent had had their first dose, 40 percent their second.

    ‘Covid for Christmas’
    Hipkins said he had not read National’s plan to reopen New Zealand in full yet.

    “It’s clear that the National Party want to throw open the borders, have hundreds of thousands of people coming in. Therefore, one can conclude that the biggest promise they’re making at the moment is that they’re willing for Kiwis to get covid for Christmas.

    “The reality here is that they haven’t provided any modelling for the number of Covid-19 cases that they would be willing to tolerate or what they would do in certain scenarios because it would almost certainly result in significant numbers of cases in the community.

    “They’ve given no indication of what they would do around managing that.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ Pacific

    Fiji has reported its first death of a person living with HIV (human immunodeficiency virus) and diagnosed with covid-19.

    But the Health Ministry said the death was caused by a pre-existing medical condition and not by the delta virus.

    The ministry said several HIV patients, diagnosed with covid-19 in Fiji, were among 36,724 people who had recovered from the coronavirus since March last year.

    Fiji received US$272,000 worth of anti-retroviral medicine from the Atlanta Medicare Company Ltd of Thailand on Tuesday.

    The UNAIDS agency contributed US$37,000 in air freight costs.

    Australia also donated paediatric HIV drugs and freight worth about US$5000.

    Fiji’s Health Minister, Dr Ifereimi Waqainabete, said that as the country battled the covid-19 pandemic, health workers had ensured services for people with chronic diseases, including care for people living with HIV, continued.

    Telemedicine consultations
    This included establishing telemedicine for consultation and delivery of medication, Dr Waqainabete said.

    He added Fiji was reviewing and adopting HIV testing, and counselling strategies and policies.

    He said the aim was to achieve zero transmission of HIV from mother to child, which Fiji had achieved.

    “Also to strengthen the role and functions of the HIV Board in supporting people living with HIV, of which 78 per cent of these individuals are on the life changing HIV medication,” Dr Waqainabete said.

    The given medication would benefit 500 people living with HIV in Fiji – of which more than 40 were children.

    52 new cases, two deaths recorded
    Meanwhile, 52 new cases of covid-19 were reported in the community.

    This is the second straight day Fiji has reported double-digit figures for infections since this outbreak began in April.

    Health Secretary Dr James Fong said there had been 17 new recoveries since the last update, and there were now 13,045 active cases.

    Dr Fong also confirmed two deaths in Suva on Sunday and both patients had died at home.

    Ten other covid positive people had died, but the doctors had ruled that their deaths were not caused by the virus, he said. The death toll was at 592 – 590 of them from the April outbreak.

    “There are currently 88 covid-19 patients admitted to the hospital – 41 are at the Lautoka Hospital and 47 at the CWM, St Giles and Makoi hospitals.

    “Six patients are considered to be in severe condition and four are in critical condition.”

    No new maritime cases
    Dr Fong added that they had not recorded any new cases from the maritime zones of Kadavu, Malolo Island, Naviti Island, Waya Island, the Nacula Medical Area, Beqa and Ovalau.

    There have been 50,737 cases recorded during the outbreak that started in April 2021.

    Fiji has recorded a total of 50,807 cases since the first case was reported in March 2020, with 36,724 recoveries.

    As of 26 September, 591,293 adults in Fiji had received their first dose of the vaccine and 425,902 both jabs.

    “Based on our updated total population of 618,173 people aged 18 years and over (adults), the revised vaccination coverage rates are 95.7 percent for adults who have received at least one dose, and 68.9 percent are fully vaccinated,” Dr Fong said.

    “As for the children, 17,996 have received their first dose of the vaccine as of the 24th of September.

    “We will be tracking our vaccine coverage rates once we have firmed up our 15 to 17-year-old denominator.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • By Rita Peki in Mt Hagen, Papua New Guinea

    Two deaths with two patients in critical condition is the status at one of Papua New Guinea’s leading hospitals as the covid-19 pandemic continues to create havoc along with an acute shortage of operational funds.

    Mount Hagen Provincial Hospital in Western Highlands Province — owed K1.6 million  (NZ$650,000) by the central government in Waigani — struggles to maintain its ongoing clinical services as well as provide treatment and care to the escalating number of suspected covid-19 cases, said the Highlands Provincial Health Authority.

    According to WHPHA acting chief executive officer Jane Holden, the hospital will definitely shut down come Christmas if funding is delayed further.

    She said although the hospital was stretched to its limit, it tested 27 positive covid-19 cases in the last four days, bringing the number of new cases since Saturday to 109.

    This left only five isolation beds unoccupied out of 20 available isolation beds.

    “Two patients died last week and two are critically ill, Holden said.

    “Although we cannot get the results for the whole genome sequencing, we must assume we are dealing with the delta variant, given the rapid increase in numbers and severity of their illness.

    Funds for two weeks
    “We only have enough covid-19 funds to support another two weeks work despite sending a request in late June to the Department of Health.

    Holden said if there was no funding, the hospital would shut down its services before Christmas.

    “This will commence next week with the closure of consultation clinics for any new patients and the discharge of others over a couple of weeks.

    “We will also need to ask patients coming from other provinces to seek support locally rather than come to Mt Hagen Hospital.

    “Over the next four to six weeks, beds will be closed as patients are discharged home.

    “Further reducing services at the hospital just puts increased pressure on rural health services, and we know that they are also stressed.

    “Church Health Services have not had funding support this year either and are under significant pressure as well,” Holden said.

    “This is a very difficult time.”

    According to statistics from National Control Centre, Papua New Guinea is reporting 1000 new cases a month — an increase of 50 percent, averaging 500 new cases a month.

    In the last three weeks, 649 cases were confirmed, with 18 deaths reported in the same period. Of this, one medical doctor had died out of the 53 health workers who tested positive with covid-19.

    ‘Biggest’ threat to Pacific in century
    Meanwhile, in New York, US, Prime Minister James Marape told a Pacific Islands Forum meeting last week that covid-19 presented the biggest threat to the health and wellbeing of Pacific people and the world in more than a century.

    He told a virtual PIF Leaders Meeting with UN Secretary-General Antonio Guterres on the sidelines of the UN General Assembly (UNGA): “Never before, has the full Forum membership simultaneously been in a crisis wherein members face significant challenges to prepare, respond and mitigate the immediate and associated threats posed by the covid-19 pandemic.”

    Marape said a unified collective regional approach to address covid-19 through the Pacific Humanitarian Pathway had ensured countries remained relatively unscathed from the health impacts of covid-19, with six countries still covid-free.

    “The emergence of the more transmissible strains of the virus is concerning, with clear evidence that the coping capacity of some of our members’ health systems is struggling to keep up with the rapid spread of the virus,” he said.

    “There are some assurances provided through vaccine-powered recovery, however, in places where vaccines are not yet widely available, or in communities where people have not been vaccinated despite availability, the virus could still spread rapidly.

    “When forum leaders met last month, we re-emphasised the importance of ensuring the distribution of safe and effective vaccines in the Pacific region and reiterated our call to global leaders to support the equitable and affordable distribution of safe and effective covid-19 treatments and vaccines to all Pacific peoples, facilitate early economic recovery and to call for a WTO TRIPS waiver for covid-19 vaccines.

    “We also committed to collectively ensure comprehensive vaccination coverage is achieved for our Pacific peoples by setting a target of 80 percent of the eligible population for the Pacific region subject to country readiness by the first quarter of 2022.”

    Rita Peki is a PNG Post-Courier reporter.


    This content originally appeared on Asia Pacific Report and was authored by APR editor.

    This post was originally published on Radio Free.

  • Pacific Media Watch newsdesk

    A new poll shows nearly two out of three New Zealanders want the border to remain closed until at least 90 percent of the country is vaccinated.

    The poll, in partnership with the country’s leading daily newspaper The New Zealand Herald, which is also running a 90% Project in support of high vaccination, showed growing support for vaccination, according to the paper in a front age report.

    The Herald said the Talbot Mills Research poll indicated that 89 percent of those polled planned to get vaccinated or had already done so.

    “The results contrast with a public appeal yesterday from former prime minister Sir John Key for New Zealand to break out of its ‘smug hermit kingdom’ by opening the border as soon as possible,” the Herald said.

    The newspaper said that support for 90 percent was much higher than for the “option of opening the borders after everybody had been given a reasonable chance to get vaccinated, regardless of the overall rate – an option favoured by 26 percent of people.”

    Political editor Claire Trevett wrote that support for the 90 percent plus threshold was “particularly high among Labour and Green supporters (70–72 percent support) – but about 60 percent of National and Act supporters also favoured it”.

    The government had so far refused to set a specific threshold or date at which it would ease border restrictions, Trevett wrote. However, it had committed to trialling measures such as home isolation this year, as part of its road map.

    “The poll of 1050 people aged 18 and over was taken from August 31 to September 6 – the third week of the lockdowns sparked by the delta outbreak. It has a margin of error of +/- 3.1 per cent,” wrote Trevett.

    “The NZ Herald has joined with Talbot Mills Research for polling on vaccinations as part of the 90% Project, to help track public sentiment over the coming months.”

    12 new covid community cases
    The Health Ministry reported 12 new community cases of covid-19 in New Zealand today, with all but two epidemiologically linked to previous cases.

    In a statement, the Health Ministry said there were now a total of 1177 community cases associated with the latest outbreak of the delta variant of the virus, RNZ News reports.

    All of the latest cases were identified in Auckland.

    The ministry said one of today’s community cases had previously been under investigation and was now confirmed and linked to the current outbreak.

    “The case has now recovered. The case spent 14 days in a quarantine facility along with household members who also tested positive for covid-19,” the statement said.

    This post was originally published on Asia Pacific Report.

  • RNZ Pacific

    A group of doctors have hit the phones to support Pasifika families who have tested positive for covid-19 and been transferred into managed isolation.

    The chairperson of the Royal New Zealand College of GPs’ Pasifika chapter, Monica Liva, said about half the people infected with the virus in Auckland were Pasifika.

    She contacted Pasifika doctors who could talk to people in their first language and hear any concerns they might have.

    “It’s also to take off the load off the MIQ medical team, so that they can focus on the urgent covid-19 needs,” Dr Liva said.

    Dr Liva said she had been heartened by the number of GPs agreeing to help.

    TikTok take-up for vaccines
    The North Island iwi Ngāti Porou have launched a covid-19 vaccination campaign aimed at rangatahi using the social media platform TikTok.

    The video challenge calls on young people to encourage their whānau to get vaccinated.

    Ngāti Porou’s Taryne Papuni said TikTok was a natural first pick to get the message across.

    “That’s one of the mediums that they’re always on, always on the TikTok or the Instagram.

    “We thought yeah, we can reach a lot of our people, a lot of our young ones that way and hope that the young ones will actually lead for their elders.”

    Earlier this week, Ngāti Porou hosted a vaccinations clinic at Te Poho o Rawiri Marae.

    There have also been multiple events on this weekend targeting Pasifika vaccination rates.

    18 new community cases in NZ
    The Health Ministry reported 18 new community cases of covid-19 in New Zealand today, with all but two epidemiologically linked to previous cases.

    There was no media conference today. In a statement, the ministry said there were now a total of 1165 community cases associated with the latest outbreak of the delta variant of the virus.

    It said 934 of Auckland’s 1148 cases had now recovered.

    The ministry said there were five cases in the past fortnight that were still not linked to previous cases.

    The 16 linked cases reported today are all in isolation at home or in MIQ.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    New Zealand has 16 community cases of covid-19 today, according to the Ministry of Health.

    In a statement, the ministry said 13 of today’s 16 cases had been epidemiologically linked to previous cases.

    There have been 10 unlinked cases in the past fortnight.

    There was also one historical community case not associated with the current outbreak and another historical case at the border.

    The ministry said the community case deemed to be historical was not associated with the current outbreak in Auckland as this case initially came through the border and has been previously reported and spent 14 days in managed isolation, during which time they routinely tested negative.

    “They have subsequently tested positive, but this has been deemed historical and is no longer infectious.”

    There are 13 people in hospital with covid-19, with four in intensive care.

    The ministry said 903 of Auckland’s 1129 cases in this outbreak had now recovered.

    Residents of Kāinga Ora apartments in Parnell have been tested after they were added as a covid location of interest in Auckland.

    The Ministry of Health added the apartments today, along with a supermarket in Flat Bush.

    A person infected with covid-19 visited on three consecutive days – over last weekend and Monday.

    Kāinga Ora’s area manager Andrew Walker said they had worked with Auckland Regional Public Health and the City Mission, which has mobile testing capacity, to make it quick and easy for residents to be tested yesterday.

    Walker said masks were also delivered to residents and communal areas given an extra deep clean, over and above the special cleaning in alert level 3 and 4.

    Yesterday there were nine new community cases of covid-19 reported in New Zealand, the first time in weeks the number of cases had dropped to single figures.

    There has now been a total of 1146 cases in the current community outbreak, and there have been 3806 cases in this country since the pandemic began.

    A Waitematā District Health Board spokesperson today said that a patient at Auckland’s Waitākere Hospital had tested positive for covid-19 after presenting at the emergency department yesterday, but that the overall exposure risk is considered low.

    The ministry said today fewer than 10 patients were affected.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • By Gorethy Kenneth in Port Moresby

    Papua New Guinea’s acting Prime Minister Soroi Eoe says the specific lockdown measures planned for the covid-19 spike in some provinces has not been released as stated this week because the Pandemic Control Centre was not ready.

    This is because there of co-ordination needed to happen over the next seven days to allow for this.

    The National Isolation Strategy and the government’s plan in relation to the covid-19 spike in the country will be released later.

    Eoe assured business houses in the capital Port Moresby and across the nation that there would not be any lockdown, but strict protocols and measures would still be in place.

    He said there would not be any nationwide lockdown — just in selected provinces — and that the measures to be announced would be “friendlier, but strict”.

    Eoe said all reports circulating on social media were “fake news”, basically because they did not come from an official authority and that the government would officially announce its position.

    Dispel social media reports
    “I think the actual framework was already given yesterday, to dispel the notion that’s been propagated in social media that the government’s plan to bring in a state of emergency will shut down the operation of the government which is not true,” he said.

    Eoe said the government would be selectively looking at three provinces that had an increase in covid-19 cases — Western Province, Eastern Highlands and West Sepik. It would also closely monitor Enga, Morobe and the National Capital District as announced on Wednesday.

    “We are taking into consideration the views of the people, but at the same time, emphasising the seriousness of covid-19 … we need to vaccinate our population,” he said.

    “We are not locking down businesses, that’s our lifeline — come on, we can’t survive without business, they are the ones that keep the economy going, that’s what this assurance is.”

    Gorethy Kenneth is a PNG Post-Courier senior journalist.


    This content originally appeared on Asia Pacific Report and was authored by APR editor.

    This post was originally published on Radio Free.

  • RNZ Pacific

    New Caledonia recorded 16 covid-19 deaths yesterday — the highest single day total since the delta strain of the virus arrived in the territory less than three weeks ago.

    A spokesperson for the territorial government, Gilbert Tyuienon, said the archipelago “is going through a crisis never seen in its entire history”.

    Fifty-two people are in intensive care and 323 hospitalised, while health authorities say the peak of the epidemic has yet to be reached.

    Seventy three people have died so far in the emergency.

    According to Medipole Noumea Hospital authorities, the territory is entering the hardest phase of the epidemic and it could last a long time despite measures to try and break chains of transmission.

    These include containment and a curfew that will stay in place until October 4.

    New Caledonians suffer from many co-morbidity factors, with 67 percent of adults obese and an estimated 10 percent who are diabetic.

    These health problems mainly concern the indigenous Kanak and Wallisian populations, which also have the highest mistrust of vaccination.

    A member of the government of Wallisian origin, Vaim’ua Muliava, begged his community to get vaccinated as soon as possible.

    The president of the custom Senate, Yvon Kona, called on the government to ban the sale of alcohol during the lockdown, reports Les Nouvelles Calédoniennes.

    “Too many victims linked to covid are recorded every day as well as the number of deaths,” he said.

    The territory has a population if 288,000.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    Papua New Guinea authorities are preparing for a four-week lockdown in at least three provinces at the end of the month.

    The move has been prompted by a spike in covid-19 infection rates in Eastern Highlands province as well as the two provinces which sit on the border with Indonesia, Western and West Sepik.

    While testing for covid-19 is limited in PNG, the delta variant was confirmed as being in the country in July, preceding a spike in patients at hospitals in these provinces.

    It is understood the lockdown would begin in a week’s time, and entail closure of businesses, schools and churches, and restrictions in movement.

    The cabinet and PNG’s pandemic advisory committee are also considering lockdowns in the National Capital District, Morobe Province, and other affected parts of the Highlands, including Enga.

    The containment move was hinted at by Prime Minister James Marape before he flew to New York to attend the United Nations General Assembly this week.

    Marape told local media that they were seeing evidence of the delta variant spreading across the country, and people dying as a result.

    With Marape now abroad, it is expected that the acting Prime Minister, Soroi Eoe, will sign off on the lockdown measures before the weekend.

    Case numbers vague
    Since testing for covid in PNG was scaled back in June, the available data on this third wave of the pandemic in the country has been vague.

    As of Tuesday, the main agency overseeing PNG’s pandemic response, the National Control Centre, said the total number of confirmed covid cases in the country was 19,069, with the death toll at 212.

    However, the limited level of testing and habitual delays in reporting of case loads from the provinces suggest the true figure of those infected is far higher.

    Earlier, the Eastern Highlands Coronavirus Steering Committee enforced a blanket ban on all public gatherings due to a spike in infections and deaths.

    Also, West Sepik and Western continued to attempt to restrict movement of traditional border crossers back and forth to Indonesia, however capabilities to monitor the border are also limited.

    Around 2 percent of the country’s population have been vaccinated, according to the National Control Centre.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • The recent outbreak of the Delta variant in China “shows that its strategy no longer fits. It is time for China to change tack.”

    So declared a lead essay atop the New York Times Opinion/Editorial section on Sept. 7 by Yanzhong Huang, a senior fellow at the Council on Foreign Relations. 

    The Delta outbreak that “changed the game” in Huang’s words emerged after an outbreak at Nanjing international airport in July traced to a flight from Russia.  Did this outbreak change anything in fact? 

    Let’s do the numbers. 

    Let’s do something that Huang did not; let’s look at the numbers from July 1 until Sept. 7 the date of the article, a period that brackets the Delta outbreak cited by Huang.

    During that period China experienced 273 new cases, about 4 per day, and no new deaths. That hardly seems like a failure.

    The post NY Times Advises China On Covid-19: Abandon Success, Try Failure appeared first on PopularResistance.Org.

    This post was originally published on PopularResistance.Org.

  • COMMENTARY: By Glen Johnson

    On August 17, a 58-year-old man from Auckland became symptomatic and tested positive for covid-19. It was New Zealand’s first community case of the coronavirus in almost six months.

    Within hours, the nation of five million moved into alert level four, part of its “go hard, go early” approach. All travel outside of people’s homes was forbidden, except to fetch supplies, visit pharmacies or exercise.

    The country largely ground to a halt.

    “We have seen the dire consequences of taking too long to act in other countries, not least our neighbours,” said Prime Minister Jacinda Ardern, while announcing the cabinet’s decision to impose a lockdown that evening.

    Within a few days, one case had grown to 21 cases. After a week, to 148 cases. By August 31, the cluster contained 612 cases.

    Snap lockdown
    One month after imposing the snap lockdown, New Zealand has bent the curve and may be able to eliminate an outbreak of the potent delta variant of COVID-19 – though it is no sure thing.

    As of September 20, some 1051 people in Auckland and 17 people in the capital city, Wellington, have been infected with the virus, of whom 694 have recovered.

    Contact tracers have methodically identified tens of thousands of contacts – and hundreds of locations of interest – part of an updated track-and-trace system repurposed to cast a much wider net around the far more transmissible delta variant.

    The outbreak, now spread across 20 subclusters, 10 of which have been epidemiologically linked, presents the most serious challenge to elimination that New Zealand has faced so far. With its fragmented public health system under intense strain from decades of under-funding, any unchecked spread of the delta variant would see hospitals rapidly overwhelmed.

    But New Zealanders rallied behind the restrictions, sticking to their “bubbles”, masking up and watching patiently as cases peaked, then began to decline – though the outbreak’s tail is proving persistent.

    If the country does eliminate this outbreak, it would once again validate the “go hard, go early” approach that officials have taken over the past 18 months.

    With Auckland moving yesterday to the more permissive alert level three, case numbers over the coming weeks will be closely watched for any sign of uncontained spread.

    Entitlement and denunciation
    Yet, as with previous outbreaks, the clamour from critics of the government started almost immediately, a chorus of whinge.

    Business special interests laundered their messaging through an uncritical media – “certainty” they chanted, while pressuring for a move down alert levels.

    “We also know that in lockdown Treasury has forecast it to cost the country NZ$1.45 billion per week – and that’s just the economic impact,” Canterbury Employers’ Chamber of Commerce chief executive Leeann Watson told broadcaster Newstalk ZB.

    Incredibly, less than a week into lockdown, Export New Zealand executive director Catherine Beard complained to Stuff, the country’s most popular news website, that the business environment was getting “tough” for exporters, while lobbying for more managed isolation spots for business travellers – or self-isolation.

    “Some of these are multimillion-dollar deals, so the situation is very stressful,” she said.

    Some in the hospitality sector complained about limits on gatherings and threatened to withhold tax, while demanding “targeted” assistance from the government.

    “Now it’s 100 percent [Ministry of] Health running the show,” said Hospitality New Zealand chief executive Julie White, according to Stuff. “No one is advising them commercially.”

    Most New Zealanders would, presumably, prefer that the Health Ministry – as opposed to hospitality interest groups – responds to the threat presented by a lethal, airborne pathogen.

    ‘Glacial’ pace criticised
    The “glacial” pace of the country’s vaccine rollout was also riffed off in headline after headline.

    Perhaps, as the political opposition and reporters contend, the rollout has been “sluggish”.

    Perhaps the government could have instructed the medical regulator Medsafe to conduct a less rigorous assessment of the Pfizer vaccine, under emergency protocols.

    “Another [possibility] is,” Craig McCulloch, Radio New Zealand’s deputy political editor speculated, “that the government’s negotiators came late to the party, did a poor job and got a raw deal.”

    Or perhaps soaring global demand amid the pandemic, Pfizer’s finite ability to supply vaccines to a vast suite of countries and New Zealand’s limited purchasing power and largely covid-free status explains the “delay”.

    Certainly, the World Health Organisation has described vaccine hoarding by wealthy nations as approaching a “catastrophic moral failure”.

    When Pfizer became able to deliver large shipments midway through July, New Zealand saw a dramatic scale-up in the vaccination programme, as officials had promised for months.

    Rollout a success story
    If anything, the nation’s rollout — a massive logistical undertaking — has largely been a success story, conducted in an environment of incredible uncertainty and reliant upon an already stretched workforce.

    It has additionally played a key role in supporting vaccination efforts in the Cook Islands.

    As of September 20, some 4,711,410 doses of the vaccine have been administered, tracking close to supply, with 1,618,673 people now fully vaccinated.

    Amid the rising racket, the entitlement and denunciation, even commentators from abroad got in on the act.

    Fox News host Tucker Carlson — agitating anti-lockdown sentiment — suggested that New Zealand provided a model for how his viewers would be subjugated by Joe Biden’s administration.

    “How far can they go? […] A single covid case in New Zealand, not a death from covid, but a case of covid has shut down the entire country.”

    Writing in Britain’s Daily Telegraph, one commentator called the outbreak “poetic justice” and claimed a “once-welcoming nation is turning into an isolated dystopia, where liberties are taken away in a heartbeat and outsiders are shunned”.

    While these criticisms are couched in the language of defending civil liberties, they reduce to variants of the “learn to live with covid” argument.

    Or put another way: “The cure cannot be worse than the disease”.

    The economy must reign supreme, after all.

    Sound familiar?

    ‘Needles in my eyes’
    New Zealand’s elimination strategy relies on public buy-in. Recent polling shows that some 84 percent of the public supports the latest lockdown.

    As with previous outbreaks, Ardern has used clear, empathetic language to reassure and unify an often politically divided nation. These briefings are held in Parliament’s theatrette and usually feature the Director-General of Health, Dr Ashley Bloomfield.

    For many in New Zealand, the daily press briefings provide a detailed window into how authorities manage outbreaks and have been the most visible key to the elimination strategy’s success.

    “To all Aucklanders, you have done an amazing job so far protecting yourselves, your family and your community,” Ardern said on September 13, while announcing that Auckland would stay in alert level four for another week. “We owe you a huge debt of gratitude … but the cases are telling us we have additional work to do.”

    Voters rewarded Ardern’s Labour Party for this kind of humane approach and its exceptional management of the viral threat in the national elections last October, granting it an outright majority.

    The political opposition judges these briefings a political threat, and routinely denigrates them as Ardern speaking from “The Podium of Truth”.

    With the return of daily briefings on August 17, right-wing broadcasters and some journalists began to deride the briefings, at exactly the moment when trust in the authorities needed to be reinforced.

    Undermining public perceptions
    There is a difference between “holding power to account” and deliberately attempting, for purely partisan political reasons, to undermine public perceptions that the covid-19 response is being well managed.

    “I tried, I really did, but I wanted to stick needles in my eyes by about four minutes in,” said Newstalk ZB’s Kate Hawkesby, the day after the return of the 1pm press conferences. “I’d forgotten how soul-destroying it is to be spoken to like a three-year-old.”

    On the same station, Hawkesby’s husband, Mike Hosking, overdubbed turkey “gobbles” and truck horn sound effects onto an interview recorded with Associate Health Minister Dr Ayesha Verrall.

    Newstalk ZB’s political editor, Barry Soper, in a report about an Auckland man whose kidney surgery was postponed due to staffing shortages, loaded his story’s preamble with phrases like “their altar” and “practise what they preach”.

    He also issued a remarkable dog-whistle to New Zealand’s far-right, the kind of people who believe Ardern – a fairly mild political centrist – is turning the country into a “communist dictatorship”.

    “If you have ever wondered what it must have been like to live in a totalitarian state, then perhaps wonder no more.”

    This nonsense went on and on.

    Moaning media
    Some press gallery reporters began to complain about the length of Ardern’s introductions, while Jason Walls, a political reporter with Newstalk ZB, took to Twitter to moan about Dr Bloomfield saying “finally” two times.

    This speaks to how the media has fundamentally misunderstood what the briefings are: public service announcements.

    They are for the public. Reporters are invited as a check and, as such, should resist the urge to demand a say in how these announcements are structured.

    Even The New York Times managed to launder messaging that targeted the briefings, quoting former National Party staffer and political commentator Ben Thomas – who appears fixated on denigrating Dr Bloomfield.

    “He [Dr Bloomfield] has … a cult-like following,” said Thomas. “The country has a huge kind of parasocial devotion to him, which is very new to New Zealand.”

    Apparently, Thomas has not heard of Michael Joseph Savage, who founded New Zealand’s welfare state in the 1930s and whose framed photo hung in homes throughout the country for decades.

    Regardless, all of this is a fairly obvious partisan political effort, driven by both ideology and market dynamics.

    Many reporters and commentators at New Zealand Media and Entertainment (NZME), which owns The New Zealand Herald and Newstalk ZB, seem unable to accept that their preferred political tribe is no longer in power.

    More critically, in an age where the news media increasingly attempts to attract subscribers by catering to their social and political values, NZME appears to be ring-fencing centre-to-far-right eyeballs.

    It is, essentially, becoming New Zealand’s Fox News.

    A brave new world
    The sense in New Zealand is that this may be the last of the nation’s sledgehammer-style lockdowns, though one hopes officials do not retire lockdowns altogether.

    The goal is to get as many people as possible vaccinated, assess the impact of opening up, and then tentatively start easing some border restrictions, if possible.

    No doubt, certain industries – tourism, hospitality, horticulture, media – will continue to apply relentless pressure.

    Yet, when the nation reconnects more fully to the networks of global trade and travel, the super-highways of hyper-globalisation that have spread disease and death around the world, when the inevitable outbreaks come, there will be a toll.

    Glen Johnson is an independent New Zealand journalist who worked as a foreign correspondent for 11 years, predominantly out of the Middle East and North Africa. His work has appeared in The Chicago Tribune, The Los Angeles Times, The New York Times, Rolling Stone, The Seattle Times, Vice, The Daily Telegraph, The Guardian, Reuters, Le Monde Diplomatique, Balkan Insight, Al Jazeera and The New Zealand Herald, among others. His article was first published by Al Jazeera English and is republished with the permission of the author.

    This post was originally published on Asia Pacific Report.

  • Asia Pacific Report newsdesk

    A Papua New Guinean doctor evacuated from Daru in Western Province to Port Moresby last Tuesday has died – the latest medical person to succumb to the covid-19 pandemic in the country, reports The National.

    The doctor was flown to Port Moresby after she suffered severe distress, according to Deputy Controller of the National Pandemic Response Dr Daoni Esorom.

    “Daru Hospital has lost three people to the covid-19 in less than two weeks,” he said.

    “These are people who are still in their prime age, but that is what the covid-19 does.”

    There are 18,808 confirmed cases of covid-19 in Papua New Guinea with health workers making up 9 percent, or 1705.

    A number of them have died.

    He said there was a possibility it could be the delta variant which was spreading in Western Province.

    “Unless it is proven otherwise, we can say that (her death) is due to the delta variant because the virus spreads fast and is deadlier for those with comorbidities and the elderly,” he said.

    Dr Esorom reminded people around the country to follow public health safety rules: washing of hands, covering of mouth when coughing, avoiding crowded places, and physical distancing by 1.5 metres in public places such as markets and shops.

    “When you protect yourself from diseases like covid-19 by following the health measures, you are not only looking after yourself and your loved ones but also protecting people who would look after you – the health workers,” Dr Esorom said.

    Daru Hospital chief executive officer Dr Niko Wuatai said the hospital was preparing wards in case of a large number of admissions.

    He said Daru was experiencing a third wave of the pandemic. As of Tuesday, the hospital had reported 89 positive cases in two weeks.

    This post was originally published on Asia Pacific Report.

  • ANALYSIS: By Collin Tukuitonga, University of Auckland

    Auckland’s move to alert level 3 has also triggered speculation about whether the national covid-19 elimination strategy has failed or is even being abandoned. While the New Zealand government denies it, others clearly believe it is at least a possibility.

    The uncertainty is troubling. If elimination fails or is abandoned, it would suggest we have not learnt the lessons of history, particularly when it comes to our more vulnerable populations.

    In 1918, the mortality rate among Māori from the influenza pandemic was eight times that of Europeans. The avoidable introduction of influenza to Samoa from Aotearoa resulted in the deaths of about 22 percent of the population.

    Similar observations were seen in subsequent influenza outbreaks in Aotearoa in 1957 and 2009 for both Māori and Pasifika people. These trends are well known and documented.

    And yet, despite concerns we could see the same thing happen again, there have been repeated claims that an elimination strategy cannot succeed. Some business owners, politicians and media commentators have called for a change in approach that would see Aotearoa “learn to live with the virus”.

    This is premature and likely to expose vulnerable members of our communities to the disease. Abandoning the elimination strategy while vaccine coverage rates remain low among the most vulnerable people would be reckless and irresponsible.

    In short, more Māori and Pasifika people would die.

    Far better will be to stick to the original plan that has served the country well, lift vaccination coverage rates with more urgency, and revise the strategy when vaccination rates among Māori and Pasifika people are as high as possible — no less than 90 percent.

    Least worst options
    After 18 months of dealing with the pandemic, it’s important to remember that Aotearoa’s response has been based on sound science and strong political leadership. The elimination strategy has proved effective at home and been admired internationally.

    Of course, it has come with a price. In particular, the restrictions have had a major impact on small businesses and personal incomes, student life and learning, and well-being in general.

    Many families have needed additional food parcels and social support, and there are reports of an increasing incidence of family harm.

    The latest delta outbreak has also seen the longest level 4 lockdown in Auckland, with at least two further weeks at level 3, and there is no doubt many people are struggling to cope with the restrictions. The “long tail” of infections will test everyone further.

    There is no easy way to protect the most vulnerable people from the life-threatening risk of covid-19, and the likely impact on the public health system if it were to get out of control. The alternative, however, is worse.

    We know Māori and Pasifika people are most at risk of infection from covid-19, of being hospitalised and of dying from the disease.

    Various studies have confirmed this, but we also must acknowledge why — entrenched socioeconomic disadvantage, overcrowded housing and higher prevalence of underlying health conditions.

    More than 50 percent of all new cases in the current outbreak are among Pasifika people and the number of new cases among Māori is increasing. If and when the pandemic is over, the implications of these socioeconomic factors must be part of any review of the pandemic strategy.

    Lowest vaccination rates, highest risk
    Furthermore, the national vaccination rollout has again shown up the chronic entrenched inequities in the health system. While the rollout is finally gaining momentum, with more and better options offered by and for Māori and Pasifika people, their comparative vaccination rates have lagged significantly.

    Community leaders and health professionals have long called for Māori and Pasifika vaccination to be prioritised. But the official rhetoric has not been matched by the reality, as evidenced by our most at-risk communities still having the lowest vaccination coverage rates in the country.

    Te Rōpū Whakakaupapa Urutā (the National Māori Pandemic Group) and the Pasifika Medical Association have repeatedly called for their communities to be empowered and resourced to own, lead and deliver vaccination rollouts in ways that work for their communities.

    Te Rōpū Whakakaupapa Urutā have also said Auckland should have remained at level 4, with the border extended to include the areas of concern in the Waikato.

    As has been pointed out by those closest to those communities, however, their advice has consistently not been heeded. The resulting delays only risk increasing the need for the kinds of lockdowns and restrictions everyone must endure until vaccination rates are higher.

    There is a reason we do not hear many voices in Māori and Pasifika communities asking for an end to elimination. Left unchecked, covid-19 disproportionately affects minority communities and the most vulnerable.

    “Living with the virus” effectively means some people dying with it. We know who many of them would be.The Conversation

    Dr Collin Tukuitonga is associate dean Pacific and associate professor of public health, University of Auckland. This article is republished from The Conversation under a Creative Commons licence. Read the original article.


    This content originally appeared on Asia Pacific Report and was authored by APR editor.

    This post was originally published on Radio Free.

  • By Rowan Quinn, RNZ News health correspondent

    Alert level 3 is being called a roll of the dice that could either eliminate delta or send the country back into level 4.

    From tomorrow, Auckland will make the move after five weeks at alert level 4.

    Covid-19 modeller – and Aucklander – professor Shaun Hendy said the greater freedoms allowed at level 3 were a risk.

    “Part of me is … thinking about takeaways but I am also concerned about what we will see over the next couple of weeks. I think now we have moved to level 3, the next two weeks are crucial,” Dr Hendy said.

    Modelling the latest situation had been tricky because of the small number of cases left and the unknown quantity of how delta behaved in New Zealand, he said.

    In one scenario contact tracers could beat the outbreak in a couple of weeks

    But in another, case numbers could steadily rise — like in Victoria and New South Wales — and Auckland would have to go back to alert level 4.

    Dragging on for weeks
    That could then lead to an outbreak which dragged on for weeks – or months, Dr Hendy said.

    Te Ropu Whakakaupapa Uruta, the National Māori Pandemic Group, called for alert level 4 to stay in place.

    Co-leader Dr Sue Crengle said they were disappointed in yesterday’s decision.

    They worried that a big outbreak was brewing — and also looked to New South Wales where cases had been low for weeks then started to go up and down, she said.

    “And then they lost control and we’re really fearful that in six or seven weeks we may see that,” she said.

    Professor Crengle hoped her group would be proven wrong but worried that the stakes were too high — especially for more vulnerable, and less vaccinated, Māori populations.

    Most experts agreed the move to alert level 3 was a risk.

    Success depends on keeping to rules
    Its success was partly dependent on how well Aucklanders stuck to the rules.

    Epidemiologist Dr Rod Jackson said most had done a great job so far and any rule breakers at alert level 3 were probably the same people who would break them at level 4.

    He backed the move to alert level 3

    That was because the source of most infections was known and there has been little transition outside of homes, he said.

    Alert level 3 was still very restrictive but struck a balance by allowing more businesses to open and a few more freedoms.

    “It’s good for our psyche and good for the economy but still designed to stamp out covid,” he said.

    Prime Minister Jacinda Ardern said Aucklanders had done the hard work at alert level 4 when there was uncertainty about the outbreak but now health authorities had a much greater understanding of the situation.

    The virus could again be eliminated under alert level 3, she said.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • People line up to recieve the covid-19 vaccine

    A new analysis projecting that 100 million Covid-19 vaccines stockpiled by rich nations and set to expire by the end of the year could be left to waste is prompting an outcry from social justice campaigners who warn of a potential “atrocity” as poor nations are refused access to doses.

    The estimate released Sunday by science analytics company Airfinity came as tracking by Our World in Data showed that just 1.9% of people in low-income countries have received at least one dose. By contrast, 63% of people in the U.S. and 71% of those in the U.K. have received at least one jab.

    Out of the 100 million vaccines set to expire by the end of the year, the European Union holds 41% and the United States 32%, Airfinity found.

    According to Global Justice Now, the potential for the huge quantity of expired and unused doses is more damning evidence of vaccine inequity and underscores the need for governments do much more to get doses in the hands of lower-income countries including by supporting a waiver of intellectual property rules related to Covid-19 vaccines and technology.

    “Rich countries like the U.K. are hoarding vaccines that are desperately needed in low- and middle-income countries. We should immediately hand doses over to Global South nations. But that alone will not be enough,” Global Justice Now director Nick Dearden said in a statement Sunday.

    “Wasting millions of doses that could be used to save lives would be an atrocity,” he said, “but it’s almost inevitable when a handful of rich country companies monopolize vaccine production.”

    “Poorer countries shouldn’t have to wait until our doses are about to expire to vaccinate their populations,” Dearden continued. “Many are capable of safely manufacturing vaccines if only we would waive intellectual property so vaccines can be produced patent-free in the countries that need them most.”

    That capability is clear, Médecins Sans Frontières/Doctors Without Borders (MSF), said in a statement last month.

    “Setting up mRNA vaccine manufacturing capacity in Africa is absolutely possible,” said Lara Dovifat, campaign manager with MSF’s Access Campaign. She pointed to MSF’s analysis demonstrating “that at least seven manufacturers in African countries currently meet the prerequisites to produce mRNA vaccines, if all necessary technology and training were openly shared.”

    Airfinity’s projection came ahead of a Covid-19 virtual summit this week convened by U.S. President Joe Biden as member states gather for the United Nations General Assembly.

    This post was originally published on Latest – Truthout.

  • Asia Pacific Report newsdesk

    Papua New Guinea’s Department of Labour has broken its silence over the government’s stance on covid-19 testing requirements in the “no jab no jobs” controversy, reports the PNG Post-Courier.

    It has called on employers and employees to exercise common sense and ensure that businesses are allowed to continue and embrace workplace safety rules.

    Labour and Industrial Relations Minister Tomait Kapili said at the weekend that the department, working with workers’ unions and employer representatives, had issued a joint communiqué that would support business continuity and protect employees during the ongoing isolation strategy period and beyond.

    He said any new workplace policies developed by employers on covid-19 vaccinations must comply with the provisions of the National Pandemic Act.

    Kapili also announced that the department was dealing with the controversial “no-jab-no-job” stance adopted by some businesses on a case-by-case basis.

    He said covid-19 was not an outcome of work-related issues, so employees and employers should not be disadvantaged during the isolation period.

    “This situation is not brought about by the employers or the workers, so neither party should be disadvantaged during this isolation period,” Kapili said in a statement.

    Safe work practices
    “All employers and employees are encouraged to embrace safe work practices. Employers are further encouraged to make arrangements to maintain normal services under the New Normal as provided for under the New Normal protocols and in compliance with the national isolation strategy being imposed.

    “All employers are encouraged to maintain the salaries, wages and employment contracts of all their employees.”

    He said that while vaccination was voluntary, employers were encouraged to implement their basic occupational health and safety (OHS) policies, as first-up measures to mitigate the spread of COVID-19 in the workplace.

    “Employers should not encourage redundancy exercises during the period. As workers are the front-liners and their exposure to covid-19 will be deemed high, it is important that safety measures, either temporary or permanent, are built into the workplaces to minimise the spread of the virus.

    “Discriminative practices requiring testing, isolation, quarantine, and monitoring should be avoided.

    “Where an employee is aggrieved by the actions of an employer, the employee can formally lodge a complaint with the Department of Labour and Industrial Relations.”

    Awareness of two laws
    Kapili said the legal context to deal with covid-19 at the workplace must take into consideration two laws that should govern covid-19 workplace-related activities.

    These are the COVID-19 National Pandemic Act 2020 and the Industrial Safety, Health, and Welfare Act (Chapter 175) of 1961 and Regulations 1965, in administering the Occupational Safety, Health and Welfare Act.

    The administration of covid-19 vaccination falls within the ambit of the National Pandemic Act 2020 for any interpretation such that we cannot use the duty of care concept as a reason for compulsory vaccination on workers.

    “Any workplace policies developed by employers on the covid-19 vaccination, must be consistent with and adhere to the provisions of the National Pandemic Act 2020,” he said.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    Auckland will move to alert level 3 from 11.59pm on Tuesday night, and stay in level 3 for at least two weeks, Prime Minister Jacinda Ardern has announced.

    The rest of New Zealand will remain in level 2, but will move from gatherings of 50 up to gatherings of 100.

    Meanwhile, part of northern Waikato has been issued a section 70 order, requiring people who live or work there to stay at home.

    “We are not stepping out of level 4 because the job is done, but nor are we moving because we don’t think we can achieve the goal of stamping out covid-19 – we are moving because level 3 still provides a cautious approach while we continue to stamp out covid-19,” Ardern said.

    “It means staying in your bubble, it means contactless transactions and keeping your distance. It means we say thank you to Auckland for their tireless work, and we collectively keep going.”

    Twenty two new cases were reported today, the majority of them household or known contacts. Five were unlinked, and three of those were within one family, and there was a tentative link for that family, Ardern said.

    Three of the new cases are in Whakatīwai near Kaiaua in the Firth of Thames, northern Waikato, but are being counted in the Auckland total.

    300 swabs
    Ardern said testing so far had included household contacts, corrections staff, police staff, court staff, and 300 swabs had already been taken in the small community.

    “We do want to make sure we are keeping the community safe,” she said.

    Watch the PM’s live announcement here

    Director of General of Health Dr Ashley Bloomfield said he was issuing a section 70 order requiring people who live or work in the area around Mangatangi, in northern Waikato, to stay at home. Ardern said it was effectively a “bespoke level 4”.

    Dr Bloomfield said the order was for people living in an area north of SH2 centred on Mangatangi.

    “That will effectively extend the road boundary to the east of Maramarua … and also to the southeast of Miranda on the Firth of Thames.”

    Ardern said level 4 had been tough but it had also made a difference.

    Almost all cases of the last 14 days had either been household or known contacts, and wastewater testing suggested there was no significant undetected transmission.

    No widespread clusters
    There had not been widespread clusters around workplaces, and of the cases where a link had been established, none had resulted from people accessing essential services.

    Protections were still in place in level 3, she said.

    “That remains critical and we ask everyone to play their part… we’re moving now because the advice we have is we don’t have widespread transmission across Auckland, if everyone continues to play their part we can stamp it out,” she said.

    Dr Bloomfield said the ministry was confident there was not widespread undetected transmission. The difference with level 3 this time was it came with high and increasing levels of vaccination, he said.

    Ardern reminded people that in level 3 they could make minor changes to bubbles such as bringing in an elderly relative who was not part of another bubble, but should not visit friends or break bubbles.

    “Once in a household everyone is at risk of getting delta, so if you break your bubble, know that the consequence may be spreading covid back into your house to your loved ones,” Ardern said.

    Masks mandatory at high schools
    Schools in level 3 would be largely closed. Cabinet had made the decision to make masks mandatory at high schools at alert level 3, Ardern said.

    People attending an essential service must also wear a mask, and people were encouraged to do so whenever they leave their home.

    People over 65 in Auckland should stay home until they had been vaccinated, she said.

    “We have been doing direct outreach to all our over-65s who haven’t had their first dose yet in Auckland. That amounts to about 23,000 people.

    “Last week a letter was sent to those over-65s who we had details for. Today we’re commencing an outbound call campaign… these will average about 8000 calls a day.”

    People with a booking in the future could bring it forward, she said, adding pharmacies were offering delivery services, as were supermarkets.

    People travelling over the boundary for personal reasons were now being required to carry evidence of having taken a test within the last seven days.

    Exemptions were available through the Ministry of Health.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ News

    A testing centre is being set up at a marae in New Zealand’s Waikato settlement of Kaiaua today after three community cases of covid-19 were confirmed in the region.

    They are household members of a man with the virus who is in remand at Mount Eden prison in Auckland.

    The Ministry of Health said two of the cases went to Mangatangi School and one had symptoms while there.

    The National Māori Pandemic Group says the new cases mean Cabinet must keep Auckland at level 4 and include Waikato, and wants the upper North Island in level 3 as a precaution.

    Te Korowai Hauora o Hauraki says drive-in swabbing will be done at Wharekawa Marae in Whakatīwai.

    The government is due to announce any possible alert level changes this afternoon and it is unclear how the development in Waikato will affect its decision.

    ‘Irresponsible,’ says mayor
    Waikato District Mayor Allan Sanson said the prisoner should never have been bailed outside Auckland to the area where cases of covid-19 have now been discovered.

    The prisoner spent more than a week there on electronically-monitored bail.

    The infections were discovered after the man returned to prison in Auckland and tested positive for the virus.

    Sanson told RNZ Morning Report it was “totally irresponsible” to send a prisoner on bail outside the lockdown boundary and into the small community.

    “There needs to be questions asked as to why it actually happened,” he said.

    “I would have thought if you were bailing somebody you would have bailed them into Auckland, and not out of the Auckland area.

    “They don’t let anyone else out of Auckland into a level 2 area without them having tests now, so what’s the difference with this? This person’s been in the community for well over a week.”

    This article is republished under a community partnership agreement with RNZ.


    This content originally appeared on Asia Pacific Report and was authored by APR editor.

    This post was originally published on Radio Free.

  • RNZ News

    As Auckland waits to hear if it will move down an alert level this week, Prime Minister Jacinda Ardern has assured New Zealand the level four lockdown is having an impact, even with a small rise in case numbers in the past two days.

    Ardern and Director of Public Health Dr Caroline McElnay gave today’s covid-19 update from the Beehive.

    There were 24 new cases reported in New Zealand today.

    Yesterday the Ministry of Health reported 20 new community cases of the virus, all in Auckland. The figure was a spike after several days of lower numbers, with 11 cases reported on Friday and 13 on Thursday.

    The government is set to announce on Monday whether the country’s alert levels will be changed.

    Dr McElnay said the ministry would be preparing advice ahead of the decision.

    “We’re still cautiously optimistic that the vast bulk of this outbreak is under control, we’re just dealing with a long tail.”

    Still a risk
    Ardern said level 4 was working and the whole country could see this, but as long as there is a level 3 or 4 situation in Auckland, there is risk.

    “Delta’s tail is long and it is hard.

    “The one thing I would say to Aucklanders: your work has paid off, as you’ve heard from our public health advisors, they consider that we do not have large scale community transmission in Auckland, and that has been because of level 4 and the work that people have done,” she said.

    “So level 4 has played an incredibly important role of getting that outbreak under control. Yes, we still have cases popping up, there’s still work for us to do. But we absolutely factor in how Aucklanders are coping with some of the restrictions we’ve had to date, but also the best way for us to get back to normal as quickly as we can.”

    Ardern said that despite larger case numbers, they continued to be dominated by household contacts.

    “We have had unlinked cases over the course of this week, but many have been subsequently linked over the days that followed.

    “That does still however present some challenges for us — while it means that we can join the dots, those dots do still produce more cases with more household contacts. It means that the tail produced by delta is long, and it is tough, and people will have seen that in our case numbers.

    “But it doesn’t change what we need to do, and that continues to stay at home and get vaccinated.”

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • RNZ Pacific

    The New Caledonian government has extended the current lockdown as well as the curfew, until October as the covid-19 pandemic worsens.

    On Thursday, seven deaths from covid-19 were recorded, the heaviest daily toll since the discovery of the first indigenous cases of the disease on September 6.

    It brings the death toll to 24 since September 6, announced by President Louis Mapou, during a joint speech with the French High Commissioner, Patrice Faure.

    NZ President Louis Mapou
    President Louis Mapou … announced New Caledonia’s 24th covid-19 death. Image: Les Nouvelles Calédoniennes

    A total of 211 people are in hospital, including 29 in intensive care.

    Authorities are extremely worried by the current situation which is why lockdown has been extended until October 4.

    The 9 pm to 5 am curfew has also been extended until the same date.

    President Mapou said: “We must not relax our efforts … to gradually recover a social life that would allow New Caledonia to relaunch itself from October 4.

    “This fight is the fight for life. It requires a lot of sacrifices.”

    Due in particular to the “risk of spreading the virus”, the representative of France “refuses to take the risk of endangering the population.”

    High Commissioner in New Caledonia, Patrice Faure
    French High Commissioner in New Caledonia Patrice Faure … refusing to take the “risk of endangering the population”. Image: RNZ/The Pacific Journal

    Faure also stressed that “given the violence of comments observed on social networks”, this ban also aims to “avoid excesses that could endanger the organisers, participants or passers-by”.

    The public prosecutor had indicated earlier in the day that prosecution would be initiated — especially for death threats made online against doctors publicly supporting vaccination.

    This article is republished under a community partnership agreement with RNZ.

    This post was originally published on Asia Pacific Report.

  • Somebody's forgotten nalgene lies on the ground

    As evidence mounts that hamburger wrappers and other kinds of grease-proof packaging contaminate food with PFAS, states have started banning the toxic chemicals from food packaging.

    Now, a new report provides yet another reason to remove PFAS, or perfluoroalkyl and polyfluoroalkyl substances, from food wrappers: climate and ozone pollution.

    PFAS exposure is linked to immune and developmental system effects, increased risk of preeclampsia in pregnant women, increased risk of kidney and testicular cancers, and higher cholesterol, among other health effects. The Daikin America plant in Decatur, Alabama, which manufactures PFAS used to coat food packaging and textiles, released 240,584 pounds of the ozone-depleting chemical Chlorodifluoromethane (HCFC-22) — the global warming equivalent of one billion pounds of carbon dioxide — in 2019, according to a new report out Thursday from the nonprofit Toxic-Free Future.

    While HCFC-22, used in refrigeration, was banned at the start of last year under the Montreal Protocol, companies are still allowed to produce the compound as a byproduct of making other substances. Advocates say the new report highlights the need to close that loophole — and to use PFAS-free food packaging alternatives.

    “The entire world is scrambling to reduce greenhouse gas emissions before their damage to our climate is beyond repair, yet we are letting a company dump hundreds of thousands of pounds of hydrochlorofluorocarbons into the atmosphere so that it can produce ‘forever chemicals’ that poison our communities?” Peggy Shepard, executive director of the nonprofit WE ACT for Environmental Justice, who was not involved in the report, said in a prepared statement. “Where is the justice in that?”

    Far-reaching Impacts of PFAS Production

    The impetus for the study was to learn more about the impacts of PFAS-containing products before they get to consumers or end up in landfills, Erika Schreder, science director of Toxic-Free Future, told EHN. The researchers found that there appears to be only one plant in the U.S. that makes PFAS for fast food packaging coating.

    Daikin America, which also emits 55,000 pounds a year of the carcinogen tetrafluoroethylene, is the number two emitter in the country of HCFC-22 after the Chemours chemical manufacturing plant in Louisville, Kentucky, according to the report.

    The authors also looked at the upstream pollution from the paper mills that coat food packaging with Daikin’s PFAS product, estimating that each mill releases around 180 pounds of PFAS a day into waterways, with an additional 1,260 pounds ending up in sludge at wastewater treatment plants. “We have to remember that whenever PFAS is used, it’s part of the drinking water contamination problem,” said Schreder, noting that landfills have been a major source of PFAS pollution around the country.

    Health Problems Near PFAS Plant

    Decatur’s PFAS manufacturing plant was originally built in 1961 by 3M, which sold the facility to Daikin America in 2014. Concerns about the plant, and other factories in the industrial area, have been around for decades, Brenda Hampton, a local resident and founder of Concerned Citizens of WMEL Water Authority, told EHN. Hampton and her mother both experienced kidney failure, and residents have come down with unusual forms of cancer and respiratory problems, she said.

    Federal health authorities have tied elevated levels of PFAS in residents’ blood to drinking water contamination downstream of that and another area plant, with Daikin agreeing to pay the local water authority $5 million in 2017 to help pay for a water filtration system, according to the report.

    Last month, an employee at the Daikin America plant died after being exposed to dangerous chemicals on the job, local TV station WAFF-48 reported. Last year, OSHA fined the company $40,482 for alleged hazardous chemical management and respiratory protection violations, according to the new report.

    “In this day and time, we should have [jobs and food] out there that won’t be as toxic to people,” said Hampton.

    The report authors issue a number of recommendations, such as manufacturers paying for PFAS cleanup in affected communities, the EPA banning the production of HCFC-22 as an intermediary in PFAS manufacturing, and restaurant chains removing PFAS from food wrappers. With PFAS already banned from food packaging in states including Washington and Connecticut, some chains, like McDonald’s, have recently agreed to phase out PFAS-coated packaging.

    EHN has reached out to Daikin for comment on the new report.

    This post was originally published on Latest – Truthout.

  • By Lulu Mark in Port Moresby

    Ten people have died from Papua New Guinea’s covid-19 pandemic and 203 new cases were reported in five days from September 9 as National Pandemic Response Deputy Controller Dr Daoni Esorom made a red alert call on Independence Day “super spreader”  events.

    “Papua New Guineans are just not heeding our calls to adhere strictly to public health protocols like masking up and keeping social distancing at the mass events,” he said.

    “There is a high risk of a surge in infections in the coming weeks and months.”

    Esorom urged provinces to be proactive in their covid-19 response.

    “There were shows in Goroka, Enga, Western Highlands and other provinces despite the National Control Centre advice not to proceed.

    “If the events result in a surge of covid-19 cases, the provincial health authorities and administration must be fully responsible. These are super-spreader events,” he said.

    “Money will not run away. At this time [in the face of the Delta variant threat] gatherings should be limited.”

    Appeal to the people
    He appealed to the people — whether they believed that covid-19 was there or not, believed in conspiracy theories or in not being vaccinated — there were two strategies needed to prevent a big surge in the country.

    “The first is observing strictly to the Niupela Pasin (New Normal) which was nothing more than listen and follow.

    “Niupela Pasin is a public health and social intervention that in the long-term will definitely reduce the number of cases.

    “At the same time they are cost effective strategies.

    “It will not cause a lot of money but in the event that we do not follow them,there will definitely be a big surge of the covid-19 infections in Papua New Guinea.

    “If we have to get ourselves out of the epidemic, we need to vaccinate ourselves, and everyone.”

    In an update on Wednesday, NCC Incident Manager Dr Melinda Susapu said two covid-19 deaths were reported on Monday on the back of 130 new cases (120 in Western, three in Hela, two in the National Capital District (NCD) and one each in Morebe, Eastern Highlands, New Ireland, Madang and Jiwaka).

    Deaths now 204
    She said the two deaths were from Western Province which brought the total cumulative deaths to 204.

    The total number of covid-19 cases in the country was 18,542 of which 17,892 had recovered and 448 cases still active.

    “NCC had yet to receive the samples that were sent to the Doherty Institute in Melbourne, Australia, to confirm whether the covid-19 cases reported were of the delta variant because the institute was not able to run tests for the samples (Australia is also experiencing a surge in cases).

    “Of the 130 new cases, 24 were re-infection cases (22 in Western and two in NCD which means these people had contracted covid-19 some five or more months ago and these data will help in understanding the transmission dynamics of covid-19 and whether it was characteristic of Delta.

    “Only eight of the 22 provinces are reporting regularly,” she said.

    Susapa said due to delays in the reports the actual situation in provinces could be grossly underestimated.

    Reporting gaps
    “The surveillance teams are constantly identifying reporting gaps and are working with provinces to ensuring the discrepancies are minimised,” she added.

    Susapu said the total number of covid-19 tests done to date in the country was 182,403 “which is very low”.

    Esorom said it was important that health facilities were conducting testing and people should go for testing because testing was necessary “for us to understand the extent of the spread and for us to respond appropriately”.

    “It is taking too long for the genome sequencing of samples sent to Australia,” he said.

    “Hence, the NCC is working with partners to enable the PNG Institute of Medical Research (IMR) to do that by next month.”

    Lulu Mark is a reporter for The National. Republished with permission.

    This post was originally published on Asia Pacific Report.

  • Thailand’s experience with the COVID-19 pandemic presents a useful case for students and practitioners of politics and public services management to analyse how we have arrived at the predicaments we are now facing. Early in the pandemic, Thailand was seen as having one of the most successful responses to the pandemic in the world.  Moreover, the country has a proven record of achievement in population and public health development. Now, however, the country has been facing a massive COVID-19 surge for several months, and the health system is under enormous strain.

    Soon after the first COVID-19 outbreak hit Thailand in January 2020, Prime Minister Prayut Chan-o-cha established the Centre for COVID-19 Situation Administration (CCSA), headed by the Prime Minister himself. Formed in March 2020, initially, the centre did only what it was supposed to do, i.e., disseminated information to citizens through multiple channels and raised awareness of the dangers posed by the virus and the methods people should use to protect themselves. The responsibility, authority and decision-making power of managing the overall COVID response was delegated to provincial authorities such as governors (who also headed the provincial communicable disease committees), local government organisations, local business leaders and citizen volunteers. They all worked and cooperated as de facto local leaders in Thailand’s initially highly effective response to the pandemic.

    Historically, the success of public health services in Thailand is attributed to a decentralized management approach. However, after the early phases of the pandemic, the central government concentrated the power of issuing directives pertaining to measures regarding COVID solely to the CCSA, centralising the country’s entire antivirus program and overriding the decision power of even the Ministry of Public Health. To make matters worse, the CCSA has often issued what seem to be more like public relations statements in reaction to the latest crisis, rather than policies in anticipation of the next. This has weakened Thailand’s ability to respond effectively, and the number of deaths and new infections have risen to new extremes.

    Moral economies: the politics of donation in Thailand under COVID-19

    During the pandemic, “immodest” or ungrateful receiving by the poor has been strongly denounced both by the state and middle-class donors.

    In April 2021, as the third wave of the pandemic hit, the cabinet granted Prime Minister Prayut Chan-O-Cha sweeping powers over the management of the pandemic. Since then, the government has come been criticised for limiting vaccinations to Sinovac and AstraZeneca and faced demands to reveal the details of the contracts between the government and vaccine suppliers of the vaccines. In response, the government first attempted to pacify the public by releasing an unofficial message that it had also approved the Pfizer and Moderna vaccines, but anticipated difficulty in securing these vaccines due to surges in worldwide demand. Recently, we have seen more confusion with the announcement that there will be a policy of mixing Sinovac and AstraZeneca jabs despite the WHO’s concerns over the lack of trials of such a mixed approach.

    Citizen trust in Thailand’s political system has been seriously affected by the problems in the handling of the pandemic. This specifically pertains to the CCSA, which is headed by the Prime Minister and comprised almost exclusively of ministers and heads of departmental level bureaucratic agency. They all must act properly to redeem public faith.

    They also should not be pretending that what they are doing and how they are doing it can lead the country out of the disaster just by virtue of their saying it is so. They need to be honest with citizens and they must realise that they are not superhuman.

    They must also be cognisant of the importance of delegating responsibility, authority, and decision-making power to all stakeholders. They must create synergies between society, economy, and democracy. As noted earlier, Thailand was quite successful during the first wave of the COVID-19 pandemic when the national government essentially left the response to the local and provincial levels and took more of a facilitating role, supporting these local efforts. It should be left to provincial governors to work with local authorities to develop a strategy that works for their areas.

    In addition, they should understand, appreciate, and foster positive relationships with, and shared values of, different actors for the common goal of dealing with the physical, psychological, spiritual, and economic wellbeing of the citizens. The CCSA must rely on scientific facts and research findings in formulating their policy guidelines, which has not been apparent in the past. This will justify their decisions and remove politics from the equation, at least as far as that is possible in Thailand.

    The CCSA must be courageous enough to experiment or embrace new ways of operating while basing these policies on accepted research and scientific findings. They must recognise that there are a wider variety of vaccines that should be offered to the people and make a serious effort to acquire enough of these vaccines and to distribute them fairly. It is time to stop serving the patrons who put them in power and start attending to the betterment of all the citizens of Thailand. It is time to be responsive to the needs of the constituents and be true leaders rather than run-of-the-mill politicians. It is time to give up being in control and to return autonomy to the local administrative organizations to deal with the pandemic as they have proven they can. Support them and get out of their way.

    The post Leadership does matter: Thailand’s COVID-19 response appeared first on New Mandala.

    This post was originally published on New Mandala.

  • By Timoci Vula in Suva

    Fiji will lift the covid-19 pandemic containment borders everywhere on the main island of Viti Levu from 4am tomorrow, Friday, September 17.

    Prime Minister Voreqe Bainimarama announced this tonight, fulfilling what he had declared earlier last month that the borders on Viti Levu would be lifted once 60 percent of the targeted Fijian population was fully vaccinated.

    He said domestic travel would be open everywhere on Viti Levu.

    “Inter-island travel, however, will remain highly controlled, including to Vanua Levu, until we achieve higher vaccination coverage in Vanua Levu and our outer islands,” Bainimarama said.

    “With domestic travel open, public service vehicles will be able to operate at 70 percent capacity.”

    Bainimarama said employers who were required under covid-safe measures to transport staff to and from work would no longer need to do so.

    The curfew hours for Viti Levu will be from 9pm until 4am.

    The PM announced tonight that 62 percent of all adults in the country were fully vaccinated and more than 97 percent had received their first dose.

    He said this meant Fiji was “quickly becoming one of the safest countries in the world”.

    “With well over half of adults in Fiji fully vaccinated, our Covid-19 Risk Mitigation Taskforce — which includes our top medical and policy experts — has developed a careful framework that details the next phase of our response.”

    Timoci Vula is a Fiji Times reporter. Republished with permission.

    This post was originally published on Asia Pacific Report.