What if we killed all the mosquitoes?

It appears that a malaria vaccine will not be available for some time. According to Reuters,

“The world’s first potential malaria vaccine proved only 30 percent effective in African babies in a crucial trial, calling into question whether it can be a useful weapon in the fight against the deadly disease.”

Reading this reminded me of my own illness with malaria at the end of summer.

Back in September I contracted malaria while on a short trip back home in Kenya. Due to malaria’s incubation period I only started feeling sick after I was back in Palo Alto. My illness set off a total freakout at the Stanford Hospital. No less than four medical students, besides the crowd from the infectious disease unit at the hospital, passed by my hospital bed to ask the EXACT same questions (And of course they wanted to keep me overnight. They had an IV drip already installed in my arm. I tried my best to tell the doctor that I didn’t think I needed to be hospitalized to no avail.) The nurse who took my vitals put a mask on my face the moment I told her that I had malaria (I had to restrain myself from reminding her that malaria is not airborne). A week later the Santa Clara county infectious disease office called me to get my details and ask me if I was feeling better – The government wanted to know where and how I got malaria (The grad student in me was fascinated by this level of state capacity).

A few weeks before my Kenya visit I was in Fort Worth, TX. This was at the height of the West Nile virus outbreak that killed dozens of people. At the time the health authorities in the Dallas-Fort Worth area were in the middle of spraying the area to kill all the vectors (mosquitoes). My girlfriend reminded me of the fact that as recent as when her parents were growing up in Grand Prairie, TX much of the American South still had to be sprayed regularly (with DDT) to get rid of disease-bearing mosquitoes.

The reason I recounted these stories is to illustrate the fact that there is an alternative to pouring tons on money on vaccine research or bed nets. Yes, these may result in cool scientific discoveries or provide excellent opportunities for social scientists to get published on their RCT findings. But the reality is that millions of people are still dying.

Instead of asking those living in high disease burden environments to change their behaviors and sleep under mosquito nets, how about we get rid of the mosquitoes??

If it worked in the American South, and many other places, why can’t it work in Africa?

I would very much love to live in a place free of malaria. Because of my age and health, my malaria infection at the end of summer was a mere nuisance – muscle aches, head aches and fatigue. But for millions of children and post-natal mothers across much of tropical Africa malaria is a fatal disease.

But is DDT the answer? Haven’t we been made to internalize the evils of DDT?

It turns out that what we know about DDT might not be the whole truth. As Gourevitch argues, the environmental impact of DDT might have been overblown by the environmentalists.

Writes Gourevitch:

“Around the same time, the U.S. government launched an ambitious DDT-centered malaria eradication project which by the early ’60s had virtually eliminated malaria from Southern Europe, the Caribbean, and parts of East and South Asia. (In India, for example, annual deaths went from 800,000 to zero.) At the time, DDT was thought to be such an effective and useful substance that in 1948, Muller received a Nobel Prize in medicine. “To only a few chemicals does man owe as great a debt as to DDT,” declared the National Academy of Sciences in a report in 1970. “In little more than two decades, DDT has prevented 500 million human deaths, due to malaria.”"

Adding that:

“But over the years, mainstream scientific opinion has absolved DDT of many of its supposed sins. Indeed, the Stockholm Convention partially backfired because it brought to light a slew of studies and literature reviews which contradicted the conventional wisdom on DDT. Like nearly any chemical, DDT is harmful in high enough doses. But when it comes to the kinds of uses once permitted in the United States and abroad, there’s simply no solid scientific evidence that exposure to DDT causes cancer or is otherwise harmful to human beings……

Not a single study linking DDT exposure to human toxicity has ever been replicated.”

But even assuming that the effects were as bad as they were claimed to be, shouldn’t we as humans be able to decide on the relative importance of human lives versus bald eagles?

How many children should be allowed to die so that bird watchers can better enjoy their Sunday afternoons?

There is no way around the basics: Development will take time

I just read Chris Blattman’s response to the UK Prime Minister’s op-ed in the Journal. It reminded me of a lot of the things that I have been reading lately in preparation for my fieldwork (My dissertation will tackle the subject of legislative (under)development in Africa, with a focus on the Kenyan and Zambian legislatures).

Cameron’s sentiments in the op-ed are emblematic of the problems of development assistance. Like in all kinds of foreign intervention, developed states often try to externalize their institutions (and more generally, ways of doing things). These attempts often ignore the lived realities of the countries being assisted.

Forgetting the history of his own country (think autocratic monarchs, monopolies, limited suffrage), Cameron thinks that democracy, human rights and free markets (all great things) will magically create jobs in the developing states of the world. They don’t. In fact, they often lag the job creation process. For development assistance to be effective it must eschew these feel-good approaches to the problem of underdevelopment.

Blattman is spot on on a number of points:

  1. Unchecked leaders are bad for economic development (this is why I am so much into PARLIAMENTS!!!): Also, democracy is NOT synonymous with limited government. Heads of state like Queen Victoria or Hu Jintao or Bismarck or even Seretse Khama were in no measure democrats. However, they reined under systems with strong (sometimes extra-constitutional) checks to their power. That made a difference.
  2. Institutions rule, yes, but the right kinds of institutions: 1688 moments do not drop out of the sky. They are often preceded by decades if not centuries of civil strife, economic change and plain old learning. Institutional development takes time. Plus each society requires its own unique and appropriate mix of institutional arrangements to meet unique economic and social needs. A procrustean approach to institutional development (embodied in global capacity building) will inevitably fail. Institutional development must never be allowed to be captured by those who think that we can transform Chad simply by having them adopt Swedish institutions.
  3. Growth will require creation of jobs, i.e. industrial development: The poor countries of the world need real jobs for high school-leavers and other less educated people. The present focus on the “sexy” entrepreneural sectors – whether they are small businesses for the poor or tech hubs for the very highly educated – as the engines for growth in the developing world is misguided. I reiterate, starting a business is a very risky venture that should be left to the wealthy and the occasional dare devil. The poor in the global south need stable 9-5 jobs. Lots of them.

And lastly, where do strong institutions come from? There is no easy answer to this question. What we know is:

  1. History matters: Present countries with a long history of stateness have a better track record of building strong institutions for development. Yes, they may not always be democratic, but countries with a long history of centralized rule have strong states (and institutions) that deliver for their people (for more on this see Englebert and Gennaioli and Rainer).
  2. Democracy does not always create strong institutions: Since 1945 many have chosen to forget the fact that universal suffrage is a pretty recent phenomenon in the political history of the world. For the longest time world polities were ruled by power barons who held de facto power (as opposed to the procedural de jure power in democracies). When democracy came along after the Enlightenment the resulting structures of rule often reflected these de facto configurations of power. Over time institutions in these countries were cemented enough to allow for complete outsiders like say the current president of the United States to be elected without upsetting the balance of power (in another era he would have had to have mounted a coup). This is the challenge of the democratization in the new post-WWII states. How do you make democracy serve the interests of the people, rather that purely that of the elite? How do you use democracy to create strong institutions? Is this even possible? And if not, what other options do we have?

jacob zuma: why crash so soon?

Update: President Jacob Zuma agrees that he fathered a child out of wedlock with the 39 year-old daughter of one of his friends. Mr. Zuma is 67. In his statement the President said that he had done the “cultural imperative” of admitting to having fathered the child. A few suggestions for Mr. Zuma and those around him:

- having three wives is bad enough. Concentrate on the job. South Africans are looking up to you

– please fire your communications director. You are really bad with PR

– you are embarrassing the entire Continent. Not just yourself and your immediate family but the entire Continent. The whole 700 million of us.

The BBC reports that Jacob Zuma may have fathered a love child last year. The South African president just recently got married for the fifth time (he has three wives). He is estimated to have about 20 children. Recently when confronted about his rather colorful matrimonial situation Mr. Zuma shot back with the claim that anybody who was against polygamy was a cultural bigot.This is total horse manure. Mr. Zuma should know that culture is not static and that an attack on his wayward habits is not an attack on Zulu culture.

Until recently Mr. Zuma had exceeded expectations. His cabinet appointments (i thought) signaled his pragmatism. He stayed clear of the incendiary demagoguery that characterizes the ANC’s youth wing leader, Julius Malema. Even the media had warmed up a bit to the man who had to wiggle out of corruption and rape charges to become president. For a moment I thought that Mr. Zuma was going to be the nice blend of populism and realistic politicking that had so much eluded the intellectually aloof Thabo Mbeki. South African land reform, a fairer redistribution and creation of wealth (through a more transparent BEE and faster job creation), a reduced crime rate, etc etc seemed somewhat doable because the core of his base was the working class. But as is fast becoming apparent, it appears that the man has decided to let his personal life interfere with his job. I hope this latest incident will embarrass the ANC enough for the party to ask Mr. Zuma to go easy on the distractions and concentrate on his job.

Update: This is the last thing that SA and its ailing economy needs. The tabloid-like headings are soiling the SA presidency.

some good news from Guinea

Abubakar  Diakite, the guy who almost assassinated Guinean dictator Moussa Camara, should be handsomely rewarded. Well, unless he was actually responsible for the massacre of more than 150 pro-civilian-rule opposition protesters last year in which case he should be tried for crimes against humanity and locked away for life. Either way his actions may have put Guinea on the path towards civilian rule. Capt. Camara has agreed to “voluntary exile” (yeah right) in Burkina Faso. His henchmen (now led by his second in command) have also agreed to hand over power to civilians after a six-moth transition period. All active members of the armed forces are barred from running in the elections to be held in six months. This is a good start, although things may yet change.

In other news, the Senegalese President (Abdoulaye Wade) is not smart. Haitians do not need Senegalese land. Haitians need to get their act together in Haiti. He is like the bleeding hearts who are willing to help strangers in foreign lands while their own relatives starve. Senegal has an income per capita of $1600. Life expectancy stands at 59 years. The country also has the 40th worst infant mortality rate in the world. Mr. Wade’s nonsensical grandstanding is an embarrassment.

please do away with the “omnipresent smells of donkey dung”

Big business and economic development in “pristine lands” is awful. Especially if you grew up with the comforts of indoor plumbing and general over-abundance of the purest hedonistic-capitalist kind. It is only when you have the choice to pop in and out of “tropical obscurity” that you would find the intellectual courage to defend a way of life that is just above that of man circa 1750 A.D. Suddenly you find yourself forgetting the basic fact that it is underdevelopment that makes infant mortality, HIV infection rates, gender inequality and a whole lot of other maladies most acute in your presumed tropical paradise.

I am beginning to read things to the effect that the development of a port in Lamu (Kenya) is bad – both for the environment and the local people and their culture. I don’t buy most of the stuff though. The likes of Gettleman want us to believe that people in places like Lamu are inherently anti-development. According to him the people of Lamu “say they are not especially well suited for the mechanized world.” Good for them. They would much rather live with the “omnipresent smells of donkey dung” than have a modern port constructed in their district. This is total horse manure.

Firstly, the environmental costs of having a modern port in Lamu will surely be outweighed by the socio-economic benefits. Oil exports from Uganda and Southern Sudan, among other trading opportunities in the wider region will surely create jobs in the area. Secondly, why should we assume that exposure of Lamu culture to the wider (albeit still not completely apparent) Kenyan Culture is necessarily bad? Aren’t cultures supposed to change with time? Plus if Lamu culture cannot keep up after such an encounter it should be allowed to go the way of the dodo. That is why we build museums.

If it can be done – as it should – the construction of Kenya’s second port in Lamu should be a foregone conclusion. The Kenyan government should make this crystal clear to all the environmentalists and anthropologists concerned.

climate change madness, and bad research

Climate change is real, no doubt about that. But making inferences like this one from observed climatic patterns does not make any sense. It is almost offensive.

quoting the piece….

“Climate change is likely to increase the number of civil wars raging in Africa, according to Stanford researchers. Historical records show that in warmer-than-average years, the number of conflicts rises. The researchers predict that by 2030, Africa could see a greater than 50 percent increase in civil wars, which could mean an additional 390,000 deaths just from fighting alone.”

There are several things that are wrong with this inference. From the start, attempting to predict future patterns of conflict based on past experiences is highly problematic. Unless we presume that Africans are irrational in their violence, there is no reason to infer that they will naturally fight because of the predicted adverse effects of climate change. Past wars had a myriad causes – chief among them state failure. Most of these causes no longer obtain and may not obtain in 2030.

I have not read the actual paper but will sure do so as soon as I can get it and then comment some more about it. For now all I can make of it is: we should save the environment or else the Africans will kill themselves. This is what I call a heap of horse manure.

sunday editorials that I liked

As usual, Mutahi Ngunyi has a provocative piece in the Sunday Nation. I am sort of sympathetic to his idea of ethnic suicide (by which he means dumping ethnic identities and what they stand for) – I was in Eldoret and Timboroa for two days this summer and saw with my own eyes the fruits of ethnic hatred. The short-term operationalization of the idea may be problematic though. To make Kenyans out of Luos and Kikuyus and Kalenjins will take time. Because of this the process of “ethnic suicide” ought to take place sub-consciously, for if it is “managed” the end results or the process itself may be nasty.

Gitau Warigi pours some cold water on Bethuel Kiplagat’s TJRC. I like his argument. I am always baffled by how much we spend on such useless commissions only to be rewarded with “classified reports” issued to the president.  Philip Ochieng‘ has an interesting piece on ethnicity and politics in Kenya. I wonder how many politicians read his column… And Kwendo Opanga just gave me one more reason to think that Vice President Kalonzo Musyoka is as misguided as ever. This is not to say that the alternatives to Mr. Musyoka in the post-Kibaki dispensation are any better. Woe unto Wanjiku.

And in other news, is this legitimising crime or what?

lessons not learned

It has been 25 years since the 1984-85 Ethiopian famine that inspired Bob Geldof and Midge Ure to write the song do they know it’s christmas?

The Ethiopian government is marking the anniversary in the most appropriate way: by appealing for food aid from the international community to assist the more than 6.2 million of its citizens who are faced with starvation sans food aid. Yes, over the last 25 years the government of Ethiopia has not been able to put in place systems to guarantee its people food security. It is almost like 1985 never happened. Agriculture  (which is dominated by coffee) accounts for over 40% of GDP and makes up 60% of Ethiopian exports (CIA factbook). Now, I am no expert on agricultural economics or on Ethiopia per se but I am willing to bet a few hundred shillings that Addis must be favoring cash-cropping over basic food security. I guess it is just a lot easier to tax coffee exports than peasant agriculture – especially if you have an expensive autocratic system to maintain.

I say food aid should be conditioned on Meles Zenawi loosening his grip on power. Just like food aid during the last famine helped prolong the civil war at the time (see Alex de Waal), giving Zenawi food aid without any preconditions will just continue to perpetuate the very system that has been unable to guarantee food security for Ethiopians. Sen’s beliefs on autocracies and famines are partly true. Ethiopians continue to have these cycles of famine because Addis does not have to listen to the average peasant in Afar.

This does not mean that we should heartlessly sit back and watch millions of people die. No, those that can should assist as many people as is possible. However, while at it, the international community should insist on fairer government in Addis. It doesn’t have to be about regime change through elections or those other democratic stuff. All is needed is a guarantee of the chance for average Ethiopians to live decent lives without having to worry about major famines every decade or so.

links that I liked

Taking a break from Collier and Hoeffler and Crawford Young (and into my third cup of tea for the night) I came across the following links…

William Easterly has his usual skepticism when it comes to practitioner-certainty in the field of Economics. How I wish I had time to read the two books he is banging on about in the New York Review of Books.

This result of a World Bank funded project is sort of long-ish, but I liked because one of the authors is a fellow student at the department – and because it touches on something that I care about. I can’t wait for the time I shall be doing similar fieldwork…

And Texas in Africa has a piece on Somalia that is asking the right questions. Is it time for the US and the rest of the world to call Al Shabab to the negotiating table? May be not.

cannibals in zimbabwe?

The economist reports…

“On one occasion, 15 armed invaders, banging on metal objects and chanting war songs, forced their way into Mr Freeth’s house, threatening to burn it to the ground, kill the two men present, rape the women and eat the three children asleep in their beds. Thanks to an earlier beating, Mr Freeth, an emaciated, soft-spoken man of 40, has never recovered his sense of smell. Mr Campbell, 76, was so badly thrashed that his memory is impaired.”

I had absolutely no idea that Zims were into eating little children. But then again it could just be a case of some air-head Economist reporter (and his/her editors) clinging to the notion of cannibalistic Africans irrationally inclined to commit rape and murder. May they soon realize that the world has moved on.

And dwelling on the issue of white farmers in Zimbabwe, I think it might be time for everyone to look at the facts and accept the truth for what it is. It is true that Robert Mugabe and his marauding thugs have committed economic and other crimes by dispossessing thousands of white Zimbabwean farmers of their land. But it is also true that a tiny section of Zimbabweans who happen to be white own(ed) a disproportionate percentage of the arable land in the country. Add into this imbalance the fact that the land may have been acquired through questionable means a few decades back by the ancestors of these farmers and you have yourself an explosive situation.

It is no wonder that even Morgan Tsvangirai (the reformist Premier of Zim) is, according to the Economist, “blowing hot and cold” on the issue. He knows that he cannot, with a clear conscience, defend the system of land ownership that exists in Zimbabwe.

I am in no way supporting violent seizure of land in Zimbabwe. All I am saying is that there is a case for radical land reform in the country. And this is not a question of race and/or ethnicity. I have seen the same tensions in Kenya – where squatters have clashed with fellow Kenyan ( indigenous) owners of large tracts of land. I am totally against illegal redistribution of land. But at the same time I cannot defend an obviously unjust system of land ownership.

It is sad that Mugabe’s illegal (and at times murderous) repossession of land in the country has overshadowed the real land problem in Zimbabwe – to the extent that even a somewhat respected newspaper like the Economist feels no shame in allowing a subliminally racist line like the one quoted above in its pages.