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?

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.

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.

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.

gettleman does it again

Do not get me wrong. Jeffrey Gettleman’s story on the famine in Kenya is as important as any other article on a humanitarian disaster. It is his delivery that sucks. In typical Gettleman fashion (more about his style here and here), the article is full of sensationalism that does not belong in the Times. He goes way out of his way to depict all Kenyans as hapless, passive victims of the weather and their ineffectual government.

“The aid community here has been predicting a disaster for months, saying that the rains had failed once again and that this could be the worst drought in more than a decade. But the Kenyan government, paralyzed by infighting and political maneuvering, seemed to shrug off the warnings.”

Lines such as these are meant to convey the message that ordinary Kenyans – meteorologists and even some civil society organizations or even the Kenyan media – have had nothing to say about the famine that is affecting the country. It is the do-gooder foreigners who know it all that have warned the intransigent government. It is the same foreigners who are expected to send in food aid to help the dying Kenyans. Nothing is ever said about local initiatives to mitigate the disaster. That would give agency to Kenyans, and nobody really wants to read about that.

Instead we are told that “Turkana men are abandoning families, simply vanishing into the desert because they cannot face the shame of being unable to feed their children.” And the story would not be complete without the mention of tribal conflict. So even though it is obvious, and quite rational, that in times of acute scarcity there would be conflict over resources – and even Mr. Gettleman acknowledges this – there is still subliminal hints to an irrational ethnic conflict between the Turkana and the Pokot. Again, nobody wants to hear about rational people fighting over resources. No, being in northern Kenya is like “stepping back in time.” The place is full of starving people who engage in irrational tribal wars. This is the much more sexier story.

May be I am holding Gettleman to too high a standard. After all he is an American lacking enough knowledge of local conditions to appreciate the nuances involved even in the midst of such disasters. But he is the Times’ bureau chief and because of that people take what he writes seriously. There must be a more humane way of telling the world about the problems afflicting the inhabitants of the arid and semi arid parts of Kenya.

ruto is a disappointment over mau

Leaders are meant to lead – to set the agenda and make people believe that what is good for them is exactly what they need. On this count, Agriculture minister William Ruto has failed as a leader. On the issue of Mau Forest, he is increasingly sounding like a mad populist out to gain political mileage at the expense of millions of Kenyans – including those that he is purportedly protecting.

That deforestation in the Mau is causing the drying up of vital water sources – 12 rivers included – is no longer contested, not even by Mr. Ruto himself. I therefore do not understand why he is still against the eviction of those who illegally acquired land in the forest. The government has already agreed to compensate small holders (with title deeds) who were cheated into buying land in the forest. But wealthy Kenyans who acquired land in the Mau due to their connections to the Moi Administration should not be given a cent. In any case they should be investigated.

I say it is time that Mr. Ruto acted as a leader and made the case to his constituents that saving the Mau is in their best interest. This is the least he can do if he really aspires to be seen as a respectable national leader rather than an over-glorified tribal chief.

another african big man won’t leave

Mamadou Tandja, the president of Niger, yesterday announced that he will ignore a court order against a referendum on whether to extend his rule or not after his term expires later this year, adding that he will continue to rule by decree. Mr. Tandja has been in office since 1999 and is constitutionally barred from running for a third term. His second term ends later this year. The country’s parliament was dissolved in May. It is unclear whether parliamentary elections scheduled for August 2oth will be held.

Niger, a nation of 15 million, is one of the poorest countries in the world. Its per capita income is US $700 despite being a major uranium exporter. Most Nigeriens depend on subsistence agriculture for their livelihood in this mostly desert country. Ever shortening drought cycles, continued desertification in the Sahel and a rapid population growth have conspired to retard meaningful economic development.

It’s weird how things never change. We have heard this story countless times in many an African country. President Tandja belongs to the crazy bunch running the Continent who see themselves as irreplaceable demiurges entitled to rule for life. What amount of hubris would make a scarcely educated 71 year old man think that there is no one else in a country of 15 million that can fill his shoes? And given the dismal state of Niger’s economy it can’t be that hard to outdoor Mr. Tandja. He should simply go home.

rather alarming developments

I just read this article on the Economist website on the security situation in Southern Sudan. The piece reminded me of posts I made on this blog a while back about nomadic pastoralism and other supposedly “African” ways of life.

The strongly worded emails that I got over these two posts notwithstanding, I still stand by them. I think that it is time we woke up and faced the truth. Subsistence agriculture, nomadic pastoralism and the isolated rural life that characterizes most of Africa are inefficient at best and the real causes of African poverty at worst. Economic history shows that the percentage of a state’s population involved in agriculture is inversely proportional to per capita GDP. Forgive the cliche, but numbers don’t lie (at least not all the time).

Now I am not advocating for Soviet-style relocation of whole populations or anything close to that. But African governments ought to be cognizant of the above mentioned trend and so offer incentives to their nomadic communities to settle down (plus it easier to provide public goods to sedentary populations)  and encourage rural farmers to consolidate their production.

I say this with a firm belief in agriculture as a pillar of economic development. Again, the history books show us that agriculture, textiles and construction comprise the holy trinity of economic development. This was true for England during the Industrial Revolution in the mid 18th century and is still true today. Starving, unclothed and homeless people will not magically start thinking about how to land a man on Mars.

obama is coming to Africa

US President Barack Obama is scheduled to visit Accra, Ghana in July of this year. Mr. Obama will hold talks with his Ghanaian host Mr. Atta Mills, the President of Ghana. Accompanying Mr. Obama will be his wife Michelle. This will be the Obama’s first trip to Sub-Saharan Africa since Barack Obama, the son of a Kenyan, was elected president of the United States.

It is my hope that besides the expected fanfare that will greet the Obama’s in Accra there will be a sober discussion of the problems afflicting millions of Sub-Saharan Africans – from poverty, to aids, to conflicts to poor governance. I hope that the US president will be as candid as is diplomatically permissible in telling African leaders to style up and realize that the region will continue to remain the global backwater if they do not stop their kleptocratic ways.

I also hope that the president will talk frankly about US commitment to improving living conditions in Africa by allowing for more free trade between the Continent and America (and please do something about the farm subsidies that are killing Global South farmers, Mr. President). President Obama will also most certainly continue former president Bush’s generosity to Africa in tackling AIDS, TB and Malaria through PEPFAR – although minus Mr. Bush’s crazy (religious??) objection to the use of contraceptives in the fight against HIV/AIDS.

I dare say in advance, Akwaba Mr. and Mrs. Obama.