More good news on the fight against AIDS

AIDS researchers, many of whom have been meeting this week in Rome under the auspices of the International AIDS Society, are rightly pleased with the progress they have made. In particular, the use of antiretroviral drugs has not only revolutionised treatment of HIV infection, but also offers the prospect of stopping the spread of the virus. In a matter of weeks, these drugs reduce the number of viruses per millilitre of infected blood from millions to less than 50. That deals with both symptoms and infectivity. Unless a patient stops taking the drugs, or goes on to develop resistance to them, he can expect to live almost as long as an uninfected individual.

……. there is a glimmer of hope on the horizon. To deal with dormant viruses several researchers are taking what sounds like a counterintuitive approach. They are trying to wake the viruses up and so boost, rather than reduce, the amount of active HIV in a patient’s body. Their reasoning is that the now-active viruses will either kill the cells they are in (and thus themselves) or encourage the immune system to attack those cells.

That is the Economist in its latest issue. For more on the details of the state of AIDS research go here.

The Economist’s optimism is supported by empirical data. According to the Vancouver Sun:

HIV patients in Uganda who are receiving regular treatment can expect to live a near-normal lifespan, Canadian researchers have suggested in the world’s first large-scale study to examine HIV patients’ life expectancy in Africa.

After studying 22,315 patients who were using combined antiretroviral therapy (cART), scientists from the B.C. Centre for Excellence in HIV/AIDS along with experts at the Universities of British Columbia and Ottawa found that with early initiation and access to regular treatment, those infected with HIV were living about two-thirds of a normal lifespan.

More on this here.

 

African Writing

Every summer when I travel back home I make sure to peruse the latest issue of Kwani? – the literary magazine co-founded by Binyavanga Wainaina.

That is why I was a little disappointed and challenged by the caustic review the Economist gave his latest book One Day I Will Write About This Place. I have ordered the book and I hope it gets here before I leave for Nairobi next month.

The Economist review, in part, says:

Mr Wainaina should not have been encouraged to write in the form of a memoir. He is not the only one to suffer from this. Too many African writers are co-opted by the American creative-writing scene only to be reduced by prevailing navel-gazing. Separately, much of the African writing culture that remains on the continent, including Kwani?, is propped up with cash from the Western donors that African writers purport to excoriate.

Beyond Wainaina’s latest book, the review raises important questions about African writing and intellectual production in general. Half a century of mediocre leadership and almost universal failure across the continent has left many an African writer with little else to write about but poverty, disease, civil war or the blissful survival of these maladies.

But as the Economist review dares to ask: Is it about time African writers and intellectuals began to look ahead? Is it time everyone stopped looking at the past and current problems and focused on the future and how to get there? Is the culture and mentality of merely “staying afloat” a disease that only affects the African political class or is it widespread among the general populace?

Check out the comments on the Economist’s review for further takes on Binyavanga’s book.

You can also read a more favorable review here.

the lion and the panda: still working on the relationship

The ambiguities in China’s relationship with Africa have created fertile ground for politicians. Opposition parties, especially in southern Africa, frequently campaign on anti-China platforms. Every country south of Rwanda has had acrimonious debates about Chinese “exploitation”. Even in normally calm places like Namibia, antipathy is stirring. Workers on Chinese building sites in Windhoek, the capital, are said to get a “raw deal”. In Zambia the opposition leader, Michael Sata, has made Sino-scepticism his trademark.

Much of this is wide of the mark. Critics claim that China has acquired ownership of natural resources, although service contracts and other concessions are the norm. China is also often accused of bringing prison labour to Africa—locals assume the highly disciplined Chinese workers in identical boiler suits they see toiling day and night must be doing so under duress.

Even so, the backlash is perhaps unsurprising. Africans say they feel under siege. Tens of thousands of entrepreneurs from one of the most successful modern economies have fanned out across the continent. Sanou Mbaye, a former senior official at the African Development Bank, says more Chinese have come to Africa in the past ten years than Europeans in the past 400. First came Chinese from state-owned companies, but more and more arrive solo or stay behind after finishing contract work.

Many dream of a new life. Miners and builders see business opportunities in Africa, and greater freedom (to be their own bosses and speak their minds, but also to pollute). A Chinese government survey of 1,600 companies shows the growing use of Africa as an industrial base. Manufacturing’s share of total Chinese investment (22%) is catching up fast with mining (29%).

That is the Economist reporting on the ever-growing Sino-African relationship. The main takeaway point is that Africa is increasingly becoming a manufacturing base for Chinese companies. With that comes transfer of technology, development of local expertise, increased competition and exposure to what’s happening outside the continent. In a few decades Chinese labor will get too expensive to support a robust export-oriented economy. That, coupled with increased domestic consumption in China will provide a good chance for African countries to finally begin their own move towards export-oriented industrialization and service provision.

the political economy of violence

The Economist reports:

YESTERDAY it was Afghanistan and Congo. Today it is Côte d’Ivoire and Libya. Violence, it seems, is always with us, like poverty. And that might seem all there is to be said: violence is bad, it is worse in poor countries and it makes them poorer.

But this year’s World Development Report, the flagship publication of the World Bank, suggests there is a lot more to say. Violence, the authors argue, is not just one cause of poverty among many: it is becoming the primary cause. Countries that are prey to violence are often trapped in it. Those that are not are escaping poverty. This has profound implications both for poor countries trying to pull themselves together and for rich ones trying to help.

Many think that development is mainly hampered by what is known as a “poverty trap”. Farmers do not buy fertiliser even though they know it will produce a better harvest. If there is no road, they reason, their bumper crop will just rot in the field. The way out of such a trap is to build a road. And if poor countries cannot build it themselves, rich donors should step in.

Yet the World Development Report suggests that the main constraint on development these days may not be a poverty trap but a violence trap. Peaceful countries are managing to escape poverty—which is becoming concentrated in countries riven by civil war, ethnic conflict and organised crime. Violence and bad government prevent them from escaping the trap.

Interesting piece. It is particularly important to note that violence affects everyone’s investment decisions, whether rich or poor.

The thing about poor places is that everyone is poor, elite or not.

No matter that Theodore Obiang’s son is buying the second most expensive boat in the world. If he has to hop on a plane to LA to have fun – instead of say, creating Africa’s Dubai in oil-rich Equatorial Guinea – he and his father remain tin pot dictators. The same applies for Idris Deby of Chad, Biya of Cameroon and many others. These dictators may have property abroad but the fact that they cannot accumulate property at home because of structural insecurity of their property rights (a coup is always a crazy junior officer away) continues to confine their countries to penury.

What do you do when even the dictator does not have stable property rights? How can you develop when no one is secure enough to invest in factories?

quick hits

The Economist has a piece on the positive prospects for economic growth in SSA in the next few years.

Business Daily reports that Kenya’s property markets are no longer the exclusive preserve of old money or men, for that matter.

Still in Kenya, investment in higher education may start paying off. The BBC reports on Kenya’s growing outsourcing industry. Now they just have to learn Portuguese and Chinese for when they Brazilians and Chinese start calling to ask how to turn their (unplugged) electrical appliances on.

And lastly, Nairobi is (almost) no longer Nairobbery.

something to think about

I believe that climate change should be tackled urgently. I also think that conservation efforts, especially of forests and water catchment areas should be encouraged by all means. That said, this quote from the Economist Newspaper raises some very important questions about the rank order of priorities. The decision between polar bears or butterflies and people’s lives is a non-decision.

Strict environmental laws cause long delays in building homes. This is nice for endangered butterflies, but tough for South Africans who live in shacks


 

africa is not a country

The Economist reports on a project hatched to rebrand sub-Saharan Africa. Nobody can dispute the need to revamp the image of the Continent to make it be more than just about warring Congolese, corrupt Nigerians, or starving Ethiopians. That said, I am not too excited about the idea of packaging the entire continent as one brand for the following reasons:

1. This effort creates incentives for free-riding. Reforming is hard and therefore Chad will not reform if it can get away with attracting marginal investments because a reforming Central African Republic, through the neighborhood effect, has given it a better image.

2. It is the same Africa-is-one-country paradigm that denies the better performing states in Africa foreign investment and good press. Giving the whole continent a single brand does not solve this problem. Each African country should own up to its failures and not be given incentives to hide under an African umbrella.

For instance, ONLY South Africa deserves to bask in the glory of having hosted a successful World Cup tournament. Chad, CAR, Niger, Somalia, the DRC, etc,  had nothing to do with it. In the same vein, only Botswana, Kenya, Rwanda, Malawi and other reforming African states should tout their respective successes. It is by highlighting these countries’ competencies, without diluting them with the others’ mediocrity, that the image of the Continent will be improved.

debating africa’s growth prospects

The Economist has an interesting debate going on about Africa’s growth prospects. The consensus appears to be that structural factors – such as institutions, culture, colonial history and what not – are the main culprits in the tragic tale of African underdevelopment. I agree. Bad governance, the historical accident of colonialism which halted the natural processes of state formation, among other things such as historical low population densities and a culture that mystifies most things are what continue to deter African nations from realizing their full potential.

Gilles Saint-Paul argues that:

most African countries are trapped at a “low-trust” equilibrium where basic property rights are not enforced and corruption is rampant. Essentially if I do not expect others to fulfil their side of the contract, it is rational for me not to fulfill mine, and transactions eventually disappear

One of my favorite economists, Daron Acemoglu, adds that:

The economic problems of African nations are a consequence of their postcolonial institutions, which are themselves the continuation of the precolonial institutions.

But Lant Pritchett is quick to remind us of the folly of lumping all the sub-Saharan African countries together, pointing out the stark differences between places like Botswana and Somalia or Cote d’Ivoire and Mozambique.

More here.

food for thought…

The Economist reports a scientific finding that links nutrition and disease burden to human intelligence. The findings add to the development debate by suggesting that disease burden, through its effect on brain development, is a significant predictor of a country’s average intelligence level and that this in turn may explain endemic underdevelopment within the tropics. The questionable inferences from the research findings aside (see the comments section of the Economist article) my two cents on this is that it doesn’t matter. Firstly, a low average does not preclude outliers on the right hand side.  And secondly, a country only needs so many Einsteins (Read Debraj and others on the impact of tertiary education on development). Plus after reading Bernstein I can bet that the average Sri Lankan or Chadian is still smarter than the average Renaissance man, despite the latter’s spectacular achievements.

What really matters for economic development are Institutions and the rule of law. These can help countries survive even not so bright leaders – Bush’s America is a good example here. Of course the bigger problem is that it might be the case that you need a high national average intelligence to maintain self-reinforcing institutions that promote development. But even this would be a tough sell given the high variance in institutional capacity across different countries with different disease burdens (contrast Cuba with some of the poorer and sicker but higher ranked countries for instance).

The causal link between poor nutrition, a high disease burden and cognitive development probably exists. But I don’t think that the impact is large enough to explain underdevelopment in the global South. Just until 150 years ago there was not much variation in the average life expectancy across the different regions of the world despite the disparate development levels.

The complete list is here

More on this here

update: Here is a paper that documents the secular increase in IQ levels in Sudan. In light of the above article, poor countries need not worry. It appears that modernization will take care of their low average IQ worries.

Kenyan politicians’ pay

The Economist has a graph comparing politicians’ pay across the globe. After the new emoluments that parliament unanimously adopted last week, Kenya’s crop of thieves poles, and on this list the Prime Minister, would rank at the very top. Shame shame shame. Finance Minister Uhuru Kenyatta and the Prime Minister himself are on record as being opposed to the new salary hikes. It remains to be seen how the Kenyan legislature will react.

internally displaced people in Africa

There are other questions too. Should IDPs stay in rural areas or be resettled in towns? Providing the right amount of assistance is tricky as well. Too much, and an African government risks turning camps into subsidised slums. Too little, and people die.”

The above quote is from this weeks Economist Newspaper. As I have argued before, I think that the move to come up with a framework to protect IDPs on the Continent is a charade. I don’t get how the likes of Mugabe (one of the chief displacers of people on the Continent) are supposed to be entrusted with protecting the same people. Having UNHCR do the job sounds good but is riddled with huge moral hazard problems – as illustrated by the above quote.

Meanwhile, this is the kind of life that many an African autocrat (and soon the effects of climate change) forces his fellow citizens to live.

africa’s population – the economist’s view

The Economist has two interesting pieces on the demographic trends in Africa. The first article notes that the fertility rates on the continent are finally beginning to come down. The second one discusses the chances that Africa will take advantage of the democratic dividend and execute its own green revolution.

As I have argued before, there is a great deal of economic sense in bringing population growth on the Continent under control – at least until people’s life options have been increased enough so that they can make well informed choices on the number of offspring to have. The usual critics of family planning measures – the Church and conspiracy theorists – should take some time to visit slums or rural homes in which overburdened, dis-empowered daughters of the Continent with little or no economic wherewithal run

I reiterate, this lifestyle is not sustainable

The Economist’s Middle East and Africa section has a piece on the plight of those exposed to environemntal disasters due to climate change. The article talks a bit about the nomads of northern Kenya and how their livelihood remain endangered as the place gets drier and the drought cycle shortens. As I have stated before, it is not enough for us to pretend that the type of lifestyles still maintained by the nomads of Kenya, and Africa in general, are sustainable. The simple truth is that they are not. It is 2009 and human beings should not still be living at the mercy of nature, if they can avoid it. It is time these communities were given incentives to start laying the groundwork for a sedentary lifestyle. This is not cultural imperialism or anything. It is what’s practical.

And by the way, it is not condescending to say that nomadic pastoralism belongs in the stateless past when there was no concept of land tenure or stuff like libraries and hospitals and schools that require a sedentary lifestyle. “Incentives” here means some sort of nudge in the right direction. And to be quite honest, sometimes communities might make the wrong choices if the state stays out of their business. If a community chooses a lifestyle that kills half its children before they are five, confines women to the fields and kitchen, promotes high illiteracy rates and is generally backward by universally accepted standards of human life then I believe that the state has a duty to intervene. Now I know that for most of Africa the state is largely unable to do anything, and that is why there are NGOs everywhere (well to some extent). But this (the existence of an interventionist developmental state) ought to be the case.

How we can make the state do what it ought to do is another can of worms. But I think that right off the bat those involved in the development industry should always make it clear that the aim is to guarantee people a decent livelihood and not to merely make them comfortable in their poverty by pretending to “respect” their cultures and ways of life. This faux-respect is the kind of stuff that should never leave anthropology seminar rooms.

And going back to the Economist piece, the clown who wrote that piece should know that talking about the poor of the global south “picking up sticks” in conflicts is not cool. Such a condescending tone does not help anyone. The cheap humor is not worth it.

africa still remains the land of disease, not investment

I am a fan of Business Week magazine. I like the magazine’s short but informative pieces on the state of the world’s economy, especially in these harsh economic times. However, being an ardent Africanist, I am often disappointed by how little coverage there is of the Continent in the magazine. This week’s piece had articles mostly from the US, Europe and Asia – with a few mentions of Latin America, notably Brazil. Africa was nowhere to be seen in terms of investment or economic performance. And this is not just the case with BW. Africa is still largely irrelevant when it comes to global economics – irrelevant in the sense that, with the exception of South Africa, it remains a passive player, being a mere source of raw materials for other regions of the world.

I wonder if anyone in the Continent’s state houses reads any of these international publications. I wonder how many of them look at The Economist’s Middle East and Africa section and hit their heads against the wall thereafter. May be they do, but just don’t give a rat’s behind or don’t know how to begin tackling their nations’ many problems. These are the same clowns who oftentimes complain about the Continent’s negative press. While I agree with them to a point, I think most of the negative press that the Continent gets is well deserved. It is true that way too many African children die before they are five. It is true that most of Africa is still in the 16th century. It is also true that most African leaders are visionless kleptocrats. And most importantly, it is true that Africa remains poor and, objectively speaking, backward not because of her people’s shortcomings but because of poor leadership. Where there is good leadership – like in Botswana and more recently in Mozambique and Tanzanaia – we have seen good things happen.

The Continent has to stop being a spectator in global politico-economic issues. But this will only happen if its leaders take their jobs more seriously. Less sleaze and arbitrary government will definitely help.