The world’s largest measles outbreak has killed over 4000 people in the DRC

This is astonishing news:

The world’s largest measles outbreak has killed more than 4,000 people in the Democratic Republic of the Congo this year, according to UNICEF.

The agency found that 203,179 measles cases have been reported throughout the country’s 26 provinces since January, according to UNICEF, including 4,096 deaths. Seventy-four percent of infections and nearly 90 percent of deaths have been children under the age of five.

According to the WHO:

  • Even though a safe and cost-effective vaccine is available, in 2017, there were 110 000 measles deaths globally, mostly among children under the age of five.
  • Measles vaccination resulted in a 80% drop in measles deaths between 2000 and 2017 worldwide.
  • In 2017, about 85% of the world’s children received one dose of measles vaccine by their first birthday through routine health services – up from 72% in 2000.
  • During 2000-2017, measles vaccination prevented an estimated 21.1 million deaths making measles vaccine one of the best buys in public health.

The measles outbreak in the DRC is attributable to low immunization rates due to the country’s weak public health infrastructure. According to the UNICEF:

measles.png“We’re facing this alarming situation because millions of Congolese children miss out on routine immunization and lack access to health care when they fall sick,” said Beigbeder. “On top of that, a weak health system, insecurity, community mistrust of vaccines and vaccinators and logistical challenges all contribute to a huge number of unvaccinated children at risk of contracting the disease.”

Two doses of the measles vaccine are recommended and roughly 95 per cent of the population needs to be vaccinated to ensure immunity and prevent outbreaks, according to the World Health Organization.  In DRC, measles immunization coverage was only 57 per cent in 2018.

Emergencies like these are reminders of the unfinished business of state-building in most of the Continent, and not just post-conflict states the DRC.

On the promise and perils of the proliferation of provinces in the DRC

The DRC is huge. And so in 2015 the country saw an increase the number of provinces from 11 to 26. The provinces have elected assemblies (5 year terms) and governors & deputy governors (elected by provincial assemblies). However, while reasonable people would agree on the need for this increase in the intensity of government in the DRC, it has also not been lost on observers that considerations over political geography informed the decision on how the old provinces were split.

This is from Pierre Englebert:

One of the reasons for the increase from eleven to twenty-six provinces was to break up Katanga and deprive its governor, key Kabila opponent Moïse Katumbi, of his provincial base. Beyond such political expediency, however, this policy’s main effect has been to create ethnically homogeneous provinces. As Alma Bezares Calderon, Lisa Jené, and I write in a recent report for the Secure Livelihoods Research Consortium, up to eleven of Congo’s provinces are made up primarily of a single ethnic group. This is an increase from three provinces with a single ethnic group prior to this policy.

For Congo as whole, the largest provincial groups now average 46 percent of their province’s population. This evolution has turned politics on its head. At the national level, heterogeneity dominates and no single group reaches 8 percent of the population.Screen Shot 2018-10-29 at 7.39.44 PM.pngWhy the Congolese have reproduced the colonial practice of associating individuals with their territory of origin is somewhat unclear. From the perspective of the Congolese government, people might remain a threat, as they were for the colonial authorities, and thus must be disempowered when not in their customary sphere, so as to de ate their citizenship. Attaching people to geographic areas might also foster local divisions, thereby empowering authorities in Kinshasa…

H/T Lahra Smith.

On NYT’s Misguided Nostalgia for Conrad

The smoked monkeys brought the point home. During my first day on a boat on the Congo River, I’d embraced the unfamiliar: how to bend under the rail to fill my wash bucket from the river, where to step around the tethered goat in the dark and the best way to prepare a pot of grubs. But when I saw the monkeys impaled on stakes, skulls picked clean of brains and teeth thrusting out, I looked otherness in the face — and saw myself mirrored back.

I was the real exotica: the only tourist to take this boat in nearly a decade, and the only white woman, as far as the crew knew, ever. Expect to be kidnapped, people had warned me. Expect to have everything stolen and expect every arrangement to go awry. Bring your own mosquito net, waterproof everything twice and strap your cash around your ankle.

These are the opening paragraphs of Harvard historian Maya Jasanoff‘s piece on the Congo River in the Times. In the piece Prof. Josanoff seeks to uncover what has changed (or not) since Conrad was in the Congo a century ago. She has a forthcoming book titled The Dawn Watch: Joseph Conrad in a Global World.

The piece reads like a satirical rejoinder to Binyavanga Wainaina’s How to Write About Africa.

Why did Jasanoff decide to embark on this mission? In the third paragraph we find out:

The Democratic Republic of Congo, I read in my guidebook, was “a huge area of dark corners, both geographically and mentally,” where “man has fought continuously against his own demons and the elements of nature at large.” This, in other words, was the heart of darkness, which was why I had wanted to come.

I would like to think that Prof. Jasanoff consulted more than a guidebook to find out more about the Congo before her trip. But I digress.

The whole thing is worth reading. After which you should write the New York Times editors to let them know what you think.

The point here is not necessarily to call out Prof. Jasanoff, but to highlight what seems to be an insatiable demand at the Times for orientalist pieces on Africa and Africans.

And while on the subject of Conrad and the Congo, a fitting antidote is by none other than Chinua Achebe. In his review of Heart of Darkness, Achebe laments the use of Africa and Africans as background against which Europeans act out their neuroses:

Africa as setting and backdrop which eliminates the African as human factor. Africa as a metaphysical battlefield devoid of all recognizable humanity, into which the wandering European enters at his peril. Can nobody see the preposterous and perverse arrogance in thus reducing Africa to the role of props for the break-up of one petty European mind? But that is not even the point. The real question is the dehumanization of Africa and Africans which this age-long attitude has fostered and continues to foster in the world. And the question is whether a novel which celebrates this dehumanization, which depersonalizes a portion of the human race, can be called a great work of art. My answer is: No, it cannot.

Read the whole review here.