Do we ever learn? Collective memory as a blind spot in KNAW report on pandemics

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In its latest advisory report ‘Met de kennis van straks’ (‘With the knowledge of later’), the Royal Netherlands Academy of Arts and Sciences (KNAW) maps out what Dutch science and society need to do in order to be well prepared – and thus ready – for future pandemics. However, the report pays scant attention to macro(economic) issues, which doesn’t do justice to this societal-medical problem, writes Peter van Bergeijk.

Source: Syaibatul Hamdi, Pixabay.

Introduction

If we have learned anything from the COVID-19 pandemic in the Netherlands, it is that it is almost impossible for economists to make clear what our field is about. In fact, debates on economics all but stopped in my home country (Van Bergeijk 2022) [1]. Important insights from economics therefore did not sufficiently feed into other fields of science and policy.

From an economic point of view, the most important question is how to deal with the scarcity that arises during a pandemic. This requires insight into the effects and effectiveness of measures that have been considered and taken. I want to illustrate this with three topics that also provide concrete recommendations for improvement.

 

Be transparent about intended measures

A macroeconomic analysis is indispensable both because of the pandemic, which involves a simultaneous loss of a large part of the labour force, and because of measures including business closures and restrictions on gathering and movement. That up-to-date analyses of a flu pandemic were not ready in the Netherlands is an omission of the major policy institutions (CPB Netherlands Bureau of Economic Analysis and the Dutch Central Bank DNB), because the risk was known. On the eve of the COVID-19 outbreak, the ‘Geïntegreerde risicoanalyse Nationale Veiligheid’ (‘Integrated National Security Risk Analysis’ – ANV 2019) for example reported that a flu pandemic in the near future was both likely (5-50%) and a major threat for society with a significant impact on population and the economy at large.

However, the econometricians at CPB and DNB cannot be blamed for not foreseeing the lockdowns that were suddenly conjured out of the medical top hat in 2020. None of the national and international roadmaps anticipated lockdowns (van Bergeijk 2021a). As a result, not only policy analysts, but also scientists could not anticipate that lockdown instruments would be used. A first important conclusion is therefore that realistic roadmaps should be drawn up – and published – as early on as possible so that analyses of concretely considered (combinations of) instruments can be made in advance without the time pressure of an unfolding pandemic.

 

International comparative macro-research is needed

The KNAW report focuses mainly on improved accessibility of micro data (for example health status and socio-economic characteristics of large groups of individuals). This requires linking medical data files with data on socio-economic characteristics, either by means of long-term panels or through CBS Statistics Netherlands. At face value, this focus on micro and the Netherlands is understandable, but at the same time, one might argue that this focus is too narrow. After all, a pandemic is not a national problem, the micro-macro paradox can lead to bias, and a third relevant problem is whether the vulnerable are (or will be) adequately represented in the data. A very obvious problem with Internet panels, for example, is the under-representation of both the elderly and the disadvantaged and marginally poor, who are both more vulnerable and inherently more difficult to survey.

It is unfortunate that the KNAW focuses so much on the Dutch context. Every national context is unique and findings are therefore strongly determined by the conditions of time and place. ‘Met de kennis van straks’ uses these differences in context to justify an essentially national research strategy. Learning, however, actually requires making to make good use of differences in national contexts. Where regional policy in the Netherlands has proved to be impossible, researchers will have to look beyond national borders for differences in policies, institutions, and behaviour. National navel-gazing can be expected to lead to opportunities and threats being overlooked. It is important to start asking what the optimal design of our society would be from the perspective of pandemic resilience, lest the costs become too high. The second conclusion is therefore that building resilience in an evidence-based way requires extensive investments and structural change, which in turns requires research on the influence of differences between national contexts.

 

Final research findings do not exist

The economic view of the impact of the COVID-19 pandemic will continue to change significantly in coming years. After all, definitive research findings do not exist. Consider, for example, the estimate for the growth rate of world GDP in the year 2020 provided by the IMF in its World Economic Outlook [2]. Figure 1 shows that successive estimates for 2021 and 2022 became slightly less negative each time. 2020 will never be a good year, of course, but the adjustments made to the historical data are not insignificant. It amounts to 0.3 percentage points, or 10 percent of the first estimate. The adjustments themselves moreover come as no surprise at all (van Bergeijk 2021b).

 

Figure 1. Adjustments made in four instances by the IMF to the 2020 world production growth estimates provided in its World Economic Outlook.

Source: IMF website, accessed 11 October 2022.

 

The medical impact of the pandemic will also take time to become clear. We know the number of people that got COVID-19 and whether they recovered or died due to infection, but we know neither the impact on the long run of the lockdowns on the health status of the population, nor the long-term effects of COVID-19 itself. This uncertainty does not mean that no general policy recommendations can be made. Cost-benefit analyses, for example, have shown that while short lockdowns may make a rational and cost-effective contribution during pandemic outbreaks, the same cannot be said of long-term lockdown policies. This is basically because at its core, a human life can only be saved once, while longer lockdowns continuously increase economic costs. So, whether such an insight is valid for the next pandemic is not the question. However, what is ‘short’ cannot be answered in advance. The third conclusion is that economics can play an important role in helping design macro trade-off frameworks to best fill in and adjust the parameters in the event of a breakout as soon as new insights become available.

 

Conclusion

Science pretends to know a lot and to be able to contribute much. In this regard, it is probably too big for its boots. Vaccines have been important, but if we can actually put the COVID-19 crisis behind us, it will be mostly thanks to the gift Mother Nature gave us, namely a less severe, more infectious variant that makes COVID-19 better socially manageable. It is human nature to draw some lessons after a pandemic has died out and then to forget them. It is remarkable that all the issues that came up during the previous pandemic, the Mexican Flu pandemic, remained unresolved and came back again during the COVID-19 pandemic. Science could and should play a much more important role here, not so much in research, but in education. It is actually strange that the report does not pay attention to the core task of science. Providing the knowledge about the previous pandemic requires a better place in the curricula of all fields of science. If not, our students, who will probably experience four to five more pandemics in their lifetime, will be not be prepared for the next one.

Footnotes

[1] Dutch readers may want to consult van Bergeijk 2021b.

[2] Another example is the resurgence of research on the economic impact of the Spanish Flu.

 

References

ANV, 2019, Geïntegreerde risicoanalyse Nationale Veiligheid, ANV Netherlands Network of Safety and Security Analysts http://www.rivm.nl/sites/default/files/2019-10/Geintegreerde%20risicoanalyse%20Nationale%20Veiligheid%202019.pdfhttp://www.rivm.nl/sites/default/files/2019-10/Geintegreerde%20risicoanalyse%20Nationale%20Veiligheid%202019.pdf

Bergeijk, P.A.G. van, 2021a, Pandemic Economics, Edward Elgar 2021.

Bergeijk, P.A.G. van, 2021b, De volgende pandemie: een deltaplan voor overleving, Walburg, 2021.

Bergeijk, P.A.G. van, 2022, The Political Economy of the Next Pandemic, Review of Economic Analysis, 14 (1), 27-49

KNAW, 2022, Met de Kennis van straks: De wetenschap goed voorbereid op pandemieën.

This article was originally published on MeJudice and has been republished with permission of the author and editors.

Opinions expressed in Bliss posts reflect solely the views of the author of the post in question.

About the author:

Peter van Bergeijk is Professor of International Economic Relations and Macroeconomics at the Hague-based Institute of Social Studies at Erasmus University (ISS); one of the leading educational and research institutes in the field of development cooperation in Europe.

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From sacred to clinical: how the lack of proper burials during the Covid-19 pandemic affected communities in Uganda

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When Covid-19 started spreading across the globe, the World Health Organization issued strict burial guidelines in a bid to curb the spread of the virus. In Uganda, the national health department took over the burial of Covid-19 victims, interring them quickly and without adhering to proper cultural and religious procedures. In a country where death rituals form a central part of the grieving process, the undignified burials that took place during the pandemic have had severe psychological consequences for bereaved families and communities.

In the Global South and in Africa particularly, most development studies research concentrates on survival issues; economic needs and death/loss are generally discussed in relation to poverty or AIDS, while the few available bereavement studies focus on the grieving experiences of individuals or groups.[1] However, injustices are also apparent in processes of grieving; unpacking the way in which grief is collectively and individually experienced is a necessary first step in addressing these injustices. Here, I show how the strict burial guidelines imposed during the Covid-19 pandemic were received in Uganda and why we should take note.

 

The many facets of death rituals

Death rituals, defined as “forms of expressions and connections performed by individuals, groups of people or communities in communication with the living-dead and the Supreme Being”[2], connect the dead and living in Africa. These rituals serve to mediate between the physical and spiritual worlds as the spirit of the deceased crosses between worlds. Many African families for example have a graveyard within the compound they live in because they believe that the dead remains part of the living family.[3]

During death rituals, the bereaved family plays a direct role in preparing the body, washing the body and shaving the deceased’s head; domestic animals are also slaughtered for ritual purposes. Slaughtering a sheep, for example, is meant to please the ancestors so that they do not demand another death.[4] And a death is communicated to the entire community as part of the ritual. A study of death rituals in Bugumba in Uganda shows how community members participate in death rituals once a large bonfire has been lit in the compound of the deceased to communicate bereavement to everyone in the community.[5]

Other death-related rites and beliefs include a belief among the Ethur of northeastern Uganda in life after death, with the spirit of the dead person travelling to the realm of ‘Obanga’, as well as the common belief that the dead are spirits that can send curses if disturbed.[6] Not performing death rituals would be considered one way of disturbing the dead. Similarly, in northern Uganda, a harmonious relationship between the living and dead is maintained to avoid ‘cen’, or vengeful spirits, by performing rituals.[7]

Death rituals are considered so important that in cases where a bereaved family lacks adequate resources to perform crucial rituals, community members may contribute the required resources – something that is reciprocal. In studying bereavement, the concept of Ubuntu[8] helps us to understand how cohesion and solidarity are maintained during and after burial through communal rituals and mourning. People travel from far away to participate in death rituals or attend funerals because death comes with misfortune for those who don’t participate in rituals. Paying close attention to the rituals while maintaining solidarity is a key healing factor from loss due to death.[9]

 

The inability to say goodbye properly

Limitations on death rituals during the Covid-19 pandemic and the interment of Covid-19 victims by health authorities thus caused great distress in Uganda and beyond. During the pandemic, following protocols issued by the World Health Organization (WHO) to curb the spread of the virus, strict guidelines for burials were issued by the government of Uganda under its Ministry of Health. They included limiting the handling of the deceased body to health/burial teams only, wrapping the body in waterproof plastic bags before handing it over for burial, and preventing the public from seeing the body. Family members and other mourners had to stay two meters away from the body.

Many district governments came up with further burial guidelines that included the time at which the burial was to take place, the prohibition of death announcements over radios to prevent the burials from attracting crowds, and ensuring a burial would take no more than two hours. The burial team, dressed in white wellington boots, full plastic protective suits, goggles, face shields, and gloves besides preparing the body secured the burial sites, dug the graves, and conducted the burials. They were nicknamed ‘Angels’ because they appeared mystical to the community members.

 

Indignation and defiance

Besides leading to personal suffering, these clinical burials also led to political dissatisfaction. The burial teams were heckled and some attacked for not following burial traditions. This is because in Uganda, a dead person is very special to the community and must be treated with full respect during the entire burial process. Burials were considered undignified because of the rough handling of the dead and the mourning of those close to the deceased in isolation, when this would usually take place as part of the burial process.[10] The departure from the traditional rituals led to psychosocial suffering (distress for bereaved families) that affecting healing, since no space was provided to express grief.

The community felt that the creation of distance between the deceased person and mourners, the wrapping of the body in artificial materials, and the handling of the body by seemingly alien entities did not ensure sufficient respect. The mystery and criticism was inspired by a deep distrust of the government during the pandemic, leading to allegations such as government’s burying of empty coffins and speculation that Covid-19 deaths concealed the trafficking of individuals.

“How could the spirit of the dead be reached and engaged when it is so trapped? Can the spirit be able to escape its ‘plastic prison’ and join the ancestors, or remain locked in captivity?” asks Brian Mukalazi in the Daily Monitor newspaper, describing how the burial of Covid-19 victims in a ‘scientific’ way angered the communities and led them to defying the burial guidelines by secretly exhuming the bodies to conduct decent burials. Communities such as the Budaka in eastern Uganda, the Buikwe, and the Palissa who resorted to this claimed they needed to ensure decent burials for their departed kin since their spirits had started disturbing their living relatives and some community members.

 

Conclusion

It is clear from the above that the suffering stemming from the loss of a loved one can be compounded by the lack of proper treatment of the deceased, in this case by the absence of proper burial rituals. However, these emotional impacts of injustices linked to bereavement processes on those close to the deceased and their communities are not yet sufficiently understood. It is crucial to address the psychosocial needs of those that lost loved ones to the pandemic. To prevent recurrence, and to help the bereaved find closure, academic research should focus more deliberately on cultural and psychological needs that arise during bereavement processes.

 

[1] McCarthy, J. R., Evans, R., Bowlby, S., & Wouango, J. (2020). Making sense of family deaths in urban Senegal: Diversities, contexts, and comparisons. OMEGA-Journal of Death and Dying, 82(2), 230-260.

[2] Baloyi, L., & Makobe-Rabothata, M. (2014). The African conception of death: A cultural implication.

[3] Umoh, D. S. (2012). Death is not natural: The African story.

[4] Haram, L. (2021). Bodily grief work meets Christian interiority: The Meru case. Death studies, 45(1), 51-60.

[5] Vokes, R. (2018). Before the call: Mobile phones, exchange relations, and social change in south-western Uganda. Ethnos, 83(2), 274-290.

[6] Wayland, E. J. (1931). Preliminary studies of the tribes of Karamoja. The Journal of the Royal Anthropological Institute of Great Britain and Ireland, 61, 187-230.

[7] Kembel, A. S. (2015). When the Dead Are Not Silent: The Investigation of Cultural Perspectives Concerning Improper Burials in Northern Uganda.

[8] As a theoretical perspective, Ubuntu is expressed in many languages in African communities but with the same meaning (Mugumbate and Chereni, 2020). Ubuntu caring solidarity translates to Uganda’s context through a saying which literally means “today it’s me, tomorrow someone else”.

[9] Lee, R., & Vaughan, M. (2008). Death and dying in the history of Africa since 1800. The Journal of African History, 49(3), 341-359.

[10] Lubega, M., Nakamya, C. S., Namugumya, E., & Najjemba, J. (2022). The effect of COVID-19 public health guidelines on the funeral traditions and burial rituals among the Baganda, a tribe in Central Uganda. PAMJ-One Health, 7(7).

 

 

 

 

 

 

Opinions expressed in Bliss posts reflect solely the views of the author of the post in question.

About the author:

Henry Okidi Okoth holds a MA Development Studies degree from the International Institute of Social Studies of Erasmus University Rotterdam. Currently, he is a researcher and consultant with Collaborative Social Change. His research interests are death and bereavement studies from a decolonial perspective, marginalization and poverty, gender, conflict, and human rights.

 

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COVID-19 and Conflict | COVID-19 in the Brazilian Amazon: forging solidarity bonds against devastation

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The indigenous populations in the Amazon are putting up a commendable fight against the Brazilian government’s lack of adequate response to the COVID-19 pandemic. They are fighting an epic battle, not only trying to prevent being infected by the virus, but also encroachment by multiple actors on Amazonian land—a process that continues despite the pandemic. Here, we present the ongoing struggle of indigenous peoples in the Brazilian Amazon and how they are resisting several threats simultaneously.

“The indigenous peoples, quilombolas, and the black population … they were always the invisible targets of such necropolitics. The only issue is that these matters are in the spotlight under this government.” (Pedro Raposo, Professor at the State University of the Amazonas)

The struggle for control over land in the Amazon is far from over. The region that is so diverse and rich in natural resources has been targeted by large capital, garimpeiros[1], loggers, and agribusiness that aim to extend the soy frontier through forced burnings of the forest. As the Amazon spans several country borders, border dynamics are also a challenge for the region, which faces problems such as drug trafficking, smuggling, narcotics, and a drug war among criminal gangs of different countries. When elected, Bolsonaro, current President of Brazil, announced that his government would not proceed with indigenous territory demarcation, a statement that made evident the prioritization of agribusiness interests over the rights of indigenous peoples. His policies are connected to the deforestation of the Amazon and to the deterioration in the livelihoods of the indigenous peoples in the region. In this context, the fight of indigenous peoples for the right to their land continues unabatedly.

COVID-19 accentuated these land crises and pushed Brazilian indigenous peoples to the limit, making their struggle for survival even more profound.[2] Due to the pandemic, the land-grabbing situation has deteriorated exponentially.[3] Even with a decrease in economic activity, land grabbers seem to have profited (i.e. increased their actions, sensing implicit approval)  from the lack of control and loose laws during the pandemic. Deforestation and burnings have increased dramatically[4] in a context where we would generally expect them to have declined.

Yet indigenous peoples are not giving up without a concerted and coordinated fight.

Despite original observations that the new coronavirus may be an urban crisis, unfortunately it got to the Amazon. Since indigenous peoples have had less contact with pathogens than the non-indigenous populations, mortality due to COVID-19 is higher among rural indigenous populations than among any other group in Brazil. An analysis of the impact of COVID-19 on this population performed by the Coordination of the Indigenous Organizations in the Brazilian Amazon (COIAB), and the Institute for Environmental Research in the Amazon (IPAM) showed that the mortality rate from COVID-19 among indigenous people is 150% higher than the Brazilian average and 20% higher than recorded in the country’s northern region, where the highest mortality rate has been cited.[5] By January 2021, the number of deaths among the indigenous population hit 936, and 46,834 people from 161 different indigenous groups have been infected according to Brazil’s Indigenous People Articulation (APIB).[6] Real numbers are expected to be higher as cases are underreported. As the guardians and propagators of their history, indigenous elders face the highest infection risks and mortality rates.[7]

Manaus is one of the cities that was worst hit by the pandemic. After leading a dramatic peak of deaths in the country in April 2020, the capital of the State of Amazonas revealed the potential devastation of COVID-19 in the Amazon region when the health system in the city collapsed. This situation became even direr due to the lack of oxygen available for patients at the start of this year. In April 2020, the municipal administration dug collective graves for burying bodies as the death rate tripled and burial services were overwhelmed. Now, in January 2021, Manaus is experiencing new record-high hospitalization and death rates.[8]

Collective graves being dug by tractors in April 2020 in municipal cemeteries in Manaus to deal with the sharp rise of burials due to the COVID-19 pandemic and related deaths. Source: Sandro Pereira, https://noticias.uol.com.br/saude/ultimas-noticias/redacao/2020/04/21/apos-boom-em-enterros-manaus-abre-covas-coletivas-para-vitimas-de-covid-19.htm

These numbers show that the Amazon is not excluded from globalization processes, which comes as both a benefit and a curse. While the connections among indigenous and non-indigenous groups brought the former health supplies and information, it was impossible to prevent this connection from being one of the vectors of transmission of the virus in the region.[9] This was the case even in the very isolated regions of the Amazon. Unable to rely on federal government support, indigenous organizations have come to rely on existing and new connections with local universities and the local public ministry to partially overcome the crisis. Working with organizations at the local level represents a change of strategy for groups that were used to lobbying only at the federal level. In Brazil, indigenous ‘matters’ are officially the responsibility of the federal government.

“Since the first case, with the death of our warrior Borari in Alter do Chão, we felt helpless… Different indigenous groups started working from their own organizations, making sure that public policies would work.” (Anderson Tapuia, CITA[10])

These partnerships supported the translation of informative materials to indigenous languages[11] that in some cases do not even have the word ‘disease’. Health support arrived by boats organized by civil society organizations. The ‘Saúde e Alegria’ initiative for example organized an ambulance boat that could reach isolated communities. In addition, they distributed donated food and hygiene products.

But all these efforts are not enough—the battle is also against those who should be protecting them. As presented in this series of three blogs, the present Brazilian government’s lack of strategy and specific policy to deal with the pandemic can be understood as necropolitics (Achille Mbembe[12]), as it weakens current protective institutions and destroys the chances of already vulnerable populations to survive in the pandemic.

Brazilian civil society may have acted in a fast, vocal, and organized way, reaching places that the state did not. These initiatives showed traces of a society based on solidarity bonds, citizen engagement, and may render them protagonists of their own transformation. However, to win this battle in the Brazilian Amazon, more is needed. A major change in the way the Brazilian government perceives indigenous peoples and the forest must first take place.

Footnotes

[1] ‘Garimpo’ is a form of prospecting, often illegal and accompanied by precarious labour conditions, that uses rudimentary techniques to extract minerals. It generates a range of social and environmental problems as prospectors (garimpeiros) invade state or indigenous reserves, often through violence, diverting rivers and embankments and contaminating soil, air, and, water contamination with heavy metals, mainly mercury. In Yanomami indigenous territory, there are about 25,000 illegal gold miners https://observatoriodamineracao.com.br/maior-terra-indigena-do-brasil-ti-yanomami-sofre-com-25-mil-garimpeiros-ilegais-alta-do-ouro-preocupa-liderancas-que-tentam-evitar-disseminacao-da-covid-19/

[2] To understand this process, we performed desk research and a qualitative comparative analysis of in-depth semi-structured interviews among indigenous peoples, activists, researchers and senior academics in the Brazilian Amazon. This is the third and last post out of the three published on Bliss, in which we have been presenting the main findings of the research work about COVID-19 in Brazil for the ISS project ‘When Disaster Meets Conflict’.

[3] In April 2020, during a peak of deaths related to the pandemic, the number of deforestation alerts in the Amazon rose by 64% compared to the same month in 2019. See https://epoca.globo.com/sociedade/como-desmatamento-se-alastra-na-amazonia-durante-escalada-de-pandemia-de-coronavirus-24441196

[4] For further information, please see (1) https://noticias.uol.com.br/meio-ambiente/ultimas-noticias/redacao/2021/01/08/desmatamento-na-amazonia-cresce-137-em-dezembro-diz-inpe.htm

(2) https://www.dw.com/pt-br/em-meio-%C3%A0-pandemia-amaz%C3%B4nia-enfrenta-amea%C3%A7a-tripla/a-53827092 and (3) https://www.opendemocracy.net/pt/covid-19-desmatamento-amazonia-brasil-colombia/

[5] See https://ipam.org.br/mortalidade-de-indigenas-por-covid-19-na-amazonia-e-maior-do-que-medias-nacional-e-regional/

[6] Information collected in January 26th, 2021. See https://covid19.socioambiental.org/

[7] See https://g1.globo.com/bemestar/coronavirus/noticia/2020/07/10/mortes-de-indigenas-idosos-por-covid-19-colocam-em-risco-linguas-e-festas-tradicionais-que-nao-podem-ser-resgatadas.ghtml and https://www.bbc.com/portuguese/brasil-53914416

[8] https://g1.globo.com/am/amazonas/noticia/2021/01/03/manaus-bate-novo-recorde-de-internacoes-por-covid-19-desde-o-inicio-da-pandemia.ghtml

[9] Besides the spread of the virus due to the movements of different actors related to land disputes (garimpeiros, loggers, etc.), contagion also occurred because of the displacement of health services to urban centres and the withdrawal of emergency aid. And there were also cases in which health workers spread the disease to indigenous communities. However, it is also important to note that not all indigenous peoples live in isolation from other indigenous communities or outside of urban areas.

[10] CITA, the Conselho Indígena Tapajós Arapiuns (Tapajós Arapiuns Indigenous Council), is an NGO that aims to ensure that public policies reach indigenous peoples, mainly those related to health, education, land issues, and social security.

[11] For more information, please see: https://ufrr.br/ultimas-noticias/6374-coronavirus-equipe-da-ufrr-traduz-para-linguas-indigenas-folhetos-informativos and https://www.ufam.edu.br/noticias-coronavirus/1238-instituto-de-natureza-e-cultura-produz-material-de-orientacao-sobre-o-covid-19-aos-indigenas-da-etnia-ticuna.html

[12] Necropolitics is a process in which the state uses political power – by its discourses, actions and omissions – to put specific groups into a more marginalised and vulnerable position (Mbembe, 2019).

About the authors:

Fiorella Macchiavello is an economist and holds an MA degree in Urban and Regional Development from the Federal University of Santa Catarina (UFSC), Brazil. Currently, she is a PhD researcher in the third year of a Joint Degree between the International Institute of Social Studies (ISS) of Erasmus University Rotterdam and UnB, University of Brasilia, Brazil.

Renata Cavalcanti Muniz is a full time PhD researcher at ISS in the last year of her research. Her PhD research was funded by CNPQ-Brasil, and she is part of two research groups at ISS, DEC and CI.

Lee Pegler
Lee Pegler

Lee Pegler spent his early career working as an economist with the Australian Labour Movement. More recent times have seen him researching the labour implications of “new” management strategies of TNCs in Brazil/ Latin America. This interest expanded to a focus on the implications of value chain insertion on labour, both for formal and informal workers. Trained as an economist and sociologist (PhD – LSE), he currently works as Assistant Professor (Work, Organisation and Labour Rights) at the ISS.

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COVID-19 and Conflict | Why virtual sex work hasn’t helped sex workers in India survive the COVID-19 lockdown

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Virtual sex work, although around for many years, has become an alternative to traditional sex work during the global COVID-19 pandemic. In India, like elsewhere, sex workers due to a strict lockdown and the limiting of their movements have turned to virtual sex work to earn a living. Yet it has not become a viable solution for many due to a number of challenges the workers face when resorting to this type of sex work, write Birendra Singh and Chitrakshi Vashisht.

"Sex workers" by mo's is licensed under CC BY-NC-ND 2.0

By the end of 2020, around ten million people in India had been infected with COVID-19. Only the United States has recorded a higher number of infections. To mitigate the crisis, the Government of India instituted a lockdown, forcing its over 1.4 billion residents to stay at home. Among the many affected by strict lockdown measures are sex workers, who became a high-risk group during the pandemic due to the nature of their work that requires physical interaction.

Conservative estimates suggest that there are around 38,000 sex workers in the city of Delhi alone, of whom many are residential sex workers working from their small and congested houses (also the case for brothels). This poses a twofold challenge for them during the pandemic: a heightened individual risk of contracting a COVID-19 infection and lack of any other source of income to support themselves and their families in a time when the economy came to a virtual halt.

In light of this precarious situation, and as part of the ISS’s concluding ‘When Disaster Meets Conflict’ (Discord) project, we conducted a small study with sex workers in Delhi, including with female sex workers (FSW – cisgender women), transgender (trans) women, and hijras (a socio-cultural group in India under the transgender umbrella which in 2014 was recognized as a third gender by the Supreme court of India). Interviews took place online in the summer of 2020, and we sought to understand the effects of the virus and the pandemic on their lives and the possibilities of new technological practices such as virtual sex for this group. We conducted six interviews: two with representatives of NGOs working with sex workers, two with representatives of the All India Network of Sex Workers, and two with representatives of the Mitr Trust. Of the respondents, three earn their living through sex work. Additionally, secondary data such as media reports, articles, and online interviews were consulted for the study.

Virtual sex work is emerging as a new typology of sex work whereby sex workers use electronic devices such as computers or (mobile) phones to provide sex services through text, audio, and video. Especially during the pandemic, a shift in sex-work practices from physical sex to virtual sex could be observed, while some claimed a potential transformation in sexuality in which virtual sex practices could have played a critical role. However, our study brings to light the critical factors associated with this practice itself that makes its feasibility as alternative livelihood for sex workers in Delhi questionable.

Challenges facing sex workers

The sex workers we spoke to belonged to the lower socio-economic tiers of society and were migrants. Most sex workers reside in congested, unauthorized housing clusters, slums, or small, rented rooms with their friends or families in Delhi. Often, men in families of FSWs suffer from alcoholism and drug abuse, while both FSWs and trans women face intimate partner violence. Due to the stigma attached to sex work and gender non-conformity (for trans women/and hijras), most are abandoned by their biological families. Amina’s story is no different. Now 19, she was thrown out by her parents when she was 16 years old. She particularly recalls: “My sister gave me 100 rupees (less than 2 euros) and asked me to buy poison and die.”

Many FSWs live dual/hidden lives, while some work as a domestic help, security guard, or in small manufacturing companies on outskirts of Delhi, using these additional jobs only as a ‘cover’ for their sex work. Trans women and/or hijras are marginalized even among FSWs since they are not considered ‘real’ women. Due to their gender/sexual expression, opportunities for decent work are often closed to them and they are forced to choose sex work, begging, and/or traditional hijra ways (singing and dancing at ritual functions) of living.

The use of virtual sex technology to keep working

A strict lockdown and fear of being infected halted sex work, with dire implications for sex workers. Some we spoke to stayed hungry for up to three days, while some FSWs lacked enough money to buy milk for their children. Hence, although not an entirely new option for some, virtual sex became the only option during the crisis. However, through it sex workers could earn only a small fraction of the income they could have earned through non-virtual sex work.

They faced many problems. To begin with, the lack of private space to interact when making audio or video calls was difficult for sex workers, as well as for their clients, because during the crisis everyone was staying at home. Especially poor and uneducated sex workers lacked the basic digital literacy to use the phone and/or the Internet, as well as the confidence and skills necessary to perform virtual sex work. Their socioeconomic background, precarious living conditions, and the stigmatization of sex work never allowed them to acquire these skills and pride in their work. Moreover, for some to meet the cost of an Internet connection or smartphone itself was impossible.

Safety in receiving payment by the clients was also among the big challenges that this community faced. Sharing phone numbers with strangers resulted in adverse consequences. Many men threatened sex workers, stating that if they did not provide them with a free service, they would ‘expose’ their identity to their neighbours and families. Additionally, many clients refused to pay in advance for the services. Many times, they would disconnect the call and block the sex worker’s account or phone number just after receiving the service virtually, while sometimes men would delay payment rather than denying it altogether and later block the number of the sex worker. Some clients also threatened to distribute their phone number to strangers who would make their life even more difficult. For most of the sex workers, the biggest problem with virtual sex was ‘no guarantee of payment’.

Not (yet) a viable alternative

Virtual sex as an innovative practice during the COVID-19 crisis didn’t work for the majority of the sex workers we interviewed because of the lack of digital literacy, access to good-quality phones or personal computers and Internet connections, privacy, and the empathy of society. Receiving safe and secure payment was also one of their biggest challenges. In the Indian context, virtual sex practices thus cannot be treated as a substitute for ‘regular’ sex work, although it has captured remarkable attention as a ‘new’ type of sex work.

About the authors

Birendra Singh is a Science Technology and Society (STS) studies researcher. He holds a Master of Technology (M.Tech) and a research Master (M.Phil) in the realm of science policy. His research interest includes, frugal and grassroots innovation emerging from marginalized spaces, politics of knowledge and social institutions. At ISS/EUR, his PhD project is aspiring to conceptualize knowledge and learning dynamics of the bottom-up frugal innovations. For more info click here.

Chitrakshi Vashisht has over eight years of work experience in development sector in the field of gender, sexuality, education, adult literacy, SRH (particularly in HIV/AIDS) in India where she worked with several grassroots level NGOs/CBOs strenuously working for the rights of women, men and transgender (including but not limited to hijra and kothi) persons. Her research interests are in the areas of policy, gender, sexuality, identity, culture, and intimate partner violence. She holds an M.Sc. in Gender and Development Studies from Asian Institute of Technology, Thailand, a Masters in Social Work from India and is presently pursuing her PhD from ISS.

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COVID-19 and Conflict | Economic downturn, precarity, and coping mechanisms in the Eastern DRC

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The Kivus in the Eastern DRC do not seem to be getting a break. Besides facing a protracted armed conflict, the COVID-19 pandemic has caused an economic downturn in the region as mining activities have been limited or shut down completely. In light of this intersection of crises, the region’s inhabitants have had to find ways to cope, defying lockdown measures in the process. Yet, the social ties of the region is what is keeping it alive, write Christo Gorpudolo and Claire Akello.

"TwangizaArticanalMiners" by USAID_IMAGES is licensed under CC BY-NC 2.0

The Democratic Republic of the Congo (DRC) has faced a long period of protracted conflict, situated in a part of Africa that at one point in time has faced multiple conflicts or genocides, making the region highly volatile (Buscher, 2018: 194). The Kivu provinces in the Eastern DRC are facing a protracted armed conflict that has been widely reported on and has also been discussed on Bliss (see this article, this one, and this one).

As part of a research project hosted at ISS called ‘When Disaster Meets Conflict‘(Discord), we conducted a brief study of COVID-19 responses in the DRC, trying to find out what the responses were and how these were viewed and experienced on the ground. We conducted desk research and interviews with Congolese living and working in the Eastern DRC and the Kivus. We found that the intersection of the ongoing conflict and the COVID-19 pandemic has given rise to great uncertainty in the region that people have sought to counter in their own ways.

Besides the prevailing economic situation as a result of violent conflict, the DRC has also experienced a new outbreak of communicable and highly infectious diseases, like its tenth Ebola outbreak in 2018, (see this WHO news article) as well as measles, yellow fever and, most recently, the outbreak of COVID-19, which occurred amidst the worst Ebola outbreak on the continent at the time (Mobula et al., 2020: 3). With the coinciding occurrence of COVID-19 and Ebola and an ongoing conflict, many Congolese families and miners feared the loss of their livelihoods and were at a greater risk of falling further into poverty due to dwindling incomes and severe health risks.

Following the recording of the first COVID-19 case (GARDAWORLD, 2020) on 10 March last year, on 24 March the DRC government announced a state of health emergency, declaring a nationwide lockdown to be observed in all of the country’s 11 provinces. Since then, the lockdown has been extended five times by the national assembly, with various forms of preventive measures introduced (Atlantic Council, 2020). The lockdown measures have immensely affected mining activities in the DRC (IPIS, 2020) a country where residents rely heavily on income from the mining sector. According to a report by the European Network for Central Africa (EurAc), insecurity in the mineral supply chain due to the outbreak of COVID-19 has had an impact on the Congolese economy in general, with the country preparing for a potential catastrophic economic downturn in the mining sector (Business and Human Rights Resource Center, 2020).

Mining activities in the Kivus and the Eastern DRC are conducted in person, with a strong reliance on human or person-to-person interaction. Thus, with the introduction of preventive measures, the livelihoods of miners and people living in Eastern DRC have been negatively impacted, as these preventive measures according to respondents run contrary to the somewhat informal practices in the DRC, particularly in the mining sector. Some prevention measures introduced by the government included the prevention of the movement of people, the closing of borders, and the limitation of legal mining activities, which forced small-scale miners to cease their operations that provided them with incomes necessary to survive.

One of the respondents participating in the research stated that with no definite time of earliest recovery in the mining sector, there is increasing anxiety and fear amongst miners and people living in the Kivus of little chance of a swift economic recovery as the situation moves from a short-term health crisis to a prolonged economic downturn.

In the Kivus, some areas such as Biholo, Nalucho and Kalehe have suspended mining activities, while in other sites artisanal miners continue to work amidst strict guidelines and awareness campaigns about the containment of COVID-19 by different civil society organizations. However, the situation is far from ideal. It was also highlighted by respondents that the closure of mining activities affects the wider population in the Kivus because many people rely on the income from the mines.

Defying lockdown measures to counter anxiety

These economic impacts have caused distress among families, miners, and people living in the Kivus. As a coping mechanism, the population in the Kivus find social gatherings important (although these gathering are not permitted) as a form of mental support. According to four of the six respondents interviewed for this study, families and residents living in Eastern DRC and the Kivus meet in what they referred to as ‘secret bars’ operating undercover. These bars usually appear closed or isolated from the outside, but are booming inside. Respondents also stated that most of the friends/or families meeting inside these ‘secret bars’ have a mutual agreement, as these gathering places remain secret to those outside the trust circles. These gatherings involve the sharing of drinks and friendly conversation. It is considered a way to handle anxiety that comes with uncertain times, including the current state of the Congolese economy.

A major risk factor posed by this form of coping mechanism is that it makes the population more vulnerable to COVID-19 and increases the risk of widespread COVID-19 transmission due to increased social interaction. Yet people felt that they had to defy lockdown measures to cope and were willing to take the risk. Consequently, social gatherings still take place, serving an important function in a time of economic precarity and great uncertainty. This form of coping may be the lifeline for many in the Eastern DRC and elsewhere, and its value should not go unrecognized.

References

Atlantic Council. 2020. “Shaping the global future together.” Accessed 25 July 2020 https://www.atlanticcouncil.org/about/

Büscher, K., 2018. “African cities and violent conflict: the urban dimension of conflict and post conflict dynamics in Central and Eastern Africa.” Journal of Eastern African Studies 12 (2): 193-210.

Business and Human Rights Resource Center. 2020. “Mining minister warns against the social and economic impact of mine closure during the COVID-19 pandemic.” https://www.business-humanrights.org/en/latest-news/drc-mining-minister-warns-against-the-social-and-economic-impact-of-mine-closures-during-the-covid-19-pandemic/

GARDAWORLD. 2020. “DRC: authorities declare state of emergency March 24/3.” https://www.garda.com/crisis24/news-alerts/326271/drc-authorities-declare-state-of-emergency-march-24-update-3

IPIS. 2020. “The impact of COVID-19 on the artisanal mining sector in Eastern DRC.” https://ipisresearch.be/publication/the-impact-of-covid-19-on-the-artisanal-mining-sector-in-eastern-drc/

World Bank. 2020. “World Population: DRC.” Accessed on 16 June 2020 https://data.worldbank.org/indicator/SP.POP.TOTL?locations=CG-CD

Mobula, L. M., H. Samaha, M. Yao, A. S. Gueye, B. Diallo, C. Umutoni, J. Anoko, J. P. Lokonga, L. Minikulu, M. Mossoko, and E. Bruni, 2020. “Mobilizing the COVID-19 response in the DRC.” Accessed on 23 June 2020 https://www.path.org/articles/mobilizing-covid-19-response-drc/

About the authors:

Christo Gorpudolo is a development practitioner who has been working in the development sector since 2014. She is an early career researcher with an academic interest in topics including humanitarian aid, gender, peace, and conflict. She has a Master’s of Arts Degree in Development Studies from the ISS.

Claire Akello graduated from the ISS in 2019 with a major in Human Rights, Gender and Conflict studies. She has been engaged in both media and development work for local and international organizations for over five years, focusing on issues related to health, education, and access to justice.

 

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COVID-19 and Conflict | From the Chilean miracle to hunger protests: how COVID-19 and social conflict responses relate

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COVID-19 broke out in Chile last year in the midst of an intensive social conflict rooted in the deep-seated inequalities caused by the free-market reforms in the country. The case of Chile shows how pre-existing conflict dynamics can be strongly intertwined with pandemic responses as earlier protests for greater equality paved the way for a climate facilitating ‘hunger protests’ during the pandemic. In response to growing mistrust in the state, citizens had a strong social mobilization base that drove collective action.

For many decades, Chile’s development trajectory was considered an inspiration due to its positive macroeconomic results achieved following the implementation of neoliberal policies by the dictatorship in the 1980s and supported by democratic governments to present. However, these policies produced deep inequalities among the population (Flores et al. 2019)[1]. With the eruption of protests in 2019 and the COVID-19 outbreak last year, the idea of a ‘Chilean miracle’ started to fade.

The COVID-19 pandemic reached Chile in the middle of the largest social conflict since the end of its dictatorship in 1990. Starting in October 2019, more than a million of people protested each Friday for five months in the center of Santiago, the capital city, to show their discontent and demand improved livelihood conditions. The response of the government to this movement was brutal, leading to high levels of repression, partial curfews, and large, violent clashes that ended in more than 34 casualties and 445 people with eye injuries (from riot guns wielded by the riot police) between October 2019 and February 2020.

As the mass protests proved, the government ignored the socio-economic problems faced by many sectors of the population. A clear expression of the lack of awareness from the government of the conditions experienced in many low-income neighbourhoods was shown in a public statement made by the former health minister of the country, when he stated in an interview that “[t]here is a level of poverty and overcrowding [in Chile] of which I was not aware”[2].

The measures implemented to address the challenges imposed by the COVID-19 were also an expression of this level of ignorance. One of the first measures to address the COVID-19 outbreak was to implement dynamic quarantines[3], which failed to prevent the virus from spreading from less vulnerable to the most vulnerable populations, instead increasing infection levels and mortality rates[4] (Galarce 2020). The failure of this measure is associated with overcrowding in households, the precarity of wages, and the impossibility for people who survive off a daily income to comply with quarantine measures.

In addition to the complete lockdown that followed the dynamic quarantines, another of the early measures was to implement nighttime curfews. This measure was not well received by citizens, nor by the scientific community, which indicated that the quarantine did not have experts’ approval since there was no proof that it reduced the infection rate. They argued that it was intended to reduce civil liberties[5], and, generally, this measure was seen as an expression of the authoritarian nature of the government.

The inability of the measures to counter the effects of COVID-19 led to multiple demonstrations that were known as ‘hunger protests’. This time, people demanded access to food, water, and shelter as many lost their daily incomes due to the lockdown measures. The hunger protests followed the government’s announcement about the distribution of food baskets. People felt that, again, the government did not understand people’s needs—families could not wait to receive food supplies, but urgently required money to obtain (other) basic goods. The government’s response to the protests was highly repressive once more, mirroring its response to the previous protests back in October 2019.

The countrywide social movement leading protests in 2019 and 2020 articulated different demands and had no centralized leadership. It encouraged self-organized local assemblies (asambleas territoriales) composed of young and elderly people and was founded due to mistrust in the existing institutions. These local assemblies embodied collective organization to resist and shape new relationships and solve immediate problems in the neighbourhoods. The movement that led protests months before COVID-19 emerged therefore played an important role during the pandemic, enabling Chileans to solve difficulties the pandemic and the government’s response to it by themselves through collective action.

One of these initiatives is the so-called ‘ollas comunes’ (‘common pots’)[6] through which people helped stave off hunger by cooking for each other. This measure to respond to the COVID-19 disaster is related to previous responses to social conflicts in Chile. As stated by Clarisa Hardy (1986), the ollas comunes initiative is associated with workers’ layoffs and repression suffered after the 1973 coup d’état that brought Augusto Pinochet to power. Therefore it has a strong component of collective memory. This initiative also proved that the self-organization that arose during the protests could solve immediate problems in a context characterized by high levels of mistrust towards the government in a crucial moment for state intervention like a pandemic. It also opened the possibility to act collectively outside of the common frameworks provided by the state and the market.

References

Hardy, C. 1986. ‘Hambre + Dignidad = Ollas Comunes.’ Accessed August 11, 2020 http://www.memoriachilena.gob.cl/archivos2/pdfs/MC0033331.pdf

Flores, I.; Sanhueza, C.; Atria, J. 2019. ‘Top incomes in Chile: a historical perspective on income inequality, 1964-2017’, Review of Income and Wealth, pp. 1-25.

Tinsman, H. 2006. ‘Reviving Feminist Materialism: Gender and Neoliberalism in Pinochet’s Chile,’ The University of Chicago Press  26(1): 145-188.

Foot Notes

[1] Many estimations had been made using different methodologies. All of them are relatively consistent in suggesting that the richest 1% hold between 25%-33% of the national income. For an in-depth discussion, see the following analysis (in Spanish): https://www.ciperchile.cl/2019/12/10/parte-ii-la-desigualdad-es-una-decision-politica/

[2] For the complete declarations, see the following interview (in Spanish): https://www.latercera.com/politica/noticia/manalich-reconoce-que-en-un-sector-de-santiago-hay-un-nivel-de-pobreza-y-hacinamiento-del-cual-yo-no-tenia-conciencia-de-la-magnitud-que-tenia/5BQZLGLOPVDDPKQ2SNSSSWRGYU/

[3] Dynamic quarantines are those applied to a specific place in a territory (a municipality, for example), and that can be lifted or imposed based on the regular analysis of certain patterns, particularly the number of COVID-19 cases in each place under quarantine.

[4] Galarce, A. (2020, May 19). Experto en salud pública USACH: “Las cuarentenas dinámicas hicieron que el virus migrara hacia una población más vulnerable”. Radiousach.cl.  Accessed August 10, 2020 https://www.radiousach.cl/experto-en-salud-publica-usach-las-cuarentenas-dinamicas-hicieron-que

[5] At the time of publication, the curfews were still imposed, even though the partial lockdowns were lifted and the COVID-19 infection rate diminishing.

[6] “Common pots involve women pooling the food rations of individual families to collectively provide more substantial meals to entire groups of families, workers and neighborhoods” (Tinsman 2006).

.

This research was part of the “When Disaster Meets Conflict” project. It was undertaken between July and September 2020 and comprised the analysis of secondary sources (news and articles related to the Chilean protests of 2019-2020 and the government’s responses to the COVID-19 crisis). Additionally, five semi-structured interviews were carried out. The interviews included key actors from the Chilean private sector, government, and civil society.  The purpose of these interviews was to know these actors’ points of view on the impact and the government’s response to the sanitary crisis

About the authors:

Ana Isabel Alduenda studied International Relations at the National Autonomous University of Mexico and is a current student of the MA in Development Studies at ISS, major Governance and Development Policy. She has worked in the public sector and as a consultant in topics related to government accountability and human rights. Her research interests focus on anti-corruption policies, open data, and gender violence. In addition, she has developed a genuine interest in the social phenomena surrounding pandemics.

Camila Ramos Vilches studied Social Work at Pontifical Catholic University of Chile and is a current student of the MA in Development Studies at ISS, major Human Rights, Gender and Conflict Studies: Social Justice Perspectives. She has worked in local NGOs related to grassroots development, and international NGOs related to sustainable development in the private sector. Her research interests focus on gendered analysis within organizations, diversity and inclusion management and sustainable development.

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COVID-19 and Conflict | Between myth and mistrust: the role of interlocutors in managing COVID-19 in Haiti

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Mistrust in state-provided information about COVID-19 has characterized citizen responses to the pandemic in Haiti, preventing the effective management of the virus. This article shows that this mistrust is rooted in a number of historical, political, and social factors, including the perceived mismanagement of past crises. In the wake of resistance to pandemic measures and failure to adhere to regulations, local organizations can play an important role in contexts with low institutional trustworthiness.

To date, Haiti has managed to register a relatively low number of COVID-19 infections and related deaths. Initial concerns regarding the potential devastation COVID-19 could cause in Haiti were related to insufficient sanitary standards and medical facilities necessary to prevent the spread of the virus and ensure the proper treatment of infected patients. However, it turned out that the misunderstanding of COVID-19-related information was another major challenge that prevented people from taking preventative measures and going to hospital when infected.

Some studies conducted during the cholera outbreak in 2010 have pointed out that extreme poverty and low levels of education can cause mistrust in information on health instructions (Cénat, 2020). Nevertheless, these narrow explanations disregard the historical and socio-political background that has nurtured the mistrust of the population in public institutions that is also visible in responses to the COVID-19 pandemic. Local organizations have played a central role in addressing the Haitian community’s disbeliefs around COVID-19, stepping in as interlocutors in the fight against the spread of the virus.

Over the past few years, discontent with the performance of the state has led to extensive protests. On many occasions, people have called for the resignation of the president and the dissolution of the government, denouncing its inability to manage past crises, claiming a lack of accountability, and citing worsening inequality. Furthermore, the community’s anger has been extended to international institutions, particularly the Core Group[i], the Organization of American States (OAS), and the United Nations Integrated Office in Haiti (BINUH). They are blamed for intervening in Haiti’s internal politics and supporting the current regime, thus keeping the president from resigning (AFP, 2019).

Such anger at, and mistrust in, people in power has been constructed historically. The importation of cholera to Haiti by a UN agent in 2010 as well as successive governments’ mismanagement of the consequent outbreak, the lack of accountability for and the dissatisfaction with the 2010 earthquake responses, the exposure of PetroCaribe fund-related corruption, and the widely reported sexual abuse scandal are just some of the cases that have led to widespread mistrust of those in power.

Damage already done?

When the first COVID-19 infection was confirmed, the government immediately declared a health emergency, imposing restrictive measures and undertaking information campaigns to raise awareness of the pandemic and the necessary sanitary measures to be taken through broadcasts on television, radio, and social media, or by means of vehicles circulating in suburbs with speakers mounted on their roofs[ii]. Despite these efforts, due to the general mistrust and lack of legitimacy of the current government, not only protests against ‘lockdown’ measures and the refusal to adhere to them, but also disbelief surrounding the disease led to the spread of rumours and misinformation (See also Dorcela and St. Jean, 2020). “People think of COVID-19 as a political matter”, said a head of a local youth group.

Hearsay varied from the government having invented the virus to receive money from international aid agencies or diverting attention from the internal political issues[iii] to the hospitals testing a new vaccine on the Haitian population. The disbeliefs were such that people ended up claiming that those showing the same symptoms of COVID-19 were not infected by the virus, but with a different disease that they called ‘Ti lafyèv’ (‘small fever’)[iv], which was assumed to be easily treatable with ‘te anmè’ (bitter tea), therefore ensuring that hospital visits (and testing) were ‘not necessary’.

Given the misinformation, on the one hand people have not taken the virus seriously and therefore failed to follow preventative measures, while on the other hand panic was created and people stigmatized, which prevented them from going to the doctor and accelerated the spread of the virus. Additionally, some acts of sabotage of medical services were reported.

Countering disbelief, panic, and stigma, some local leaders and organizations took important initiatives to disseminate correct information and to help the communities cope with the government measures. For example, Doctors Without Borders and Gheskio, a leading Haitian healthcare institution, trained volunteers as field officers to spread information about the virus by visiting people (what it is, how to protect oneself, which hospitals to go to, etc.). In this regard, Dr. Pape, a founder of Gheskio, argued that “poor people are not stupid. [They] want to make sure that what you’re telling them is real.”[v]

Other civil society organizations (CSOs) also took various initiatives to communicate with people. While some initiatives used campaign music or held quiz contests with questions about COVID-19, allowing participants to learn about the virus while having fun, others visited street vendors and residents, going door to door with information leaflets to clear up the misunderstanding, to remind people that the virus is still present, and to ask them to wear face masks and wash their hands even if others do not follow the measures. Also, the CSO Ekoloji pou Ayiti established hand-washing stations in Furcy and its members stood at the stations to explain to the users which precautions and preventative measures to take, as well as how to make homemade sanitizer.

Thus, in places where the legitimacy and credibility of the government is disputed, such as Haiti, interlocutors such as CSOs and other local organizations can significantly contribute to effective crisis management. The above examples once again highlight the vital role of local actors in articulating and ‘narrowing down’ key messages and practices among the population that are central in managing the spread and effects of the virus.

References

AFP (2019) “Haïti: l’opposition manifeste contre « l’ingérence internationale » (Haiti: the opposition manifestes against the « international interference »”. Available at: https://5minutes.rtl.lu/actu/monde/a/1413480.html (Accessed: 14 December 2020).

Cénat, J. M. (2020) “The Vulnerability of Low-and Middle-Income Countries Facing the COVID-19 Pandemic: The Case of Haiti”, in Travel Medicine and Infectious Disease 37 (101684). Doi: 10.1016/j.tmaid.2020.101684

Dorcela, S. and St. Jean, M. (2020) “Covid-19: Haiti is Vulnerable, but the International Community Can Help”. Available at: https://www.the-hospitalist.org/hospitalist/article/224836/coronavirus-updates/covid-19-haiti-vulnerable-international-community-can (Accessed: 19 July 2020).

Footnotes

[i] Refers to a diplomatic group composed of the UN Secretary-General’s Special Representative, the ambassadors of Brazil, Canada, the EU, France, Germany, Spain, the US, and the OAS.

[ii] Telephonic conversation with a physician in Port-au-Prince on 4 July 2020 and with a health professional in Les Cayes on 20 July 2020.

[iii] Telephonic conversation with a physician in Port-au-Prince on 4 July 2020.

[iv] Telephonic conversation with a health professional in Les Cayes on 20 July 2020.

[v] See Feliciano, I. and Kargbo, C. (2020) “As COVID cases surge, Haiti’s Dr. Pape is on the frontline again”.

This article is an outcome of research conducted by the authors between June and August 2020 as part of the International Institute of Social Studies (ISS) of Erasmus University Rotterdam’s ‘When Disaster Meets Conflict’ project. The research aimed to analyze the tensions between top-down measures implemented to face the COVID-19 emergency and the bottom-up responses and mechanisms seen among local leaders and institutions in Haiti. Methodologically, it was conducted by doing a secondary sources review and remote interviews with a number of Haitian health professionals.

About the authors:

Angela Sabogal is a sociologist who graduated from Pontificia Universidad Javeriana in Bogotá, Colombia. She is currently finishing an MA degree in Development Studies at the International Institute of Social Studies ISS of Erasmus University Rotterdam. She has six years of working experience in social project management in Colombia and Haiti.

Yuki Fujita is MA degree student in Development Studies at the International Institute of Social Studies (ISS) of Erasmus University Rotterdam. Her major at the ISS is the Social Policy for Development. Before coming to the ISS, she worked in the diplomatic corps in Haiti for two years from 2017 to 2019.

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