Ups and Downs

Prepared by Professor Alan Whiteside, OBE, Chair of Global Health Policy, BSIA, Waterloo, Canada & Professor Emeritus, University of KwaZulu-Natal – www.alan-whiteside.com

Introduction

Spring is well entrenched in Norfolk. The leaves are appearing with great speed, the daffodils are past their best, and it is delightfully warm in the sunshine. Traditionally Spring is a time of regeneration and hopefulness. This is certainly the case in the United Kingdom where the Covid-19 pandemic seems to be under control. The number of new cases has fallen dramatically and has, in turn, been tracked by the decreases in hospitalisations and deaths. As readers of this blog know, although I try to track the global pandemic, I follow events in Canada – particularly Ontario, South Africa, and the UK especially closely.

In my last communique I reported receiving my first AstraZeneca inoculation. This week I am delighted to report that my partner received her second shot. Once again, the location was the food court at the Castle Mall Shopping Centre in the city. The procedure was a model of efficiency, although on a Sunday afternoon, it was quiet. We were in and out in 15 minutes. I asked if they would consider giving me a second dose. I want to be fully protected when I travel in a few weeks. We had an unhurried discussion, and the upshot was that, although they were willing to do the inoculation, we agreed I should wait a couple of weeks. The reason for waiting was that the immunity would be better if there were a longer gap, and, they thought, side effects should be less intense. I cannot praise the NHS and all the voluntary services that are making this happen enough.

The daily UK report on the virus has been of consistent good news. The reported number of new cases, hospitalisations and deaths continue to fall, while the number vaccinated is rising rapidly, including those who have received second doses. This is not the case around the world, the situation in Brazil and India is particularly bleak, not only are the rates going up, but the numbers are extremely high. A quick look at the excess death data gives a sense of bad the epidemic is by country. The New York Times does not seem to have kept their graphs up to date, the Economist has.1 Elsewhere there is cause for cautious optimism, but the price is constant vigilance. The economic, social, and psychological costs remain uncertain. In the UK this uncertainty will continue until the furlough scheme has ended. That will be when we understand how many people have lost their incomes. This will not just be those on furlough but so many small businesses who will either close or may fail.
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Covid-19 Watch: Global Divergence

Prepared by Professor Alan Whiteside, OBE, Chair of Global Health Policy, BSIA, Waterloo, Canada & Professor Emeritus, University of KwaZulu-Natal – www.alan-whiteside.com

Introduction

I have just finished reading Hilary Mantel’s latest (nearly 900 page) book, The Mirror and the Light, the last in her Thomas Cromwell trilogy. It is set during the reign of Henry VIII; it opens with the execution of Anne Boleyn and ends with Cromwell’s own beheading in 1540. I am halfway through George Alagiah’s book, The Burning Land, ‘a gripping, pacey thriller about corruption and homicide in South Africa’. Both are worth reading.

But what does this have to do with Covid-19? One of the problems with being immersed in a world-changing event like this pandemic is having a sense of proportion. Mantel’s work provides this. It is a window into the lives, hopes and fears of people 500 years ago. It is a realisation of the futility of much of what went on among fallible people. Alagiah interviewed me about HIV, more than 30 years ago, when he was a BBC correspondent based in Zimbabwe. His book is a realistic window into the struggles in South Africa of a few years ago. This is the pre-Covid-19 world. I wondered how it would change if it were written today. Will it date? Unfortunately, I don’t have Richard Horton’s book, The COVID-19 Catastrophe: What’s Gone Wrong and How to Stop It Happening Again, so that review will have to wait.

There is no startling new information this week. The numbers continue to rise at a truly alarming rate. The Americas are worst affected. In England pubs and other social centres are set to open on 4th July. The efforts to find treatments and develop vaccines continue, but global political and epidemiologic leadership remain lacking.

I am delighted to include a piece written by Jonathan Crush and Zhenzhong Si on ‘COVID-19 and Food Security in the Global South’. Under ‘Responses’ I have used the Association of Science of South Africa statement, lots of common sense there.

There are three items listed in the reference section. All three help to understand risks and should be of interest. We are getting a clearer sense of the disease.
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Spring is here and the snow is almost gone

The weather has finally begun warming up here in Waterloo. It is now possible to walk around without a winter coat on, although a jersey is still necessary. The squirrels are increasingly active and migratory birds are returning. We are all looking forward to spring and summer, and it really does feel as though it is imminent. What happens is that the temperature fluctuates widely. It has been as high as 18ᵒc one day and as low as -10ᵒ the next night. I wonder how the animals cope; the trees on the other hand, seem, rightly, rather reticent to bud.

I have had a very busy few weeks. On 7 March we had Stephen Lewis come and sit on a panel with a number of students and faculty members. He is extremely well known in Canada, and more broadly as an exceptional humanitarian. The auditorium was packed and a number of organisations placed tables outside to advertise their activities to the assembled company. It is good to be able to facilitate these events; it is part of building a community here in Waterloo.

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Economic Policy in an Interdependent World – “A Brave New World: Genetics, Insurance, and Policy Options in Evolving Times”

The following post was written by Kerry Solomon.

Kerry Solomon is a Graduate Research Fellow at the Centre for International Governance Innovation and a Master of International Public Policy Candidate at the Balsillie School of International Affairs 2016-2017. Her research interests include equity and global health.


Canada has protection from discrimination based on one’s race, religion, and sexual orientation; however, it may come as a surprise to some that genetics is not one of those grounds. In fact, Canada is the only G7 country that does not already have laws in place to protect its inhabitants from genetic discrimination. On a personal note, as someone of Ashkenazi Jewish heritage, I am at increased risk compared to the general population to have an inherited mutation in the genes BRCA1 and BRCA2. This means that that if I carry this mutation, I am at a much greater likelihood of developing breast or ovarian cancer. Does this leave me vulnerable to discrimination based on my genetics?

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Economic Policy in an Interdependent World – Let’s Talk About It: Men and Mental Health

The following post was written by Jeremy Wagner.

Jeremy is a Graduate Research Fellow at the Centre for International Governance Innovation and a Master of International Public Policy Candidate at the Balsillie School of International Affairs. His research interests are in food security and public health.


Openly discussing depression and anxiety can be difficult for anyone who struggles with their mental health — but for men, the cultural baggage of traditional masculinity bears with it unique challenges.

There’s an obvious stigma when it comes to men and anxiety. Research suggests many men find it difficult to disclose anxiety and depression symptoms. In a society where “being a man” is conflated with being stoic, it’s hard for men to come forward and reveal they struggle with their mental health. As a result, it goes unheard; it hides in the shadows.

Yet, it’s a chronic public health issue. Anxiety is systemic in men and women alike; an estimated 11.6% of Canadians aged 18 years or older have a depression or anxiety disorder. Gendered social constructions ensure that mental health experiences can vary between men and woman.

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False Spring? I hope not!

In the middle of February I greatly enjoyed sitting in my office or my apartment and watching the snow fall. It was quite magical. In total we probably had about 10 cm, enough to cover the ground and make everything into a winter wonderland. Normally here there is a period when the ground is covered by grey snow as it slowly melts. In the corner of the parking lots there are piles of the white stuff, bulldozed there by the clearance teams. This year it warmed up from about the 18th of February and most of the snow disappeared very rapidly. I woke one morning to see a digger loading the snow into large trucks in our apartment parking lot. It is taken away and dumped somewhere. There must have been at least six or seven loads. It was probably necessary to do this, because the piles take a very long time to melt, and the snow was heaped in the guest parking. It provided an insight into the workings of Canada in the winter, and perhaps even into the cost, as I’m sure this service will appear on the bill.

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‘January brings the snow, makes your feet and fingers glow’.

It is most unusual for the first of the month of the year to have come and gone without my having prepared a new blog. I’m not quite certain what happened. I can only think it was a combination of the pressure of teaching and preparation which distracted me. There is quite a lot to report, both events of the past month and ones for the next few months. I have been, and will continue to be, busy.

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Spring²

Travelling from Waterloo in Ontario to Norwich in Norfolk at the end of April was like moving a month forward in nature’s calendar. In Waterloo the snow piled high in the car park at Seagram Lofts finally melted. On the day I left there was just one small patch of moisture left on the paving. It had been so large it spread across five visitor’s parking spots and was probably five meters in height. The temperature had risen significantly and it was possible to leave my coat in the apartment, at least for the 70 second walk across the car park to the back door of the office building. However there were no leaves or blossom and just a few spring flowers dotted in the gardens and parks around the city.

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The Sixties, a Good decade?

Last month marked a significant event in my life. On the 18th of March I turned 60. I must admit to being quite shocked by the fact this birthday finally arrived. It had to be noticed and marked in some way. We talked about Ailsa coming over to Canada, but as I am teaching, marking, and busy with the end of term, we decided she would come over a little later. She, Douglas and I have all been granted permanent residence, and all have to be here and visit the appropriate agency before the 7th June. If we don’t do that then we enter a bureaucratic limbo land. Douglas visits in early April and Ailsa in May.

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Snowfalls and Sunshine

This winter in Waterloo has been quite different from the previous two years. Then the temperature plummeted and remained in the minus figures for months. It was absolutely freezing for ages. Today at the end of January the temperature is projected to reach at least 3°, rain is forecast, and some, at least, of the snow will be melted by Monday. Given that we are also experiencing brilliantly sunlit days it means the winter months have been considerably more enjoyable. I am able to venture out without any gloves, although given the challenge of not having hair; a hat remains a crucial piece of equipment. Indeed, at lunch time, I am able to make the 70 second walk from the back door of the office to the side door of the apartment without taking my coat or putting on my snow boots.

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