The Draft is Finally Done

It is hard to believe that it is over six years since we first saw cases of COVID-19, although it was some months before we realised the enormity of the event. By March 2020 the world had entered a lockdown that was enforced with different levels of enthusiasm, restriction and periods depending on the country.

There were many dreadful consequences of the pandemic. But I will be the first to admit that I did not suffer as many people did. There was loss of livelihoods; deaths of family and friends; and psychological impacts, for many being cooped up in a flat or similarly small living space and not sharing significant events with others.

The worst effect for me was that my departure from working life did not go as planned. In December 2019 I taught my last class in Waterloo and travelled to Norwich for Christmas and a sabbatical year. I had set up visits to universities all over Germany to begin in April 2020. We all know what happened to travel: it came to an abrupt halt. The university in Waterloo was trying to get rid of more expensive academics and offered a generous package to encourage our departure, so that took care of 2021, and I was then officially retired but without clear direction.

However, I had to go back to Waterloo to pack up my flat, ship the things I wanted to the UK and sell or give away the rest. I travelled back to Waterloo at the beginning of 2021. It was a bizarre experience; I was one of only three or four passengers on the plane across the Atlantic. On arrival in Toronto, I had to go to a quarantine hotel for a few days, and when I got back to my apartment, I had to isolate myself once again!

The local health authorities took this very seriously and sent an inspector to check I was obeying the rules. He came to the door and said “I am here to check you are on your own”. I assured him I was and invited him in to inspect the place. He replied saying he was not allowed to come in at all. It was very Canadian and quite bizarre. When he said that I turned and called into the flat, “It’s alright you can come out now!” Luckily, he was mildly amused!

During the first year of the pandemic, I replaced my occasional meandering blog with a weekly COVID-19 bulletin. This basically set out for friends and family and allowed me to process where I thought we were in the pandemic; what we knew and did not know; where the science was; and what we might expect. This was well received, reproduced and widely disseminated. It ended as knowledge grew and people understood more.

The confluence of the pandemic, the isolation, and the retirement of the boomer generation has resulted in many people writing memoirs or autobiographies. I am no exception. I started in 2020. In November 2025 I sent the last few chapters of what will be a two-volume tome to my editor. I am paying to have it knocked into shape for publication. The first part covers family history; my birth in Kenya; our move to Swaziland; schooling at St Marks and Waterford; and my years in Norwich in England (from October 1975 to October 1980), mainly at university. It takes me up to age 24 and my departure to my first professional job in Botswana. There is not much controversy in this, the next volume will not be chronological but on themes and will probably have to be read by a lawyer.

I know I can write as an academic, I have published numerous articles and over 10 edited and co-edited books. My CV is available! The most important (and difficult) book was HIV and AIDS: A Very Short Introduction, first published by Oxford University Press in 2008 and revised and reprinted in 2016.

The word count of a VSI can be no more than 37,500 words, hence the ‘Very Short’. This was professionally, intensively and extensively edited by the OUP editors, and, my word, I learnt a lot from the process. That experience meant that I knew that I would need help with the memoir. Furthermore, having an editor should make sense in terms of getting a publisher, as the manuscript will, hopefully, need less work.

The ‘memoir’ was started in 2020 and last week I wrote ‘The End’ and sent it off. I recognise there is a great deal of work to be done! As my daughter, Rowan, says, ‘Writing is rewriting’. Initially I sat down and simply wrote. Once an outline was ready, I began to research the material and that has been eye opening. I have discovered, or been made aware, of some family secrets. They are in the manuscript, but I will give a ‘taster’ of three here.

My father was born in North Walsham, the son of a railway labourer, in 1899. His mother died giving birth to her fifth child in 1907. He had, by any standards, an interesting and fulfilled life and died aged 90. He got a scholarship to the local grammar school, The Paston School, but lead us to believe he also attended the even more prestigious Gresham’s School in Holt. I could find no record of this but managed to contact an alumni officer, who, it turned out, worked in this role for both the schools! She confirmed dad had been at The Paston, but there was no record of him attending Gresham’s. Why was there this little lie? My speculation is that he applied to Gresham’s, but lied about his age to enlist, aged 16. He served through the First World War!

I knew my grandmother, Olive, was adopted. Talking to relatives I have pieced together the story. She was born, out of wedlock, in 1893. Her father was a sailor travelling from the Newcastle ports to North and East Europe. I don’t know much about her mother, yet. She was taken as a baby to Kimberley by the Slaughter family, presumably to avoid the stigma of the time. Here is the absolute kicker though, which I only learnt from a cousin a few weeks ago. When Olive was 16, she was fighting with her father and said, in fury “I wish you were not my father”. He, unforgivably, said “Well I am not”.

And finally, my partner and I took part in a clinical trial, run by the University of East Anglia to assess if taking cranberry extract could delay dementia. This involved baseline data collection and, at the end of the trial, many tests and activities, including a brain scan. We were told if there were abnormalities our GPs would share and discuss these.

In my case there were, and my GP invited me for a consultation. He informed me there were two issues: my cholesterol was elevated, and the brain scan had shown some scarred and atrophied areas. Cholesterol is easily dealt with; the brain issue was a bit more concerning. I thought about it and suggested it could have been caused by the encephalitis I had when I was six. He consulted a neurologist friend and phoned me that afternoon to confirm his colleague concurred on the cause. As it was not recent, and I was functioning normally, we agreed it was not a cause for alarm. Though, to my great amusement he said, “Alan, we were right, it was the encephalitis”.

So, the next steps are to get the edited manuscript back and work through it. I need to get friends and influential people to write blurbs and possibly even an introduction to the book. In the UK it is standard to submit it to agents, and so far, I have not had much interest. In South Africa people normally go straight to the publishers and I have not started down this route yet. It has been really interesting and revealing and I will keep you posted on progress. My overarching conclusion is that I have had an incredibly blessed and fascinating life. Obviously, readers will make up their own minds.

I have been in Durban for just over two months and soon head back to the UK for Christmas and the winter. I really hate Durban’s humidity and heat from January to early April and would far rather be in Norwich. It will be a chance to work though the book and spend time with the family. I left when the grandson was just about a month old. The means of communication we have at our disposal are incredible, so I have been able to follow his progress and, my word, he is changing rapidly. It will be good to get back and see him.

Finally, my monthly blogs are normally about 1,500 words. The reason was, when I began, there were a few relatives who did not have access to email. This is just two pages long, in other words both sides of an A4 sheet, which was the right length and, more importantly, was under 10 grams when posted! Given this now goes on the web I am allowing myself some latitude on words. Thank you for reading this, feedback is always welcome.

Summer is Starting

I normally make notes for my monthly post jotting down interesting or unusual events from life or world news. This month I pondered my opening paragraph and decided to begin by talking about ‘the yips’. It is a phrase I have not heard in an age. In one of his more bizarre statements Donald Trump referred to peoples’ responses to his curious policies as ‘getting the yips’. The Miriam-Webster dictionary defines it as ‘a state of nervous tension affecting an athlete (such as a golfer) in the performance of a crucial action.’

Continue reading

Theatre and Books

It has been an intense month for international events, most emanating from North America. As I write it seems that there may be a trade war brewing thanks to the tariffs Trump’s government wants to impose on Canada, Mexico and China. Lenin is reputed to have said “there are decades when nothing happens, and then weeks when decades happen”. That is how January felt to me. I begin this blog with some reflections on the situation the world finds itself in. Then, because this is all quite depressing, and beyond my control, I will move on to events, books and other things that have made life in Norwich worthwhile.

Continue reading

Back to the Heatwave

I returned to the UK in mid-August after spending just under three weeks in Canada. As I said in my last posting I did not think I would be able to travel, as I had Covid. Fortunately, I started testing negative a few days before the scheduled departure. It was an interesting trip. The first part was to attend the International AIDS Economics Network (IAEN) meeting ahead of the International AIDS Conference in Montreal. I then travelled down to Waterloo for 10 days. It was great to reconnect with many friends.

There were changes and sights that really shocked me though. In Montreal we saw a young woman attacked by a vagrant at 7.30 in the morning. She got away before we could intervene, and went to a nearby police car. When I arrived at the Kitchener station, there was a tent camp next to the railway line. The sight of tents and tarpaulins providing shelter to many people was totally unexpected. Worse was to come, I was told there was another informal settlement in, the rather special, Victoria Park, next to the first house I rented. The person who gave me this information warned that it might not be safe to go too close, a telling comment in and of itself! The formerly pristine park is home to another encampment. In South Africa it would be called a squatter camp!

Continue reading

Pandemics and travels

It has been an inordinately long time since I last posted to my website. A lot has happened. In early July I travelled from Durban to Cape Town for a few days, seeing friends and staying with Derek and Lynn (my brother and wife). On Sunday 10th July I flew from Cape Town back to Norwich via Amsterdam. By Thursday I had a scratchy throat, headache, cough, and a metallic taste in my mouth. A day later I tested positive for Covid-19. The virus I had written so much about got me! I was not seriously ill, but it was not pleasant. I am convinced I was infected in an airport or on a plane.

I was due to travel to Montreal for the International AIDS Economics Network (IAEN) meeting ahead of the International AIDS Conference on Monday 25th July. Although I do not believe I was infectious, travelling seemed unwise. I was very relieved to consistently test negative in the days before I flew. At one point I thought my attendance was in doubt which would have been difficult for my colleagues as we were co-organising a meeting.

Continue reading

Of Birds and Viruses

I have officially been retired since Saturday 1st January, or perhaps, to be pedantic, since midnight on 31st December 2021. I must confess to feeling a little uncertain as to what the future holds. There needs to be a plan, budget, and cash flow projection, all but the first can be done quickly. The Covid crisis has made planning difficult. I really want to do some travelling, but it is hard to book tickets with any confidence. This is changing slowly though. It is hard to believe that the world began this seismic shift just two years ago. I became aware of this new disease in January 2020. I had no idea how rapidly and far it would spread, or the incredible disruption it would cause. More on this later.

Continue reading

The clock ticks

I was shocked to see it has been over a month since I last posted. I have two countdowns going on in my life. The first, at the end of 2021 I will get my last salary cheque. Apart from a few short ‘student type’ jobs, since 1980 I have always had someone paying me a regular income. The short jobs in Swaziland included working for a school book supplier one holiday, and a week as a ‘hanger round’ at the Central News Agency in Mbabane. In the UK I spent a week packing bulbs (tulips and daffodils) etc. in a warehouse, ironically in the industrial site near where we live. I was fired for being too bolshy. I also spent three summer months as a warehouseman in Her Majesty’s Stationery Office. The second milestone is, in March 2022, on my 66th birthday, I become eligible for a British State pension.

Most young people, certainly those under 40, see people aged 50 to 80 here as an exceptionally fortunate generation. This is true for a high proportion of us. We had access to free university education, jobs, and many will get a state pension that, while not hugely generous, is significant. We were able to travel widely. We only became aware of the appalling damage we have wrought on the world, in terms of over exploitation and environmental damage, as we were doing it.

Continue reading

What’s next, I ask?

Welcome to the first of my monthly, meandering blogs, put on my website, and emailed to everyone who signed up to receive my news. Let me begin with a warning, this is not primarily about Covid, so you may wish to take yourself off the list. Obviously, I am still following Covid, but no longer closely, and certainly not enough to write regular posts. Having said that here is something everyone should read – “How the risk of side effects could change with Covid-19 vaccine boosters” – we are all, probably going to offered these soon.

Continue reading

Are we winning? Yes and no!

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 finished my quarantine in my Waterloo apartment a week ago. I had three days confined in an airport hotel and then 11 more in Waterloo. The government was efficient at checking up on me. Every day I got an automated email with a weblink, and had to complete a form online. There were at least two phone calls and one visit from a private investigator, who had been repurposed as a quarantine inspector, complete with stab proof vest. He came to the door of the apartment, but said he was not allowed to enter it – which somewhat defeats the objective of checking.

The whole of the post-hotel quarantine depends on the honesty of individuals entering Canada. The press has reported, with outrage, of people flying to American airports and crossing the border by road, thus avoiding some of the more intrusive processes. I must be honest and say it was not too bad, though the current lockdown is wearing. Friends made sure I was well supplied with the essentials (food and wine), and so my incarceration went by reasonably quickly. But then I have a large apartment with a great view. I am privileged and I recognise it.

My overarching impression in Ontario is of a province on its knees, and an overwhelming weariness with the whole process. The smiles are becoming fixed, that is when you can see them because people wear masks outside. The problem is the lack of clarity and consistency. As I understand the situation, rules are enforced at the local level. Where I am, it is enforced by Region of Waterloo Public Health. They work closely with Public Health Ontario, the relevant section of the provincial government, which sets policy, and at the national level, with the Federal Ministry of Health. The lockdown is tight; people should only leave their homes for essential reasons, socialising is not allowed, and currently schools are closed. This last regulation has, as in Europe, had an extremely detrimental effect on children and their parents.

A large part of the problem is the Provincial Government, run by the Progressive Conservative Party of Ontario under the leadership of Doug Ford. The world over, conservative governments have reduced public health expenditures and services, and Ontario is no exception. Indeed, Ford was forced into a humiliating climb down when he attempted to announce that the provincial police would enforce his regulations,1 only to have various forces announce the next day that they would not be doing this.2 The numbers in the province are coming down slowly. There is a decent website3 giving data for the province. The citizenry needs clear guidance and, above all, to know the nightmare will end soon, but this is lacking.

The little mall across the road has a security officer at a desk at each entrance. Their task: to ask each customer if they have any Covid symptoms as they enter. It would take a pretty stupid individual to admit to having signs of Covid. I suppose it is important to be seen to be doing something, and this has certainly created employment. Interestingly most of the security officers seem to be recent immigrants from Southeast Asian countries. That probably indicates that these are minimum wage jobs.
Continue reading

Vaccination: the way ahead

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

This is being written as I quarantine in my Waterloo apartment. Getting here was surprisingly easy, despite a great deal of bureaucracy. The story began in December 2019 when I travelled from Waterloo to the UK for a year’s sabbatical. I planned a busy year, with visiting fellowships at two German and a British University, and visiting status with two English Universities. It was set to be a full, productive, and fun year. And then Covid-19 arrived, and everything was put on hold. I did not leave Norwich for over a year but making a trip to Canada was increasingly urgent. Travel was not easy, cheap or pleasant.

The first step was getting permission to leave the UK. International travel was not allowed until 17th May, unless the traveller has good reason. There is, of course, a government website. The “Declaration for International Travel” has a drop-down menu of about 10 reasons, from ‘Work’ to ‘Other reasonable excuse – please specify’. I dutifully completed and printed it. No one asked to see it at any point. There were no flights for my preferred route (Norwich, Amsterdam, Toronto) so I booked from Heathrow. There is extensive guidance on travelling to Canada on the Canadian government website. Only four airports accept international flights: Calgary, Montreal, Toronto, and Vancouver. At the moment, there is no recognition in the terms of travel and restrictions of vaccine status. I am fully vaccinated and have a flimsy little record card to prove it. I made photocopies for officials. No one asked or showed an interest.

To enter Canada (and various other countries) a traveller has to have a negative Covid test within three days of boarding. In the UK, private laboratories produce a “Fit to Travel Certificate for SARS CoV-2/Covid-19 Testing”. At a price of course. Also required is an arrival form to allow border officials to track you.

“Speed up your arrival process in Canada and spend less time with border and public health officers. Use ArriveCAN1 to provide mandatory travel information… Help … keep Canadians safe and healthy.”

The aircraft, a Boeing 787 Dreamliner, seats about 250 people. I booked myself in the premium economy section for more room. What a waste of money, there were only 19 passengers! There was a full complement of very bored cabin crew and consequently we had excellent service and some interesting conversations. Clearly, they had time to check the passenger list, halfway through the journey they began addressing me as Professor!

On arrival getting through the Canadian formalities was straightforward. The test is a nasal swab. There was no interest in my vaccination status – but there were a few comments on Canada’s failure to roll out a vaccine. Mind you I was on an empty plane; the next scheduled flight from Manila had 350 passengers. The government requires you to pay for three days’ quarantine in a hotel. My choice was a bog-standard business hotel, where the confinement included three meals brought to the door in large brown paper packets. I understand Pavlov’s dogs better now. Within 24 hours I recognized the rustle from the moment the delivery person exited the lift. There was nothing to get excited about on the menu though.

At Heathrow I bought a couple of bottles of duty-free wine and when I checked into the hotel, I asked for a third. The clerk said that he was glad I asked before he checked me in. He is not allowed to send alcohol to the quarantine rooms! There was no corkscrew in the room and the desk said they had none so here are some tips.
Continue reading