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Responding to COVID-19: A Review of Cuba’s Strategy

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Republic of Cuba is an archipelago of 11.27 million inhabitants located in South America. The healthcare system of the country is considered as one of El Commandante’s  greatest achievements. It was borne out of revolutions socialist ideology which envisioned healthcare accessibility as a fundamental right of all Cuban citizens. In 2014, the then United Nations Secretary General, Ban Ki-moon during an official visit to Cuba termed its healthcare system as “a model for many countries” to follow. The country over the years has offered scholarships to foreign students including those from United States and Europe. A number of low income families from across the world have benefited from the medical schools of Cuba. The Latin American School of Medicine (Escuela Latinoamericana de Medicina) is one of the largest medical schools in the region which hosts thousands of students from over 100 different nations. Cuban health workers have in the past contributing in elimination of polio, tuberculosis, typhoid fever, and diphtheria. During the Corona virus epidemic healthcare workers were sent to at least 21 countries by the government, notably to Italy and South Africa. President Miguel Diaz-Canel of Cuba has recently declared COVID- 19 as “under control in the country”. The article in the light of the above developments provides an analysis of the policy adopted by Cuba to contain the novel virus that has shaken global operations.

Strategies Adopted to Contain COVID-19

Cuba before closing its border increased monitoring at the port, airports and marinas. In this period, travelers arriving with symptoms were hospitalized in isolation for at least 14 days. A case detection strategy was adopted to deal with larger population groups using rapid tests and real-time polymerase chain reaction (RT-PCR) tests. The people who were most prone to virus were identified and record was maintained of those individuals coming from high-risk countries. They were then placed in isolation centers for diagnosis and testing by RT-PCR. Post-mortem of persons having died with respiratory or diarrheal symptoms was also carried out by health professionals to identify virus circumstances and patterns. Healthcare specialists used rapid tests on larger population which in Cuba’s case proved quicker and cost-effective. Door-to-door screening drive was undertaken with the partaking of medical students. When a case was confirmed, contact tracing was started to also identify those people who potentially had the risk to develop the novel virus. These policy steps resulted in early identification of cases. It was reported that up to 2.5 million people a day were screened by going house-to-house. Patients were hospitalized for at least 15 days, by the end of this period if they were declared symptoms-free and in recovering stage, they were once more tested by RT-PCR. If the results were negative, they get a clinical discharge to return to their home with a restricted movement for further 15 day period. After this time, RT-PCR test is repeated after which they can return to their normal activities. However, if the test is declared positive, it is repeated again in 5 days and if it proves positive the patient is readmitted to the hospital until the test is proven negative. 

An intense media campaign was also initiated by Cuban government where the public were informed regarding the dangers and precautions of COVID-19 virus. Scientists and medical practitioners affiliated with various organization teamed up with BioCubaFarma to develop medications to treat COVID-19. Work was also carried out to develop digital applications that allow facilitate people with symptoms to communicate with health professionals for medical instructions. The policy has been successful as a result of inter-sectoral partaking by local communities along with government agencies such as Ministries of Education, Immigration and Customs and Ministry of Labor and Social Security. The Cuban healthcare system suffers critically as a result of American sanctions. Nevertheless, Cuba upgraded its diagnostic lab facilities in Havana where the National Civil Defense Scientific Research Center has capacity to undertake 1000 RT-PCR tests daily. The first of RT-PCR kits came through the Pan American Health Organization (PAHO), and later more were acquired from China. In order to address the supply shortage Cuba has also started domestically producing specialized gowns, aprons, masks, goggles and face shields, to facilitate protection for people working in health services.

Conclusion

Much of Cuba’s success in responding to COVID-19 has been as a result of primary healthcare system in the country. Cuba has a history of generating innovations in medical science and research. In 1985,it prepared the first and only vaccine against meningitis B. Scientists of the country have also developed new treatments for hepatitis B, diabetic foot, vitiligo and psoriasis. A lifesaving lung cancer vaccine was developed  by Cuba that was also imported by the US. Cuba was also the first country to eliminate the transmission of HIV and syphilis from mother to child, an achievement recognized by World Health Organization (WHO) in 2015.

It is reported that Cuban biotechnology has developed drugs that have already been effective in fighting the coronavirus in China and other countries. According to Director of Epidemiology at Cuba’s Ministry of Health, Francisco Durán, drugs are in development stage “to improve innate immunity”. These include Interferon Alpha 2B, created in the 1980s in collaboration with scientists in Helsinki to combat a dengue outbreak. It is being produced presently by a joint venture with a Chinese company. New varieties of Interferon are being developed institutes of the Scientific Pole to improve its effectiveness against Covid-19.Cuban institutes are also producing another domestically manufactured drug, CIGB 258, which was already under development prior to the pandemic for the treatment of rheumatoid arthritis. Duran stated, “These and other drugs, almost all manufactured and patented in Cuba, are components of the island’s anti-Covid-19 cocktail”. According to John Hopkins University, Cuba has registered a mortality rate of 4.2% compared to 6% in the US and 12% in Spain. Almost 87% patients have recovered from the COVID-19 virus, the highest recovery rate in South America. Cuban policymakers, however have been critical of the US embargo which poses a serious problem for Cuban biotechnology. It is difficult to import constituents of the drugs and has made joint-research difficult since it is based on cross border correspondence and exchange of scientific ideas.

*This disclaimer informs the readers that the opinion expressed are those of the author and are not in any way representation of associated organization’s and publishing platform. 

Zaeem Hassan Mehmood, is an alumnus of National Defence University, Islamabad. He is serving as Research Associate at National Centre for Maritime Policy Research (NCMPR)

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Flames of Globalization in the Temple of Democracy

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Authors: Alex Viryasov and Hunter Cawood

On the eve of Orthodox Christmas, an angry mob stormed the “temple of democracy” on Capitol Hill. It’s hard to imagine that such a feat could be deemed possible. The American Parliament resembles an impregnable fortress, girdled by a litany of security checks and metal detectors at every conceivable point of entry. And yet, supporters of Donald Trump somehow found a way.

In the liberal media, there has been an effort to portray them as internal terrorists. President-elect Joe Biden called his fellow citizens who did not vote for him “a raging mob.” The current president, addressing his supporters, calls to avoid violence: “We love you. You are special. I can feel your pain. Go home.”

That said, what will we see when we look into the faces of these protesters? A blend of anger and outrage. But what is behind that indignation? Perhaps it’s pain and frustration. These are the people who elected Trump president in 2016. He promised to save their jobs, to stand up for them in the face of multinational corporations. He appealed to their patriotism, promised to make America great again. Arguably, Donald Trump has challenged the giant we call globalization.

Today, the United States is experiencing a crisis like no other. American society hasn’t been this deeply divided since the Vietnam War. The class struggle has only escalated. America’s heartland with its legions of blue-collar workers is now rebelling against the power of corporate and financial elites. While Wall Street bankers or Silicon Valley programmers fly from New York to London on private jets, an Alabama farmer is filling up his old red pickup truck with his last Abraham Lincoln.

The New York banker has no empathy for the poor residing in the southern states, nothing in common with the coal miners of West Virginia. He invests in the economies of China and India, while his savings sit quietly in Swiss banks. In spirit, he is closer not to his compatriots, but to fellow brokers and bankers from London and Brussels. This profiteer is no longer an American. He is a representative of the global elite.

In the 2020 elections, the globalists took revenge. And yet, more than 70 million Americans still voted for Trump. That represents half of the voting population and more votes than any other Republican has ever received. A staggering majority of them believe that they have been deceived and that Democrats have allegedly rigged this election.

Democrats, meanwhile, are launching another impeachment procedure against the 45th president based on a belief that it has been Donald Trump himself who has provoked this spiral of violence. Indeed, there is merit to this. The protesters proceeded from the White House to storm Congress, after Trump urged them on with his words, “We will never give up, we will never concede.”

As a result, blood was shed in the temple of American democracy. The last time the Capital was captured happened in 1814 when British troops breached it. However, this latest episode, unlike the last, cannot be called a foreign invasion. This time Washington was stormed by protestors waving American flags.

Nonetheless, it is not an exaggeration to say that the poor and downtrodden laborers of America’s Rust Belt currently feel like foreigners in their own country. The United States is not unique in this sense. The poor and downtrodden represent a significant part of the electorate in nearly every country that has been affected by globalization. As a result, a wave of populism is sweeping democratic countries. Politicians around the world are appealing to a sense of national identity. Is it possible to understand the frustrated feelings of people who have failed to integrate into the new global economic order? Absolutely. It’s not too dissimilar from the grief felt by a seamstress who was left without work upon the invention of the sewing machine.

Is it worth trying to resist globalization as did the Luddites of the 19th century, who fought tooth and nail to reverse the inevitability of the industrial revolution? The jury is still out.

The world is becoming more complex and stratified. Economic and political interdependence between countries is growing each and every day. In this sense, globalization is progress and progress is but an irreversible process.

Yet, like the inhumane capitalism of the 19th century so vividly described in Dickens’ novels, globalization carries many hidden threats. We must recognize and address these threats. The emphasis should be on the person, his dignity, needs, and requirements. Global elites in the pursuit of power and superprofits will continue to drive forward the process of globalization. Our task is not to stop or slow them down, but to correct global megatrends so that the flywheel of time does not grind ordinary people to the ground or simply throw nation-states to the sidelines of history.

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Deliberate efforts were made to give a tough time to President Joe Biden

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Image credit: Todd Jacobucci/ flickr

President Trump-Administration is over-engaged in creating mess for in-coming President Joe Biden. The recent deliberate efforts are made to give a tough time are:  naming Cuba a state sponsor of terrorism, designating Yemen’s Houthi rebels as a foreign terrorist organization, Terming Iran as a new home to al-Qaida, and lifting restrictions on contacts between American officials and representatives from Taiwan.

The consequence may turn into dire situations, like a return to cold war era tension. Efforts were made to resume Cuba-US relations to normal for decades and were expected to sustain a peaceful co-existence. Any setback to relations with Cuba may destabilize the whole region. Pompeo’s redesignation of Cuba as a sponsor of state terror will possibly have the least material impact, but it signifies a personal loss to Biden and a momentous political win for Trumpism. In doing so, Trump is hitting the final nail in the coffin of Barack Obama’s efforts to normalize relations with Cuba.

Yemen issue was a creation of Arab spring sponsored by the CIA, and after realizing the wrongdoings, the US was trying to cool down the tension between Saudi Arabia and Yemen, but with the recent move to name Yemen’s Houthi rebels as a foreign terrorist organization, may open new hostilities and bloodshed. It has been designated by UNICEF as the “largest humanitarian crisis in the world, with more than 24 million people — some 80 percent of the population — in need of humanitarian assistance, including more than 12 million children.” Such statements may halt humanitarian assistance and may result in a big disaster.

The history of rivalries with Iran goes back to 1953 when the UK and the US jointly overthrew the legitimate government of Prime Minister Mossadeq. But the real tension heightened in 2018 When President Trump withdrew from JCPOA. But the recent allegation that Iran as a new home of al-Qaida may take a new turn and give a tough time to Joe Biden–Administration. Although there is no evidence, however, Secretary of State Pompeo made such an allegation out of his personal grudge against Iran. It can complicate the situation further deteriorate and even may engulf the whole middle-east.

Lifting constraints on contacts between American officials and representatives from Taiwan, is open violation of “One-China Policy.” Since Washington established formal diplomatic relations with Beijing in 1979, it has resisted having official diplomatic associations with Taipei in order to avoid a confrontation with the PR China, which still comprehends the island — home to around 24 million people — as part of China. Chinese are very sensitive to the Taiwan issue and struggling for peaceful unification. However, China posses the capabilities to take over by force, yet, have not done so far. Secretary of State Mr. Pompeo’s statement may be aiming to instigate China and forcing toward military re-unification. It might leave a challenging concern for Joe Biden-Administration.

Raffaello Pantucci, a senior fellow at Singapore’s S. Rajaratnam School of International Studies, said, “The Trump administration is locking in place a series of conflicts that change the starting point for Biden walking into the office on the world stage.”

Even Mr. Pompeo had a plan to travel to Europe to create further hurdles for in-coming administration, but fortunately, some of the European countries refused to entertain him, and desperately he has to cancel his trip at the eleventh hours.

It is just like a losing army, which destroys all ammunition, weapons, bridges, infrastructures, etc., before surrendering. Although President Trump’s days in office are numbered, his administration is over-engaged in destruction and creating hurdles for the next administration. He is deliberately creating hurdles and difficulties for President-Elect Joe Biden.

President Joe Biden has many challenges to face like Pandemic, unrest in the society, a falling economy, losing reputation, etc. Some of them might be natural, but few are specially created!

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Latin America and the challenges for true political and economic independence

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Latin America – and its core countries, namely Brazil, Argentina and Mexico – has become a region of high global strategic value due to its vast territory, abundant resources, great economic development, unique geographical position and active role in global and regional governance.

Factors such as history, geography and reality, combined with the complexity of the region’s internal political logics, have once again made Latin America a place where major powers pay attention to and play key games.

Latin America’s cooperation with ‘external’ powers has become ever closer, leading to unfounded suspicions and malicious provocations among the countries of the region concerned.

What bothers ‘democrats’ and ‘liberals’ is the presence in the area of countries without a colonialist and exploitative past.

Historically, Latin America and the Caribbean were the coveted location of various Western forces. Since the Latin American countries’ independence – and even today – large countries inside and outside the region have competed in this area.

The complexity and uncertainty of the current global political and economic situation in Latin America lie behind the competition between the major powers in geopolitics and international relations.

Latin America’s vast lands and resources are linked to global food security, the supply of agricultural and livestock products, and energy security. It is an important ‘product supplier’ that cannot be neglected.

Latin America has a huge surface of over 20 million square kilometres, covering four sub-regions of North America (Mexico), the Caribbean, Central America and South America, with 33 independent countries and some regions that are not yet independent, as they are tied to the burden of the old liberal-colonialist world.

Latin America is blessed with favourable natural conditions. For example, it has become a well-known ‘granary’ and ‘meat provider’ because of its fertile arable land and abundant pastures. It is an important area  for the production of further agricultural and livestock products. At the same time, other countries in the region have huge reserves of natural resources such as oil and gas, iron ore, copper and forests, and have become important global suppliers of strategic materials.

Secondly, the Latin American region has a relatively high level of economic development and has brought together a number of important emerging economies – a significant global market that cannot be ignored.

The Latin American region plays an important role in global economy. Brazil and Mexico are not only the two largest economies in Latin America, but also the top 15 in global economy.

At the same time, recent calculations on 183 countries (regions) with complete data from the World Bank and related studies show that the group consisting of Brazil, Mexico, Argentina, Chile, Peru, Colombia, etc., has entered the ranking of the “30 emerging markets” (E30) worldwide. According to World Bank statistics, Latin America’s gross domestic product (GDP) in 2018 was about 5.78 trillion dollars and the per capita GDP exceeded 9,000 dollars. With the exception of a few, most countries in Latin America are middle-income and some have entered the high-income ranking.

Therefore, Latin America has become a large consumer market that cannot be ignored due to its relatively high level of economic development, high per capita income and a population of over 640 million people.

Indeed, as Latin American region with a high degree of economic freedom and trade openness, it has been closely connected with the economies of other regions in the world through various bilateral and multilateral agreements, initiatives and free trade mechanisms.

Thirdly, Latin America’s unique geographical position has a significant impact on global trade, shipping and climate change.

Latin America is situated between two oceans. Some countries border on the Pacific, or the Atlantic, or are even bathed by both oceans. This special position gives the Latin American region the geographical advantage of achieving ‘transpacific cooperation’ with the Asian region or building a link of ‘transatlantic cooperation’ with the European region. Thanks to the Panama Canal, it is the fundamental hub for global trade.

Besides its strategic relevance for food security and clean energy production, the Amazon rainforest, known as the ‘lungs of the earth’, has a surface of over six million square kilometres, accounting for about 50% of the global rainforest. 20% of the global forest area and the vast resources covering 9 countries in Latin America have become one of the most important factors influencing global climate change.

Finally, as an active player in the international and regional political and economic arena, Latin America is a new decisive force that cannot be neglected in the field of global and regional governance.

Firstly, as members of organisations such as the United Nations, the World Trade Organisation, the International Monetary Fund and the World Bank, the major Latin American countries are both participants in and creators of international rules.

Moreover, these countries should be considered from further aspects and viewpoints of multilateralism.

The major Latin American countries, particularly regional powers, such as Brazil, Mexico and Argentina, are members of the G20. Brazil belongs to both BRICS and BASIC.Mexico, Chile and Peru are within the Asia-Pacific Economic Cooperation. Mexico, Peru and Chile are members of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP), while Mexico and Chile are members of the Organisation for Economic Cooperation and Development (OECD).

They are playing an irreplaceable role in responding to the economic crisis and promoting the reform of global governance mechanisms; in promoting the conclusion of important agreements on global climate change; in advancing economic cooperation between the various regions; in leading ‘South-South cooperation’ between developing countries and in holding a dialogue on the main current issues (opposition to unilateralism, protectionism, protection of multilateralism, etc.).

It must also be said that Latin American countries are naturally also active in regional organisations and institutions – such as the Organisation of American States, the Inter-American Development Bank, etc. – so that they can participate directly and try to oppose U.S. hegemonism.

Within the Latin American region, these countries first initiated a process of cooperation and integration and later established various sub-regional organisations -such as Mercosur (Mercado Común del Sur-Mercado Comum do Sul) and Alianza del Pacífico (Mexico, Colombia, Chile and Peru) – to cooperate with other regions of the world and shake off the unfortunate definition of “America’s backyard”.

Located in the Western Hemisphere, where the well-known superpower is present, Latin American countries have long been deeply influenced by the United States in politics, economics, society and culture.

In 1823, the United States supported the Monroe Doctrine and drove the European countries out of Latin America with the slogan ‘America for the Americans’, thus becoming the masters of the Western Hemisphere.

The Monroe Doctrine also became a pretext for the United States to interfere in the internal affairs and diplomacy of Latin American countries.

In 2013, 190 years after the aforementioned declaration, the United States publicly declared that the Monroe Doctrine era was over and emphasised the relationship on an equal footing and the shared responsibility between the United States and Latin America.

Nevertheless, the current Latin American politics shows once again that the end of the so-called ‘Monroe Doctrine’ era is nothing more than a common myth.

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