The first cholera outbreak in nearly three decades in Lebanon is now spreading throughout the country, with more than 1,400 suspected cases, and 17 reported deaths so far, the World Health Organization (WHO) warned on Tuesday.The first case was reported to WHO by the Ministry of Public Health on 6 October, and there have been 381 laboratory-confirmed cases.
While the outbreak was initially confined to northern districts, it has spread rapidly said WHO’s office in Lebanon, with laboratory-confirmed cases now reported from all eight governorates and 18 out of 26 districts.
Serotype Vibrio cholerae O1 El-Tor Ogawa was identified as the cholera strain in circulation, similar to the one circulating in Syria.
Deadly, but preventable
“Cholera is deadly, but it’s also preventable through vaccines and access to safe water and sanitation. It can be easily treated with timely oral rehydration or antibiotics for more severe cases,” says Dr. Abdinasir Abubakar, WHO Representative.
“The situation in Lebanon is fragile as the country already struggles to fight other crises – compounded by prolonged political and economic deterioration.”
WHO is working alongside the public health ministry to try and curb the outbreak, along with other humanitarian partners.
Together they have drawn up a national cholera preparedness and response plan, outlining the most urgent response interventions required, while scaling up surveillance and active case-finding in case hotspots.
Given the shortage of both health staff and medical supplies in the country, WHO has provided the two reference laboratories, three prisons and 12 hospitals designated for cholera treatment with laboratory reagents, treatment kits and rapid diagnostic tests.
The UN health agency has also deployed nurses and doctors as surge capacity to hospitals in the most affected areas. The procurement and prepositioning of additional cholera supplies are being also finalized, said WHO.
Additionally, WHO is ensuring that proper clinical management practices, infection prevention and control, and cholera testing protocols are in place to complement the surge in cases.
Training in place
In recent weeks, WHO has supported a series of training sessions nationwide to improve early detection and reporting of suspected cases, enhance clinical management and raise awareness among the public and frontline health workers.
Despite global shortages in cholera vaccine, WHO is supporting the Ministry of Public Health to secure 600,000 doses for those most at risk, including frontline workers, prisoners, refugees and their host communities.
Given the rapid spread of the outbreak, the agency is trying to locate more doses.
The vulnerability of people in Lebanon is being exacerbated by the prolonged economic crisis and limited access to clean water and proper sanitation across the country.
The migration of health care workers, disrupted supply chains and unaffordable energy supply have severely weakened the response capacity of hospitals and primary healthcare facilities.
“There is still an opportunity to limit the spread and impact of the outbreak by intensifying response interventions, including improving water and sanitation quality”, said Dr. Abubakar.
Back to basics
“We also need to raise awareness on how to prevent cholera infection so that we can lift the pressure off hospitals. The best way to prevent a cholera outbreak is to ensure people have access to clean water and appropriate sanitation and hygiene.”
He added that in the long term, “we need to scale up global vaccine availability as part of a holistic strategy to prevent and stop cholera outbreaks”.
UN: A divided world faces a huge number of problems
The current session of the UN General Assembly has shown that the United States will not force the Global South to take its position in the Ukrainian conflict, writes ‘An Nahar’ from Lebanon. Developing countries refuse to condemn Russia and demand an end to hostilities, as they suffer from their consequences.
UN Secretary-General António Guterres said during his speech that humanity faces enormous challenges, from a worsening climate emergency to escalating conflicts, a global cost of living crisis, growing inequality and technological changes.
This is a huge number of problems that a divided world faces. The role of the United Nations has noticeably declined. There is intense competition between the West, led by the United States, on the one hand, and developing countries, led by China, on the other. More than ever, Beijing wants a say in international affairs commensurate with the size of the Chinese economy that has boomed over the past four decades.
The United States appears to be facing an almost impossible task of forging a global consensus on isolating Russia internationally over the situation in Ukraine. Most developing countries have a different view of the Ukrainian conflict, which has been going on for 18 months. They demand a political solution and an immediate cessation of hostilities.
Washington is trying in vain to pressure countries in the Global South to accept a Western strategy based on the idea that the problem will be solved when Russia suffers a crushing defeat in Ukraine. There are leaders in the world who strongly disagree with this approach. Brazilian President Luiz Inacio Lula da Silva, for example, accused the United States of encouraging the conflict in Ukraine. In addition, developing countries have not joined Western sanctions against Russia, despite the pressure put on them.
While Western powers are able to pay for aid to Ukraine, developing countries are suffering from continued hostilities and cannot bear the costs of the conflict. The longer the fighting goes on, the more states in the Global South insist on a ceasefire.
Developing countries are increasingly concerned about pressing issues such as food security, climate change, inequality and the debt crisis. It won’t be long before the consequences of the collapse of the Black Sea grain deal between Russia and Ukraine begin to show in poor countries.
Although the regular session of the UN General Assembly allows for discussion of pressing global problems, disagreements have arisen among participants regarding how to solve them.
The division of countries into international blocs competing with each other has led to the fact that the United Nations has practically lost its global significance and demonstrated ineffectiveness in resolving international conflicts.
The more tensions between states escalate, the weaker the role of the United Nations becomes.
The intensity of global competition is preventing the United Nations from fulfilling the mission for which it created.
The world divided into opposing camps, each of which is looking for the best way to protect its national interests. It is not easy to find a way to salvation or get out of a dead end, ‘An Nahar’ writes.
India’s Canadian riddle
The timing of the Canadian assault on the Indian foreign and security policy establishment over the killing of Hardeep Singh Nijjar is not in doubt, stresses M.K. Bhadrakumar, Indian Ambassador and prominent international observer.
It surged in the aftermath of the G20 summit, which witnessed a crushing diplomatic defeat for the US in front of the world community, where the host country India navigated skilfully to scuttle any negative reference to Russia in the event’s final document.
The Nijjar affair can be metaphorically called the grapes of wrath. The liberal western world so far granted Modi government a free passage through their rules-based order. India could preach, but wasn’t accountable for its own practice. All good things come to an end.
Canada has a record of acting as a surrogate of the US. As regards Nijjar file, a Canadian official familiar with the matter told Associated Press that Prime Minister Justin Trudeau’s allegation against Modi government was based on surveillance of Indian diplomats in Canada, including intelligence provided by a “major ally” who is a member of the infamous Five Eyes, the secretive intelligence network of Anglo-Saxon countries — Australia, Britain, Canada, New Zealand and the US.
Interestingly, Britain scrambled to distance itself from Trudeau’s tirade, while a Canadian source told Reuters that Canberra and Washington collaborated “very closely” to examine evidence indicating potential Indian involvement in Nijjar’s killing.
Trudeau spoke in the Canadian parliament after consultations with President Biden, and the White House reaction on the same day was highly supportive. The White House National Security Council spokesperson Adrienne Watson said, “We are deeply concerned about the allegations referenced by Prime Minister Trudeau. We remain in regular contact with our Canadian partners. It is critical that Canada’s investigation proceed and the perpetrators be brought to justice.”
Watson works under NSA Jake Sullivan who reports directly to Biden. It is unlikely that Sullivan made this a personal issue with the Indian security establishment. Simply put, the buck stops at the Oval Office.
Indeed, after Watson’s initial remark, the White House quickly switched to megaphone diplomacy with its highflying strategic communications chief John Kirby, a retired rear admiral, confirming for record that Biden is “mindful of the serious allegations” by Trudeau “and they are very serious… and we support Canada’s efforts to investigate this. We believe a fully transparent, comprehensive investigation is the right approach so that we can all know exactly what happened, and of course we encourage India to cooperate with that.”
Such gratuitous lecturing is sheer hypocrisy by a country that freely resorts to assassination as a tool in its foreign policy. Who killed Qassem Soleimani?
Alas, in the face of this bullying, Delhi’s reaction has been pusillanimous, to say the least — as if it is stone deaf and couldn’t hear what the White House officials were saying.
One would like to believe that India, with high values in global governance and deep respect for national sovereignty — apart from being the flag carrier of the concept of ‘Vasudhaiva Kutumbakam’ (‘The World is One Family’) — would never descend to such a heinous level as to practice murder in its statecraft.
The Indian government should strategise through its present predicament. After all, as a key member of the western alliance and a close ally of the US, Canada plays an important role for the US in establishing a so-called rules-based international order and promoting the Indo-Pacific Strategy. And “rules-based order” and Indo-Pacific Strategy are Indian mantras too.
Biden himself may come under cloud very soon and be battling for his political career. Inviting him to be the chief guest at the Republic Day with an additional frill thrown in by way of a QUAD summit to placate him is pointless. Once the Canadian investigation runs its course, Ottawa may put on the public domain further accusations passing for “evidence” — and that could happen at some point closer to our general election. All in all, the big question is, what is it that the US is really upto.
Assad-Xi Jinping meeting: China-Syria strategic partnership
Chinese President Xi Jinping and Syrian President Bashar al-Assad on Friday jointly announced the establishment of a China-Syria strategic partnership, Chinese Xinhua Net informs.
The two presidents met in the eastern Chinese city of Hangzhou, Zhejiang Province, ahead of the opening of the 19th Asian Games.
Syria was one of the first Arab countries that established diplomatic relations with the People’s Republic of China, and was one of the countries that co-sponsored the resolution to restore the lawful seat of the People’s Republic of China in the United Nations, Xi said.
Over the 67 years since the establishment of diplomatic relations between the two countries, the China-Syria relationship has stood the test of changes in the international situation, and their friendship has grown stronger over time, he said.
Xi noted that the establishment of the strategic partnership will be an important milestone in the history of bilateral ties.
China is willing to work with Syria to enrich their relationship and continuously advance the China-Syria strategic partnership, Xi said.
Xi emphasized that China will continue to work with Syria to firmly support each other on issues concerning the two sides’ respective core interests and major concerns, safeguard the common interests of both countries and other developing countries, and uphold international fairness and justice.
China supports Syria in opposing foreign interference, rejecting unilateralism and bullying, and safeguarding national independence, sovereignty and territorial integrity, he said.
China supports Syria in conducting reconstruction, enhancing counter-terrorism capacity building, and promoting a political settlement of the Syrian issue following the “Syrian-led, Syrian-owned” principle, Xi said.
China also supports Syria in improving its relations with other Arab countries and playing a greater role in international and regional affairs, he added.
China is willing to strengthen Belt and Road cooperation with Syria, increase the import of high-quality agricultural products from Syria, and jointly implement the Global Development Initiative, the Global Security Initiative and the Global Civilization Initiative to make active contributions to regional and global peace and development.
Assad said that in international affairs, China has always aligned itself with international fairness and justice, and upheld international law and humanitarianism, playing an important and constructive role.
Syria highly appreciates and firmly supports the Belt and Road Initiative, the Global Development Initiative, the Global Security Initiative and the Global Civilization Initiative, and will actively participate in them, Assad added.
The Syrian side thanks the Chinese government for its invaluable support to the Syrian people, firmly opposes any act of interference in China’s internal affairs, and is willing to be China’s long-term and staunch friend and partner, he said.
Assad said Syria will take the establishment of the Syria-China strategic partnership as an opportunity to strengthen bilateral friendly cooperation and step up their communication and coordination in international and regional affairs.
After the talks, the two heads of state witnessed the signing of bilateral cooperation documents in areas including Belt and Road cooperation, and economic and technological cooperation.
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