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State of Emergency - The cholera epidemic in Zimbabwe may be spreading to other African nations.
National Review Online ^ | December 04, 2008 | Roger Bate

Posted on 12/04/2008 10:48:50 PM PST by neverdem








State of Emergency
The cholera epidemic in Zimbabwe may be spreading to other African nations.

By Roger Bate

On December 2, the United Nations announced that over 12,500 Zimbabweans have cholera and at least 565 have died as a result. The normal fatality rate from cholera, even in the bad situations that it arises, is about one percent — so a rate of roughly four times that amount points to how severe the epidemic sweeping Zimbabwe truly is, as well as to how general living standards have deteriorated in this African nation. Today, the Zimbabwean authorities declared a state of emergency over the cholera epidemic.

So it isn’t surprising that hospital workers revolted on Tuesday, protesting at the total lack of facilities for treating cholera — even emergency surgery is no longer taking place in the Zimbabwean capital, Harare, because of a lack of sutures, IV bags, saline, and hygienic conditions for operations. The police in Harare have been stretched to the limit, and they overreacted using batons to beat up and disperse the protesting health workers.

Police aggression may have been the a result of their own mounting frustration. On December 1, police officers stood by, powerless to stop rioting army personnel — who themselves were frustrated at having to spend hours lining up at banks to withdraw just enough money to buy a loaf of bread or pay for the cost of a local bus journey. Zimbabwe’s defense minister, Sydney Sekeramayi, promised that those rioters will be arrested — but given that the Army is one of the few supporters that President Robert Mugabe has left, no one is expecting much action.

Police may have been reluctant to act against the army, but their reaction to the hospital workers’ protest suggests that protests planned for the end of this week by health-care workers and unions will likely be broken up before they get started.

There is plenty to protest. Harare has run out of potable water, there are few toilets working anywhere in Zimbabwe’s capital and in several places, raw sewage collects in back streets.

South African authorities tell me that the Limpopo river, which forms the southern border of Zimbabwe, is now cholera-ridden and a constant threat to the tens of thousands who draw water from its banks every day. Cholera has now been reported in Mozambique and Botswana, as well as in South Africa. What is not clear yet is whether cases were of Zimbabweans fleeing their country and infecting locals or whether cases were caught domestically because of contaminated water. If the latter, then the epidemic could become a major regional headache within days.

Next week, the ruling ZANU-PF party and the two branches of the opposition Movement for Democratic Change were supposed to once again try to broker a power-sharing agreement. That, of course, assumes that Morgan Tsvangirai — prime-minister elect and leader of the main MDC party — is able to return from travelling around the continent. Earlier this week he was in Senegal where he has been meeting with that country’s President Wade — hoping to encourage the African Union, of which President Wade is a leading light, to intervene in Zimbabwe.

Zimbabwe president Robert Mugabe has prevented Tsvangirai from having proper legal travel documents — Tsvangirai still has no passport after his previous one was confiscated. Tsvangirai’s “illegal” travel is now being used against him by Mugabe, who hopes to force an unfair powersharing agreement on Tsvangirai (and unfortunately, according to insider reports, Mugabe is being joined in this by South African leadership). The original agreement of three months ago, brokered by former South African president Thabo Mbeki, was broken when Mugabe insisted on controlling all the security services.

But if a new meaningful deal can be made and a national unity government achieved, it may be able to put Zimbabwe back on its feet. A few hours ago, Tsvangirai met with Raila Odinga, the prime minister of Kenya. Odinga publicly called for African nations to kick Mugabe out. Perhaps meaningful action against the old tyrant is only days away.

 — Roger Bate is a resident fellow at the American Enterprise Institute.



TOPICS: Culture/Society; Editorial; Foreign Affairs; Politics/Elections
KEYWORDS: africa; cholera; health; medicine; zimbabwe

1 posted on 12/04/2008 10:48:51 PM PST by neverdem
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To: Clive

Ping.


2 posted on 12/04/2008 11:13:27 PM PST by LucyT
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To: neverdem
IMO, they're getting what they deserve. Some people are to stupid to live.
3 posted on 12/04/2008 11:20:29 PM PST by Razz Barry (Round'em up, send'em home.)
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To: neverdem
Another socialist success. The country once had safe, clean running water. Under Mugabe, the water system was looted for the salvage value of the copper plumbing. Back to drinking filthy water. The cholera epidemic is a predictable consequence. Persons with type O blood are especially susceptible. That 1% death rate applies to people with access to proper medical care.
4 posted on 12/04/2008 11:22:14 PM PST by Myrddin
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To: neverdem; All

When South Africa gets enough colera cases of their own, maybe they will be compelled to actually do something about their bad neighbor to the north.


5 posted on 12/05/2008 2:09:23 AM PST by gleeaikin
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To: neverdem; All
I tried to warn people, for years...

     



-Pity About Africa...--

-South Africa - The sellout of a nation--

-Cry, the Beloved Country--

-Robert Mugabe and the Struggle for Power--

-A Capsule History of Southern Africa--

-Rhetoric of blame is now a white lie--

-First it was Rhodesia then SA now America paying the price of silence--

-Parallels between Apartheid SA and USA--

-Don't Let's Go to the Dogs Tonight--
 


6 posted on 12/05/2008 2:19:23 AM PST by backhoe (All across America, the Lights are going out...)
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To: LucyT; blam; Cincinatus' Wife; sarcasm; happygrl; Byron_the_Aussie; robnoel; GeronL; ZOOKER; ...

-


7 posted on 12/05/2008 4:30:53 AM PST by Clive
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To: backhoe

Just wondering how long before our government decides to start importing people with cholera. IIRC, being inflicted with some contagious disease have been removed as criteria for admitting immigrants.


8 posted on 12/05/2008 6:04:45 AM PST by Dante3
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To: neverdem

Poor Africa. Epic fail, now and forever.


9 posted on 12/05/2008 6:06:41 AM PST by ZX12R
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To: Dante3
"Just wondering how long before our government decides to start importing people with cholera. IIRC, being inflicted with some contagious disease have been removed as criteria for admitting immigrants."

Yup...the more damaging to the USA, the faster they are admitted.

Blame congress.

10 posted on 12/05/2008 6:58:49 AM PST by blam
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To: Myrddin
re: Persons with type O blood are especially susceptible.)))

Interesting. Is there a reason?

11 posted on 12/05/2008 12:32:25 PM PST by Mamzelle (Boycott Peggy Swoonin')
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To: Mamzelle

O’bama?


12 posted on 12/05/2008 12:34:06 PM PST by Scythian
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To: Scythian

There were 1,500 cases of Malaria in the US last year, expect this to quadruple now that it’s in Florida every year from now until West Nile looks like catching the common cold, we’re in for some real misery ....


13 posted on 12/05/2008 12:35:22 PM PST by Scythian
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To: Mamzelle

Type O is the universal donor blood type. It is the most common in the US, with AB being the rarest.


14 posted on 12/05/2008 12:36:14 PM PST by mathluv (The Barracuda and the Maverick will take on the Messiah and the Mouth)
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To: Mamzelle
Interesting. Is there a reason?

Susceptability is ranked type 0 > type B > type A > type AB. Type AB is virtually immune to cholera.

Cholera produces a toxin that disables GTPase. The consequence is that GTP is not hydrolyzed to GDP, thus signaling a continued production of cyclic-AMP. That causes the colon wall permeability to increase. Fluids rush into the colon and diarrhea ensues.

Death can occur in as little as 3 hours after initial exposure to approximately 1 million organisms. A drop of water could harbor that many.

The literature doesn't seem to have any good explanation for the range of susceptibility. My best guess is that type O cells lack both the type A and type B antigens on the surface of the cells (all cells in the body, not just the blood). I suspect those antigens have an inhibitory effect on the conversion of cholera from the motile (swimming) form to the colonizing form that creates the enterotoxin. There is definitely a physiological change in the cholera organisms after they enter the intestinal tract.

An interesting aside: areas where cholera has been endemic for centuries have fewer type O and lots of type AB inhabitants. Selective pressure.

15 posted on 12/05/2008 1:12:58 PM PST by Myrddin
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To: neverdem

The white regeime which ran the former Rhodesia was nothing to be proud of, but no one can claim that things are better now. Nothing like this ever happened during those years.


16 posted on 12/05/2008 3:29:50 PM PST by Clintonfatigued (If Islam conquers the world, the Earth will be at peace because the human race will be killed off.)
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To: neverdem
Looks like Jimmuh Cahtuh's little African Socialist/Racist Shangri-La is falling apart. Maybe the Carter Center could assist in fighting the cholera outbreak, seeing as how their chickensh*t leader is one who caused this diseased quagmire.
17 posted on 12/05/2008 4:26:01 PM PST by hinckley buzzard
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