Tuesday, March 17, 2020

Evolution of humans and role of Coronavirus


The reality of the Coronavirus is with us and it’s only fair to periodically look at aspects of our lives that are being challenged and changed by the virus.

Type of health systems in a country
As the coronavirus is showing us, your private health insurance won’t help you at times of pandemics. Insurances are set up as profit-making entities and will seek to opt out of high-risk exposures that would drain their returns though claim payouts. Your best bet should be your government. Any move to make governments only regulatory bodies who watch from the sidelines as private health service provision takes center stage is mistaken and myopic. Governments should strengthen both their pooling of resources for the common good in the form of a tax-based universal health system and also service provision in the context of their populace needs and research and development of both vaccines and technologies.
Best outcomes so far in the handling of coronavirus pandemics has been in countries with more government control over service delivery and funding. In the context of low and middle income countries this augers well as it would also act as a safety net against exploitation of the poor and marginalized who would face an extra to access barrier through privatization of services.

Population health management:
As a component of a national health system, we need to prioritize preventive and community-based heath approaches to reduce transmission of diseases, be they air-borne or even water-borne. Without proper investment by governments in public goods like access to safe drinking water, sanitation and immunization the cost of handling outbreaks of diseases are all the more increased. As we look at setting up ICUs and isolation wards we should also seek to promote population health management strategies.

Armchair experts on health policy,infection control and all medical issues
A time of pandemic is a time of fear for the general public but the most disturbing thing are the range of opinions by medical practitioners that can easily be mistaken for the only truth. This leaves room for many people who many not have expertise on the subject offering half-baked and even spurious claims that may result in spreading the disease instead of controlling it. So, seek advice from only trusted and validated opinions of Ministry of Health and WHO and key opinion leaders in the health profession whose advice is backed by scientific basis.

Social space.
Ever thought how some people are always in your face and never giving you space at the Mpesa agent or while queing for matatus at Nyama Kima , at the banking hall queue of the bank or at the supermarket checkout counters. Guess what, all you have to do is have a slight sniffle and the social distance is restored. The happiness that an introvert feels in the quiet of the house with a good book or movie is now though shared with company of family members forced to stop their kutangatanga  and instead be at home in a lockdown.

Lack of civility and tissue paper as an essential supply
In a scene out of an apocalyptic movie, the middle class have been busy stocking up on tissue paper and hand sanitisers in the mistake belief they will disinfect themselves and wipe their behinds so well that the virus will slide away from them. The shortages of essential hygiene commodities created by such irrationality in a time of pandemic increases the chances of infection spread as other would be unable to access the sanitisers and will readily spread the virus to the tissue-hoarding members of society.

Lack of ethics in entrepreneurship
The above scenes of greed and insecurities are but an extension of the society’s values. The thought that in a time of scarcity a group of entrepreneurs emerge, with a pursuit to buy out all the essentials and resell them at mind-boggling markups is a reminder of what ails capitalism. Recently a man in Tennessee,USA bought thousands of hand sanitizers and was reselling them on Amazon at inflated prices only for karma to come back and bite him in the behind.
It’s all good to create availability of commodities that are in scarcity through innovative manufacturing or sourcing and charging a profit, but to put up 1000% markup is immoral but won’t be uncommon if the current pattern of the spread of the virus continues.

Greed of investors and vultures
At times like this of utmost hardship, there will be greater incidents of the 1% of the society trying to buy-out distressed firms and family owned businesses at a fraction of their worth, only because they can. I would like to see how this unfolds given it’s not a case of if , but when it happens.

After all has been said and done, all that matters is the kindness we show those unable to access the essentials while they are sold at inflated costs or what we communicate to the government to institute measures to mitigate against the extra strain on the distressed bottom 10% of the population. Our humanity is not in how good we are in our prayers but in how well we take care of each other in times of need.

Come to think of it God still exists even though the ornate mosques and cathedrals may be closed for public use. So, after all, remembrance of God should be in our hearts and not in buildings.

Peace be upon you all.

*edited version

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