Thursday 5 March 2020

An antidote for fear and ignorance - the true COVID-19 challenge


There is absolutely no denying that the COVID-19 outbreak is among the more serious global challenges of its kind we have experienced in recent memory. Its spread has been rapid. It has already reached close to 60 countries and there is a 2% - 3% fatality rate, though more than 80% of its patients have suffered only “mild” effects.

It is only a matter of time before we begin confirming cases right here in T&T, maybe even before this column goes to press.

The virus is already nearby and because closing our borders and shutting down the country are not options, we need to focus on controlling its spread and impact when it arrives. 

There is no medication to “heal” it and, so far, no vaccine to guard against it. What’s required are proper diagnoses, together with adequate isolation and treatment regimes, and acute public awareness of all facets of the disease.
The experts have suggested that controlling its spread also requires a very high level of personal responsibility.

Unfortunately, this does mesh neatly with our collective predisposition on such matters. We have proven, sadly, not to be readily inclined to favour personal and communal obligation over mandatory official intervention.

For example, the minister of health was once ridiculed for suggesting that people’s health are their individual responsibility - the routine obligations of public institutions notwithstanding.

There are, certainly, legitimate concerns regarding vulnerable groups such as dialysis and cancer patients at public institutions who have raised questions about what happens should they contract the virus. The ministry needs to have clear protocols available to these people in plain language. Healthcare professionals should also be adequately equipped.

It is also not one of those issues for which a reward of cheap political points should be contemplated. I have been watching the various puerile stirrings. This is a matter for medical science, not politics, my friends. This is not going to earn anybody any new votes.

There is also no government ministry walking beside you 24/7. There’s just you and the people in your environment – at home, school, in the workplace and public spaces.

So, wash your hands properly. Do not touch your face. Cover your coughs and sneezes with tissue you dispose of properly. Avoid close contact with people who are ill. Stay at home if you are unwell. Regularly clean doorknobs and other frequently touched areas. The drill is pretty straightforward.

When it comes to overall management of the current challenge, the main enemies remain ignorance, superstition, conspiracy theories, xenophobia and racism, and general panic – treatments for which are always difficult to administer.

I am thus committed to ignoring politicians, religious folks, witch doctors and anonymous WhatsApp dispatches on this subject. Within this “infodemic” lie serious perils to be avoided. National, regional and international institutions are all releasing very useful advice and information. Stop saying there is no information. It’s there. Get it and share it.

Though social media reach in T&T is in the order of 62%, onward transmission of official data and information via the much more widely used WhatsApp has been conspicuously accelerated on this question – though some (not all) of it is rumour, misinformation and, in some cases, sheer mischief.

It is best to rely mainly on information disseminated by the Ministry of Health, CARPHA, PAHO and WHO – all of whom have released guidelines on the spread of the disease and measures for self-protection. Caricom has also activated a regional protocol establishing minimum standards for dealing with the virus.
Outside of the key official institutions, be sceptical about other sources of information that reach your phone, tablet or laptop.

Even so, official information now frequently contends with numerous conspiracy theories and other nonsenses that have not helped ease our tendency to panic and in the process ignore sensible, authoritative advice.

We also live in an environment in which rumour finds pervasively fertile terrain. Conducting a test for the virus does not constitute a confirmation.

The point of all of this today is that while the state has its undoubted share of obligations, stemming the spread of pandemic in the end falls to personal responsibility as a fairly effective safeguard, together with finding antidotes for prevailing ignorance and accompanying fear.

(First published in the T&T Guardian on March 4, 2020)



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