The big question is, why were the people of Botswana and Southern Africa generally so refractory to behaviour change? In the early days Uganda was praised by international organizations involved in HIV/AIDS work as a good example of change of behaviour following a proactive and aggressive approach by its president.
The big question is why the Ugandan population at that stage was so receptive to HIV prevention messages: (By the way it is now said that infection rates in the country have been rising in recent years). Uganda was coming from a period of about 15 years of terrible instability sparked by the Idi Amin coup of 1971.
When AIDS hit the country in the early 1980s, the country was in very bad shape and unstable. Reports indicated that when large numbers of people started dying nobody knew what was killing them, so whole villages were decimated, and people ran to next villages and infected them. So when Museveni and his guerrillas took over the country in 1986 the Ugandan people were at the end of their tether.
When it was realized that AIDS was the cause of the massive deaths, the new president took up the cudgels and started fighting the disease. To me it appears that the critical factor was that the people of Uganda had suffered so much from war and AIDS that they were very receptive to messages about HIV and AIDS.
Uganda coined the ABC message (Abstain, Be faithful or Condomize). This became the rallying call against HIV/AIDS in Africa, including here in Botswana from very early in the epidemic. It worked well in Uganda, at least in the early years, why did it fail here? I feel that the trauma that the people of the country had gone through, both political and from AIDS, had made them more receptive to messages about prevention. They had already seen large numbers of their people dying, and they for a long time did not have a Government worth the name.
The Ugandan AIDS response was talked about in international meetings, including WHO meetings, to the extent that Ministers of Health from other African countries, especially SADC countries started to feel that it was implied that they were not fighting the disease using the same approach, yet they felt they were. I recall in one meeting where they were very vocal about this and took the WHO Regional Director to task. They were also doing their best to control HIV, they were passing exactly the same messages to their people that Museveni and his Government did.
Why were the people of Southern Africa, including Botswana, not internalizing the message? What was coming out of Uganda was that three things were critical to control HIV spread, and they had to go concurrently, viz.; i) delayed sexual debut, ii), reduction in sexual partners, and iii) consistent use of condoms. This was not filtering through to our people, despite repeated messages in the media and elsewhere. Instead they started expressing boredom with the messages and passing jokes about them.
When the mayhem came, it was terrible. Former President Mogae is quoted as having said in a forum in the USA that the people of Botswana were becoming extinct. There were funerals everywhere every day. The picture was repeated all over Southern Africa. Luckily, at the critical moment, Highly Active Anti-retroviral Therapy (HAART, now commonly referred to as ART or ARVs) became widely available albeit at a very high financial cost.
Botswana started the ARV programme in 2002 when most developing countries, especially African countries, felt it was too expensive and unsustainable to give it free. At that time the few African countries giving ARVs were almost entirely financed by donors, covering a very small proportion of qualifying cases. On the other hand Botswana financed its own ARV programme and gave them to all who qualified. The country has rightly attracted accolades for this, and has in the process saved thousands of lives. Luckily, a few donors, especially the USA with its PEPFAR, came in to support the programme and the HIV/AIDS response in general.
Recent data, as noted from reports based on BIAS IV, indicate that HIV prevalence has actually been increasing (expected because of the survival of those infected because of ARVs), but rather disappointingly, the drop in new infections is very small. This may indicate that the drop is due mainly to the impact of ARVs on the infectivity of infected persons and not so much to behaviour change. Apparently the level of condom use has actually dropped among the younger people, and as far as I know there is no obvious drop in multiple concurrent partnerships and there is no evidence that sexual activity starts at a later age than before.
This is despite the fact that Government and its partners have kept up a barrage of health education and promotion, trying different methods, including what is called ‘behaviour change communication’. Even more disturbing is the emerging evidence that compliance in the taking of ARVs is also dropping, with many patients defaulting from treatment, and hence generating a lot of resistant cases.
This is disturbing because treatment of those resistant to first line treatment, with drugs referred to as second line treatment, is much more expensive. This makes the future sustainability of the programme rather questionable. The rising level of defaulting from treatment may be due to the fact that many people put on ARVs are not sick because of changing criteria of starting people on the treatment, e.g. changing from CD4 counts of 200 to 350, and the intended 500. Many people with the virus are therefore started on treatment when they do not feel ill, and are not very motivated to take the treatment properly.
Where does this leave us? Going back to my opening theme, the Government cannot take all the blame as the press and some people tend to imply. Information is continuously being passed on to the public, using modern communication methods for behaviour change, but people are not just changing enough.
Of course the system should keep trying modern methods, but surely individuals and communities also have to take the blame. There are other signs that behaviour is just not changing, such as the high level of teenage pregnancies as well as alcohol and other substance abuse. There is just a general breakdown in morality and social mores. Our Society and its various leaders and opinion leaders have to find ways of arresting the moral problems we face especially in relation to sexuality and sexual behaviour.
Let us all find new ways of approaching the problem of HIV/AIDS and other lifestyle diseases, as society and as Government, without laying blame.
Parliament was this week once again seized with matters that concern them and borders on conflict of interest and abuse of privilege.
The two matters are; review of MPs benefits as well as President Mokgweetsi Masisi’s participation in the bidding for Banyana Farms. For the latter, it should not come as a surprise that President Masisi succeeded in bid.
The President’s business interests have also been in the forefront. While President Masisi is entitled as a citizen to participate in a various businesses in the country or abroad, it is morally deficient for him to participate in a bidding process that is handled by the government he leads. By the virtue of his presidency, Masisi is the head of government and head of State.
Not long ago, former President Festus Mogae suggested that elected officials should consider using blind trust to manage their business interests once they are elected to public office. Though blind trusts are expensive, they are the best way of ensuring confidence in those that serve in public office.
A blind trust is a trust established by the owner (or trustor) giving another party (the trustee) full control of the trust. Blind trusts are often established in situations where individuals want to avoid conflicts of interest between their employment and investments.
The trustee has full discretion over the assets and investments while being charged with managing the assets and any income generated in the trust.
The trustor can terminate the trust, but otherwise exercises no control over the actions taken within the trust and receives no reports from the trustees while the blind trust is in force.
Botswana Democratic Party (BDP) Secretary General, Mpho Balopi, has defended President Masisi’s participation in business and in the Banyana Farms bidding. His contention is that, the practise even obtained during the administration of previous presidents.
The President is the most influential figure in the country. His role is representative and he enjoys a plethora of privileges. He is not an ordinary citizen. The President should therefore be mindful of this fact.
We should as a nation continue to thrive for improvement of our laws with the viewing of enhancing good governance. We should accept perpetuation of certain practices on the bases that they are a norm. MPs are custodians of good governance and they should measure up to the demands of their responsibility.
Parliament should not be spared for its role in countenancing these developments. Parliament is charged with the mandate of making laws and providing oversight, but for them to make laws that are meant solely for their benefits as MPs is unethical and from a governance point of view, wrong.
There have been debates in parliament, some dating from past years, about the benefits of MPs including pension benefits. It is of course self-serving for MPs to be deliberating on their compensation and other benefits.
In the past, we have also contended that MPs are not the right people to discuss their own compensation and there has to be Special Committee set for the purpose. This is a practice in advanced democracies.
By suggesting this, we are not suggesting that MP benefits are in anyway lucrative, but we are saying, an independent body may figure out the best way of handling such issues, and even offer MPs better benefits.
In the United Kingdom for example; since 2009 following a scandal relating to abuse of office, set-up Independent Parliamentary Standards Authority (IPSA)
IPSA is responsible for: setting the level of and paying MPs’ annual salaries; paying the salaries of MPs’ staff; drawing up, reviewing, and administering an MP’s allowance scheme; providing MPs with publicly available and information relating to taxation issues; and determining the procedures for investigations and complaints relating to MPs.
Owing to what has happened in the Parliament of Botswana recently, we now need to have a way of limiting what MPs can do especially when it comes to laws that concern them. We cannot be too trusting as a nation.
MPs can abuse office for their own agendas. There is need to act swiftly to deal with the inherent conflict of interest that arise as a result of our legislative setup. A voice of reason should emerge from Parliament to address this unpleasant situation. This cannot be business as usual.
The 490-hectare campus researches the world’s deadliest pathogens, including Anthrax (in 1944, the Roosevelt administration ordered 1 million anthrax bombs from Fort Detrick), Ebola, smallpox, and … you guessed right: coronaviruses. The facility, which carries out paid research projects for government agencies (including the CIA), universities and drug companies most of whom owned by the highly sinister military-industrial complex, employs 900 people.
Between 1945 and 1969, the sprawling complex (which has since become the US’s ”bio-defence centre” to put it mildly) was the hub of the US biological weapons programme. It was at Fort Detrick that Project MK Ultra, a top-secret CIA quest to subject the human mind to routine robotic manipulation, a monstrosity the CIA openly owned up to in a congressional inquisition in 1975, was carried out. In the consequent experiments, the guinea pigs comprised not only of people of the forgotten corner of America – inmates, prostitutes and the homeless but also prisoners of war and even regular US servicemen.
These unwitting participants underwent up to a 20-year-long ordeal of barbarous experiments involving psychoactive drugs (such as LSD), forced electroshocks, physical and sexual abuses, as well as a myriad of other torments. The experiments not only violated international law, but also the CIA’s own charter which forbids domestic activities. Over 180 doctors and researchers took part in these horrendous experiments and this in a country which touts itself as the most civilised on the globe!
Was the coronavirus actually manufactured at Fort Detrick (like HIV as I shall demonstrate at the appropriate time) and simply tactfully patented to other equally cacodemonic places such as the Wuhan Institute of Virology in China?
THE FORT DETRICK SCIENTISTS’ PROPHECY WAS WELL-INFORMED
About two years before the term novel coronavirus became a familiar feature in day-to-day banter, two scientist cryptically served advance warning of its imminence. They were Allison Totura and Sina Bavari, both researchers at Fort Detrick.
The two scientists talked of “novel highly pathogenic coronaviruses that may emerge from animal reservoir hosts”, adding, “These coronaviruses may have the potential to cause devastating pandemics due to unique features in virus biology including rapid viral replication, broad host range, cross-species transmission, person-to-person transmission, and lack of herd immunity in human populations … Associated with novel respiratory syndromes, they move from person-to-person via close contact and can result in high morbidity and mortality caused by the progression to acute respiratory distress syndrome (ARDS).”
All the above constitute some of the documented attributes and characteristics of the virus presently on the loose – the propagator of Covid-19. A recent clinical review of Covid-19 in The Economist seemed to bear out this prognostication when it said, “It is ARDS that sees people rushed to intensive-care units and put on ventilators”. As if sounding forth a veritable prophecy, the two scientists besought governments to start working on counter-measures there and then that could be “effective against such a virus”.
Well, it was not by sheer happenstance that Tortura and Bavari turned out to have been so incredibly and ominously prescient. They had it on good authority, having witnessed at ringside what the virus was capable of in the context of their own laboratory. The gory scenario they painted for us came not from secondary sources but from the proverbial horse’s mouth folks.
CDC’S RECKLESS ADMISSION
In March this year, Robert Redfield, the US Director for the Centre for Disease Control and Prevention (CDC), told the House of Representatives’ Oversight Committee that it had transpired that some members of the American populace who were certified as having died of influenza turned out to have harboured the novel coronavirus per posthumous analysis of their tissue.
Redfield was not pressed to elaborate but the message was loud and clear – Covid-19 had been doing the rounds in the US much earlier than it was generally supposed and that the extent to which it was mistaken for flu was by far much more commonplace than was openly admitted. An outspoken Chinese diplomat, Zhao Lijian, seized on this rather casual revelation and insisted that the US disclose further information, exercise transparency on coronavirus cases and provide an explanation to the public.
But that was not all the beef Zhao had with the US. He further charged that the coronavirus was possibly transplanted to China by the US: whether inadvertently or by deliberate design he did not say. Zhao pointed to the Military World Games of October 2019, in which US army representatives took part, as the context in which the coronavirus irrupted into China. Did the allegation ring hollow or there was a ring of truth to it?
THE BENASSIE FACTOR
The Military World Games, an Olympic-style spectrum of competitive action, are held every four years. The 2019 episode took place in Wuhan, China. The 7th such, the games ran from October 18 to October 27. The US contingent comprised of 17 teams of over 280 athletes, plus an innumerable other staff members. Altogether, over 9000 athletes from 110 countries were on hand to showcase their athletic mettle in more than 27 sports. All NATO countries were present, with Africa on its part represented by 30 countries who included Botswana, Egypt, Kenya, Zambia, and Zimbabwe.
Besides the singular number of participants, the event notched up a whole array of firsts. One report spelt them out thus: “The first time the games were staged outside of military bases, the first time the games were all held in the same city, the first time an Athletes’ Village was constructed, the first time TV and VR systems were powered by 5G telecom technology, and the first use of all-round volunteer services for each delegation.”
Now, here is the clincher: the location of the guest house for the US team was located in the immediate neighbourhood of the Wuhan Seafood Market, the place the Chinese authorities to this day contend was the diffusion point of the coronavirus. But there is more: according to some reports, the person who allegedly but unwittingly transmitted the virus to the people milling about the market – Patient Zero of Covid-19 – was one Maatie Benassie.
Benassie, 52, is a security officer of Sergeant First Class rank at the Fort Belvoir military base in Virginia and took part in the 50-mile cycling road race in the same competitions. In the final lap, she was accidentally knocked down by a fellow contestant and sustained a fractured rib and a concussion though she soldiered on and completed the race with the agonising adversity. Inevitably, she saw a bit of time in a local health facility. According to information dug up by George Webb, an investigative journalist based in Washington DC, Benassie would later test positive for Covid-19 at the Fort Belvoir Community Hospital.
Incidentally, Benassie apparently passed on the virus to other US soldiers at the games, who were hospitalised right there in China before they were airlifted back to the US. The US government straightaway prohibited the publicising of details on the matter under the time-honoured excuse of “national security interests”, which raised eyebrows as a matter-of-course. As if that was not fishy enough, the US out of the blue tightened Chinese visas to the US at the conclusion of the games.
The rest, as they say, is history: two months later, Covid-19 had taken hold on China territory. “From that date onwards,” said one report, “one to five new cases were reported each day. By December 15, the total number of infections stood at 27 — the first double-digit daily rise was reported on December 17 — and by December 20, the total number of confirmed cases had reached 60.”
TWO CURIOUS RESEARCH HALTINGS
Is it a coincidence that all the US soldiers who fell ill at the Wuhan games did their preparatory training at the Fort Belvoir military base, only a 15-minutes’ drive from Fort Detrick?
That Fort Detrick is a plain-sight perpetrator of pathogenic evils is evidenced by a number of highly suspicious happenings concerning it. Remember the 2001 anthrax mailing attacks on government and media houses which killed five people right on US territory? The two principal suspects who puzzlingly were never charged, worked as microbiologists at Fort Detrick. Of the two, Bruce Ivins, who was the more culpable, died in 2008 of “suicide”. For “suicide”, read “elimination”, probably because he was in the process of spilling the beans and therefore cast the US government in a stigmatically diabolical light. Indeed, the following year, all research projects at Fort Detrick were suspended on grounds that the institute was “storing pathogens not listed in its database”. The real truth was likely much more reprehensible.
In 2014, there was a mini local pandemic in the US which killed thousands of people and which the mainstream media were not gutsy enough to report. It arose following the weaponisation at Fort Detrick of the H7N9 virus, prompting the Obama administration to at once declare a moratorium on the research and withdraw funding.
The Trump administration, however, which has a pathological fixation on undoing practically all the good Obama did, reinstated the research under new rigorous guidelines in 2017. But since old habits die hard, the new guidelines were flouted at will, leading to another shutdown of the whole research gamut at the institute in August 2019. This, nonetheless, was not wholesale as other areas of research, such as experiments to make bird flu more transmissible and which had begun in 2012, proceeded apace. As one commentator pointedly wondered aloud, was it really necessary to study how to make H5N1, which causes a type of bird flu with an eye-popping mortality rate, more transmissible?
Consistent with its character, the CDC was not prepared to furnish particulars upon issuing the cease and desist order, citing “national security reasons”. Could the real reason have been the manufacture of the novel coronavirus courtesy of a tip-off by the more scrupulous scientists?
President Mokgweetsi Masisi may have breathed a huge sigh of relief when he emerged victorious in last year’s 2019 general elections, but the ultimate test of his presidency has only just begun.
From COVID-19 pandemic effects; disenchanted unemployed youth, deteriorating diplomatic relations with neighbouring South Africa as well as emerging instability within the ruling party — Masisi has a lot to resolve in the next few years.
Last week we started an unwanted cold war with Botswana’s main trade partner, South Africa, in what we consider an ill-conceived move. Never, in the history of this country has Botswana shown South Africa a cold shoulder – particularly since the fall of the apartheid regime.
It is without a doubt that our country’s survival depends on having good relations with South Africa. As the Chairperson of African National Congress (ANC), Gwede Mantashe once said, a good relationship between Botswana and South Africa is not optional but necessary.
No matter how aggrieved we feel, we should never engage in a diplomatic war — with due respect to other neighbours— with South Africa. We will never gain anything from starting a diplomatic war with South Africa.
In fact, doing so will imperil our economy, given that majority of businesses in the retail sector and services sector are South African companies.
Former cabinet minister and Phakalane Estates proprietor, David Magang once opined that Botswana’s poor manufacturing sector and importation of more than 80 percent of the foodstuffs from South Africa, effectively renders Botswana a neo-colony of the former.
Magang’s statement may look demeaning, but that is the truth, and all sorts of examples can be produced to support that. Perhaps it is time to realise that as a nation, we are not independent enough to behave the way we do. And for God’s sake, we are a landlocked country!
Recently, the effects of COVID-19 have exposed the fragility of our economy; the devastating pleas of the unemployed and the uncertainty of the future. Botswana’s two mainstay source of income; diamonds and tourism have been hit hard. Going forward, there is a need to chart a new pathway, and surely it is not an easy task.
The ground is becoming fertile for uprisings that are not desirable in any country. That the government has not responded positively to the rising unemployment challenge is the truth, and very soon as a nation we will wake up to this reality.
The magnitude of the problem is so serious that citizens are running out of patience. The government on the other hand has not done much to instil confidence by assuring the populace that there is a plan.
The general feeling is that, not much will change, hence some sections of the society, will try to use other means to ensure that their demands are taken into consideration. Botswana might have enjoyed peace and stability in the past, but there is guarantee that, under the current circumstances, the status quo will be maintained.
It is evident that, increasingly, indigenous citizens are becoming resentful of naturalised and other foreign nationals. Many believe naturalised citizens, especially those of Indian origin, are the major beneficiaries in the economy, while the rest of the society is side-lined.
The resentfulness is likely to intensify going forward. We needed not to be heading in this direction. We needed not to be racist in our approach but when the pleas of the large section of the society are ignored, this is bound to happen.
It is should be the intention of every government that seeks to strive on non-racialism to ensure that there is shared prosperity. Share prosperity is the only way to make people of different races in one society to embrace each other, however, we have failed in this respect.
Masisi’s task goes beyond just delivering jobs and building a nation that we all desire, but he also has an immediate task of achieving stability within his own party. The matter is so serious that, there are threats of defection by a number of MPs, and if he does not arrest this, his government may collapse before completing the five year mandate.
The problems extend to the party itself, where Masisi found himself at war with his Secretary General, Mpho Balopi. The war is not just the fight for Central Committee position, but forms part of the succession plan.