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"title": "The joke’s on us, South Africa. The cruel logic of Omicron travel bans — debunked",
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"description": "Daily Maverick is an independent online news publication and weekly print newspaper in South Africa.\r\n\r\nIt is known for breaking some of the defining stories of South Africa in the past decade, including the Marikana Massacre, in which the South African Police Service killed 34 miners in August 2012.\r\n\r\nIt also investigated the Gupta Leaks, which won the 2019 Global Shining Light Award.\r\n\r\nThat investigation was credited with exposing the Indian-born Gupta family and former President Jacob Zuma for their role in the systemic political corruption referred to as state capture.\r\n\r\nIn 2018, co-founder and editor-in-chief Branislav ‘Branko’ Brkic was awarded the country’s prestigious Nat Nakasa Award, recognised for initiating the investigative collaboration after receiving the hard drive that included the email tranche.\r\n\r\nIn 2021, co-founder and CEO Styli Charalambous also received the award.\r\n\r\nDaily Maverick covers the latest political and news developments in South Africa with breaking news updates, analysis, opinions and more.",
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"contents": "<span style=\"font-weight: 400;\">Last week, on a late afternoon, panic </span><a href=\"https://twitter.com/Tuliodna/status/1465389873611915275\"><span style=\"font-weight: 400;\">consumed</span></a><span style=\"font-weight: 400;\"> Tulio de Oliveira, who led the team of South African scientists that identified the new Omicron Covid variant in the county </span><a href=\"https://twitter.com/miamalan/status/1463850194932543490\"><span style=\"font-weight: 400;\">two weeks ago</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">He was rapidly </span><a href=\"https://twitter.com/Tuliodna/status/1465678887074115590\"><span style=\"font-weight: 400;\">running out of reagents</span></a><span style=\"font-weight: 400;\">, the chemicals needed to sequence genomes of positive test results to identify new cases of the variant. </span>\r\n\r\n<span style=\"font-weight: 400;\">South Africa’s new SARS-CoV-2 infections had </span><a href=\"https://gis.nicd.ac.za/portal/apps/opsdashboard/index.html#/15eb33988f104b73867606c1248578ff\"><span style=\"font-weight: 400;\">almost doubled from the previous day</span></a><span style=\"font-weight: 400;\"> (they have since increased 15-fold) and the number of positive test results to analyse were increasing at speed. </span>\r\n\r\n<span style=\"font-weight: 400;\">But two days after the announcement of his team’s results, De Oliveira’s means of importing the chemicals which he needed to help his country keep track of the Omicron variant </span><a href=\"https://twitter.com/Tuliodna/status/1465678889762660353\"><span style=\"font-weight: 400;\">had been blocked by the nations who stock them. </span></a>\r\n\r\n<span style=\"font-weight: 400;\">Because of several Western governments’ </span><a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02752-5/fulltext#.YasWLjiRWWY.twitter\"><span style=\"font-weight: 400;\">travel bans</span></a><span style=\"font-weight: 400;\"> imposed on southern African countries — out of fear that they would bring a new variant into their countries that was in all likelihood already there — </span><a href=\"https://twitter.com/Tuliodna/status/1465678889762660353\"><span style=\"font-weight: 400;\">the planes that delivered De Oliveira’s essential products</span></a><span style=\"font-weight: 400;\"> became rare. </span>\r\n\r\n<span style=\"font-weight: 400;\">The bioinformatician’s team was providing the world with crucial genomic surveillance data, but their hands had now been chopped off. Developed countries had punished them for their ability to identify the new variant exceptionally fast and their government’s willingness — and courage — </span><a href=\"https://twitter.com/miamalan/status/1463850194932543490\"><span style=\"font-weight: 400;\">to almost instantly share the data with the world</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">Wealthy nations such as the US, the </span><a href=\"https://www.gov.uk/guidance/red-list-of-countries-and-territories\"><span style=\"font-weight: 400;\">UK</span></a><span style=\"font-weight: 400;\">, France, Canada, </span><a href=\"https://www.government.nl/topics/coronavirus-covid-19/visiting-the-netherlands-from-abroad/exemptions-to-the-entry-ban\"><span style=\"font-weight: 400;\">the Netherlands</span></a><span style=\"font-weight: 400;\">, Belgium, Norway and numerous others, where Omicron has since been identified (</span><a href=\"https://www.schengenvisainfo.com/news/omicron-was-in-europe-before-travel-bans-were-imposed-on-southern-african-countries/\"><span style=\"font-weight: 400;\">in some cases with no links to Africa</span></a><span style=\"font-weight: 400;\">) didn’t implement travel restrictions against one another; only Africa faces that burden. </span>\r\n\r\n<span style=\"font-weight: 400;\">And despite the SA government, scientists and international bodies </span><a href=\"https://www.who.int/news-room/articles-detail/who-advice-for-international-traffic-in-relation-to-the-sars-cov-2-omicron-variant\"><span style=\"font-weight: 400;\">such as the World Health Organization</span></a><span style=\"font-weight: 400;\"> expressing their outrage about the selective restrictions, labelling them </span><a href=\"https://twitter.com/paimadhu/status/1467106119491457031\"><span style=\"font-weight: 400;\">racist</span></a><span style=\"font-weight: 400;\">, </span><a href=\"https://www.nature.com/articles/d41586-021-03608-x\"><span style=\"font-weight: 400;\">unscientific</span></a><span style=\"font-weight: 400;\"> and counterproductive, not a single high-income country has reversed their bans. </span>\r\n\r\n<span style=\"font-weight: 400;\">Instead, </span><a href=\"https://twitter.com/ShabirMadh/status/1467118603820490760\"><span style=\"font-weight: 400;\">to the absolute amazement of SA scientists</span></a><span style=\"font-weight: 400;\">, governments such as Canada have implied that they don’t trust our Covid tests. Unless they have exemption, the Canadian government announced, citizens who are stuck in South Africa and want to travel back to their country, have to obtain “</span><a href=\"https://travel.gc.ca/destinations/south-africa\"><span style=\"font-weight: 400;\">a pre-departure negative Covid-19 molecular test result in a third country</span></a><span style=\"font-weight: 400;\"> [read: not SA]”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Ironically, South Africa has one of the best developed networks for </span><a href=\"https://www.fda.gov/media/140161/download\"><span style=\"font-weight: 400;\">molecular or PCR testing</span></a><span style=\"font-weight: 400;\"> in the world — in all likelihood better than that of Canada — because the same technique is used for HIV viral load testing for which the country, over the past two decades, </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7587129/\"><span style=\"font-weight: 400;\">has developed an exceptionally well-established infrastructure because of its high HIV burden</span></a><span style=\"font-weight: 400;\">. At the beginning of the Covid pandemic, South Africa was therefore able to start with Covid testing much quicker than many other countries. </span>\r\n\r\n<span style=\"font-weight: 400;\">Across the Atlantic, France </span><a href=\"https://twitter.com/AFP/status/1466236636161712138\"><span style=\"font-weight: 400;\">revealed its own set of rules</span></a><span style=\"font-weight: 400;\">: Only French and EU residents, diplomats and flight crews are allowed to disembark on French soil if a plane passed through a southern African country; regardless of whether those people were exposed to potentially infected people in those countries or not; if they have the correct passport, they can disembark. </span>\r\n\r\n<span style=\"font-weight: 400;\">Absurdly, sequencing data from South Africa, </span><a href=\"https://www.nature.com/articles/s41591-021-01255-3\"><span style=\"font-weight: 400;\">published in the journal </span><i><span style=\"font-weight: 400;\">Nature</span></i></a><span style=\"font-weight: 400;\">, shows that Europe was responsible for more than 80% of the early introductions of SARS-CoV-2 infections in South Africa. And although most flights, regardless of which country, were put on hold around the world, including in South Africa, Europe didn’t face any selective restrictions from our government. </span>\r\n\r\n<span style=\"font-weight: 400;\">Alas, the type of apartheid that countries such as Canada and France propagate has led to dangerous levels of racialisation and stigmatisation. </span>\r\n\r\n<span style=\"font-weight: 400;\">Dangerous, because </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4170985/\"><span style=\"font-weight: 400;\">decades of literature on infectious diseases</span></a><span style=\"font-weight: 400;\"> have repeatedly found that discrimination leads to inequity and inequity drives the spread of disease. Why? Because stigma and discrimination result in </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245520/\"><span style=\"font-weight: 400;\">reduced uptake of diagnostics</span></a><span style=\"font-weight: 400;\"> such as Covid testing, and prevention methods </span><a href=\"https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-019-1256-2\"><span style=\"font-weight: 400;\">like vaccines and available treatments</span></a><span style=\"font-weight: 400;\">. In the case of Covid, that means the </span><a href=\"https://www.medrxiv.org/content/10.1101/2021.08.08.21261768v1.full.pdf\"><span style=\"font-weight: 400;\">increased likelihood that more variants will emerge</span></a><span style=\"font-weight: 400;\">, which will inevitably spread across the world and could potentially outsmart the protection that previous infection and vaccines offer us against getting infected, falling seriously ill or dying of the disease. </span>\r\n\r\n<i><span style=\"font-weight: 400;\">BBC World </span></i><span style=\"font-weight: 400;\">last week, for instance, referred to Omicron as the “southern African variant” in live broadcasts, </span><span style=\"font-weight: 400;\">the German newspaper </span><i><span style=\"font-weight: 400;\">Die Rheinpfalz</span></i><span style=\"font-weight: 400;\"> introduced the variant as “</span><a href=\"https://twitter.com/daddyhope/status/1467397283322998785/photo/1\"><i><span style=\"font-weight: 400;\">Das Virus Aus Afrika ist bei uns</span></i></a><i><span style=\"font-weight: 400;\">” </span></i><span style=\"font-weight: 400;\">(The virus from Africa is with us) and the Spanish publication, </span><i><span style=\"font-weight: 400;\">Tribuna Albaceta</span></i><span style=\"font-weight: 400;\">,</span> <span style=\"font-weight: 400;\">on 28 November </span><a href=\"https://twitter.com/daddyhope/status/1467397283322998785/photo/2\"><span style=\"font-weight: 400;\">published a cartoon of a “South African” boat named Omicron</span></a><span style=\"font-weight: 400;\"> filled with black Africans depicted as viruses, approaching the European shore.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n<p><img loading=\"lazy\" class=\"wp-image-1119267 size-full\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2021/12/MC-Travel-Bhekisisa_2.jpg\" alt=\"omicron travel bans southern africa\" width=\"720\" height=\"447\" /> Bioinformatician Professor Tulio de Oliveira, director of the KwaZulu-Natal Research Innovation and Sequencing Platform (Krisp) at the University of KwaZulu-Natal. (Photo: Amy Gibbings / News24)</p>\r\n\r\n<span style=\"font-weight: 400;\">The most recent epidemic that demonstrates the consequences of such stigmatisation powerfully is HIV, where the five population groups — </span><a href=\"https://www.unaids.org/en/topic/key-populations#:~:text=UNAIDS%20considers%20gay%20men%20and,lack%20adequate%20access%20to%20services.\"><span style=\"font-weight: 400;\">sex workers, people who inject drugs, gay men and other men who have sex with men, transgender people and prisoners</span></a><span style=\"font-weight: 400;\"> — with the highest HIV infection rates are also those who are most stigmatised and with the lowest levels of access to health services. </span>\r\n\r\n<a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01213-7/fulltext\"><span style=\"font-weight: 400;\">A recent </span><i><span style=\"font-weight: 400;\">Lancet </span></i><span style=\"font-weight: 400;\">editorial</span></a><span style=\"font-weight: 400;\"> puts it well: “The success of the HIV response [and other infectious diseases] is predicated on equality — not only equality in access to prevention, care, and treatment... but also equality under the law.” </span>\r\n\r\n<span style=\"font-weight: 400;\">But the inequity — whether it’s the </span><a href=\"https://bhekisisa.org/opinion/2021-10-12-an-inconvenient-truth-the-real-reason-why-africa-is-not-getting-vaccinated/\"><span style=\"font-weight: 400;\">unfair distribution of vaccines</span></a><span style=\"font-weight: 400;\">, the (non) sharing of intellectual property rights and </span><a href=\"https://bhekisisa.org/article/2021-11-18-the-abcs-of-diy-vaccines-why-tech-transfer-is-a-big-thing/\"><span style=\"font-weight: 400;\">know-how</span></a><span style=\"font-weight: 400;\"> of vaccine manufacturing or who’s considered “clean” enough to enter a country — that has dominated the Covid pandemic, leaves us far off the equity track. </span>\r\n\r\n<span style=\"font-weight: 400;\">Developed country privilege, </span><a href=\"https://twitter.com/tomtom_m/status/1465303487114321929\"><span style=\"font-weight: 400;\">University of Cape Town demography professor Tom Moultrie tweets</span></a><span style=\"font-weight: 400;\">, continues to marginalise the Global South… not just with obvious endeavours such as travel bans and unequal access to vaccines, but also with how prominent, well-funded scientists from the Global North “</span><a href=\"https://twitter.com/tomtom_m/status/1465303493653286920\"><span style=\"font-weight: 400;\">perpetuate systems of power, extraction, neocolonialism and marginalisation between the North and South</span></a><span style=\"font-weight: 400;\">”.</span>\r\n\r\n<span style=\"font-weight: 400;\">Moultrie uses a </span><a href=\"https://twitter.com/DrEricDing/status/1465037954783621131/photo/1\"><span style=\"font-weight: 400;\">Twitter thread</span></a><span style=\"font-weight: 400;\"> of a prominent </span><a href=\"https://fas.org/expert/eric-feigl-ding/\"><span style=\"font-weight: 400;\">US </span><span style=\"font-weight: 400;\">epidemiologist</span></a><span style=\"font-weight: 400;\"> on the spread of the Omicron variant in South Africa as an example. The series of tweets, in Moultrie’s opinion, fed unnecessary panic and hysteria; they raised alarm about the increase in Covid hospitalisations in South Africa without context and with </span><a href=\"https://twitter.com/tomtom_m/status/1465303512464728070\"><span style=\"font-weight: 400;\">misinterpretations of Gauteng data</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">“</span><a href=\"https://twitter.com/tomtom_m/status/1465303510195576837\"><span style=\"font-weight: 400;\">[He] offered a hot-take on the current South African situation</span></a><span style=\"font-weight: 400;\">, drawing on screen-grabs from pressers; and reports published by the</span><a href=\"https://twitter.com/nicd_sa\"><span style=\"font-weight: 400;\"> National Institute for Communicable Diseases,” Moultrie writes. But he </span></a><span style=\"font-weight: 400;\">“did not reach out to South African scientists in prepping his thread. Instead, he elected to systematically ignore the knowledge on the ground, arrogantly certain of his correctness and ability to comprehend the data.” </span>\r\n\r\n<span style=\"font-weight: 400;\">Moultrie asks, “In what way are his actions different from </span><a href=\"https://twitter.com/tomtom_m/status/1465303519364358149\"><span style=\"font-weight: 400;\">the decried practice of parachute-research in developing countries</span></a><span style=\"font-weight: 400;\">, where the </span><a href=\"https://bhekisisa.org/opinion/2019-12-04-lack-of-equity-and-diversity-still-plague-global-health-research/\"><span style=\"font-weight: 400;\">careers and reputations of scholars from the North </span></a><span style=\"font-weight: 400;\">are built off the backs of scholars and communities in the South?” </span>\r\n\r\n<span style=\"font-weight: 400;\">Prejudice against Africa did not, of course, start with Omicron, or with Covid. The power balances and discrimination that the mirror of Covid has exposed have been there for centuries, in the form of colonisation and the consequences thereof that have divided the world so cruelly into haves and have-nots. </span>\r\n\r\n<span style=\"font-weight: 400;\">In 2001, when HIV was ravaging Africa, but countries from the continent couldn’t afford to buy the lifesaving antiretroviral drugs (ARVs) that the Western world </span><a href=\"https://www.niaid.nih.gov/diseases-conditions/antiretroviral-drug-development#:~:text=AZT%3A%20The%20First%20Drug%20to%20Treat%20HIV%20Infection&text=Used%20alone%2C%20AZT%20decreased%20deaths,Drug%20Administration%20for%20treating%20AIDS.\"><span style=\"font-weight: 400;\">had been using for more than a decade</span></a><span style=\"font-weight: 400;\">, the then chief of the US government’s Agency for International Development justified the agency’s opposition to funding ARVs for HIV-positive Africans </span><a href=\"http://commdocs.house.gov/committees/intlrel/hfa72978.000/hfa72978_0.HTM\"><span style=\"font-weight: 400;\">by arguing that they wouldn’t be able to adhere to the treatment</span></a><span style=\"font-weight: 400;\">, which had to be taken at the same time each day, because they didn’t “know what watches and clocks are”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Within a few years after Africans had started to use ARVs, mostly funded by aid including that provided by the US government, </span><a href=\"https://pubmed.ncbi.nlm.nih.gov/16896111/\"><span style=\"font-weight: 400;\">studies proved that Africans were in fact better</span></a><span style=\"font-weight: 400;\"> than North Americans at adhering to their treatment. </span>\r\n\r\n<span style=\"font-weight: 400;\">Had the US government acted on the prejudice of its aid agency chief, Africa would not only have forgone one of the most effective chronic treatments in the world, but would also have missed out on the preventive benefit of ARVs, which if used correctly reduce the amount of HIV in someone’s body to such low levels that it </span><a href=\"https://bhekisisa.org/article/2017-12-01-00-hiv-undetectable-equals-untransmittable-new-science-changes-old-notions-of-safe-sex/\"><span style=\"font-weight: 400;\">makes it scientifically impossible</span></a><span style=\"font-weight: 400;\"> for them to transmit the virus to someone else.</span>\r\n\r\n<span style=\"font-weight: 400;\">Late access to treatment and punitive measures such as travel bans fuel inequality and do the opposite of what scientists, including those in developed nations, say will end the pandemic: </span><a href=\"https://www.science.org/doi/10.1126/science.abn3081\"><span style=\"font-weight: 400;\">access to vaccines and equal treatment for all</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">Inequality blocks progress and unless we start to look at one another as human beings with equal rights and worth, the North consciously changes its behaviour and the South asserts its rights, we won’t contain Covid, or any of the pandemics that await us. </span>\r\n\r\n<span style=\"font-weight: 400;\">Trying to apportion blame for a new variant that could literally have emerged anywhere in the world isn’t going to take us anywhere good. The Canadian-based epidemiologist Madhu Pai encapsulates it aptly: “</span><a href=\"https://twitter.com/paimadhu/status/1467827962246578184?s=20\"><span style=\"font-weight: 400;\">It’s humans against a viral pandemic. Not humans against humans. Stop racialising variants.</span></a><span style=\"font-weight: 400;\">” </span><b>DM/MC</b>\r\n\r\n<i><span style=\"font-weight: 400;\">This story was produced by the</span></i><a href=\"http://bhekisisa.org./\"> <i><span style=\"font-weight: 400;\">Bhekisisa Centre for Health Journalism</span></i></a><i><span style=\"font-weight: 400;\">. Sign up for the</span></i><a href=\"http://bit.ly/BhekisisaSubscribe\"> <i><span style=\"font-weight: 400;\">newsletter</span></i></a><i><span style=\"font-weight: 400;\">.</span></i>\r\n\r\n<img loading=\"lazy\" class=\"aligncenter size-full wp-image-791463\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Bhekisisa-Logo.jpg\" alt=\"\" width=\"720\" height=\"161\" />\r\n\r\n<img loading=\"lazy\" src=\"https://syndicate.app/st.php\" />\r\n\r\n<script async=\"true\" src=\"https://syndicate.app/st.js\" type=\"text/javascript\"></script>\r\n\r\n<i><span style=\"font-weight: 400;\">[hearken id=\"daily-maverick/8881\"]</span></i>",
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"name": "Bioinformatician, Professor Tulio de Oliveira, director of the KwaZulu-Natal Research Innovation and Sequencing Platform (Krisp) at the University of KwaZulu-Natal. (Photo:Amy Gibbings / News24)",
"description": "<span style=\"font-weight: 400;\">Last week, on a late afternoon, panic </span><a href=\"https://twitter.com/Tuliodna/status/1465389873611915275\"><span style=\"font-weight: 400;\">consumed</span></a><span style=\"font-weight: 400;\"> Tulio de Oliveira, who led the team of South African scientists that identified the new Omicron Covid variant in the county </span><a href=\"https://twitter.com/miamalan/status/1463850194932543490\"><span style=\"font-weight: 400;\">two weeks ago</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">He was rapidly </span><a href=\"https://twitter.com/Tuliodna/status/1465678887074115590\"><span style=\"font-weight: 400;\">running out of reagents</span></a><span style=\"font-weight: 400;\">, the chemicals needed to sequence genomes of positive test results to identify new cases of the variant. </span>\r\n\r\n<span style=\"font-weight: 400;\">South Africa’s new SARS-CoV-2 infections had </span><a href=\"https://gis.nicd.ac.za/portal/apps/opsdashboard/index.html#/15eb33988f104b73867606c1248578ff\"><span style=\"font-weight: 400;\">almost doubled from the previous day</span></a><span style=\"font-weight: 400;\"> (they have since increased 15-fold) and the number of positive test results to analyse were increasing at speed. </span>\r\n\r\n<span style=\"font-weight: 400;\">But two days after the announcement of his team’s results, De Oliveira’s means of importing the chemicals which he needed to help his country keep track of the Omicron variant </span><a href=\"https://twitter.com/Tuliodna/status/1465678889762660353\"><span style=\"font-weight: 400;\">had been blocked by the nations who stock them. </span></a>\r\n\r\n<span style=\"font-weight: 400;\">Because of several Western governments’ </span><a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02752-5/fulltext#.YasWLjiRWWY.twitter\"><span style=\"font-weight: 400;\">travel bans</span></a><span style=\"font-weight: 400;\"> imposed on southern African countries — out of fear that they would bring a new variant into their countries that was in all likelihood already there — </span><a href=\"https://twitter.com/Tuliodna/status/1465678889762660353\"><span style=\"font-weight: 400;\">the planes that delivered De Oliveira’s essential products</span></a><span style=\"font-weight: 400;\"> became rare. </span>\r\n\r\n<span style=\"font-weight: 400;\">The bioinformatician’s team was providing the world with crucial genomic surveillance data, but their hands had now been chopped off. Developed countries had punished them for their ability to identify the new variant exceptionally fast and their government’s willingness — and courage — </span><a href=\"https://twitter.com/miamalan/status/1463850194932543490\"><span style=\"font-weight: 400;\">to almost instantly share the data with the world</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">Wealthy nations such as the US, the </span><a href=\"https://www.gov.uk/guidance/red-list-of-countries-and-territories\"><span style=\"font-weight: 400;\">UK</span></a><span style=\"font-weight: 400;\">, France, Canada, </span><a href=\"https://www.government.nl/topics/coronavirus-covid-19/visiting-the-netherlands-from-abroad/exemptions-to-the-entry-ban\"><span style=\"font-weight: 400;\">the Netherlands</span></a><span style=\"font-weight: 400;\">, Belgium, Norway and numerous others, where Omicron has since been identified (</span><a href=\"https://www.schengenvisainfo.com/news/omicron-was-in-europe-before-travel-bans-were-imposed-on-southern-african-countries/\"><span style=\"font-weight: 400;\">in some cases with no links to Africa</span></a><span style=\"font-weight: 400;\">) didn’t implement travel restrictions against one another; only Africa faces that burden. </span>\r\n\r\n<span style=\"font-weight: 400;\">And despite the SA government, scientists and international bodies </span><a href=\"https://www.who.int/news-room/articles-detail/who-advice-for-international-traffic-in-relation-to-the-sars-cov-2-omicron-variant\"><span style=\"font-weight: 400;\">such as the World Health Organization</span></a><span style=\"font-weight: 400;\"> expressing their outrage about the selective restrictions, labelling them </span><a href=\"https://twitter.com/paimadhu/status/1467106119491457031\"><span style=\"font-weight: 400;\">racist</span></a><span style=\"font-weight: 400;\">, </span><a href=\"https://www.nature.com/articles/d41586-021-03608-x\"><span style=\"font-weight: 400;\">unscientific</span></a><span style=\"font-weight: 400;\"> and counterproductive, not a single high-income country has reversed their bans. </span>\r\n\r\n<span style=\"font-weight: 400;\">Instead, </span><a href=\"https://twitter.com/ShabirMadh/status/1467118603820490760\"><span style=\"font-weight: 400;\">to the absolute amazement of SA scientists</span></a><span style=\"font-weight: 400;\">, governments such as Canada have implied that they don’t trust our Covid tests. Unless they have exemption, the Canadian government announced, citizens who are stuck in South Africa and want to travel back to their country, have to obtain “</span><a href=\"https://travel.gc.ca/destinations/south-africa\"><span style=\"font-weight: 400;\">a pre-departure negative Covid-19 molecular test result in a third country</span></a><span style=\"font-weight: 400;\"> [read: not SA]”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Ironically, South Africa has one of the best developed networks for </span><a href=\"https://www.fda.gov/media/140161/download\"><span style=\"font-weight: 400;\">molecular or PCR testing</span></a><span style=\"font-weight: 400;\"> in the world — in all likelihood better than that of Canada — because the same technique is used for HIV viral load testing for which the country, over the past two decades, </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7587129/\"><span style=\"font-weight: 400;\">has developed an exceptionally well-established infrastructure because of its high HIV burden</span></a><span style=\"font-weight: 400;\">. At the beginning of the Covid pandemic, South Africa was therefore able to start with Covid testing much quicker than many other countries. </span>\r\n\r\n<span style=\"font-weight: 400;\">Across the Atlantic, France </span><a href=\"https://twitter.com/AFP/status/1466236636161712138\"><span style=\"font-weight: 400;\">revealed its own set of rules</span></a><span style=\"font-weight: 400;\">: Only French and EU residents, diplomats and flight crews are allowed to disembark on French soil if a plane passed through a southern African country; regardless of whether those people were exposed to potentially infected people in those countries or not; if they have the correct passport, they can disembark. </span>\r\n\r\n<span style=\"font-weight: 400;\">Absurdly, sequencing data from South Africa, </span><a href=\"https://www.nature.com/articles/s41591-021-01255-3\"><span style=\"font-weight: 400;\">published in the journal </span><i><span style=\"font-weight: 400;\">Nature</span></i></a><span style=\"font-weight: 400;\">, shows that Europe was responsible for more than 80% of the early introductions of SARS-CoV-2 infections in South Africa. And although most flights, regardless of which country, were put on hold around the world, including in South Africa, Europe didn’t face any selective restrictions from our government. </span>\r\n\r\n<span style=\"font-weight: 400;\">Alas, the type of apartheid that countries such as Canada and France propagate has led to dangerous levels of racialisation and stigmatisation. </span>\r\n\r\n<span style=\"font-weight: 400;\">Dangerous, because </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4170985/\"><span style=\"font-weight: 400;\">decades of literature on infectious diseases</span></a><span style=\"font-weight: 400;\"> have repeatedly found that discrimination leads to inequity and inequity drives the spread of disease. Why? Because stigma and discrimination result in </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245520/\"><span style=\"font-weight: 400;\">reduced uptake of diagnostics</span></a><span style=\"font-weight: 400;\"> such as Covid testing, and prevention methods </span><a href=\"https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-019-1256-2\"><span style=\"font-weight: 400;\">like vaccines and available treatments</span></a><span style=\"font-weight: 400;\">. In the case of Covid, that means the </span><a href=\"https://www.medrxiv.org/content/10.1101/2021.08.08.21261768v1.full.pdf\"><span style=\"font-weight: 400;\">increased likelihood that more variants will emerge</span></a><span style=\"font-weight: 400;\">, which will inevitably spread across the world and could potentially outsmart the protection that previous infection and vaccines offer us against getting infected, falling seriously ill or dying of the disease. </span>\r\n\r\n<i><span style=\"font-weight: 400;\">BBC World </span></i><span style=\"font-weight: 400;\">last week, for instance, referred to Omicron as the “southern African variant” in live broadcasts, </span><span style=\"font-weight: 400;\">the German newspaper </span><i><span style=\"font-weight: 400;\">Die Rheinpfalz</span></i><span style=\"font-weight: 400;\"> introduced the variant as “</span><a href=\"https://twitter.com/daddyhope/status/1467397283322998785/photo/1\"><i><span style=\"font-weight: 400;\">Das Virus Aus Afrika ist bei uns</span></i></a><i><span style=\"font-weight: 400;\">” </span></i><span style=\"font-weight: 400;\">(The virus from Africa is with us) and the Spanish publication, </span><i><span style=\"font-weight: 400;\">Tribuna Albaceta</span></i><span style=\"font-weight: 400;\">,</span> <span style=\"font-weight: 400;\">on 28 November </span><a href=\"https://twitter.com/daddyhope/status/1467397283322998785/photo/2\"><span style=\"font-weight: 400;\">published a cartoon of a “South African” boat named Omicron</span></a><span style=\"font-weight: 400;\"> filled with black Africans depicted as viruses, approaching the European shore.</span><span style=\"font-weight: 400;\"> </span>\r\n\r\n[caption id=\"attachment_1119267\" align=\"aligncenter\" width=\"720\"]<img class=\"wp-image-1119267 size-full\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2021/12/MC-Travel-Bhekisisa_2.jpg\" alt=\"omicron travel bans southern africa\" width=\"720\" height=\"447\" /> Bioinformatician Professor Tulio de Oliveira, director of the KwaZulu-Natal Research Innovation and Sequencing Platform (Krisp) at the University of KwaZulu-Natal. (Photo: Amy Gibbings / News24)[/caption]\r\n\r\n<span style=\"font-weight: 400;\">The most recent epidemic that demonstrates the consequences of such stigmatisation powerfully is HIV, where the five population groups — </span><a href=\"https://www.unaids.org/en/topic/key-populations#:~:text=UNAIDS%20considers%20gay%20men%20and,lack%20adequate%20access%20to%20services.\"><span style=\"font-weight: 400;\">sex workers, people who inject drugs, gay men and other men who have sex with men, transgender people and prisoners</span></a><span style=\"font-weight: 400;\"> — with the highest HIV infection rates are also those who are most stigmatised and with the lowest levels of access to health services. </span>\r\n\r\n<a href=\"https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01213-7/fulltext\"><span style=\"font-weight: 400;\">A recent </span><i><span style=\"font-weight: 400;\">Lancet </span></i><span style=\"font-weight: 400;\">editorial</span></a><span style=\"font-weight: 400;\"> puts it well: “The success of the HIV response [and other infectious diseases] is predicated on equality — not only equality in access to prevention, care, and treatment... but also equality under the law.” </span>\r\n\r\n<span style=\"font-weight: 400;\">But the inequity — whether it’s the </span><a href=\"https://bhekisisa.org/opinion/2021-10-12-an-inconvenient-truth-the-real-reason-why-africa-is-not-getting-vaccinated/\"><span style=\"font-weight: 400;\">unfair distribution of vaccines</span></a><span style=\"font-weight: 400;\">, the (non) sharing of intellectual property rights and </span><a href=\"https://bhekisisa.org/article/2021-11-18-the-abcs-of-diy-vaccines-why-tech-transfer-is-a-big-thing/\"><span style=\"font-weight: 400;\">know-how</span></a><span style=\"font-weight: 400;\"> of vaccine manufacturing or who’s considered “clean” enough to enter a country — that has dominated the Covid pandemic, leaves us far off the equity track. </span>\r\n\r\n<span style=\"font-weight: 400;\">Developed country privilege, </span><a href=\"https://twitter.com/tomtom_m/status/1465303487114321929\"><span style=\"font-weight: 400;\">University of Cape Town demography professor Tom Moultrie tweets</span></a><span style=\"font-weight: 400;\">, continues to marginalise the Global South… not just with obvious endeavours such as travel bans and unequal access to vaccines, but also with how prominent, well-funded scientists from the Global North “</span><a href=\"https://twitter.com/tomtom_m/status/1465303493653286920\"><span style=\"font-weight: 400;\">perpetuate systems of power, extraction, neocolonialism and marginalisation between the North and South</span></a><span style=\"font-weight: 400;\">”.</span>\r\n\r\n<span style=\"font-weight: 400;\">Moultrie uses a </span><a href=\"https://twitter.com/DrEricDing/status/1465037954783621131/photo/1\"><span style=\"font-weight: 400;\">Twitter thread</span></a><span style=\"font-weight: 400;\"> of a prominent </span><a href=\"https://fas.org/expert/eric-feigl-ding/\"><span style=\"font-weight: 400;\">US </span><span style=\"font-weight: 400;\">epidemiologist</span></a><span style=\"font-weight: 400;\"> on the spread of the Omicron variant in South Africa as an example. The series of tweets, in Moultrie’s opinion, fed unnecessary panic and hysteria; they raised alarm about the increase in Covid hospitalisations in South Africa without context and with </span><a href=\"https://twitter.com/tomtom_m/status/1465303512464728070\"><span style=\"font-weight: 400;\">misinterpretations of Gauteng data</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">“</span><a href=\"https://twitter.com/tomtom_m/status/1465303510195576837\"><span style=\"font-weight: 400;\">[He] offered a hot-take on the current South African situation</span></a><span style=\"font-weight: 400;\">, drawing on screen-grabs from pressers; and reports published by the</span><a href=\"https://twitter.com/nicd_sa\"><span style=\"font-weight: 400;\"> National Institute for Communicable Diseases,” Moultrie writes. But he </span></a><span style=\"font-weight: 400;\">“did not reach out to South African scientists in prepping his thread. Instead, he elected to systematically ignore the knowledge on the ground, arrogantly certain of his correctness and ability to comprehend the data.” </span>\r\n\r\n<span style=\"font-weight: 400;\">Moultrie asks, “In what way are his actions different from </span><a href=\"https://twitter.com/tomtom_m/status/1465303519364358149\"><span style=\"font-weight: 400;\">the decried practice of parachute-research in developing countries</span></a><span style=\"font-weight: 400;\">, where the </span><a href=\"https://bhekisisa.org/opinion/2019-12-04-lack-of-equity-and-diversity-still-plague-global-health-research/\"><span style=\"font-weight: 400;\">careers and reputations of scholars from the North </span></a><span style=\"font-weight: 400;\">are built off the backs of scholars and communities in the South?” </span>\r\n\r\n<span style=\"font-weight: 400;\">Prejudice against Africa did not, of course, start with Omicron, or with Covid. The power balances and discrimination that the mirror of Covid has exposed have been there for centuries, in the form of colonisation and the consequences thereof that have divided the world so cruelly into haves and have-nots. </span>\r\n\r\n<span style=\"font-weight: 400;\">In 2001, when HIV was ravaging Africa, but countries from the continent couldn’t afford to buy the lifesaving antiretroviral drugs (ARVs) that the Western world </span><a href=\"https://www.niaid.nih.gov/diseases-conditions/antiretroviral-drug-development#:~:text=AZT%3A%20The%20First%20Drug%20to%20Treat%20HIV%20Infection&text=Used%20alone%2C%20AZT%20decreased%20deaths,Drug%20Administration%20for%20treating%20AIDS.\"><span style=\"font-weight: 400;\">had been using for more than a decade</span></a><span style=\"font-weight: 400;\">, the then chief of the US government’s Agency for International Development justified the agency’s opposition to funding ARVs for HIV-positive Africans </span><a href=\"http://commdocs.house.gov/committees/intlrel/hfa72978.000/hfa72978_0.HTM\"><span style=\"font-weight: 400;\">by arguing that they wouldn’t be able to adhere to the treatment</span></a><span style=\"font-weight: 400;\">, which had to be taken at the same time each day, because they didn’t “know what watches and clocks are”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Within a few years after Africans had started to use ARVs, mostly funded by aid including that provided by the US government, </span><a href=\"https://pubmed.ncbi.nlm.nih.gov/16896111/\"><span style=\"font-weight: 400;\">studies proved that Africans were in fact better</span></a><span style=\"font-weight: 400;\"> than North Americans at adhering to their treatment. </span>\r\n\r\n<span style=\"font-weight: 400;\">Had the US government acted on the prejudice of its aid agency chief, Africa would not only have forgone one of the most effective chronic treatments in the world, but would also have missed out on the preventive benefit of ARVs, which if used correctly reduce the amount of HIV in someone’s body to such low levels that it </span><a href=\"https://bhekisisa.org/article/2017-12-01-00-hiv-undetectable-equals-untransmittable-new-science-changes-old-notions-of-safe-sex/\"><span style=\"font-weight: 400;\">makes it scientifically impossible</span></a><span style=\"font-weight: 400;\"> for them to transmit the virus to someone else.</span>\r\n\r\n<span style=\"font-weight: 400;\">Late access to treatment and punitive measures such as travel bans fuel inequality and do the opposite of what scientists, including those in developed nations, say will end the pandemic: </span><a href=\"https://www.science.org/doi/10.1126/science.abn3081\"><span style=\"font-weight: 400;\">access to vaccines and equal treatment for all</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<span style=\"font-weight: 400;\">Inequality blocks progress and unless we start to look at one another as human beings with equal rights and worth, the North consciously changes its behaviour and the South asserts its rights, we won’t contain Covid, or any of the pandemics that await us. </span>\r\n\r\n<span style=\"font-weight: 400;\">Trying to apportion blame for a new variant that could literally have emerged anywhere in the world isn’t going to take us anywhere good. The Canadian-based epidemiologist Madhu Pai encapsulates it aptly: “</span><a href=\"https://twitter.com/paimadhu/status/1467827962246578184?s=20\"><span style=\"font-weight: 400;\">It’s humans against a viral pandemic. Not humans against humans. Stop racialising variants.</span></a><span style=\"font-weight: 400;\">” </span><b>DM/MC</b>\r\n\r\n<i><span style=\"font-weight: 400;\">This story was produced by the</span></i><a href=\"http://bhekisisa.org./\"> <i><span style=\"font-weight: 400;\">Bhekisisa Centre for Health Journalism</span></i></a><i><span style=\"font-weight: 400;\">. Sign up for the</span></i><a href=\"http://bit.ly/BhekisisaSubscribe\"> <i><span style=\"font-weight: 400;\">newsletter</span></i></a><i><span style=\"font-weight: 400;\">.</span></i>\r\n\r\n<img class=\"aligncenter size-full wp-image-791463\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Bhekisisa-Logo.jpg\" alt=\"\" width=\"720\" height=\"161\" />\r\n\r\n<img src=\"https://syndicate.app/st.php\" />\r\n\r\n<script async=\"true\" src=\"https://syndicate.app/st.js\" type=\"text/javascript\"></script>\r\n\r\n<i><span style=\"font-weight: 400;\">[hearken id=\"daily-maverick/8881\"]</span></i>",
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"summary": "Wealthy nations were quick to ban southern African nations from entering their borders when the Omicron variant of Covid-19 was identified — but not against each other. Unfortunately, this type of discrimination is nothing new.",
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