Sunday, October 28, 2012

A Country’s Worst Ever Cholera Epidemic


Bai Koroma and Rumpoy of the European Union

By Amadu Bai Bureh (in Freetown).
 Five years has passed since the last elections in Sierra Leone that ushered in the All People’s Congress of Ernest Bai Koroma into power in September 2007 amidst global acclaim of democratic maturity and local hope of progress and improvement. On the contrary, five years after this famous victory, Sierra Leone has recorded the worst ever cholera epidemic in its post-colonial history claiming the lives of nearly 300 people, mostly women and children while over 16,000 people have been affected. The epidemic has spread from Freetown to 12 other districts. This recurrent cholera epidemic that seems to come every rainy season (between April and September), has beaten the record of the previous epidemic in which 10,000 people were affected and about 100 people died.

This worst ever cholera epidemic has also come a year after Sierra Leone’s 50 year’s independence celebrations as well as five years of President Ernest Koroma’s “Agenda for Change” which the president claimed in 2007 will be the panacea for the people. But what really went wrong and how did Sierra Leone come to this terrible situation?

Of course for the opposition parties, it is simply an opportunity to score political gains whilst the Government cry that the opposition “politicizing the cholera epidemic”.  A fierce debate has ensued in the varied overly partisan media outlets (over 50 newspapers for a country of six million people) in the country. 

The Government saying only it’s a tragedy that has unavoidably befallen the country whilst the opposition parties on the other hand say it shows the inefficiency of the APC Government. In reality the worst cholera epidemic in the history of the country is a chilling indictment of the whole Sierra Leonean ruling class irrespective of their political colours or guise! The fact is that the main political parties, the All People’s Congress (APC) and Sierra Leone People’s Party (SLPP) should have collectively taken responsibilities given that they have both been in power for the past 16 years after the war and in fact the only two political parties (apart from brief military interregnums in the 60s and 90s) that have run the country since independence from Britain in 1991. Both these parties, during their various stewardships, have not prioritized the interests and concerns of ordinary people of the country; rather have sought only to consolidate power and institutionalizing corruption, neo-patrimonialism and elitism. .
But we will come to the justification of saying this, first let’s look at the epidemic in more detail and how it engulfed the country.

The epidemic and a feeble government response
UNICEF and the World Health Organisation (WHO) started to raise alarm after the first report of a cholera outbreak back in April as the first rains dropped heralding the start of the rainy new season. Three people died in the poor slums along the coast. 

The sub-human conditions in which citizens live in the slums of Mabella and Kroo Bay in the heart of Freetown is simply unacceptable. The sanitary conditions of the community are degrading to say the least; there are only few latrines and no modern toilets facilities at all.  People defecate in the open sewage or the filthy stream that runs through the community. 

People live in shacks built of corrugated iron sheets and roofs made up of mostly tarpaulins and plastic with rocks placed on top of them to prevent it taken out by the heavy breeze from the Atlantic Ocean. Naked children run around between the shacks and play in the filth side by side with pigs, rats and all kinds of unimaginable filth.

 In such a situation, it is easy to see that in the advent of a water-borne disease like cholera, these people will suffer. There is absolutely no availability of pipe-borne water in majority of these slums (and indeed many parts of Freetown). Children have to wake up at 3 am and fetch water in yellow jerry cans till dawn and go to school during the day.

The government responded to the report of cholera in Freetown by simply ignoring it. By May, the death toll rose to tens and by June it had almost reached 100. Still the Government is silent. In July newspapers continued to report the rising death toll but still no real urgency in the government to do anything, It was until August when the death toll claimed nearly 200 lives and the “international community” and civil society raised more concern that the government responded. As of second week on September, over 250 people have died even though rate of deaths is declining as the rainy season comes to a close.

In August, almost five months after the first reported death case, President Koroma finally declared a state of emergency to allow for extra-resources to be put together to reverse the epidemic. An international appeal for support was issued with various governments in the world responding by donating medicines and money. 

 The British Government announced it will donate two million dollars (channeled through NGOs) towards fighting the epidemic, bringing Sierra Leone to the global media prominence, once again for the wrong reasons. 

Cholera centres were opened across the affected areas.  NGOs were also scurrying and falling over each other to cash in to write proposals and get funding to campaign for people to clean their areas and wash their hands without interrogating the real causes of the crisis.

The Presidential Task Force was shown on TV meeting market women, Chiefs, elders and went to poor areas with simply messages: Wash your hands before touching food or after using the toilets. In other words the government deflected the blame of not providing clean water, sanitation and decent housing for the majority of the people all these years. By doing that they were chastising the poor for causing their own crisis. A position which fails to take into account the fact that, you can have all the personal hygiene,  if there is no sanitation and clean water, there is very little one can do to prevent cholera.

Real Causes of the Epidemic
I guess there are very serious questions that need serious answers. First the questions: What are the root causes of this epidemic and how it can be averted in the future?  

The answer is simple, successive governments since the end of the war and the so-called international development partners (mainly serving the interests of neoliberal globalization) have failed to prioritise the provision of the most basic necessities of life for the majority of citizens despite the introduction of the PRSP I (under Kabbah) and PRSP ii, euphemistically christened “Agenda for Change” by the new Koroma government. 

Tejan Kabbah engaged in subserviently advancing the agenda of the World Bank, IMF, DFID and the UN. After the war, Kabbah and the SLPP government failed to prioritise the provision of clean drinking water, affordable food for the poor, quality education, housing, sanitation and the creation of decent jobs. Kabbah’s PRSP only intensified poverty whilst his privatization agenda sold out the country’s vast mineral resources that benefited only foreign owned multi-nationals. 

For example, Kabbah went into various obnoxious agreements with Koidu Holding Ltd, a diamond mining company and Sierra Rutile Ltd, which basically exempted them from tax for the 10 years and more whilst the government only receiving 3%  as royalties from the profits.  In essence resources that should have been used for the provision of clean water (which is available for only 35% of citizens), were given away for pennies. And when ordinary citizens of the diamond rich district of Kono rise up and demand justice and dignity, the police were sent in on a shooting spree. In his memoirs, Kabbah bragged that he rescued the country from the brink of collapse, stabilizing the economy, bringing peace, achieving economic growth without progress for the poor, reformed the army and the police and privatised state businesses. Health and education, let alone water and sanitation were very low on his agenda. 

When Koroma took power in 2007 after Kabbah’s failed policies were rejected by the people in the polls, he basically set about doing the same thing. In reality, Koroma offered no real alternative from the outset. He is generally lacking in ideas and short of policy directions. He simply benefited from the discontent against Kabbah and his SLPP. 

Koroma, like Kabbah before him sought to consolidate the neocolonial and neoliberal agenda. Koroma infamously declared during the 2007 elections campaigns that he would “run the country like a business concern” and  launched the “Agenda for Change”, with the support of the IMF, World Bank, UK’s Department for International Development (DFID) and the UN. The Agenda prioritized three things: infrastructure and electricity, economic development and Agriculture. This agenda quickly degenerated into a mere slogan to be parroted every day and on every occasion. Even brushing one’s own teeth, became “part of the President’s agenda for change” for the pro-government media.

Koroma claims now, without much evidence, that he has achieved the Agenda for Change and that Sierra Leoneans are better off that they have ever been. In fact so confident is the President of re-election, that a full year before the elections, announced the next programme for his second term in office called the “Agenda for Prosperity”. Question is, prosperity for who? Certainly it does not need much thinking given the track record of the first five years, it will most certainly be prosperity for Koroma, his cronies, their foreign backers and senior members of his APC party. 

He claims, though that the Agenda for Change achieved a lot in five years: refurbishing and expanding some roads in the main cities and the rich areas of the capital Freetown. He also provided more electricity in Freetown although half of the city still don’t have electricity. Agriculture is being commercialized with foreign companies snapping up huge swathes of land from poor peasants and denying them of their livelihoods. The mining companies still enjoy tax exemptions etc. Poverty still continues unabated.

But the question is not only that Koroma and Kabbah (belonging to two different parties) were responsible for the cholera but that their misplaced priorities, their blind following of IMF, World Bank neoliberal agenda, poor leadership, ethnicisation of politics to name but a few has led to the current health crisis typified by the cholera epidemic that is still raging in 13 out of the 14 districts in the country.

Way forward
Elections in Sierra Leone are due November 17th contested by 10 political parties but one of the two dominant parties since independence (APC and SLPP) is certain to win. Ernest Bai Koroma is going for a second term challenged by erstwhile military ruler Brigadier (rtd) Julius Maada Bio. Ironically Bio was part of the directionless young soldiers in their 20s and 30s led by Capt Valentine Strasser who took power in 1992 from the APC then led by Joseph Saidu Momoh, who later died in poverty in neighbouring Guinea – Conkary. Their policies don’t differ much and there seems no end in the ethnic politics that have bedeviled the country since independence.

 The reality of the ethnic based politics in Sierra Leone means that there will be no ending sight in the neoliberal and neocolonial agenda of the World Bank, IMF and UN in Sierra Leone to which both Koroma and Maada Bio (of the opposition) are committed to. The debate starts and stops at whether we can have peaceful elections. All manner of community and youth groups are organizing peace rallies calling for peace in the November polls without any attempt at advocating for equal rights and social justice.

I dare say that neither Ernest Bai Koroma of the current APC government nor Julius Maada Bio of the opposition SLPP has the solution to the country and it’s suffering masses! They are both pursuing the same agenda under different guise and political colour. The solution to the current malaise of poverty for the majority, it seems to me does not lie in voting for one or the other of the two equally corrupt parties.   

The solutions will only come when ordinary communities in Mabella and Kroo Bay and other slums across the country, ordinary workers, peasants, the poor and exploited stop dancing for one or the other of the political parties or indeed attending foreign funded NGO campaigns for peaceful elections. 

The solution will be found when these suffering masses come together, organize into solid movements from below challenging the ruling elites to provide clean water, affordable food, decent jobs, health care and sanitation, quality education or put simply demand to live in dignity as human beings. The conditions of the majority of the people of Freetown’s slums is hardly better than the animals that roam side by side with the children in filth. So ordinary people have nothing to lose but their misery and chains.

Even better still, the masses of ordinary workers, unemployed youths, students and women organize themselves into solid movements that will overthrow all together the capitalist-neocolonial order and replace it a new social and economic order that is sustainable, based on equality and social justice for all as well as one that is sustainable and benefits the majority and not just the elites that is the case right now.

The writer is a Pan-Africanist and community activist for social justice with the Pan-African Community Movement in Sierra Leone that advocates among other things for an end to foreign land grabbing and police brutality in Sierra Leone. For more information visit: panafricancommunitymovt.wordpress.com or email: pacm1898@gmail.com

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