I am sitting at my desk in a furious rage. Recently I read an article in ProPublica in which pharmacists described "unusual and fraudulent" prescribing activity for the drug hydroxychloroquine, suggesting that doctors may be hoarding it in a "just in case" manner. Not long after that, another article popped up in my Facebook feed, describing a 45-year-old woman with lupus who said she was denied a refill on her hydroxychloroquine at Kaiser because all supplies had been diverted for the "critically ill with Covid-19" who might fill their system. As for her? According to Buzzfeed, the woman was told she could manage for 40 days without the drug and thanked her for her "sacrifice" and "understanding." The Lupus Foundation of America has written to Congress and is fighting on our behalf to ensure the drug supply remains strong, but as it is with every bit of this situation, I know that it s going to take all of us together to find the solution. Together we must not get lost in the panic. We must not forget that everyone is affected by every choice that s made. And we absolutely must understand that hoarding and withholding hydroxychloroquine will do more harm than good if we re not careful. Plaquenil, or the generic version hydroxychloroquine, is an anti-malarial that acts as a disease-modifying drug for those with lupus, like me, and other rheumatic diseases. People who don t have these diseases want access to hydroxychloroquine because the US Food and Drug Administration has issued emergency use authorization for chloroquine and hydroxychloroquine to treat patients hospitalized with Covid-19 -- and even though there is little scientific evidence that either drug is effective in treating the disease, people are frightened and want to believe it will help. Promising trials are under way, but there is no absolute yet. What is absolute is what will happen to me without the drug. I can tell you, as another woman with lupus, skipping a dose or two of the drug has had serious consequences to my health. I could not make it without for 40 days. I am scared, too. Scared for myself and the estimated 1.5 million Americans (according to the Lupus Foundation) who also suffer from lupus. Decades ago, before lupus patients had access to this drug, many of them died young. Life expectancy was low. The novel coronavirus isn t like the flu, it s far deadlier; the same is true with lupus. It s easy to forget about those of us who live with this often-invisible illness because our faces aren t out there. Stories of our disease don t haunt the public on a daily basis as is the case currently with Covid-19, but truthfully there are crucial similarities between people like me and the patients with this new diagnosis. When the symptoms worsen, they will fear death. When they have to adjust to a new normal, they will go through all the stages of grief. When I read stories of people who have gone through a Covid-19 diagnosis, I latch on to phrases like, "wearing the same pajama bottoms for days because it is too hard to change out of them, too hard to stay that long on his feet," because phrases like that distinctly describe exactly what it s like when my lupus flares. I have skipped meals with my fiancé because the thought of having to chew my food was too exhausting. I have cried in the shower because I don t have the strength to wash my hair. I have missed deadlines and nearly lost jobs because I cannot focus. Without hydroxychloroquine I would certainly slip back into the far worse state that I was in before I was diagnosed with lupus. It was a state that not only had me fatigued but also riddled with pain. My joints ached. My bones hurt so deeply that I wanted to crawl out of my own skin. My lungs were inflamed, struck with pleurisy that made breathing painful. I became out of breath walking from one room to the next. Changing clothes and talking on the phone left me breathless. I lost my ability to exercise. A walk around the block, if I even had enough strength to complete it, felt like running a marathon. If I spent any time in the sun, I broke out in strange rashes, the fatigue worsened and the bone pain tightened its grip. This was the decline that happened over three months before I was officially diagnosed, before I was on hydroxychloroquine. Now, imagine if I am denied a refill of the drug and I slip back into that state. Imagine I also contract Covid-19. What then? Am I hospitalized alone, gasping for my last breaths? I know that we have all played the scenario in our heads about what would and could happen if we got the virus. We understand the best-and-worst-case scenarios. Now imagine if you were contemplating best-and-worst case with Covid plus another disease. With lupus I m already at a 50% higher risk for heart attack than the general public. Over my lifetime, there s a 60% chance that my lupus will affect my kidneys which could in turn require chemotherapy, or worse, a transplant. I am fighting for my life daily. Yet, I am one of the lucky ones. I am currently doing quite well. The days of pain and extreme fatigue are spread out amongst the months instead of daily. I can work out again. I have taken on more work. I am managing and feel fairly strong. But do you know why I m doing well? Because I have been taking my hydroxychloroquine for a little over two years now. If that goes away, then so does my health. Right now, I am one of the lucky ones whose last routine rheumatologist appointment happened to be before all of this chaos. My prescription is filled, but it will run out and when it does, what will happen then? I can tell you that the fallout from lupus patients without their lifesaving meds will place a bigger burden on our already burdened healthcare system. I can tell you what it will feel like inside my body, and I can tell you that the good from hoarding the drug will not overcome the bad from what occurs when the drug is not available to those who need it most.
At his Sunday coronavirus briefing at the White House, President Trump sounded like he had just been mugged by reality. There were no more Trumpian fantasies about reopening the country so that church pews could be filled with people on Easter Sunday on April 12. Instead, Trump talked soberly about the 2.2 million Americans that could have died if the US government had done nothing to stop the spread of the virus. Trump seemed to be citing an influential study by Imperial College London that projected up to 2.2 million Americans would die if no efforts were made to mitigate the spread of the coronavirus. During Sunday s briefing, Dr. Deborah Birx, who is coordinating the US government response to the crisis, mentioned another recent study by Christopher Murray of the University of Washington. Murray s study projects that the number of deaths in the United States will peak three days after Easter Sunday on April 15 with more than 2,200 deaths on that day and also that the total number of deaths in the United States will be more than 82,000 by August 4. It is the work of scientists and the advice of experts that seems to have brought a welcome change in Trump s thinking when he announced at the Sunday briefing that all the social distancing guidelines that his administration had instituted were now being extended until the end of April. At the briefing Trump commended Birx and Dr. Anthony Fauci for their handling of the crisis response. Earlier Sunday, Fauci had emphasized these sobering facts, telling CNN s Jake Tapper that computer models suggested that deaths from the coronavirus in the United States could range from 100,000 to 200,000. Of course, Trump can rarely resist dipping into his usual bag of tricks and during Sunday s briefing he berated reporters from CNN and PBS for asking questions that he didn t like. Trump also made some bizarre comments about a New York hospital that he said had started using a vastly larger number of masks, saying, "How do you go from 10 to 20 [thousand masks per week] to 300,000?...Something is going on, and you ought to look into it as reporters. Are they going out the back door?" It s pretty clear that demand for masks is skyrocketing in New York, not because they are being pilfered but because medical staff need a lot of them given the scale of the emergency. Yet, overall Sunday s briefing at the White House was more along the lines of the briefings by New York Governor Andrew Cuomo that treat Americans as adults who can be leveled with about the scope and nature of nature of the coronavirus threat. The crisis communications 101 rule is that you just tell folks the facts as best you know them. On Sunday Trump began to do that.
COVID-19 has disrupted both supply and demand around the world. Egypt is not immune to the recessionary trends caused by the sudden halt in supply chains and the sharp decline in demand, domestically and globally, resulting from the rapid spread of the virus. The drop in economic activity is even more evident in a country that has adopted fiscal consolidation measures and increased public spending on major infrastructure projects that are underway. These policies worked while the economy was strong, but it is time to consider new strategies to promote the private sector as the government faces some tough decisions ahead. The Egyptian government adopted an ambitious reform program starting in 2016, which included a currency devaluation, liberalization of certain sectors, and a phased lifting of state subsidies. The implementation of these reforms was coupled with a high inflation rate, and as a result disposable income has been shrinking and consumer demand in the domestic market has weakened. Signs of improvement in early 2020 Despite a drop on the demand side, however, the Egyptian economy was showing significant signs of improvement at the start of this year. Egypt had a GNP growth rate of 5.6 percent in FY 2018/2019, unemployment stabilized at around 8 percent, while inflation was down to single digits and seemed to be under control. According to the Central Bank of Egypt (CBE), the annual consumer price inflation rate declined from 7.2 percent in January 2020 to 5.3 percent in February. The Egyptian pound (EGP) steadily gained strength against the American dollar in 2019 and was deemed one of the year’s top performing currencies. In addition, remittances from Egyptian expats working overseas reached $26.6 billion in 2019. This made Egypt the 5th largest recipient country in the world, according to the World Bank, and remittances are an important revenue stream for many Egyptians. Last year also witnessed the revival of the tourism industry, a critical pillar of the economy. It is a source of significant employment and foreign currency, with revenues reaching $12.4 billion in fiscal year 2018/2019. This represents a rise from $3.93 billion in Q1 of FY2018/2019 to $4.19 billion in Q1 of FY 2019/2020. But there are serious challenges on the horizon While it is too early to gauge the total economic impact that COVID-19 will have on the global economy as well as on individual economies, there are certain areas in which Egypt is likely to face serious challenges. The disruption of supply chains will negatively affect industries that depend on inputs from China and other foreign markets, thereby affecting production levels for the domestic market as well as for exports. The decline in international trade as a result of the disruption of supply chains will also have adverse effects on revenues from the Suez Canal, which reached $5.8 billion in 2019. The oil-rich Gulf countries are struggling with the economic impact of COVID-19 given the decline in demand for oil, especially from China, as well as the recent and sharp fall in prices stemming from the Russia-Saudi Arabia dispute, with Brent trading for under $30/barrel as of late March. This will result in a tightening of economic policies in the Gulf states and may require wage cuts and layoffs among expatriate workers, which in turn will affect the remittances of Egyptian expats, who account for a high percentage of the workforce in the Gulf. The tourism industry is unlikely to see a revival until next season in light of ongoing travel restrictions and the lingering psychological impact of health risks associated with international travel. The demand crunch both globally and domestically will spill over into recessionary trends that will affect domestic investments and employment. In addition, in light of the global uncertainty around the current situation and the expanding role that governments will play in safeguarding their economies, countries such as Egypt might find it even more difficult to access the finance needed to support their economies and carry out their stimulus plans. Global financial institutions like the International Monetary Fund may not be able to handle the huge demands that are likely to arise as a result of this crisis given the sheer number of countries affected. The need for government action In anticipation of these challenges, the Egyptian government has been quick to introduce stimulus measures. The CBE announced on March 16 that it was cutting borrowing rates by 3 percentage points to stimulate industries and boost demand, while increasing credit limits for businesses to support working capital and payment of salaries. At the same time, with fear of dollarization and to ease expected pressures on the currency, public banks are offering new certificates of deposit at a rate of 15 percent for one year, which is only available online without any need for personal interaction. Furthermore, the CBE has instructed all banks and lenders to provide a six-month grace period on all loans as an emergency tool to ease the burden on the population and the private sector. The government also announced the following measures: the allocation of EGP 100 billion (around $6.25 billion) to combat the virus; a reduction in the price of natural gas and electricity for industries; the immediate release of export subsidy arrears; and the provision of support for the tourism and real estate industries through banking finance initiatives. As the world changes in the wake of the COVID-19 pandemic, Egypt has an opportunity to address some of the structural reforms in the economy by boosting the confidence of the domestic private sector, as well as moving at a faster pace to promote technological transformation, particularly in the financial and health care industries. Based on what we are seeing globally, Egypt is likely to face some serious public health and economic challenges in the days ahead. It is important to act quickly and creatively to anticipate and mitigate them. *The Writer is a non-resident scholar at MEI and CEO of EN Investment. He previously served as CEO of the Chemical Industries Holding Company and as Egypt’s Principal Deputy Minister of Planning, Monitoring and Administrative Reform and Principal Deputy Minister of Investment. The views expressed in this article are his own. **This article was originally published by the Middle East Institute in Washington DC. https://www.mei.edu/publications/what-does-covid-19-mean-egypts-economy
Egypt s President Abdel-Fattah Al-Sisi has set into motion a package of important initiatives and measures to steer the fight against the unprecedented coronavirus pandemic that could ravage the domestic and global economy. He urged citizens to follow the advise of public health authorities and to avoid going out as much as possible in order to help curtail the spread of Covid-19. “The world will be a different place afterwards,” he said. “The economic impact will be extremely profound, even in countries that manage to contain this disease.” Alluding to the political exploitation of the crisis, he stressed that the official figures reflect the current situation in Egypt and added that from the word go certain parties were determined to cast aspersions on every action Egypt took. “The very least that can be said about these aspersions is that they are lies containing a lot of slander and have nothing to do with coronavirus.” The global socioeconomic fallout from this crisis could last months. Economists predict unprecedented rates of unemployment, especially among irregular workers, severe recession in most industrial and commercial sectors and sharply declining economic growth rates. The urgent social and economic measures taken by countries around the world share a number of features. They offer support to the most vulnerable sectors of society, increase government expenditures on social services, cut taxes, pump money into the hands of consumers, furnish emergency bailouts to hard hit sectors such as airlines and tourist companies, and increase funding for hospitals and the healthcare industry in general. The sheer magnitude of the crisis is forcing governments to shoulder more responsibility for the economy, in sharp contrast to the liberal economic strictures that prevailed during the globalisation era of the past few decades. Interventions in order to channel money and energies into medical research, manufacturing medical supplies, increasing hospital capacities and building new hospitals and other facilities are essential government tasks today. So, too, are government interventions to prevent the collapse of important economic sectors. Even in the early stages of the contagion, it was estimated that coronavirus could cost the global economy more than $1 trillion of global GDP if it turned into a pandemic. Oxford University warned that the spread of the virus outside Asia could trigger a 1.3 per cent drop in global income in 2020, or about $1.1 trillion. An indication of how hard the pandemic might strike the world economy comes from the US where Congress has approved a $2 trillion emergency aid plan in order to contain the economic repercussions of the spread of coronavirus in the US alone. The sum equals 10 per cent of annual US GDP. Financial and investment circles have welcomed the Egyptian government and Egyptian Central Bank s urgent steps to stimulate the economy and offset the damages of coronavirus. They lauded, in particular, the measures to reduce the price of natural gas for industry, to cut electricity prices, to extend the deadline for paying real estate tax and to help out floundering industries. All such measures are crucial for local industry and investors. Still, both domestically and internationally it looks like we have to brace ourselves for worse to come before humankind can beat Covid-19 into retreat. The dramatic coronavirus-related developments in Europe are very alarming and it is impossible to tell when scientists will find a cure. What this means is that a sense of collective responsibility between world governments and peoples is more crucial than ever before. Humanity must unite in the face of the most serious threat in modern times.
Coronavirus has the world on edge. Stocks are tumbling. People are sheltering in place. Conferences, schools, weddings, even religious services, are being put on hold. And Americans are watching with bated breath to see if policymakers can come together to provide urgent relief. If the Covid-19 crisis sounds bad to you, imagine what it might feel like to human beings behind bars. A public health catastrophe is rapidly spreading through our prisons and jails. The Federal Bureau of Prisons, America s largest prison system with 175,000 people incarcerated across 122 facilities, reported its first few cases last week. New York City s notorious Rikers Island jail has confirmed dozens of cases. Some 1,800 people in California s San Quentin State Prison were put under quarantine. Correctional officers in Alabama, California, Georgia, Michigan and New York have tested positive. And it is only a matter of time before the situation gets worse. Unfortunately, there is little that incarcerated people can do to protect themselves. In jails and prisons, access to basic goods like toilet paper, personal hygiene products and cleaning supplies are often limited or exorbitantly expensive. The alcohol-based hand sanitizer that the Centers for Disease Control and Prevention recommends for use is banned and considered contraband, although some prisons in New York are using the labor of incarcerated people to produce it. Even handwashing can be difficult in facilities with questionable water supplies. In short, prisons are often dirty and unsanitary already. On top of that, there is no such thing as social distancing when you are locked up with hundreds of other people in close quarters. That means today there are roughly 2.3 million people locked up in our prisons and jails, waiting in fear for this crisis to hit them. One of us knows what this fear looks like. Louis served almost 14 years in prison. While incarcerated, he unapologetically gave his life to Jesus, gained an education that transformed his mind, and realized that -- to quote criminal justice reform advocate Glenn Martin -- the people who are "closest to the problems are usually closest to the solutions, but furthest from the power and resources." Now, Reed is the national organizer of Dream Corps #cut50, a bipartisan effort to safely and smartly cut the number of people behind bars and give people coming home chances to rebuild their lives and contribute to their communities. Together, we believe three critical steps must be taken. First, there are already solutions on the table. The REFORM Alliance has published a SAFER Plan policy recommendation, especially for those in at-risk communities, asking governors to suspend technical violations, probation visits, fines and fees for the time being -- especially since those locked up are more susceptible to being exposed to Covid-19. Second, we need to remember that the incarcerated are in prison, not on another planet. Their health matters to our health. Guards leave at night, lawyers visit clients and family members visit loved ones. People come and go. What s more, someone on parole who is sent back to prison for technical violations -- or anyone arrested and detained in the coming weeks -- could bring the virus into an already overcrowded confined space. The only way to stop the spread of coronavirus to the incarcerated population is to reduce the size of the prison population. That means jails should not be holding anybody in pretrial detention. It also means both prisons and jails should be safely releasing as many people from within their confines as possible. A smart place to start would be individuals most at risk of infection: those already suffering from serious underlying medical conditions and people over the age of 65. Most states already have mechanisms to release elderly and sick people, and research shows that people over the age of 65 are far less likely to commit future crimes. There are also hundreds of thousands of people incarcerated for low-level crimes who could safely be released from prison with no threat to public safety. Some regions are already stepping up. Counties from Cuyahoga, Ohio, to Alameda County, California, are releasing hundreds of people from their jails, most of whom were already scheduled to be freed within the next 30-60 days. The state of New Jersey recently issued an order allowing the release of close to 1,000 people, mostly those serving time for low-level offenses like probation violations or municipal court violations. More should follow suit, as quickly as possible. Third, we need to go beyond fear and ask that this crisis continue to bring out the best in people. Yes, at a time when people are afraid for themselves and their loved ones, we need to ask them to have empathy for the incarcerated, too. In fact, it could help all of us. Out of sight, those in prisons and jails are not just out of mind. This abandonment is made possible by a massive empathy gap -- our inability to see ourselves in those who are incarcerated. Wednesday, March 25, is the National Day of Empathy, organized by Dream Corps #cut50. It is a day when people who have suffered under our mass incarceration system will share their stories with policymakers and local leaders. Celebrities and artists will echo the call to greater empathy. And countless people will discover that in the midst of a viral pandemic, we can still care and worry about people worse off than we are. This is the fourth annual Day of Empathy, but it takes on new and special significance this year. In years past, the profound arguments of formerly incarcerated individuals sparked enough empathy to produce bipartisan criminal justice reform. Empathy for the incarcerated drew together a bipartisan coalition of people from across the political spectrum to support the First Step Act. This historic criminal justice reform, signed into law in 2018, has already led to a reduction in incarceration time for more than 7,000 people in just over a year. The equivalent of 17,000 years of human freedom have been restored back to communities and loved ones. Now that Americans are looking to our government for bipartisan concerted action against Covid-19, the First Step Act is a model for what is possible. People from both political parties can come together, despite their disagreements and driven by their own distinct values, to respond to suffering. We need to remember the "do onto others" Golden Rule -- and put our empathy in action. Human lives should not be defined by the worst mistake they have ever made, as they are for many incarcerated people. We can enact safe, smart solutions -- such as putting low-risk individuals back home in their communities -- but only if we resist the fear that led to mass incarceration in the past.
We humans were meant to be social animals. We thrived on connection, community and kinship. When we met up with other humans, it wasn t enough to simply be there with them; we felt an urge to instantly bond with them. And so we kissed, we hugged, we shook hands, we high-fived. That was how things were until early 2020. Then came the age of coronavirus and the need for social distancing, self-isolation, quarantine, lockdown and shelter-in-place. Today, we humans continue to be social animals, and we continue to crave connection. We need to find a way to build an instant bond but we have to do it without physical contact. Research shows that a single handshake can transfer 124 million bacteria on average, so it is quite likely a perfect way to share viruses as well. A high-five will transfer about half of that number. Some of us have dusted the elbow bump off the shelf. This is what the World Health Organization told us to use in the 2006 age of avian flu. But let s face it, elbow contact just doesn t have the same sizzle as, say, a handshake or a hug. You just have to see this picture of two grimacing presidential candidates to feel convinced about that. And Director-general of the World Health Organization Dr. Tedros Adhanom Ghebreyesus recently said it wasn t a good idea, tweeting "When greeting people, best to avoid elbow bumps because they put you within 1 meter of the other person." So some elder statesmen around the world are using the bonding method that they ve learned during their state visits to India: Namaste. Namaste around the world In case you haven t taken a yoga class, namaste is when you bring your hands together, palms pressed against each other, centered at your chest. Namaste is part of several yoga postures, but it is also the traditional way in which the people of India greet each other. And, since it involves no physical contact, it is virus-proof. Israeli Prime Minister Benjamin Netanyahu had traveled to India in 2018. So when coronavirus struck, he was one of the first to adopt namaste as his greeting of choice. He has also encouraged his country to abandon handshakes and adopt namaste -- and is giving free tutorials. France s President Emmanuel Macron also recently decided to employ namaste in welcoming Spain s King Felipe VI and Queen Letizia. The French ambassador to India, Emmanuel Lenain, later tweeted, "President Macron has decided to greet all his counterparts with a namaste, a graceful gesture that he has retained from his India visit in 2018." In US President Donald Trump s recent state visit to India, his host, Prime Minister Narendra Modi, may not have been able to sell him on a new trade deal, but he did sell him on namaste. Soon after his return, Trump folded his hands to greet Irish Prime Minister Leo Varadkar. "I just got back from India. And I did not shake any hands there, and it was very easy because they go like this and Japan goes like this," Trump said, demonstrating the Indian namaste and the Japanese bow. "They are ahead of the curve." After a number of visits to India, England s Prince Charles too has now adopted namaste as his preferred style of greeting, although, as this video shows, old habits are hard to break. It s high time namaste went global, for it has been around in India forever. Namaste may arguably be the oldest form of greeting in active use on our planet. Earthen figures excavated by archeologists from the Indus Valley Civilization, dating back to 3,000 BC, show people in the namaste pose. In contrast, the handshake only originated, like, yesterday -- around the 9th century BC. You can use it during your video conference Because namaste involves no contact, it is also the perfect form of remote greeting. So tomorrow when you run what may be your 31st virtual meeting in this age of coronavirus, think about it. You can t shake your colleagues hands or give them a hug as they enter the Zoom video conference room, but you can invite them all to build a bond with each other through a namaste. That s what we are doing now in our team meetings at Mentora Institute. Besides its no-contact benefits, there are other alluring possibilities in adopting namaste as your preferred greeting. A few years ago, as I was wrapping up a keynote to an audience of 600 executives, I felt a strong tug in my heart for the audience. They had listened to me for an hour, laughed and sighed at my stories, and, through their nods and note-taking, given a gracious reception to my ideas. I dearly wanted to hug each one of them at the end of my talk as they were applauding. In 15 seconds, I was going to walk off stage and out of their lives forever, and I wanted to convey to each of them "I am grateful for the beautiful connection you and I made today." How on Earth could I create this bond with 600 individuals before I rode away into the sunset? Then, instinctively, my hands folded and the palms pressed against each other, my thumbs close to my heart. Namaste. I realized that I was doing what I would do growing up in India every time I walked into a room buzzing with friends and family. Stand still. Bow ever so slightly. Smile. Sweep the room with one namaste while looking affectionately into everyone s eyes. Namaste has this powerful quality of being inclusive. With namaste, you are building an instant bond with all who are gathered in your midst -- not simply the one person right in front of you. It is physically impossible to achieve that with a kiss, a hug, a handshake, a high-five or an elbow bump, all of which are exclusively one-to-one. Namaste helps us to recognize that, like it or not, we are all connected; we rise and fall together. While we may choose to hug or bump elbows with just our favorites, when we offer a namaste, we are opening our heart to everyone, without discrimination. All of humanity is in our embrace. What does namaste even mean? And that is not all. To understand namaste s ultimate potential as a social bonding tool, we need to ask, "What does this strange-sounding word even mean?" Within the word Namaste is encoded the whole philosophy of yoga. Here s what I mean. If I were to draw for you a line to represent the full spectrum of human nature, going from "terrible" to "terrific," where would you place yourself on this line? Where would you place your favorite colleague? And your least favorite colleague? Wherever you placed yourself, and wherever you placed these two colleagues, I offer that you are wrong. Because, you see, you are the whole spectrum, and so are they. Think of your worst quality, your worst behavior, your worst life moment. Now think of your best quality, your best behavior, your best life moment. Yoga invites you to find that divine spark within yourself -- the part of you that I call your "inner core". When you operate from your inner core, you are centered, committed, connected and curious. You are able to step away from attachment, ego and insecurity to operate with wisdom and intention. You are at your full potential. The more you discover this divine spark within your own self, the more you start seeing it all around you, in every throbbing heart, for it is innate in humanity. We all have it -- we just need to work on awakening it and expressing it in all we do. Namaste is a Sanskrit word that means "the divine spark in me bows to the divine spark in you." In other words, it is saying, on some days, you or I may be tired, ill-behaved or deeply flawed; but today, in this moment, as we connect, I seek to offer you the best in me, and I strive to draw out the best in you. It is now abundantly clear that we will win the war with coronavirus only if we re all in this together. Rich have to unite with the poor, young with the old, conservatives with liberals, each nation with all others. We need to inspire not just the best in ourselves, but the best in others -- including the people who, on a more average day, we may dismiss, dislike or denounce. What better way to pursue this goal than to start and close every interaction by pressing palm against palm to gently affirm the untapped heroic potential that lies within everyone you engage with? Because, as Gandhi once said, "The difference between what we do and what we are capable of doing would suffice to solve most of the world s problems." Namaste.
How will the world look after coronavirus? Will we wake up one day to hear the government announcing the end of the crisis, and then everything returns to what it was before this March: crowds in markets, malls and commercial centers, shisha bars and cafes, social separation caused by social media, and pollution of the planet and indifference to the future? Or will the crisis leave its mark on our lives and make us change our lifestyle? Coronavirus came to give the planet a break from human practices…and allow our planet to breathe. The virus came to give families an opportunity to communicate and sit together, after a long talk about the interruption of close and direct communication in light of the internet. With the virus also came a culture that some preached would be our future: remote work and the rediscovery of the internet as a way to work (from home). The crisis has shown us that many jobs can be performed from home without the need for offices. The virus also reaffirmed the importance of personal hygiene as a means of preventing disease. Certainly the world will change after coronavirus. We live in an atmosphere of war, but this time the war is of a different kind, a war in which the whole world participates, and the whole world will suffer its effects, especially at the economic level. But we may make gains on the social level, if we take advantage of the new customs that coronavirus has imposed on the people. I wrote in my last article about the crisis of trust between the government and its citizen, and between the media and Egyptians. I thank God that the government has made great efforts over the past two weeks that have been hailed by everyone. It was the beginning to rebuilding bridges of trust between citizens and the government. The government has taken well-studied steps, in coordination with international bodies, and most importantly, it has adopted the principle of transparency and access to information. Of course, this did not prevent rumors about the coronavirus from emerging, especially in light of the spread of social networking sites that allow everyone who owns a smartphone connected to the internet to disseminate his “supernatural” theories to explain incidents. This is a global scourge that is not limited to Egypt, but at least the information provided by the government was an effective means to confront this sweeping flow of misinformation and conspiracy theories about the virus. The government has fulfilled its duty so far and is still taking steps, but now, it is Egyptian citizens turn, especially after they turned out to not be fully aware of the situation. Citizens calls to provide health care, suspending study, and banning shisha were only showy demands on social media. Just one look at popular markets and shopping malls makes you sure that the real crisis is about awareness and culture. I hope that the media will seize the opportunity, and play its role professionally in dealing with the crisis, in an attempt to recover the lost audience. This opportunity will not come again. I think that the post-coronavirus world will change our perception of the government, media, and the citizen, and it may be the beginning of a new “social contract”.
President Donald Trump has recently insisted on repeatedly calling the Covid-19 either a "foreign virus" or a "Chinese virus" in his speeches and tweets, an insistence that appears to say "this is all China s fault." Fox News personality Jesse Watters asked China for a formal apology earlier this month during "The Five," a Fox News panel talk show he co-hosts. According to Watters, the virus originated from Chinese people eating raw bats and snakes because "the Chinese communist government cannot feed the people, and they are desperate." Watters also said scientists believe this to be the origin of the virus, despite no credible disease expert having made any statement of the sort. Scientists do believe the virus likely originated in an animal before transmission to a human host, but the exact sequence of events or even the animal in question remains unknown. Watters has not responded to the global backlash against his comments, though he did say recently on his show, as infections in the US continue to spiral, that he has started to take social distancing more seriously. In a seemingly retaliatory move, a Chinese government spokesman took to Twitter to suggest an unfounded claim that it may have been the "US army [that] brought the epidemic to Wuhan" instead. The Ministry of Foreign Affairs spokesman, Zhao Lijian, republished a one-minute clip of Robert Redfield, director of the Centers for Disease Control and Prevention, at a US congressional hearing on the virus. In the clip, Redfield can be heard admitting to cases of deaths in the US from the coronavirus that were previously misattributed to influenza. Despite this having nothing to do with the US army and their visit to Wuhan for the Military World Games in October 2019, Zhao is seemingly using the evidence of misdiagnosis and a lack of transparency as ammunition to fire back at the US. As the whole world now scrambles to deal with an escalating threat that just a month ago seemed to be a "Chinese problem," it is time to acknowledge that blame is hardly the point and most definitely not the solution. In fact, the deep-seated Sinophobia, or anti-Chinese bias, underlying the initial urge to judge China for the problem is what has allowed Covid-19 to catch the US off guard with its widely criticized response to the pandemic. As China has grown economically and politically to a position of global influence since the late 1990s, it has received backlash and criticism, particularly from its neighbors in Asia Pacific and in Western Europe and the United States. Many questions that have been raised regarding human rights violations are valid, but some, including Watters comments that intend to paint China as an underdeveloped, backwards country, are more self-serving than anything else. By vilifying China, critics like Watters perpetuate a narrative of Western supremacy. This narrative is so pervasive that despite reports that China is now home to more of the world s wealthiest people than the US, some people still believe that everyone in China lives in extreme poverty. The misconception of what it means to be Chinese or live in China has cultivated a widespread negative sentiment towards the Chinese people, leading to a rise in hate crimes against people of Chinese or Asian descent. Such negative sentiment informs not only how we treat Chinese or Asians in general whom we encounter but also how quickly we are to accept any criticism of the Chinese government or Chinese officials without much substantiation. Without dwelling too much on substantiating what should be a well-known fact, it is easy to point to universities like Tsinghua, the wide adoption of mobile payment and apps, and the massive footprint of luxury brands in China to debunk all the aforementioned depictions of the Asian country and its people. While Wuhan, the city where the first case of the virus was diagnosed, is not a first-tier city (China puts cities in tiers based on their population), it has been regarded as "the political, economic, financial, cultural, educational, and transportation centre of central China" by foreigners. The virus was thus not born in a setting of extreme poverty and filth but rather somewhere much more like home. Hence, Covid-19 is now trending worldwide. Trump s choice of words is intended to "other" the virus, a strategy that he has used in the past to characterize other threats to America and the American way of life. The President claims that his choice of words is "not racist at all." With so many cases in the US, Trump s central focus on the origin of the virus cannot be more irrelevant now. Similarly, many foreigners, even some of the expats I work with in Hong Kong who have visited China, cling to the misconception that Chinese people must be the source of the spread of the virus anywhere. For instance, in Italy, which is now on lockdown as it struggles to contain, at the time of writing, nearly 55,000 cases of the coronavirus, the Tuscan city of Prato is home to the highest concentration of Chinese migrants in the country. On more than one occasion, people I have engaged in casual conversations with about the coronavirus have tried to point to the town as the source of the virus in Italy. However, by early March, two weeks into Italy s initial lockdown of the original "red zones" -- so named for their high level of infections -- there were no reported cases of the coronavirus in Prato, the city or the larger province of which it is the capital. In Hong Kong, there have been widespread calls for Chief Executive Carrie Lam to shut all border crossings with China since January. Lam has refused. Proponents of a full shutdown point to Macau, China s other SAR or special administrative region, which has been very successful at combating the virus. Many of these people, as a faculty member of the Chinese University of Hong Kong, Professor Yun-wing Sung, explains in a Chinese submission to the Hong Kong Economic Journal, assume that Macau was able to quickly contain the spread of the virus because it imposed much stricter travel restrictions than Hong Kong on travel to and from mainland China from the onset of the virus breakout. However, as the workplace of some 35,000 foreign workers from the Chinese city of Zhuhai, Macau has maintained an open border to the mainland and its residents. It should be clear that many of those who blame China at this late stage for the spread of Covid-19 are likely seeking to shift blame from their own inadequate responses. Regardless of where the virus originated, cases have been reported on every continent except for Antarctica. Due to its incubation period, which may be as long as 14 days, everyone we see, including healthy-looking, non-Chinese people, could be a carrier. The current situation demands better access to testing for everyone and more affordable provision of health care and medical resources if a case is confirmed. Drive-through testing stations like the ones we first saw in South Korea in February, work-from-home policies rolled out by the Hong Kong government for civil servants in late January, and even China s building of emergency coronavirus hospitals in a matter of days early in the outbreak are examples of governments adapting efficiently to the crisis. As the global fight against an unprecedented virus drags on, we should be open-minded and accept that good disease-combating measures can come from anywhere, including China. It truly would be a shame if more people had to die because of some age-old prejudice.
Americans are responding to the growing coronavirus pandemic by stocking up on essentials like toilet paper, eggs, milk -- and deadly guns and ammunition. But all of that firepower is likely to do more harm than good, as Americans continue to grapple with the anxiety and uncertainty ahead. Across the country, firearm shops are reporting a boom in sales, as customers line up to buy ammunition, handguns, shotguns, rifles -- and even the deadliest of assault weapons. "When I say sales have been booming, it s an understatement," David Stone, who works at Dong s Guns, Ammo and Reloading in Tulsa, Oklahoma, told the Los Angeles Times. Indeed, as one New York Times story phrased it, the FBI has processed "more background checks in February than it had done in all but two other months." Online websites like Ammo.com are also reporting a 68% increase in sales over the last month. But doomsday preppers and gun enthusiasts aren t the only ones buying the nation s gun and ammo inventory. Anecdotal reports from gun shop owners suggest that first-time purchasers are also getting in on the action. For example, Gabriel Vaughn, the owner of Sportsman s Arms in Petaluma, California, posted a video on Instagram, on March 14, noting a "huge influx in new, first-time buyers" and pleading with his regular clientele to be mindful of busy store staff during this period. "I can barely lift my head up to say hello to people," Vaughn said. Similarly, Cole Gaughran of Wade s Eastside Guns in Bellevue, Washington, reported an increase in first-time gun owners -- particularly among the Asian-American community. "The main thing I m hearing is that they don t want to get jumped because of their race," he told The Trace. The reported influx of new customers and uptick in background checks must be a welcome turnaround for an industry that has experienced sluggish sales over the last several years -- and its boosters are actively exploiting the coronavirus outbreak to help grow profits further. Last Friday, the National Rifle Association sent out an inflammatory "national alert" to its millions of members warning that "anti-gun extremists" in Champaign, Illinois, are using the emergency "to quietly pass and implement gun control schemes." Later that day, the city, which had issued an emergency declaration related to the coronavirus, issued a statement to respond to "false claims" about its order, pointing out that "there is currently no firearm ban and no intent to seize property or close businesses." A lawyer for the city said that using these powers would require city council approval. And independent gun sellers on ArmsList.com have begun selling a variety of guns with sales pitches like "Corona Virus preparedness kit," "Coronavirus panic killer!," "Coronavirus Zombie Protection." The gun and ammunition rush could lead to a spike in firearm suicides and domestic violence incidents, however. As Los Angeles County Sheriff Alex Villanueva explained during a press conference on Monday, "buying guns is a bad idea." "You have a lot of people now who are at home, normally they re not, cabin fever sets in and you have a crowded environment," he said. "Weapons are not a good mix." Indeed, research has consistently found that firearms in the home significantly increase instances of suicide homicide -- and unintentional shootings. The Harvard T.H. Chan School of Public Health has concluded that "every study that has examined the issue to date has found that within the U.S., access to firearms is associated with increased suicide risk," with one analysis showing that "suicides were almost twice as high in the high-gun states, even though non-firearm suicides were about equal." Other researchers found that residents in states with higher rates of gun ownership are more likely to be shot and killed by a family member or an intimate partner, with women facing the greatest risk. Each 10% increase in household gun ownership rates corresponded with a 13% increase in domestic firearm homicides, researchers at the University of Indianapolis reported in 2017. States with more guns also see more unintentional deaths. The mortality rate is seven times higher "in the four states with the most guns compared to the four states with the fewest guns," the Harvard researchers tell us. And, so, if the best way to stop the coronavirus pandemic is to listen to the guidance of health professionals and scientists, then Americans must also tune out the grifters who are using this crisis to sell more firearms and embrace the overwhelming and conclusive science around the dangers of gun ownership. If you re looking to protect your family, continue to buy food and basic essentials as needed, not guns and ammunition -- and then stay home.
The international community is facing an unprecedented challenge with the Covid-19 crisis — perhaps the first global crisis in the age of new social media. The challenge has turned international agendas and priorities upside down. Headlines are no longer dominated by war, conflict and terrorism. Governments foremost concern these days is to control the spread of the virus and prevent infections at home as international stock markets tumble, trade slows and the global economy veers towards recession. The impact of all this on growth rates and the standards of living of the poor and middle classes may be felt for years to come. Some economies can sustain the stiff measures needed to curb the spread of the virus. Other economies will be able to handle them for only so long after which hardship will set in. A third type of economy will be hit so hard from day one that it will require intervention on the part of international agencies such as the World Bank. Coronavirus will probably have a major impact on salient features of globalisation such as open borders and unprecedented freedom of movement. What with the levels of precautions taken by some countries at the epicentres, it is hard to imagine the world returning to business as usual, as was the case following other viral crises, such as SARS and MERS. Governments will be reviewing many policies related to travel and border controls, even if the international fight to combat Covid-19 proves quicker than some predict. On the other hand, some argue that while Coronavirus is a global crisis, it would be wrong to see it as a crisis of globalisation and they warn against reactions that hamper a rational and collective international response. In Egypt, the measures announced by the prime minister and other competent officials were timely and in line with measures taken by other countries. School and university classes have been suspended for two weeks. Football matches, concerts and other such activities have been cancelled. All government facilities are being sanitised. People have been urged to stay home as much as possible and avoid malls, clubs and other areas where they might come into contact with large numbers of people. In addition, President Abdel-Fattah Al-Sisi announced last Saturday that the government would allocate LE 100 billion to fund a comprehensive containment and prevention plan. Noting that President Al-Sisi s decision to suspend classes was a necessary precaution to prevent contact between large numbers of people, Prime Minister Mostafa Madbouli said that the rate of infection in Egypt is still limited compared to other countries. Social media was instrumental in prompting swift action on the part of the government. Parents and guardians initiated a hashtag campaign calling on schools to suspend classes, a campaign that acquired momentum after the World Health Organisation announced that 300 million students were out of school worldwide due to temporary closures of educational institutions as part of precautionary measures undertaken in many countries. The Covid-19 pandemic is not just a test of how prepared societies are domestically to handle a dangerous illness, but also of the world s ability to work together as a single system to combat threats that no country can handle alone. This is both a lesson and an important opportunity. Hopefully, the world will learn how to unite effectively on this as well as other critical threats, such as global warming and, of course, armed conflict, which claims many more times the amount of victims as viruses.
2019 and 2020 had already been difficult years, crisis and adrenaline wise, in our household. During the summer, when I was a visiting poet at a residency out of state, an angry, confused woman wandered into my class and said: "I have three guns and I want to use em." We all froze. It wasn t totally clear if she had the guns, and in this world, at this moment, it didn t have to be. We each know that, when we teach in America, we are already in danger. I was dizzy with fear. My husband and kids were a few rooms away. The woman, who later turned out to be a schizophrenic without access to her medications, was, by some force, wrestled out and escorted away, then put in a hospital for observation, in a step that was actually safer for everyone than any one of us pressing charges. My class went on; we talked about poems. I d teach for two days and leave again. But despite the fact that the rest of our days on campus passed peacefully in the shadow of some incredibly beautiful mountains, I was rattled. I couldn t shake the sense that, in this country, at this moment, we always live at incredible risk. A few months later, crisis struck again. While my husband was locking his bike to drop off our 3-year-old daughter for her preschool-aged day camp, a different woman approached. Swiftly and for no apparent reason, she bent down, picked up our daughter, and began to carry her down the street. It was so fast and confusing that my daughter barely whimpered. My husband, in a burst of speed, chased the woman and reclaimed our daughter. The woman, clearly confused, retreated into the public library. A network of homeless people who generally know the other homeless in the area (what a gift their wisdom was that day) said they did not recognize the woman. The woman was so clearly unwell that when she was apprehended she was incoherent. Heartbreakingly, she called our daughter by the name of someone else s child. Each part of the episode was as haunting as it was terrifying. All of this was before Covid-19, which is now rapidly on the rise where we live in the Bay Area -- and the country -- through community transmission, and where, now starting tomorrow the six counties on the Bay Area will be proceeding under a shelter in place order. All of this was before the schools shut down and we all began to fear for ourselves and our parents and sick friends and elders -- and none of us could get a test for a disease we all soon might unwittingly be either catching or spreading. That is to say, even before Covid-19, we were all already living in the presence of vast public health epidemics: gun violence, poverty, homelessness. We were living through the epidemic of lack of decent access to health care, the epidemic of precarity and inequality, the epidemic of lack of access to mental health care. In the Bay Area, where an estimated 28,000 people each night already sleep on the streets, we were already living with an epidemic of lack of access to affordable housing. We were living this way year in and year out before the coronavirus threatened everyone who works in the gig or service economy with their jobs. In New York, where they didn t want to shut down the public schools because so many kids are homeless (schools are where large numbers of our kids must eat and do their laundry), we were already living with the public health crises of mass shelterlessness and child hunger. And all across America, we were already living with the radical unsafety of having a government that deliberately chooses to linger in ignorance by refusing to let the Centers for Disease Control and Prevention even study the causes of gun violence. What s different, of course, is the speed, visibility and sheer novel danger of this epidemic. Viruses clearly don t care whether we are rich or poor, white or black, gun owners or radical pacifists. As we watch this virus spread, it maps our interconnections. It reminds us that as humans we were never so very separate from one another -- we must meet and share services and trade goods and explore ideas and share food and yes, connect with one another to build a world. We share common breath. "No man is an island," John Donne wrote, and of course no woman, no child or nation is either. This virus (and the chaos it causes) reminds us of our common lives, our common breath, our deep dependence on interconnectedness: it shows that to thrive we must meet and build and plan and educate and heal and celebrate and make art and grow food and trade goods and eat together, because we are complex social artistic imaginative beings in a web, all attempting to share breath and resources on a planet. The virus reminds us that there is really no elsewhere, no place to retreat, no gated community whose walls will serve: We are all linked, and our health is a community function -- the well-being of others is also the well-being of ourselves. After a deeply bungled delay, the Democrats and Republicans in the House of Representatives came together on Friday to acknowledge what is happening to our economy and our health at once, and to pass a relief bill. We are told that, in theory at least, the late-arriving Band-Aids of widespread testing and paid sick leave are on the way -- though roadblocks have come up in the Senate that could delay final passage of the bill. The fact that the infection numbers continue to rise dramatically even in the face of deliberate ignorance and delay and ongoing lack of testing is also not reassuring. The fact that we are six weeks into a crisis that could have been actively prevented starting in late January, should give us all pause. Indeed each of us is afraid of being exposed to coronavirus, but the virus is exposing our wider fault lines as well. One reason that some Americans have been so slow to act is partly because we ve relied too long on systems that allow us to be complacent about sequestering ourselves from other people; because we ve tolerated a mediocre, partial, inefficient and expensive healthcare system. We ve veered towards an economics that allows some people to stockpile and privatize their access to good services, while others are increasingly left in the cold, or just plain out of luck. We have been living in an America still clinging to some notion of rugged individualism to its peril. As this virus escalates here, it does so partly because of the fault lines that were already endemic in this country. We stumbled because ignorant and racist forces allowed themselves to stall, believing they didn t need to respond or plan care for all by imagining that they could "other" the virus or the people that had it. We stumbled because we already fail to offer quick, affordable, efficient health care to all. We stumbled because key leaders have chosen widespread chaos and ignorance over knowledge that could be gained through quick, free, convenient widespread testing. We will continue to stumble and exacerbate our common risk where our lack of safety net puts people without insurance, or homes, or steady work in even greater danger. Last week, during a trip that was probably one of my last jaunts into public space for some time, I stood in an abandoned hotel lobby with the last remaining soul there -- a restaurant owner linked to the hotel who had just laid off 45 people, wage laborers who now have no job. He was stricken. "I don t have any back up way to pay them," he said, hoping that the government would find some way to help. Perhaps his wishes will come true, and perhaps this current bill will bandage up some of the encroaching damage. It may be that we can yet stem the worst of the carnage, and limp through. But the deeper problem is that were already tolerating the extent to which we live in fear in America, the extent to which we have let ourselves imagine and build privatized solutions, the extent to which we have been building those solutions at the edge of a great brink. I m incredibly privileged that, for now, my partner and I can weather this crisis working from home, homeschooling my kids, that for now we and our kids can sequester. For now, where we live, all public and work and school events are canceled, perhaps for the next 8 weeks, and we basically leave home only to run in large open spaces or to get vegetables. For the time being, we re here, in our bunker -- and believe me, I know we are lucky. But when we get a chance at public life again, I hope so much that all of us take the messages of this pandemic to heart: We are not healthy or safe when those around us are not healthy or safe. We can most thrive when others in our common public diverse world can also thrive. The health and well-being of others is vital to our own. And we are all linked. There really are no islands. There really are no gates.
The upheaval caused by the coronavirus – COVID 19 -- is all around us. And I know many are anxious, worried and confused. That s absolutely natural. We are facing a health threat unlike any other in our lifetimes. Meanwhile, the virus is spreading … the danger is growing … and our health systems, economies and day-to-day lives are being severely tested. The most vulnerable are the most affected -- particularly our elderly and those with pre-existing medical conditions … those without access to reliable health care … and those in poverty or living on the edge. The social and economic fallout from the combination of the pandemic and slowing economies will affect most of us for some months. But the spread of the virus will peak. Our economies will recover. Until then, we must act together to slow the spread of the virus and look after each other. This is a time for prudence, not panic. Science, not stigma. Facts, not fear. Even though the situation has been classified as a pandemic, it is one we can control. We can slow down transmissions, prevent infections and save lives. But that will take unprecedented personal, national and international action. We must declare war on this virus. That means countries have a responsibility to gear up, step up and scale up. By implementing effective containment strategies. By activating and enhancing emergency response systems. By dramatically increasing testing capacity and care for patients. By readying hospitals, ensuring they have the space, supplies and needed personnel. And by developing life-saving medical interventions. And all of us have a responsibility, too. To follow medical advice and take simple, practical steps recommended by health authorities. In addition to being a public health crisis, the virus is infecting the global economy. Financial markets have been hard hit by the uncertainty. Global supply chains have been disrupted. Investment and consumer demand have plunged -- with a real and rising risk of a global recession. United Nations economists estimate that the virus could cost the global economy at least $1 trillion this year – and perhaps more. No country can do it alone. More than ever, governments must cooperate to revitalize economies … expand public investment … boost trade … and ensure targeted support for the people and communities most affected by the disease or more vulnerable to the negative economic impacts – including women who often shoulder a disproportionate burden of care work. Dear Friends, A pandemic drives home the essential interconnectedness of our human family. Preventing the further spread of COVID-19 is a shared responsibility for us all. The United Nations – including the World Health Organization -- is fully mobilized. As part of our human family, we are working 24/7 with governments, providing international guidance, helping the world take on this threat. We stand in full solidarity with you. We are in this together – and we will get through this, together. Thank you.
Across the nation, Americans are feeling anxious about the rapid spread of COVID-19, known as the coronavirus, and the threat it poses to our health, our loved ones, and our livelihoods. In response, Americans are stepping up -- doctors, nurses, and first responders are putting themselves on the line to care for those who are sick; schools, businesses, and organizations are cancelling classes and events; and individuals are making personal sacrifices, including self-quarantining, to slow the spread of the virus. We must all follow the guidance of health professionals and take the necessary steps to protect our communities and our nation. Nancy Pelosi just negotiated a deal with the administration to provide critical relief for our country during this pandemic. It will ensure that coronavirus testing is free for everyone, including the uninsured, and provide paid sick leave and food assistance for families that are hurting. These are critical steps to help those most impacted by the virus, and our nation is better off because of her leadership. Unfortunately, this virus has laid bare the severe shortcomings of the current administration. Public fears are being compounded by a pervasive lack of trust in this President, fueled by his adversarial relationship with the truth. Our government s ability to respond effectively has been undermined by the hollowing-out of our agencies and the disparagement of science. Our ability to drive a global response is dramatically undercut by the damage President Donald Trump has done to our credibility and our relationships around the world. And just yesterday, Trump flatly refused to take responsibility for the failure of testing to date. When asked a legitimate public health question, he said, "Yeah, no, I don t take responsibility at all." It is the job of the President to take responsibility -- and his response is unacceptable. We have to get to work immediately to dig ourselves out of this hole. That is why on Thursday of last week I released my plan to combat and overcome the coronavirus. It lays out immediate steps we must take to deliver a decisive public health response to curb the spread of this disease and provide treatment to those in need; and a decisive economic response that would deliver real relief to American workers, families, and small businesses — and protects the economy as a whole. The steps in the House bill are important, but we will certainly need to do more. The core principle is simple: public health professionals must be the ones making our public health decisions and communicating with the American people. First, anyone who needs to be tested based on medical guidelines should be tested — at no charge. The White House should measure and report each day how many tests were ordered, how many tests have been completed, and how many have tested positive. By next week, the number of tests should be in the millions, not the thousands. We should make sure every person in a nursing home, a senior center, or a vulnerable population has easy access to a test. Second, we need to surge our capability to both prevent and treat the coronavirus, and prepare our hospitals to deal with an influx of those needing care. Communities must have the hospital beds, the staff, the medical supplies, and the personal protective equipment necessary to treat patients. A week from now, a month from now, we could need an instant, 500-bed hospital to isolate and treat patients in any city in the country. President Trump should ensure FEMA is working with local authorities so that we are ready to do that. The Department of Defense should prepare for the potential deployment of its resources to provide medical facility capacity and logistical support. Third, we need to accelerate the development of treatments and a vaccine. In 2016, the Obama-Biden Administration passed the Cures Act to accelerate work at the National Institutes of Health, but now it must have every available resource to speed the process along. President Trump should fast-track clinical trials within the NIH, while closely coordinating with the Food and Drug Administration on trial approvals, so that the science is not hindered by the bureaucracy. He should also immediately restore the White House National Security Council Directorate for Global Health Security and Biodefense -- with a full-time, dedicated coordinator to oversee the response. The Obama-Biden Administration created that office to better respond to future global health threats after the Ebola crisis in 2014. It was designed for exactly this scenario. President Trump s administration eliminated the office two years ago. We must also face the second half of the challenge -- the economic pain the coronavirus will cause in our country. We must do whatever it takes and spend whatever it takes to deliver relief for our families and ensure the stability of our economy. This crisis will hit everyone, but it will hit folks who live paycheck-to-paycheck the hardest, including working people and seniors. Another tax cut to Google or Goldman Sachs or millionaires won t get the job done. We need to place our focus on those who will struggle just to get by: children who rely on school lunches, parents who are struggling with childcare costs, workers in the gig economy who lack unemployment insurance, people who have difficulty paying their rent or mortgage because they ve been laid off or had their hours cut, and small businesses that will be devastated as customers stay home and events are canceled. We need to give them relief. And it is a national disgrace that millions of our fellow citizens do not have a single day of paid sick leave. We will never fully solve this problem if we are unwilling to look beyond our own borders and engage fully with the world. A disease that starts any place on the planet can be on a plane to any city on earth a few hours later. We should be leading a coordinated, global response, just as we did for Ebola, assisting vulnerable nations in detecting and treating coronavirus wherever it is spreading. By cutting our investments in global health, this Administration has left us woefully ill-prepared for the exact crisis we now face. No President can promise to prevent future outbreaks. But I can promise you that when I m President, we will prepare better, respond better, and recover better. We will lead with science, listen to experts, and heed their advice. We will rebuild American leadership and rally the world to meet global threats. And I will always, always tell the truth. That is the responsibility of a President. Now, and in the difficult days that still lie ahead, I know that this country will summon our spirit of empathy, decency, and unity. Because, in times of crisis, Americans stand as one. I know we will meet this challenge — together.
One never ceases to be amazed at the pro-government media in Turkey. One minute they re cursing the Kremlin and calling Vladimir Putin a killer. The next minute the Russian bear is the cat s meow. But then they are only keeping in lockstep with a presidential palace that gives the wink to unlicensed mass demonstrations in front of Russian diplomatic missions and simultaneously restricts access to news sites and social media relaying news of the deaths of dozens of Turkish soldiers in Idlib that sparked the demonstrations two weeks ago. Then, the next day, after the summit in Moscow last Thursday, the occupant of that presidential palace is smiling at his Russian interlocutor and handing him a gold embossed invitation to a meeting of the Turco-Russian Cooperation Council in İstanbul to mark the centennial of their countries bilateral relations. As for the outcome of that summit, so much for the ultimatum Erdogan has reiterated for a month, ordering Syrian government forces to withdraw to the lines behind the Turkish observation posts in Idlib or else. The three-point “Additional Protocol to the Memorandum on Stabilisation of the Situation in the Idlib De-Escalation Area” that he signed with Putin on 5 March essentially recognises the new status quo on the ground. In addition to a halt to all military actions “along the line of contact” in the de-escalation zone, the agreement calls for the creation of a security corridor six kilometres deep to the south and six kilometres deep to the north of the M4 highway. On 15 March, the Russians and Turks will commence a joint patrol of that highway. Presumably, in the crucial interval before then, the two sides will be working to restrain the forces they back. It also gives time for one side — Damascus — to consolidate its new positions in the new territory it holds, which includes areas south of the M4, which had been part of the original de-escalation zone, not to mention the strategic M-5 highway that government forces captured recently. The agreement, worked out after six hours of talks, is not just a setback for Erdogan s Syrian ambitions. It looks like a form of punishment for Ankara s failure to fulfil its obligations in accordance with the Astana and Sochi agreements. “Turkey did not fulfil its commitments under the Astana Agreement,” said Professor Joshua Landis, director of the Centre of Middle East Studies at the University of Oklahoma, as cited in Ahval, 23 February. Landis said that under the agreement, Turkey was supposed to ensure the withdrawal of Hayat Tahrir Al-Sham (HTS) and their heavy weaponry from the planned demilitarised zone. Not only did Turkey fail to do this, but the group “continued to fire on Aleppo neighbourhoods and Syrian troops from the zone.” Thus, “far from containing HTS, Turkey even failed to prevent the group from expanding,” concludes Paul Iddon in Ahval. Citing another Middle East analyst, Kyle Orton, Iddon s article concludes that “the present situation was inevitable since the Assad regime and his Russian and Iranian backers are adamant about reconquering all of Syria and Turkey s ability to direct events on the ground is limited.” Erdogan tried and failed to play both ends against the middle, thinking that fuelling a reversion to the Cold War would better serve his ambitions. However, the West, which is growing weary of his games, went no further than pro forma declarations of support. NATO armed itself with Article 5 of its charter concerning aggression against a fellow NATO member, which is clearly not applicable in the case of Turkey s activities in Syria. In like manner, the UN pointed to Article 6 of its charter which, again, is not in Turkey s favour, given that the Turkish soldiers who were killed in Idlib sacrificed their lives in a military campaign that violated the sovereignty of another UN member state. Erdogan even turned to the US, only to receive the curt response that, as US Defense Secretary Mark Esper put it, US forces have no intention to return to the Syrian-Turkish borders. Frustrated at the corner into which he painted himself, Erdogan played the defiance card. The S-400 missile systems he purchased from Russia would go into operation in April as scheduled, he said. “The system belongs to us now that we ve taken delivery of it.” If the bravado is good for keeping supporters happy and diverting attention away from failures, even many in his own camp suspect he ll postpone that step at the last minute because of the spectre of sanctions that are hanging over his country s head. In all events, the opposition in Turkey is not so easily distracted. They continue to ask awkward questions such as what are the Turkish army s plans in Syria after more than 59 Turkish soldiers were killed there in less than a month? What steps is the army taking to bring HTS and other jihadist and terrorist groups under control in its areas of responsibility in Syria? Is Erdogan still pursuing the dream of overthrowing Al-Assad? The refugee question is another area where Erdogan s calculations may have backfired. Refugees have long served his demagogic purposes, as was the case when he lashed out against European “hypocrisy” on this question. On his way back from Moscow, he told his pool of reporters on board his presidential plane that the EU had given 700 million Euros to Greece to handle the refugee crisis at its borders and nothing to Turkey to deal with the same crisis. He also claimed that German Chancellor Angela Merkel had promised 25 million Euro for refugees, but that Turkey hasn t seen that money yet. The next day, Erdogan softened his tone and the Turkish coast guard in the northwest province of Edirne announced that it had received instructions to prevent migrants from crossing by sea to Greek islands in the Aegean. Greek Prime Minister Kyriakos Mitsotakis pointed to this as further proof that Turkish authorities had orchestrated the refugee crisis on their border. Accusing Erdogan of breaching the 2016 agreement with the EU on migration, Mitsotakis said Turkey “has systematically encouraged and assisted tens of thousands of refugees and migrants to illegally enter Greece. It has failed, and will continue to fail, should it continue to pursue this strategy.” Greece, with its many islands, is an easier target for Erdogan than Bulgaria which shares a 259-kilometre long border with Turkey. Bulgarian Defence Minister Krasimir Karakachanov said that Turkey had not let migrants move towards the Bulgarian border because his government had taken the necessary precautions to protect them years ago, thereby nullifying potential migrant pressures on the border. On Sunday, 8 March, Erdogan said that his government had not received the support it expected from the international community with regard to refugees, but that he hoped to reach a different result during his visit to Brussels the following day, at the invitation of EU Council President Charles Michel, whom Erdogan met in Ankara 4 March. However, European Commissioner for Budget and Administration Johannes Hahn has set out conditions in advance. He cautioned that the aid the EU gives Turkey to take care of refugees could be significantly less than under the previous agreement and that this aid would only be provided if “Ankara s blackmailing policy of sending refugees towards the EU is stopped”. Erdogan has previously called for changes to the refugee agreement. Green Party leader Annalena Baerbock, who called the current refugee agreement between the EU and Turkey a failure, would like to see a new agreement too. “Instead of this failed deal, we need a new agreement guaranteed by the rule of law, which learns from the mistakes of the past, ensures that people are well cared for and that the 27 EU states do not fall like dominoes when Erdogan blows once,” she told a German newspaper. If the EU follows her advise, Erdogan will feel significant blowback from his refugee gambits as well.
When the World Health Organization warned on Monday that the threat of a pandemic related to coronavirus has become very real, this means that we are facing a phenomenon that does not concern us alone. What is required now is to act with transparency in related to the reported cases in Egypt, but we should also avoid adapting what the government says to become simply a reaction to outside campaigns. There must be a clear conversation about the coronavirus outbreak — about Egypt s ability to prevent it and how (Egypt s capabilities) can be supported and developed — in addition to an accurate publication of the number of cases confirmed, the number of those who carry the disease (but are asymptomatic), and the number of those who have recovered. Perhaps one of the reasons for the high number of people infected with the virus in Italy is the expansion of authorities efforts to detect cases of the virus unlike the rest of Europe, where most countries have focused more on methods of prevention and treatment. This means that the figures of those who carry the virus are not the only serious threat. Certainly, Egypt needs to remain transparent about its ability to prevent the spread of the outbreak, and ask for help and support if there are shortcomings. In fact, there are incidents that require real effort to not be repeated. Photos went viral in many newspapers around the world, and were used by some Arab satellite channels, of thousands of Egyptians crowding (in front of the Central Public Health Laboratories in Downtown Cairo) to undergo a medical test to prove that they are not infected with the virus as a condition to travel to some Gulf countries. This should have been avoided. It is assumed that the Health Ministry would expect a relatively large number of people to go for the test, and the ministry should have provided more than one place to receive them so that these (types of) photos do not go viral. Some of us simply condemned the crowds without any effort to correct the actions of the government. As for the issue of the impact of the virus on tourism — it is a certain matter. This is a crisis that has hit the tourism sector across the globe and has nothing to do with Facebook posts. News on the infection of some tourists who visited Egypt recently, especially those from France and Germany, does not represent efforts to target Egypt. These reports are an acknowledgment of a reality that will unfortunately impact the tourism sector, and we have to deal with it. Again, Egypt should tighten preventative measures, (which would include) medical examinations for all those coming to Egypt. The virus does not discriminate. The first step is to study how to prevent the (spread of) the virus and to engage with the issue of the outbreak, not to remain preoccupied with responding to satellite channels that exaggerate in their reports or other forces acting in bad faith. The best way to battle rumors about the virus is for the government to do its homework on preventative measures, treatment and quarantine, and that any decision to close schools or take other steps come from a scientific evaluation of the risks associated with the spread of the virus in Egypt, not a reaction to rumors or false news and propaganda.
Egypt s leadership has chosen the negotiating path with Ethiopia to resolve the issue of filling the Renaissance Dam, based on its conviction that ensuring both parties interests is the best way to establish long-lasting, strong and cooperative ties. The win-win diplomatic approach has always been adopted by Cairo, especially when dealing with its neighbours, but under the condition that the interests of all parties are well-served. This diplomatic approach has been consistent with the endless ups and downs of Ethiopian policy and Egypt has extended its hands with good intentions to avoid any misunderstanding between the two countries that could negatively affect their ties. However, the Ethiopian side has not been able to understand the flexible stance taken by Egypt where the filling of the dam is concerned, because, after a long marathon of negotiations sponsored by the United States and the participation of the World Bank and Sudan s representatives, the Ethiopian delegation did not show up to sign a deal that was initially reached by all parties including the Ethiopians. Diplomacy can hardly explain such a situation, the only explanation could be seen within the context of the competition between Ethiopia s political parties for the parliamentary elections. The heated bidding among the electoral parties has turned the issue of the dam into a political auction where the Ethiopians have been mobilised to a war zone rather than a diplomatic stance that preserves the country s relations with its neighbours. Such a stance is clearly stated by Ethiopian Minister of Foreign Affairs Gedu Andargachew, who said, “The land is ours, the water is ours and the dam is ours.” Mr Andargachew seemed to be taking part in a political demonstration and his statement is clearly far beyond the diplomatic norms not to mention international law. His words are cheap political propaganda that should never be stated by a responsible statesman. He chose to ignore the rules of the international law and the traditions of history and geography, not to mention the importance of the Nile to Egypt. Historically, Ethiopia has relied on rainwater, whereas Egypt, as a downstream country, is heavily dependent on the River Nile and thus has well-established legal rights that should be observed for its people to survive. If Mr Andargachew has not yet realised these facts, then he should be told that his statements have had a negative impact on the negotiating environment. Egypt s patience should not be misinterpreted by the Ethiopian minister or anyone else. However, Egypt s insistence to reach a solution that takes into consideration the interests of the Ethiopian people has not been weakened simply because we do not believe that strong people should easily respond to such a political circus. Egypt knows for a fact that it will get its full rights and will never give up a single term of its historical and legal privileges. Taking care of Ethiopian interests will never come at the cost of Egypt s rights to the Nile. The fact that the Egyptian leadership is patient, hard to provoke and works to promote sustainable development in Africa does not mean that it is willing to back down to unreliable statements. This country has always sided with its African neighbors in issues of independence and development. Cairo has been working hard to help most African nations turn into giant economic powers. The current leadership has exerted great efforts to develop a network that connects the northern tip of the continent in Cairo down to its far southern part in South Africa, this in addition to the coastal road, the railway network and the electric connections. The current leadership has made it its priority to promote trade among African nations, in addition to several giant infrastructure projects that have been underway at several African states to enhance the technical, administrative and production capabilities. Ethiopia should have been part of such relentless efforts to build up a comprehensive African renaissance instead of limiting itself to the narrow scope of going all the way by itself to achieve progress while leaving behind the others. A big country like Ethiopia should not make the issue of filling its dam part of the election bidding, thus mobilising its people against Egypt. Cairo has never stood against the development of Ethiopia, not to mention the production of electricity from the Blue Nile. This stance has always been reiterated by Egypt and its diplomatic positions over the past few years, despite the fact that this country has the right to go as far up to the UN Security Council and the international courts to block the construction of the dam. But, Egypt believes that a friendly solution that serves everyone s interests will last longer and will always benefit all parties involved. Yet, if the Ethiopian leadership would go as far as ignoring the deal reached by the Sudanese, the Egyptians and its own delegate and sponsored by the US, then Cairo has the right to protect its interests as it could never ignore its peoples right to survive, develop and progress. Despite the fact that the leadership in this country is still looking forward to the Ethiopian side taking the issue seriously and responding wisely to the good intentions expressed by the Egyptian delegation, yet several scenarios have also been put in place in accordance with the expected responses from the Ethiopians. All parties should realise that we are running out of time and patience, which will not be in anyone s interest. The Ethiopian leadership should realise that its attitude will never lead to peace and development and will have serious consequences. Betting on time is not exactly the best way to settle such serious issues and it is certainly not the right path to enhance and promote bilateral ties based on mutual respect of each other s rights.
Notwithstanding the age factor, a heart attack last October, being a life-long socialist, and a defeat against Hillary Clinton in the 2016 Democratic Party race for the presidency, US Senator Bernie Sanders, 78, is enjoying a robust lead in the polls against other Democratic Party contenders Pete Buttigieg, Michael Bloomberg and Joe Biden. However, only if he becomes the official Democratic Party nominee and also if he wins against incumbent US President Donald Trump in this autumn s US presidential elections, both of which are very uncertain scenarios at this point, can Sanders hope to implement his platform strategy, which is a stark contrast to the existing way of doing things in the United States. Dare we imagine real change in the making under Sanders s watch, and is the US even ready for such change? Sanders solidified his place in the race when he won the Nevada Party caucus, and it was then that people began looking at him as an actual contender for the presidency. A 31 per cent lead against the other Democratic Party nominees puts him in a good position to win more caucuses and to gain further ground. He is arguing for radical reform plans and a socialist course, and he has engaged in a verbal onslaught against the Israeli government, things which will likely make or break his path to the White House. Despite the sudden surge in his performance in the polls, Sanders has a long way to go. Buttigieg, much younger at 38 years old and the first openly gay candidate for the US presidency, is liked by many voters and stands second in the race for the Democratic Party nomination. Though Joe Biden is in fourth place, he hopes that having been vice-president to former president Barack Obama will stand him in good stead and attract the support of African-American voters. Billionaire candidate Michael Bloomberg may be able to transform the equation through his $434 million advertising campaign. Sanders describes himself as a democratic socialist, though according to the polls most American voters say they would be uncomfortable with a socialist president. However, his anti-establishment rant at how things have been run has hit a nerve with many voters in the US, especially younger ones. Sanders stresses the need to reverse economic inequality in the US because according to him the American middle class is disappearing. He champions expanding the social safety net in the country by a “Medicare for All” plan, a $15 per hour minimum wage, and tuition-free public college education. “I believe that in a democratic, civilised society healthcare is a human right. Government should make that happen. I believe that every young person in this country regardless of his or her income has the right to get all the education they need,” he has said. This is an admirable wish list, but it will be extremely difficult to achieve as it may reshape the capitalist contours of the US as we know it. In addition, implementing his reform plans would add trillions to the already unsustainable US national debt. “Medicare for All” alone would cost the US over $25 trillion. While total student loan debt stands at $1.6 trillion in the US today, the government would have to find the money to pay for free college tuition. The US minimum wage for 2020 stands at $8.72 per hour, though some states have opted to increase this. But a $15 minimum wage would have a huge impact on all levels of business in the country. Socialism falls between communism and capitalism: it relies on a socially owned economy that gives an important role and deserved equity to workers and unions versus privately owned corporations. A socialist US is something none of us could have anticipated seeing, but Sanders, a millionaire himself, dislikes millionaires and what they stand for and wants to see significantly higher taxes on the rich. “The only way we will win this election and create a government and economy that work for all is with a grassroots movement the likes of which has never been seen in American history,” he says. Sanders may also end up being the first Jew to lead the US, but he has not let his religion play a role in his political views, and he may be the only US presidential candidate ever to side with justice and human rights as far as the Palestinians are concerned. He does not favour Israelis over Palestinians and believes that the Palestinians should have a state of their own. He also believes that supporting Israel should never be at the expense of the Palestinians. In fact, his view of the Israeli government is very telling. He makes a clear distinction between the people of Israel and its government. When asked about the relationship between the US and Israel, Sanders said that “to be for the Israeli people and to be for peace in the Middle East does not mean that we have to support the right-wing, racist governments that currently exist in Israel.” While the American Israel Public Affairs Committee (AIPAC) and other Zionist lobby groups play an influential role in all presidential races in the US by donating millions of dollars to the nominee who will ultimately be the most supportive of Israel, Sanders has openly blasted AIPAC, accusing it of bigotry and vowing not to attend its annual conference, normally a prerequisite for potential presidential candidates and for in-office presidents. Then again, Sanders also lost family members in the Holocaust, which may give him a boost as far as regular, but influential, non-Zionist Jews are concerned. Bernie Sanders is up against many obstacles and hurdles in the US presidential race, but if he wins, we may see a different US, one that is more compassionate and just to its own people and to others. More important then would be whether he will be able to realise the promises he has made or whether he will stumble before the many hurdles that may turn out to be impossible to overcome.
The words of former culture minister Farouk Hosni, in his opinion article in al-Ahram newspaper, have brought me back to what I wrote here in September, “Before constructing buildings.” Let s start with what the former culture minister said ¬— wishes and hopes yet to be realized. He wrote that there was one decision he was intending to make, but hadn t had enough time. The project would have been to turn the unique building of the Egyptian Museum in Tahrir Square to the most important center for Egyptology in the world. According to Hosni, that center would have housed an exhibition hall for artifacts from different Egyptian museums, and these pieces would be replaced with others every 6 months. The center would also include a school for Egyptology that receives students of Egyptology from arounds the world. With the most prestigious schools in this field located inn Egypt, we would provide foreign visitors and scholars with a distinguished and unparalleled cultural and scientific environment. In my opinion article entitled “Before constructing buildings,” I wrote that discussions have begun about using the area where the Egyptian Museum in Tahrir is located to establish a world trade center, a global hotel chain, or tourism projects, administrative buildings, commercial centers, etc. These (ideas) are being suggested while Egypt is about to open the Grand Egyptian Museum in Giza, with many unique artifacts having been moved to it from the Egyptian Museum in Tahrir. Some thought that this is an opportunity to own the empty land plot overlooking the Nile, despite the confirmation of its ownership by the Egyptian Museum with certified documents and records. Archaeologists defend the museum s ownership of this plot of land and demand it be annexed to the museums campus as a pharaonic-influenced garden, as well as a center for archaeological research and cultural events for the public and tourists, as is typical in all museums around the world. This proposal has been seconded by late archaeologist Abdel Halim Nour El-Din, the archaeologist Zahi Hawass, and former Antiquities Minister Mohamed Ibrahim, and I do not know that a single archaeologist or intellectual opposes this vision. Former culture minister Farouk Hosni s idea to turn the Egyptian Museum into the most important center for Egyptology in the world is related to current proposals, and reflects from everyone an appreciation of the value and history of the Egyptian Museum in Tahrir and its extension on the Nile. A final note: the extension of the Egyptian Museum in Tahrir, after the demolition of the National Democratic Party s (NDP) building years ago, has been surrounded by an iron fence, which has now been removed and replaced by a concrete wall that obscures the view. Why? Is there a business behind it that we do not know about? Or (one) on its way?
“The full court in all their divine regalia assembled in the Hall of Justice where towering walls of sacred glyphs soared to the ceiling far above, a shimmering golden sea of human dreams. Osiris presided on his golden throne. To his right sat Isis on her throne and to his left sat Horus on his. Thoth, the Scribe of the Gods, sat cross-legged a short distance away, the Book of All open on his lap. Ranged along either side of the great hall were rows of chairs, gilded in the purest gold, awaiting those destined for salvation. Since time immemorial, said Osiris, commencing the proceedings, it has been determined that the souls of humankind shall follow their bodies like a shadow through their days upon the earth, then pass beyond, across the threshold of death, bearing their deeds and intentions embossed on their naked shrouds. After great deliberation, it has been determined that this is the hour of truth and, thus, the court shall now convene for a lengthy journey. Osiris then nodded to the young Horus who announced in a sonorous boom: King Mena! ” In Naguib Mahfouz s novel, Before the Throne (1983), all the rulers of Egypt, from Mina to President Anwar Al-Sadat, were summoned before the great court to recount their deeds. The novel is long, intentionally so, because it covers millennia in the relationship between Egypt s rulers and their subjects and between Egypt and its neighbours. Egyptian history has brought rulers to account for 5,000 years. The “Osirian” faith prevailed during 3,000 years of this history, Christianity for several centuries and then Islam for the many centuries since the Arab Muslim conquest. But the court was not interested in a ruler s religion but rather in the fact that he was an Egyptian who lived his whole life in Egypt and dedicated himself faithfully and courageously to protecting the Egyptian people and their welfare. The ancient Egyptian faith had the magnanimity to accept diversity in the religions that accepted monotheism and were grounded in nobility of conscience. If the verdicts passed on the pharaohs of the Old, Middle and Late Pharaonic kingdoms harked back to “Osirian” laws, since Muqawqis came to Egypt the judgements were based on the recommendations handed down by an imagined court of a later faith. The court could issue three types of verdicts: the ruler could be granted immortality and join the court, he could be pronounced guilty and condemned to a hellish afterlife, or he could be sent to the tomb of “the inconsequentials”. Many rulers were admitted to the ranks of the immortals. Either their accounts of their glories and services to the country and its people spoke for themselves, or Isis intervened, citing the testimony of one of her children and pleading sympathy for the ordeal the ruler endured in his struggle to do what was right. Naturally, she had no mercy for those who rebelled and betrayed her trust. After Sadat is admitted to the immortals in Before the Throne, Isis addresses them: “Let each of you pray to his god to bestow on Egypt the wisdom and strength to remain an eternal beacon of guidance and beauty,” after which all allowed to remain in the great hall bowed their heads in prayer. The novel bears all the hallmarks of Naguib Mahfouz s art. But we re not here to discuss the craft of this Nobel laureate or literature in general, but rather the political element in this work and, specifically, politicians in power. Its subject is the Egyptian state from antiquity to modern times. At the moment of the trial of Sadat, it brings all Egyptian leaders into the court, whether known for their might, their justice or their advocacy of integrity. Naturally, Mina, Tutankhamen and Ramses II are present. So too are Saad Zaghloul and Mustafa Al-Nahhas. Gamal Abdel-Nasser defends his place among the immortals and expresses his dismay at what came after him. This is not the only Mahfouz novel that draws comparisons between Egypt s rulers. In Qushtumur (The Coffeehouse), coffeehouse denizens have their say and Akhenaten, Dweller in the Truth speaks of relations between power and the people, a subject that is given a different treatment in Children of Gebalawi and Harafish where power turns more concrete or metaphysical. Mohamed Hosni Mubarak had been in power for some time when Before the Throne appeared in bookstores. He would leave power three decades later, in 2011. Those 30 years placed him alongside Ramses II and Mohamed Ali in terms of longevity as head-of-state, but he is the only Egyptian leader to endure nine years of actual trials after leaving power. Mubarak had many honourable virtues, not least the military ones. He was a model Egyptian soldier: courageous, capable, patriotic, self-sacrificing. He served in active combat, as a pilot in 1956, 1967 and 1968-1970, and as an air force commander in the October 1973 War. After that, Sadat chose him from among all other military commanders to serve as his vice president, during which period he trained in diplomacy, politics and political sagacity. While Mubarak, after coming to power, remained committed to implementing the peace agreements with Israel, he refused to give the Israelis room for evasion. When Taba came under contention, he did not hesitate to fight the complex and critical arbitration battle to the end. He won. Not a single centimetre of Egyptian territory remained under occupation. But Mubarak did not eliminate war as a political option. His courageous decision to participate in the war to liberate Kuwait reflected a transformation in Egyptian relations with the Gulf states. Not only had Egypt proven itself a reliable partner in war, it had acquired the diplomatic clout to serve as a mediator in the Khufous crisis between Saudi Arabia and Qatar. This was consistent with an important tenet in Egyptian strategy: Egyptian-Gulf relations needed to be strong in the face of regional and international challenges. As Mubarak stands “before the throne” he will also be able to offer abundant evidence of infrastructural development in a country in which infrastructure had deteriorated to the point of near collapse during the two decades since the June 1967, when development ground to a halt. Most likely, he will also explain his economic policies which, after a period of wavering, settled on the need for economic structural reform, which included shifting the geo-economic keel outward from the eternal Nile through the deserts to the shores of the Red Sea and Mediterranean. Naturally, he had his flaws. He hesitated too long before resolving on reform and, when he did, he was perhaps too cautious, which left many gaps in the economy. These were exploited by “money management firms” and the Muslim Brotherhood who ran them as they leveraged themselves back into politics behind the facade of the Wafd Party or the Labour Party. All this created a brew in which terrorism could and did rear its head. However, Mubarak ultimately prevailed in the round of the 1990s, making it possible to set Egypt on course to serious reform. The revolution came anyway, and now historians will have their say. But there is no doubt that Mubarak was true to his word, an Egyptian to the core, and a patriot devoted to serving his nation and its people. May he rest in peace.
Since December, Washington has been helping Egypt, Sudan and Ethiopia hammer out an agreement acceptable to them all and that they would sign the final text at the end of February. In an unexpected move, Ethiopia refrained from attending the last round in a series of negotiations that started four months ago. “President Trump made a priority to try and work with each of the three significantly impacted countries to try and get a good outcome for all of them, to effectively mediate. And so we ve been working on this… many of the elements of an agreement are now moving closer to finality, but there s still work that remains,” US Secretary of State Mike Pompeo said during a joint press conference in Addis Ababa on 18 February, referring to the crisis over the Great Ethiopian Renaissance Dam (GERD). He did not specify what work remains. He also said, “I think there s a solution that will work, but our mission is not to impose a solution on this, but rather to get the three countries to come together around a solution that each of them acknowledges works for the concerns of all three nations.” It appears that the US has been let down, by Ethiopia in particular. Ethiopia refrained from signing, claiming the need for more consultations. Egypt signed the agreement even though it did not meet all of its demands, especially concerning the amount of water it would receive during the first filling of the dam, which will be 37 billion m3 of water. Egypt s current quota of Nile waters is 55 billion m3 per year. During the negotiating rounds in December, Egypt indicated a willingness to accept 40 billion m3 in order to give Ethiopia the chance to fill the reservoir sufficiently to begin electricity production within a reasonable period of time but without causing a major water crisis for Egypt. Pompeo may have suspected that Ethiopia would refrain from signing the agreement at the scheduled time. Perhaps this is what he meant by “there s still work that remains.” But “refraining” is not “refusing” which offers the US an opening to deal with the embarrassment. Washington may be convinced that Ethiopian Prime Minister Abiy Ahmed really needs time to consult with others in Ethiopia where the federal system limits his powers to take major decisions and where opposition groups and other rivals may seize on any lapses or mistakes to score points in the domestic power game. On the other hand, Washington may take advantage of Ethiopia s stance in order to assert pressure on Egypt on other issues of concern to US interests in the Arab region. Perhaps this is to be inferred from Pompeo s remark that the US had no intention of pressuring any of the three parties to sign the agreement. Washington knows that Ethiopia is unlikely to sign unless Washington pressures it to do so. Egypt hopes for something more from an important ally such as Washington, especially when it comes to such a vital question as water resources. Certainly, Egypt has shown itself to be committed to the spirit of the US mediating efforts, even if all its demands have not been met. Washington will hopefully take Egypt s cooperative and constructive attitude into account during its communications with Addis Ababa over the coming months. Ethiopia was present in every negotiating round. The agreement that stood ready for its signature was built on years of technical studies and featured rules and principles for filling and operating the dam conducive to the fulfilment of Ethiopia s right to benefit from its ambitious project as soon as possible without causing significant harm to Egypt. Egypt, meanwhile, is clearly the party that made significant compromises in order to enable Ethiopia to achieve its developmental aspirations. Egypt also refrained from putting the US, as a mediator, in an awkward position, unlike Ethiopia. Fortunately, remarks by another US official have helped allay some of Egypt s concerns over certain parts of Pompeo s statement, especially the vague reference to work that still remains and the suggestion that the US mediating role is so neutral that it doesn t have the power to pressure a party that creates obstacles for no convincing reason. It was US Secretary of the Treasury Steven Mnuchin who offered the much needed clarification and reassurance. In his statement on 28 February, Mnuchin said that the US looked forward to Ethiopia concluding its internal consultations “to provide for the signing of the agreement at the earliest possible time” and stressed that “final testing and filling [of GERD] should not take place without an agreement.” He added, “We also note the concern of downstream populations in Sudan and Egypt due to unfinished work on the safe operation of the GERD, and the need to implement all necessary dam safety measures in accordance with international standards before filling begins.” Mnuchin s statement indicates that the US may be prepared to pressure Ethiopia. It tells Addis Ababa that Washington can understand the Ethiopian government s need for further consultations, but that it would not find it acceptable if that plea for time turned out to be a pretext for evading its commitments and for attempting to fill the dam and produce a fait accompli before an agreement is signed. Certainly, it is not in Washington s interests to forego its responsibilities towards Egypt, an important ally that has shown its flexibility throughout the negotiations, in contrast to Ethiopia s obstructiveness. If Ethiopia continues to procrastinate in order to impose de facto realities harmful to Egypt, Cairo will have no alternative other than to bring the matter to the UN Security Council. In this case, Ethiopia would be angered if this question is brought to the UN Security Council which could sanction Ethiopia without US opposition.
I wholeheartedly agree with those experts who go beyond the World Health Organization and the Centers for Disease Control and Prevention and are now calling Covid-19 a pandemic. With evidence of sustained person-to-person transmission on multiple continents, it s time to stop focusing on containment and work instead to harden our domestic healthcare infrastructure. As an emergency physician at an urban hospital in Washington, DC, this is personal. My colleagues and I will be on the front lines as American emergency agencies will soon likely experience a large and sustained surge of patients with Covid-19 concerns. The public should find comfort that health experts have been preparing for weeks. There is, however, still much work to be done. I will likely become infected in the next few months. It s just simple math that I have accepted. But I became a physician knowing the job incurred risk and that I have a duty to patients and society. Based on what we know today, my risk of getting severely ill or dying from Covid-19 is low. I am fortunate to be relatively young and healthy, but that is not the case for other medical colleagues who are likely to become infected as well. Protecting our workforce is critical. Healthcare workers who are infected or exposed without protective gear won t be able to work while contagious. Yet we need them to care for new Covid-19 cases as well as patients with all of the other diseases and traumatic injuries that will continue to occur. Heart attacks and strokes are not taking a break while the virus is here. How can we be proactive about protecting our healthcare workers? To start, we need to consider protecting our older colleagues and those with certain preexisting medical conditions. We may even need to decide that only young and healthy doctors and nurses should be triaging and caring for these patients. I m in. But is this discriminatory or putting too much risk on the young? I m not sure. As the novel coronavirus spreads, we can be certain that a number of medical staff will need to miss work because they or their families are ill. What we don t yet know is for how long. It is imperative that we fund research to determine how long the infected are contagious and when people can safely return to work so that we can keep our healthcare systems working and our economy from suffering. Telemedicine can play a major role in this outbreak by allowing providers to avoid proximate risk of infection while electronically visiting large numbers of patients daily. Even infected or exposed doctors can "stay in the fight" by performing telemedicine visits while quarantined. In addition to concerns about infection among the workforce, space in emergency departments will be an issue. Most urban emergency departments are already operating at maximum capacity every day. As a disaster medicine specialist, my biggest concern is that ERs and clinics could become overwhelmed by the "worried well" and the minimally ill. Unnecessary visits by those with mild viral illness risks not only exposure to other ED patients, but also increases the risk of illness to the medical staff. In addition, if our ambulances are busy transporting patients who are only worried or mildly ill, they will have slower response times to critically ill patients who truly need paramedic care. It is possible that people could die from health system disruption without ever having contracted the actual virus. An EMS delay of only a few minutes could mean that those having heart attacks, strokes, diabetic emergencies, opiate overdoses and trauma have a higher risk of death. Because of these concerns, the public should expect to be asked in the coming weeks to avoid health system visits unless they have significant symptoms or risk factors. I suggest that healthcare facilities explore the creation of separate care areas for patients presenting with respiratory symptoms and possible Covid-19 in an effort to keep all those possibly contagious away from those being seen for other conditions. We must ensure the public knows we are open and preventing spread from one patient to another. Don t be surprised if your local ED will need to add temporary structures such as a large outdoor tent to evaluate those concerned that they have been exposed to the coronavirus. While healthcare workers and policymakers are currently laser-focused on Covid-19, the epidemic requires a coordinated response that extends beyond the healthcare system. Elected and appointed leaders must communicate with the public clearly, honestly and often. Healthcare experts should be a key part of this communication. Meanwhile, employers large and small must enact public health measures, part of which should include requirements that sick employees stay home and guarantees that they will not be penalized for doing so. Should people wear surgical masks when they go out? Yes, if you have even a mild cough. This will minimize infected droplets from your mouth and nose. Staying home if possible is preferable. Washing your hands often is essential. But remember that masks offer minimal protection to the individual. Surgical masks (the "blue ones") are not designed to filter the air you breathe -- they are designed to catch droplets of the person wearing it, primarily to keep surgeons from contaminating a surgical site. Even the special N-95 filter masks, designed to be true virus protection and now in short supply, are effective only if properly fitted and worn over clean-shaven faces. To those in healthcare -- get fit-tested immediately, shave your beards and resist the temptation to hoard the masks at home. Hospitals will need these masks on hand and must immediately enact measures to ensure that mask theft is eliminated. I get asked several times per day, "Should I be worried?" The answer is yes, but only to an appropriate degree. This will get worse before it gets better. We don t know if it will go away when it gets warm (keep an eye on transmission in the tropics), nor do we know for sure if reinfection is possible. One thing is certain: panic helps nobody. Heed the advice of medical professionals, not social media. Trust the US CDC recommendations and be confident in the fact that every physician, nurse, EMS worker and healthcare administrator is giving Covid-19 their fullest attention.
Our Christian believe that God disciplines those whom He loves. For whom the Lord loves He corrects, Just as a father the son in whom he delights. (Proverbs 3:12) This is clear as the psalm says: ‘ The Lord has chastened me severely, But He has not given me over to death. (Psalm 118: 18) Thus, if we consider such pandemic as punishment or rather a discipline from the Lord, we should not forget about his love as lov