The outbreak of the Ebola virus in West Africa evokes both
sadness and self introspection for many an African. The loss of lives both to
the fact that the virus is incurable as well as due to poor health facilities
in the areas directly affected. These
factors have been compounded by the fact that the citizens affected have
limited knowledge about how to prevent the disease.
In Liberia there have been forced quarantines of residents of
some cities that have led to demonstrations and riots. President Johnson-Sirleaf has also had to
fire government officials who fled their own country for fear of catching the
dreaded virus. Elsewhere on the continent,
governments have been trying to calm concerned and panicky citizens that they
are doing everything in their control to prevent any infected persons crossing
borders.
Globally there is a narrative that is familiar to many and largely purveyed through the media. This being the projection of Africa as a place of
disease and death. Partly because the Ebola
virus is killing many innocent souls but also because this is how the global
West and East prefer to view our continent.
It however does not
end there. Africa also needs help to
stem the epidemic in providing both the medial personnel as well as medicines
that are urgently required.
So once again Africa is in sadly familiar territory wherein we are unable to
respond to crisis that affect us not for lack of will but for lack of capacity
and preparedness. The latter two stem largely from the fact that we do not have
adequately contextualised knowledge production systems or governments that
function conscientiously on behalf of the people they claim to lead.
In considering our lack of knowledge production as well
utilisation capacity of the same it is important to remember that this is not the first
time Ebola has affected the continent. The
first outbreak which was officially recorded in then Zaire, now Democratic Republic
of the Congo should have seen us learning from that experience and crafting the
right responses. The truth of the matter
is that we never took it seriously.
Because then Zaire was considered a Conradian backwater it is possible that the initial outbreak was not taken as seriously as it should have
been.
Where we fast forward to recent years, the greatest challenge
in combating the disease from an African perspective has largely resided in our
continually poor medical knowledge and facility infrastructure. This state of affairs has been blamed largely
on the lack of resources.
A different and better way to look at it is the lack
of prioritisation of health service provision by governments not only in the
West African region but in most parts of the continent. Add to this the lack of not only academic
freedom but over reliance on foreign medical knowledge production systems, inventions
and technology.
Moreover our models of health service provision because of
our wholesale adoption of privatisation and neo-liberal frameworks have now become
the preserve of those in upper echelons of society. Hence a government, as did the Liberian one,
can quarantine those in poor, crowded places.
So when arguments are raised about how the economic impact of
the current epidemic relate to the loss of markets, these ironically miss the
essential point that it is because of lack of public health services to poor
communities and regions that it has spun out of control.
The biggest indictment for our continental failure to manage
the current outbreak in a much more concerted and holistic way falls squarely on
the shoulders of Africa’s political and business leadership. The
political leaders in the sense that they have sought more personal aggrandizement
and pandering to de-contextualised economic development models than they have been people centred.
The business leaders in not only taking advantage of these
proclivities of the political leaders but also being a comprador bourgeoisie that
mimics with little contextual production or social democratic intent the
practices of transnational companies.
With this approach by business and the scramble for either a
cure or a vaccine what we are faced with are the ominous prospects of disaster capitalism,
where instead of rectifying the actual problem of lack of health service
provision, the outbreak will be used to fortify elitist privatised healthcare.
*Takura Zhangazha writes here in his personal capacity (takura-zhangazha.blogspot.com)