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A Modern Pandemic, a New Vocabulary: How a Devastating Disease Has Changed Our Lives

12 min read.

Even as pandemic fatigue sets in, Covid-19 continues to wreak havoc in homes and in the workplace, picking its victims from all ethnicities and all races without regard to creed, class or caste.

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A Modern Pandemic, a New Vocabulary: How a Devastating Disease Has Changed Our Lives
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A year after COVID-19 was officially declared a crisis by the Chinese government in Wuhan Province, I travelled to Moi Ndabi on Christmas eve 2019, a fast-growing trading centre 40 kilometres from Naivasha town and 140 kilometres northwest of Nairobi city. The area is mainly populated by the Maasai people and migrant Kikuyus. I arrived in the sweltering heat of midday, my light blue surgical mask in place. It was the first thing that my hosts and the people at the trading centre noticed. “You people from Nairobi are the ones bringing this corona to us,” one of my hosts, Silvanus Kaamamia said, only half in jest.

“Can you see anybody wearing those things here? Here in Moi Ndabi there’s no corona, this is a foreign disease. It is a white man’s disease and we don’t believe it can infect a black man.” It was as if my mask had suddenly reminded the Moi Ndabi dwellers of the pandemic.

Kaamamia is the archetypal Maasai man. He once lived in the forest with other morans before being conscripted into the Kenya Army where he trained as a tank commander. “I’ve not worn any mask,” said Kaamamia, “nobody wears them here. They are not even sold in the shops.” A cursory stroll around the centre proved him right – no one wore a mask and no shop stocked them. I was the “sick man of Moi Ndabi” walking around with my nose and mouth covered.

The ex-army man told me that the coronavirus is an alien disease of the rich: “I’m yet to meet anyone who knows anybody who has died of the disease. Yes, I have been watching the television which has narrated how the devastating disease has invaded the white people in Europe and America. The white people are weak, their body immune system cannot withstand even the slightest of a feverish attack.” What about the black people who have been felled by the disease, including Kenyans? I asked him. “They had taken to the modern western lifestyle and heavily relied on western medicine.”

I was the “sick man of Moi Ndabi” walking around with my nose and mouth covered.

Kaamamia said he could not remember being hospitalised or even swallowing any antibiotics since coming of age: “When you live in the forests, you are taught to identify all the cultural and traditional medicinal plants that one can always rely on if sick. Forget about these pharmaceutical drugs, they are all toxic.” Kaamamia said he had already gathered some herbal plants which he had mixed and boiled for his family and friends. Ole tarmunyo is a bitter, stinging concoction, which can be taken at any time of the day by men, women and children alike.

Kaamamia’s wife, a university graduate and a teacher who is currently breastfeeding, takes a dose of ole tarmunyo every day. “The concoction is so effective that simple ailments like fever and fatigue are kept at bay, because the medicine bolsters your immunity and clears off toxicants from the body,” said the teacher. “It is the ultimate detox drink.” Taken for the first time, it can easily knock you out.

Kaamamia’s first cousin Jacob Letoya – a feisty, fast talking lanky fellow aged 32-years-old who looks like he has just turned 27 – had recently been down with fever. “I couldn’t tell what it was, I felt weak in the joints, like I’d caught malaria, I couldn’t eat meat, it felt tasteless, my body felt tired. What was that? Don’t tell me it was coronavirus. No real Maasai man can get this crazy disease. Anyhow, I called Kaamamia who ferried ole tarmunyo in a gallon to my house where I lay motionless.” Letoya lives a kilometre away from his cousin.

The following day, Letoya said, he was back to his usual self – as fleet of foot and as sprightly as an antelope. “The fever was all gone. You can never go wrong with our time-tested traditional medicine. As you people wait for the vaccine to come from abroad, which will be sold to you like gold by the thieving politicians even though they’ll have been given to distribute freely to the masses, we, we already have our own vaccine. I recommend you take a gallonful of ole tarmunyo back to Nairobi, I promise you, you won’t even be wearing that thing.”

On March 3, the first batch of one million AstraZeneca vaccines arrived in Nairobi under the COVAX programme. COVAX is a global collaborative initiative driven by the World Health Organisation (WHO) to ensure that even the poorest countries that cannot afford the vaccine have access to it.

In Nairobi, the pandemic has led the urbanites to rediscover the value of garlic, ginger, and lemon and they have been mixing their own concoctions with these ingredients to fend off the disease, with the result that the price of lemons has shot up and remains high. A lemon that used to cost KSh5 pre-pandemic is retailing at KSh20 today. Many Nairobians have been religiously drinking this concoction morning and night so business is brisk for garlic, ginger and lemon merchants even as dispensing chemists have seen a spike in the number of people trooping in to stock up on antibiotics.

As life in Moi Ndabi went on oblivious to this pandemic that is ravaging humanity, Nairobi County, where I had been in lockdown for close to ten months, was already showing signs of “pandemic fatigue”. Pandemic fatigue has been described by the World Health Organisation (WHO) as “demotivation to follow recommended protective behaviours, emerging gradually over time and affected by a number of emotions, experiences and perceptions.”

In a report titled Pandemic Fatigue – Reinvigorating the Public to Prevent COVID-19 published in August 2020, the WHO further states,

“At the beginning of a crisis, most people are able to tap into their surge capacity – a collection of mental and physical adaptive systems that humans draw on for short-term survival in acutely stressful situations. However, when dire circumstances drag on, they have to adopt a different style of coping, and fatigue and demotivation may be the result.

“The demotivation is part of a complex interplay of many factors that affect protective behaviours. These relate to individual motivation and capability as well as to opportunities offered by the cultural, social, structural and legislative environment. Each of these factors can be barriers to and/or drivers of protective behaviours . . . the perceived threat of the virus may decrease as people become used to its existence – even if the epidemiological data show that the risk may, in fact, be increasing.

“At the same time, the perceived loss resulting from the pandemic response (lockdowns, restrictions) is likely to increase over time as people experience the long-term personal, social and potentially economic consequences of restrictions. For some people, the balance may shift, and the perceived costs of the response may start to outweigh the perceived risks related to the virus.”

Nairobians have been breaking critical pandemic rules: they are not maintaining social distancing in the crowded fruit and vegetable markets, at the matatu stops, in the pubs or in other social gatherings. The temperature gun has become a gadget to be casually pointed at customers entering office buildings, restaurants, schools and supermarkets. In many government buildings security does not even bother to pretend to take your temperature. Water dispensers at government buildings are more often than not either broken or simply not available. A friend recently told me bluntly: “Coronavirus is over, what’s your problem?”

Even masks have been discarded and many just hang them around their necks to avoid harassment from  the police. At Marigiti Market, which I frequent often, I asked my friend Morgan Njeri, a fruit vendor, why she had taken off her mask. Her reply was curt and precise: “I’m tired of this thing, I’ll not continue covering my face forever. Masks are for oldies like you, and the rich. Look around here, do you see anybody wearing any mask? What for? We don’t board planes and we don’t live in the leafy suburbs.”

But panic swept through Githurai Market after the deadly disease claimed the lives of more than ten men between March 13 and October 2020. “The men were all veterans of the market, and they succumbed one after the other,” said a market woman. Their deaths were hushed up among the market traders, said the vendor. “People have dismissed COVID-19 as a scare disease, one that would hardly find its way to Githurai. I mean how? Then we heard so-and-so was down with a terrible fever and the next thing he was is gone, just like that. Then another and another and people were now really scared.” The fruit vendor said that the men were hastily buried in their rural homes, eerily clothed in polythene suits.

“Coronavirus is over, what’s your problem?”

“I wear this thing because of the police,” said Njoroge, a friend of mine who works as a tout on the Nairobi-Kikuyu route. Once we reached Kangemi, he yanked off his mask and threw it away. “We’ve become slaves to these things, it hinders my work, I feel hot around the face, it’s just tiring. I hate it.”

The police have found a new lucrative line of extortion. If they catch you not wearing your mask properly, they pounce on you and demand KSh500. Five hundred bob is the bribe you must surrender to a predatory policeman or policewoman.

Although many of the 33-seater matatus have had their seats re-arranged to accommodate the social distancing rule, the reality is that no one really cares about social distancing. While during the day many matatus may indeed enforce physical distancing of just about a metre between passengers, in the evenings and at night all caution is thrown out of the window.

Travelling in a matatu to Kiambaa one evening in the thick of the pandemic lockdown, I asked the conductor why he was not afraid of being arrested for carrying a matatu that was full to capacity. “You boarded at the terminus, did you hear any passenger complain? They all want to go home, pay a fairer price and beat the curfew. If you want to observe social distancing, you’re free to hail an Uber. Wear your mask if you must, who really knows whether this COVID-19 exists or not. Personally, I’m very sceptical that it exists. But what do I know and what do I care? The police? For all they care, COVID-19 is a boon for them to make hay while the sun shines. At the roadblock, they’ll stop us, and you watch, I’ll come out, a one hundred shilling note folded in my hand, we’ll exchange pleasantries and they’ll wave us on, another day, another ritual and life goes on.”

The Kabete Police Station roadblock, which used to be erected just outside the station, was considered one of the most notorious countrywide. It has since been removed. Oblivious of the public, the police would openly solicit and collect bribes day and night from matatus, private vehicles and lorries. “The advent of the pandemic had emboldened the Kabete cops to harass the motorists, more so the matatus because of their vulnerability and familiarity with the police officers.”

“All they needed to do is accuse a matatu of not observing social distancing, accuse a motorist of carrying ‘excess’ passengers and everything else fell into place; they collected more and more bribes until they started boasting about it,” said a matatu Sacco boss. The powerful matatu bosses of the Nairobi-Kikuyu-Kiambaa route came together and complained to authorities higher up: if something was not done about the roadblock, they were going to ground their vehicles.

The coronavirus crisis has created a new revenue stream for the famously money-hungry Kenyan police and many have minted a fortune out of the pandemic. Last December some police officers from the Kikuyu Police Station came up with an invidious scheme – they stalked shoppers at a Zambezi Centre supermarket and arrested all those who were not wearing masks or were hanging them around their necks. Some waited for shoppers outside the supermarket. Threatened with the public embarrassment of being hauled off to the police station, many women shoppers quickly parted with KSh500 or more.

“That’s why these people never end well,” one woman who had fallen victim said to me. “Imagine there are some women who parted with half of their money. Every calamity has its own beneficiaries. At the top government echelons, coronavirus has been a blessing in disguise – some state bureaucrats have minted millions of shillings and their greatest prayer is: if only this thing could continue. The police have taken the cue and they are not to be left behind in the latest scheme to defraud the public.”

The coronavirus pandemic came as a shock to Kenyans: none had ever experienced an epidemic of global proportions so they assumed it was a whirlwind that would soon dissipate. The management of a private hospital in Nairobi decided to test all its staff for coronavirus. “Staffers were turning positive by the numbers”, confided a dispensing chemist stationed at the hospital. “In the finance department, human resources, nurses, consultant physicians and even pharmacists, all were tested. The management had neither anticipated the outcome nor prepared for the shock. The hospital immediately stopped the testing and forbade staff from talking about the exercise. The management reasoned that if a critical number of the staffers were quarantined, the hospital would grind to a halt because there would be no one to run it.”

A year later, the coronavirus has wreaked havoc everywhere: “I’m not talking to my husband,” one friend said to me in July. “I don’t know what’s wrong with him.” What was “wrong with him” was that he had lost his job and with his source of money gone, he could no longer support his young family and it now fell on his wife to take on most of the financial responsibilities. Unaccustomed to being the sole provider for the family, the added financial responsibilities were weighing her down. “He doesn’t even leave the house. Why can’t he take a stroll like other men?”

Another told me she had separated from her husband. “I couldn’t take it anymore,” she said. What she “couldn’t take anymore”, was the fact that he could not now bring any bacon home “but he still wanted to be treated like the boss of the house”. “If you want to be king, let your actions prove it – don’t depend on your wife to prop up your bossy life.” She accused her husband of “bumming” around the house, “ordering everybody and waiting to be served.”

I asked my friend Eric why he was drinking on a weekday and at midday. I had met him in a mutual friend’s office. “I’m cooling off, can’t you feel the heat?” I did not immediately get the irony. Eric had lost his job and his wife, he told me, had become intolerable: “Every other day we are just picking quarrels. I don’t know where all these quarrels are coming from suddenly. I no longer want to stay in that house. I don’t even eat in that house nowadays. When I enter, I go straight to the bedroom and doze off.” The “heat” in the house, ostensibly caused by his wife, had driven him out.

Yet another friend shared with me how working from home has caused a lot of friction and grief between him and his wife: “I’m now having my Zoom meetings in restaurants; I’ve left the house to her. This COVID-19 crisis seems to have given her an excuse to transplant her office in the house. She will not do anything because she’s at the “office” working. “She says things like ‘after work, I need to put my feet up and relax’. She expelled the live-in house-help, apparently because of coronavirus, yet she will not cook or do anything, ‘we must share the responsibilities’ is her new mantra. I didn’t think it would come to this.”

Even people who have been married a long time have not been spared. “My husband has relocated to shags [rural area]. It seems Nairobi had become too much for him,” said a friend I have known for 35 years. She did not want to divulge much about the husband whom I have known for just as long. “He now wants to spend more and more time with his mother, more than anything else…” I could sense something was I amiss but I could not put my finger on it.

The arrival of the pandemic in Kenya has also exposed how some expatriates relate to Kenyans. My friend Otis, who works with a Chinese construction company, China Wu Yi, told me how in the middle of the raging coronavirus crisis, the Chinese staff at the company’s Kikuyu Town offices treated them like lepers. “They cautioned we Kenyans not to get anywhere near them. They barricaded themselves in the offices. They barked orders from afar and if they needed to pass on something to us the local team, they threw whatever it was at us. The Chinese staff claimed that we could pass coronavirus to them”, said Otis, who operates heavy machinery. “Can you believe it? COVID-19 had been discovered in their country, but here they were, telling us we could infect them with coronavirus.” If you ever doubted Chinese racism towards Africans, there it was, claimed Otis.

In the period between 13 March 2020 – when the government declared a quasi-lockdown in the country – and the arrival of the vaccines on 3 March 2021, COVID-19 had claimed its fair share of victims, among them people I had interacted with.

One such coronavirus victim was politician Joe Nyagah, a man I had come to know in his later years. Three weeks before his sudden death on 11 December 2020, I had been with Joe at his house in Nairobi where we spent the entire afternoon talking nothing else but raw politics, of course. Joe took every caution that a man of his age would take; whenever he was in Nairobi he walked regularly around his huge courtyard, he ate light and his hygiene regimen was impeccable. Joe was a spirited soul; he laughed often and regaled one with stories from his life in the corporate world, as a diplomat and of course as a canny politician. You could be a careful Joe, but coronavirus is no respecter of age, agility or ambition.

“My husband has relocated to shags. It seems Nairobi had become too much for him.”

The pandemic picks its victims from all ethnicities and all races, and does not discriminate along gender lines. My friend Hanif Adam, a Kenyan of Asian descent, told me how the coronavirus has caused havoc in the closeted Asian community.

“Kariokor cemetery where many of the Asians are interred has been closed off and is now a restricted area. The coronavirus crisis has scared off the management that runs the cemetery because the rate of interment has shot up dramatically. The management also fears for the lives of the people who run the cemetery. It is worried that they might get infected. The only bodies that are being accepted at the cemetery are those that have been certified as not resulting from COVID-19,” said Hanif. “All other bodies are to be buried at the Langata public cemetery.”

That is where one of Nairobi’s wealthiest Asians was buried. His body was cremated at the Langata Crematorium where a short funeral ceremony was also held. COVID-19 is no respecter of class, creed or caste. Hanif said the tycoon was infected with the coronavirus at an Asian wedding ceremony conducted at a five-star hotel in Nairobi. “Since then weddings have become no-go zones for [rich] Asians. Important as they are to our community, I’ve also stopped attending weddings: it doesn’t matter whether it is the wedding of my closest relative, social distancing notwithstanding.”

In the one year that the coronavirus has wrought havoc here and abroad, threats of Armageddon and rapture have suddenly disappeared from the incantations of the self-anointed and self-appointed apostles, bishops, evangelists, exorcists, ministers, pastors, prophets, spiritualists and soothsayers. What happened? COVID-19 has exposed the hollowness of these miracle merchants and prophesy peddlers. By a twist of fate, God had not forewarned or revealed to them the great calamity that was coming and that was going to create such apocalyptic anxieties.

Even when it came, they still could not decipher the meaning of the strange disease, the  anxieties it was creating among their flock and what it portended for the future of humanity. The self-styled evangelical preachers who are used to “performing miracles” at crusades and holy sanctuaries could neither perform nor preach, whether privately or publicly. Fearing they would be victims of a modern pandemic themselves, the preachers went underground and secretly sought medical care from established private healthcare facilities as they abandoned their flock. They are yet to resurface. To use a cliché, it was everybody for themselves and God for us all.

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Mr Kahura is a senior writer for The Elephant.

Politics

Kenya Chooses Its Next Chief Justice

The search for Kenya’s next Chief Justice that commenced Monday will seek to replace Justice David Maraga, who retired early this year, has captured the attention of the nation.

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Kenya Chooses Its Next Chief Justice
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Since Monday, the 12th of April 2021, interviews to replace retired Chief Justice David Maraga for the post of the most important jurist in Kenya and the president of the Supreme Court have been underway.

The Judiciary is one of the three State organs established under Chapter 10, Article 159 of the Constitution of Kenya. It establishes the Judiciary as an independent custodian of justice in Kenya. Its primary role is to exercise judicial authority given to it, by the people of Kenya.

The institution is mandated to deliver justice in line with the Constitution and other laws. It is expected to resolve disputes in a just manner with a view to protecting the rights and liberties of all, thereby facilitating the attainment of the ideal rule of law.

The man or woman who will take up this mantle will lead the Judiciary at a time when its independence and leadership will be paramount for the nation. He or she will be selected by the Judicial Service Commission in a competitive process.

KWAMCHETSI MAKOKHA profiles the ten candidates shortlisted by the JSC.

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Philip Kipchirchir Murgor: It is the CJ’s Job or Nothing For the Man Who Knows Where the Skeletons are Buried

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Politics

IMF and SAPs 2.0: The Four Horsemen of the Apocalypse are Riding into Town

Stabilisation, liberalisation, deregulation, and privatisation: what do these four pillars of structural adjustment augur for Kenya’s beleaguered public health sector?

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IMF and SAPs 2.0: The Four Horsemen of the Apocalypse are Riding into Town
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The International Monetary Fund’s announcement on the 2nd of April 2020 that it had approved a US$ 2.3 billion loan for Kenya prompted David Ndii to spell it out to young #KOT (Kenyans on Twitter) that “the loan Kenya has taken is called a structural adjustment loan (SAPs). It comes with austerity (tax raises, spending cuts, downsizing) to keep Kenya creditworthy so that we can continue borrowing and servicing debt”, adding that the “IMF is not here for fun. Ask older people.” With this last quip, Ndii was referring to the economic hardship visited on Kenyans under the structural adjustment programmes of the 80s and 90s.

Well, I’m old enough to remember; except that I was not in the country. I had left home, left the country, leaving behind parents who were still working, still putting my siblings through school. Parents with permanent and pensionable jobs, who were still paying the mortgage on their modest “maisonette” in a middle class Nairobi neighbourhood.

In those pre-Internet, pre-WhatsApp days, much use was made of the post office and I have kept the piles of aerogramme letters that used to bring me news of home. In those letters my parents said nothing of the deteriorating economic situation, unwilling to burden me with worries about which I could do nothing, keeping body and soul together being just about all I could manage in that foreign land where I had gone to further my education.

My brother Tony’s letters should have warned me that all was not well back home but he wrote so hilariously about the status conferred on those men who could afford second-hand underwear from America, complete with stars and stripes, that the sub-text went right over my head. I came back home for the first time after five years — having left college and found a first job — to find parents that had visibly aged beyond their years and a home that was palpably less well-off financially than when I had left. I’m a Kicomi girl and something in me rebelled against second-hand clothes, second-hand things. It seemed that in my absence Kenya had regressed to the time before independence, the years of hope and optimism wiped away by the neoliberal designs of the Bretton Woods twins. I remember wanting to flee; I wanted to go back to not knowing, to finding my family exactly as I had left it — seemingly thriving, happy, hopeful.

Now, after eight years of irresponsible government borrowing, it appears that I am to experience the effects of a Structural Adjustment Programme first-hand, and I wonder how things could possibly be worse than they already are.

When speaking to Nancy* a couple of weeks back about the COVID-19 situation at the Nyahururu County Referral Hospital in Laikipia County, she brought up the issue of pregnant women having to share beds in the maternity ward yet — quite apart from the fact that this arrangement is unacceptable whichever way you look at it — patients admitted to the ward are not routinely tested for COVID-19.

Nancy told me that candidates for emergency caesarean sections or surgery for ectopic and intra-abdominal pregnancies must wait their turn at the door to the operating theatre. Construction of a new maternity wing, complete with its own operating theatre, has ground to a halt because, rumour has it, the contractor has not been paid. The 120-bed facility should have been completed in mid-2020 to ease congestion at the Nyahururu hospital whose catchment area for referrals includes large swathes of both Nyandarua and Laikipia counties because of its geographical location.

According to Nancy, vital medicine used to prevent excessive bleeding in newly delivered mothers has not been available at her hospital since January; patients have to buy the medication themselves. This issue was also raised on Twitter by Dr Mercy Korir who, referring to the Nanyuki Teaching and Referral Hospital — the only other major hospital in Laikipia County — said that lack of emergency medication in the maternity ward was putting the lives of mothers at risk. Judging by the responses to that tweet, this dire situation is not peculiar to the Nanyuki hospital; how much worse is it going to get under the imminent SAP?

Kenya was among the first countries to sign on for a SAP in 1980 when commodity prices went through the floor and the 1973 oil crisis hit, bringing to a painful halt a post-independence decade of sustained growth and prosperity. The country was to remain under one form of structural adjustment or another from then on until 1996.

Damaris Parsitau, who has written about the impact of Structural Adjustment Programmes on women’s health in Kenya, already reported in her 2008 study that, “at Nakuru District Hospital in Kenya, for example, expectant mothers are required to buy gloves, surgical blades, disinfectants and syringes in preparation for childbirth”. It would appear that not much has changed since then.

The constitution of the World Health Organisation states that “the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition” and that “governments have a responsibility for the health of their peoples which can be fulfilled only by the provision of adequate health and social measures.”

The WHO should have added gender as a discrimination criteria. Parsitau notes that “compared to men, women in Kenya have less access to medical care, are more likely to be malnourished, poor, and illiterate, and even work longer and harder. The situation exacerbates women’s reproductive role, which increases their vulnerability to morbidity and mortality.”

With economic decline in the 80s, and the implementation of structural adjustment measures that resulted in cutbacks in funding and the introduction of cost sharing in a sector where from independence the government had borne the cost of providing free healthcare, the effects were inevitably felt most by the poor, the majority of who — in Kenya as in the rest of the world — are women.

A more recent review of studies carried out on the effect of SAPs on child and maternal health published in 2017 finds that “in their current form, structural adjustment programmes are incongruous with achieving SDGs [Sustainable Development Goals] 3.1 and 3.2, which stipulate reductions in neonatal, under-5, and maternal mortality rates. It is telling that even the IMF’s Independent Evaluation Office, in assessing the performance of structural adjustment loans, noted that ‘outcomes such as maternal and infant mortality rates have generally not improved.’”

The review also says that “adjustment programmes commonly promote decentralisation of health systems [which] may produce a more fractious and unequal implementation of services — including those for child and maternal health — nationally. Furthermore, lack of co-ordination in decentralised systems can hinder efforts to combat major disease outbreaks”. Well, we are in the throes of a devastating global pandemic which has brought this observation into sharp relief. According to the Ministry of Health, as of the 6th of April, 325,592 people had been vaccinated against COVID-19. Of those, 33 per cent were in Nairobi County, which accounts for just 9.2 per cent of the country’s total population of 47,564,296 people.

The Constitution of Kenya 2010 provides the legal framework for a rights-based approach to health and is the basis for the rollout of Universal Health Coverage (UHC) that was announced by President Uhuru Kenyatta on 12 December 2018 — with the customary fanfare — as part of the “Big Four Agenda” to be fulfilled before his departure in 2022.

However, a KEMRI-Wellcome Trust policy brief states that UHC is still some distance to achieving 100 per cent population coverage and recommends that “the Kenyan government should increase public financing of the health sector. Specifically, the level of public funding for healthcare in Kenya should double, if the threshold (5% of GDP) … is to be reached” and that “Kenya should reorient its health financing strategy away from a focus on contributory, voluntary health insurance, and instead recognize that increased tax funding is critical.”

These recommendations, it would seem to me, run counter to the conditionalities habitually imposed by the IMF and it is therefore not clear how the government will deliver UHC nation-wide by next year if this latest SAP is accompanied by budgetary cutbacks in the healthcare sector.

With the coronavirus graft scandal and the disappearance of medical supplies donated by Jack Ma still fresh on their minds, Kenyans are not inclined to believe that the IMF billions will indeed go to “support[ing] the next phase of the authorities’ COVID-19 response and their plan to reduce debt vulnerabilities while safeguarding resources to protect vulnerable groups”, as the IMF has claimed.

#KOT have — with outrage, with humour, vociferously — rejected this latest loan, tweeting the IMF in their hundreds and inundating the organisation’s Facebook page with demands that the IMF rescind its decision. An online petition had garnered more than 200,000 signatures within days of the IMF’s announcement. Whether the IMF will review its decision is moot. The prevailing economic climate is such that we are damned if we do take the loan, and damned if we don’t.

Structural adjustment supposedly “encourages countries to become economically self-sufficient by creating an environment that is friendly to innovation, investment and growth”, but the recidivist nature of the programmes suggests that either the Kenyan government is a recalcitrant pupil or SAPs simply don’t work. I would say it is both.

But the Kenyan government has not just been a recalcitrant pupil; it has also been a consistently profligate one. While SAPs do indeed provide for “safeguarding resources to protect vulnerable groups”, political choices are made that sacrifice the welfare of the ordinary Kenyan at the altar of grandiose infrastructure projects, based on the fiction peddled by international financial institutions that infrastructure-led growth can generate enough income to service debt. And when resources are not being wasted on “legacy” projects, they are embezzled on a scale that literally boggles the mind. We can no longer speak of runaway corruption; a new lexicon is required to describe this phenomenon which pervades every facet of our lives and which has rendered the years of sacrifice our parents endured meaningless and put us in debt bondage for many more generations to come. David Ndii long warned us that this moment was coming. It is here.

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Politics

East Africa: A ‘Hotbed of Terror’

African states are involved in the War on Terror more than we think. They’re surrounded by an eco-system of the war industry.

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East Africa: A ‘Hotbed of Terror’
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In late January, reports circulated on social media about a suspected US drone strike in southern Somalia, in the Al-Shabaab controlled Ma’moodow town in Bakool province. Debate quickly ensued on Twitter about whether the newly installed Biden administration was responsible for this strike, which was reported to have occurred at 10 p.m. local time on January 29th, 2021.

Southern Somalia has been the target of an unprecedented escalation of US drone strikes in the last several years, with approximately 900 to 1,000 people killed between 2016 and 2019. According to the nonprofit group Airwars, which monitors and assesses civilian harm from airpower-dominated international military actions, “it was under the Obama administration that a significant US drone and airstrike campaign began,” coupled with the deployment of Special Operations forces inside the country.

Soon after Donald Trump took office in 2017, he signed a directive designating parts of Somalia “areas of active hostilities.” While the US never formally declared war in Somalia, Trump effectively instituted war-zone targeting rules by expanding the discretionary authority of the military to conduct airstrikes and raids. Thus the debate over the January 29 strike largely hinged on the question of whether President Joe Biden was upholding Trump’s “flexible” approach to drone warfare―one that sanctioned more airstrikes in Somalia in the first seven months of 2020 than were carried out during the administrations of George W. Bush and Barack Obama, combined.

In the days following the January 29 strike, the US Military’s Africa Command (AFRICOM) denied responsibility, claiming that the last US military action in Somalia occurred on January 19, the last full day of the Trump presidency. Responding to an inquiry from Airwars, AFRICOM’s public affairs team announced:

We are aware of the reporting. US Africa Command was not involved in the Jan. 29 action referenced below. US Africa Command last strike was conducted on Jan. 19. Our policy of acknowledging all airstrikes by either press release or response to query has not changed.

In early March, The New York Times reported that the Biden administration had in fact imposed temporary limits on the Trump-era directives, thereby constraining drone strikes outside of “conventional battlefield zones.” In practice, this means that the US military and the CIA now require White House permission to pursue terror suspects in places like Somalia and Yemen where the US is not “officially” at war. This does not necessarily reflect a permanent change in policy, but rather a stopgap measure while the Biden administration develops “its own policy and procedures for counterterrorism kill-or-capture operations outside war zones.”

If we take AFRICOM at its word about January 29th, this provokes the question of who was behind that particular strike. Following AFRICOM’s denial of responsibility, analysts at Airwars concluded that the strike was likely carried out by forces from the African Union peacekeeping mission in Somali (AMISOM) or by Ethiopian troops, as it occurred soon after Al-Shabaab fighters had ambushed a contingent of Ethiopian troops in the area. If indeed the military of an African state is responsible for the bombing, what does this mean for our analysis of the security assemblages that sustain the US’s war-making apparatus in Africa?

Thanks to the work of scholars, activists, and investigative journalists, we have a growing understanding of what AFRICOM operations look like in practice. Maps of logistics hubs, forward operating sites, cooperative security locations, and contingency locations―from Mali and Niger to Kenya and Djibouti―capture the infrastructures that facilitate militarism and war on a global scale. Yet what the events of January 29th suggest is that AFRICOM is situated within, and often reliant upon, less scrutinized war-making infrastructures that, like those of the United States, claim to operate in the name of security.

A careful examination of the geographies of the US’s so-called war on terror in East Africa points not to one unified structure in the form of AFRICOM, but to multiple, interconnected geopolitical projects. Inspired by the abolitionist thought of Ruth Wilson Gilmore, who cautions activists against focusing exclusively on any one site of violent exception like the prison, I am interested in the relational geographies that sustain the imperial war-making infrastructure in Africa today. Just as the modern prison is “a central but by no means singularly defining institution of carceral geography,” AFRICOM is a fundamental but by no means singularly defining instrument of war-making in Africa today.

Since the US military’s embarrassing exit from Somalia in 1993, the US has shifted from a boots-on-the ground approach to imperial warfare, instead relying on African militaries, private contractors, clandestine ground operations, and drone strikes. To singularly focus on AFRICOM’s drone warfare is therefore to miss the wider matrix of militarized violence that is at work. As Madiha Tahir reminds us, attack drones are only the most visible element of what she refers to as “distributed empire”—differentially distributed opaque networks of technologies and actors that augment the reach of the war on terror to govern more bodies and spaces. This dispersal of power requires careful consideration of the racialized labor that sustains war-making in Somalia, and of the geographical implications of this labor. The vast array of actors involved in the war against Al-Shabaab has generated political and economic entanglements that extend well beyond the territory of Somalia itself.

Ethiopia was the first African military to intervene in Somalia in December 2006, sending thousands of troops across the border, but it did not do so alone. Ethiopia’s effort was backed by US aerial reconnaissance and satellite surveillance, signaling the entanglement of at least two geopolitical projects. While the US was focused on threats from actors with alleged ties to Al-Qaeda, Ethiopia had its own concerns about irredentism and the potential for its then-rival Eritrea to fund Somali militants that would infiltrate and destabilize Ethiopia. As Ethiopian troops drove Somali militant leaders into exile, more violent factions emerged in their place. In short, the 2006 invasion planted the seeds for the growth of what is now known as Al-Shabaab.

The United Nations soon authorized an African Union peacekeeping operation (AMISOM) to “stabilize” Somalia. What began as a small deployment of 1,650 peacekeepers in 2007 gradually transformed into a number that exceeded 22,000 by 2014. The African Union has emerged as a key subcontractor of migrant military labor in Somalia: troops from Burundi, Djibouti, Ethiopia, Kenya, and Uganda deployed to fight Al-Shabaab are paid significantly higher salaries than they receive back home, and their governments obtain generous military aid packages from the US, UK, and increasingly the European Union in the name of “security.”

But because these are African troops rather than American ones, we hear little of lives lost, or of salaries not paid. The rhetoric of “peacekeeping” makes AMISOM seem something other than what it is in practice—a state-sanctioned, transnational apparatus of violent labor that exploits group-differentiated vulnerability to premature death. (This is also how Gilmore defines racism.)

Meanwhile, Somali analyst Abukar Arman uses the term “predatory capitalism” to describe the hidden economic deals that accompany the so-called stabilization effort, such as “capacity-building” programs for the Somali security apparatus that serve as a cover for oil and gas companies to obtain exploration and drilling rights. Kenya is an important example of a “partner” state that has now become imbricated in this economy of war. Following the Kenya Defense Forces (KDF) invasion of Somalia in October 2011, the African Union’s readiness to incorporate Kenyan troops into AMISOM was a strategic victory for Kenya, as it provided a veneer of legitimacy for maintaining what has amounted to a decade-long military occupation of southern Somalia.

Through carefully constructed discourses of threat that build on colonial-era mappings of alterity in relation to Somalis, the Kenyan political elite have worked to divert attention away from internal troubles and from the economic interests that have shaped its involvement in Somalia. From collusion with Al-Shabaab in the illicit cross-border trade in sugar and charcoal, to pursuing a strategic foothold in offshore oil fields, Kenya is sufficiently ensnared in the business of war that, as Horace Campbell observes, “it is not in the interest of those involved in this business to have peace.”

What began as purportedly targeted interventions spawned increasingly broader projects that expanded across multiple geographies. In the early stages of AMISOM troop deployment, for example, one-third of Mogadishu’s population abandoned the city due to the violence caused by confrontations between the mission and Al-Shabaab forces, with many seeking refuge in Kenya. While the mission’s initial rules of engagement permitted the use of force only when necessary, it gradually assumed an offensive role, engaging in counterinsurgency and counterterror operations.

Rather than weaken Al-Shabaab, the UN Monitoring Group on Somalia observed that offensive military operations exacerbated insecurity. According to the UN, the dislodgment of Al-Shabaab from major urban centers “has prompted its further spread into the broader Horn of Africa region” and resulted in repeated displacements of people from their homes. Meanwhile, targeted operations against individuals with suspected ties to Al-Shabaab are unfolding not only in Somalia itself, but equally in neighboring countries like Kenya, where US-trained Kenyan police employ military tactics of tracking and targeting potential suspects, contributing to what one Kenyan rights group referred to as an “epidemic” of extrajudicial killings and disappearances.

Finally, the fact that some of AMISOM’s troop-contributing states have conducted their own aerial assaults against Al-Shabaab in Somalia demands further attention. A December 2017 United Nations report, for example, alleged that unauthorized Kenyan airstrikes had contributed to at least 40 civilian deaths in a 22-month period between 2015 and 2017. In May 2020, senior military officials in the Somali National Army accused the Kenyan military of indiscriminately bombing pastoralists in the Gedo region, where the KDF reportedly conducted over 50 airstrikes in a two week period. And in January 2021, one week prior to the January 29 strike that Airwars ascribed to Ethiopia, Uganda employed its own fleet of helicopter gunships to launch a simultaneous ground and air assault in southern Somalia, contributing to the deaths—according to the Ugandan military—of 189 people, allegedly all Al-Shabaab fighters.

While each of the governments in question are formally allies of the US, their actions are not reducible to US directives. War making in Somalia relies on contingent and fluid alliances that evolve over time, as each set of actors evaluates and reevaluates their interests. The ability of Ethiopia, Kenya, and Uganda to maintain their own war-making projects requires the active or tacit collaboration of various actors at the national level, including politicians who sanction the purchase of military hardware, political and business elite who glorify militarized masculinities and femininities, media houses that censor the brutalities of war, logistics companies that facilitate the movement of supplies, and the troops themselves, whose morale and faith in their mission must be sustained.

As the Biden administration seeks to restore the image of the United States abroad, it is possible that AFRICOM will gradually assume a backseat role in counterterror operations in Somalia. Officially, at least, US troops have been withdrawn and repositioned in Kenya and Djibouti, while African troops remain on the ground in Somalia. Relying more heavily on its partners in the region would enable the US to offset the public scrutiny and liability that comes with its own direct involvement.

But if our focus is exclusively on the US, then we succumb to its tactics of invisibility and invincibility, and we fail to reckon with the reality that the East African warscape is a terrain shaped by interconnected modes of power. The necessary struggle to abolish AFRICOM requires that we recognize its entanglement in and reliance upon other war-making assemblages, and that we distribute our activism accordingly. Recounting that resistance itself has long been framed as “terrorism,” we would do well to learn from those across the continent who, in various ways over the years, have pushed back, often at a heavy price.

This post is from a partnership between Africa Is a Country and The Elephant. We will be publishing a series of posts from their site once a week.
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