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Why Closing Dadaab is a Bad Idea

11 min read.

The government’s recent announcement to close the Dadaab refugee camp, also known as Kenya’s fourth largest city, is motivated by all the wrong reasons, is a breach of international law and could, once again, very well lead to the ratcheting up of terror attacks in Kenya.

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In 2018, the United States carried out 45 air and drone strikes in Somalia, according to the Bureau of Investigative Journalism, a London-based non-profit organisation. It is not clear how many Al Shabaab militants and civilians were killed in these attacks because, like most covert military operations, it is difficult to obtain and ascertain the veracity of information about casualties.

Meanwhile, President Donald Trump has in recent months intensified the US drone strike programme in Somalia, a disturbing decision that is likely to lead to more radicalisation and revenge attacks, both in Somalia and in neighbouring Kenya, which has borne the brunt of Al Shabaab’s terrorist attacks abroad.

Given that Somalia is pretty much still a war zone, why does the Kenyan government feel that it is safe for the 230,000 or so Somali refugees in the Dadaab refugee camp to return home?

In addition, there is a 20,000-strong presence of African Union Mission in Somalia (AMISOM) troops in Somalia. Ugandan, Burundian, Ethiopian, Djiboutian and some 4,000 Kenyan troops have their feet on the ground in parts of central and southern Somalia, including the capital Mogadishu. Even the Somali president is protected by AMISOM forces as the Somalia National Army is still not fully operational. Although there is a semblance of normalcy in Mogadishu, with new buildings and businesses coming up every day, much of the Somali capital still has the look and feel of a city under siege. Al Shabaab regularly wreaks havoc on the residents via IEDs and suicide bombers. In areas it controls, it also extracts “taxes” (protection money) from residents and imposes its own version of Sharia.

The last time Kenya threatened to close down Dadaab was in April 2015, shortly after the gruesome terrorist attack on Garissa University. Deputy President William Ruto claimed that the camp was a security threat. It was a clear case of scapegoating – Ruto failed to mention that all four terrorists who attacked Garissa University College were Kenyan citizens, not Somali nationals – and only one of them was an ethnic Somali.

Given that Somalia is pretty much still a war zone, why does the Kenyan government feel that it is safe for the 230,000 or so Somali refugees in the Dadaab refugee camp to return home? According to a leaked United Nations document dated 12 February, the Government of Kenya wants the Dadaab camp to be closed by August this year.

The last time Kenya threatened to close down the camp and send all the refugees to their home countries was in April 2015, shortly after the gruesome terrorist attack on Garissa University College, which is about 100 kilometres from the camp in Dadaab. Deputy President William Ruto claimed that the camp was a security threat to the country and that all refugees in the camp would be given three months to leave the country. He added that if the refugees did not leave voluntarily, the government would arrange for their forcible transfer across the border into Somalia. It was a clear case of scapegoating – Ruto failed to mention that all four terrorists who attacked Garissa University College were Kenyan citizens, not Somali nationals – and only one of them was an ethnic Somali.

The government of Mwai Kibaki initiated the first repatriation programme, which eventually forced the UNHCR and the Federal Government of Somalia to enter into an agreement with Kenya to facilitate the “voluntary and organised” repatriation of refugees to Somalia.

In May 2015, after terrorists attacked Kenyan soldiers in Yumbis, which is very near Dadaab, Haron Komen, the Commissioner for Refugee Affairs, called for a quicker closure of the camp, claiming that “footprints” of terrorism could be traced there. Meanwhile, the Interior Cabinet Secretary, the late Joseph Nkaissery, announced that a wall would be built along the porous 900-kilometre Kenya-Somalia border.

These declarations not only stunned the more than 350,000 “Dadaabians” living in the camp (more than half of whom were under the age of 18), but also shocked the international community, particularly the UN refugee agency, UNHCR, and key donor countries, who made frantic efforts to reverse what amounted to an expulsion order. They argued that Somalia had no institutions or resettlement programmes dealing with refugees, including the hundreds of thousands of internally displaced people who still live in and around Mogadishu. Asking refugees to return to conditions where there are few or no services could lead to further tensions and could force them to flee again.

It is also important to note that many of these refugees were born in the camp and have known no other home. (In many countries, they would qualify for citizenship.) Their parents and surviving relatives have also probably lost all their land and homes in Somalia, so they have nowhere to return to.

Increasing attacks on Kenyan and Ethiopian forces in Somalia have made the prospect of repatriation difficult. It appears that the top brass of the Kenya Defence Forces (KDF) in the Jubbaland region that was supposedly “liberated” from the clutches of Al Shabaab have entered in a cosy relationship with the leadership of the Jubbaland administration…

This, however, was not the first time that Kenyan officials had expressed a desire to send Somali refugees back home and to close down the camp, which has been in existence for almost thirty years. The government of Mwai Kibaki initiated the repatriation programme, which eventually forced UNHCR and the Federal Government of Somalia to enter into a tripartite agreement with Kenya in November 2013 to facilitate the “voluntary and organised” repatriation of refugees to Somalia. The Kenyan government’s decision to close the camp was probably based on an overly optimistic assumption that once Kenyan forces “liberated” Al Shabaab-controlled areas in southern Somalia, all the refugees could safely go back home.

However, increasing attacks on Kenyan and Ethiopian forces in Somalia have made the prospect of repatriation difficult, if not impossible. Moreover, it appears that the top brass of the Kenya Defence Forces (KDF) in the Jubbaland region that was supposedly “liberated” from the clutches of Al Shabaab have entered in a cosy relationship with the leadership of the Jubbaland administration, which has raised questions of conflict of interest. Several reports, including those by UN monitors, have accused KDF in Somalia of being “in bed” with not just leaders like Ahmed Madobe (KDF’s comrade-in-arms during Kenya’s invasion of Somalia in October 2011) but also with Al Shabaab via extortion and smuggling rackets where all parties collect “taxes” at check points and ports and share the loot. (See the report “Black and White: Kenya’s Criminal Racket in Somalia” published in 2016 by Journalists for Justice.)

Kenya’s fourth largest city

In 2015, when the announcement to send all refugees homes was made, Asad Hussein, a former “Dadaabian” who is currently a student on a fully-paid scholarship at the prestigious Princeton University in the United States, wrote in his blog “Diary of a Refugee Storyteller” that when he heard the statement, several questions flooded his mind: “Will they come with a big lorry and cart me to a country I’ve never seen before? Will police officers throw me into the back of a truck against my will? Will they ask my 80-year-old dad to get out of the mosque and quickly pack his stuff? Will my dad go back to his hometown Luuq in Somalia’s Gedo region? Will my mom insist on going to her birthplace in Negelle in Ethiopia? Will they settle in a completely different place?”

Hussein, an aspiring writer who I met at various literary events in Nairobi, was among many young refugees in Dadaab who wished that they could be integrated into Kenyan society and eventually acquire Kenyan citizenship, given that they had known no other home. But like Ilhan Omar, the dynamic US Congresswoman who once lived in the Kakuma refugee camp in northern Kenya, it is likely that Hussein’s skills and talent will now benefit his host country, the United States, and Kenya will be the poorer for it.

Unlike in Uganda, where refugees are not just given land to till but are also allowed to work (which has earned Uganda a reputation for being among the most refugee-friendly countries in the world), refugees in Kenya are not allowed to work or to move about freely. In 1966, Kenya acceded to the 1951 Convention Relating to the Status of Refugees that recognises the right of refugees to choose their place of residence and the freedom of movement within the territories of the host countries. However, in the case of Dadaab, the Kenyan government has chosen to ignore this convention.

In 2014, the Kenyan MP for the area complained that deforestation was becoming a real problem and that the persistent drought in the area had forced his pastoralist constituents to pose as refugees so they could access free food and services in the camp.

Although Ifo camp, one of the oldest of the five camps that comprise the Dadaab complex, has the look of a dusty rural village, with goats and camels wandering around small shops that sell everything from mobile phones to camel milk, the donated plastic sheeting tents that residents call home and restrictions on movement, make it feel like a sprawling open prison. Most refugees in Dadaab live in makeshift shelters (because the Kenyan government does not allow them to build permanent houses) that do not provide adequate protection from the elements. UNHCR and humanitarian agencies provide water and rations, but do not consider other needs, such as fuel for cooking, with the result that refugees are forced to cut down trees for firewood. In 2014, the Kenyan MP for the area in which the Dadaab camp is located complained that deforestation was becoming a real problem and that the persistent drought in the area had forced his pastoralist constituents to pose as refugees so they could access free food and services in the camp. Sexual assaults on female refugees — both by male refugees and Kenya’s security forces — have also been reported.

There are schools, clinics, food distribution centres and boreholes set up by aid agencies, but as Raouf Mazou, UNHCR’s Kenya representative told me in 2015, the camp provides “a false sense of normality” in a highly abnormal environment.

And despite the inhospitable living conditions in what has been described as “Kenya’s fourth largest city”, business in Dadaab and its environs has been booming. Hanshi Palace, located opposite the Dadaab camp’s main office, earns millions of shillings every year leasing out Toyota Landcruisers to the more than 20 international NGOs that operate in Dadaab. It is estimated that Dadaab’s economy generates about $25 million a year and that the local host community around the camp earns approximately $14 million a year in trade and contracts.

Nonetheless, for many of the refugees living in Dadaab, camp life is preferable to life in war-torn Somalia, where basic services are broken or non-existent in many parts, and where the risk of being killed, through clan warfare, drone strikes or Al Shabaab, is much higher. While madrassas (Islamic schools) tend to be the only formal education Somali children receive, in Dadaab children are able to attend the 20 secular free primary and seven secondary schools and can even sit for the Kenya national examinations. Scholarships are also available and some of the brightest children have earned places in universities abroad, including in Canada and the United States. In 2013, Kenyatta University even opened a satellite campus in the town of Dadaab and reserved two-thirds of the slots for refugees. These are opportunities that few Somalis enjoy back home.

And despite the inhospitable living conditions in what has been described as “Kenya’s fourth largest city”, business in Dadaab and its environs has been booming. A UNHCR-commissioned study in 2013 found that business owners in and around Dadaab earn their income by selling goods and services to the hundreds of aid workers and refugees who live in or near the camp site. For example, Hanshi Palace, a business that is located opposite the Dadaab camp’s main office, earns millions of shillings every year leasing out Toyota Landcruisers to the more than 20 international NGOs that operate in Dadaab. More than 50 trucks carrying supplies from Nairobi and Mombasa enter the camp every week, earning truck owners millions of shillings. The World Food Programme spends millions of dollars every month buying, shipping and distributing tonnes of food to Dadaab. The now defunct Kenya Department of Refugee Affairs (that stopped processing refugees after the tripartite agreement) has been quoted as saying that Dadaab is not an ordinary refugee camp but “a big business centre” and that Kenya risks losing billions of shillings if the camp is closed. It is estimated that Dadaab’s economy generates about $25 million a year and that the local host community around the camp earns approximately $14 million a year in trade and contracts.

UNHCR says that the majority of the refugees in Dadaab view local integration as the most favourable solution to their plight, but the Kenyan government will not allow it. On the contrary, the Kenyan government’s position on refugees has become even more hardline, with ever more strident calls for the camps to be shut down permanently. Officials at the UN refugee agency say that given the political, social and economic implications of integrating hundreds of thousands of refugees into Kenyan society, the government’s position is understandable, but refugees’ rights under international laws must also be respected — and that repatriation must be voluntary, not forced. The tripartite agreement that aims to bring about the voluntary repatriation of Somali refugees is being implemented, but had not yielded significant results. The camp’s population has not decreased significantly since 2015 — it has decreased by only about one-third since then, which suggests that a majority of the refugees in Dadaab are still not comfortable about returning to Somalia.

Why close the camp now?

So what could lie behind the latest threat to expel the refugees? I can speculate on four possible reasons.

Powerful politicians from Garissa, such as Aden Duale, have a vested interest in having the camp closed and sending the refugees home as the multi-clan composition of the refugee population in Dadaab could threaten the power and clan balance in the region.

One, this Kenyan government, with its anti-ICC antecedents, would not find difficulty trying to ape neo-fascist governments in places like Hungary and the United States, which are becoming increasingly intolerant of refugees and migrants. By showing that it can be tough on refugees — particularly Somali refugees — it would be scoring points with the Trump administration. Kenya is, after all, a key ally of the US and its “war on terror” and has benefited militarily from US government assistance, particularly in the area of counterterrorism. Depicting the camp as a dangerous place that breeds terrorists only adds to Trump’s narrative of migrants and refugees being criminals harbouring ill intent for the populations of the host countries, a narrative that Kenya is happy to parrot. (Wasn’t Kenya one of a handful of shameless countries that was represented at the opening of the US embassy in Jerusalem?)

Two, powerful politicians from Garissa, such as Aden Duale, have a vested interest in having the camp closed and sending the refugees home as the multi-clan composition of the refugee population in Dadaab could threaten the power and clan balance in the region. It is estimated that the refugees in the camp outnumber the host community population by a ratio of three to one. The Ogaden clan is predominant in Garissa County, and Kenyan Somali politicians (most of whom are Ogaden) would like it to remain that way.

The latest declaration to repatriate refugees to Somalia is simply an arm-twisting tactic to force the international community, including the United Nations, to continue funding KDF operations in Somalia.

On a slightly different but related tangent, many economic activities have grown around the camp, and it is possible that local politicians and businessmen in Garissa want a piece of the action. What they don’t realise is that once the camp is closed, many of these activities will also die. Aid agencies will abandon the camp and the businesses that serviced them will also collapse or move elsewhere. One UNHCR official told me when I visited Dadaab that if there was no refugee camp, there would be no town in Dadaab. “Dadaab exists because we exist,” he said.

Three, the latest declaration to repatriate refugees to Somalia is simply an arm-twisting tactic to force the international community, including the United Nations, to continue funding KDF operations in Somalia. The African Union and the UN Security Council have agreed to withdraw AMISOM troops from Somalia by 2020 but Kenya has asked for a delayed exit. Perhaps the Kenyan government feels that it can use the refugees as a bargaining chip to maintain its troop presence in Somalia as long as it is financially and strategically beneficial for it to do so.

Keeping KDF in Somalia for as long as is possible could also be a ploy by some in government to protect KDF’s illicit activities. These elements would be afraid that once KDF pulls out of Somalia, the truth about what KDF generals did there might come out. If Kenya’s military is found to have financially benefitted from Somalia’s war economy, its credibility as a trustworthy partner in the war against terrorism and in peace-building will be severely eroded.

Four, the expulsion order could also be seen in the light of Somalia’s dispute with Kenya over a section of the Indian Ocean that Somalia claims as maritime territory. Kenya may just be taking revenge on Somalia for taking the dispute to an international court in a childish game that is unfairly targeting Somali refugees.

Whatever the case, sending helpless refugees back to the dire situation they escaped from is not only unethical, but also against international law. Kenya must not rush into a situation that will tarnish its reputation internationally and put thousands of innocent lives in danger.

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Rasna Warah is a Kenyan writer and journalist. In a previous incarnation, she was an editor at the United Nations Human Settlements Programme (UN-Habitat). She has published two books on Somalia – War Crimes (2014) and Mogadishu Then and Now (2012) – and is the author UNsilenced (2016), and Triple Heritage (1998).

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Cherry-Picking of Judges Is a Great Affront to Judicial Independence

Uhuru Kenyatta’s refusal to fulfil his constitutional duty to appoint and gazette JSC-nominated judges is a tyranny against the judiciary.

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The 2010 constitution placed an onerous responsibility on the judiciary. That responsibility is to check that the exercise of public power is done in a manner that is compliant with the constitution. The constitution brought everyone, including the president – in both his capacities as the head of state and head of national executive – under the law. Hence, the judiciary has the final word when called upon to determine whether anything done or said to be done by anyone in the exercise of public power is constitutional.

To ensure that judges and magistrates can perform this task, the 2010 constitution created a strong architecture to secure judicial independence. In a nutshell, judicial independence simply means creating the necessary guardrails to ensure that judges and magistrates are and feel fully protected to make the right decision without fear of reprisal and that the judiciary has the facilities it needs to create an enabling environment to facilitate judges and magistrates’ abilities to undertake that core mandate. Ordinarily, the critical aspects of judicial independence include decisional, operational/administrative as well as financial independence.

Operational independence safeguards the ability of the judiciary to run its affairs without interference from other arms of government or from anyone else. Financial independence on the other hand ensures that the judiciary is well funded and fully in control of its funds so that its core duty (decision-making) is not frustrated by either lack of funds or the possibility of a carrot–and-stick approach where the executive dangles funding to extract the decisions it wants. In this regard, the constitution creates a judiciary fund and places it under the administration of the judiciary. Unfortunately, the national government and the treasury have continued to frustrate the full operationalisation of the judiciary fund.

Centrality of an individual judge’s independence

Importantly, the foundational rationale for judicial independence and its different facets is securing the decision maker’s (judge and magistrate) individual independence. This is commonly referred to as decisional independence. In the end, the judiciary exists for only one reason: to adjudicate disputes. In this regard, the person who is charged with decision making is the one who is the primary beneficiary of judicial independence. Of course, ultimately, everyone benefits from an independent judiciary.

Still, the constitution has specific and high expectation of the decision-maker, including that he or she makes decisions based only on an objective analysis of the law and the facts. The decision maker must not be mesmerised or cowed by power. He or she should never be beholden to power – in the present or the future. Simply put, under the constitution, a decision maker should never have to think about personal consequences that he or she may suffer for making a decision one way or another as long as that decision is based on an honest analysis of the law and the facts. Put a bit differently, the decision maker should never have to make (or even think of calibrating) his or her decision to please those in or with power – either within the judiciary or outside it – with the expectation that it will help him or her to obtain professional favours, promotion or to avoid reprisals.

And this is why Uhuru Kenyatta’s cherry-picking of who should or should not be appointed judge is the greatest threat to judicial independence in Kenya.

But first a quick word on what the constitution says about the process of selecting, appointing and disciplining judges.

Selection and disciplining of judges

Before 2010, the president played a controlling role in the selection of judges. This meant that the surest way to become and remain a judge was by being in the good books of the president and his handlers. The result was that the judiciary was largely an appendage of the executive – and could hardly restrain the abuse of public power by the president or other ruling elites. The 2010 constitutional provisions on the judiciary were deliberately designed to eliminate or highly diminish this vice.

The power to select judges was given to the Judicial Service Commission (JSC), a body representative of many interest groups, the president key among them. Constitutionally, the president directly appoints three of the 11 JSC members: the attorney general and two members representing the public. But with his usual ingenuity at subverting the constitution, Uhuru Kenyatta has added to this list a fourth – by telling the Public Service Commission (PSC) who should be its appointee. Regardless, while there are always endless wars to control the JSC especially by the executive, the many interests represented complicate a full takeover of the JSC by the executive or any other interests. And that is partly what the constitution intended to achieve. The law – which the court has clarified numerous times – is that once the JSC has nominated persons to be judges, the president’s role is purely ceremonial, and one that he performs in his capacity as head of state. He must formally appoint and gazette the appointment of the judges. No ifs, no buts.

This is why Uhuru Kenyatta’s cherry-picking of who should or should not be appointed judge is the greatest threat to judicial independence in Kenya.

In fact, the law further clarifies that not even the JSC can reconsider its recommendation once it has selected its nominees. There is a good reason for this unbendable procedure – it helps to insulate the process from manipulation especially once the JSC has publicly disclosed its judge-nominees. Still, the constitution preserves for the president, the JSC and citizens the option of pursuing a rogue nominee by providing the realistic possibility for the initiation of a disciplinary and removal process of a judge even after appointment if there are legitimate grounds for such action.

In this regard, the JSC also has the responsibility to discipline judges by considering every complaint made against a judge to determine whether there are grounds to start proceedings for removal. It is to be noted that the president has more substantive powers in relation to the removal of judges. This is because if the JSC determines that there are grounds for the removal of a judge, the president’s hand is mostly unrestrained with regards to whom he appoints to sit on the tribunal to consider whether a judge should be removed. Unfortunately, there is an emerging trend that indicates that Uhuru undertakes this task in a biased manner by subjectively selecting tribunal members who will “save” the judges he likes.

The injustice of cherry-picking

Now, back to the injustices of Uhuru’s cherry-picking of judges for appointment.

The injustice is horrific for both the appointed judges and those who are not appointed, especially those of the Court of Appeal. Under the 2010 constitution, you do not become a superior court judge by chance.. For High Court judges nominated to the Court of Appeal, this is earned through hard work, countless sleepless nights spent writing ground-breaking judgments and backbreaking days sitting in court (likely on poor quality furniture) graciously listening to litigants complain about their disputes all day, and then doing administrative work to help the judiciary keep going. All this while maintaining personal conduct that keeps one away from trouble – mostly of the moral kind. Magistrates or other judicial staff who move up the ranks to be nominated judges endure the same.

The injustice is horrific for both the appointed judges and those who are not appointed, especially those of the Court of Appeal

If ever there was a list of thankless jobs, those of judges and magistrate would rank high on the list. It is therefore completely unacceptable that a faceless presidential advisor –  probably sitting in a poorly lit room with depressing décor and a constantly failing wifi connection, and who likely has never met a judge – can just tell the president, “Let’s add so and so to the list of judges without ’integrity’. And by the way, from the last list, let’s remove judge A and add judge Z”. Utterly unfeeling and reckless. Worse, the judge is left to explain to the world what his/her integrity issues are when he or she knows nothing about them.

Psychological tyranny

Cherry-picking also creates a fundamental perception problem. Kenya’s Supreme Court has confirmed that perception independence is a critical element of independence. For litigants appearing before the judges who were appointed in cases involving the president or the executive, it will be hard to shake-off the stubborn but obviously unfair thought that the judge earned the appointment in order to be the executive’s gatekeeper. That is what minds do; they conjure up possibilities of endless, and at times, conspiracy-inspired thoughts. Similarly, those who appear before a judge who was left out will likely believe that the judge – who decides a case impartially but against the executive – is driven by the animus of non-appointment. And you can trust the president’s people to publicly say as much and even create a hashtag for it. Yet such perceptions (of a judge who is thought to favour or be anti-executive) are relevant because justice is both about substance and perception.

And that is the psychological tyranny of Uhuru’s unconstitutional action – for both the judges that have been appointed and to those who have not. It is, indeed, a tyranny against the judiciary and, in a smaller way, against all of us. Perhaps just as Uhuru intended it to be.

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COVID-19 Vaccine Safety and Compensation: The Case of Sputnik V

All vaccines come with medical risks and Kenyans are taking these risks for their protection and that of the wider community. They deserve compensation should they suffer for doing so.

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COVID-19 Vaccine Safety and Compensation: The Case of Sputnik V
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How effective is Kenya’s system for regulating new medicines and compensating citizens who suffer side-effects from taking them? Since March 2021, Kenya has been using the AstraZeneca vaccine supplied through  COVAX to inoculate its frontline workers and the older population. This is available to the public free of charge, according to a priority list drafted by the Ministry of Health (MOH). The Pharmacy and Poisons Board (PPB) also approved the importation of the Sputnik V vaccine from Russia, which was initially available through private health facilities only at a cost of KSh8,000 per jab, before the MOH banned it altogether. However, there were reports in the media that the vaccine continued to be administered secretary even after the ban.

Although side effects are rare, we know that all vaccines come with certain medical risks. Kenyans taking vaccines run these risks not just for their own protection, but also for that of the wider community. The state has a responsibility to protect citizens by carefully controlling the distribution of vaccines and by ensuring that adequate and accessible compensation is available where risks materialise. These duties are enshrined in the constitution which guarantees the right to health (Article 43) and the rights of consumers (Article 46).

A system of quality control before the deployment and use of medicines is set out in the Pharmacy and Poisons Act the Standards Act, the Food, Drugs and Chemical Substances Act and the Consumer Protection Act. However, the controversy over Sputnik V in Kenya has cast doubt on the coherence and effectiveness of this patchwork system. Moreover, none of these Acts provides for comprehensive compensation after deployment and use of vaccines.

Vaccine approval and quality control

Subject to medical trials and in line with its mandate to protect global health, WHO has recommended specific COVID-19 vaccines to states. Generally, WHO recommendations are used as a form of quality control by domestic regulators who view them as a guarantee of safety and effectiveness. However, some countries rely exclusively on their domestic regulators, ignoring WHO recommendations. For instance, the UK approved and administered the Pfizer vaccine before it had received WHO approval.

The COVAX allocation system fails to take into account the fact that access to vaccines within countries depends on cost and income.

By contrast, many African states have relied wholly on the WHO Global Advisory Committee on Vaccine Safety given their weak national drug regulators and the limited capacity of the Africa Centre for Disease Control (CDC). The Africa CDC itself deems vaccines safe for use by member states on the basis of WHO recommendations. Kenya has a three-tier approval system: PPB, Kenya Bureau of Standards and WHO. The PPB relies on the guidelines for emergency and compassionate use authorisation of health products and technologies. The guidelines are modelled on the WHO guidelines on regulatory preparedness for provision of marketing authorization of human pandemic Influenza vaccines in non-vaccine producing countries. However, prior to approval by PPB, pharmaceuticals must also comply with Kenya Bureau of Standards’  Pre-Export Verification of Conformity standards .

Vaccine indemnities and compensation 

To minimise liability and incentivise research and development, companies require states to indemnify them for harm caused by vaccines as a condition of supply. In other words, it is the government, and not manufacturers, who must compensate them or their families where required. Failure to put such schemes in place has undermined COVID-19 vaccine procurement negotiations in some countries such as Argentina.  Indemnities can be either “no-fault” or “fault”-based’.

No-fault compensation means that victims are not required to prove negligence in the manufacture or distribution of vaccines. This saves on the often huge legal costs associated with tort litigation. Such schemes have had a contested history and are more likely to be available in the Global North. By contrast citizens of countries in the Global South must rely on the general law, covering areas such as product liability, contract liability and consumer protection. These are usually fault-based, and require claimants to show that the vaccine maker or distributor fell below widely accepted best practice. Acquiring the evidence to prove this and finding experts in the sector willing to testify against the manufacturer can be very difficult.

By default, Kenya operates a fault-based system, with some exceptions. Admittedly, citizens have sometimes been successful in their claims, as in 2017 when the Busia County Government was ordered by the High Court to compensate victims of malaria vaccines. The High Court held that county medics were guilty of professional negligence, first by not assessing the children before administering the vaccines, and second by allowing unqualified medics to carry out the vaccination.

The problem is that the manufacturer has not published sufficient trial data on the vaccine’s efficacy.

In recognition of these difficulties, and in order to ensure rapid vaccine development during a global pandemic, WHO and COVAX have committed to a one-year no-fault indemnity for AstraZeneca vaccines distributed in Kenya. This will allow victims to be compensated without litigation up to a maximum of US $40,000 (approx. KSh4 million). To secure compensation, the claimant has to fill an application form and submit it to the scheme’s administrator together with the relevant evidentiary documentation. According to COVAX, the scheme will end once the allocated resources have been exhausted. The scheme also runs toll-free telephone lines to provide assistance to applicants, although the ministries of health in the eligible countries are also mandated to help claimants file applications.

Beneficiaries of the no-fault COVAX compensation scheme are barred from pursuing compensation claims in court. However, it is anticipated that some victims of the COVAX vaccines may be unwilling to pursue the COVAX scheme.  At the same time, since the KSh4 million award under COVAX  is lower than some reliefs awarded by courts in Kenya, some claimants may avoid the restrictive COVAX compensation scheme and opt to go to court. Because such claimants may instead sue the manufacturer, COVAX requires countries to indemnify manufacturers against such lawsuits before receiving its vaccines.

Sputnik V 

Sputnik V is different. Neither the WHO-based regulatory controls before use, nor the COVAX vaccine compensation scheme after use applies. Sputnik has not been approved by WHO or the Africa CDC. The PPB approved its importation in spite of the negative recommendation of Africa CDC, and in the face of opposition from the Kenya Medical Association. The rejection of Sputnik in countries like Kenya is partly due to the reluctance of Russia’s Gamaleya Institute to apply for WHO approval, partly because the manufacturer has not published sufficient trial data on the vaccine’s efficacy, and partly due to broader mistrust of the intentions of the Russian state. This may be changing as Africa CDC Regulatory Taskforce and European Medicines Agency are now reviewing the vaccine for approval while 50 countries across the globe have either approved its use- or are using it already. In Africa, Ghana  Djibouti, Congo and Angola have approved the use of Sputnik V with Russia promising to donate 300 million doses to the African Union. Such approvals have been hailed for providing an alternative supply chain and reducing overreliance on the West.

As regards compensation, Russia has indicated that it will provide a partial indemnity for all doses supplied. However, no clear framework has been set out on how this system will work. There has therefore been no further detail on the size of awards, and whether they will be no-fault or fault-based. This lack of legal specifics has added to the reluctance of countries around the world to adopt the vaccine.

As matters stand, therefore, the Kenyan government would not be able to indemnify private clinics importing and administering Sputnik V. The absence of a statutory framework on vaccine compensation by the state makes this possibility even less likely. Nor would compensation be available from the Gamaleya Institute. The only route then would be through affected citizens taking cases based on consumer protection legislation and tort law in the Kenyan courts. As we have noted, this is complex and costly. Claims might be possible in Russia, but these problems would be exacerbated by language barriers and differences between the legal systems, as well as the ambiguity of the Russian compensation promises.

The private sector can complement state vaccination efforts, but this must be done in a way that guarantees accessibility and safety of citizens.

Although the importers obtained a KSh200 million insurance deal with AAR as a precondition for PPB authorisation, the amount per claimant was restricted to KSh1 million, which is well below the WHO rates and the average tort rates ordered by Kenyan courts.  As an alternative to claiming against the manufacturers and distributors, injured patients might sue the Kenyan government. Such a claim would allege state negligence and dereliction of statutory and constitutional duties for allowing the use of a vaccine that has not been approved by global regulators such as WHO, thus exposing its citizens to foreseeable risks. This would be particularly attractive to litigants given the difficulties in recovering from the Russian authorities and the risk that Kenyan commercial importers would not be able to meet all possible compensation claims. Ironically, the use of the Sputnik V vaccine in private facilities still exposes the government to lawsuits even if it didn’t facilitate the vaccine’s importation and distribution.

What the government needs to do

The acquisition of vaccines has been undermined by the self-interested “nationalism” of states in the Global North. Only after buying up the greater part of available vaccines have they been willing to offer donations to the rest of the world. These highly publicised commitments fall far short of what is required in the Global South. Kenya’s first task must be to intensify its diplomatic efforts to increase supply through bilateral engagement with vaccine manufacturing states and in multilateral fora like the World Trade Organization, acting in alliance with other African states. Such steps are only likely to bear fruit in the medium term, however. In the short term, it is certainly sensible to involve private companies in vaccine procurement and distribution in order to supplement the supplies available through COVAX. This is recognised in Kenyan and international law as an acceptable strategy for securing the right to health. But it must be done in a way that guarantees accessibility and the safety of citizens. Accordingly, Kenya should encourage Russia (and all vaccine manufacturers) to publish full trial data showing effectiveness and risks, and to seek WHO approval on this basis. It should require them to establish and publicise detailed indemnity frameworks to allow for comprehensive and accessible compensation. It should acknowledge that citizens accepting vaccines are not only protecting themselves, but also the wider national and global community. With adequate regulation before use, the risk of doing so can be minimised and made clearer. But some risk remains, and those who run it deserve to be compensated for doing so. It is therefore imperative for Kenya to establish its own no-fault indemnity scheme for all state-approved vaccines, including those imported by the private sector.

This article draws from COVID-19 in Kenya: Global Health, Human Rights and the State in a time of Pandemic, a collaborative project involving Cardiff Law and Global Justice, the African Population and Health Research Centre, and the Katiba Institute, funded by the Arts and Humanities Research Council (UK).

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Gone Is the Last Of the Mohicans: Tribute to Kenneth Kaunda

As we mourn President Kaunda, my prayer is that the death of this great African son and leader will remind us of the sacrifices that he and his contemporaries who fought for Africa’s independence made.

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Gone Is the Last Of the Mohicans: Tribute to Kenneth Kaunda
Photo: Flickr/GovernmentZA
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17 June 2021

Tonight, I was welcomed in Addis Ababa, Ethiopia, by the sad news of the death of the first President of the Republic of Zambia and a founding father of the nation, His Excellency Dr. Kenneth Kaunda.

In this moment of great loss to Zambians and indeed all Africans, I wish to express my heartfelt condolences to the Kaunda family, President Edgar Lungu, and the government and people of the Republic of Zambia.

The demise of President Kaunda at the grand old age of 97 years brings to end the pioneers and forefathers who led the struggles for decolonisation of the African continent and received the instrument of Independence from the colonial masters in Africa.

Let all Africans and friends of Africa take solace in the knowledge that President Kaunda has gone home to a well-deserved rest and to proudly take his place beside his brothers such as Jomo Kenyatta of Kenya, Kwame Nkrumah of Ghana, Julius Nyerere of Tanzania, Habib Bourguiba of Tunisia, Léopold Sédar Senghor of Senegal, Nnamdi Azikiwe of Nigeria, Ahmed Sékou Touré of Guinea, Félix Houphouët-Boigny of Côte d’Ivoire, Patrice Lumumba of Congo, Nelson Mandela of South Africa to name but a few.

All of them, without exception, were nationalists who made sacrifices in diverse ways. Some, like Patrice Lumumba, untimely lost their lives soon after independence. We are consoled that God granted President Kaunda long life to witness the progression of Africa through five decades of proud and not-so proud moments.

In December 2015, I visited President Kaunda at his home in Lusaka in what was to be our last meeting. As we discussed about everything from family to politics in our two countries and indeed in Africa generally, I asked him if the Africa that we have today is the Africa for which he and his contemporaries struggled and fought. President Kaunda was visibly pained in his response and at some point he broke down and wept. It was obvious to me how disappointed he was about some of the challenges that have plagued our continent for decades since independence.

As we mourn President Kaunda, my prayer is that the death of this great African son and leader will remind us of the sacrifices that he and his contemporaries who fought for Africa’s independence made. Let it remind us of the vision that they had for Africa; their hopes and aspirations; their dream for a free, strong, united and prosperous Africa. Let us, African leaders and people, never let the labour of these heroes past be in vain.

Rest well, KK. Africa is free and will be great.

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