Civil protection volunteers engaged in health checks at the "Milano Malpensa" airport. This week a joint team between WHO and the European Centre for Disease Prevention and Control arrived in Rome to review the public health measures put in place to prevent the spread of the coronavirus. Courtesy: Dipartimento Protezione Civile

By Samira Sadeque
UNITED NATIONS, Feb 28 2020 (IPS)

Just a month since the World Health Organization declared the Coronavirus a public health emergency, it is now taking steps to contain misinformation being spread about the disease. Globally, there have been more than 82,000 cases of Coronavirus, which has claimed 2,800 lives — the majority being in China, where the disease has been traced to. 

On Thursday, United Nations Secretary General António Guterres reiterated at a talk in New York that it’s not yet a pandemic but urged people to practice caution. 

“We are not yet in a pandemic, but there is a clear risk there and the window of opportunity to avoid it is narrowing,” he said, adding that governments must do everything possible to stop the transmission and to do it now. He also expressed his concern about countries in the developing world that “lack the capacity” to address the massive scale of the issue. 

“This is still the moment to ask for countries to contain the disease and to do everything possible to contain the disease because we’re not yet in an irreversible pandemic,” he said. 

He urged people to avoid stigmatising the illness, and to “have a human rights approach to the way this disease is fought”.

However, as health officials around the world continue to gear up for the disease, which seemingly has no cure, there is another aspect of the crisis to be dealt with: misinformation about it spreading on the internet. 

David P. Fidler, a senior fellow for cybersecurity and global health at the non-profit think tank, Council on Foreign Relations, detailed the issue of misinformation and the harm it does during a health emergency like this. 

“Disinformation threatens health because it undermines confidence in the underlying science, questions the motivations of health professionals, politicises health activities, and creates problems for responses to disease challenges,” he wrote in 2019 about how disinformation during an Ebola outbreak was a major concern. 

He went on to explain that it has historic roots: often, illnesses are mistakenly associated or linked to immigrants or a foreign country in order to perpetuate xenophobic sentiments.

“Spreading misinformation about diseases was a tactic of disinformation campaigns by governments before the social media era,” he wrote. 

IPS caught up with Fidler on how misinformation in the current situation can exacerbate the crisis:

Inter Press Service (IPS): Usually during a crisis like this (or in the past during Ebola or SARS), what is the main challenge in containing misinformation being spread?

David Fidler (DF): In past outbreaks, two factors typically converged to produce problems from information and misinformation: uncertainty about the outbreak on the part of national and international health officials making efforts to address the disease, and lack of trust in the population in the information provided by official sources. These factors appeared in disease outbreaks before the advent of social media, and the scale and intensity of information and misinformation circulating on social media platforms exacerbates the two factors noted above.

In addition, the ease with which misinformation can be spread and amplified on social media has become yet another factor public health officials have to address in dealing with outbreaks. Social media even makes communicating accurate information more difficult. I have seen, across my Twitter feed, a cacophony of attempts to share information that has frustrated experts trying to identify and share the latest information about COVID-19.

IPS: What leads to misinformation during times like this?

DF: In the past, people with political agendas would exploit the fear that serious outbreaks create to produce and spread misinformation. Such misinformation in essence weaponised the outbreak for other political purposes. In the age of social media, this “weaponisation” of outbreaks for political purposes has become, for lack of a better term, industrialised by state and non-state actors exploiting the potential of social media to spread misinformation on a scale and at a speed never seen before, especially in the public health context.

IPS: What, in your opinion, is currently the biggest misunderstanding about the Coronavirus?

DF: We are seeing, I think, a “triple burden” in the information space concerning COVID-19. First, international and national health officials are struggling to communicate information concerning a new virus about which much is not known.

However, at the international level, WHO has made the information climate worse by praising China’s response even though much of what China has done in trying to address the outbreak in its territory is not consistent with WHO’s recommendations on the outbreak or WHO’s emphasis in the past on responses to outbreaks that do not unnecessarily restrict trade, travel, and human rights. WHO’s credibility, I think, has taken a massive hit. At the national level, we see, for example, the current circus in the U.S. government about communicating to the American people about the outbreak, and I imagine other national governments are also scrambling to get the “messaging” right.

What’s astonishing to me, having studied outbreaks for nearly three decades, is that this communication problem continues to flummox national and international health officials just about every single time–so that “lesson learned” is apparently never actually learned.

Second, we are seeing the weaponisation of the outbreak in the misinformation being circulated for different political purposes. For me, this outbreak is different in that the weaponisation has connected to the change in geopolitics, with the rise of China and worries about China’s growing power and influence sharpening and broadening criticism of China’s response to the outbreak. Here, unlike Ebola in Africa, we have the outbreak entangled with the increasing rawness of balance of power politics between the United States and China.

Third, we have the social media effect where state and non-state actors are spreading misinformation widely and rapidly in a context where no government or international organisation has any effective policy responses to address this problem.

IPS: What is your recommendation to the following sections of society to do their role in making sure misinformation doesn’t spread:

DF: Policymakers: The touchstones of effective communication during outbreaks have been studied and promulgated frequently, so follow the playbook, including making the most up-to-date information available with great frequency across media outlets in ways accessible to people, and include in the information advice on any steps individuals can take to protect themselves and their families. Rinse and repeat, again and again as the outbreak evolves. The information/misinformation environment is more competitive now because of social media, but the basic principles of effective communication in a crisis context remain valid even amidst more noise.

DF: Institutions such as schools and workplaces: School and company leaders should monitor information being released by the U.S. Centres for Disease Control and translate that information into actionable steps and plans for the school context and for specific workplace contexts. Again, be fast, frequent, and user-friendly with the information that school and company leaders provide to students and employees.

Individuals: Do not rely solely on social media for information about the COVID-19 outbreak and how it might affect you and your family. Visit and re-visit the information provided by the U.S. Centres for Disease Control and translate that information into your individual and family circumstances. 

• In order to tackle the misinformation concerns, WHO launched its EPI-WIN initiative, which aims to provide users with timely and accurate information while also filtering through “infodemics”, which the organisation describes as “excessive amount of information about a problem that makes it difficult to identify a solution”. 

Iraqi President Fouad Massoum said this past week that the government was looking for an independent Sunni Muslim to fill the post of defense minister in an effort to improve chances of reunifying the country and defeating the group that calls itself the Islamic State (IS).

Massoum, in his first extended comments to a U.S. audience since his recent selection as president of Iraq, also said Sept. 26 that Iraqi Kurds – while they might still hold a referendum on independence – would not secede from Iraq at a  time of such major peril.

“Today there is no possibility to announce such a state,” Massoum, a Kurd and former prime minister of the Kurdish region, told a packed room at the Council on Foreign Relations in New York.

“Forming a Kurdish state is a project, and a project like that has to take into account” the views of regional and other countries and the extraordinary circumstances of the current terrorist menace to Iraq.

Kurdish threats to hold a referendum and declare independence were widely seen as leverage to force the resignation of former Iraqi Prime Minister Nouri al-Maliki. Maliki,also under pressure from President Barack Obama’s administration, Iraqi Sunnis and Iran, stepped down to allow a less  polarizing member of his Shi’ite Dawa party – Haider al-Abadi – to take the top job.

Abadi, however, has been unable so far to get parliament to approve his choices for the sensitive posts of defense and interior ministers. Queried about this, Massoum said, “There seems to be some understanding that the minister of defense should be Sunni and there is a search for an independent Sunni.”

As for interior minister, Massoum said, they were looking for an “independent Shiite” to take the post.

For the time being, Abadi is holding the portfolios, but unlike his predecessor, who retained them, has clearly stated that he does not want to assume those responsibilities for long. Massoum said a decision was likely after the coming Muslim holiday, the Eid al-Adha.

The Iraqi president also said there was progress on a new arrangement for sharing Iraq’s oil revenues, a major source of internal grievances under Maliki. A decision has been made that each of the regions will have representation on a higher oil and gas council, Massoum said. He also expressed confidence in Iraq’s new oil minister, Adel Abdel-Mahdi.

Asked whether Iraq would split into three countries – as Vice President Joe Biden once recommended – Massoum said there might be an eventual move toward a more confederal system but “partitioning Iraq … into three independent states is a bit far-fetched, especially in the current situation.”

Massoum began his remarks with a fascinating explanation of how IS – which he called ISIS, for the Islamic State of Iraq and al-Shams – came into being. He said the group began “as a marriage” between nationalist military officers and religious extremists that took place when they were in prison together while the U.S. still occupied Iraq.

The notion of combining Iraq with the Levant – made up of Lebanon, Syria, Palestine and Jordan – is actually an old Arab nationalist concept, Massoum said.

As for the religious aspects of the movement, Massoum traced that to the so-called Hashishin – users of hashish. This Shiite group, formed in the late 11th century, challenged the then-Sunni rulers of the day, used suicide attacks and were said to be under the influence of drugs. The English word “assassin” derives from the term.

“Many times these terrorist practices [were used] in the name of a religion or a sect,” Massoum said.

He praised the United States for coming to the aid of Iraqis and Kurds against IS and also expressed support for the recent bombing of IS and Jabhat al-Nusra positions in Syria. But Massoum sidestepped repeated questions about whether such strikes would inadvertently bolster the regime of Syrian President Bashar al-Assad.

“Hitting ISIS in Syria should not mean this is to support the regime or as a beginning to overthrowing Bashar al-Assad,” Massoum said. “That’s why the attacks are limited.”

Asked about Iraqi relations with Iran and whether the Iraqis and Kurds were serving as go-betweens for the United States and Iran in mutual efforts to degrade IS, Massoum noted Iraq’s historic relations with its neighbour and that Iraq also had common interests with the United States.

“We don’t look at America with Iranian eyes and we don’t look at Iran with American eyes,” Massoum said. He evaded questions about Iran’s military role in Iraq, saying that while he had heard reports that Quds Force Chief Qasem Soleimani had visited the Kurdish region, requests for a meeting were not fulfilled.

As for Iranian military advisers who were said to have helped liberate the town of Amerli and relieve the siege of Mt. Sinjar, Massoum said, there were “many  experts” who had come to help the Kurdish peshmerga forces.

Massoum attributed the collapse of the Iraqi army at Mosul to poor leadership, corruption and decades of setbacks starting with Saddam Hussein’s invasion of Iran in 1980. This was followed a decade later by his invasion of Kuwait and subsequent refusal to cooperate with the international community.

“These blows all had an impact on the psychology of the commanders and soldiers,” Massoum said. Iraqi armed forces have gone “from failure to failure.”

The president confirmed that under the new Iraqi government, each governorate will have its own national guard made up of local people. This concept – which may be partly funded by the Saudis and other rich Gulf Arabs – is an attempt to replicate the success of the so-called sons of Iraq by motivating Sunni tribesmen to confront IS as they previously did al-Qaeda in Iraq.

Asked what would happen to Shi’ite militias – which have committed abuses against Sunnis and helped alienate that population from Baghdad – Massum said the militias would eventually have to be shut down but only after the IS threat had been eliminated. He did not indicate how long that might take.

Massum was also asked about reported IS plots against U.S. and French subway systems. Abadi earlier this week made reference to such plots, but U.S. officials said they had no such intelligence.

Iraqi officials accompanying Massoum, who spoke on condition that they not be identified, said Abadi had been misinterpreted and was referring only to the types of attacks IS might mount in the West. Massoum warned, however, that “sleeper cells” in the West as well as in Iraq might be planning terrorist attacks.

Asked about Turkey – which has been reticent about aiding Iraq against IS – Massoum, who met at the U.N. this week with Turkish President Recep Tayyip Erdogan, said he expected more help now that 49 Turkish hostages in Mosul have been freed.

Massoum also urged Turkey to do a better job vetting young men who arrive there from Europe and America, and prevent them from reaching border areas and slipping into IS-controlled areas in Syria.

Edited by Kanya D’Almeida

Sierra Leone and Liberia alone could have a total of more than 20,000 new cases of Ebola within six weeks and as many as 1.4 million by Jan. 20, 2015, if the virus continues spreading at its current rate. Credit: European Commission DG ECHO/CC-BY-ND-2.0

By Jim Lobe
WASHINGTON, Sep 26 2014 (IPS)

Despite mounting pledges of assistance, the continuing spread of the deadly Ebola virus in West Africa is outpacing regional and international efforts to stop it, according to world leaders and global health experts.

“We are not moving fast enough. We are not doing enough,” declared U.S. President Barack Obama at a special meeting on the Ebola crisis at the United Nations in New York Thursday. He warned that “hundreds of thousands” of people could be killed by the epidemic in the coming months unless the international community provided the necessary resources.

He was joined by World Bank President Jim Yong Kim who announced his institution would nearly double its financing to 400 million dollars to help the worst-affected countries – Guinea, Liberia, and Sierra Leone – cope with the crisis.

“We can – we must – all move more swiftly to contain the spread of Ebola and help these countries and their people,” according to Kim, much of whose professional career has been devoted to improving health services for people around the world.

“Generous pledges of aid and unprecedented U.N. resolutions are very welcome. But they will mean little, unless they are translated into immediate action. The reality on the ground today is this: the promised surge has not yet delivered." -- Joanne Liu, international president of Doctors Without Borders (MSF)
“Too many lives have been lost already, and the fate of thousands of others depends upon a response that can contain and then stop this epidemic,” he said.

Indeed, concern about the spread of the epidemic has increased sharply here in recent days, particularly in light of projections released earlier this week by the Atlanta-based U.S. Center for Disease Control and Prevention (CDC), which has sent scores of experts to the region. It found that Sierra Leone and Liberia alone could have a total of more than 20,000 new cases of Ebola within six weeks and as many as 1.4 million by Jan. 20, 2015, if the virus continues spreading at its current rate.

Moreover, global health officials have revised upwards – from 55 percent to 70 percent – the mortality rate of those infected with the virus whose latest outbreak appears to have begun in a remote village in Guinea before spreading southwards into two nations that have only relatively recently begun to recover from devastating civil wars.

Officially, almost 3,000 people have died from the latest outbreak, which began last spring. But most experts believe the official figures are far too conservative, because many cases have not been reported to the authorities, especially in remote regions of the three affected countries.

“Staff at the outbreak sites see evidence that the numbers of reported cases and deaths vastly underestimate the magnitude of the outbreak, according to the World Health Organisation (WHO), which is overseeing the global effort to combat the virus’s spread.

In addition to the staggering human costs, the economic toll is also proving dire, if not catastrophic, as the fear of contagion and the resort by governments to a variety of quarantine measures have seriously disrupted normal transport, trade, and commerce.

In a study released last week, the World Bank found that inflation and prices of basic staples that had been contained during the last few months are now rising rapidly upwards in response to shortages, panic buying, and speculation.

The study, which did not factor in the latest CDC estimates, projected potential economic losses for all three countries in 2014 at 359 million dollars – or an average of about a three-percent decline in what their economic output would otherwise have been.

The impact for 2015 could reach more than 800 million dollars, with the Liberian economy likely to be hardest hit among the three, which were already among the world’s poorest nations.

“This is a humanitarian catastrophe, first and foremost,” Kim said Thursday. “But the economic ramifications are very broad and could be long lasting. Our assessment shows a much more severe economic impact on affected countries than was previously estimated.”

Moreover, security analysts have warned that the epidemic could also provoke political crises and upheaval in any or all of the affected countries, effectively unravelling years of efforts to stabilise the region.

In a statement released Tuesday, the Brussels-based International Crisis Group (ICG) warned that the hardest hit countries already “face widespread chaos and, potentially, collapse,” in part due to the distrust between citizens and their governments, as shown by the sometimes violent resistance to often military-enforced quarantine and other official efforts to halt the virus’s spread. Food shortages could also provoke popular uprisings against local authorities.

“In all three countries, past civil conflicts fuelled by local and regional antagonisms could resurface,” according to the ICG statement which warned that the virus could also spread to Guinea-Bissau and Gambia, both of which, like the three core nations, lack health systems that can cope with the challenge.

Obama, who Friday will host 44 countries that have enlisted in his administration’s Global Health Security Agenda, himself echoed some of these concerns, stressing that containing Ebola “is as important a national security priority for my team as anything else that’s out there.”

Earlier this month, WHO estimated that it will cost a minimum of 600 million dollars – now generally considered too low a figure –to halt the disease’s spread of which somewhat more than 300 million dollars has materialised to date.

The U.S. has so far pledged more than 500 million dollars and 3,000 troops who are being deployed to the region, along with the CDC specialists. Even that contribution has been criticised as too little by some regional and health experts.

“…[T]he number of new Ebola cases each week far exceeds the number of hospital beds in Sierra Leone and Liberia,” according to John Campbell, a West Africa specialist at the Council on Foreign Relations (CFR), who cited a recent article in the ‘New England Journal of Medicine’.

“It is hard to see how President Obama’s promise to send 3,000 military personnel to Liberia to build hospitals with a total of 1,700 beds can be transformative,” he wrote on the CFR website. “The assistance by the United Kingdom to Sierra Leone and France to Guinea is even smaller,” he noted.

A number of foundations have also pledged help. The Bill and Melinda Gates Foundation, which has spent billions of dollars to improve health conditions in sub-Saharan Africa, has committed 50 million dollars, while Microsoft co-founder Paul Allen’s foundation has pledged 65 million dollars to the cause. The California-based William and Flora Hewlett Foundation announced Thursday it had committed five million dollars to be channelled through half a dozen non-governmental organisations.

But whether such contributions will be sufficient remains doubtful, particularly given the dearth of trained staff and adequate facilities in the most-affected countries and the speed at which the pledged support is being delivered – a message that was underlined here Thursday by Joanne Liu, international president of Doctors Without Borders (MSF), which has been deeply engaged in the battle against Ebola.

“Generous pledges of aid and unprecedented U.N. resolutions are very welcome,” she said. “But they will mean little, unless they are translated into immediate action. The reality on the ground today is this: the promised surge has not yet delivered,” she added.

“Our 150-bed facility in Monrovia opens for just thirty minutes each morning. Only a few people are admitted – to fill beds made empty by those who died overnight,” she said. “The sick continue to be turned away, only to return home and spread the virus among loved ones and neighbours.”

“Don’t cut corners. Massive, direct action is the only way,” she declared.

Obama himself repeatedly stressed the urgency, comparing the challenge to “a marathon, but you have to run it like a sprint.”

“And that’s only possible if everybody chips in, if every nation and every organisation takes this seriously. Everybody here has to do more,” he said.