Showing posts with label Cuba. Show all posts
Showing posts with label Cuba. Show all posts

September 16, 2021

Political Report #1461 Castillo's Path


Castillo's Path

By: Tony Wood
30 August 2021


Nearly two months after Pedro Castillo’s narrow victory in Peru’s second-round runoff, the new president has only just managed to get his first cabinet appointed. The 73 to 50 vote through which the Peruvian Congress approved the ministers on 27 August came at the end of several weeks of obstruction and outcry from the opposition. This included a prolonged refusal by Keiko Fujimori, the defeated candidate, to acknowledge the result, as well as yet more of the hysterical redbaiting that had marked the presidential campaign. The turbulent weeks since the 6 June election provide a depressingly clear indication of what Castillo can expect in the months (and indeed years) ahead; yet at the same time, they also amply demonstrate the profound dysfunction that brought him to power in the first place.


The Peruvian political establishment has in many ways still not recovered from the initial shock of the first round of voting on 11 April. Though the field was crowded, few expected Castillo, the former leader of the teachers’ union and a native of the northern province of Cajamarca, to emerge as the front-runner with 18% of the vote. Still more surprising was that he did so as the candidate of Perú Libre, an avowedly Marxist-Leninist party, in a country still sharply polarized by the legacies of the Shining Path insurgency and state repression of the 1980s and 1990s.


The campaign for the second-round runoff duly brought a crescendo of anti-communist outrage. In Peru the specific form this takes is terruqueo ­– ‘calling someone a terrorist’; that is, tainting anyone on the left by (imaginary) association with the Shining Path – though the media also conjured the reliable spectres of Cuba and Venezuela. Such was the need for elite unity in the face of the supposed Communist threat that Nobel laureate Mario Vargas Llosa, who in both the 2011 and 2016 elections had branded Keiko Fujimori a threat to democracy, now hailed her as the representative of ‘freedom and progress’.


The scare tactics almost worked: in the run up to 6 June, Castillo’s poll lead narrowed day by day. But when the votes were finally counted, he had edged home by a mere 44,250 votes – a nationwide margin of 0.2%. The miniscule gap between the candidates’ totals concealed a yawning geographical divide, however. Across much of the country’s interior, especially the poorer highland departments, Castillo won by crushing margins. Five Andean departments – Apurímac, Ayacucho, Cusco, Huancavelica, Puno – reported scores of over 80% for Castillo; in Puno, which borders Bolivia, his total was a staggering 89%. Altogether, Castillo carried 16 of Peru’s 25 departments, in areas that account not only for the lion’s share of the national territory, but also for some of its deepest deprivation. At the same time, it is from these areas that Peru’s mineral wealth is extracted, while the benefits of the boom of the late 2000s and early 2010s were mostly felt elsewhere. Hence the resonance of Castillo’s campaign slogan: ‘No more poor people in a rich country.’


Yet Fujimori carried the more populous coast – most notably the capital, Lima, which contains 30% of the national population, and which she won by 31 percentage points. (Her margin of victory in Lima department, which surrounds the capital region and stretches as far as the Andes, was only 7%.) While there are many complexities to consider – there is much poverty on the coast, too – the disparities of Peru’s geography largely account for the fact that Castillo’s victory provided both a resounding, historic rebuke to coastal dominance and at the same time the slimmest possible mandate.


Fujimori immediately contested the result, alleging ‘systematic fraud’ and demanding that as many as 200,000 votes be annulled. Some of her allegations involved scarcely concealed racism: the votes Fujimori contested were from the predominantly indigenous highlands, and in one case her campaign complained that too many of the election officials had the same surname, and therefore must be related. (In indigenous areas, surnames often recur regardless of kinship.) Though Fujimori’s legal challenges lacked any basis, it took weeks for the courts to exhaust them, delaying Castillo from formally taking office until 28 July. The day of the inauguration was also the two-hundredth anniversary of Peru’s independence from Spain, but the historic occasion was clouded by the ongoing uncertainties of the presidential transition.


Far from winding down with Castillo’s assumption of power, the Peruvian opposition’s campaign to cripple his presidency simply entered a new phase. By August this had come to centre on the designation of the cabinet – usually a formality for a newly elected administration, but this time the focal point of another round of terruqueo and obstruction. The first casualty was Héctor Béjar, a leftist guerrilla in the 1960s who then worked for the progressive military dictatorship of Juan Velasco Alvarado in the 1970s, and has since remained one of Peru’s most prominent radical public intellectuals. His appointment as foreign secretary augured well for the country’s hemispheric policy, not least his vow to remove Peru from the Lima Group, the anti-Maduro coalition formed in 2017. But in mid-August videos surfaced of him making critical comments about the Peruvian Navy and accusing the CIA of funding the Shining Path, and within days he had been forced to resign. (His replacement, Oscar Maúrtua, a career diplomat who also served as foreign secretary from 2005–2006, was a calculatedly unprovocative choice.)


This was an abrupt retreat, and the opposition smelled blood. The day after Béjar’s exit, Lady Camones of the centre-right Alliance for Progress Party told the media that ‘the resignation of the foreign secretary is definitely not enough’. The next target was, if not the entire cabinet, then at least Castillo’s choice of premier, Guido Bellido. Born in 1979 in a rural district of Cusco in Peru’s southern highlands, Bellido is a native Quechua speaker, which in itself brings forth a visceral reaction from elites in Lima. For instance, when Bellido began his address to Congress on 26 August in Quechua, which is one of Peru’s official languages, he was interrupted by deputies complaining they did not understand. Both Castillo and Bellido very much cast themselves as representatives of ‘Perú Profundo’, the country’s long marginalized interior. In that sense, the tussle over Bellido’s appointment is a microcosm of the historic tension between coast and highlands.


But there is a more specific political backdrop to the opposition’s targeting of Bellido, in which Bellido himself is not even the central player. A loyal cadre of the Perú Libre party, Bellido is widely seen as a proxy for the party’s leader, Vladimir Cerrón – a 50-year-old Cuban-trained neurosurgeon and former governor of Junín in the central highlands. It was Cerrón who founded Perú Libre in 2008, initially as a vehicle for achieving power at the regional level. He was elected as Junín’s governor in 2011 and then again in 2018; but in August 2019, seven months into his term, he was removed from office after receiving a criminal conviction for corruption. Further cases against him are pending, including one launched in July 2021 for money-laundering, and another in August 2021 against him and Bellido for ‘terrorism’ over supposed links to Shining Path remnants.


Both Cerrón and Bellido have denied any such connections, but the right has seized on Cerrón’s unabashed embrace of Marxism to paint him as a terrorist sympathizer. Cerrón’s harsh criticism of state repression during the armed conflict of the 1980s and 1990s also puts him outside the ideological pale. (Personal factors play a role here, too: his father, Jaime Cerrón Palomino, was a respected leftist academic in Huancayo who was kidnapped and killed in 1990 by state-run paramilitaries; in the wake of testimony given to Peru’s Truth and Reconciliation Commission in 2002, four generals were charged with the murder, but they have yet to be tried.)


Keeping Cerrón away from effective power is the opposition’s real goal. No doubt personal animus plays a role, as does the whiff of crookedness surrounding Cerrón – though on that front, most of Peru’s Congress doesn’t have a straight leg to stand on. But the core of the contention over the incoming cabinet was the opportunity it provided for driving a wedge between Castillo and Perú Libre. The former’s ascent was already enough of a blow for Lima’s political establishment. Still more alarming for them was the success of Perú Libre in the legislative elections, held in April at the same time as the first round of the presidential vote. From having no seats in Congress at all, Perú Libre went to being the largest single party with 37 representatives. Fujimori’s Fuerza Popular garnered only 24 seats – an improvement on the 15 it gained in the 2020 snap election, but a considerable drop from the 73-seat tally with which it dominated Congress in 2016–20. The remainder of the 130 seats are distributed between a dozen other parties, most of them arranged across a spectrum from centre-right to right.


The new Congress is therefore highly fragmented, which will make governing the country extremely difficult. Perú Libre’s main ally will be Juntos por el Perú, a Syriza-style left coalition led by former presidential candidate Verónika Mendoza. Though it has only 5 seats, it has played a prominent role in the transition, supplying personnel that are undoubtedly more politically experienced than most Perú Libre cadres, but also much more presentable to coastal elites and middle classes. A key example of this is Pedro Francke, Castillo’s pick as finance minister, who had been on Mendoza’s team and was brought in to soothe the markets after Castillo won. (It briefly worked, though the currency nosedived again when Castillo nominated Bellido as premier.) But this raised hackles in Perú Libre: Cerrón has long made clear his dislike of what he terms the ‘caviar left’, and one of the many challenges Castillo faces is how to hold together the very different components of the left on which his government is built.


There are far larger difficulties ahead, however. Well short of a majority, the incoming government will have to cobble together votes for every piece of legislation it puts forward, in a series of confidence-and-supply-type arrangements. Castillo did in the end manage to get his cabinet through Congress – minus Béjar – but the struggle he had in doing so provides a bitter foretaste of things to come. At the same time, both his success and that of Perú Libre are unmistakable symptoms of the profound crisis of the Peruvian political system, which has now experienced several years of rolling dysfunction. A series of corruption scandals, many of them involving the tentacular Brazilian conglomerate Odebrecht, led to the ouster of two presidents in succession, as well as graft charges against leading members of the Peruvian congress, including Keiko Fujimori. (She was released from a second spell in jail in May 2020, but more charges were filed in March 2021, in the midst of the presidential campaign.)


Elsewhere in Latin America – Brazil first and foremost – anti-corruption politics have been successfully weaponized by the right, against a coherent rival for power on the left. In Peru, in the absence of such a left, anti-corruption largely became a means of score-settling within the political class, all too obviously cynical and devoid of actual concern for the fate of the country. It was in part the disillusionment sown by years of this that prompted calls for a new constitution, including protests that led to the removal of a third (albeit interim) president in November 2020.


The sense of crisis was hugely accelerated, of course, by the impact of Covid-19. Peru has been among the countries most drastically affected, suffering catastrophic spikes in deaths and infections from early in the pandemic. Though its total figure of 198,000 deaths to date is dwarfed by the casualties elsewhere in Latin America, proportionally it has been hit much harder: at 609 per 100,000, its incidence of death is more than double that of Brazil, and three times higher than Mexico’s. In a country where 70% of workers are in the informal sector, the pandemic reversed whatever gains had been made over the past decade: between 2019 and 2020, per capita incomes dropped by 20%, and the poverty rate rose from 20% to 30% of the population.


It was these overlapping crises – public health disaster plus deepening political disarray plus the ongoing inequalities wrought by a neoliberal extractive economy – that made possible the dual shock of Perú Libre’s advance and Castillo’s victory. If nothing else, they made it abundantly clear that there can be no return to business as usual. But less clear is how much of a transformation Castillo’s government will be able to bring about, given the political constraints and polarized ideological climate in which it will have to operate. Perú Libre’s platform – originally drafted by Cerrón in February 2020, when the party had no seats in Congress – isn’t necessarily much of a guide to what Castillo’s programme will be. Its proposals range from doubling the health and education budgets to nationalizations of mining concerns, and from a ‘second agrarian reform’ (after the one enacted in the late 1960s by the Velasco regime) to a transition away from neoliberalism to a ‘popular economy with markets’.


The effects of the pandemic mean at least some increases in social spending are likely to get through, but it remains to be seen if Castillo can, for instance, revise mining contracts to give the Peruvian state a higher share of resource rents. Perhaps the proposal that is likeliest to be implemented is the call for a referendum on a new constitution. This was already in the air in Peru in late 2020, inspired by the example of neighbouring Chile, and it seems the only way to secure both a mandate and a framework for overhauling Peru’s neoliberal model.


In this context, it is significant that, besides Lenin and Fidel Castro, the main models mentioned in Perú Libre’s programme are Rafael Correa and Evo Morales. Both these Pink Tide leaders, however, were in much stronger positions than Castillo at the outset of their terms, and even if the referendum were to succeed, the balance of forces in Peru is unlikely to produce as progressive a charter as either Ecuador or Bolivia. But in the absence of such a thoroughgoing democratic renewal, a neoliberal restoration on the old terms doesn’t seem likely either. Far more probable is a prolonged and turbulent interregnum.


Read on: Susan Watkins, ‘Politics and Pandemics’, NLR 125.


Read Original Article Here: Here



September 13, 2021

Political Report #1460 - The Census, Skin Color and Social Analysis

by Esteban Morales Domínguez



Although it still causes many prejudices, misunderstandings and challenges, there is no choice but to pay attention to skin color. Above all, in its consideration within the media and national statistics.

Cuban society is a multiracial society, or rather, multicolored, mestizo. And that reality has to be registered statistically. Not by handling the Census as a simply numerical matter, but as a cultural demographic one.


It is about the fact that color is a legacy of slavery. It is not possible to avoid it, since it has marked Cuban society since its origins.

When the Spaniards arrived in Cuba, in 1492, they did it with white credentials and that is how they stayed. Those who came of their own free will did so in search of a fortune, which they often found.

But Spain is not White. Colonized by the Arabs for 800 years, it is impossible to consider it as such. Even when the Spanish do not assume that identity.


So, the colonizers of our Archipelago were not white. Their power did not consist in being white, but in having arrived with the cross and the sword.


They arrived in a territory of indigenous people, of low culture and they only used them to find gold. They exploited them mercilessly and their population mass did not last long, although we still have representatives of that original population in Cuba.


Chinese also came, brought by means of a system of contracts that turned them into slaves. The so-called “culíes” [coolies], who since then added their beauty to the population of the Island, becoming a part of our nationality. These three large groups were the ones that formed the Cuban population. Later, other Antilleans joined, although not in the magnitude of the first ones, also merging with our population.  

July 28, 2020

Political Report #1448 Long Overdue For Latin America: A New “Good Neighbor Policy” by Medea Benjamin and Steve Ellner posted by Counterpounch

U.S. policy towards Venezuela has been a fiasco. Try as it might, the Trump regime-change team has been unable to depose President Maduro and finds itself stuck with a self-proclaimed president, Juan Guaidó, who President Trump was reported to have called "a kid" who "doesn't have what it takes." The Venezuelan people have paid a heavy price for Trump's debacle, which has included crippling economic sanctions and coup attempts. So has U.S. prestige internationally, as both the UN and the EU have urged lifting sanctions during the pandemic but the U.S. has refused.
 

June 18, 2020

Political Report # 1445 Leading by Example: Cuba in the Covid-19 Pandemic






Political Report # 1445

Leading by Example: Cuba in the Covid-19 Pandemic

by Helen Yaffe, CounterPunch


The response of socialist Cuba to the global SARS-CoV2 pandemic has been outstanding both domestically and for its international contribution. That a small island nation, subjected to hundreds of years of colonialism and imperialism and, since the Revolution of 1959, six decades of the criminal United States blockade, can play such an exemplary role is due to Cuba’s socialist system. The central plan directs national resources according to a development strategy which prioritises human welfare and community participation, not private profit.

Cuban authorities reacted quickly to Chinese information about SARS-CoV2 at the start of the year. In January, authorities established a National Intersectoral Commission for COVID-19, updated their National Action Plan for Epidemics, initiated surveillance at ports, airports and marines, gave COVID-19 response training for border and immigration officials and drafted a ‘prevention and control’ plan. Cuban specialists travelled to China to learn about the new coronavirus’ behaviour and commissions of the government’s Scientific Council began to work on combating the coronavirus. Throughout February, medical facilities were reorganised, and staff trained to control the spread of the virus domestically. In early March a science and biotechnology group was created to develop COVID-19 treatments, tests, vaccines, diagnostics and other innovations. From 10 March inbound travellers were tested for COVID-19. All of this was before the virus was detected on the island.

On 11 March, three Italian tourists were confirmed as the first cases of COVID-19 in Cuba. Cuban healthcare authorities stepped into action, organising neighbourhood meetings, conducting door-to-door health checks, testing, contact tracing and quarantining. This has been accompanied by education programmes and daily information updates. The population went under ‘lockdown’ on 20 March, required to abide by social distancing rules and wear facemasks when leaving homes on essential business. Business taxes and domestic debts were suspended, those hospitalised had 50% of their salaries guaranteed and low-income households qualified for social assistance and family assistance schemes, with food, medicine and other goods delivered to their homes. Workshops nationwide began to produce masks, bolstered by a grassroots movement of home production, and community mutual aids groups organised to assist the vulnerable and elderly with shopping for food as long queues became the norm. On 24 March, Cuba closed its borders to all non-residents, a tough decision given the importance of tourism revenue to the state. Anyone entering the country was required to spend a fortnight in supervised quarantine, under a testing regime. Defence Councils in the Provinces and Municipalities were activated.
In April payment of utility bills was suspended, likewise local and regional transport, while transport was guaranteed for medical staff and other essential workers. Havana and other cities were disinfected. 20 communities in six provinces were placed under total or partial quarantine. A Cuban-designed mobile phone app, ‘Virtual Screening’, went live with an opt-in application allowing users to submit an epidemiological survey for statistical analysis by the Ministry of Public Health (MINSAP). Measures were taken to keep the virus out of prisons, with active screening twice daily and no reported cases by 23 April.

By 24 May, a Cuban population of 11.2 million had reported 82 deaths and fewer than 2,000 confirmed cases; 173 confirmed cases per million people, compared to 3,907 per million in Britain. Not one healthcare worker had died, although 92 had been infected by mid-April.

Cuba’s exemplary response is based on five features of its socialist development. First, its single, universal, free public healthcare system which seeks prevention over cure, with a network of family doctors responsible for community health who live among their patients. Second, Cuba’s biopharma industry which is driven by public health needs, produces nearly 70% of the medicines consumed domestically and exports to 50 countries.[1] Third, the island’s experience in civil defence and disaster risk reduction, usually in response to climate-related and natural disasters. Its internationally applauded capacity to mobilise national resources to protect human life is achieved by a network of grassroots organisations which facilitate communication and community action. Fourth, the island’s experience in operating infectious disease (border) controls. For decades, Cuba has sent healthcare professionals to countries which have infectious diseases long-since eradicated on the island and has invited tens of thousands of foreigners from those countries to study in Cuba. It has well-developed procedures for quarantining people (re)entering the island. Fifth, Cuban medical internationalism, which has seen 400,000 healthcare professionals providing free healthcare for underserved populations in 164 countries; some 28,000 medical personnel were serving in 59 countries when the pandemic began. By late May, an additional 2,300 healthcare specialists from Cuba’s Henry Reeve medical brigades, specialists in epidemiological and disaster response, had gone to 24 countries to treat patients with COVID-19.

A commitment to high-standard public healthcare
In 1959, Cuba had some 6,000 doctors but half of them soon left; only 12 of the 250 Cuban teachers at the University of Havana’s Medical School stayed. There was only one rural hospital. The revolutionary government faced the challenge of providing a high-standard public healthcare system almost from scratch. To that end, in 1960, the Rural Medical Service (RMS) was established and over the next decade hundreds of newly graduated doctors were posted in remote areas.[2] RMS physicians served as health educators as well as clinicians. National programmes were established for infectious disease control and prevention. From 1962 a national immunisation programme provided all Cubans with eight vaccinations free of charge. Infectious diseases were rapidly reduced, then eliminated. By 1970, the number of rural hospitals had reached 53. Not until 1976 was the pre-revolutionary ratio of doctors to citizens restored. By then, health services were available nationwide and indicators had improved significantly. A new model of community-based polyclinics was established in 1974 giving Cuban communities local access to primary care specialists. Training and policy emphasised the impact of biological, social, cultural, economic and environmental factors on patients. National programmes focused on maternal and child health, infectious diseases, chronic non-communicable diseases, and older adult health.

In 1983, the Family Doctor and Nurse Plan was introduced nationwide. Under this system, family doctor practices were set up in neighbourhoods, with either the doctor or the nurse living with their family above the practice, so medical attention is available 24 hours a day. Family doctors coordinate medical care and lead health promotion efforts, emphasising prevention and epidemiological analysis. They rely on history-taking and clinical skills, reserving costly high-tech procedures for patients requiring them, holding patient appointments in the mornings and making house calls in the afternoons. The teams carry out neighbourhood health diagnosis, melding clinical medicine with public health, and individualised ‘Continuous Assessment and Risk Evaluation’ (CARE) for their patients. Family doctors and nurses are also employed in large workplaces and schools, child day-care centres, homes for senior citizens and so on.

By 2005, Cubans had one doctor for every 167 people, the highest ratio in the world. Cuba now has 449 policlinics, each attending to 20,000 to 40,000 people and serving as a hub for 15 to 40 family doctors. There are more than 10,000 family doctors spread evenly throughout the island.

Primary Health Care as the backbone of Cuba’s response

An article in April 2020 Medicc Review describes Cuba’s primary health care system as a ‘powerful weapon’ against COVID-19.[3] ‘Without early access to rapid tests, massive testing was clearly not in the cards as a first strategic option. However, primary health care was.’ Cuban authorities ensured that everyone in the healthcare system, including support staff, received COVID-19 training before the virus was detected. Senior medics from each province were trained at Cuba’s world-famous hospital for tropical diseases, Instituto Pedro Kourí. On returning to their provinces they then trained colleagues in the second tier - hospital and polyclinics directors. ‘Then they went on to the third tier: training for family doctors and nurses themselves, lab and radiology technicians, administrative personnel, and also housekeeping staff, ambulance drivers and orderlies. Anyone who might come into contact with a patient’, explained a polyclinic director, Dr Mayra Garcia, who is cited in the Medicc article.

Each polyclinic also trained non-health sector people in their geographical area, in workplaces, small business owners, people renting homes, especially to foreigners, or managing childcare facilities, telling them how to recognise symptoms and take protective measures. Senior medical professionals in the polyclinics were sent to family doctors’ offices as reinforcement. Medical staff were posted in local hotels to provide 24-hour detection and health care to foreigners residing there. Walk-in emergency services were re-organised to separate anyone with respiratory symptoms and to provide 24-hour assessment. Non-COVID-19 related appointments were postponed where possible or shifted to home visits for priority groups.

The Medicc article underscores the importance of the CARE model for combating COVID-19. All Cubans are already categorised into four groups: apparently healthy, with risk factors for disease, ill, and in recovery or rehabilitation. Doctors know the health characteristics and needs of the community they serve. ‘The CARE model also automatically alerts us to people who are more susceptible to respiratory infections, the people whose chronic diseases are the risk factors most commonly associated with complications in COVID-19 patients’ explained Dr Alejandro Fadragas.
Throughout Cuba, CDRs, or street committees, organised public health information meetings for family doctors and nurses to advise neighbourhoods about the pandemic. Once the first cases were confirmed, the family doctors daily house visits were extended and became the ‘single most important tool’ for active case detection, to get ahead of the virus.[4] Some 28,000 medical students joined them going door to door to detect symptoms. This procedure means the whole population can be surveyed.
People with symptoms are remitted to their local polyclinic for rapid evaluation. Those suspected of having COVID-19 are sent on to one of the new municipal isolation centres established throughout the island. They must remain for a minimum of 14 days, receiving testing and medical attention. If the case appears to be another respiratory illness, they return home but must stay indoors for at least 14 days, followed up in primary care. Hospitals are reserved for patients who really need them.

Primary healthcare professionals are also responsible for rapid contact tracing for all suspected cases; those contacts are tested and must isolate at home. In addition, the homes and communal entrances of patients sent to isolation centres are disinfected by ‘rapid response’ teams consisting of polyclinic directors and vice directors, alongside family members. Family doctors’ offices are also disinfected daily. Meanwhile, workers in hotels where foreigners are lodged are checked daily by medical staff. The polyclinic provides them with PPE and disinfectants. Polyclinics and family doctors are also responsible for 14 days follow-up for COVID-19 patients discharged from hospitals.

Home-grown medicine

The Cuban treatment protocol for COVID-19 patients includes 22 drugs, most produced domestically. The focus has been placed on prevention, with measures to improve innate immunity. Early on the potential of Cuba’s anti-viral drug Heberon, an interferon Alfa 2b human recombinant (IFNrec), was identified. The biotech product has proven effective for viral diseases including hepatitis types B and C, shingles, HIV-AIDS, and dengue. Produced in Cuba since 1986 and in China since 2003 through a Cuban-Chinese joint venture, ChangHeber, in January 2020 it was selected by the Chinese National Health Commission among 30 treatments for COVID-19 patients. It soon topped their list of anti-viral drugs, having demonstrated good results.

The drug has most efficacy when used preventatively and at early stages of infection. In Wuhan, China, nearly 3,000 medical personnel received Heberon as a preventative measure to boast their immune response; none of them contracted the virus. Meanwhile, 50% of another 3,300 medics who were not given the drug did get COVID-19. Cuba’s IFNrec is recommended in the medical protocols of several countries, by the World Health Organisation (WHO), Johns Hopkins Medical Centre and the World Journal of Paediatrics among others. The product was already registered in Algeria, Argentina, Chile, Ecuador, Jamaica, Thailand, Venezuela, Vietnam, Yemen and Uruguay. By mid-April requests for its use had been received from some 80 countries and it was being administered by Cuba’s Henry Reeve medical brigades treating COVID-19 patients overseas. On 14 April it was reported that 93.4% of COVID-19 patients in Cuba had been treated with Heberon and only 5.5% of those had reached a serious state. The mortality rate reported by that date was 2.7% but for patients treated with Heberon it was just 0.9%.

Other Cuban medicines reporting promising results include:
+ Biomodulina T, a immunomodulator which stimulates the immune systems of vulnerable individuals and has been used in Cuba for 12 years, principally to treat recurrent respiratory infections in the elderly.
+ The monoclonal antibody Itolizumab (Anti-CD6), used to treat lymphomas and leukemia, administered to COVID-19 patients in a severe or critical condition to reduce the secretion of inflammatory cytokines, which cause the massive flow of substances and liquid in the lungs.
+ CIGB-258, a new immunomodulatory peptide designed to reduce inflammatory processes. By 22 May, 52 COVID-19 patients had been treated with CIGB-258; among those in a severe stage, the survival rate was 92%, against a global average of 20%. For those in a critical condition the survival rate was 78%.
+ Blood plasma from recovered patients.
Cuban medical scientists are producing their own version of Kaletra, an antiretroviral combination of Lopinavir and Ritonavir, used to treat HIV/AIDS. Domestic production will eliminate costly imports from capitalist big pharma and subject to the US blockade. Meanwhile, the homeopathic medicine, Prevengho-Vir, which is believed to strengthen the immune system has been distributed for free to everyone on the island. Medical scientists are evaluating two vaccines to stimulate the immune system and four candidates for specific preventative vaccine for COVID-19 are under design.

By early May, Cuban scientists had adapted SUMA, a Cuban computerised diagnostic system, to detect antibodies for COVID-19 rapidly, allowing for mass testing at low cost. ‘The objective is to find new cases and then intervene, isolate, seek contacts, and take all possible measures to ensure that Cuba continues as it is now’, said Cuba’s top epidemiologist, Francisco Durán during his daily televised update on 11 May. This means the island no longer relies on donated tests or expensive ones purchased internationally. Cuba’s comparatively high rate of testing is set to soar.

BioCubaFarma is mass producing facemasks, personal protective equipment (PPE) and medical and sanitary products, as well as coordinating state enterprises and self-employed workers to repair vital equipment, such as breathing ventilators. Cuban efforts to purchase new ventilators have been obstructed by the US blockade which, for almost 60 years, has included food and medicines among its prohibitions.

Leading the global fight

On 18 March, Cuba allowed the cruise ship MS Braemar, with 684 mostly British passengers and 5 confirmed COVID-19 cases, to dock in Havana after a week stranded at sea, having been refused entry by Curacao, Barbados, Bahamas, Dominican Republic and the United States. Cuban authorities facilitated their safe transfer to charter flights for repatriation. Three days later, a 53-strong Cuban medical brigade arrived in Lombardy, Italy, at that time the epicentre of the pandemic, to assist local healthcare authorities. The medics were members of Cuba’s Henry Reeve Contingent, which received a World Health Organisation (WHO) Public Health Prize in 2017 in recognition for providing free emergency medical aid. It was the first Cuban medical mission to Europe. By 21 May, over 2,300 Cuban healthcare professionals had gone to 24 countries to treat COVID-19 patients, including a second brigade in northern Italy and another to the European principality Andorra.

The threat of a good example

Cuban medical internationalism began in 1960, but the export of healthcare professionals was not a source of state revenue until the mid-2000s with the famous ‘oil for doctors’ programme under which 30,000 Cuban healthcare workers served in Venezuela. US President Bush’s administration responded by attempting sabotage Cuba’s medical export earnings with the Cuban Medical Parole Programme. This induced Cuban professionals, who had paid no tuition costs, graduated debt free and voluntarily signed contracts to work abroad assisting underserved populations, to abandon missions in return for US citizenship. President Obama kept the Programme, even while praising Cuban medics combating Ebola in West Africa. It was ended in his last days in office in January 2017.
The Trump administration has renewed attacks on Cuban medical missions, fuelling their expulsion from Brazil, Ecuador and Bolivia, and leaving millions of people in those countries without healthcare. The motivation was the same; to block revenues to a nation which has survived 60 years of US hostility. In the context of the pandemic, when the US government’s wilful failures have resulted in tens of thousands of unnecessary deaths, socialist Cuba’s global leadership has represented the threat of a good example. Lashing out, the US State Department has labelled Cuban medics as ‘slaves’, claiming that the Cuban government seeks revenues and political influence. It has pressured beneficiary countries to reject Cuban assistance in their time of urgent need. These attacks are particularly vile; it is likely that Cuba is receiving no payment, beyond costs, for this assistance.

Meanwhile, the criminal US blockade, which has been punitively tightened under Trump, is preventing the purchase of urgently needed ventilators for Cuba’s own COVID-19 patients. A Chinese donation to Cuba of medical equipment was blocked because the airline carrying the goods would not travel to Cuba for fear of US fines. There is now a growing international demand for an end to all sanctions, not least against Cuba which has shown global leadership in combating the SARS-CoV2 pandemic. We must all add our voices to this demand. There are also calls from organisations and individuals worldwide to nominate Cuba’s Henry Reeve Contingents for a Nobel Peace Prize. What is clear from its history of principled medical internationalism is that, with recognition or without, revolutionary Cuba will continue to fight for global healthcare wherever its citizens, and its example, can reach.


Original article can be found (here).
URL:      https://www.counterpunch.org/2020/06/04/leading-by-example-cuba-in-the-covid-19-pandemic/

June 9, 2020

Political Report #1441 Leading by Example: Cuba in the Covid-19 Pandemic








by Helen Yaffe
Counter Pounch







The response of socialist Cuba to the global SARS-CoV2 pandemic has been outstanding both domestically and for its international contribution. That a small island nation, subjected to hundreds of years of colonialism and imperialism and, since the Revolution of 1959, six decades of the criminal United States blockade, can play such an exemplary role is due to Cuba’s socialist system. The central plan directs national resources according to a development strategy which prioritises human welfare and community participation, not private profit.
Cuban authorities reacted quickly to Chinese information about SARS-CoV2 at the start of the year. In January, authorities established a National Intersectoral Commission for COVID-19, updated their National Action Plan for Epidemics, initiated surveillance at ports, airports and marines, gave COVID-19 response training for border and immigration officials and drafted a ‘prevention and control’ plan. Cuban specialists travelled to China to learn about the new coronavirus’ behaviour and commissions of the government’s Scientific Council began to work on combating the coronavirus. Throughout February, medical facilities were reorganised, and staff trained to control the spread of the virus domestically. In early March a science and biotechnology group was created to develop COVID-19 treatments, tests, vaccines, diagnostics and other innovations. From 10 March inbound travellers were tested for COVID-19. All of this was before the virus was detected on the island.

April 10, 2020

Political Report # 1439 Cuba faces squeeze on food production as US oil sanctions bite






Political Report # 1439

Cuba faces squeeze on food production as US oil sanctions bite



Oxen are replacing tractors as the island gets by on sharply reduced petroleum deliveries thanks to Trump-ordered measures.

Justo Rodríguez mashes through the mud, whipping the two oxen that guide his iron plough as it slowly carves a furrow in the dry soil.

In normal times Rodríguez, 60, uses a tractor to plough these fields. But for months, the farm where he works 12 miles east of Havana, hasn’t had any diesel.

“It’s something to cry about, but we find ways to laugh,” said Rodríguez, pulling a wet cigar from his mouth. “We Cubans are like that – even with a bullet in the neck we keep laughing.”

Cuba is short of oil. In an effort to strangle its most indefatigable and intimate communist foe, the US has since April sanctioned tanker companies delivering petroleum to Cuba from Venezuela, its closest ally.

Last September, with the island running on just 30% of petroleum deliveries, President Miguel Díaz-Canel announced emergency energy-saving measures. Diesel quotas in the countryside were slashed.

Just outside Havana, Misael Ponce, 43, manages a milk farm, which like many others embraced agro-ecology in the 1990s after the Soviet Union disintegrated and the island was left without imported animal feed, insecticides and fertilisers.

“It was a subsistence mechanism that we had to adopt,” said Ponce. All of the livestock’s fodder is grown on site to reduce dependency on the world outside. Oxen usually till half the soil (their manure is used as fertiliser), while a 67-year-old American tractor ploughs the rest.

But with the tractor out of action, the oxen now prepare the soil alone. Ponce thinks he can grow all the mulberry, king-grass and sugar cane he needs to feed the cows, and is confident he can hit his production target.

But he acknowledges his farmhands are now working much longer hours: “What you can do with a tractor in an hour, you do with an ox in a day.”

Others are less able to cope.

In the neighbouring province of Mayabeque, Leonardo Suárez’s tractor sits idle. He has no draught animals.

“Where, in today’s world, does agriculture function without petrol?” he asks rhetorically.

Normally Suárez, a former aviation engineer, cultivates black beans, but he says that is impossible at scale without tractors or animals, so now he is planting cabbage and lettuce by hand: “If this situation continues I’ll rent some oxen to plough a spot of land just for me and my family – because I’m not going to die of hunger!”

When the US embargo on Cuba was introduced in the 1960s the goal, according to the US Department of State, was to “bring about hunger, desperation, and overthrow of the government”. For six decades that goal has failed: Cuba is one of the only countries in Latin America to have all but eliminated hunger, according to the UN Food and Agriculture Organization.

Just outside Havana, Misael Ponce, 43, manages a milk farm, which like many others embraced agro-ecology in the 1990s after the Soviet Union disintegrated and the island was left without imported animal feed, insecticides and fertilisers.

“It was a subsistence mechanism that we had to adopt,” said Ponce. All of the livestock’s fodder is grown on site to reduce dependency on the world outside. Oxen usually till half the soil (their manure is used as fertiliser), while a 67-year-old American tractor ploughs the rest.

But with the tractor out of action, the oxen now prepare the soil alone. Ponce thinks he can grow all the mulberry, king-grass and sugar cane he needs to feed the cows, and is confident he can hit his production target.

But he acknowledges his farmhands are now working much longer hours: “What you can do with a tractor in an hour, you do with an ox in a day.”

Others are less able to cope.

In the neighbouring province of Mayabeque, Leonardo Suárez’s tractor sits idle. He has no draught animals.

“Where, in today’s world, does agriculture function without petrol?” he asks rhetorically.

Normally Suárez, a former aviation engineer, cultivates black beans, but he says that is impossible at scale without tractors or animals, so now he is planting cabbage and lettuce by hand: “If this situation continues I’ll rent some oxen to plough a spot of land just for me and my family – because I’m not going to die of hunger!”

When the US embargo on Cuba was introduced in the 1960s the goal, according to the US Department of State, was to “bring about hunger, desperation, and overthrow of the government”. For six decades that goal has failed: Cuba is one of the only countries in Latin America to have all but eliminated hunger, according to the UN Food and Agriculture Organization.

Over the past 12 months, the US has hit Cuba with the most potent sanctions in half a century. Dreams of a more prosperous future that followed the Obama administration’s rapprochement with the island seem a distant memory.

For now, essential foodstuffs are in stock at bodegas, and monthly rations of eggs, spam and chicken are arriving on time. But away from the lifeline planned economy, scarcity is increasing.

When rumours swirl that a consignment of hotdogs has arrived, day-long queues can form outside shopping malls.

In January the government cut cooking gas rations after the US sanctioned the state energy company which imports liquid petroleum gas.

In February, the minister for commerce, Betsy Díaz, told the population to brace for shortages of personal hygiene products due to “serious financial limitations”. Buying more fuel on the open market, she said, has forced the government to “choose between maintaining stable food supplies” and products for people’s cleanliness.

Toothpaste is out of stock throughout the east of the island. Soap was already in short supply before people could stock up – and the news that seven cases of coronavirus have been confirmed on the island has only heightened concerns that the sanctions may have mortal ramifications.

On a recent Saturday, plantains, cassava and muddy lettuces were stacked high at a market stall in Centro Havana. But black beans – which together with rice form the mainstay of the Cuban diet – have been out of stock all season.

“There’s been less fuel assigned to the lorries so we’ve had less stock coming in,” said one vendor who didn’t want to give his name for fear of reprisals.

Others remained defiant

“The crisis doesn’t affect me,” said Beatriz de la Caridad Domínguez, 23, at the same market stall. “If there’s no tomato, I eat plantain – I find a solution for everything.”




Original article can be found (here).
URL:      https://www.theguardian.com/world/2020/mar/18/cuba-food-production-us-oil-sanctions