Tag: Partner

  • MAZPA appeals for aid for wildlife

    MAZPA appeals for aid for wildlife

    MAZPA appeals for aid for wildlife 1

    KUALA LUMPUR: The Malaysian Association of Zoological Parks and Aquaria (MAZPA) is appealing to the government to consider the plight of private zoos, and to provide aid which would enable them to continue surviving to look after the welfare of their wildlife.

    Its vice-president Gerard Wong Woon See said if these zoos were not given aid during current difficult times, they may find it difficult to continue operating.

    “Wildlife (care) is in the list of essential services during the Movement Control Order period, enabling zoological parks to continue caring for them.

    “The wildlife have to be fed and managed by workers during the usual working hours. The private zoological parks will continue to give the best service for their care even in times of crisis but the remaining funds are very limited,” he said in a statement here.

    He added that MAZPA was very worried about its members, especially the private zoological parks, some of which have been operating for more than 30 years.

    The parks which have been badly affected are the Penang Bird Park, Penang Entopia by the Penang Butterfly Farm, Langkawi Widllife Park, Selangor Farm In The City, Selangor KL Tower Mini Zoo, A Famosa Safari Wonderland, Melaka Butterfly and Reptile Park, and the Melaka Crocodile and Recreation Park.

    Wong said many of the private zoological parks were involved in wildlife research, breeding and conservation efforts, and a huge amount of money was spent on building laboratories, conducting research, employing and training laboratory staff, veterinarians and zoologists.

    He added that the zoological parks also worked with the Wildlife and National Parks Department (Perhilitan) in efforts to care for the wildlife and share critical information on conservation programmes involving species which are nearing extinction in Malaysia.

    “For instance, the A Famosa Safari Wonderland which has 19 Malayan Tigers’ is an important partner in the effort to preserve the gene pool of the species,” he said. –Bernama

    Pix for representational purpose only.

    MAZPA appeals for aid for wildlife
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  • Virtual Press Conference on COVID-19- 06 April 2020

    Virtual Press Conference on COVID-19- 06 April 2020

    Originally broadcast live on 06 April 2020, the daily press briefing on coronavirus COVID-19, direct from WHO Headquarters, Geneva Switzerland with Dr Tedros WHO Director-General, Dr Micheal Ryan, Executive Director of the Health Emergencies Programme, and Dr Maria Van Kerkhove, Technical lead, WHO Health Emergencies Programme with special guests Lady Gaga and Hugh Evans, CEO and Co-founder of Global Citizen.

    Transcript:

    Speaker key:

    TJ        Tarik Jasarevic

    TAG    Dr Tedros Adhanom Ghebreyesus

    LG       Lady Gaga

    HE       Hugh Evans

    MR      Dr Michael Ryan JA  Jamie

    MK      Dr Maria Van Kerkhove KA Kai

    KT       Kate

    IN        Innocent

    YA      Yang

    00:00:19

     

    TJ        Good evening to everyone from Geneva and WHO headquarters. Welcome to the regular press conference on COVID-19. Journalists who are online can ask their questions by clicking  raise hand if  you are
    on Zoom.  Today we have a special guest but  I will  let Dr Tedros do his opening remarks and introduce them.  Before I give  the floor  to Dr Tedros, just to remind you, we will also be sending you some news from other
    WHO offices around the world with the audio file  from this  press briefing a little  bit  later. I give  the floor  immediately to Dr Tedros.

     

    00:01:07

     

    TAG    Good morning, good  afternoon and good  evening.  The COVID-19 pandemic continues to take a heavy toll on families, communities and nations the world over but it’s also giving rise to incredible acts of generosity,
    solidarity and co-operation. We have said consistently that we’re all in this together and we can only succeed together. We need an all- of-society approach with everyone playing their part. That includes  people  in  the entertainment
    industry.

     

    Today I’m very delighted to be joined by one of the biggest names in entertainment in the world, Lady Gaga, and my friend Hugh Evans, the founder and CEO of Global Citizen.

    WHO has been working with Global Citizen for several weeks on the Together At Home concert series with artists like Chris Martin and John Legend giving free online performances.

    Now we’re working with Lady Gaga and Global Citizen to take this concept and make it even bigger through the  One World  Together  At Home virtual  global  special on Saturday 18th April. It’s now my great pleasure to invite
    Lady Gaga and Hugh Evans to say more about this very special event, One World.

    00:03:10

     

    LG       Thank you very much, Dr Tedros. Good morning, good afternoon  and good  evening to everyone who’s listening and watching. I would  like  to thank the World  Health Organization and the
    United Nations as well as Global Citizen; thank you very much, Dr Tedros and Hugh Evans, for all of your leadership in this fight against COVID-19 and thank you very much to the World Health Organization  for asking  me to collaborate 
    with  you on this special.

    We are also very grateful to all of the healthcare professionals across the country and around the world who are on the front lines during COVID-19. This  global  pandemic  is  a catastrophe. I’m so thankful to them and I’m also
    praying for those who are sick. It’s been a pleasure to partner with Global Citizen  and we’ve been working  all together  behind  the scenes to raise money for the World Health Organization.

    I would also like to send my prayers as well to people  that are losing  their  jobs  and are having a hard time feeding themselves  and their  children.  We are raising  money  for  the World Health
    Organization’s COVID-19 Solidarity  Response  Fund and seven days ago we held a  call with more than 68 corporate leaders from some of the world’s biggest and most generous companies and I asked them to join my corporate kindness
    list as there have been many corporations and philanthropists that have been very, very generous during this time.

    00:04:38

     

    Since then we have also been calling on philanthropists around the world as well and tech companies included. I’d like  to reiterate our deep gratitude  to the medical  community.  My heart is very, very aching and warm for those
    who are ER doctors as well as nurses who are sleeping in cars to make sure they don’t infect their families  or  their  patients.  What you’re doing is putting  yourselves  in  harm’s way to help the world 
    and we all salute  you and you are a triumph truly.

    I am proud to say that over the past seven days we’ve raised a total of $35 million for the Solidarity Fund. This money will [inaudible]  essential PPE, supplies  and testing kits around  the world and will help improve lab capacity
    to rapidly process tests. It will also [inaudible] research development. It is so important to think globally and to support the World Health Organization to curb the pandemic and prevent future outbreaks.

    I know Dr Tedros is particularly concerned about Africa and [inaudible]. We also need to act globally by supporting local charities  and initiatives so that the front-line health  workers in most immediate need have the resources they need
    to survive during this time. It has been an honour to help with this huge broadcast event, which will take place on April 18th, where we need to tell the stories of and celebrate the front-line community, healthcare workers and their acts of kindness.

    We will be on different networks, many networks actually and I want to [inaudible] about what we’re going to be doing. What’s very important is that two things happen for all of us; that we celebrate and we highlight the singular, kind global community
    that is arising right now. Two, we want to highlight the gravity of this historically unprecedented cultural movement and, three, we want to celebrate and encourage the power of the human spirit.

    00:06:47

    I would like to, on behalf of  the World  Health Organization  and Global  Citizen,  thank Dr Tedros as well as everyone that has donated so far. We are going to continue fundraising but I would like to also let you know that
    this broadcast special is not actually a fundraiser. We all wanted to raise the money before we went on air so when we do  air  live  on  April  18th  put your wallets away, put your credit  cards away, anything 
    away that you need to and just  sit back and enjoy the show that you all very much deserve.

    I’d like to pass this now to Hugh Evans, who’s been a wonderful partner of mine. Hugh, thank you so much and thank you, Dr Tedros.

    HE       Good morning, good afternoon,  good  evening  and thank you,  Dr Tedros  and thank you, Lady Gaga. Your Excellencies,  ladies  and gentlemen;  Lady Gaga, Dr Tedros, 
    you’ve both demonstrated extraordinary leadership at an unprecedented moment when our society is being challenged like never before and we are so thankful for your leadership. I’d like to echo Lady Gaga’s sentiment and commend the incredible acts
    of bravery demonstrated by the front-line community  health  workers around the world  and I hope  that we as a shared humanity emerge from this moment forever grateful for the work of doctors, nurses, teachers, grocery store workers and all of those who are
    the backbone of our communities.

    Global health is at the very core of the global citizen mission and we must  ensure that the world’s poorest and most  marginalised  people  have  access to resources to cope with and tackle this health crisis. Through One
    World:  Together At Home on April 18th  we’ll be calling on philanthropists, corporations and governments to fund critical global COVID-19 response efforts including distribution of resources and PPE to critical front-line healthcare
    workers.

    00:09:09

    In our partnership with the WHO and United Nations Global Citizen is committed to driving action to help ensure our global health systems are strong enough to stop a future pandemic before it happens. April 18th is going to be a moment of global unity
    connecting the world through a historic global broadcast. We are bringing together the greatest artists in the world under the passionate and extremely talented curation of Lady Gaga.

    In alphabetical order some of the artists we’ll be announcing today include Alanis Morissette, Andrea Bocelli,  Billie  Eilish,  Billy  Joe Armstrong  of Green Day, Burna Boy, Chris Martin, Sir David Beckham, Eddie Vedder,
    Sir Elton John, Finneas, Idris and Sabrina Elba, J Balvin, John Legend, Kacey Musgraves, Keith Urban, Kerry Washington,  Lang Lang,  Lizzo, Maluma, Sir Paul McCartney, Priyanka Chopra Jonas, Shah Rukh Khan, Stevie Wonder and many more to be announced over the coming weeks from all corners of the globe under the passionate and extremely talented curation of Lady Gaga.

    We’re grateful to all of you for participating and supporting this critical effort. One World Together At Home will be broadcast live on Saturday April 18th 2020 at 5:00pm PDT, 8:00pm EDT and 12:00am BST, airing on ABC, NBC, Viacom and CBS networks,
    IHeartMedia, and Bell media networks and platforms in Canada. Internationally BBC1 will run the programme on Sunday April 19th and additional  international  broadcasters include BN Media Group, Multi-Choice Group and RTE in Ireland.

    00:11:43

    The digital broadcast will celebrate and support brave community  health workers who are doing life-saving work on the front line and we’ve all seen the limitations of world leaders around this world to step up and face this extraordinary challenge 
    and we want to do our best to support the essential work of the World Health Organization, driving action and raising critical funds. Thank you again, Dr Tedros, and thank you, Lady Gaga, for your leadership.

    Thank you all.

    TJ        Thank you very much to our guests for their remarks. Dr Tedros, I guess you would like to thank them too.

    TAG    Once again I would like  to thank Lady Gaga and Hugh Evans for their  partnership. We had a call last week and I was so amazed by the energy and passion of Lady Gaga. It’s incredible commitment to humanity and that’s
    when I said, I think what she has planned can happen. It’s bringing the world together to improve awareness and to mobilise  resources to fight the pandemic so I thank her for her incredible passion and commitment  and leadership and
    also to my friend, Hugh Evans, for connecting all the dots and for his leadership.

    We all look forward to joining you for the One World: Together  At Home concert on 18th April. As the pandemic continues we recognise that individuals and governments want to do everything they can to protect themselves and others and so do we.
    We understand that some countries have recommended or are considering the use of both medical  and non-medical masks in the general population to prevent the spread of COVID-19.

    00:14:21

    First and foremost medical masks must be prioritised for health workers on the front lines  of  the response. We know medical masks can help to protect health workers but they’re in short supply globally.  We’re concerned that the mass
    use of medical  masks by the general population could exacerbate the shortage of these specialised masks for the people who need them most. In some places these shortages are putting health workers in real danger.

    In healthcare facilities WHO continues to recommend the use of medical masks, respirators and other personal protective equipment for  health workers. In the community we recommend the use of medical masks by people who are sick and those who
    are caring for a sick person at home.

    WHO has been evaluating the use of medical and non-medical masks for COVID-19 more widely. Today WHO is issuing guidance and criteria to support countries in making that decision. For example countries could consider using masks in communities where other measures such as cleaning hands and physical distancing are harder to achieve because of lack of water or cramped living conditions.

    If masks are worn they must be used safely and properly. WHO has guidance on how to put on, take off and dispose of masks. What’s clear is that there is limited research in  this  area. We encourage countries that are considering the use
    of masks for the general population to study their effectiveness so we can all learn. Most importantly masks should only  ever be used as part of a comprehensive package of interventions. There is no black or white answer and no silver bullet.
    Masks alone cannot stop the pandemic. Countries must continue to find, test, isolate and treat every case and trace every contact. Mask or no mask, there are proven things all of us can do to protect ourselves and others.

    00:17:13

    Keep your distance, clean your hands, cough or sneeze into your elbow  and avoid  touching your face. Less than 100 days since WHO was notified about the new coronavirus  research has accelerated at incredible speed. The viral genome
    was mapped  in  early January and shared globally, which enabled tests to be developed and vaccine research to start. More than 70 countries have joined WHO’s Solidarity Trial to accelerate the search for an effective treatment and about
    20 institutions and companies are racing to develop a vaccine.

    WHO is committed to ensuring that as medicines and vaccines are developed they’re shared equitably with all countries  and people.  I want to thank the  Medicines  Patent Pool and Unitaid for the initiative they announced last
    Friday to include medicines and diagnostics for COVID-19 in their licensing pool.

    I also want to thank the President of Costa Rica, President Carlos Alvadaro, and the Health Minister, Daniel Salas, for their proposal to create a pool of rights to tests, medicines and vaccines with free access or licensing on reasonable and affordable
    terms for all countries. Muchas gracias, Mr President. I support this proposal and we’re working with Costa Rica to finalise the details.

    00:19:09

    Poorer countries and fragile  economies  stand to face the biggest  shock from this  pandemic and leaving anyone unprotected will  only  prolong  the health crisis  and harm economies  more.  I call
    on all countries, companies and research institutions to support open data, open science and open collaboration so that all people can enjoy the benefits of science and research.

    Finally we’re nearing the end of the Ebola outbreak in the Democratic Republic of the Congo. This is one piece of good news. If there are no more cases the Government of the Democratic Republic of Congo could declare the outbreak over  as early
    as this  Sunday.  We’re not  there yet and we remain in full response mode. We’re continuing to investigate alerts and to test samples.

    This would not have been possible without the incredible  health workers who have put themselves at risk for more than 18 months to stop this outbreak, just as health workers are putting themselves in danger to save lives from COVID-19. Health
    workers in DRC faced the 
    double threat of fighting a deadly virus in one of the world’s most dangerous and unstable regions, exposing themselves to Ebola and bullets.

    Tomorrow, as you know, is WHO’s birthday, a day we celebrate each year as World Health Day. This year we’re paying tribute to the incredible contribution of all health workers, especially nurses and midwives. Nurses and midwives are the backbone of
    every health system. They’re there from the first moments of life to the last. Tomorrow we’re publishing our first report on the state of the world’s nursing which highlights gaps and makes recommendations for all countries.

    00:22:00

    One of the lessons I hope the world learns from COVID-19 is that we must invest in health workers, not only to protect lives but also to protect livelihoods. I thank you.

    TJ        Thank you very much, Dr Tedros. Also, as always, we have Dr Mike Ryan and Dr Maria Van Kerkhove, who will be answering questions. We will  now open the floor.  I will  go to one question
    that I received by email this morning and I promised to answer; that’s Ankit Kumar from India Today. Ankit is asking; we have recently seen a spike in  cases caused through religious gatherings in India, in fact almost a third of new cases
    were linked to one gathering in India. We have also seen incidents of violence against health workers due to fear and misinformation. Is WHO concerned with these developments, what is WHO’s message to religious and community leaders and their
    followers?

    MR      First and foremost the idea of violence against health workers is driven by fear and it’s driven by misunderstanding but it’s  really  unacceptable. We ask everyone and every community to see our health workers
    as our heroes and to support them in every way we can.

    With regard to gatherings of any type, be they religious or be they for other  purposes,  there are always risks associated with such gatherings in the midst of a major epidemic. WHO has issued guidance on that. Many of these gatherings
    are now postponed or cancelled.  We’ve been working very, very closely with religious  and faith-based organisations  all  over the world including  groups  from the Islamic  tradition,  Christian 
    traditions  and others and continue to work through faith-based organisations to communicate  using  our  Epiwin platform.

    00:24:21

    We’re also continuing to develop guidance specifically  for the holy  month  of Ramadan and are working through our Eastern Mediterranean regional office to be able to advise governments and religious institutions on how best to manage
    the risks associated with such holy events.

    But it’s very important again; having COVID-19 is not anybody’s fault. Every case is a victim and every case needs to be  treated with sensitivity,  as the health workers who treat them so it’s very important that we’re not profiling COVID-19
    along  racial,  along  religious,  along ethnic lines. This is not helpful.

    TJ        Thank you very much. This was a question  from Ankit  Kumar from India  Today. Now we will go to journalists online. We will start with Jamie from Associated Press. Jamie, can you hear us?

    JA        Hi, yes. Can you hear me? TJ            Yes. Please go ahead.

    JA        Great, thank you very much. I wanted to ask you about… Over the weekend Dr Anthony Fauci mentioned that – if I understood it correctly – as much as 50% of transmission could be asymptomatic. Just aligned 
    with that, if  you could  give  us a little  bit  more  about what you’re thinking about the fact that some countries have said that this outbreak is more infectious than influenza. The CDC is saying that it’s up
    to three times more infectious than influenza so what do you have to say about that? Thanks.

    00:26:13

    MK      I’ll start and then perhaps Mike or DG would like to supplement. The modes of transmission and the way in which this virus is transmitted  are of significant  interest to all of us. What we are doing is working
    with member states, we’re working with everyone that’s affected by this, looking through the research and trying to understand  when most transmission is happening, when any transmission is happening.

    What we know from reports, what we know from published literature is that the predominant way in which transmission is occurring is amongst symptomatic individuals  and these are people that can be very early on in symptoms, even when they start
    to feel a little bit unwell. This is supported by some data that attempts to catch a virus from individuals who are symptomatic.

    We also know that it’s possible that people can transmit in the few days before they become symptomatic or in their pre-symptomatic  phase. There have been some studies  that have come out and we learned about this when we were on mission
    in China back in January or early February, that there are individuals that can shed virus one to three days before they develop symptoms.

    However it’s very important to note that even if you are pre-symptomatic or even if you don’t have any recognised symptoms you still have to transmit through  droplets,  you still  have to have these infectious particles that come out
    of your nose and your mouth. So while we know that that is possible we do not believe that it’s a major driver of transmission.

    00:27:42

    We’ve also seen modelling estimates that suggest that there’re large numbers of unrecognised transmission and I used unrecognised on purpose because I’m not saying asymptomatic. I’m saying that we may be missing people who are out there who are infected
    but we’re missing them because of current surveillance strategies. That is certainly possible in many parts of the globe.

    Whether or not those individuals are asymptomatic; we will have to wait until we see the results of serologic studies, which we hope we’ll be seeing in the coming days if not weeks.

    So what we can say is that most people are transmitting this virus while they are symptomatic.

    JA        Hi, Jamie. Just in addition because I think – I would never in any way contradict my good friend, Tony Fauci, such an eminent man. There are many different estimations of what might represent asymptomatic
    transmission or other infections in the community and we do know and everyone accepts that when the seroepidemiology studies do come online we will probably find more people who’ve been infected unknowingly; there’s no question of that.

    The thing we need to address in all of this is  very often the idea of  severity versus infection and there is a huge association  between the dose  of exposure  and the severity  of infection. We see this in many other
    infectious diseases so we also probably need to look  at who is getting sick and very sick and is the dose and the type of exposure they’re getting different to those who may be exposed and seroconverted in the community.

    00:29:26

    So it’s not just a matter of looking at how many people in the community are infected but are there specific elements  of exposure  that cause individuals  to have  a higher dose of exposure or a specific route of exposure 
    that causes more severe infection?  There is  also that concept of infectious dose when we talk about the different types of transmission. If somebody is exposed to a high dose from another individual directly or from a surface that’s
    heavily contaminated you can imagine the large dose.

    In other circumstances individual particles or virus particles potentially floating through  the air; it can be demonstrated that that may happen in certain circumstances, certainly in healthcare settings. But is that significant  in 
    terms of driving  infection,  is  that significant, does that produce an infectious dose that can successfully infect another individual?

    These are all very important things that still need to be studied. Again we’re only a number of weeks into this. I think we need to have the seroepi studies. I think  we need more information on what is the infectious  dose  and particularly 
    the relationship  between the dose  of exposure or infection and the severity of disease subsequently, which has been seen with many, many other diseases in the past including cholera, Ebola and others.

    TJ        Thank you very much, Mike and Maria. We will go now to our next question; that’s Kai Kupferschmidt. Kai, can you hear us?

    00:31:01

    KA      Yes, Tarik. Thanks a lot for taking my question. I wanted to ask about the global  push  to try and find a pre-exposure  prophylaxis  or a post-exposure  prophylaxis. I understand there’re
    several trials going on, most of them with chloroquine  or hydroxychloroquine.  I was just wondering whether you can speak a little bit to what role this could potentially play.

    Of course also there’re a lot of smaller studies going on. Is there any way to make sure that they all lead to results that can be proved in the end?

    MR      Maria can give you more detail but certainly one of the Solidarity trials – I think Solidarity 3 or 4 – we have one of the trials under design which will be a multi-centre study which will look at prophylaxis in healthcare workers to see whether there’s evidence that giving lower doses of drugs like chloroquine or hydroxychloroquine to healthcare workers would reduce their risk of becoming infected in a healthcare environment.

    Those studies are certainly underway and again there are a number of those studies underway in smaller studies around the world but again as WHO we’re trying  to bring  together  a larger set of collaborative studies that will give
    us the answers we need.

    In terms of post-exposure prophylaxis I don’t believe  we have at the moment  studies  planned but Maria can speak to that but there is certainly evidence for the use of – not proven  evidence of effectiveness but there are a number
    of studies underway and trials underway that use hyperimmune globulin  in  the treatment  of disease; in  other words  they use that purified plasma of recovered individuals to give an antibody boost to people who are
    suffering the disease.

    00:32:49

    Similar approaches have been used in post-exposure prophylaxis for other diseases but Maria may be aware of studies underway in that area.

    MK      Only to add that, as you mentioned, there are a number of smaller studies that are happening globally and across a large number of countries.  We have teams through  our science division and through GOARN,
    through the Global Outbreak Alert Network, who are pulling together  available  literature  on a number  of topics,  one  of which is  looking  at different types of therapeutics and drugs.

    The idea is until we can have a study that pulls together enough of a sample size to get these answers to these questions we’re trying  to evaluate  every piece of evidence  that is  published so that we can look at the way in
    which these studies were done, we can look at the strengths, we can look at the limitations so that can help guide us closer  towards an effective treatment for COVID-19.

    TJ        Thank you very much. The next question is from BFM Radio. Is is Kate who is with us?

    KT       Yes, hi. Good evening or good morning.  I’m from BFM Radio  Malaysia. My question is, many countries around the world have imposed lock-downs or some sort of restrictions on movement. I was wondering
    what WHO’s guidance would  be; what’s the sweet spot, the kind of data that governments need to consider before lifting or relaxing  some  of these lock- downs? Thank you very much.

    00:34:29

    MR      Thank you. It is a difficulty for governments right  now  because the lock-downs  in many situations are proving effective in dampening the flames of the epidemic  in  those countries but those
    lock-downs are also causing great economic hardship and everybody especially in the developing world needs to get to a more sustainable way of managing this epidemic and controlling COVID-19 without continuing to damage economic and social life.

    The transition strategy out  of lock-down  requires  a calibrated,  step-wise approach.  It would be probably very inadvisable just to lift a complete lock-down, all of the measures because lock-downs are a general term that
    include closure of schools, closure of  churches, stay-at- home orders, closure of workplaces. It’s a mixture of different things and I think each government needs to break out, what does our lock-down actually constitute, what are the elements
    of our lock-down, where is that happening in the country, do we now understand the epidemiology of the disease in each area in which we have an element of lock-down or shut- down.

    Then to chart the path out, you have to build strong public health capacity to take over from the lock-down. In other words the lock-down is pushing the disease down by putting people back in their homes, by separating communities. Once you raise
    the lock-down you have to have an alternative method to suppress the infection. The  way to do that is active  case finding, testing, isolation of cases, tracking of contacts, quarantining of contacts and strong community education and
    participation and ownership around normal physical distancing, hygiene and giving communities the power to control infection by in effect managing their own physical distance, managing their own capacities to support the response.

    00:36:32

    In that situation, if you’ve strong public health capacity, if you’ve got a community that’s mobilised and empowered and if you’ve strengthened your health system then you’re potentially in a position to start unlocking or unwinding the lock-down.
    The specific parameters you need to be looking at are on two sides.

    One is, it would be very inadvisable to lock down [sic] if the number  of cases coming  through the hospital is already at a level where your  occupancy of  beds is  nearly at 100%.  You need to be in a position where
    you now have free beds in your system so that you’re managing and coping with the caseload and that means you have some absorption capacity left.

    You need to look at things like the doubling  rate; how  many days does it  take for the  number of cases to double? You need to look at positivity rates; what proportion of all samples that we test are positive? You’ll see in
    somewhere like Korea two to 6% of the samples  they test are positive. Last week in New York 37% of tested samples were positive so you need to carefully look at what proportion of people you test are positive.

    00:37:45

    You need to look at the number of contacts that are generated per case and it goes on and on and WHO will be issuing guidance to countries that is a much more specific around the parameters they should be looking at. There are no absolutes here, there
    are no answers, there are no numbers that say if this number is this then you do that. That doesn’t exist but what we can do is offer countries very specific  measurements  that they need to look  at to chart the path out of lock-down.

    That step-wise approach of unlocking somewhat and then waiting to see; I think you need to say, we will stop doing this element of the shut-down  and then we will  wait and we will  look at the data and if that works we go to the next
    stage and the next stage. So a careful, calibrated, step-wise exit from lock-down with putting in place public health capacities, putting in place community capacity, building the capacity of the health system to cope should the disease bounce back up; that’s the safe path out of lock-down.

    We want to achieve it as quickly as possible and we want to avoid many countries going  into that circumstance and we still have many countries around the world who are not in a locked- down situation. In fact their epidemiology would suggest
    they can avoid the worst of this and we need to support them to avoid them going into that situation.

    The most damaging lock-downs are in many developing countries  where people  – as the  DG has said many times – can live from hand to mouth, not from pay cheque to pay cheque but from day to day and we have to find adaptive solutions
    around lock-down and around disease control in vulnerable periurban populations living in poverty,  in  poor  rural communities.  We have to find alternative, adapted ways to manage lock-downs or slow-downs or shut-downs in
    those situations.

    00:39:41

    TJ        Thank you very much. This was Kate from BFM Radio in Malaysia. Now we will  go to Nigeria to Natural Star and it’s Innocent. Innocent, can you hear us?

    IN        Thank you. Can you hear me?

    TJ        Not very well but we will try. Please go ahead.

    IN        Okay, thank you for taking my questions. I have two questions to ask. One; how will WHO assess African countries on what they’ve done concerning the lock-down and management of COVID-19?

    Then the second one; there’s news going around that vaccines are to be tested on Africans when they’re developed. How true is that and is there a window that’s in the nearer future when a vaccine will be developed for COVID-19? Thank you.

    Hello?

    TJ        Yes, we are just trying to make sure that we understood the question but we will try. MR     I think this is Nigeria. Is it?

    TJ        Yes.

    00:41:08

    MR      Maria may answer the question around vaccine development. With regard to our general assessment on lock-down – and the Director-General may wish to comment on this because he’s been speaking with many leaders in Africa
    and, I believe, spoke with  the whole of the African Union leadership and countries late last week so therefore is in a much better position than me to speak about that.

    We would characterise so far, Africa’s actually doing well in this response thus far. Countries have essential capacities for testing, many countries are taking strong action and want to really focus on finding cases and doing contact tracing and trying to stop this disease becoming much more extensive given the fact that health systems are not as strong in many countries. 

    They need support in that though, they need support in testing, they need support with protective gear and they need to be given the resources to be able to mount those types of responses so I would characterise that Africa has not suffered the worst
    of this pandemic so far. The worst of it can be avoided with very, very swift action to support those countries in Africa who really do want to take a comprehensive approach to this disease.

    With the many vulnerable  people  including  refugees and migrants  who live  in  those countries it is our responsibility to provide that support but, DG, you may wish to speak about your interactions with the African
    Union countries.

    00:42:46

    MK      I’ll answer the question  around vaccines. What we can say is  that there are a number of vaccines that are in development and vaccines will be tested through clinical trials with all ethical considerations
    in place in whichever  populations  are under  study  with informed consent, with open and transparent communication. This is of the utmost importance, that not only do we have strong, robust  scientific  evidence 
    but  we ensure that all  of the studies  that are done are done with appropriate and the highest level of ethical considerations.

    One thing on the first question around Africa is that there are a number of countries in Africa right now which have very few cases and Mike has alluded to this in his earlier response.

    Some only have imported cases and there is an opportunity here, this  window  of opportunity that the DG has spoken about exists  in  many countries  still.  There is  an opportunity to prevent the worst from happening
    in a number of countries across Africa and across countries that are still seeing their first case; in some island countries.

    We need to support those governments, those countries, all of the people in those areas to prevent the worst from happening, to prevent these individual cases from becoming clusters, these clusters from becoming community transmission. I think that’s
    where we need to put  a lot of emphasis and support so that we can prevent countries  from reaching a point  where they need to put in these very restrictive movement restrictions.

    TAG    Thank you. Thank you for that question, my brother from Nigeria. On the situation, as Mike said, of course when you see the number of cases the African continent has the lowest number of cases so far but that doesn’t mean that
    the situation will not deteriorate. It may.

    00:45:06

    So Africa should do everything to prevent this situation from getting worse and that’s why African leaders are doing their best. I had a chance to participate in a meeting, a Leaders’ Coalition which was arranged or invited by the current Chairperson
    of the African Union, the President of South Africa, President Ramaphoza and many leaders from all corners of the continent have actually participated.

    The main agenda is to have a continental strategy and also make sure that that continental strategy helps the national strategy but in addition to a coalition of political leaders or the heads of state and government they have also agreed to have a coalition of business leaders. Business leaders in Africa are also getting together because Africa will need resources and one of the major problems that was identified during the discussion
    was especially shortage of equipment starting from medical equipment, PPE and test kits and so on.

    The leaders have agreed to look for concrete solutions to address the problem and they also believe that considering the number of cases we have in the continent testing cases, tracing contacts and isolating them, meaning using the comprehensive approach,
    will actually  help. They believe that lock-downs alone may not help or the physical distancing alone cannot help and they have agreed to do everything to follow the comprehensive approach.

    From WHO’s side we have been supporting and we increased, improved  the testing capacity in Africa significantly in the past two months and many countries in Africa have now testing capability although we may have a shortage of test kits but 
    we’re working  on that too and we’re finding different ways of addressing the gap.

    00:48:06

    But we will support the African Union, we will support the Africa CDC and also we will continue working through our WHO regional office in Congo Brazzaville and continue to support and fight the pandemic together.

    Then on the vaccines issue there was, I think, a comment last week from a couple of

    scientists who said the testing ground for the new vaccines will be Africa. To be honest,  I was so appalled and it was a time when I said, when we needed solidarity these kind of racist remarks actually would not help, it goes against the solidarity.

    Africa cannot and will not be a testing ground for any vaccine. We will follow all the rules to test any vaccine or therapeutics all over the world using exactly the same rules. Whether it’s

    in Europe, Africa or wherever we will use the same protocol and if there is a need to be tested elsewhere to treat human beings the same way, equally.

    The hangover from a colonial mentality has to stop — and WHO will  not  allow  this  to happen. It was a disgrace actually  and appalling  to hear during the 21st century from scientists that kind of remark and we condemn
    this in  the strongest  terms possible  but  we assure you  that this will not happen in Africa and will not happen elsewhere, in any country. Proper protocols will be followed and human beings will be treated as human
    beings because we’re all human beings.

    00:50:37

    Then after saying this the vaccine development; we’re addressing two issues and we will be announcing as soon as possible, hopefully during this week, a big initiative to accelerate the research and development and production of vaccines and also
    design mechanisms for equitable distribution of the vaccines.

    While we’re looking for vaccines, unless we break the barriers to equitable distribution of the products, whether it’s vaccines or therapeutics, we will have a problem, so we need to address the problem ahead of time, we need to address the problem
    of access or challenges to access ahead of time.

    That’s why we will put together a mechanism and we will appoint senior people from the North and South that will work out the details on how they can accelerate production but at the same time how they can ensure equitable distribution. Solidarity
    is very important here. When a vaccine or a medicine is ready we have to be able to deliver it all over the world.

    There should not be a divide between the haves and the have-nots.

    If we say solidarity, solidarity should be in its full form and I hope each and every individual, each and every human being will go for that kind of solidarity. I thank you.

    TJ        Thank you, Dr Tedros. We’ll take a couple more questions. We go to Yang from Xinhua news agency. Yang, can you hear us?

    00:52:58

    YA      Can I hear you?

    TJ        Yes, we can hear you. Please go ahead.

    YA      As World Health Day is approaching  what do you  have to say to the  front-line medical workers in China and around the world in  the global  anti-virus  efforts? This  question is
    for Dr Tedros. Thank you.

    TJ        If we understood well, the question is what is the message to health workers in China and around the world. Maybe you can repeat the question one more time, please.

    YA      Okay. As World Health Day is approaching what would you say and what message do you want to deliver to the front-line medical workers in China  and around the world  in  the global anti-virus effort?

    TAG    I think I have said it earlier;  as you  know,  this  is  the year of  the nurse and the midwife, 2020. We were ready to celebrate it in a big way and it was supposed to be the main event in our
    Assembly in mid-May. Unfortunately we’re in this situation but  we will  be launching a report tomorrow which is the first of its kind.  It’s a report on the  state of nursing. We will launch it tomorrow during the World Health
    Day.

    00:55:01

    But while launching that report, although it’s about nursing, we will celebrate all health workers, midwives, pharmacists, doctors, you name it. I think the world is now seeing the importance and the central role that health workers play. People,
    when they’re asked, of course, to choose they would say health first because it’s only when you’re healthy that you can aspire to anything, whether it’s wealth or fame or anything. It doesn’t matter if you’re not healthy.

    If you’re not healthy the first thing you ask for is to get back your health and our health workers are making sure that happens and they’re central and very important for any individual. So not only during COVID but during other times too health
    professionals are very important because they are safeguarding that very important aspect of life — that’s health.

    So we have to celebrate them every day. Of course during COVID we can see to what extent they’re sacrificing. We have lost many of them. They’re dying while  saving lives  so my message first is to the public at large; that each and every individual 
    should  recognise, whether it’s during normal times or pandemics like now, the role of health  professionals  and help them, protect them, really appreciate and respect what they are doing.

    To the health workers, although especially during this COVID pandemic you’re working in a difficult situation you should know that your work is the most blessed one, your work is something  special to the extent of losing  your  life 
    while  helping  others to live.  We respect you and appreciate you for that and we also believe in you and that you will do everything to control this pandemic.

    00:58:11

    But you should know that you have – and the world understands – the most important job. We can see the humility which is coming from some leaders because of this pandemic. I know they’re seeing, starting from their own lives, the whole world through 
    a different  prism  and they will also see your role.

    But the most important is not the recognition from the public or from leaders but the internal commitment and passion you have and believing that you’re doing the most blessed thing  and you have all our respect and appreciation and we believe in 
    you,  that together  we will  finish this pandemic. All the respect and appreciation we have to you, the greatest respect and appreciation ever. Thank you.

    TJ        Thank you very much, Dr Tedros. I think this important message will be heard from everyone and we will  conclude  this  press briefing with these important  words from Dr Tedros. We will
    have an audio file available in the minutes to come and we invite you for our next briefing on Wednesday. Thank you.

    TAG    [Inaudible] and see you on Wednesday – tomorrow actually for the launch. Yes, see you tomorrow.

    01:00:18

    Virtual Press Conference on COVID-19- 06 April 2020
    Read More
    https://www.who.int/news-room/detail/06-04-2020-virtual-press-conference-on-covid-19–06-april-2020

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  • WHO and Global Citizen announce: ‘One World: Together at home’ Global Special to support healthcare workers in the fight against the COVID-19 pandemic

    WHO and Global Citizen announce: ‘One World: Together at home’ Global Special to support healthcare workers in the fight against the COVID-19 pandemic

     

    ‘One World: Together At Home’ global special to air on Saturday, 18 April 2020 in celebration and support of healthcare workers, broadcast to feature real experiences from doctors, nurses and families around the world.

    Powered by commitments from supporters and corporate partners in benefit of the COVID-19 Solidarity Response Fund, Broadcast special to also benefit local and regional charities that provide food, shelter and healthcare to those that need help most.

    Historic broadcast to be hosted by Jimmy Fallon of ‘The Tonight Show,’  Jimmy Kimmel of ‘Jimmy Kimmel Live’ and Stephen Colbert of ‘The Late Show with Stephen Colbert,’ Friends from Sesame Street Also on hand to help unify and inspire people around the world to take meaningful actions that increase support for the global COVID-19 response.

    Curated in collaboration with Lady Gaga, broadcast to include Alanis Morissette, Andrea Bocelli, Billie Eilish, Billie Joe Armstrong of Green Day, Burna Boy, Chris Martin, David Beckham, Eddie Vedder, Elton John, FINNEAS, Idris and Sabrina Elba, J Balvin, John Legend, Kacey Musgraves, Keith Urban, Kerry Washington, Lang Lang, Lizzo, Maluma, Paul McCartney, Priyanka Chopra Jonas,  Shah Rukh Khan and Stevie Wonder.

    ——————————————

    Geneva/New York – International advocacy organization Global Citizen and the World Health Organization today
    announced the One World: Together At Home — a globally televised and streamed special in support of the fight against the COVID-19 pandemic. One World: Together At Home will be broadcast live on Saturday, 18 April 2020 at 5:00
    p.m. PDT/8:00 p.m. EDT/12:00 a.m. GMT airing on ABC, NBC, ViacomCBS Networks, iHeartMedia and Bell Media networks and platforms in Canada. Internationally, BBC One will run the program on Sunday 19 April 2020. Additional
    international broadcasters include beIN Media Group, MultiChoice Group and RTE. The virtual broadcast will show unity among all people who are affected by COVID-19 and will also celebrate and support brave healthcare
    workers doing life-saving work on the front lines.

    Hugh Evans, Co-Founder and CEO of Global Citizen, said “As we honor and support the heroic efforts of community health workers, ‘One World: Together At Home’ aims to serve as a source of unity and encouragement in the global fight
    to end COVID-19. Through music, entertainment and impact, the global live-cast will celebrate those who risk their own health to safeguard everyone else’s.”

    One World: Together At Home will also be a multi-hour digital broadcast streaming online on multiple global platforms, including: Alibaba, Amazon Prime Video, Apple, Facebook, Instagram, LiveXLive, Tencent, Tencent Music Entertainment Group, TIDAL, TuneIn, Twitch, Twitter, Yahoo and
    YouTube. This digital special will include additional artists and performances from all over the globe as well as unique stories from the world’s healthcare heroes. For information about how to tune in and take action, visit 
    www.globalcitizen.org/togetherathome.

    “The World Health Organization is committed to defeating the coronavirus pandemic with science and public health measures, and supporting the health workers who are on the frontlines of the response,” said Dr Tedros Adhanom Ghebreyesus,
    Director-General of WHO. “We may have to be apart physically for a while, but we can still come together virtually to enjoy great music. The ‘One World: Together At Home’ concert represents a powerful show of solidarity against
    a common threat.”

    “The United Nations system is fully mobilized: supporting country responses, placing our supply chains at the world’s disposal and advocating for a global cease-fire. We are proud to join forces with ‘One World: Together At Home’
    to help suppress the transmission of the virus, minimize social-economic impacts on the global community and work together now to advance Global Goals for the future,” said António Guterres, Secretary-General of the United Nations.
    “There is no greater case for collective action than our joint response to COVID-19 – we are in this together and we will get through this together.”

    Last month in response to the global pandemic, Global Citizen launched an urgent campaign in support of the COVID-19 Solidarity Response Fund for WHO, powered by the UN Foundation. Calling on individuals to take action,
    and asking world leaders and corporations to support the response with sufficient resources, Global Citizens from over 130 countries around the world have taken tens of thousands of actions in support of the response fund.

    At this critical moment in history, Global Citizen is also calling on philanthropists to join and support immediate COVID-19 response efforts as part of the organization’s Give While You Live effort. Investors, changemakers and foundation
    leaders are being urged to actualize their giving and invest quickly in related efforts like stronger health systems and vaccine development.

    Over the past three weeks, the Together At Home series has featured performances from artists including,
    Chris Martin, John Legend, Charlie Puth, Common, Shawn Mendes, Camila Cabello, Ryan Tedder of OneRepublic, Niall Horan, Steve Aoki, Jennifer Hudson, Miguel, H.E.R., Anthony Hamilton, Rufus Wainwright, Hozier and Julianne Hough, among others in
    support of WHO and Global Citizen’s campaign.

    Commitments from supporters and corporate partners will go to the COVID-19 Solidarity Response Fund for WHO to support and equip frontline healthcare workers around the world, with masks, gowns and other vital equipment, and to local charities that provide food, shelter, and healthcare to those that need it most. These local groups have been verified
    to ensure that they are helping communities impacted by COVID-19.

    For more information about Global Citizen and the campaign to support the WHO’s Solidarity Response Fund, please visit globalcitizen.org and
    follow @GlblCtzn Twitter, Facebook and Instagram using #GlobalCitizen. 

    To learn more about WHO’s response to the pandemic and the COVID-19 Solidarity Response Fund, please go to www.who.int/COVID-19 and follow @WHO on Twitter, Facebook, Instagram,
    LinkedIn and TikTok.

     

    ###

    About Global Citizen:

    Global Citizen is the world’s largest movement of action takers and impact makers dedicated to ending extreme poverty by 2030. With over 10 million monthly advocates, our voices have the power to drive lasting change around sustainability, equality,
    and humanity. We post, tweet, message, vote, sign, and call to inspire those who can make things happen to act — government leaders, businesses, philanthropists, artists, and citizens — together improving lives. By downloading our
    app, Global Citizens learn about the systemic causes of extreme poverty, take action on those issues, and earn rewards, which can be redeemed for tickets to concerts, events, and experiences all over the world. To date, the actions of our community,
    along with high-level advocacy efforts and work with partners, has resulted in commitments and policy announcements from leaders valued at over $48 billion, affecting the lives of more than 2.25 billion people by 2030. For more information, visit
    www.GlobalCitizen.org.

     

    About the World Health Organization:

    The World Health Organization (WHO) is the United Nations’ specialized agency for health. It is an inter-governmental organization and works in collaboration with its Member States usually through the Ministries of Health. The World Health Organization
    is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing
    health trends. Learn more at www.who.int.

     

    About the United Nations Foundation:

    The UN Foundation brings together the ideas, people, and resources the United Nations needs to drive global progress and tackle urgent problems. To support the work of the World Health Organization (WHO) in its global work on COVID-19, UN Foundation
    helped launch the COVID-19 Solidarity Response Fund that has raised more than $100 million in less than two weeks for lifesaving work around the world.  Learn more about the COVID-19 Solidarity Response Fund at www.covid19responsefund.org. Learn more about the UN Foundation at www.unfoundation.org.
    Follow @unfoundation on Twitter and Instagram, and @United Nations Foundation on Facebook.

    —————-

    Note to Editors:

    Resources donated to the COVID-19 Solidarity Response Fund will be spent in alignment with the WHO Strategic Preparedness and Response Plan and support the work of multiple organizations. These include WHO, for tracking the virus spread, equipping
    health workers, making lab and testing tools available, and providing communities and frontline responders with the latest guidance; enabling UNICEF to equip children and families globally with evidence-based guidance to protect them from COVID-19,
    providing water, sanitation and hygiene, and basic infection prevention and control measures to vulnerable countries, and caring for vulnerable families and children; and to CEPI, the Coalition for Epidemic Preparedness Innovations, a key partner
    leading the financing for research and development for novel vaccines to combat COVID-19.

     

     

     

     

     

     

    WHO and Global Citizen announce: 'One World: Together at home' Global Special to support healthcare workers in the fight against the COVID-19 pandemic
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    https://www.who.int/news-room/detail/06-04-2020-who-and-global-citizen-announce-one-world-together-at-home-global-special-to-support-healthcare-workers-in-the-fight-against-the-covid-19-pandemic

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  • The War Between the Sexes – The Feminine Attitude, The Male Beauty, Men as Aesthetes and The Process of Delusion

    The War Between the Sexes – The Feminine Attitude, The Male Beauty, Men as Aesthetes and The Process of Delusion

     

    6. How Marriages are Arranged

    I have said that women are not sentimental, i.e., not prone to permit mere emotion and illusion to corrupt their estimation of a situation. The doctrine, perhaps, will raise a protest. The theory that they are is itself a favourite sentimentality; one sentimentality will be brought up to substantiate another; dog will eat dog. But an appeal to a few obvious facts will be enough to sustain my contention, despite the vast accumulation of romantic rubbish to the contrary.

    Turn, for example, to the field in which the two sexes come most constantly into conflict, and in which, as a result, their habits of mind are most clearly contrasted—to the field, to wit, of monogamous marriage. Surely no long argument is needed to demonstrate the superior competence and effectiveness of women here, and therewith their greater self-possession, their saner weighing of considerations, their higher power of resisting emotional suggestion. The very fact that marriages occur at all is a proof, indeed, that they are more cool-headed than men, and more adept in employing their intellectual resources, for it is plainly to a man’s interest to avoid marriage as long as possible, and as plainly to a woman’s interest to make a favourable marriage as soon as she can. The efforts of the two sexes are thus directed, in one of the capital concerns of life, to diametrically antagonistic ends. Which side commonly prevails? I leave the verdict to the jury. All normal men fight the thing off; some men are successful for relatively long periods; a few extraordinarily intelligent and courageous men (or perhaps lucky ones) escape altogether. But, taking one generation with another, as every one knows, the average man is duly married and the average woman gets a husband. Thus the great majority of women, in this clear-cut and endless conflict, make manifest their substantial superiority to the great majority of men.

    Not many men, worthy of the name, gain anything of net value by marriage, at least as the institution is now met with in Christendom. Even assessing its benefits at their most inflated worth, they are plainly overborne by crushing disadvantages. When a man marries it is no more than a sign that the feminine talent for persuasion and intimidation—i.e., the feminine talent for survival in a world of clashing concepts and desires, the feminine competence and intelligence—has forced him into a more or less abhorrent compromise with his own honest inclinations and best interests. Whether that compromise be a sign of his relative stupidity or of his relative cowardice it is all one: the two things, in their symptoms and effects, are almost identical. In the first case he marries because he has been clearly bowled over in a combat of wits; in the second he resigns himself to marriage as the safest form of liaison. In both cases his inherent sentimentality is the chief weapon in the hand of his opponent. It makes him cherish the fiction of his enterprise, and even of his daring, in the midst of the most crude and obvious operations against him. It makes him accept as real the bold play-acting that women always excel at, and at no time more than when stalking a man. It makes him, above all, see a glamour of romance in a transaction which, even at its best, contains almost as much gross trafficking, at bottom, as the sale of a mule.

    A man in full possession of the modest faculties that nature commonly apportions to him is at least far enough above idiocy to realize that marriage is a bargain in which he gets the worse of it, even when, in some detail or other, he makes a visible gain. He never, I believe, wants all that the thing offers and implies. He wants, at most, no more than certain parts. He may desire, let us say, a housekeeper to protect his goods and entertain his friends—but he may shrink from the thought of sharing his bathtub with anyone, and home cooking may be downright poisonous to him. He may yearn for a son to pray at his tomb—and yet suffer acutely at the mere approach of relatives-in-law. He may dream of a beautiful and complaisant mistress, less exigent and mercurial than any a bachelor may hope to discover—and stand aghast at admitting her to his bank-book, his family-tree and his secret ambitions. He may want company and not intimacy, or intimacy and not company. He may want a cook and not a partner in his business, or a partner in his business and not a cook. But in order to get the precise thing or things that he wants, he has to take a lot of other things that he doesn’t want—that no sane man, in truth, could imaginably want—and it is to the enterprise of forcing him into this almost Armenian bargain that the woman of his “choice” addresses herself. Once the game is fairly set, she searches out his weaknesses with the utmost delicacy and accuracy, and plays upon them with all her superior resources. He carries a handicap from the start. His sentimental and unintelligent belief in theories that she knows quite well are not true—e.g., the theory that she shrinks from him, and is modestly appalled by the banal carnalities of marriage itself—gives her a weapon against him which she drives home with instinctive and compelling art. The moment she discerns this sentimentality bubbling within him—that is, the moment his oafish smirks and eye rollings signify that he has achieved the intellectual disaster that is called falling in love—he is hers to do with as she will. Save for acts of God, he is forthwith as good as married.

    7. The Feminine Attitude

    This sentimentality in marriage is seldom, if ever, observed in women. For reasons that we shall examine later, they have much more to gain by the business than men, and so they are prompted by their cooler sagacity to enter upon it on the most favourable terms possible, and with the minimum admixture of disarming emotion. Men almost invariably get their mates by the process called falling in love; save among the aristocracies of the North and Latin men, the marriage of convenience is relatively rare; a hundred men marry “beneath” them to every woman who perpetrates the same folly. And what is meant by this so-called falling in love? What is meant by it is a procedure whereby a man accounts for the fact of his marriage, after feminine initiative and generalship have made it inevitable, by enshrouding it in a purple maze of romance—in brief, by setting up the doctrine that an obviously self-possessed and mammalian woman, engaged deliberately in the most important adventure of her life, and with the keenest understanding of its utmost implications, is a naive, tender, moony and almost disembodied creature, enchanted and made perfect by a passion that has stolen upon her unawares, and which she could not acknowledge, even to herself, without blushing to death. By this preposterous doctrine, the defeat and enslavement of the man is made glorious, and even gifted with a touch of flattering naughtiness. The sheer horsepower of his wooing has assailed and overcome her maiden modesty; she trembles in his arms; he has been granted a free franchise to work his wicked will upon her. Thus do the ambulant images of God cloak their shackles proudly, and divert the judicious with their boastful shouts.

    Women, it is almost needless to point out, are much more cautious about embracing the conventional hocus-pocus of the situation. They never acknowledge that they have fallen in love, as the phrase is, until the man has formally avowed the delusion, and so cut off his retreat; to do otherwise would be to bring down upon their heads the mocking and contumely of all their sisters. With them, falling in love thus appears in the light of an afterthought, or, perhaps more accurately, in the light of a contagion. The theory, it would seem, is that the love of the man, laboriously avowed, has inspired it instantly, and by some unintelligible magic; that it was non-existent until the heat of his own flames set it off. This theory, it must be acknowledged, has a certain element of fact in it. A woman seldom allows herself to be swayed by emotion while the principal business is yet afoot and its issue still in doubt; to do so would be to expose a degree of imbecility that is confined only to the half-wits of the sex. But once the man is definitely committed, she frequently unbends a bit, if only as a relief from the strain of a fixed purpose, and so, throwing off her customary inhibitions, she, indulges in the luxury of a more or less forced and mawkish sentiment. It is, however, almost unheard of for her to permit herself this relaxation before the sentimental intoxication of the man is assured. To do otherwise—that is, to confess, even post facto, to an anterior descent,—would expose her, as I have said, to the scorn of all other women. Such a confession would be an admission that emotion had got the better of her at a critical intellectual moment, and in the eyes of women, as in the eyes of the small minority of genuinely intelligent men, no treason to the higher cerebral centres could be more disgraceful.

    8. The Male Beauty

    This disdain of sentimental weakness, even in those higher reaches where it is mellowed by aesthetic sensibility, is well revealed by the fact that women are seldom bemused by mere beauty in men. Save on the stage, the handsome fellow has no appreciable advantage in amour over his more Gothic brother. In real life, indeed, he is viewed with the utmost suspicion by all women save the most stupid. In him the vanity native to his sex is seen to mount to a degree that is positively intolerable. It not only irritates by its very nature; it also throws about him a sort of unnatural armour, and so makes him resistant to the ordinary approaches. For this reason, the matrimonial enterprises of the more reflective and analytical sort of women are almost always directed to men whose lack of pulchritude makes them easier to bring down, and, what is more important still, easier to hold down. The weight of opinion among women is decidedly against the woman who falls in love with an Apollo. She is regarded, at best, as flighty creature, and at worst, as one pushing bad taste to the verge of indecency. Such weaknesses are resigned to women approaching senility, and to the more ignoble variety of women labourers. A shop girl, perhaps, may plausibly fall in love with a moving-picture actor, and a half-idiotic old widow may succumb to a youth with shoulders like the Parthenon, but no woman of poise and self-respect, even supposing her to be transiently flustered by a lovely buck, would yield to that madness for an instant, or confess it to her dearest friend. Women know how little such purely superficial values are worth. The voice of their order, the first taboo of their freemasonry, is firmly against making a sentimental debauch of the serious business of marriage.

    This disdain of the pretty fellow is often accounted for by amateur psychologists on the ground that women are anesthetic to beauty—that they lack the quick and delicate responsiveness of man. Nothing could be more absurd. Women, in point of fact, commonly have a far keener aesthetic sense than men. Beauty is more important to them; they give more thought to it; they crave more of it in their immediate surroundings. The average man, at least in England and America, takes a sort of bovine pride in his anaesthesia to the arts; he can think of them only as sources of tawdry and somewhat discreditable amusement; one seldom hears of him showing half the enthusiasm for any beautiful thing that his wife displays in the presence, of a fine fabric, an effective colour, or a graceful form, say in millinery.

    The truth is that women are resistant to so-called beauty in men for the simple and sufficient reason that such beauty is chiefly imaginary. A truly beautiful man, indeed, is as rare as a truly beautiful piece of jewelry. What men mistake for beauty in themselves is usually nothing save a certain hollow gaudiness, a revolting flashiness, the superficial splendour of a prancing animal. The most lovely moving picture actor, considered in the light of genuine aesthetic values, is no more than a piece of vulgarity; his like is to be found, not in the Uffizi gallery or among the harmonies of Brahms, but among the plush sofas, rococo clocks and hand-painted oil-paintings of a third-rate auction room. All women, save the least intelligent, penetrate this imposture with sharp eyes. They know that the human body, except for a brief time in infancy, is not a beautiful thing, but a hideous thing. Their own bodies give them no delight; it is their constant effort to disguise and conceal them; they never expose them aesthetically, but only as an act of the grossest sexual provocation. If it were advertised that a troupe of men of easy virtue were to appear half-clothed upon a public stage, exposing their chests, thighs, arms and calves, the only women who would go to the entertainment would be a few delayed adolescents, a psychopathic old maid or two, and a guard of indignant members of the parish Ladies Aid Society.

    9. Men as Aesthetes

    Men show no such sagacious apprehension of the relatively feeble loveliness of the human frame. The most effective lure that a woman can hold out to a man is the lure of what he fatuously conceives to be her beauty. This so-called beauty, of course, is almost always a pure illusion. The female body, even at its best is very defective in form; it has harsh curves and very clumsily distributed masses; compared to it the average milk-jug, or even cuspidor, is a thing of intelligent and gratifying design—in brief, an objet d’art. The fact was curiously (and humorously) display during the late war, when great numbers of women in all the belligerent countries began putting on uniforms. Instantly they appeared in public in their grotesque burlesques of the official garb of aviators, elevator boys, bus conductors, train guards, and so on, their deplorable deficiency in design was unescapably revealed. A man, save he be fat, i.e., of womanish contours, usually looks better in uniform than in mufti; the tight lines set off his figure.

    But a woman is at once given away: she look like a dumbbell run over by an express train. Below the neck by the bow and below the waist astern there are two masses that simply refuse to fit into a balanced composition. Viewed from the side, she presents an exaggerated S bisected by an imperfect straight line, and so she inevitably suggests a drunken dollar-mark. Her ordinary clothing cunningly conceals this fundamental imperfection. It swathes those impossible masses in draperies soothingly uncertain of outline. But putting her into uniform is like stripping her. Instantly all her alleged beauty vanishes.

    Moreover, it is extremely rare to find a woman who shows even the modest sightliness that her sex is theoretically capable of; it is only the rare beauty who is even tolerable. The average woman, until art comes to her aid, is ungraceful, misshapen, badly calved and crudely articulated, even for a woman. If she has a good torso, she is almost sure to be bow-legged. If she has good legs, she is almost sure to have bad teeth. If she has good teeth, she is almost sure to have scrawny hands, or muddy eyes, or hair like oakum, or no chin. A woman who meets fair tests all ’round is so uncommon that she becomes a sort of marvel, and usually gains a livelihood by exhibiting herself as such, either on the stage, in the half-world, or as the private jewel of some wealthy connoisseur.

    But this lack of genuine beauty in women lays on them no practical disadvantage in the primary business of their sex, for its effects are more than overborne by the emotional suggestibility, the herculean capacity for illusion, the almost total absence of critical sense of men. Men do not demand genuine beauty, even in the most modest doses; they are quite content with the mere appearance of beauty. That is to say, they show no talent whatever for differentiating between the artificial and the real. A film of face powder, skilfully applied, is as satisfying to them as an epidermis of damask. The hair of a dead Chinaman, artfully dressed and dyed, gives them as much delight as the authentic tresses of Venus. A false hip intrigues them as effectively as the soundest one of living fascia. A pretty frock fetches them quite as surely and securely as lovely legs, shoulders, hands or eyes. In brief, they estimate women, and hence acquire their wives, by reckoning up purely superficial aspects, which is just as intelligent as estimating an egg by purely superficial aspects. They never go behind the returns; it never occurs to them to analyze the impressions they receive. The result is that many a man, deceived by such paltry sophistications, never really sees his wife—that if, as God is supposed to see her, and as the embalmer will see her—until they have been married for years. All the tricks may be infantile and obvious, but in the face of so naive a spectator the temptation to continue practising them is irresistible. A trained nurse tells me that even when undergoing the extreme discomforts of parturition the great majority of women continue to modify their complexions with pulverized talcs, and to give thought to the arrangement of their hair. Such transparent devices, to be sure, reduce the psychologist to a sour sort of mirth, and yet it must be plain that they suffice to entrap and make fools of men, even the most discreet. I know of no man, indeed, who is wholly resistant to female beauty, and I know of no man, even among those engaged professionally by aesthetic problems, who habitually and automatically distinguishes the genuine, from the imitation. He may do it now and then; he may even preen himself upon his unusual discrimination; but given the right woman and the right stage setting, and he will be deceived almost as readily as a yokel fresh from the cabbage-field.

    10. The Process of Delusion

    Such poor fools, rolling their eyes in appraisement of such meagre female beauty as is on display in Christendom, bring to their judgments a capacity but slightly greater than that a cow would bring to the estimation of epistemologies. They are so unfitted for the business that they are even unable to agree upon its elements. Let one such man succumb to the plaster charms of some prancing miss, and all his friends will wonder what is the matter with him. No two are in accord as to which is the most beautiful woman in their own town or street. Turn six of them loose in millinery shop or the parlour of a bordello, and there will be no dispute whatsoever; each will offer the crown of love and beauty to a different girl.

    And what aesthetic deafness, dumbness and blindness thus open the way for, vanity instantly reinforces. That is to say, once a normal man has succumbed to the meretricious charms of a definite fair one (or, more accurately, once a definite fair one has marked him out and grabbed him by the nose), he defends his choice with all the heat and steadfastness appertaining to the defense of a point of the deepest honour. To tell a man flatly that his wife is not beautiful, or even that his stenographer or manicurist is not beautiful, is so harsh and intolerable an insult to his taste that even an enemy seldom ventures upon it. One would offend him far less by arguing that his wife is an idiot. One would relatively speaking, almost caress him by spitting into his eye. The ego of the male is simply unable to stomach such an affront. It is a weapon as discreditable as the poison of the Borgias.

    Thus, on humane grounds, a conspiracy of silence surrounds the delusion of female beauty, and so its victim is permitted to get quite as much delight out of it as if it were sound. The baits he swallows most are not edible and nourishing baits, but simply bright and gaudy ones. He succumbs to a pair of well-managed eyes, a graceful twist of the body, a synthetic complexion or a skilful display of ankles without giving the slightest thought to the fact that a whole woman is there, and that within the cranial cavity of the woman lies a brain, and that the idiosyncrasies of that brain are of vastly more importance than all imaginable physical stigmata combined. Those idiosyncrasies may make for amicable relations in the complex and difficult bondage called marriage; they may, on the contrary, make for joustings of a downright impossible character. But not many men, laced in the emotional maze preceding, are capable of any very clear examination of such facts. The truth is that they dodge the facts, even when they are favourable, and lay all stress upon the surrounding and concealing superficialities. The average stupid and sentimental man, if he has a noticeably sensible wife, is almost apologetic about it. The ideal of his sex is always a pretty wife, and the vanity and coquetry that so often go with prettiness are erected into charms. In other words, men play the love game so unintelligently that they often esteem a woman in proportion as she seems to disdain and make a mock of her intelligence. Women seldom, if ever, make that blunder. What they commonly value in a man is not mere showiness, whether physical or spiritual, but that compound of small capacities which makes up masculine efficiency and passes for masculine intelligence. This intelligence, at its highest, has a human value substantially equal to that of their own. In a man’s world it at least gets its definite rewards; it guarantees security, position, a livelihood; it is a commodity that is merchantable. Women thus accord it a certain respect, and esteem it in their husbands, and so seek it out.

    11. Biological Considerations

    So far as I can make out by experiments on laboratory animals and by such discreet vivisections as are possible under our laws, there is no biological necessity for the superior acumen and circumspection of women. That is to say, it does not lie in any anatomical or physiological advantage. The essential feminine machine is no better than the essential masculine machine; both are monuments to the maladroitness of a much over-praised Creator. Women, it would seem, actually have smaller brains than men, though perhaps not in proportion to weight. Their nervous responses, if anything, are a bit duller than those of men; their muscular coordinations are surely no prompter. One finds quite as many obvious botches among them; they have as many bodily blemishes; they are infested by the same microscopic parasites; their senses are as obtuse; their ears stand out as absurdly. Even assuming that their special malaises are wholly offset by the effects of alcoholism in the male, they suffer patently from the same adenoids, gastritis, cholelithiasis, nephritis, tuberculosis, carcinoma, arthritis and so on—in short, from the same disturbances of colloidal equilibrium that produce religion, delusions of grandeur, democracy, pyaemia, night sweats, the yearning to save humanity, and all other such distempers in men. They have, at bottom, the same weaknesses and appetites. They react in substantially the same way to all chemical and mechanical agents. A dose of hydrocyanic acid, administered per ora to the most sagacious woman imaginable, affects her just as swiftly and just as deleteriously as it affects a tragedian, a crossing-sweeper, or an ambassador to the Court of St. James. And once a bottle of Cote Rotie or Scharlachberger is in her, even the least emotional woman shows the same complex of sentimentalities that a man shows, and is as maudlin and idiotic as he is.

    Nay; the superior acumen and self-possession of women is not inherent in any peculiarity of their constitutions, and above all, not in any advantage of a purely physical character. Its springs are rather to be sought in a physical disadvantage—that is, in the mechanical inferiority of their frames, their relative lack of tractive capacity, their deficiency as brute engines. That deficiency, as every one knows, is partly a direct heritage from those females of the Pongo pygmaeus who were their probable fore-runners in the world; the same thing is to be observed in the females of almost all other species of mammals. But it is also partly due to the effects of use under civilization, and, above all, to what evolutionists call sexual selection. In other words, women were already measurably weaker than men at the dawn of human history, and that relative weakness has been progressively augmented in the interval by the conditions of human life. For one thing, the process of bringing forth young has become so much more exhausting as refinement has replaced savage sturdiness and callousness, and the care of them in infancy has become so much more onerous as the growth of cultural complexity has made education more intricate, that the two functions now lay vastly heavier burdens upon the strength and attention of a woman than they lay upon the strength and attention of any other female. And for another thing, the consequent disability and need of physical protection, by feeding and inflaming the already large vanity of man, have caused him to attach a concept of attractiveness to feminine weakness, so that he has come to esteem his woman, not in proportion as she is self-sufficient as a social animal but in proportion as she is dependent. In this vicious circle of influences women have been caught, and as a result their chief physical character today is their fragility. A woman cannot lift as much as a man. She cannot walk as far. She cannot exert as much mechanical energy in any other way. Even her alleged superior endurance, as Havelock Ellis has demonstrated in “Man and Woman,” is almost wholly mythical; she cannot, in point of fact, stand nearly so much hardship as a man can stand, and so the law, usually an ass, exhibits an unaccustomed accuracy of observation in its assumption that, whenever husband and wife are exposed alike to fatal suffering, say in a shipwreck, the wife dies first.

    So far we have been among platitudes. There is less of overt platitude in the doctrine that it is precisely this physical frailty that has given women their peculiar nimbleness and effectiveness on the intellectual side. Nevertheless, it is equally true. What they have done is what every healthy and elastic organism does in like case; they have sought compensation for their impotence in one field by employing their resources in another field to the utmost, and out of that constant and maximum use has come a marked enlargement of those resources. On the one hand the sum of them present in a given woman has been enormously increased by natural selection, so that every woman, so to speak, inherits a certain extra-masculine mental dexterity as a mere function of her femaleness. And on the other hand every woman, over and above this almost unescapable legacy from her actual grandmothers, also inherits admission to that traditional wisdom which constitutes the esoteric philosophy of woman as a whole. The virgin at adolescence is thus in the position of an unusually fortunate apprentice, for she is not only naturally gifted but also apprenticed to extraordinarily competent masters. While a boy at the same period is learning from his elders little more than a few empty technical tricks, a few paltry vices and a few degrading enthusiasms, his sister is under instruction in all those higher exercises of the wits that her special deficiencies make necessary to her security, and in particular in all those exercises which aim at overcoming the physical, and hence social and economic superiority of man by attacks upon his inferior capacity for clear reasoning, uncorrupted by illusion and sentimentality.

    12. Honour

    Here, it is obvious, the process of intellectual development takes colour from the Sklavenmoral, and is, in a sense, a product of it. The Jews, as Nietzsche has demonstrated, got their unusual intelligence by the same process; a contrary process is working in the case of the English and the Americans, and has begun to show itself in the case of the French and Germans. The sum of feminine wisdom that I have just mentioned—the body of feminine devices and competences that is handed down from generation to generation of women—is, in fact, made up very largely of doctrines and expedients that infallibly appear to the average sentimental man, helpless as he is before them, as cynical and immoral. He commonly puts this aversion into the theory that women have no sense of honour. The criticism, of course, is characteristically banal. Honour is a concept too tangled to be analyzed here, but it may be sufficient to point out that it is predicated upon a feeling of absolute security, and that, in that capital conflict between man and woman out of which rises most of man’s complaint of its absence—to wit, the conflict culminating in marriage, already described—the security of the woman is not something that is in actual being, but something that she is striving with all arms to attain. In such a conflict it must be manifest that honor can have no place. An animal fighting for its very existence uses all possible means of offence and defence, however foul. Even man, for all his boasting about honor, seldom displays it when he has anything of the first value at hazard. He is honorable, perhaps, in gambling, for gambling is a mere vice, but it is quite unusual for him to be honorable in business, for business is bread and butter. He is honorable (so long as the stake is trivial) in his sports, but he seldom permits honor to interfere with his perjuries in a lawsuit, or with hitting below the belt in any other sort of combat that is in earnest. The history of all his wars is a history of mutual allegations of dishonorable practices, and such allegations are nearly always well grounded. The best imitation of honor that he ever actually achieves in them is a highly self-conscious sentimentality which prompts him to be humane to the opponent who has been wounded, or disarmed, or otherwise made innocuous. Even here his so-called honor is little more than a form of playacting, both maudlin and dishonest. In the actual death-struggle he invariably bites.

    Perhaps one of the chief charms of woman lies precisely in the fact that they are dishonorable, i.e., that they are relatively uncivilized. In the midst of all the puerile repressions and inhibitions that hedge them round, they continue to show a gipsy spirit. No genuine woman ever gives a hoot for law if law happens to stand in the way of her private interest. She is essentially an outlaw, a rebel, what H. G. Wells calls a nomad. The boons of civilization are so noisily cried up by sentimentalists that we are all apt to overlook its disadvantages. Intrinsically, it is a mere device for regimenting men. Its perfect symbol is the goose-step. The most civilized man is simply that man who has been most successful in caging and harnessing his honest and natural instincts-that is, the man who has done most cruel violence to his own ego in the interest of the commonweal. The value of this commonweal is always overestimated. What is it at bottom? Simply the greatest good to the greatest number—of petty rogues, ignoramuses and poltroons.

    The capacity for submitting to and prospering comfortably under this cheese-monger’s civilization is far more marked in men than in women, and far more in inferior men than in men of the higher categories. It must be obvious to even so pathetic an ass as a university professor of history that very few of the genuinely first-rate men of the race have been, wholly civilized, in the sense that the term is employed in newspapers and in the pulpit. Think of Caesar, Bonaparte, Luther, Frederick the Great, Cromwell, Barbarossa, Innocent III, Bolivar, Hannibal, Alexander, and to come down to our own time, Grant, Stonewall Jackson, Bismarck, Wagner, Garibaldi and Cecil Rhodes.

    13. Women and the Emotions

    The fact that women have a greater capacity than men for controlling and concealing their emotions is not an indication that they are more civilized, but a proof that they are less civilized. This capacity, so rare today, and withal so valuable and worthy of respect, is a characteristic of savages, not of civilized men, and its loss is one of the penalties that the race has paid for the tawdry boon of civilization. Your true savage, reserved, dignified, and courteous, knows how to mask his feelings, even in the face of the most desperate assault upon them; your civilized man is forever yielding to them. Civilization, in fact, grows more and more maudlin and hysterical; especially under democracy it tends to degenerate into a mere combat of crazes; the whole aim of practical politics is to keep the populace alarmed (and hence clamorous to be led to safety) by an endless series of hobgoblins, most of them imaginary. Wars are no longer waged by the will of superior men, capable of judging dispassionately and intelligently the causes behind them and the effects flowing out of them. They are now begun by first throwing a mob into a panic; they are ended only when it has spent its ferine fury. Here the effect of civilization has been to reduce the noblest of the arts, once the repository of an exalted etiquette and the chosen avocation of the very best men of the race, to the level of a riot of peasants. All the wars of Christendom are now disgusting and degrading; the conduct of them has passed out of the hands of nobles and knights and into the hands of mob-orators, money-lenders, and atrocity-mongers. To recreate one’s self with war in the grand manner, as Prince Eugene, Marlborough and the Old Dessauer knew it, one must now go among barbarian peoples.

    Women are nearly always against war in modern times, for the reasons brought forward to justify it are usually either transparently dishonest or childishly sentimental, and hence provoke their scorn. But once the business is begun, they commonly favour its conduct outrance, and are thus in accord with the theory of the great captains of more spacious days. In Germany, during the late war, the protests against the Schrecklichkeit practised by the imperial army and navy did not come from women, but from sentimental men; in England and the United States there is no record that any woman ever raised her voice against the blockade which destroyed hundreds of thousands of German children. I was on both sides of the bloody chasm during the war, and I cannot recall meeting a single woman who subscribed to the puerile doctrine that, in so vast a combat between nations, there could still be categories of non-combatants, with a right of asylum on armed ships and in garrisoned towns. This imbecility was maintained only by men, large numbers of whom simultaneously took part in wholesale massacres of such non-combatants. The women were superior to such hypocrisy. They recognized the nature of modern war instantly and accurately, and advocated no disingenuous efforts to conceal it.

    14. Pseudo-Anaesthesia

    The feminine talent for concealing emotion is probably largely responsible for the common masculine belief that women are devoid of passion, and contemplate its manifestations in the male with something akin to trembling. Here the talent itself is helped out by the fact that very few masculine observers, on the occasions when they give attention to the matter, are in a state of mind conducive to exact observation. The truth is, of course, that there is absolutely no reason to believe that the normal woman is passionless, or that the minority of women who unquestionably are is of formidable dimensions. To be sure, the peculiar vanity of men, particularly in the Northern countries, makes them place a high value upon the virginal type of woman, and so this type tends to grow more common by sexual selection, but despite that fact, it has by no means superseded the normal type, so realistically described by the theologians and publicists of the Middle Ages. It would, however, be rash to assert that this long continued sexual selection has not made itself felt, even in the normal type. Its chief effect, perhaps, is to make it measurably easier for a woman to conquer and conceal emotion than it is for a man. But this is a mere reinforcement of a native quality or, at all events, a quality long antedating the rise of the curious preference just mentioned. That preference obviously owes its origin to the concept of private property and is most evident in those countries in which the largest proportion of males are property owners, i.e., in which the property-owning caste reaches down into the lowest conceivable strata of bounders and ignoramuses. The low-caste man is never quite sure of his wife unless he is convinced that she is entirely devoid of amorous susceptibility. Thus he grows uneasy whenever she shows any sign of responding in kind to his own elephantine emotions, and is apt to be suspicious of even so trivial a thing as a hearty response to a connubial kiss. If he could manage to rid himself of such suspicions, there would be less public gabble about anesthetic wives, and fewer books written by quacks with sure cures for them, and a good deal less cold-mutton formalism and boredom at the domestic hearth.

    I have a feeling that the husband of this sort—he is very common in the United States, and almost as common among the middle classes of England, Germany and Scandinavia—does himself a serious disservice, and that he is uneasily conscious of it. Having got himself a wife to his austere taste, he finds that she is rather depressing—that his vanity is almost as painfully damaged by her emotional inertness as it would have been by a too provocative and hedonistic spirit. For the thing that chiefly delights a man, when some woman has gone through the solemn buffoonery of yielding to his great love, is the sharp and flattering contrast between her reserve in the presence of other men and her enchanting complaisance in the presence of himself. Here his vanity is enormously tickled. To the world in general she seems remote and unapproachable; to him she is docile, fluttering, gurgling, even a bit abandoned. It is as if some great magnifico male, some inordinate czar or kaiser, should step down from the throne to play dominoes with him behind the door. The greater the contrast between the lady’s two fronts, the greater his satisfaction-up to, of course, the point where his suspicions are aroused. Let her diminish that contrast ever so little on the public side—by smiling at a handsome actor, by saying a word too many to an attentive head-waiter, by holding the hand of the rector of the parish, by winking amiably at his brother or at her sister’s husband—and at once the poor fellow begins to look for clandestine notes, to employ private inquiry agents, and to scrutinize the eyes, ears, noses and hair of his children with shameful doubts. This explains many domestic catastrophes.

    15. Mythical Anthropophagi

    The man-hating woman, like the cold woman, is largely imaginary. One often encounters references to her in literature, but who has ever met her in real life? As for me, I doubt that such a monster has ever actually existed. There are, of course, women who spend a great deal of time denouncing and reviling men, but these are certainly not genuine man-haters; they are simply women who have done their utmost to snare men, and failed. Of such sort are the majority of inflammatory suffragettes of the sex-hygiene and birth-control species. The rigid limitation of offspring, in fact, is chiefly advocated by women who run no more risk of having unwilling motherhood forced upon them than so many mummies of the Tenth Dynasty. All their unhealthy interest in such noisome matters has behind it merely a subconscious yearning to attract the attention of men, who are supposed to be partial to enterprises that are difficult or forbidden. But certainly the enterprise of dissuading such a propagandist from her gospel would not be difficult, and I know of no law forbidding it.

    I’ll begin to believe in the man-hater the day I am introduced to a woman who has definitely and finally refused a chance of marriage to a man who is of her own station in life, able to support her, unafflicted by any loathsome disease, and of reasonably decent aspect and manners—in brief a man who is thoroughly eligible. I doubt that any such woman breathes the air of Christendom. Whenever one comes to confidential terms with an unmarried woman, of course, she favours one with a long chronicle of the men she has refused to marry, greatly to their grief. But unsentimental cross-examination, at least in my experience, always develops the fact that every one of these suffered from some obvious and intolerable disqualification. Either he had a wife already and was vague about his ability to get rid of her, or he was drunk when he was brought to his proposal and repudiated it or forgot it the next day, or he was a bankrupt, or he was old and decrepit, or he was young and plainly idiotic, or he had diabetes or a bad heart, or his relatives were impossible, or he believed in spiritualism, or democracy, or the Baconian theory, or some other such nonsense. Restricting the thing to men palpably eligible, I believe thoroughly that no sane woman has ever actually muffed a chance. Now and then, perhaps, a miraculously fortunate girl has two victims on the mat simultaneously, and has to lose one. But they are seldom, if ever, both good chances; one is nearly always a duffer, thrown in in the telling to make the bourgeoisie marvel.

    16. A Conspiracy of Silence

    The reason why all this has to be stated here is simply that women, who could state it much better, have almost unanimously refrained from discussing such matters at all. One finds, indeed, a sort of general conspiracy, infinitely alert and jealous, against the publication of the esoteric wisdom of the sex, and even against the acknowledgment that any such body of erudition exists at all. Men, having more vanity and less discretion, area good deal less cautious. There is, in fact, a whole literature of masculine babbling, ranging from Machiavelli’s appalling confession of political theory to the egoistic confidences of such men as Nietzsche, Jean-Jacques Rousseau, Casanova, Max Stirner, Benvenuto Cellini, Napoleon Bonaparte and Lord Chesterfield. But it is very rarely that a Marie Bashkirtsev or Margot Asquith lets down the veils which conceal the acroamatic doctrine of the other sex. It is transmitted from mother to daughter, so to speak, behind the door. One observes its practical workings, but hears little about its principles. The causes of this secrecy are obvious. Women, in the last analysis, can prevail against men in the great struggle for power and security only by keeping them disarmed, and, in the main, unwarned. In a pitched battle, with the devil taking the hindmost, their physical and economic inferiority would inevitably bring them to disaster. Thus they have to apply their peculiar talents warily, and with due regard to the danger of arousing the foe. He must be attached without any formal challenge, and even without any suspicion of challenge. This strategy lies at the heart of what Nietzsche called the slave morality—in brief, a morality based upon a concealment of egoistic purpose, a code of ethics having for its foremost character a bold denial of its actual aim.

    Extract from IN DEFENSE OF WOMEN by H. L. Mencken

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  • The Thing Called Intuition

    The Thing Called Intuition

    Men, as each one is aware of, are disposed to query this superior intelligence of ladies; their egoism calls for the denial, and they’re seldom reflective sufficient to get rid of it by logical and evidential evaluation. Moreover, as we will see a bit afterward, there’s a sure specious look of soundness of their place; they’ve pressured upon ladies a synthetic character which nicely conceals their actual character, and girls have discovered it worthwhile to encourage the deception. But although each regular man thus cherishes the soothing unction that he’s the mental superior of all ladies, and notably of his spouse, he always provides the mislead his pretension by consulting and deferring to what he calls her instinct.

    That is to say, he is aware of by expertise that her judgment in lots of issues of capital concern is extra delicate and looking out than his personal, and, being disinclined to accredit this higher sagacity to a extra competent intelligence, he takes refuge behind the doctrine that it is because of some impenetrable and intangible expertise for guessing appropriately, some half mystical tremendous sense, some imprecise (and, in essence, infra-human) intuition.

    The true nature of this alleged intuition, nonetheless, is revealed by an examination of the conditions which encourage a person to name it to his support. These conditions don’t come up out of the purely technical issues which are his every day concern, however out of the rarer and extra basic, and therefore enormously harder issues which beset him solely at lengthy and irregular intervals, and so supply a check, not of his mere capability for being drilled, however of his capability for real ratiocination.

    No man, I take it, save one consciously inferior and hen-pecked, would seek the advice of his spouse about hiring a clerk, or about extending credit score to some paltry buyer, or about some routine piece of tawdry swindling; however not even essentially the most egoistic man would fail to sound the sentiment of his spouse about taking a companion into his enterprise, or about standing for public workplace, or about combating unfair and ruinous competitors, or about marrying off their daughter. Such issues are of huge significance; they lie on the basis of well-being; they name for one of the best thought that the person confronted by them can muster; the perils hidden in a incorrect resolution overcome even the clamors of vainness. It is in such conditions that the superior psychological grasp of ladies is of apparent utility, and needs to be admitted. It is right here that they rise above the insignificant sentimentalities, superstitions and formulae of males, and apply to the enterprise their singular expertise for separating the looks from the substance, and so train what is known as their instinct.

    Intuition? With all respect, bosh! Then it was instinct that led Darwin to work out the speculation of pure choice. Then it was instinct that fabricated the gigantically advanced rating of “Die Walkure.” Then it was instinct that satisfied Columbus of the existence of land to the west of the Azores. All this instinct of which a lot transcendental garbage is merchanted is not any extra and at least intelligence—intelligence so eager that it might probably penetrate to the hidden fact by way of essentially the most formidable wrappings of false semblance and manner, and so little corrupted by sentimental prudery that it is the same as the much more tough job of hauling that fact out into the sunshine, in all its bare hideousness. Women resolve the bigger questions of life appropriately and shortly, not as a result of they’re fortunate guessers, not as a result of they’re divinely impressed, not as a result of they practise a magic inherited from savagery, however merely and solely as a result of they’ve sense.

    They see at a look what most males couldn’t see with searchlights and telescopes; they’re at grips with the necessities of an issue earlier than males have completed debating its mere externals. They are the supreme realists of the race. Apparently illogical, they’re the possessors of a uncommon and delicate super-logic. Apparently whimsical, they hold to the reality with a tenacity which carries them by way of each section of its incessant, jellylike shifting of kind. Apparently unobservant and simply deceived, they see with vivid and horrible eyes. In males, too, the identical cruel perspicacity generally exhibits itself—males acknowledged to be extra aloof and uninflammable than the overall—males of particular expertise for the logical—sardonic males, cynics. Men, too, generally have brains. But that may be a uncommon, uncommon man, I enterprise, who’s as steadily clever, as always sound in judgment, as little postpone by appearances, as the typical ladies of forty-eight.

    Extract from IN DEFENSE OF WOMEN by H. L. Mencken

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  • WHO and UNICEF to partner on pandemic response through COVID-19 Solidarity Response Fund

    WHO and UNICEF as we speak introduced an settlement to work collectively on COVID-19 response, through the historic COVID-19 Solidarity Response Fund powered by the United Nations Foundation and Swiss Philanthropy Foundation.  

    The COVID-19 Solidarity Response Fund has been arrange to facilitate an unprecedented world response by supporting the WHO Strategic Preparedness and Response Plan. As a part of the settlement, an preliminary portion of the cash from
    the Fund – which presently stands at greater than $127 million – will circulate to UNICEF for its work with susceptible kids and communities everywhere in the world.

    “COVID-19 is an unprecedented pandemic requiring extraordinary global solidarity to urgently respond,” stated Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “I’m happy that UNICEF joined the Solidarity
    Response Fund. With their in depth expertise each in fundraising and in implementing programmes, this partnership will assist us to work collectively carefully to save lives.”

    The cash collected through the fund can be used, amongst others, to practice and equip communities and health-care staff to forestall, detect and deal with COVID-19. It will assist international locations broaden their health-care capability and mitigate its social impression, particularly
    on girls, kids and susceptible social teams. And it should speed up analysis and improvement of therapies and preventive vaccines.

    As a key partner on this joined-up effort, UNICEF will lead emergency efforts to guarantee households and communities in probably the most susceptible international locations are totally engaged within the response and have entry to water, sanitation and hygiene and different an infection prevention
    and management measures. UNICEF may even guarantee kids, caretakers, and frontline responders corresponding to social staff, academics and healthcare staff are supported through evidence-based steering through its huge group outreach and nation
    packages.

    “This is an extraordinary emergency that demands an extraordinary response, and we need all-hands on deck—individuals, corporations, foundations, governments and other organizations around the world,” stated UNICEF Executive Director Henrietta
    Fore. “UNICEF is happy to be a part of the Solidarity Response Fund. It will bolster our efforts to strengthen well being and sanitation techniques and assist shield probably the most susceptible households from knock-on impacts of COVID-19 on already overstretched well being
    techniques.”

    Funds raised can be spent in alignment with the worldwide response plan, and the place wants are biggest. At the path of WHO management, it’s anticipated that sources will go immediately towards:

    • WHO, for its work to monitor the unfold of the virus, assess gaps and wants, equip frontline well being staff with private protecting gear, guarantee lab and testing instruments can be found in international locations around the globe, and maintain communities
      and frontline responders knowledgeable with the most recent technical steering.
    • UNICEF, to guarantee kids and households around the globe are outfitted with all of the evidence-based data and newest WHO steering in addition to domestically related data to shield themselves from the unfold of COVID-19; to assist
      susceptible international locations by offering entry to water, sanitation and hygiene, and primary an infection prevention and management measures; and to present entry to look after susceptible households and kids.
    • CEPI, the Coalition for Epidemic Preparedness Innovations, a key partner main the financing for analysis and improvement for novel vaccines to fight COVID-19, working carefully with WHO.

    The COVID-19 Solidarity Response Fund was arrange at WHO’s request by the UN Foundation and Swiss Philanthropy Foundation and launched three weeks in the past. It is the one manner for people and organizations to contribute immediately to WHO’s
    world efforts to deal with the pandemic. To date the fund has $127 million raised or dedicated from greater than 219,000 people from everywhere in the world plus greater than 90 world corporations and organizations. The partnership can be an amazing
    demonstration of solidarity throughout UN organizations in coordinating, partnering and supporting one another in coping with the instant and longer-term impression of the pandemic. 

    “There has never been a more urgent need for global cooperation,” stated Elizabeth Cousens, President & CEO of the UN Foundation. “The COVID-19 pandemic reveals us that all of us can play a component to cease the unfold. The unimaginable
    generosity proven to the COVID-19 Solidarity Response Fund from around the globe will assist WHO, UNICEF, CEPI and companions speed up their lifesaving work, particularly to assist probably the most susceptible communities and velocity the event of a
    vaccine.”

    ###

    Notes to editors

    About UNICEF

    UNICEF works in a few of the world’s hardest locations, to attain the world’s most deprived kids. Across greater than 190 international locations and territories, we work for each little one, in every single place, to construct a greater world for everybody.

    About WHO

    WHO is the United Nations’ specialised company for well being. It is an inter-governmental group and works in collaboration with its Member States often through the Ministries of Health. The World Health
    Organization is accountable for offering management on world well being issues, shaping the well being analysis agenda, setting norms and requirements, articulating evidence-based coverage choices, offering technical assist to international locations and monitoring
    and assessing well being tendencies. Learn extra at www.who.int.

    About the United Nations Foundation

    The UN Foundation brings collectively concepts, folks, and sources to assist the United Nations drive world progress and deal with pressing issues. Our hallmark is to collaborate for lasting change and innovate to handle humanity’s biggest challenges.
    Learn extra at www.unfoundation.org.

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  • World Health Worker Week – April  5 – 11, 2020

    The COVID-19 pandemic and different international emergencies present us as soon as once more the heroic efforts well being staff on the entrance traces make day-after-day to maintain their communities—and the world—protected and wholesome.  The WHO and the Global Health Workforce Network is happy to associate with civil society companions—the Frontline Health Workers Coalition and its members—to honor well being staff throughout World Health Worker Week: April 5-11, 2020. The Eighth Annual World Health Worker Week is yet one more alternative to mobilize communities, companions, and policymakers to extend assist of well being staff worldwide.

    The 2020 theme is Leaders on the Front Line. This theme highlights the want to offer higher management alternatives for frontline well being staff—significantly ladies well being staff, who make up greater than 70% of the worldwide well being workforce. At the identical time, this theme emphasizes how well being staff usually put themselves on the road, usually at nice private danger to themselves and their households, to avoid wasting and enhance lives.

    We invite all well being workforce stakeholders to affix us by elevating public consciousness and fascinating on well being workforce points, and acknowledge the lifesaving contribution of the well being workforce. All actions can be filtered by a World Health Worker Week portal, hosted by the Frontline Health Workers Coalition secretariat at IntraHealth International.

     Some key methods to get entangled:

    • Add your voice to the #WHWWeek dialog on social media! Use the WHWW Social Media Guide with key messages, graphics, and steered tweets.
    • Participate within the WHWW Video Testimonial Series and inform well being policymakers why frontline well being staff are Leaders on the Line and the way we will higher assist them. It’s straightforward to participate—see the guidance and add your video.
    • Celebrate World Health Day on Tuesday, April 7. In this International Year of the Nurse and the Midwife, World Health Day will shine a lightweight on the important function nurses and midwives play in offering well being care world wide, and name for a strengthening of the nursing and midwifery workforce. Share and promote World Health Day belongings here.

     

     

    World Health Worker Week - April  5 - 11, 2020
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  • Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 2

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 3


    A lot of legal issues are bound to arise as an aftermath of the outbreak of Coronavirus otherwise referred to as COVID-19.  There is therefore a need to shed light on some of the issues that may arise and how to navigate them. This article will x-ray the rights of patients, the rights of health workers and the basic minimum obligations of the government.

    The Code of Medical Ethics in Nigeria 2008 lists acts that constitute professional negligence. Rule 29.4 of the Code outlines some of these acts as follows:-

    a)      Failure to attend promptly to a patient requiring urgent attention when the practitioner was in a position to do so;

    b)     Manifesting incompetence in the assessment of a patient;

    c)      Making an incorrect diagnosis particularly when the clinical features were so glaring that no reasonable skillful practitioner could have failed to notice them; 

    d)     Failure to advise, or proffering wrong advice to  a patient on the risk involved in a particular operation or course of treatment, especially if such an operation or course of treatment is likely to result in serious side effects like deformity or loss of organ, or function;

    e)      Failure to obtain the informed consent of the patient before proceeding on any surgical procedure or course of treatment when such consent was necessary; 

    f)       Making a mistake in treatment e.g. amputation of the wrong limb, carelessness that results in the termination of a pregnancy, prescribing the wrong drug, or dosage in error for a correctly diagnosed ailment, etc;

    g)     Failure to refer, or transfer a patient in good time, when such a referral or transfer was necessary;

    h)     Failure to do anything that ought reasonably to have been done under any circumstance for the good of the patient;

    i)       Failure to see a patient as often as his medical condition warrants or to make appropriate comments in the case notes of the practitioner’s observations and prescribed treatment during such visits. It also includes failure to communicate with the patient or with his relatives as may be necessary with regards to any developments, progress or prognosis in the patient’s condition.

     

    Rule 11.2 of the 2008 Code of Medical Ethics in Nigeria provides that, “A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.”

                 Rule 44 of the Code of Medical Ethics has extensive provisions on Confidentiality and when disclosure of information can be made. The Rule provides in part that:

    “Disclosure of information on the patient by the doctor can only be made following an informed consent of the patient in writing. It is clear that the ethic covers even such information as induced abortion, venereal disease, attempted suicide, concealed birth and drug dependence but would exclude situations in which a discretionary breach of confidentiality is necessary to protect the patient or the community from danger and this must be made clear to the patient at the time of the confidential disclosure. Where statutory notification of disease is involved, the consent of the patient is not required.”            

                Confidentiality: To Disclose Identity Of Covid-19 Patients Or Not To Disclose?

    COVID-19 is an infectious disease caused by a newly discovered coronavirus. Most people infected with the COVID-19 will experience mild to moderate respiratory illness and recover without requiring special treatment.  Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.[1]

    The Federal Ministry of Health confirmed the first case of COVID-19 in Nigeria on the 27th of February 2020. It is the case of an Italian citizen who works in Nigeria and returned from Milan, Italy to Lagos, Nigeria on the 25th of February 2020. In reaction to the report, the social was divided between those who want the name of the Italian disclosed and those that preferred it remains confidential. The outcry was even more when the Chief of Staff to the President tested positive according to reports from various media houses[2], but the Minister of Health decided to keep mute on the identity of the President’s aide who contacted the virus, citing confidentiality.

    It will ordinarily be wrong to disclose the medical status of someone infected with COVID-19, for instancethe case of the Italian who was the index case. However in view of the proviso to Rule 44 of the Code of Medical Ethics 2008 which provides that a discretionary breach of confidentiality is necessary in order to protect the community from danger, I am of the view that the test results of popular figures who hold strategic offices like the Chief of Staff to the President or a Governor must be disclosed to guaranty public safety. This is necessary in view of the countless number of people from all works of life they come in contact with on a daily basis.  It will be correct to have made their status public in the overriding interest of the public, since it will enable those who have come in contact with them isolate, just like we have seen in the cases of the British Prime Minister, the Bauchi State Govenor, Prince Charles, the First Lady of Canada and many more. We must commend those who announced their status in public themselves-it is the best thing to do in the interest of humanity

    The World Health Organization (WHO) provides additional guidelines for the management of coronavirus patients specifically.[3]

    Health workers should:

    •follow established occupational safety and health procedures, avoid exposing others to health and safety risks and participate in employer-provided occupational safety and health training; 

    •use provided protocols to assess, triage and treat patients; 

    •treat patients with respect, compassion and dignity; 

    •maintain patient confidentiality; 

    •swiftly follow established public health reporting procedures of suspect and confirmed cases; 

    •provide or reinforce accurate infection prevention and control and public health information, including to concerned people who have neither symptoms nor risk;

    •put on, use, take off and dispose of personal protective equipment properly;

    •self-monitor for signs of illness and self-isolate or report illness to managers, if it occurs; 

    •advise management if they are experiencing signs of undue stress or mental health challenges that require support interventions; and 

    •report  to  their  immediate  supervisor  any  situation  which  they  have  reasonable  justification  to  believe presents an imminent and serious danger to life or health.

     

    Doctors and health workers in Nigeria must endeavor to digest the guidelines in the Code of Medical Ethics as well as the WHO Guidelines for management of Coronavirus victims and ensure they work strictly by their provisions. A breach of these duties have dire consequences. 

    Options Available To Covid-19 Patients Who Are Victims Of Medical Negligence

    A Coronavirus patient who has suffered medical negligence has a number of options:

    1. He could file a complaint with the regulatory body (e.g. the Medical and Dental Council of Nigeria, in the cases involving a Doctor). The Doctor will in the first instance be investigated by the Medical and Dental Practitioners Investigation Panel, after which he will be tried by the Medical and Dental Practitioners Disciplinary Tribunal. If found culpable,  the Doctor may be warned, suspended from practicing for a period not exceeding 6 months or in very serious cases, have his name can be removed from the Register of Medical Practitioners. The Medical and Dental Practitioners’ Disciplinary Tribunal does not award monetary damages.

    2. A suit can be filed against the Medical Doctor, the Hospital, Agency or Government in the High Court for Medical Negligence and monetary damages will be awarded if the Defendant(s) are found culpable.

          3.  If there is an element of Crime, a report could be made to the Police who would conduct Criminal Investigation and where the investigation reveals gross negligence, recklessness or wanton disregard for life of the victim, the police can prosecute or forward the case file to the office of the Attorney General of the State for possible prosecution in deserving cases.  

    A Need To Do More For Doctors And Other Professionals In The Health Sector

    Health workers are at the front line of any outbreak response and as such are exposed to hazards that put them at risk of infection with an outbreak pathogen (in this case COVID-19). Hazards include pathogen exposure, long working  hours,  psychological  distress,  fatigue,  occupational  burnout,  stigma,  and  physical  and  psychological violence. 

    During the outbreak of Ebola more than 500 health care workers died in Guinea, Liberia and Sierra-Leone alone. We also lost some of our finest doctors and health workers to the disease in Nigeria, the most prominent being Dr. Stella Adadevoh, who is credited with having curbed a wider spread of the Ebola virus in Nigeria by placing the index patient, Patrick Sawyer, in quarantine despite pressures from the Liberian  government. As we speak, The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks. In Spain 13.6% (6500) of those affected with the coronavirus are health workers and in Italy 10% (7400) of those affected with the virus are health workers. [4] In New York dozens of health workers have been affected with the virus, while hundreds are in quarantine.[5] According to reports filtering in as the time of concluding this article, three health workers have been infected with COVID-19 in Abuja, Nigeria.[6]

    Human Rights Watch research into health system collapse in Hungary and Venezuela suggests the nations’ mismanaged, underfunded, and understaffed public healthcare system is poorly equipped to handle a COVID-19 outbreak. Patients and medical experts described a lack of basic hygiene protocol, lack of isolation rooms, and a shortage of health professionals, doctors and nurses, and medical supplies in general.

    The situation is not too different in Nigeria at the moment and except something drastic is done we might be witnessing a devastating effect of the pandemic. Nigeria’s, public health capacity has been diminished by large scale public sector corruption. Medical personnel lack surgical masks and local supplies have been diverted and shipped to other markets partly due to corruption. Many states are ill-prepared to combat the impeding surge in patients. A senior health worker with a government hospital in Abuja, in an interview with Sahara Reporters, lamented the lack of quality Personal Protective Equipment for them, adding that government must invest in the protection of health workers at the frontline of the battle against the virus. He said, “The unfortunate thing is that the government is not providing us with what to work with. It is sad that our PPE are not up to the world standard and can be penetrated by viruses. Some of us (health workers) have to use our personal funds to purchase gloves as we do not trust the ones government supplied. Nigerians should please remember us in their prayers and government should provide us with what we really need to work.” [7]

    There was report that in Bauchi State a Coronavirus patient rejected the isolation centre at the Bauchi Specialist Hospital and went back home while describing it as “too dirty”.[8]  

    It is disappointing to hear that the hazard allowance for doctors and health workers is N5,000 per month in Nigeria. The amount is very paltry compared to the risks and the attendant emotional and psychological stress suffered by the health-care workers (HWCs) particularly during monumental outbreaks like this. Unfortunately, when a patient is mismanaged, these doctors and health workers bear the burden of paying huge compensation and sometimes losing their jobs. More importantly, the brain-drain in the health sector is monumental, almost all my friends who are doctors, work abroad. Unfortunately, there are concerted efforts by the US Government to engage foreign Doctors to further fortify its health work force as COVID-19 ravages. Many young Nigerian doctors are already considering the offers because the Nigerian government has paid little attention to their welfare and the welfare of the general health workforce. To stop the exodus of our doctors, who are already in short supply, the government must act fast by improving their welfare packages in line with acceptable international standards.

    The psychological needs of doctors and health workers are also often ignored. Unsafe working conditions contribute to health worker attrition in many countries due to work-related illness and injury and the resulting fear of health workers of occupational infection, including from HIV and Tuberculosis. The 2006 World Health Report – Working Together for Health reported on a severe health workforce crisis in fifty-seven countries, most of them in Africa and Asia. [9]

    Protecting the occupational health of health workers is critical to having an adequate workforce of trained and healthy health personnel. Governments at the Federal and State levels are urged to do more by complying fully with the World Health Organization’s guidelines regarding the Rights of Health Workers while combating COVID-19. Some of the rights are:

    ·         assume overall responsibility to ensure that all necessary preventive and protective measures are taken to minimize occupational safety and health risks;

    ·         provide information, instruction and training on occupational safety and health, including; Refresher training on infection prevention and control(IPC); and Use, putting on, taking off and disposal of personal protective equipment(PPE);

    ·         provide adequate IPC and PPE supplies (masks, gloves, goggles, gowns, hand sanitizer, soap and water, cleaning supplies) in sufficient quantity to healthcare or other staff caring for suspected or confirmed COVID-19 patients, such that workers do not incur expenses for occupational safety and health requirements;

    ·         not be required to return to a work situation where there is continuing orserious danger to life or health, until the employer has taken any necessary remedial action;

    ·         allow workers to exercise the right to remove themselves from a work situation that they have reasonable justification to believe presents an imminent and serious danger to their life or health. When a health worker exercises this right, they shall be protected from any undue consequences; 

    ·         honour the right to compensation, rehabilitation and curative services if infected with COVID-19 following exposure in the workplace. This would be considered occupational exposure and resulting illness would be considered an occupational disease,

    ·         provide access to mental health and counselling resources; and 

    ·         enable co-operation between management and workers and/or their representatives. Etc.

    In conclusion, professional care givers for COVID-19 patients should uphold four basic principles formulated by Beauchamp and Childress in their book ‘Principles of Biomedical Ethics’ in order to protect themselves from liability for negligence. The four basic principles are autonomy, beneficence, non-maleficence and justice.

    Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.

    Beneficence: All healthcare providers must strive to improve their patient’s health, to do the most good for the patient in every situation. But what is good for one patient may not be good for another, so each situation should be considered individually. And other values that might conflict with beneficence may need to be considered.

    Non-maleficence: “First, do no harm” is the bedrock of medical ethics. In every situation, healthcare providers should avoid causing harm to their patients. You should also be aware of the doctrine of double effect, where a treatment intended for good unintentionally causes harm. This doctrine helps you make difficult decisions about whether actions with double effects can be undertaken.

    Justice: The fourth principle demands that you should try to be as fair as possible when offering treatments to patients and allocating scarce medical resources. You should be able to justify your actions in every situation. For instance, it will amount to a professional misconduct for a Health-care Worker to remove a poor man from the ventilator because a Senator was rushed in. 

    Ahmed Adetola-Kazeem is a partner in Adetola-Kazeem Legal Practice and specializes in Medical and Health Law

    Email: aadetolakazeem@gmail.com;aadetolakazeem@gaklp.com

    [1] https://www.who.int/health-topics/coronavirus#tab=tab_1(Accessed on the 28th of March 2020)

    [2] https://businessday.ng/coronavirus/article/abba-kyari-tests-positive-for-coronavirus-buhari-negative/

    https://www.channelstv.com/2020/03/24/buharis-chief-of-staff-abba-kyari-reportedly-tests-positive-for-coronavirus/ (Accessed on the 28th of March 2020)

    [3] Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities Of Health workers, Including Key Considerations For Occupational Safety And Health”. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0   (Accessed on the 26th of March 2020)

    [4] https://abcnews.go.com/Health/wireStory/collapsing-virus-pummels-medics-spain-italy-69789413 (Accessed on 26th March 2020)

    [5] https://www.washingtonpost.com/health/covid-19-hits-doctors-nurses-emts-threatening-health-system/2020/03/17/f21147e8-67aa-11ea-b313-df458622c2cc_story.html (Accessed on 28th of March 2020)

    [6] http://saharareporters.com/2020/03/28/exclusive-two-nurses-one-doctor-infected-coronavirus-abuja-hospital

    [7] Supra

    [8] https://www.dailytrust.com.ng/coronavirus-patient-rejects-bauchi-isolation-centre-returns-home.html (Accessed on 28th March 2020)

    [9] https://www.who.int/occupational_health/topics/hcworkers/en/(Accessed on 26th March 2020)

     

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  • Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response

    Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response

    Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response 4

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    The Nigerian Red Cross has appealed to members of the public to support its ongoing efforts at creating more awareness on the dangers of Coronavirus and how citizens can avoid contracting the pandemic. 

    In a briefing with journalists on Tuesday, the organisation said that support in form of food and other essential items were needed to distribute to households in order to help cushion the effect of the lockdown ordered by President Muhammadu Buhari on Sunday. 

    The lockdown is to be observed in Lagos, Ogun and FCT.  

    Head of Communications and Advocacy of Nigeria Red Cross, Nwakpa O. Nwakpa, said they will continue to work with relevant stakeholders to help curtail the spread of the virus in the country. 

    Nwakpa said, “Following the first confirmed case in Nigeria, the Nigerian Red Cross Society trained and mobilised 100 volunteers in Lagos and Ogun states for intense mass mobilisation to create awareness on preventive measures through radio jingles, live radio shows, distribution of flyers, sensitisation in religious centres, markets, motor parks and streets for two weeks.

    “As we all are aware, number of confirmed cases is still rising, thus there is urgent need for the Nigerian Red Cross Society to scale up her response in all affected states and neighbouring states. 

    “Thus, the Nigerian Red Cross Society is planing to scale her response to 20 states including the Federal Capital Territory. 

    “The Nigerian Red Cross hereby calls on donor agencies, international agencies, well-spirited Nigerians to partner with it to be able to scale up the fight against COVID-19 spread and imminent hardship should the lockdown persist.

    “The Nigerian Red Cross therefore will be willing to receive support in cash, food, household items.

    “All Nigerians should adhere strictly to government’s directives at all times including staying at home and observing optimal personal hygiene.” 

     

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  • MCO: Five jailed three months each after throwing drink cans at police

    MCO: Five jailed three months each after throwing drink cans at police

    MCO: Five jailed three months each after throwing drink cans at police 6

    KUALA LUMPUR: Five men were sentenced to three months’ jail each by the magistrates’ court here today for criminal violence against a policeman who was conducting his duty to prevent the spread of Covid-19, following the Movement Control Order (MCO), effective March 18.

    Magistrate M. Saravanan sentenced D. Candran, 38, K. Kandasamy, 50, D. Thavachilan, 34, D. Gunalan, 39, and D. Ravintran, 36, after they pleaded guilty to the charges which were read to them.

    The court ordered all the accused to serve their jail terms starting today.

    They had used criminal violence by throwing cans of liquor and arguing with Lance Corporal Mohd Adnin Che Ani, a police personnel in the course of performing his duties as a civil servant.

    They were all charged with the offense at the Food Truck Site, Jalan Tun Mohd Fuad 2, Taman Tun Dr Ismail, here, at 5pm, March 25, under Section 353 of the Penal Code which provides for a maximum jail term of two years or with fines or both, if found guilty.

    According to the facts of the case, on the day of the incident the victim was with his partner patrolling the area and advised a group of men, who were drinking alcohol, to avoid gathering in the open.

    The victim ordered all of the accused to present their identity cards, however, two of the accused threw cans of liquor at him while another recorded the situation using his cellphone.

    Deputy Public Prosecutor Abdul Khaliq Nazeri called for an appropriate punishment in the form of a deterrent sentence for their offenses during the MCO and to show the public that the court would not compromise especially during the current state of affairs in the country.

    The five accused, represented by a lawyer from the National Legal Aid Foundation Erni Ahmad, appealed for light sentences as they were each supporting a wife and family.

    Another man, B. Pavitrn, 23, was fined RM1,000 or two months in jail after pleading guilty to moving from a residential area in Danau Murni to a supermarket, a place in the area of infection without the intention of doing anything provided under Section 7(1) of the Prevention and Control of Infectious Diseases (Measures within the Infected Local Areas) Regulations 2020, at 3.20 am today (March 27).

    The accused was charged under Section 7 (1) of the same regulation, which provides for a maximum fine of RM1,000 or imprisonment not exceeding six months or both, upon conviction. — Bernama

    MCO: Five jailed three months each after throwing drink cans at police
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