Friday, December 31, 2004

No Conspiracy Required: Vaccine Development & the Squeezing Out of the Third World

"Drug companies are wary of admitting publicly what everyone knows to be true: that the size of a market affects how much they invest in it." -- James Surowiecki in The New Yorker, December 20 & 27, 2004 (The Financial Page: Push & Pull)

Years ago, I began hearing what I took to be conspiracy theories about how the rich were always looking, under one pretext or another, for ways to further marginalize the poor from "good society". The educated trying to squeeze out the illiterate, the privileged to eliminate the disadvantaged, the powerful to pulverize the powerless.

Although the idea had a certain dramatic appeal, I, of course, quickly dismissed these as both exaggeration and oversimplification. Nothing, I knew, could be as cloak and dagger, as black and white, as all that.

More recently, however, I've come to realize that no such Social Darwinist conspiracy is required to nonetheless marginalize and ultimately wipe out an entire people group from good global society.

Reading James Surowiecki's recent editorial on vaccine development, for example, it is clear that modern market forces connected with the pharmaceutical industry prevent any meaningful solutions to Africa's disease problem. Consciously or not, the result is a culling of the population several times more effective than the most determined campaign of military genocide.

"Usually," writes Surowiecki, "a company that invents something useful doesn't have much trouble selling it. But vaccines - especially for diseases in the developing world - are notorious exceptions to this rule. To begin with, Third World countries have unimaginably tiny amounts to spend on public health. (The poorer African countries spend eighteen dollars per person a year on health. We spend five thousand dollars.)"

This, of course, virtually guarantees that disease will continue to be a part of daily life on that continent for years to come.

"Drug companies," he continues, "have put very little money into vaccine research. They'd much rather invest in an anti-arthritis drug that well-insured Americans will take every day than a vaccine that may command a fair price. (Just a few years ago, a promising malaria-vaccine candidate that had been tested in Papua, New Guinea was abandoned for lack of funding.) Meanwhile, diseases like malaria and tuberculosis have continued to ravage the Third World. Hundred of millions of people are newly affected every year."

Surowiecki does offer a couple of proactive solutions that could level the playing field and give meaningful vaccine development for the Third World a chance. Nonetheless, I couldn't help notice the net result of the current situation:

"The burden of disease has helped keep sub-Saharan Africa poor" and the population in check.

Am I accusing governments of conspiring with drug companies to squeeze out Africa's debt-, disease-, and poverty-ridden populations? No. Tempting as it is, I still refuse to believe that. But conspiracy or no, I can't help but wonder if, on some unconscious level, there isn't some grain of truth in those old rumours.

Sunday, December 26, 2004

Boxing Day Hell in Asia

Christmas was a quiet one for me this year. My kids were with their mom visiting her family, so it was just me and Santa on Christmas day.

I pulled the graveyard shift on Christmas eve, finishing work at seven in the morning and finally crawling into bed around eight. When I woke up at three thirty that afternoon, I drove to seven eleven, bought myself a Hungry Man turkey T.V. dinner and a Pepsi, and came home to have a quiet Christmas dinner with Alastair Sim, still my favourite Scrooge (1951).

I was feeling mildly sorry for myself until I turned on the news the next day. Suddenly, I felt pretty good about my life.

I couldn't believe what I was seeing: an earthquake centred in the Indian Ocean, and so huge it had actually affected the earth's rotation, had in the space of a few minutes killed over 14,000 people in 9 countries. And those numbers were just a preliminary count.

As of today, the official count (which doesn't include foreign tourists) sits at around 23,000:

Sri Lanka - 12,029

Indonesia - 4,991

India - 2,958

Thailand - 866

Malaysia - 52+

Maldives - 43+

Somalia - 3,000

Bangladesh - 2

It might seem a little off topic to comment here at the Nuggery, but since this site is about people and their relationships, it seemed entirely appropriate. My heart absolutely breaks for the tens of thousands of families affected by this massive tragedy.

I can't remember a disaster in my lifetime like it. 23,000. To give us generally unaffected westerners some perspective, that's roughly September 11 times eight. Of course, the numbers are only going to increase over the next few days and weeks.

Like a lot of people, I'm asking, why did this happen, where is God, what could have been done to better prepare people in the affected regions. All good questions.

But right now, I'm mainly just thinking about the families - the wives and husbands, the fathers and mothers, the orphans - who have to bury their kids, their spouses, their parents today. I can't even begin to relate to that kind of suffering, never mind the anguish of having to rebuild lives without homes and where most of the drinking water is now contaminated.

We can only do what we can do. If you are able to help, click here for a complete list of donor agencies.