We Need to Look Beyond this Deadly Virus Because More Will Follow if We Don’t Act Now

We have spent trillions dealing with the impact of COVID-19. Surely we can spend trillions preventing the next pandemic, and for that, we have to take care of our environment.

Global policy over the last three decades has created the perfect climate for this virus and death. They were warned in each country. They were asked to stop the horrors of wildlife markets. They were asked to review the factory farms for poultry, pork and beef. They were asked to stop deforestation and the illegal mining of natural resources. They were asked to reduce CO2 emissions and deal with global warming and climate change. They were asked to reduce fishing quotas in the sea and restore a balance – the list of warnings was long but no one listened.

Whether you are Left or Right, a conspiracy theorist or government spokesperson, Chinese, Russian, American or from anywhere in the world, one truth is absolutely clear and accepted by most of the 7.6 billion  people who live on this planet – this virus is zoonotic and probably came from a bat, perhaps through direct or intermediary transmission via another species.

So it is from China, probably from bats and maybe via intermediary species like pangolins that are stuffed into cages and sold for cash. The lack of any sensible wildlife governance in China, Southeast Asia or indeed anywhere in the world has led to a thriving demand for wildlife markets (legal and illegal) and this in turn creates the climate for new and deadly viruses. They thrive because we humans have created the environment for them to thrive.

Added into this menu is some of the worst industrial pollution, deforestation, poaching, converting natural forests into agriculture, infrastructural development in wild landscapes and the horrors of factory farming of domestic animals. All this no one denies.

Also read: Will COVID-19 Lockdowns Generate Public Support for Climate Change Mitigation?

Animals, wild and domestic, have been forced into a corner because of us. All this is for big business needs, revenue and rapid economic growth. Greed dominates the world and short cuts create the environment in which viruses thrive and climate change accelerates as we emit dangerous gases in the air and destroy natural habitats. The natural world has never been so squeezed and pressured. Every human being knows all the above. There has never been such a clear link between the exploitation of the natural world and the creation of this virus and all the others that await their opportunity to strike.

Yet the entire world, with few exceptions, is still not asking or discussing the real questions. How do we ban the wildlife trade and end the exploitation of the natural world? How do we engage with climate change to protect the planet? How do we punish those that do not meet targets of cleaning up their industries, emissions and natural environments? Why is there no global charter on these issues that is mandatory for all to follow?

We know the broad backstory to this virus. We know it has killed nearly 3,00,000 people worldwide and infected 4 million. Why is there so little dialogue on how to stop the next one? Tens of thousands of hours on television across the world, reams of papers with opinions and analysis, endless articulations by experts and scientists but what we badly need is to debate the reasons that led to the creation of this virus.

We talk of human death and suffering, of levels of infection, of unemployment, of medical treatments and cures, of conspiracies, of a new normal that will follow, about the economic recovery that is needed, and of lockdowns and partial lockdowns, of opening and closing areas. This endless debate goes on but no one is talking about strict protection of the natural world and its wildlife in order that the next virus is unable to grow. 

Also read: Equity, Not Equality, Should Be the Principle for Combatting the Coronavirus

Are our global leaders that impotent? Have our television anchors and political commentators lost it? Do we not understand that if we do not put right what we have wronged, there is no future for humanity? There are no compromises. We have lost hundreds of thousands of lives, trillions of dollars, people are gasping for breath in a shattered and broken world. Surely the future can only be secured if we destroy the climate that allows for such viruses. Is there any other global agenda that is more important than protecting our natural world and all that lives in it? Or do we want to die watching new viruses eat our insides up? There has to be more than cures and vaccines if we want a future. We know why the virus jumped. We have to take global action so no virus can thrive with such ease as the novel coronavirus has done.

Public health systems will never cope as new viruses develop. We need new thinking on how we live and what our priorities are. Green economics is essential. Small is not just beautiful but sustains human life. If we want to live, we must consume less and all exploitation of our natural world must stop. There is no other way. We can not pump endless vaccines into our system. We change our laws to deal with a virus but we do not change our laws to protect our precious natural world so that viruses are deterred. All our action plans are about the immediate measures needed to mitigate the impact of this virus. What about the action plan to destroy the new viruses that await their opportunity to strike? Surely we cannot afford to forget that we created the conditions for this virus and we have the power to reverse those conditions.

How do we reverse these conditions? That is the most important priority for the immediate future of human life. We are all busy talking about and finding respite from COVID-19. But what are we doing about all those viruses? We have spent trillions dealing with the impact of this virus. Surely we can spend trillions preventing the next one, and for that, we have to take care of our environment. Until we understand this and act globally, we will be helpless in the face of debilitating infections.

Valmik Thapar has spent 45 years working with the protection of both India’s forests and wildlife. He has written over 30 books.

India Splutters Against TB as New Challenges Erupt Worldwide

TB causes more worry in prisons and zoonotic transmissions. A blobal meet discusses ways to deal with the disease.

The bacteria Mycobacterium tuberculosis, the cause of TB. Credit: niaid/Flickr, CC BY 2.0

The bacteria Mycobacterium tuberculosis, the cause of TB. Credit: niaid/Flickr, CC BY 2.0

Cape Town: It will take another 200 years to rid the world of tuberculosis (TB) unless there’s a paradigm shift in the strategies to tackle this killer-disease. This was the message that stemmed from the ongoing 46th Union World Conference on Lung Health here, in South Africa.

On the one hand, new findings from clinical studies presented at the conference showed promise for a shorter nine-month treatment course for multi-drug resistant TB (MDR-TB) as against the standard treatment of 24 months recommended by the World Health Organisation (WHO). On the other, results from a series of studies on TB among imprisoned persons, bovine strains of TB found in cattle that are transmitting to humans, and TB in children showed that key affected populations were facing unique risks that need to be addressed in order to eradicate the disease by 2035, as called by the WHO’s ‘End TB Strategy’.

The prison studies, from Brazil, revealed that a growing TB epidemic among incarcerated persons could partially offset gains made in ridding TB from the general population. Between 2007 and 2013, the annual incidence of TB among prisoners increased by 28% against a 12% decline among non-incarcerated persons. The net effect was an 8% decline in the total population.

“Brazil has the world’s fourth largest prison population, and with a high throughput of inmates, [its] prisons could serve as reservoirs of TB transmission into the general population,’’ said Pau Bourdillon of Yale University, who presented the study.

In another study from Tanzania, a prison screening project has shown promise for reducing TB transmission. Between July 2013 and March 2015, over 6,000 inmates who tested for TB were put on treatment immediately.

A study on cattle and livestock in Nigeria showed over 10% of cattle and close to 43% of herds had TB. Additionally, 86 strains of bovine TB were isolated from slaughtered cattle and, scientists warned, posed a major public health threat. Overall, 4.6% of butchers and 6% of marketers had tested positive for the disease.

A conservative estimate based on available evidence showed that 1.4% of all TB cases had been caused by zoonotic strains – corresponding to approximately 126,000 people affected by zoonotic TB worldwide every year. Health officials had found that when patients of bovine TB were administered pyrazinamide, a key first-line medicine used in the standard TB treatment regimen, the treatment was likelier to fail and for the disease-causing strain to become resistant to the drug.

“The people affected by zoonotic TB who we are now identifying likely represent the tip of the iceberg,’’ said Francisco Olea-Popelka, assistant professor at the College of Veterinary Medicine and Biomedical Sciences at Colorado State University.

All quiet on the Indian front

The findings should ring alarm bells for India, which has the highest burden of TB in the world.

According to the Global Tuberculosis Report 2015, there were an estimated 9.6 million cases of TB worldwide. Of this, India, Indonesia and China alone accounted for 43% of all the cases. There were 220,000 TB-related deaths in India in 2014 – slightly less than the 240,000 deaths reported in 2013. The number of patients living with TB had also declined from 2.6 million in 2013 to 2.5 million in 2014. However, the fraction of new cases had increased in this same period: from 2.1 million to 2.2 million. Most importantly, funding for research in TB has remained extremely low, particularly in the private sector.

India’s response remains far from satisfactory on the issue of addressing this disease. The Revised National TB Programme (RNTCP) had asked for a budget of Rs.1,358 crore for the current financial year but received only Rs.710 crore – 52% of its demand.

“The government needs to understand the repercussions. Medicines arriving late by a day can be disastrous as it can result in drug resistance,” explained Dalbir Singh, president of the Global Coalition Against TB, a body of TB experts and Indian Parliamentarians from India who’ve banded together for a common cause. “We have had stock-outs and cuts in the funds. The government has now started the process of importing GeneXpert testing machines which can give report in two hours, following which treatment can be started on the infected person. But the machines have been available since 2010. One TB patient can infect 60 people in a year, hence it is important to identify TB patients quickly and put them on treatment,’’ he added.

Kalikesh Narayan Singh Deo, a Biju Janata Dal MP and a member of the coalition, feels the government is still in a state of confusion following the Planning Commission’s dismantlement and substitution with the NITI Ayog.

“It is yet to figure out which schemes need to be funded centrally,’’ he pointed out. “We need to waive off import duty or drastically reduce it on these machines and exempt TB drugs from excise duty,’’ he said, while adding that in his capacity as the Finance Committee member, he would write to the Union Finance Minister about this. In its turn its part, the coalition also plans to raise questions in Parliament and seek debates in the Houses to draw the attention of the government.

The government last year released the ‘Standard of TB Care’ in India to introduce uniform standards for care in all sectors, a move that’d key to reducing the national burden of MDR-TB. The Drugs Controller General of India (DCGI) has given also given conditional access to bedaquiline for its distribution within the government-run programme. As a well-known life-saving drug for MDR patients, bedaquiline will be included in the Centre’s TB Control Programme while local clinical trials are set to commence soon for two other new drug combinations.

Tuberculosis remains the oldest known infectious disease. It’s caused by Mycobacterium tuberculosis, and usually affects lungs but can affect other parts of the body as well. How the world plans to grapple with this many-headed monster will be decided at the ongoing conference here. And whatever solutions are drafted, they will also have to have factored in the international transition from the expiring Millennium Development Goals to the more-ambitious Sustainable Development Goals.