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      What’s Behind Chile’s Vaccination Success?

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      The deadly impact of COVID-19 has been felt in every corner of the globe. On February 22, the United States reached a tragic landmark of 500,000 deaths. Across the Atlantic, nine of the top 10 nations in deaths per million are in Europe, with tiny enclaves of Gibraltar and San Marino topping the tables. The list of countries that have dealt with the pandemic relatively well is much shorter. Almost a year ago, I wrote about how leaders in Brazil and Mexico were slow in taking tougher action to prevent the spread of the virus. I falsely predicted that Latin America is unlikely to witness the death rates seen in Europe. Unfortunately, the effects of the pandemic were equally devastating in the region, if not worse.

      Images of mass graves in the Amazonian town of Manaus and the dead bodies left in coffins in the streets of Guayaquil, Ecuador, have spread worldwide. More than 260,000 Brazilians and nearly 190,000 Mexicans died because of the virus, placing the two countries second and third in absolute numbers of fatalities. Peru registered 1,421 deaths per million and Panama 1,352 on March 4 — numbers that show the devastation caused by the virus in the region so far. Chile has also experienced a significant death rate of 1,084 per million.

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      The big difference in Chile was that authorities mobilized in advance to secure vaccines, hedging bets on various suppliers in different stages of development. In September last year, President Sebastian Pinera announced the purchase of 10 million doses of Pfizer-BioNtech vaccine. Deliveries commenced on December 24, making Chile the first Latin American nation to start its vaccination program. The country has ordered some 90 million doses, more than enough to immunize its 19 million citizens. By March 4, more than 20% of its population received at least one shot, placing Chile fifth in the world when it comes to vaccination rates, just behind Israel, United Arab Emirates, the United Kingdom and the United States.

      Political Conflict

      On December 29, Argentinians started to receive the Russian Sputnik V vaccine. The pace of immunization in Argentina has been much slower than expected, with several complaints of those not in priority groups receiving the jab before health workers and the elderly. The “VIP vaccination” scandal has caused the resignation of the health minister, drawing protesters onto the streets and generating criticism against President Alberto Fernandez. So far, Argentina has vaccinated only 2.61% of its 45 million citizens. The slower pace seems to be standard in the region, with most nations unable to vaccinate even 1% of their citizens. The cause is not only the shortage of vaccines but lack of planning and, more significantly, internal political conflict. 

      In Brazil, president Jair Bolsonaro has made several statements that undermined efforts to slow the pandemic. In a national broadcast on March 24, 2020, he criticized the restrictive measures adopted by governors and mayors, urging people to return to work and referring to COVID-19 as a “little flu.” The president also highly publicized the unproven anti-malarian drug chloroquine as being effective against the virus, ordering the Ministry of Health to produce four million doses. His insistence on the use of the drug caused the loss of two health ministers, Dr. Henrique Mandetta, fired by Bolsonaro last April, and Dr. Nelson Teich, who resigned less than a month after taking over. Since then, the position has been filled by an army general specializing in logistics, with neither medical education nor experience.

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      Over the course of the pandemic, Bolsonaro has been exchanging public barbs with the state governments, such as over lockdown measures adopted by individual governors last month. On March 1, 16 of the country’s 26 governors, including three Bolsonaro allies, signed a letter criticizing the government and accusing the president of misleading the public about federal pandemic relief funds. Sao Paulo’s governor, Joao Doria, a former ally in the 2018 elections and a potential competitor in 2022, has been the president’s most vociferous antagonist over the handling of the pandemic.

      At the center of the dispute is the Butantan Institute, one of the most prestigious health centers in Latin America, situated in the state of Sao Paolo. Back in June, Butantan signed a partnership with the Chinese laboratory Sinovac Biotech to produce the CoronaVac vaccine. Initially, Bolsonaro has signaled that Brazil would not purchase the Chinese vaccine, questioning its efficiency, but in January, the Ministry of Health added the vaccine to the national immunization plan following approval by the health regulator, Anvisa. Last month, Doria announced a deal for a further 20 million doses of CoronaVac to complement the 100 million already secured by Butantan.

      Last August, Pfizer said it offered 70 million batches of its vaccine to Brazil, with a delivery scheduled for December. However, with Brazil dissatisfied with the terms of the contract, the deal is still being negotiated. Health Minister Eduardo Pazuello hopes to secure 100 million doses from Pfizer and 38 million from a pharmaceutical subsidiary of Johnson & Johnson, Janssen, to start deliveries in May and August respectively. Due to this lack of urgency and an absence of a unified policy between the federal and state governments, Brazil has so far vaccinated just 3,67% of its population.

      Crisis Management

      Chile has also faced political unrest. Since 2019, the country experienced several mass protests calling for education and pension reforms. In a televised address, President Pinera declared a state of emergency, granting powers to restrain freedom of movement and assembly. The measure resulted in violence that cost 18 lives in five days, leading the UN to examine possible human rights abuses. As a result, Pinera’s approval rating fell to just 7%. In 2020, amid the ongoing political crisis, COVID-19 hit the country hard, provoking the resignation of the health minister, Jaime Manalich.

      However, Pinera managed to turn the situation around. With a degree in commercial engineering from the Catholic University of Chile and a PhD in economics from Harvard, the president is a billionaire businessman, with an estimated net worth of $2,9 billion. He has already led the country once, between 2010 and 2014, earning crucial government nous. Pinera made several concessions to the protesters and supported the calls for a new constitution in an attempt to turn down the political temperature.  

      A referendum on October 25 saw 78% of the population approve a new constitution that will substitute the current one created in 1980 under General Augusto Pinochet. The new Magna Carta will be written by a 155-strong body also elected through a popular vote and with an equal number of men and women. The document will then be confirmed by a popular vote before being implemented.

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      To assuage popular discontent caused by the initial handling of the pandemic in combination with other historical grievances relating to health care, education and pensions, Pinera focused his negotiation abilities to mediate the purchase of million doses of vaccine from different laboratories and suppliers. While most developing nations have been struggling with a lack of supplies, Chile is among the top three countries, along with Canada and the UK, when it comes to the number of doses ordered per capita. Back in September, just before the peak of protests, Pinera announced partnerships on the development and clinical trials between the Catholic University of Chile and Sinovac; the University of Chile, Janssen/Johnson & Johnson and AstraZeneca; as well as the University of Frontera and another Chinese laboratory, CanSino Biologics. More than that, purchases were agreed with Pfizer, Covax, Sinovac and AstraZeneca.

      But despite perceived goodwill from an unpopular right-wing government, the president still faces an uphill climb when it comes to popularity. By March 1, 83% of the Chileans deemed the massive vaccination as good or very good, 58% asses the general management of the pandemic as positive, but Pinera’s personal approval is still only at 24%.

      The successful vaccination has already yielded positive outcomes. According to Chile’s Health Ministry, the number of new COVID-19 cases has decreased in six of the country’s 16 regions in the last seven days and in eight the last 14 days. Chile hopes to vaccinate at least 15 million people in the first semester, which would allow the country to immunize its entire population by the end of June. These numbers would put Chile way ahead in the vaccination game not only in Latin America but worldwide, suggesting that resolute leadership is as important for the nation’s well-being as a robust medical system.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      in US Politics

      Joe Biden 'neanderthal' comment a reflection of frustration, says White House – video

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      White House press secretary Jen Psaki defended Joe Biden’s comments comparing Republican governors to Nearnderthals for lifting mask mandates in Mississippi and Texas. Biden’s remarks were ‘a reflection of his frustration’ about Americans not following public health guidance during the pandemic, Psaki said.
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      Biden accuses Republican governors of ‘Neanderthal thinking’ over plans to reopen More

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      in World Politics

      Is Dutch Exceptionalism Equipped to Cope With the Pandemic?

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      In late January, protests and riots against COVID-19 lockdown measures in the Netherlands drew attention from international audiences, taking many by surprise. Described by the Dutch police as the “worst rioting in 40 years,” it was a response to the first curfew the country has seen since the Second World War. Now, more violence and what appears to be a deliberate attack on a coronavirus testing center have caused further shock. The Netherlands is well established at the heart of orderly Northern Europe, bound by welfare-state solidarity and reserved, measured behavior. However, its populist subculture is news to no one. Radical and conservative elements, as well as a culture of Dutch exceptionalism, existed well before the COVID-19 pandemic, which has undoubtedly stirred social tensions in an unprecedented fashion.

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      As the curfew remains in place, most activities are restricted, including the shuttering of non-essential businesses and shops (closed since December), restaurants (closed since November) and gyms. Schools are only recently back in session after being closed in December, and only as of Wednesday, March 3, have contact professions been allowed to open on a limited basis, with stores also taking appointments for shopping trips.

      After suffering some of the worst rates of COVID-19 infections in the second European wave at the end of 2020, the Netherlands is watching numbers rise again. However, a poll in the third week of February indicated that 45% of Dutch citizens believe lockdown measures would be relaxed. How the government responds to this pandemic is most likely being swayed by the fact that national elections are coming up in less than two weeks.

      Intelligent Lockdown

      The unique social dynamics of the Netherlands are important for understanding the social sentiment surrounding the COVID-19 crisis. Firstly, it should be noted that the Netherlands took a different approach to many European counterparts at the start of the pandemic. Referred to as laissez-faire by some, there was never a total lockdown experienced by Spain or Italy. Of course, when the first round of lockdown measures hit Europe, schools, restaurants and businesses were closed. However, while citizens were encouraged to respect social distancing and limit gatherings, as well as to stay home as much as possible, there were neither explicit measures, such as how many times a day one could go outdoors, nor any regulation of them. Prime Minister Mark Rutte called this “an intelligent lockdown.” The Netherlands was one of the last countries in Europe to make masks obligatory, as late as December last year. 

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      This is perhaps due to the culture of Dutch exceptionalism or tolerance: no need to enforce or dictate rules to independent citizens so long as everyone peacefully goes about their business. As Sarah Bracke explains, Dutch exceptionalism can be understood as pertaining to “a notion of toleration, which is historically linked to its particular arrangement of secularization and later on, throughout the second half of the twentieth century, gained a strong resonance in relation to sexual politics.”

      The Netherlands has been known for its “coffee shop” culture where recreational use of soft drugs is openly tolerated, and it has legalized prostitution, euthanasia and gay marriage far in advance of many other countries. Such a culture, which is often criticized as being overly idealized, can prove resistant to what could be viewed as over-regulation of the private sphere through constrictive measures necessitated by the global pandemic.

      Systemic Tensions

      What is perhaps less directly related to but is more illustrative of the social tensions exacerbated by the pandemic is the history of radical-right and conservative presence in the country. Throughout the world, it seems that populist movements against COVID-19 measures and conspiracy theories relating to the pandemic are often led by right-wing factions or adherents. Populist anti-Islam or immigrant politicians or parties have proliferated in the Netherlands in the past decades. Geert Wilders, who founded the nationalist, far-right populist Freedom Party in 2006, is one of the best-known faces in Dutch politics.

      In fact, Dutch politicians often reference immigrants and minority ethnic groups in their rhetoric. While Dutch culture and identity are purportedly tolerant, there has been a constant and evidenced critique from academia and civil society that institutions and society remain exclusionary toward those who fall within the category of “allochtoon” (not from here) versus “autochtoon” (from here). Neoliberal and nationalist-populist parties reflect and mutually reinforce these alleged biases.

      A peek into the perspective of those who attest to discrimination on a daily basis is interesting and illuminative, even if it may not be statistically representative of Dutch culture or even an entirely objective account. The Amsterdam Confessions of a Shallow Man website, for instance, is authored by an expat living in Amsterdam who presents a bemused apparisal of Dutch life and moderates a large Facebook group where members joke, critique or celebrate Dutch culture. With over 8,000 members, it often serves as an outlet for those who feel discriminated against.

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      For example, members share when they have been told to “go back to their country” alongside news and experiences of racists attacks or rental ads that are exclusive to Dutch nationals. In particular, when someone experiences racism or discrimination, other members of the group offer support and advice on how to file a complaint. A common topic of discussion includes a Dutch Christmas character, Zwarte Piet — Black Pete — who takes his name from traditional blackface.

      There seems to be a frustration with proclaimed liberal Dutch tolerance vis-à-vis the experience of everyday life, especially among people of color. This explains the possibility of polarization and right-wing extremism or populism taking firmer root in Dutch society. However, simmering unrest intertwined with racial inequality is not exclusive to the Netherlands: The United States and its Black Lives Matter mobilization provides an example of a nation coming to terms with these same issues that have been exacerbated by the pandemic.

      Typical Problems

      Problematizing extreme reactions to government-imposed COVID-19 response measures can be conducted from several angles. One could cite the culture of Dutch exceptionalism and resistance to intrusive regulation, or point to an increasing trajectory of populism. There are, however, many more factors at play, and the social implications of the pandemic will probably continue to be revealed in varying stages for years to come.

      For example, when explosives and fireworks were set off during riots, which were made up of mostly young people in their teens and twenties, earlier this year, it caused understandable alarm. However, these fireworks could be seen as an extension of Dutch youth culture and a popular, even if a dangerous, tradition. Each season, New Year’s fireworks result in injuries and property damage in otherwise peaceful Dutch towns and cities. These explosives seem to be a traditional manner of expression — both for festive and restive moods.

      By contrast, the recent, uncharacteristically intense February storm Darcy brought sub-zero temperatures, snow and iced-over canals that drew many happy faces. Locals enjoyed another cherished tradition: skating on nature’s ice rinks (at a respectable distance). The Dutch rank favorably on many indexes thanks to a comparatively rich, educated and open society, rooted in a specific set of customs, traditions and culture that requires a unique approach to a global emergency.

      The number of those who participated in the violence is low in comparison to the wider population, although it does suggest that there is understandable dissatisfaction with current COVID-19 response policies and management. Indeed, much like the rest of the world, the Dutch government and society face challenges in addressing the multilayered issues inherent in this unprecedented crisis.

      The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy. More

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      in US Politics

      Texas governor lifts mask mandate and declares: 'It's time to open 100%'

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      With less than 7% of Texans fully vaccinated and another Covid-19 surge potentially imminent, Texas is flinging open businesses to full capacity while simultaneously ending its highly politicized mask mandate, the state’s governor, Greg Abbott, announced on Tuesday.“It is now time to open Texas 100%,” a maskless Abbott declared to cheers at a crowded restaurant in the city of Lubbock.When Abbott’s policy changes go into effect next week, Texas will be the most populous state in the country that does not require residents to wear masks. Restaurants and other businesses can choose to maintain their own mask policies, but without government backing to do so.“We had a chance maybe by the end of the summer of getting a handle on this pandemic. This governor is just going to throw all of that out and put us back to the stone ages,” said Gilberto Hinojosa, the chair of the Texas Democratic party. “This is crazy.”Other states and cities have likewise started rolling back precautions. In Mississippi – another Republican stronghold – Governor Tate Reeves also announced on Tuesday that the state was lifting rules for businesses and doing away with county mask mandates.In other states and cities, including Michigan, Louisiana, and the city of San Francisco, California, officials are also lifting some restrictions, albeit not with the sweeping approach of Mississippi or Texas.Abbott’s announcement – which comes after about 43,000 Texans have died from the virus, and while many Texans are still ineligible for the vaccine – sparked immediate and vehement backlash, from Democratic mayors to workers’ advocates infuriated that Texans of color will once again be the hardest hit.“I think this is a slap in the face of working people, especially frontline workers, who have been risking their lives,” said Emily Timm, the co-executive director of Workers Defense Action Fund.Local leaders in Houston, Dallas, San Antonio and Austin – Texas’s biggest cities – called on Abbott “not to create any ambiguity or uncertainty about the importance of wearing a mask by changing the rules at this time”, Austin’s mayor, Steve Adler, said in a statement.“We as a state should be guided by science and data, which says we should keep the mask mandate. Too much is at stake to compromise the positive outcomes we have seen with over-confidence,” Adler said.The policy changes also follow a devastating winter storm that pummeled Texas mere weeks ago, in a crisis made worse because of the state’s bungled emergency management.Some critics say Abbott is using this moment to distract from that catastrophic failure, while also playing politics with lives to curry favor with a far-right Republican base that turned against him after he implemented coronavirus restrictions last summer.“He’s made a decision based upon politics,” Hinojosa said.As most meaningful coronavirus-related restrictions disappear from Texas, the state is simultaneously staring down what could easily be a series of super-spreader events over spring break.South Texas beach towns in Corpus Christi and the already hard-hit Rio Grande Valley have long been popular destinations among party-going college students from around the country, and as tourists pack into bars and restaurants, none of them will have to wear masks or socially distance.“You think we had a horrible spike on Memorial Day, and the Fourth of July, and during the holidays?” Hinojosa said. “The spike that this state will experience in coronavirus cases will be extremely high – and will cause many, many more deaths than any responsible governor should have allowed.” More