10, March 2020
Cameroon’s Pathetic and Chaotic Response to the Coronavirus 0
A day after the IMF/World Bank announced a $50 billion aid package to help poor countries contain the coronavirus outbreak; Cameroon confirmed its first two cases of the deadly virus; a 58-year-old French national and a Cameroonian who came in contact with him, after he arrived Yaoundé on Feb 24. The public health minister said in separate communiqués that both patients were isolated at the Yaoundé Central hospital where they are receiving “symptomatic treatment” (whatever that means). The Health minister also ask those who had contact with the index case to call a toll-free number to “receive appropriate care” while assuring public opinion that “everything is being done to contain this outbreak without undue delay, in conformity with the high instructions from the President of the Republic, HE Mr. Paul Biya.”The feudal deference to Mr. President aside, the health minister’s belated effort to calm frayed nerves cannot be taken to signify successful containment; rather, it is an expression of a luxurious desire which signposts the absence of an emergency healthcare plan that should have been activated to contain the virus. This unpreparedness is most pathetic and tragic and Cameroonians deserve better.
It is indeed embarrassing to note that this epidemic has taken Cameroon unawares. How can the government’s containment strategy be anchored on self-reporting using a toll-free number? What happens if someone calls and reports that he/she is witnessing symptoms of the coronavirus? Is there a team of trained health personnel with the appropriate test-kits, including an ambulance ready to take such a patient and all those who have been exposed to him to a quarantine facility, assuming such a facility even exists? Alternatively, will such a patient be ordered to self-quarantine at home; and how will the patient be monitored? Amid global warnings about the coronavirus that has claimed over 3,000 plus lives and infected no fewer than 100,000 people, the health minister’s verbal pugilism advertises in spectacular fashion, a certain poverty of ideas on the part of those who govern Cameroon even in matters that are supposedly routine; and is indicative of a failure of leadership in the country. This is a public shame to a nation that should have outgrown primary healthcare challenges.
As official rhetoric and public grandstanding drives fear into the complex matrix over the unfolding coronavirus crisis, the gravity of the epidemic demands an urgent, robust and holistic national response, beyond laconic press statements designed to aggrandize the president. Even more disheartening, there is still no concerted effort by competent health workers to screen passengers arriving at Cameroon airports to determine whether they are sick or exhibited any symptoms of the coronavirus. It is shocking that a country like Cameroon does not even have one facility that such patients can be isolated. The WHO representative in Cameroon told CRTV that the test of the infected French national was done at Centre Pasteur in Yaoundé. This begs the question: what is the capacity of Centre Pasteur to handle an epidemic in which thousands of people get infected through community transmission?
With a shambolic healthcare system, decrepit health infrastructure, acerbic poverty and political volatility, most hospitals lack isolation or quarantine units, personal protection equipment (PPE) and trained personnel to carry out the necessary care against the coronavirus. Does the Health Minister need any reminder that laboratory confirmation of coronavirus diagnosis requires equipment, test kits and trained personnel that most Cameroon hospitals don’t have? It is utterly ridiculous for the government to ask people who have had contact with the index case to self-report or self-isolate or self-quarantine. There is no beneficial value in government’s misplaced self-vindication, amid reports that the government was struggling to contact the passengers who were exposed to the Frenchman who brought the coronavirus to Cameroon. As an urgent public safety imperative, the government should publish the flight manifest to enable the public identify passengers on that plane who were exposed and might have been infected by the Frenchman.
The implications of the other passengers still roaming at large and interacting with the public is the potential infection of hundreds, if not thousands of other people, aggravating the risk of widespread infection given that every infected person is said to infect at least two other people. Because for each day a coronavirus patient stays at home, family and all contacts are endangered, it is, therefore, better left to the imagination, the terrible consequences, specifically on public health and on public psyche of what evidently is a disaster waiting to happen! Against the backdrop of this doomsday scenario coupled with the dire indicators on the state of official unpreparedness to handle the coronavirus crisis, the question must be asked: what is this nation ever prepared for? The world is on red alert over the deadly coronavirus, yet Cameroonians are left to the vagaries of life while their leaders do nothing. Not even an emergency budgetary allocation has been earmarked to contain the virus. This is unacceptable!
The coronavirus is sufficiently serious a disease as to warrant the declaration of a national emergency by the government, wherein all hospitals (public and private), and health personnel across the country are put on red alert. Unfortunately, corrupt Cameroonian government officials with their remarkable genius for travesty seem more interested in transforming the coronavirus epidemic into another cash cow to line their pockets; as some have done with the ongoing armed insurgency in the Anglophone regions. The rumor mill has also spun beyond reason, misinforming the public with all manner of unfounded cures and remedies with no scientific basis. It was claimed in some quarters that drinking beer and eating bitter kola was a potent remedy and Cameroonians promptly descended on beer and bitter kola, until the rumor was debunked; saving them from the tragedy of their ignorance. Some Cameroonians view the timing of the confirmed cases as inauspicious, believing it is just a ploy by the regime to attract a share of the promised $50 billion IMF/World Bank largesse to help poor countries contain the coronavirus outbreak. Be that as it may.
The coronavirus is a national crisis of monumental proportion as the World Health Organization (WHO) has all but declared it a global pandemic. The deadly virus can wipe out scores of people in a matter of days if unchecked. The disease is contracted by direct contact with an infected person and the virus can remain within an infected person for as long as three weeks after exposure before manifesting. The symptoms progress from fever to nausea, headache, sore throat, tiredness, muscle pain, vomiting, diarrhea, coughing and neck-stiffness. So far, there is no vaccine or known cure as scientists are still working on a number of trial drugs that are expected to be ready not earlier than 18 months. Therefore, the government must continue to take coronavirus seriously and sustain public enlightenment through traditional as well as the now very popular social media, on measures to prevent or contain it. Scrupulous personal hygiene, avoidance of contact with suspected victims, and immediate report of suspected cases to health authorities, are just some of the steps the public should take.
The outbreak of the coronavirus in Cameroon, once again, presents a challenge to the authorities to address basic social amenities that make for improved living conditions for the average Cameroonian. While the world struggles to develop a potent cure, the best way out now is good hygiene. Keeping the living environment clean is essential. All must be careful, people should as much as possible avoid crowded areas, while churches, mosques and other religious houses should control meetings that bring too many people into contact with one another. The same goes for CPDM rallies. Commercial cyclists (Bendskin) could also be at risk of spreading the virus through body contacts. The times call for a rapid holistic response, targeting short-term measures and long-term improvement in human development indices, not slogans and empty bureaucratic noises and public grandstanding because one thing is clear – the coronavirus puts everybody at risk.
By Ekinneh Agbaw-Ebai
18, March 2020
Maurice Kamto says “Cameroon can achieve peace. But first, it needs a ceasefire” 0
On March 18 last year, the United States assistant secretary of state for African affairs, Tibor Nagy, met Cameroonian President Paul Biya in Yaoundé, the country’s capital. The meeting took place after nearly three years of mounting concerns about the violent descent into chaos in Cameroon’s northwest and southwest regions. The central government and separatists from our English-speaking minority have been engaged in a brutal conflict deriving from the latter’s valid grievances about marginalisation and the ongoing, deliberate efforts to dilute their English cultural heritage in the predominantly French culture of Cameroon.
Several months earlier, in December 2018, before a congressional committee hearing in the US House of Representatives, Nagy raised the issue of Cameroon as among the world’s most dire conflicts, stating: “I fear that [the crisis] could get much, much worse.” He was, indeed, correct. And Nagy’s grim prediction paralleled that of countless Cameroonian activists, journalists and pro-democracy leaders, including my own colleagues, who have consistently raised the alarms — often putting their lives and livelihoods at risk for doing so, and incurring the wrath of Cameroonian authorities.
The United Nations conservatively estimates that the ongoing conflict has killed more than 3 000 people and displaced nearly 700 000 more in the Anglophone regions, a staggering number that comprises about 20% of our country’s population. Most recently, on February 14, about two dozen villagers, including 14 children and a pregnant woman, were massacred in the village of Ngarbuh in the northwest region by suspected members of the Cameroonian army. This state of affairs has led to massive instability inside Cameroon, as well as the surrounding region, including in our neighbour Nigeria, where tens of thousands of civilians — mainly women and young children — have sought fleeting security.
One year after the meeting between Nagy and Biya, nothing has changed for the better. In fact, it has merely metastasised, largely due to government incompetence, ongoing acts of state violence and unthinkable brutality, and a hardened resolve among Cameroon’s Anglophone separatists, who now view violent retaliation as the last and seemingly only option to achieve their demands.
A feasible plan to resolve Cameroon’s worsening conflict (which represents only one of the many symptoms of the long-ruling, long-abusive Biya dictatorship) is long overdue. Last month, I visited Washington DC to raise my concerns and to present an alternative vision to secure a democratic and stable Cameroon. For my efforts, I was greeted with death threats and intimidation, which prompted US legislators to demand my safe return. These hazards, of course, are not surprising in light of my nine-month prison ordeal in 2019, as well as what appears to be an attempt on my life this past weekend while touring Garoua, a town in the north. I will not be deterred, and I will not be silent.
Here is my plan to move Cameroon forward, from ongoing violence to a just peace. First and foremost, as an act of good faith, the Cameroonian government must immediately release all political prisoners who have been incarcerated, ostensibly because of the Anglophone conflict, as well as the post-electoral crisis triggered by the sham presidential election of October 2018, which extended Biya’s almost four-decade rule. The prisoners released must include, for example, Ayuk Tabe, a well-known voice from the Anglophone separatist community, and Mamadou Yakuba, the first vice-president of my political party, the Cameroon Renaissance Movement.
Second, the violence on both sides must end today. To accomplish this feat, the Cameroonian government, and Biya specifically, must agree to at least a temporary ceasefire with separatist forces in the Anglophone regions, including the removal of all major military installations. Our people have suffered enough calamity, and further violence will only entrench the now nearly insurmountable animosities on both sides of the divide.
Third, the separatists and the central government must agree to a basic framework for inclusive dialogue. A key element of this roadmap will be to have honest discussions about the form and make-up of a new Cameroonian state. For me, federalism holds the key for a more sustainable and peaceful future. The proposed dialogue, presided over by an impartial international mediator, will work towards the definitive settlement of the now full-blown civil war that is tearing apart the Anglophone regions. Further delays toward this end are wholly irresponsible.
Fourth, the government must assist Anglophone citizens to return to their homes and communities by pledging to rebuild infrastructure destroyed during the war, including countless private residences, hospitals and schools. Indeed, most schools in the two Anglophone regions have already been empty for three years, effectively robbing our country of its future and a generation of knowledge and needed skills.
Lastly, Biya’s government — in co-ordination with civil society and the pro-democracy opposition — must undertake long-overdue political reforms; in other words, we must address the root causes of Cameroon’s cascading crises. There must be a consensual reform of the electoral system, certainly before the planning of any new elections, to avoid the post-election conflicts that have festered for the past 17 months. Relatedly, there must be a consensual drafting of a uniquely Cameroonian charter that guarantees the respect of basic freedoms and human rights, which have been trampled on for too long.
These interrelated initiatives will build the mutual respect that is required, and thus far lacking, to forge a viable path forward for Cameroon. If undertaken in good faith, by both sides of the conflict, we, as patriotic Cameroonians can earnestly begin to stitch together our frayed social fabric. It is not beyond repair, but the time to act is now. Only then can we, as concerned citizens, begin to trust in our leaders, heal divisions, and to put faith in our future as a nation.
Maurice Kamto is the president of the opposition Cameroon Renaissance Movement and a former political prisoner in Cameroon