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04 June 2020 | Story Prof Hussein Solomon. | Photo Sonia Small
Prof Hussein Solomon.

As young Political Science undergraduate student, phrases such as ‘national security’ made sense. It was the 1980s and the machinations of the Cold War rivals fascinated me. In the national context of apartheid South Africa, the national security management system of former President PW Botha drew my attention. The realpolitik of the time, both global and national, resulted in me avidly reading countless tomes of first-strike capabilities of the nuclear powers and regional destabilisation strategies of the apartheid pariah. 

National security considerations vs lived experiences of ordinary people
With the passing of time, I grew increasingly disillusioned with national security as a suitable fit for contemporary times on account of two reasons. First, national security considerations were far removed from the lived experiences of ordinary people. A US factory worker in Michigan is more concerned about the closure of his local automotive plant than the machinations of Beijing in the South China Sea. National security always reflected the concerns of the elites in their respective societies, as opposed to the bread-and-butter considerations of the vast majority of humanity. In the African context, such elite-driven state security was often purchased at the expense of the human security of ordinary citizens. Here, the guns of the military were often directed at marginalised and hapless citizens, as opposed to being directed at keeping borders safe from a possible foreign invading force. National security therefore needs to be expanded to incorporate the concerns of ordinary citizens. Second, in this rapidly globalising world, insecurity anywhere is a threat to security everywhere. The COVID-19 pandemic illustrates the point well, whether one resides in Wuhan, Milan, Moscow, New York, Sao Paolo or Cape Town. The world is one, and national security needs to be jettisoned in favour of more integrated conceptions of security.

Regional mobilisation
The current locust plague sweeping across East Africa vividly highlights the need for more expanded definitions of security. This locust plague has been labelled by the UN as an “extremely alarming and unprecedented threat”. Currently, Sudan and South Sudan, Ethiopia, Kenya, Somalia, and Uganda are all affected by swarms of locusts travelling at 90 miles per day and eating their own body weight in crops. To put matters into perspective, a swarm of locusts of only one-third of a square mile can eat the same amount of food as 35 000 adults. This undermines food security across the region. To exacerbate matters, the lockdowns as a result of the coronavirus has hampered efforts to eradicate the swarms. Regional governments are overwhelmed, as Helen Adoa, Uganda’s Minister of Agriculture, admitted. This admission highlights the fallacy of national security in a globalising world. Regional governments need effective regional organisations to support their efforts and should partner with international organisations, including the UN Food and Agricultural Organization, civil society, and business, to holistically respond to the threat. I write this paper on Africa Day, 25 May – a day celebrating African solidarity. 

This African solidarity stands in sharp contrast to the realpolitik and insular politics embraced by the concept of national security and its corollary national interest. Sovereignty in defined areas needs to be ceded to regional organisations and global institutions in an effort to craft truly regional and global solutions. No one country can deal with either COVID-19 or swarms of marauding locusts.

An integrated understanding of security 
The origins of the current locust infestation currently overwhelming East Africa also points to the imperative for integrated understandings of security. Climate change has created the ideal breeding ground for the locust population in the Arabian Peninsula to increase by 8 000 percent. A phenomenon known as the Indian Ocean Dipole created unusually dry weather in the east, which resulted in wildfires ravaging Australia. The same phenomenon, however, also created cyclones and flooding in parts of the Arabian Peninsula and Somalia. The resultant moist sand and vegetation proved the ideal conditions in which desert locusts could thrive. Aiding the burgeoning locust populations is the collapsed state authorities in both Yemen and Somalia, ravaged by civil war and fighting Al Shabaab insurgents. As the writ of the ‘governments’ in both Sanaa and Mogadishu hardly goes beyond the capital, neither country can even launch a national response to the locust plague. 

The origins of the swarms of locusts devastating east Africa link climate change, civil war, state authority and capacity, and the COVID-19 pandemic. This stresses the need for holistic solutions which are rooted in expanded and integrated conceptions of security. We cannot afford to work in silos at national, regional, or international level.

Extraordinary times call for more holistic conceptions of security. The Cold War is over, my undergraduate lectures on security are a poor fit to today’s realities. The world stands at a pivotal point, much as it stood following the Thirty Years’ War in Europe and the resultant 1648 Treaty of Westphalia, the 1815 Congress of Vienna following the Napoleonic Wars, and the aftermath of the Second World War. We need to be brave and refashion our security architecture to reflect integrated, global, and human security considerations. 

This article was written by Prof Hussein Solomon, Senior Lecturer in the Department of Political Studies and Governance, and first appeared on Muslims in Africa.

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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