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11 July 2023 | Story Dr Sunday Paul C Onwuegbuchulam | Photo Supplied
Dr Sunday Onwuegbuchulam
Dr Sunday Paul C Onwuegbuchulam is from the Centre for Gender and Africa Studies, University of the Free State.


Opinion article by Dr Sunday Paul C Onwuegbuchulam, Centre for Gender and Africa Studies, University of the Free State.


It has been more than a year since Putin declared his pogrom in Ukraine, which he termed a ‘special military operation’. The war – which Putin envisaged to last a few weeks – is now going into the second year, with lots of people killed on both sides, including civilians. It is also notable that the war has seen the destruction of several key civilian infrastructures in Ukraine, and different human rights abuses carried out by Russian soldiers and their Wagner Mercenary Group. It suffices to say that the bloodletting and destruction in Ukraine have been great, and up until now, there seems to be no solution at hand to stop this war. As the war drags on, with Ukraine engaging in counter-offensives to reclaim its stolen lands, the question on the mind of many is when and how this is going to end. Several countries, including China and South Africa, are making efforts to broker peace in Ukraine. China, for example, proposed a twelve-point political settlement framework, which, among other things, suggested that the Western countries relax their sanctions against Russia and called for a cease-fire and peace talks. In more recent times, South African President Cyril Ramaphosa led an African group to Ukraine on a peace mission in yet another effort to broker peace between Russia and Ukraine.

Brokering peace in Ukraine and Russia while their backyard is burning

My issue in the article concerns this move by African countries, especially South Africa. Firstly, I am wondering how these so-called African leaders can jet off to Ukraine and Russia to broker peace while their backyard here in Africa is burning with conflicts. One wonders why this delegation considers the Ukrainian conflict more serious than, for example, the ongoing war in Sudan. Secondly, I have a gripe against South Africa’s efforts to broker peace in Ukraine, when some of its leaders, politicians, and educated elites have come out categorically to enunciate the phrase, ‘We stand with Russia’. It is the same thing as China (which has clearly stated its alignment with Russia) now proposing a peace plan for stopping a war that Russia is complicit in starting. I am okay with countries aligning themselves with other countries. It is a norm in international relations and is good for cordial relationships among nations of the world.  My issue is with the double standards being played out by nations and that exist in the contemporary international relations arena.

The double standards being exhibited by countries around the world regarding Putin’s war against Ukraine will be an albatross that will ultimately lead to the failure of the peace talks and peace proposals. Notably, both China and South Africa have not been frugal with words against the West and have come short of blaming the whole war on the West and NATO, arguing that NATO’s expansionism agenda in Eastern Europe has led to the war. They further argue that Russia has the right to protect its territorial integrity (against the perceived NATO threat), hence the reason for Putin’s war. But these leaders also fail to condemn the fact that Putin invaded a sovereign country at peace, thereby going against the UN Charter (Article 2, 4) on sovereignty and the maintenance of territorial integrity of nations. They have not condemned Putin’s war, which is a threat to global peace and world order. Furthermore, the hypocrisy is evident in the condemnation of America and the West for the atrocities committed in Iraq, Afghanistan, and elsewhere in the world (rightly so), but these countries have not been vociferous in condemning Putin for doing the same in Ukraine. South Africa, for example, has been vocal against the plight of Palestinians under Israel’s ‘apartheid repression’, but the country and its leaders have been indolent in calling Putin out regarding the war crimes going on in Ukraine, in which he has been implicated personally. Hence, in my view, this war has revealed the double standards by different countries of the world when it comes to the issue of maintaining the values enshrined in international humanitarian law and the fundamental principles of human rights as encapsulated in different UN documents. In more recent times, there have been denied reports that South Africa is supplying Russia with arms to aid its war in Ukraine; if true, this is the highest form of hypocrisy from a nation that trumpets respect for human rights and the need to maintain international order.

War in Ukraine is a war of choice

Rather than telling Putin to get out of Ukraine as a way of ensuring a genuine cease-fire, China and South Africa, for example, are going around in circles using some diplomatic approaches such as peace talks that propose peace plans, which they know Ukraine will reject. It should not be forgotten that this war in Ukraine is a war of choice, and it was Putin’s choice to invade a nation he saw as helpless and thought he could conquer within weeks. One wonders whether Putin did not foresee that America and NATO – which supported Ukraine even before this war – would come to Ukraine’s aid. On this, I think it is rather disingenuous that some argue that America and NATO could stop the war by ending the supply of arms to Ukraine to defend itself. The insincerity in this proposal is that these people are saying – just fold your arms and allow Putin to have what he wants and grab as much land as he wants in Ukraine. The hypocrisy also plays out here; they assert that Russia has the right to engage in this war to protect its territorial integrity against NATO’s expansionism, but it is not right for Ukraine to engage in the war to defend its territorial integrity. This kind of thinking is what ultimately led to WWII, because world leaders at the time turned a blind eye to Hitler's first land grabs (Czechoslovakia and Austria for example) until it was too late.

It may sound rather simplistic, but there is truth in the proposal that those who want true peace in Ukraine and Eastern Europe should just advise Putin to withdraw from Ukraine and stop this NAZI-style land grab he has engaged in since the annexation of Crimea in 2014. In my view, this war in Ukraine is going on today because some countries did not condemn that first flaunting of the stipulation of international law on the sovereignty of nations. This, in my view, emboldened Putin, hence his engagement in this war against Ukraine. Putin started this war. He can easily stop it, and the nations that have aligned themselves with Russia (including China and South Africa, and other African countries) can genuinely assist in stopping the war by jettisoning the double standards that are rife in the international relations arena, advising Putin to withdraw from Ukraine. We must not forget that if they keep quiet and Putin’s expansionist move is allowed to stand, it is open season for such a scenario to replicate itself elsewhere in the world. The big elephant in the room remains China, with its eye on Taiwan.

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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