International Community Will Have Itself to Blame!

"Anyone who has followed the unfolding humanitarian crisis in the Sudan (North) can testify that the Khartoum regime has not any sympathy for any of its citizens from the marginalized regions..."

By: Dr Justin Ambago Ramba,
(UK)

APR. 26/2012, SSN; This week South Sudan woke up to the old days of the politics of immediate interest by the so-called international community which unequivocally confirms why we had to fight for fifty years before anybody ever took us seriously. What we are seeing now is never new in any way, and it only confirms what our history books will read like.

Historically we have always lived with what is clearly a game of narrow interests that  went on for over fifty years – the life time of our struggle against the notorious Arab colonialism.  Today we are taking home one important lesson that clearly  demonstrates  that whenever an  abuser is perceived stubborn enough and unwilling to concede, even the  so-called friends and fellow mankind can maliciously conspire for a partial settlement at the expense of the offended and the cheated.  It is all about standing ones ground and the rest is granted unto them.

This is how it is from time immemorial, for otherwise how does one square this circle when  Khartoum that has all through acted heavy handedly in the five decades civil war with what is today the independent republic of South Sudan and it went on to replicate the same behavior in Darfur as reflected by the state orchestrated Darfur genocide, then the Nuba Mountains and Blue Nile regions and yet the International Community has every time  found it easier to put pressure on those fighting this rogue regime instead of holding itr esponsible for its crimes.

We all acknowledge that President Obama’s strong warnings and his personal concern that the progress so far made by the two countries toward peace and prosperity was now "at risk of unraveling". This landmark statement, from an exceptional statesman obviously came at a time when the barren negotiations mediated by Thabo Mbeki of the African Union (AU) have evidently become a hopeless exercise.

But urging the two nations to step back from the brink though a sensible thing to say however at this particular time there is abundant proof that the ailing regime in Khartoum is determined to go back to an all-out war with its southern neighbor possibly in an attempt to vent its frustration about the sanctions imposed on it by the US administration but also as a way of garnering public support at a time when its popularity was down to a minus reading.

Whether Khartoum have thought it all through before  betting on such a war will depend on how much the regime have learned from the Comprehensive Peace Agreement (CPA) it signed with South Sudan as represented by the ruling SPLM party. This is so because as things stand now the Khartoum regime has come to equate any peacefully negotiated settlement with its rivals in Darfur, southern Kordofan, the Blue Nile region or even the neighboring South Sudan as a risky deal for fear of having still to relinquish more power, influence,territorial control and much more in form of the different natural resources in the due process.

The independence of South Sudan and the subsequent loss of 75% of the Oil with it were set to scare the “Jallaba” from going that path again as seen in their reactions following the NCP and SPLM-N Addis Ababa Agreement.

The US President thinks that the two countries still have a chance to avoid being dragged back into war, which he stresses  will only lead to one place; more suffering; more refugees; more death; more lost dreams for them and their children. Of course the President was directing his videotaped message to the people of the two countries but deep inside we all remain concerned for there exists a strong reason to believe that this message can only bear relevance to the government of South Sudan.

Anyone who has followed the unfolding humanitarian crisis in the Sudan (North) can testify that Khartoum under the present regime has not any sympathy for any of its citizens from the marginalized regions of Darfur, Nuba Mountains, Blue Nile or Eastern Sudan.Yet this is not the first time that the US President has come out strongly to show his deep concerns over the issues of peace and war in the two Sudans. Had it not been for his personal involvement in the last moments, this same Khartoum regime wouldn’t have allowed for a peaceful referendum which saw the secession of the South Sudan to take place.

Now he [Obama] has outlined the steps that he thinks the two sides need to take in order to de-escalate the situation, one can only assume that the US President is back to find solutions to the remaining post-referendum issues that continue to threaten any chance of an everlasting peace between the two neighbors. "We know what needs to happen — the government of Sudan must stop its military actions, including aerial bombardments," Obama said. "Likewise, the government of South Sudan must end its support for armed groups inside Sudan and it must cease its military actions across the border," he added.

This far President Obama believes that a cease fire may be achieved in the few coming weeks and not months. Ironically though Khartoum – an extension to the axis of evil has for propaganda purposes chosen to exploit Obama’s speech and the others in the UN to portray for itself a diplomatic victory. Not only that, but as I write Khartoum war planes continue to torment civilian settlements and big towns  more than fifty kilometers deep inside the South Sudan territory.

Given this status quo no wonder the two sides are more likely to choose to re-organize their troops and replenish their military hardware for another showdown should a definitive solution remain elusive.This time around if the international community is going to take the lead in the negotiations it must be stressed that a time frame must be adhered to. Topics to be addressed should not be outside the CPA namely the border demarcations, Abyei referendum and human rights in the two countries.

No surprise that Khartoum will always try to mix up things by bringing in the issue of its countless northern rebels into the Sudan –South Sudan negotiation should there be any. Another important point here is the US sanctions on Khartoum a point already mentioned but worth stressing since the US President do not openly want to acknowledge it.
 
This remains central to Khartoum’s anti-South Sudan, anti-Christian and anti-Western behavior and rhetoric. Al Bashir’s inner circles and sympathizers alike feel that the US is favoring Juba over Khartoum and this gives them the feeling that if they cannot reach Washington directly, they can still do it through punishing South Sudan or the people of the Nuba Mountains and the burning of Christian worship facilities as seen in the latest arson on the Presbyterian church in Khartoum (Gereif Shariq) immediately following the withdrawal of the South Sudan military from Panthou (Heglig).

But it is important that none of these should be allowed to spoil the talks, should there be one soon. On the other hand we have heard the caring Obama’s   explicit envisagement of the problems within the Sudan (North) when he remarked that:  "all those who are fighting, including in Southern Kordofan and Blue Nile, must recognize that there is no military solution".

It however remains to be seen how he (President Obama) plans to literarily drag the genocide regime in Khartoum back to the negotiations table after al Bashir and his so-called ‘Presidential Uncle’ chose not to recognize the preliminary truce inked in Addis Ababa between Dr. Nafie Ali Nafie the Presidential Assistant for al Bashir’s NCP and the rebels of the SPLM – North? There is no wonder at all for it is easy to tell others that there are no military solutions to political problems. This too they (South Sudan- Darfur – Nuba – Ingassana – and the Beja Peoples) already know and so when people take up arms to fight injustice it isn’t out of ignorance. Those who oppose military confrontations must be willing to provide the alternative routes, otherwise word alone cannot liberate neither unshackle those who have seen nothing in their lives but bondage.

I do not for a second entertain the idea that the US with all its capabilities is unaware of the contradictions which exist within the ruling elites in the Sudan (North). To be credible President Obama will have to take Khartoum back to the negotiations whether through persuasion or pressure, that is left for in his capacity as the chief of the strongest nation on earth. Maybe he will do well to involve Khartoum’s two friends - China and Russia the fact that there exits this marriage of convenience between political Islam as preached in Khartoum and the international communism both in Beijing and Moscow.

So far there is no room left for much optimism and experience has taught us that any slight thing to be undertaken in the UN Security Council often takes ages with China and Russia going one way while the rest of the world goes the other way. And although this may be the last opportunity for the Obama administration as well as the International community to hammer an over-lasting solution for the two Sudans let no one erroneously  assume that South Sudan will remain to be their much ‘disciplined boy’ while Khartoum goes on and on with its bombing spree.

It might have been too easy for the so-called International Community to restrain the nascent state of South Sudan from taking the law into its hands when it chose to militarily reclaim its territories that are illegally annexed by Khartoum this time around.  But should the same hypocrites [international community] fail to make Khartoum understand that the CPA is there to be implemented and not to be fiddled with following what we have witnessed in both Abyei and recently Panthou (Heglig) – then it won’t be too long before a defiant South Sudan stands up for its rights. When that time comes the international community will only have itself to blame for the people of South Sudan too are fast learners.

Author: Dr. Justin Ambago Ramba. Can be reached at: justinramba@aol.co.uk

Posted in: Opinions
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09/07/2012, 2:54 AM
 - Posted by Angelo Ngor
The war on ailing economy in South Sudan neglects the health of the people
By Angelo Ngor
After 56 years of marginalisation, oppression, slavery and negligence by the Sudanese Islamic regime in Khartoum, South Sudanese have been severely deprived of developmental programs both in health, education and or infrastructure. At least the second Sudanese civil war led by the Sudan People’s Liberation Army and Sudan People’s Liberation Movement (SPLA/SPLM) for the last twenty two years has finally achieved the dreams of most South Sudanese if not all. After attaining her independence on July 9, 2011 and subsequently being recognized by the world and notably the United Nations and in Washington DC, the youngest nation and 54th African country continues to fight internal and external foes. The situation is largely compounded by rampant corruption which saw $ 4 billion vanished between 2005 and 2011. The phenomenon known as “sorghum saga” and “misappropriation” through bogus companies have prompted the President Salva Kiir Mayardit to write to 75 current and former government officials to account for the $ 4 billion. The fight against corrupt officials recently initiated by the President and endorsed by lawmakers will soon materialize as the President of the new nation is put to test on his zero tolerance policy, a chorus that has been overheard in South Sudan. However, hope of most South Sudanese begin to fade away as the path of retrieving the stolen funds is narrow and the fight against these corrupt officials is a highly sophisticated one and must be handle with due care for a fear of internal rebellion and its aftermath price.
Given these perspectives, one thing the government and the department of health have forgotten is the health planning and preventive medicine. Of recent, there was a tension between the private universities and ministry of higher education when the latter decided to close down private universities upon their failure to comply or meet the necessary requirements of the higher education sector. The minister of higher education was right in that we need to benefit from a quality education and not a quantity one though his decision was slammed by the affected parties. At least higher education sector is finding its way.
As for the department of health, lack of enough funds to address health issues has become an excuse of doing nothing. If we think we are better off with getting monthly salary and sit in offices doing nothing, we are not. And if we think we can embark on foreign advice and expatriate services, we are not. The only solution is to think wisely and to act wisely. Now that the department of health has failed to take appropriate measures regarding population health, we are faced with devastating ends expected in the near future. What our health policy makers did not take into account is preventive medicine which should not be redefined as cleaning up Juba and other big cities coupled with culture of drinking bottled water by minorities who afford to pay, but by carefully defining preventive medicine as constructive strategies undertaken to prevent diseases other than treating them at all levels. The most devastating phenomenon to be faced is certainly underway, the era of antibiotics which is close at bays. Now with the new Republic being born, there comes an era of investment and with it a fast-money-making business, the drug selling stores referred to as pharmacies and “hayada”, the clinics run by quack doctors and unqualified pharmacy dispensers that call themselves “pharmacists”.
By allowing rampant dispensing of medicines by unqualified persons or even qualified pharmacists without proper guidance is an invitation of invisible war by multi-drug-resistant organisms (MDRO). Despite decades of triumph against bacteria, what once appeared to be miracle medicines have been beaten into ineffectiveness by the bacteria they were designed to knock out though once, scientists hailed the end of infectious diseases. Now, that the post-antibiotic apocalypse is within sight, will the poor and youngest nation afford to fund this war? It is probably big no. The current knowledge and the rapid trend of MDRO put our anxiety to the new level so far. I do not intend to discuss the whole range of bacterial resistance but to highlight a few dangerous ones that we might not put to an end should they evolve soon.

It was once believed that most MDRO only exist in hospital environments, but have now been discovered as having found their way into community and become community acquired infections. These include methicillin-resistant staphylaococcus aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE). For the last two decades or even more, 3rd generation cephalosporins for example, have been used heavily against Gram negative bacteria with major triumph, but surprisingly, two very important types of β-lactamase mediated resistance have emerged against these antibiotics: Class I β-lactamase production and Extended spectrum β-lactamase (ESBL) production . Organisms capable of class 1 β-lactamase production include ESCAPPM or (Enterobacter, Serratia, Citrobacter freundii, Acinetobacter spp., Proteus vulgaris, Providencia spp., Pseudomonas aeruginosa and Morganella spp.). ESBL on the other hand are active against older penicillins and cephalosporins, 3rd generation cephalosporins and some are active against 4th generation cephalosporins. A more dangerous superbug gene has been recently published by Professor Timothy Walsh in the lancet infectious diseases at http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2812%2970044-0/fulltext?_eventId=login, the New Delhi metallo-beta-lactamase-1 (NDM-1), this Indian superbug gene and enzyme recently discovered is resistant to almost all antibiotics. NDM-1 has already been imported from India to the United States and other nations and now almost widespread.

By admitting current shortage and lack of qualified health professionals, high incidence of MDRO has been reported by some of South Sudanese researchers in combination with expatriates in Juba, mostly a result of unnecessary use of antibiotics and lack of public health education. Of recent, South Sudan Medical Journals website published some research reports on MDRO including tuberculosis and recommendations regarding expansion of laboratory services and the need for reference laboratory found at http://www.southsudanmedicaljournal.com/research.html, and in particular by authors Saeed et al (nd.) entitled the “carriage rates, circulating serotypes and antibiotics resistance among streptococcal pneumonia in healthy infants in Yei, South Sudan” at http://www.southsudanmedicaljournal.com/archive/august-2011/carriage-rates-circulating-serotypes-and-antibiotic-resistance-among-streptococcus-pneumoniae-in-healthy-infants-in-yei-south-sudan.html. This research report is an indication that our hospitals are the habitats of MDRO and therefore must be prioritise during national health budget. Hospital acquired infections are more serious and are resistant to most antibiotics because frequent or heavy use of antibiotics in the hospital selects out the mutants within hospital. As well, the emergence of the new Republic of South Sudan attracted many nations and the influx of people from global travel has been seen, however, it is not unusual to see more of the superbugs mentioned finding their way into South Sudan in the near future. These problems are more complicated by rampant “on the counter” antibiotics and unnecessary prescription of the most powerful antibiotics by health professionals in practice due to lack of basic laboratory services and a reference laboratory for confirmation of suspected cases of rare and dangerous diseases. Lack of these basic scientific services has led most doctors to use empirical treatment to remedy the conditions of their clients. If we look further into future health of the people of the Republic of South Sudan, then it is time for health policy makers to properly regulate and review unscrupulous pharmacy entrepreneurships and the local clinics that are involved in medical malpractice widespread across many regions of the country. Health department of the Republic of South Sudan must act on health professionals’ opinions regarding improvement of health services and should not assume culture of ‘know’ and ‘do nothing’.

On the South Sudan Medical Journal website, there is a lot to be taken into consideration regarding published research results. Why then doing research and reporting shocking results if there are no plans by department of health? Why our policy makers continue to operate in the darkest world instead of developing progressive plans to take our new nation ahead. One year is already gone and no substantial progress being made and not even basic health services are met, mortality rates especially among infants dramatically remain high. The only response and statement rampant on media as officials concerned are faced with thousands of questions regarding their corruption scandal is “we have started from scratch”, a statement put to cover up for poor performance and incompetence and that denotes failure by the system to deliver basic services. Juba should wake up and address basic needs.

Now that the system has no regulatory authorities especially for businesses involving chemical substances such as drugs, the civil population is left grappling with all kind of diseases some of which have resulted from malpractice such as unnecessary prescription and dispensing of most powerful antibiotics in the name of investment. How will we invest in the expense of others lives? What are common in media outlets are criticisms regarding government corruption and poor performance but not even a single mention of the deteriorating health of South Sudanese. Educating public about use of “on the counter” medication and in particular, the antibiotics is important and should be encouraged; as well, health professionals should be encouraged to minimize use of antibiotics unless under extenuating circumstances deem necessary. Through these strategies we might be able to delay the negative impact that is eminent in a few decades. Media and public should start criticising the health department of not doing much or even least.

The author is a candidate MSc in Infectious Diseases and holds BSc in Human Biology and Biomedical Science. He is a South Sudanese and a former Jesh Amer in SPLA living in Australia and reachable at yankeeangelo2000@yahoo.co.uk





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