Trump vs Africa: how the continent can counter destructive policies

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Donald Trump has promised to make America great again. Reuters/Jonathan Ernst

By , Visting Professor of International Relations, University of WitwatersrandThis article was originally published on The Conversation. Read the original article.  The views expressed in this commentary are solely those of the writer. AfricaOracle is showcasing the work of The Conversation, a collaboration between journalists and academics to provide news analysis and commentary. The content is produced solely by The Conversation."

Every four years the CIA’s National Intelligence Council (NIC) provides the incoming president and his administration with an assessment of the most powerful global forces likely to affect foreign and domestic affairs. Known as the CIA’s Global trends, the report is also available to the public and normally has a time horizon of five years and beyond.

Donald Trump would probably be prompted to dismiss the 235-page 2017 edition with a tweet after getting just half-way down the first summary page. The next five years, the report says, will

close an era of American dominance following the Cold War.

Trump would undoubtedly see this as a personal affront to his promise that he will “Make America Great Again”.

Ironically, Trump’s own behaviour during his presidential campaign and transition only lends credence to one of the report’s general forecasts that the next five years

will see rising tensions within and between countries.

So far Trump has stirred tensions with a range of countries. He has made controversial statements that have offended, among others, Europeans, Asians and, of course, Mexicans. 

The report provides a useful starting point to reflect on what’s in store for Africa over the next five years. And how the continent should think about responding to challenges it identifies in the context of a Trump presidency. 

A case in point are the report’s findings set against Trump’s stance on climate change. The Global Trends 2017 puts greater emphasis on the urgent need to mitigate and adapt to global warming and other man-induced climate change than earlier editions. But Trump’s climate denial rhetoric and the prominent deniers he is including in his cabinet, contradict all available evidence-based judgements.

This might suggest that the continent and Trump are on a collision course given that Africa will suffer more than most regions from the threat of climate change. This needn’t be the case. There are some low-cost ways African Union members, individually and together, could undertake to slow down, and even derail, Trump and his climate deniers. And shrewd diplomats would do well to use the report as a useful reference for prodding US negotiators. They might also use it for gauging levels of public and Congressional support for Trump’s controversial policies.

Clues to Trump’s views on Africa

There have been few indications of Trump’s interest in sub-Saharan Africa. But a few clues of how his administration views the continent have been reported by the New York Times

The report was based on a leaked four-page list of questions about Africa his transition team sent to the State Department and Pentagon. The questions indicate a general scepticism about the value of foreign aid or even US security interests in sub-Saharan Africa, suggesting Africans have squandered American money and effort.

Questions included:

With so much corruption in Africa, how much of our funding is stolen?

and in relation to the African Growth and Opportunity Act

Why do we support that massive benefit to corrupt regimes?

and regarding US business interests

Are we losing out to the Chinese?

Based on these questions, it’s possible that Trump will opt for an American retreat from the bipartisan development, humanitarian, and security assistance goals of previous administrations. Even so, policies he pursues on global issues such as trade and climate change will have a dramatic impact on the continent.

Trends facing Africa

The Global Trends report conclusion is that prospects for progress on the continent clearly outweigh the dangers. It says that in the next five years African countries will focus on internal issues as they struggle to consolidate the gains of the past 15 years and try to resist the geopolitical and economic headwinds that threaten them.

It also identifies the key challenges, among them the familiar issues of rapid population growth and rural-urban migration, severe if uneven environmental and health risks, radicalisation, and failures of governing institutions. 

The report’s emphasis on climate change is particularly telling. It cites credible scientific evidence of global warming and forecasts dire consequences for countries across the world, including in Africa

An emaciated cow walks in Gelcha village, one of the drought stricken areas of in Ethiopia. Reuters/Tiksa Negeri.

The report endorses the findings and process approved by 194 countries participating in the UN Intergovernmental Panel on Climate Change (IPCC)

The Obama Administration was a global leader in the IPCC and agreements reached in Paris in 2015 on reducing greenhouse gases emissions in a voluntary process now endorsed by virtually all UN members. 

Obama was also committed to a bilateral agreement with China, obligating the world’s two largest emitters to major reductions. And he made a pledge vital to Africa of US$3 bn toward an initial IPCC $10 billion fund to assist the most vulnerable and under-resourced countries adapt to global warming. This fund is scheduled to grow to $100 billion annually by 2020.

Trump, however, has repeatedly threatened to renege on all these US commitments once in office.

What Africa needs to do

Here are some low-cost ways African Union members, individually and together, could undertake to slow and even derail Trump and his climate deniers:

  • Seize every opportunity in bilateral talks and multilateral forums to reference the findings presented in Global Trends 2017. Although prepared during the Obama administration, it is the work of non-partisan civil servants.

  • Devise and implement public diplomacy campaigns in partnership with civil society groups, environmental activists, and the African Diaspora. Recalling lessons from the highly effective anti-apartheid movement of the 1970s and 1980s could be helpful.

  • Develop a better understanding of and links to America’s booming alternative energy sector. Costs of solar, wind, and other clean energy sources have fallen dramatically to the point that economics, rather than politics or ethics now drive most major reductions of America’s dangerous emissions. There may be positive business opportunities for African companies and countries to exploit for economic grow, development and dealing with the effects of global warming.

  • Actively support Americans (and anyone else) who support a carbon tax, with generous allowances for low polluting African countries swap credits with rich emitters, with cash generated assisting climate adaptation.

  • With Obama gone, China alone appears poised for global leadership on climate change. South Africa could help by using its membership in the BRICS and close ties to China and Brazil to press India, and especially Russia to meet their obligations. Perhaps it might even get the group to increase its contributions to the special fund for seriously affected African countries.

  • Reassure potential American donors and partners, including Trump and his allies, that funds allocated for helping Africans adjust to climate change will be accounted for through a voluntary transparent process of planning and reporting. Such accountability is a key vision of the New Partnership for Africa’s Development and its African Peer Review Mechanism, currently under renewal.

  • Finally: tap into African expertise. Arguments should make full use of the continent’s small but growing community of climate scientists and their many links to America’s scientific community and environmental activists. Holding Trump to facts, not opinion, has failed so far. But evidence suggests public sentiment and economic incentives increasingly favour better climate management.

Africa’s appeals to America for fairness can be as effective as they once were for freedom.

By , Visting Professor of International Relations, University of Witwatersrand. This article was originally published on The Conversation. Read the original article

Hodgkin’s lymphoma: an uncommon cancer that’s easily missed in Africa

Hodgkin’s Lymphoma: Shutterstock

In the early stage of Hodgkin’s Lymphoma the disease is curable in more than 90% of the cases. Shutterstoc

By  Professor of Medicine, section of Haematology and Oncology, University of NairobiThis article was originally published on The Conversation. Read the original article.  The views expressed in this commentary are solely those of the writer. AfricaOracle is showcasing the work of The Conversation, a collaboration between journalists and academics to provide news analysis and commentary. The content is produced solely by The Conversation."

Hodgkin’s lymphoma is an uncommon cancer that targets the immune system. It starts off as a painless swelling in the neck, armpit or groin. The Conversation Africa’s health editor Joy Wanja Muraya asked Professor Nicholas Abinya to explain the disease, its stages of development and treatment.

What is Hodgkin’s disease?

Hodgkin’s disease, also known as Hodgkin’s lymphoma, is a type of cancer that affects a part of the immune system known as the lymphatic system. It accounts for about 4% of all cancerous growths. But there are marked differences among communities and countries.

I have conducted a great deal of my research about cancer in Kenya. The incidence of Hodgkin’s lymphoma in the country is not known, but the Nairobi and Eldoret cancer registries are beginning to shed some light on its prevalence.

The disease is more common in men with a ratio of about 4:3 noted in most reports. But this varies between communities. A study we carried out on Hodgkin’s disease at the Kenyatta National Hospital in the 1990s showed that there was a male to female ratio of 2:1 with 87% of the patients who were younger than 20.

The higher number of men with the disease compared to their female counterparts is evident in most black communities globally. But it’s interesting to note that its age of occurrence is known to have two peaks; between the ages of 15 and 30 and between 50 and 70.

What causes it?

The cause of the disease is largely unknown, though certain conditions are known to put people at higher risk.

Reports from developed countries indicate that the main risks for developing it are family history and a previous infection by a virus known as Epstein-Barr Virus. This belongs to the herpes family of viruses. Sadly, this kind of association of the virus with cancer may go undetected in developing countries where health research is not a priority.

Some observations in the US have suggested a link with urban affluenceas opposed to a rural farming childhood influence. Survivors of atomic bomb explosions in Japan during the Second World War reported more cases of Hodgkin disease than those who were far away from the explosions’ epicentre.

An unpublished study that we carried out in Kenya in the 1990’s suggested that this disease clustered in the country’s highland, high potential agricultural areas especially those that grow tea. This suggests that a virus – or a cancer causing chemical relating to tea or tea growing – may be responsible.

What are the symptoms?

Most patients will seek a doctor’s consultation with a painless, unbalanced, firm and discrete growth of the lymph nodes on the neck. It can also occur in other places where lymph nodes are situated such as above the diaphragm. But it’s important to note that the disease is not restricted to lymph nodes and may involve other body organs.

Other non specific symptoms include fever, sweating – especially at night, itching, severe pain in one or more lymph node chains several minutes after drinking alcohol or non alcoholic beverages.

How is the disease diagnosed?

Choosing the most appropriate treatment depends on when it is diagnosed. Other factors that influence the outcome of treatment include a person’s gender, their age (specifically if they are over 40) and if they have anaemia at the time of diagnosis.

For diagnosis a thorough physical examination is important. Laboratory tests are also important to measure the levels of red blood cells, white blood cells and platelets. Others are liver function tests, kidney function assessment and screening for hepatitis B and C viruses, and also HIV.

It may also be necessary to carry out a bone marrow biopsy. This involves the removal and examination of marrow to see if the cancer has spread. X-rays and scans of the neck, chest, abdomen and the pelvis are also necessary because they may detect the diseased areas.

The most popular staging classification for Hodgkin disease is the Cotswold’s modification of the Ann Arbor staging classification. Stage One: the disease is in a single lymph node region or a structure with lymph nodes like the spleen and other body parts. Stage two: two or more lymph nodes on the same side of the diaphragm are affected. It may also mean that cancer was found in one lymph node region as well as in a nearby non lymphoid organ. Stage three: lymph node regions or structures on both sides of the diaphragm are affected. Stage four: the cancer is found outside the lymph nodes and has spread to other parts of your body.

The disease is also further staged as A or B. When there are no symptoms, it is graded as A and when symptoms like fever, weight loss or drenching sweats are present, it is staged as B.

What treatments are available?

For years, poor quality equipment hampered effective treatment. The first evidence that it was responsive to nitrogen mustards was in 1943 but the results were only published after the Second World War.

Today treatment depends on the stage the disease has reached. The main options are radiation and chemotherapy.

With the current treatment, the early stage of the disease is curable in more than 90% of cases.

There are also emerging treatments in clinical trials that have shown impressive results in treating Hodgkin’s lymphoma.

It’s very important to note that if treatment is not planned and executed professionally, resistance develops and cure is impossible.

This is an edited version of a chapter in the book Drug management of haematologic neoplasms by Professor Nicholas Anthony Othieno-Abinya

By  Professor of Medicine, section of Haematology and Oncology, University of Nairobi. This article was originally published on The Conversation. Read the original article

The Africa CEO Forum Puts Female Leadership In Africa At The Heart Of The Debate

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Four businesswomen at the AFRICA CEO FORUM.

The AFRICA CEO FORUM and McKinsey & Company are pooling their expertise to launch the African Women in Business initiative at the 2017 AFRICA CEO FORUM on 20 and 21 March in Geneva. McKinsey & Company will participate as a knowledge partner.

Zuriel Discusses Migration Crisis with Malta President

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Zuriel Oduwole and Malta President H.E. Marie Louise Preca

Video of Zuriel Oduwole talking about the migration crisis with Malta President with Malta President H.E. Marie Louise Preca, as she hosts the EU Summit in her country, on the Migration crisis affecting Europe.

Zuma’s state of the nation address: nothing but farce and fisticuffs

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In the early stage of Hodgkin’s Lymphoma the disease is curable in more than 90% of the cases. Shutterstoc

By  Professor of Sociology, University of the WitwatersrandThis article was originally published on The Conversation. Read the original article.  The views expressed in this commentary are solely those of the writer. AfricaOracle is showcasing the work of The Conversation, a collaboration between journalists and academics to provide news analysis and commentary. The content is produced solely by The Conversation."

Over the last three years the annual State of the Nation address in South Africa has become embarrassing. First the citizens of the country tune into the usual punch-up between the opposition Economic Freedom Fighters EFF and parliamentary security. Then, with the light entertainment over, they have to sit through President Jacob Zuma droning his way through a speech, punctuated by giggles, which rarely offers little beyond what people already know.

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