• The WHO Pandemic Agreement: A Guide
    By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read
    The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed.

    One, consisting of draft amendments to the existing International health Regulations (IHR), seeks to change the current IHR non-binding recommendations into requirements or binding recommendations, by having countries “undertake” to implement those given by the WHO in future declared health emergencies. It covers all ‘public health emergencies of international concern’ (PHEIC), with a single person, the WHO Director-General (DG) determining what a PHEIC is, where it extends, and when it ends. It specifies mandated vaccines, border closures, and other directives understood as lockdowns among the requirements the DG can impose. It is discussed further elsewhere and still under negotiation in Geneva.

    A second document, previously known as the (draft) Pandemic Treaty, then Pandemic Accord, and more recently the Pandemic Agreement, seeks to specify governance, supply chains, and various other interventions aimed at preventing, preparing for, and responding to, pandemics (pandemic prevention, preparedness and response – PPPR). It is currently being negotiated by the Intergovernmental Negotiating Body (INB).

    Both texts will be subject to a vote at the May 2024 World Health Assembly (WHA) in Geneva, Switzerland. These votes are intended, by those promoting these projects, to bring governance of future multi-country healthcare emergencies (or threats thereof) under the WHO umbrella.

    The latest version of the draft Pandemic Agreement (here forth the ‘Agreement’) was released on 7th March 2024. However, it is still being negotiated by various committees comprising representatives of Member States and other interested entities. It has been through multiple iterations over two years, and looks like it. With the teeth of the pandemic response proposals in the IHR, the Agreement looks increasingly irrelevant, or at least unsure of its purpose, picking up bits and pieces in a half-hearted way that the IHR amendments do not, or cannot, include. However, as discussed below, it is far from irrelevant.

    Historical Perspective

    These aim to increase the centralization of decision-making within the WHO as the “directing and coordinating authority.” This terminology comes from the WHO’s 1946 Constitution, developed in the aftermath of the Second World War as the world faced the outcomes of European fascism and the similar approaches widely imposed through colonialist regimes. The WHO would support emerging countries, with rapidly expanding and poorly resourced populations struggling under high disease burdens, and coordinate some areas of international support as these sovereign countries requested it. The emphasis of action was on coordinating rather than directing.

    In the 80 years prior to the WHO’s existence, international public health had grown within a more directive mindset, with a series of meetings by colonial and slave-owning powers from 1851 to manage pandemics, culminating in the inauguration of the Office Internationale d’Hygiene Publique in Paris in 1907, and later the League of Nations Health Office. World powers imposed health dictates on those less powerful, in other parts of the world and increasingly on their own population through the eugenics movement and similar approaches. Public health would direct, for the greater good, as a tool of those who wish to direct the lives of others.

    The WHO, governed by the WHA, was to be very different. Newly independent States and their former colonial masters were ostensibly on an equal footing within the WHA (one country – one vote), and the WHO’s work overall was to be an example of how human rights could dominate the way society works. The model for international public health, as exemplified in the Declaration of Alma Ata in 1978, was to be horizontal rather than vertical, with communities and countries in the driving seat.

    With the evolution of the WHO in recent decades from a core funding model (countries give money, the WHO decides under the WHA guidance how to spend it) to a model based on specified funding (funders, both public and increasingly private, instruct the WHO on how to spend it), the WHO has inevitably changed to become a public-private partnership required to serve the interests of funders rather than populations.

    As most funding comes from a few countries with major Pharma industrial bases, or private investors and corporations in the same industry, the WHO has been required to emphasize the use of pharmaceuticals and downplay evidence and knowledge where these clash (if it wants to keep all its staff funded). It is helpful to view the draft Agreement, and the IHR amendments, in this context.

    Why May 2024?

    The WHO, together with the World Bank, G20, and other institutions have been emphasizing the urgency of putting the new pandemic instruments in place earnestly, before the ‘next pandemic.’ This is based on claims that the world was unprepared for Covid-19, and that the economic and health harm would be somehow avoidable if we had these agreements in place.

    They emphasize, contrary to evidence that Covid-19 virus (SARS-CoV-2) origins involve laboratory manipulation, that the main threats we face are natural, and that these are increasing exponentially and present an “existential” threat to humanity. The data on which the WHO, the World Bank, and G20 base these claims demonstrates the contrary, with reported natural outbreaks having increased as detection technologies have developed, but reducing in mortality rate, and in numbers, over the past 10 to 20 years..

    A paper cited by the World Bank to justify urgency and quoted as suggesting a 3x increase in risk in the coming decade actually suggests that a Covid-19-like event would occur roughly every 129 years, and a Spanish-flu repetition every 292 to 877 years. Such predictions are unable to take into account the rapidly changing nature of medicine and improved sanitation and nutrition (most deaths from Spanish flu would not have occurred if modern antibiotics had been available), and so may still overestimate risk. Similarly, the WHO’s own priority disease list for new outbreaks only includes two diseases of proven natural origin that have over 1,000 historical deaths attributed to them. It is well demonstrated that the risk and expected burden of pandemics is misrepresented by major international agencies in current discussions.

    The urgency for May 2024 is clearly therefore inadequately supported, firstly because neither the WHO nor others have demonstrated how the harms accrued through Covid-19 would be reduced through the measures proposed, and secondly because the burden and risk is misrepresented. In this context, the state of the Agreement is clearly not where it should be as a draft international legally binding agreement intended to impose considerable financial and other obligations on States and populations.

    This is particularly problematic as the proposed expenditure; the proposed budget is over $31 billion per year, with over $10 billion more on other One Health activities. Much of this will have to be diverted from addressing other diseases burdens that impose far greater burden. This trade-off, essential to understand in public health policy development, has not yet been clearly addressed by the WHO.

    The WHO DG stated recently that the WHO does not want the power to impose vaccine mandates or lockdowns on anyone, and does not want this. This begs the question of why either of the current WHO pandemic instruments is being proposed, both as legally binding documents. The current IHR (2005) already sets out such approaches as recommendations the DG can make, and there is nothing non-mandatory that countries cannot do now without pushing new treaty-like mechanisms through a vote in Geneva.

    Based on the DG’s claims, they are essentially redundant, and what new non-mandatory clauses they contain, as set out below, are certainly not urgent. Clauses that are mandatory (Member States “shall”) must be considered within national decision-making contexts and appear against the WHO’s stated intent.

    Common sense would suggest that the Agreement, and the accompanying IHR amendments, be properly thought through before Member States commit. The WHO has already abandoned the legal requirement for a 4-month review time for the IHR amendments (Article 55.2 IHR), which are also still under negotiation just 2 months before the WHA deadline. The Agreement should also have at least such a period for States to properly consider whether to agree – treaties normally take many years to develop and negotiate and no valid arguments have been put forward as to why these should be different.

    The Covid-19 response resulted in an unprecedented transfer of wealth from those of lower income to the very wealthy few, completely contrary to the way in which the WHO was intended to affect human society. A considerable portion of these pandemic profits went to current sponsors of the WHO, and these same corporate entities and investors are set to further benefit from the new pandemic agreements. As written, the Pandemic Agreement risks entrenching such centralization and profit-taking, and the accompanying unprecedented restrictions on human rights and freedoms, as a public health norm.

    To continue with a clearly flawed agreement simply because of a previously set deadline, when no clear population benefit is articulated and no true urgency demonstrated, would therefore be a major step backward in international public health. Basic principles of proportionality, human agency, and community empowerment, essential for health and human rights outcomes, are missing or paid lip-service. The WHO clearly wishes to increase its funding and show it is ‘doing something,’ but must first articulate why the voluntary provisions of the current IHR are insufficient. It is hoped that by systematically reviewing some key clauses of the agreement here, it will become clear why a rethink of the whole approach is necessary. The full text is found below.

    The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic. Much of the remaining text is essentially pointless as it reiterates vague intentions to be found in other documents or activities which countries normally undertake in the course of running health services, and have no place in a focused legally-binding international agreement.

    REVISED Draft of the negotiating text of the WHO Pandemic Agreement. 7th March, 2024

    Preamble

    Recognizing that the World Health Organization…is the directing and coordinating authority on international health work.

    This is inconsistent with a recent statement by the WHO DG that the WHO has no interest or intent to direct country health responses. To reiterate it here suggests that the DG is not representing the true position regarding the Agreement. “Directing authority” is however in line with the proposed IHR Amendments (and the WHO’s Constitution), under which countries will “undertake” ahead of time to follow the DG’s recommendations (which thereby become instructions). As the HR amendments make clear, this is intended to apply even to a perceived threat rather than actual harm.

    Recalling the constitution of the World Health Organization…highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.

    This statement recalls fundamental understandings of public health, and is of importance here as it raises the question of why the WHO did not strongly condemn prolonged school closures, workplace closures, and other impoverishing policies during the Covid-19 response. In 2019, WHO made clear that these dangers should prevent actions we now call ‘lockdowns’ from being imposed.

    Deeply concerned by the gross inequities at national and international levels that hindered timely and equitable access to medical and other Covid-19 pandemic-related products, and the serious shortcomings in pandemic preparedness.

    In terms of health equity (as distinct from commodity of ‘vaccine’ equity), inequity in the Covid-19 response was not in failing to provide a vaccine against former variants to immune, young people in low-income countries who were at far higher risk from endemic diseases, but in the disproportionate harm to them of uniformly-imposed NPIs that reduced current and future income and basic healthcare, as was noted by the WHO in 2019 Pandemic Influenza recommendations. The failure of the text to recognize this suggests that lessons from Covid-19 have not informed this draft Agreement. The WHO has not yet demonstrated how pandemic ‘preparedness,’ in the terms they use below, would have reduced impact, given that there is poor correlation between strictness or speed of response and eventual outcomes.

    Reiterating the need to work towards…an equitable approach to mitigate the risk that pandemics exacerbate existing inequities in access to health services,

    As above – in the past century, the issue of inequity has been most pronounced in pandemic response, rather than the impact of the virus itself (excluding the physiological variation in risk). Most recorded deaths from acute pandemics, since the Spanish flu, were during Covid-19, in which the virus hit mainly sick elderly, but response impacted working-age adults and children heavily and will continue to have effect, due to increased poverty and debt; reduced education and child marriage, in future generations.

    These have disproportionately affected lower-income people, and particularly women. The lack of recognition of this in this document, though they are recognized by the World Bank and UN agencies elsewhere, must raise real questions on whether this Agreement has been thoroughly thought through, and the process of development been sufficiently inclusive and objective.

    Chapter I. Introduction

    Article 1. Use of terms

    (i) “pathogen with pandemic potential” means any pathogen that has been identified to infect a human and that is: novel (not yet characterized) or known (including a variant of a known pathogen), potentially highly transmissible and/or highly virulent with the potential to cause a public health emergency of international concern.

    This provides a very wide scope to alter provisions. Any pathogen that can infect humans and is potentially highly transmissible or virulent, though yet uncharacterized means virtually any coronavirus, influenza virus, or a plethora of other relatively common pathogen groups. The IHR Amendments intend that the DG alone can make this call, over the advice of others, as occurred with monkeypox in 2022.

    (j) “persons in vulnerable situations” means individuals, groups or communities with a disproportionate increased risk of infection, severity, disease or mortality.

    This is a good definition – in Covid-19 context, would mean the sick elderly, and so is relevant to targeting a response.

    “Universal health coverage” means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship.

    While the general UHC concept is good, it is time a sensible (rather than patently silly) definition was adopted. Society cannot afford the full range of possible interventions and remedies for all, and clearly there is a scale of cost vs benefit that prioritizes certain ones over others. Sensible definitions make action more likely, and inaction harder to justify. One could argue that none should have the full range until all have good basic care, but clearly the earth will not support ‘the full range’ for 8 billion people.

    Article 2. Objective

    This Agreement is specifically for pandemics (a poorly defined term but essentially a pathogen that spreads rapidly across national borders). In contrast, the IHR amendments accompanying it are broader in scope – for any public health emergencies of international concern.

    Article 3. Principles

    2. the sovereign right of States to adopt, legislate and implement legislation

    The amendments to the IHR require States to undertake to follow WHO instructions ahead of time, before such instruction and context are known. These two documents must be understood, as noted later in the Agreement draft, as complementary.

    3. equity as the goal and outcome of pandemic prevention, preparedness and response, ensuring the absence of unfair, avoidable or remediable differences among groups of people.

    This definition of equity here needs clarification. In the pandemic context, the WHO emphasized commodity (vaccine) equity during the Covid-19 response. Elimination of differences implied equal access to Covid-19 vaccines in countries with large aging, obese highly vulnerable populations (e.g. the USA or Italy), and those with young populations at minimal risk and with far more pressing health priorities (e.g. Niger or Uganda).

    Alternatively, but equally damaging, equal access to different age groups within a country when the risk-benefit ratio is clearly greatly different. This promotes worse health outcomes by diverting resources from where they are most useful, as it ignores heterogeneity of risk. Again, an adult approach is required in international agreements, rather than feel-good sentences, if they are going to have a positive impact.

    5. …a more equitable and better prepared world to prevent, respond to and recover from pandemics

    As with ‘3’ above, this raises a fundamental problem: What if health equity demands that some populations divert resources to childhood nutrition and endemic diseases rather than the latest pandemic, as these are likely of far higher burden to many younger but lower-income populations? This would not be equity in the definition implied here, but would clearly lead to better and more equal health outcomes.

    The WHO must decide whether it is about uniform action, or minimizing poor health, as these are clearly very different. They are the difference between the WHO’s commodity equity, and true health equity.

    Chapter II. The world together equitably: achieving equity in, for and through pandemic prevention, preparedness and response

    Equity in health should imply a reasonably equal chance of overcoming or avoiding preventable sickness. The vast majority of sickness and death is due to either non-communicable diseases often related to lifestyle, such as obesity and type 2 diabetes mellitus, undernutrition in childhood, and endemic infectious diseases such as tuberculosis, malaria, and HIV/AIDS. Achieving health equity would primarily mean addressing these.

    In this chapter of the draft Pandemic Agreement, equity is used to imply equal access to specific health commodities, particularly vaccines, for intermittent health emergencies, although these exert a small fraction of the burden of other diseases. It is, specifically, commodity-equity, and not geared to equalizing overall health burden but to enabling centrally-coordinated homogenous responses to unusual events.

    Article 4. Pandemic prevention and surveillance

    2. The Parties shall undertake to cooperate:

    (b) in support of…initiatives aimed at preventing pandemics, in particular those that improve surveillance, early warning and risk assessment; .…and identify settings and activities presenting a risk of emergence and re-emergence of pathogens with pandemic potential.

    (c-h) [Paragraphs on water and sanitation, infection control, strengthening of biosafety, surveillance and prevention of vector-born diseases, and addressing antimicrobial resistance.]

    The WHO intends the Agreement to have force under international law. Therefore, countries are undertaking to put themselves under force of international law in regards to complying with the agreement’s stipulations.

    The provisions under this long article mostly cover general health stuff that countries try to do anyway. The difference will be that countries will be assessed on progress. Assessment can be fine if in context, less fine if it consists of entitled ‘experts’ from wealthy countries with little local knowledge or context. Perhaps such compliance is best left to national authorities, who are more in use with local needs and priorities. The justification for the international bureaucracy being built to support this, while fun for those involved, is unclear and will divert resources from actual health work.

    6. The Conference of the Parties may adopt, as necessary, guidelines, recommendations and standards, including in relation to pandemic prevention capacities, to support the implementation of this Article.

    Here and later, the COP is invoked as a vehicle to decide on what will actually be done. The rules are explained later (Articles 21-23). While allowing more time is sensible, it begs the question of why it is not better to wait and discuss what is needed in the current INB process, before committing to a legally-binding agreement. This current article says nothing not already covered by the IHR2005 or other ongoing programs.

    Article 5. One Health approach to pandemic prevention, preparedness and response

    Nothing specific or new in this article. It seems redundant (it is advocating a holistic approach mentioned elsewhere) and so presumably is just to get the term ‘One Health’ into the agreement. (One could ask, why bother?)

    Some mainstream definitions of One Health (e.g. Lancet) consider that it means non-human species are on a par with humans in terms of rights and importance. If this is meant here, clearly most Member States would disagree. So we may assume that it is just words to keep someone happy (a little childish in an international document, but the term ‘One Health’ has been trending, like ‘equity,’ as if the concept of holistic approaches to public health were new).

    Article 6. Preparedness, health system resilience and recovery

    2. Each Party commits…[to] :

    (a) routine and essential health services during pandemics with a focus on primary health care, routine immunization and mental health care, and with particular attention to persons in vulnerable situations

    (b) developing, strengthening and maintaining health infrastructure

    (c) developing post-pandemic health system recovery strategies

    (d) developing, strengthening and maintaining: health information systems

    This is good, and (a) seems to require avoidance of lockdowns (which inevitably cause the harms listed). Unfortunately other WHO documents lead one to assume this is not the intent…It does appear therefore that this is simply another list of fairly non-specific feel-good measures that have no useful place in a new legally-binding agreement, and which most countries are already undertaking.

    (e) promoting the use of social and behavioural sciences, risk communication and community engagement for pandemic prevention, preparedness and response.

    This requires clarification, as the use of behavioral science during the Covid-19 response involved deliberate inducement of fear to promote behaviors that people would not otherwise follow (e.g. Spi-B). It is essential here that the document clarifies how behavioral science should be used ethically in healthcare. Otherwise, this is also a quite meaningless provision.

    Article 7. Health and care workforce

    This long Article discusses health workforce, training, retention, non-discrimination, stigma, bias, adequate remuneration, and other standard provisions for workplaces. It is unclear why it is included in a legally binding pandemic agreement, except for:

    4. [The Parties]…shall invest in establishing, sustaining, coordinating and mobilizing a skilled and trained multidisciplinary global public health emergency workforce…Parties having established emergency health teams should inform WHO thereof and make best efforts to respond to requests for deployment…

    Emergency health teams established (within capacity etc.) – are something countries already do, when they have capacity. There is no reason to have this as a legally-binding instrument, and clearly no urgency to do so.

    Article 8. Preparedness monitoring and functional reviews

    1. The Parties shall, building on existing and relevant tools, develop and implement an inclusive, transparent, effective and efficient pandemic prevention, preparedness and response monitoring and evaluation system.

    2. Each Party shall assess, every five years, with technical support from the WHO Secretariat upon request, the functioning and readiness of, and gaps in, its pandemic prevention, preparedness and response capacity, based on the relevant tools and guidelines developed by WHO in partnership with relevant organizations at international, regional and sub-regional levels.

    Note that this is being required of countries that are already struggling to implement monitoring systems for major endemic diseases, including tuberculosis, malaria, HIV, and nutritional deficiencies. They will be legally bound to divert resources to pandemic prevention. While there is some overlap, it will inevitably divert resources from currently underfunded programs for diseases of far higher local burdens, and so (not theoretically, but inevitably) raise mortality. Poor countries are being required to put resources into problems deemed significant by richer countries.

    Article 9. Research and development

    Various general provisions about undertaking background research that countries are generally doing anyway, but with an ’emerging disease’ slant. Again, the INB fails to justify why this diversion of resources from researching greater disease burdens should occur in all countries (why not just those with excess resources?).

    Article 10. Sustainable and geographically diversified production

    Mostly non-binding but suggested cooperation on making pandemic-related products available, including support for manufacturing in “inter-pandemic times” (a fascinating rendering of ‘normal’), when they would only be viable through subsidies. Much of this is probably unimplementable, as it would not be practical to maintain facilities in most or all countries on stand-by for rare events, at cost of resources otherwise useful for other priorities. The desire to increase production in ‘developing’ countries will face major barriers and costs in terms of maintaining quality of production, particularly as many products will have limited use outside of rare outbreak situations.

    Article 11. Transfer of technology and know-how

    This article, always problematic for large pharmaceutical corporations sponsoring much WHO outbreak activities, is now watered down to weak requirements to ‘consider,’ promote,’ provide, within capabilities’ etc.

    Article 12. Access and benefit sharing

    This Article is intended to establish the WHO Pathogen Access and Benefit-Sharing System (PABS System). PABS is intended to “ensure rapid, systematic and timely access to biological materials of pathogens with pandemic potential and the genetic sequence data.” This system is of potential high relevance and needs to be interpreted in the context that SARS-CoV-2, the pathogen causing the recent Covid-19 outbreak, was highly likely to have escaped from a laboratory. PABS is intended to expand the laboratory storage, transport, and handling of such viruses, under the oversight of the WHO, an organization outside of national jurisdiction with no significant direct experience in handling biological materials.

    3. When a Party has access to a pathogen [it shall]:

    (a) share with WHO any pathogen sequence information as soon as it is available to the Party;

    (b) as soon as biological materials are available to the Party, provide the materials to one or more laboratories and/or biorepositories participating in WHO-coordinated laboratory networks (CLNs),

    Subsequent clauses state that benefits will be shared, and seek to prevent recipient laboratories from patenting materials received from other countries. This has been a major concern of low-and middle-income countries previously, who perceive that institutions in wealthy countries patent and benefit from materials derived from less-wealthy populations. It remains to be seen whether provisions here will be sufficient to address this.

    The article then becomes yet more concerning:

    6. WHO shall conclude legally binding standard PABS contracts with manufacturers to provide the following, taking into account the size, nature and capacities of the manufacturer:

    (a) annual monetary contributions to support the PABS System and relevant capacities in countries; the determination of the annual amount, use, and approach for monitoring and accountability, shall be finalized by the Parties;

    (b) real-time contributions of relevant diagnostics, therapeutics or vaccines produced by the manufacturer, 10% free of charge and 10% at not-for-profit prices during public health emergencies of international concern or pandemics, …

    It is clearly intended that the WHO becomes directly involved in setting up legally binding manufacturing contracts, despite the WHO being outside of national jurisdictional oversight, within the territories of Member States. The PABS system, and therefore its staff and dependent entities, are also to be supported in part by funds from the manufacturers whom they are supposed to be managing. The income of the organization will be dependent on maintaining positive relationships with these private entities in a similar way in which many national regulatory agencies are dependent upon funds from pharmaceutical companies whom their staff ostensibly regulate. In this case, the regulator will be even further removed from public oversight.

    The clause on 10% (why 10?) products being free of charge, and similar at cost, while ensuring lower-priced commodities irrespective of actual need (the outbreak may be confined to wealthy countries). The same entity, the WHO, will determine whether the triggering emergency exists, determine the response, and manage the contracts to provide the commodities, without direct jurisdictional oversight regarding the potential for corruption or conflict of interest. It is a remarkable system to suggest, irrespective of political or regulatory environment.

    8. The Parties shall cooperate…public financing of research and development, prepurchase agreements, or regulatory procedures, to encourage and facilitate as many manufacturers as possible to enter into standard PABS contracts as early as possible.

    The article envisions that public funding will be used to build the process, ensuring essentially no-risk private profit.

    10. To support operationalization of the PABS System, WHO shall…make such contracts public, while respecting commercial confidentiality.

    The public may know whom contracts are made with, but not all details of the contracts. There will therefore be no independent oversight of the clauses agreed between the WHO, a body outside of national jurisdiction and dependent of commercial companies for funding some of its work and salaries, and these same companies, on ‘needs’ that the WHO itself will have sole authority, under the proposed amendments to the IHR, to determine.

    The Article further states that the WHO shall use its own product regulatory system (prequalification) and Emergency Use Listing Procedure to open and stimulate markets for the manufacturers of these products.

    It is doubtful that any national government could make such an overall agreement, yet in May 2024 they will be voting to provide this to what is essentially a foreign, and partly privately financed, entity.

    Article 13. Supply chain and logistics

    The WHO will become convenor of a ‘Global Supply Chain and Logistics Network’ for commercially-produced products, to be supplied under WHO contracts when and where the WHO determines, whilst also having the role of ensuring safety of such products.

    Having mutual support coordinated between countries is good. Having this run by an organization that is significantly funded directly by those gaining from the sale of these same commodities seems reckless and counterintuitive. Few countries would allow this (or at least plan for it).

    For this to occur safely, the WHO would logically have to forgo all private investment, and greatly restrict national specified funding contributions. Otherwise, the conflicts of interest involved would destroy confidence in the system. There is no suggestion of such divestment from the WHO, but rather, as in Article 12, private sector dependency, directly tied to contracts, will increase.

    Article 13bis: National procurement- and distribution-related provisions

    While suffering the same (perhaps unavoidable) issues regarding commercial confidentiality, this alternate Article 13 seems far more appropriate, keeping commercial issues under national jurisdiction and avoiding the obvious conflict of interests that underpin funding for WHO activities and staffing.

    Article 14. Regulatory systems strengthening

    This entire Article reflects initiatives and programs already in place. Nothing here appears likely to add to current effort.

    Article 15. Liability and compensation management

    1. Each Party shall consider developing, as necessary and in accordance with applicable law, national strategies for managing liability in its territory related to pandemic vaccines…no-fault compensation mechanisms…

    2. The Parties…shall develop recommendations for the establishment and implementation of national, regional and/or global no-fault compensation mechanisms and strategies for managing liability during pandemic emergencies, including with regard to individuals that are in a humanitarian setting or vulnerable situations.

    This is quite remarkable, but also reflects some national legislation, in removing any fault or liability specifically from vaccine manufacturers, for harms done in pushing out vaccines to the public. During the Covid-19 response, genetic therapeutics being developed by BioNtech and Moderna were reclassified as vaccines, on the basis that an immune response is stimulated after they have modified intracellular biochemical pathways as a medicine normally does.

    This enabled specific trials normally required for carcinogenicity and teratogenicity to be bypassed, despite raised fetal abnormality rates in animal trials. It will enable the CEPI 100-day vaccine program, supported with private funding to support private mRNA vaccine manufacturers, to proceed without any risk to the manufacturer should there be subsequent public harm.

    Together with an earlier provision on public funding of research and manufacturing readiness, and the removal of former wording requiring intellectual property sharing in Article 11, this ensures vaccine manufacturers and their investors make profit in effective absence of risk.

    These entities are currently heavily invested in support for WHO, and were strongly aligned with the introduction of newly restrictive outbreak responses that emphasized and sometimes mandated their products during the Covid-19 outbreak.

    Article 16. International collaboration and cooperation

    A somewhat pointless article. It suggests that countries cooperate with each other and the WHO to implement the other agreements in the Agreement.

    Article 17. Whole-of-government and whole-of-society approaches

    A list of essentially motherhood provisions related to planning for a pandemic. However, countries will legally be required to maintain a ‘national coordination multisectoral body’ for PPPR. This will essentially be an added burden on budgets, and inevitably divert further resources from other priorities. Perhaps just strengthening current infectious disease and nutritional programs would be more impactful. (Nowhere in this Agreement is nutrition discussed (essential for resilience to pathogens) and minimal wording is included on sanitation and clean water (other major reasons for reduction in infectious disease mortality over past centuries).

    However, the ‘community ownership’ wording is interesting (“empower and enable community ownership of, and contribution to, community readiness for and resilience [for PPPR]”), as this directly contradicts much of the rest of the Agreement, including the centralization of control under the Conference of Parties, requirements for countries to allocate resources to pandemic preparedness over other community priorities, and the idea of inspecting and assessing adherence to the centralized requirements of the Agreement. Either much of the rest of the Agreement is redundant, or this wording is purely for appearance and not to be followed (and therefore should be removed).

    Article 18. Communication and public awareness

    1. Each Party shall promote timely access to credible and evidence-based information …with the aim of countering and addressing misinformation or disinformation…

    2. The Parties shall, as appropriate, promote and/or conduct research and inform policies on factors that hinder or strengthen adherence to public health and social measures in a pandemic, as well as trust in science and public health institutions and agencies.

    The key word is as appropriate, given that many agencies, including the WHO, have overseen or aided policies during the Covid-19 response that have greatly increased poverty, child marriage, teenage pregnancy, and education loss.

    As the WHO has been shown to be significantly misrepresenting pandemic risk in the process of advocating for this Agreement and related instruments, its own communications would also fall outside the provision here related to evidence-based information, and fall within normal understandings of misinformation. It could not therefore be an arbiter of correctness of information here, so the Article is not implementable. Rewritten to recommend accurate evidence-based information being promoted, it would make good sense, but this is not an issue requiring a legally binding international agreement.

    Article 19. Implementation and support

    3. The WHO Secretariat…organize the technical and financial assistance necessary to address such gaps and needs in implementing the commitments agreed upon under the Pandemic Agreement and the International Health Regulations (2005).

    As the WHO is dependent on donor support, its ability to address gaps in funding within Member States is clearly not something it can guarantee. The purpose of this article is unclear, repeating in paragraphs 1 and 2 the earlier intent for countries to generally support each other.

    Article 20. Sustainable financing

    1. The Parties commit to working together…In this regard, each Party, within the means and resources at its disposal, shall:

    (a) prioritize and maintain or increase, as necessary, domestic funding for pandemic prevention, preparedness and response, without undermining other domestic public health priorities including for: (i) strengthening and sustaining capacities for the prevention, preparedness and response to health emergencies and pandemics, in particular the core capacities of the International Health Regulations (2005);…

    This is silly wording, as countries obviously have to prioritize within budgets, so that moving funds to one area means removing from another. The essence of public health policy is weighing and making such decisions; this reality seems to be ignored here through wishful thinking. (a) is clearly redundant, as the IHR (2005) already exists and countries have agreed to support it.

    3. A Coordinating Financial Mechanism (the “Mechanism”) is hereby established to support the implementation of both the WHO Pandemic Agreement and the International Health Regulations (2005)

    This will be in parallel to the Pandemic Fund recently commenced by the World Bank – an issue not lost on INB delegates and so likely to change here in the final version. It will also be additive to the Global Fund to fight AIDS, tuberculosis, and malaria, and other health financing mechanisms, and so require another parallel international bureaucracy, presumably based in Geneva.

    It is intended to have its own capacity to “conduct relevant analyses on needs and gaps, in addition to tracking cooperation efforts,” so it will not be a small undertaking.

    Chapter III. Institutional and final provisions

    Article 21. Conference of the Parties

    1. A Conference of the Parties is hereby established.

    2. The Conference of the Parties shall keep under regular review, every three years, the implementation of the WHO Pandemic Agreement and take the decisions necessary to promote its effective implementation.

    This sets up the governing body to oversee this Agreement (another body requiring a secretariat and support). It is intended to meet within a year of the Agreement coming into force, and then set its own rules on meeting thereafter. It is likely that many provisions outlined in this draft of the Agreement will be deferred to the COP for further discussion.

    Articles 22 – 37

    These articles cover the functioning of the Conference of Parties (COP) and various administrative issues.

    Of note, ‘block votes’ will be allowed from regional bodies (e.g. the EU).

    The WHO will provide the secretariat.

    Under Article 24 is noted:

    3. Nothing in the WHO Pandemic Agreement shall be interpreted as providing the Secretariat of the World Health Organization, including the WHO Director-General, any authority to direct, order, alter or otherwise prescribe the domestic laws or policies of any Party, or to mandate or otherwise impose any requirements that Parties take specific actions, such as ban or accept travellers, impose vaccination mandates or therapeutic or diagnostic measures, or implement lockdowns.

    These provisions are explicitly stated in the proposed amendments to the IHR, to be considered alongside this agreement. Article 26 notes that the IHR is to be interpreted as compatible, thereby confirming that the IHR provisions including border closures and limits on freedom of movement, mandated vaccination, and other lockdown measures are not negated by this statement.

    As Article 26 states: “The Parties recognize that the WHO Pandemic Agreement and the International Health Regulations should be interpreted so as to be compatible.”

    Some would consider this subterfuge – The Director-General recently labeled as liars those who claimed the Agreement included these powers, whilst failing to acknowledge the accompanying IHR amendments. The WHO could do better in avoiding misleading messaging, especially when this involves denigration of the public.

    Article 32 (Withdrawal) requires that, once adopted, Parties cannot withdraw for a total of 3 years (giving notice after a minimum of 2 years). Financial obligations undertaken under the agreement continue beyond that time.

    Finally, the Agreement will come into force, assuming a two-thirds majority in the WHA is achieved (Article 19, WHO Constitution), 30 days after the fortieth country has ratified it.

    Further reading:

    WHO Pandemic Agreement Intergovernmental Negotiating Board website:

    https://inb.who.int/

    International Health Regulations Working Group website:

    https://apps.who.int/gb/wgihr/index.html

    On background to the WHO texts:

    Amendments to WHO’s International Health Regulations: An Annotated Guide
    An Unofficial Q&A on International Health Regulations
    On urgency and burden of pandemics:

    https://essl.leeds.ac.uk/downloads/download/228/rational-policy-over-panic

    Disease X and Davos: This is Not the Way to Evaluate and Formulate Public Health Policy
    Before Preparing for Pandemics, We Need Better Evidence of Risk
    Revised Draft of the negotiating text of the WHO Pandemic Agreement:

    Published under a Creative Commons Attribution 4.0 International License
    For reprints, please set the canonical link back to the original Brownstone Institute Article and Author.

    Authors

    David Bell
    David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA.

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    Thi Thuy Van Dinh
    Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings.

    View all posts
    Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work.

    https://brownstone.org/articles/the-who-pandemic-agreement-a-guide/

    https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077
    The WHO Pandemic Agreement: A Guide By David Bell, Thi Thuy Van Dinh March 22, 2024 Government, Society 30 minute read The World Health Organization (WHO) and its 194 Member States have been engaged for over two years in the development of two ‘instruments’ or agreements with the intent of radically changing the way pandemics and other health emergencies are managed. One, consisting of draft amendments to the existing International health Regulations (IHR), seeks to change the current IHR non-binding recommendations into requirements or binding recommendations, by having countries “undertake” to implement those given by the WHO in future declared health emergencies. It covers all ‘public health emergencies of international concern’ (PHEIC), with a single person, the WHO Director-General (DG) determining what a PHEIC is, where it extends, and when it ends. It specifies mandated vaccines, border closures, and other directives understood as lockdowns among the requirements the DG can impose. It is discussed further elsewhere and still under negotiation in Geneva. A second document, previously known as the (draft) Pandemic Treaty, then Pandemic Accord, and more recently the Pandemic Agreement, seeks to specify governance, supply chains, and various other interventions aimed at preventing, preparing for, and responding to, pandemics (pandemic prevention, preparedness and response – PPPR). It is currently being negotiated by the Intergovernmental Negotiating Body (INB). Both texts will be subject to a vote at the May 2024 World Health Assembly (WHA) in Geneva, Switzerland. These votes are intended, by those promoting these projects, to bring governance of future multi-country healthcare emergencies (or threats thereof) under the WHO umbrella. The latest version of the draft Pandemic Agreement (here forth the ‘Agreement’) was released on 7th March 2024. However, it is still being negotiated by various committees comprising representatives of Member States and other interested entities. It has been through multiple iterations over two years, and looks like it. With the teeth of the pandemic response proposals in the IHR, the Agreement looks increasingly irrelevant, or at least unsure of its purpose, picking up bits and pieces in a half-hearted way that the IHR amendments do not, or cannot, include. However, as discussed below, it is far from irrelevant. Historical Perspective These aim to increase the centralization of decision-making within the WHO as the “directing and coordinating authority.” This terminology comes from the WHO’s 1946 Constitution, developed in the aftermath of the Second World War as the world faced the outcomes of European fascism and the similar approaches widely imposed through colonialist regimes. The WHO would support emerging countries, with rapidly expanding and poorly resourced populations struggling under high disease burdens, and coordinate some areas of international support as these sovereign countries requested it. The emphasis of action was on coordinating rather than directing. In the 80 years prior to the WHO’s existence, international public health had grown within a more directive mindset, with a series of meetings by colonial and slave-owning powers from 1851 to manage pandemics, culminating in the inauguration of the Office Internationale d’Hygiene Publique in Paris in 1907, and later the League of Nations Health Office. World powers imposed health dictates on those less powerful, in other parts of the world and increasingly on their own population through the eugenics movement and similar approaches. Public health would direct, for the greater good, as a tool of those who wish to direct the lives of others. The WHO, governed by the WHA, was to be very different. Newly independent States and their former colonial masters were ostensibly on an equal footing within the WHA (one country – one vote), and the WHO’s work overall was to be an example of how human rights could dominate the way society works. The model for international public health, as exemplified in the Declaration of Alma Ata in 1978, was to be horizontal rather than vertical, with communities and countries in the driving seat. With the evolution of the WHO in recent decades from a core funding model (countries give money, the WHO decides under the WHA guidance how to spend it) to a model based on specified funding (funders, both public and increasingly private, instruct the WHO on how to spend it), the WHO has inevitably changed to become a public-private partnership required to serve the interests of funders rather than populations. As most funding comes from a few countries with major Pharma industrial bases, or private investors and corporations in the same industry, the WHO has been required to emphasize the use of pharmaceuticals and downplay evidence and knowledge where these clash (if it wants to keep all its staff funded). It is helpful to view the draft Agreement, and the IHR amendments, in this context. Why May 2024? The WHO, together with the World Bank, G20, and other institutions have been emphasizing the urgency of putting the new pandemic instruments in place earnestly, before the ‘next pandemic.’ This is based on claims that the world was unprepared for Covid-19, and that the economic and health harm would be somehow avoidable if we had these agreements in place. They emphasize, contrary to evidence that Covid-19 virus (SARS-CoV-2) origins involve laboratory manipulation, that the main threats we face are natural, and that these are increasing exponentially and present an “existential” threat to humanity. The data on which the WHO, the World Bank, and G20 base these claims demonstrates the contrary, with reported natural outbreaks having increased as detection technologies have developed, but reducing in mortality rate, and in numbers, over the past 10 to 20 years.. A paper cited by the World Bank to justify urgency and quoted as suggesting a 3x increase in risk in the coming decade actually suggests that a Covid-19-like event would occur roughly every 129 years, and a Spanish-flu repetition every 292 to 877 years. Such predictions are unable to take into account the rapidly changing nature of medicine and improved sanitation and nutrition (most deaths from Spanish flu would not have occurred if modern antibiotics had been available), and so may still overestimate risk. Similarly, the WHO’s own priority disease list for new outbreaks only includes two diseases of proven natural origin that have over 1,000 historical deaths attributed to them. It is well demonstrated that the risk and expected burden of pandemics is misrepresented by major international agencies in current discussions. The urgency for May 2024 is clearly therefore inadequately supported, firstly because neither the WHO nor others have demonstrated how the harms accrued through Covid-19 would be reduced through the measures proposed, and secondly because the burden and risk is misrepresented. In this context, the state of the Agreement is clearly not where it should be as a draft international legally binding agreement intended to impose considerable financial and other obligations on States and populations. This is particularly problematic as the proposed expenditure; the proposed budget is over $31 billion per year, with over $10 billion more on other One Health activities. Much of this will have to be diverted from addressing other diseases burdens that impose far greater burden. This trade-off, essential to understand in public health policy development, has not yet been clearly addressed by the WHO. The WHO DG stated recently that the WHO does not want the power to impose vaccine mandates or lockdowns on anyone, and does not want this. This begs the question of why either of the current WHO pandemic instruments is being proposed, both as legally binding documents. The current IHR (2005) already sets out such approaches as recommendations the DG can make, and there is nothing non-mandatory that countries cannot do now without pushing new treaty-like mechanisms through a vote in Geneva. Based on the DG’s claims, they are essentially redundant, and what new non-mandatory clauses they contain, as set out below, are certainly not urgent. Clauses that are mandatory (Member States “shall”) must be considered within national decision-making contexts and appear against the WHO’s stated intent. Common sense would suggest that the Agreement, and the accompanying IHR amendments, be properly thought through before Member States commit. The WHO has already abandoned the legal requirement for a 4-month review time for the IHR amendments (Article 55.2 IHR), which are also still under negotiation just 2 months before the WHA deadline. The Agreement should also have at least such a period for States to properly consider whether to agree – treaties normally take many years to develop and negotiate and no valid arguments have been put forward as to why these should be different. The Covid-19 response resulted in an unprecedented transfer of wealth from those of lower income to the very wealthy few, completely contrary to the way in which the WHO was intended to affect human society. A considerable portion of these pandemic profits went to current sponsors of the WHO, and these same corporate entities and investors are set to further benefit from the new pandemic agreements. As written, the Pandemic Agreement risks entrenching such centralization and profit-taking, and the accompanying unprecedented restrictions on human rights and freedoms, as a public health norm. To continue with a clearly flawed agreement simply because of a previously set deadline, when no clear population benefit is articulated and no true urgency demonstrated, would therefore be a major step backward in international public health. Basic principles of proportionality, human agency, and community empowerment, essential for health and human rights outcomes, are missing or paid lip-service. The WHO clearly wishes to increase its funding and show it is ‘doing something,’ but must first articulate why the voluntary provisions of the current IHR are insufficient. It is hoped that by systematically reviewing some key clauses of the agreement here, it will become clear why a rethink of the whole approach is necessary. The full text is found below. The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic. Much of the remaining text is essentially pointless as it reiterates vague intentions to be found in other documents or activities which countries normally undertake in the course of running health services, and have no place in a focused legally-binding international agreement. REVISED Draft of the negotiating text of the WHO Pandemic Agreement. 7th March, 2024 Preamble Recognizing that the World Health Organization…is the directing and coordinating authority on international health work. This is inconsistent with a recent statement by the WHO DG that the WHO has no interest or intent to direct country health responses. To reiterate it here suggests that the DG is not representing the true position regarding the Agreement. “Directing authority” is however in line with the proposed IHR Amendments (and the WHO’s Constitution), under which countries will “undertake” ahead of time to follow the DG’s recommendations (which thereby become instructions). As the HR amendments make clear, this is intended to apply even to a perceived threat rather than actual harm. Recalling the constitution of the World Health Organization…highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. This statement recalls fundamental understandings of public health, and is of importance here as it raises the question of why the WHO did not strongly condemn prolonged school closures, workplace closures, and other impoverishing policies during the Covid-19 response. In 2019, WHO made clear that these dangers should prevent actions we now call ‘lockdowns’ from being imposed. Deeply concerned by the gross inequities at national and international levels that hindered timely and equitable access to medical and other Covid-19 pandemic-related products, and the serious shortcomings in pandemic preparedness. In terms of health equity (as distinct from commodity of ‘vaccine’ equity), inequity in the Covid-19 response was not in failing to provide a vaccine against former variants to immune, young people in low-income countries who were at far higher risk from endemic diseases, but in the disproportionate harm to them of uniformly-imposed NPIs that reduced current and future income and basic healthcare, as was noted by the WHO in 2019 Pandemic Influenza recommendations. The failure of the text to recognize this suggests that lessons from Covid-19 have not informed this draft Agreement. The WHO has not yet demonstrated how pandemic ‘preparedness,’ in the terms they use below, would have reduced impact, given that there is poor correlation between strictness or speed of response and eventual outcomes. Reiterating the need to work towards…an equitable approach to mitigate the risk that pandemics exacerbate existing inequities in access to health services, As above – in the past century, the issue of inequity has been most pronounced in pandemic response, rather than the impact of the virus itself (excluding the physiological variation in risk). Most recorded deaths from acute pandemics, since the Spanish flu, were during Covid-19, in which the virus hit mainly sick elderly, but response impacted working-age adults and children heavily and will continue to have effect, due to increased poverty and debt; reduced education and child marriage, in future generations. These have disproportionately affected lower-income people, and particularly women. The lack of recognition of this in this document, though they are recognized by the World Bank and UN agencies elsewhere, must raise real questions on whether this Agreement has been thoroughly thought through, and the process of development been sufficiently inclusive and objective. Chapter I. Introduction Article 1. Use of terms (i) “pathogen with pandemic potential” means any pathogen that has been identified to infect a human and that is: novel (not yet characterized) or known (including a variant of a known pathogen), potentially highly transmissible and/or highly virulent with the potential to cause a public health emergency of international concern. This provides a very wide scope to alter provisions. Any pathogen that can infect humans and is potentially highly transmissible or virulent, though yet uncharacterized means virtually any coronavirus, influenza virus, or a plethora of other relatively common pathogen groups. The IHR Amendments intend that the DG alone can make this call, over the advice of others, as occurred with monkeypox in 2022. (j) “persons in vulnerable situations” means individuals, groups or communities with a disproportionate increased risk of infection, severity, disease or mortality. This is a good definition – in Covid-19 context, would mean the sick elderly, and so is relevant to targeting a response. “Universal health coverage” means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. While the general UHC concept is good, it is time a sensible (rather than patently silly) definition was adopted. Society cannot afford the full range of possible interventions and remedies for all, and clearly there is a scale of cost vs benefit that prioritizes certain ones over others. Sensible definitions make action more likely, and inaction harder to justify. One could argue that none should have the full range until all have good basic care, but clearly the earth will not support ‘the full range’ for 8 billion people. Article 2. Objective This Agreement is specifically for pandemics (a poorly defined term but essentially a pathogen that spreads rapidly across national borders). In contrast, the IHR amendments accompanying it are broader in scope – for any public health emergencies of international concern. Article 3. Principles 2. the sovereign right of States to adopt, legislate and implement legislation The amendments to the IHR require States to undertake to follow WHO instructions ahead of time, before such instruction and context are known. These two documents must be understood, as noted later in the Agreement draft, as complementary. 3. equity as the goal and outcome of pandemic prevention, preparedness and response, ensuring the absence of unfair, avoidable or remediable differences among groups of people. This definition of equity here needs clarification. In the pandemic context, the WHO emphasized commodity (vaccine) equity during the Covid-19 response. Elimination of differences implied equal access to Covid-19 vaccines in countries with large aging, obese highly vulnerable populations (e.g. the USA or Italy), and those with young populations at minimal risk and with far more pressing health priorities (e.g. Niger or Uganda). Alternatively, but equally damaging, equal access to different age groups within a country when the risk-benefit ratio is clearly greatly different. This promotes worse health outcomes by diverting resources from where they are most useful, as it ignores heterogeneity of risk. Again, an adult approach is required in international agreements, rather than feel-good sentences, if they are going to have a positive impact. 5. …a more equitable and better prepared world to prevent, respond to and recover from pandemics As with ‘3’ above, this raises a fundamental problem: What if health equity demands that some populations divert resources to childhood nutrition and endemic diseases rather than the latest pandemic, as these are likely of far higher burden to many younger but lower-income populations? This would not be equity in the definition implied here, but would clearly lead to better and more equal health outcomes. The WHO must decide whether it is about uniform action, or minimizing poor health, as these are clearly very different. They are the difference between the WHO’s commodity equity, and true health equity. Chapter II. The world together equitably: achieving equity in, for and through pandemic prevention, preparedness and response Equity in health should imply a reasonably equal chance of overcoming or avoiding preventable sickness. The vast majority of sickness and death is due to either non-communicable diseases often related to lifestyle, such as obesity and type 2 diabetes mellitus, undernutrition in childhood, and endemic infectious diseases such as tuberculosis, malaria, and HIV/AIDS. Achieving health equity would primarily mean addressing these. In this chapter of the draft Pandemic Agreement, equity is used to imply equal access to specific health commodities, particularly vaccines, for intermittent health emergencies, although these exert a small fraction of the burden of other diseases. It is, specifically, commodity-equity, and not geared to equalizing overall health burden but to enabling centrally-coordinated homogenous responses to unusual events. Article 4. Pandemic prevention and surveillance 2. The Parties shall undertake to cooperate: (b) in support of…initiatives aimed at preventing pandemics, in particular those that improve surveillance, early warning and risk assessment; .…and identify settings and activities presenting a risk of emergence and re-emergence of pathogens with pandemic potential. (c-h) [Paragraphs on water and sanitation, infection control, strengthening of biosafety, surveillance and prevention of vector-born diseases, and addressing antimicrobial resistance.] The WHO intends the Agreement to have force under international law. Therefore, countries are undertaking to put themselves under force of international law in regards to complying with the agreement’s stipulations. The provisions under this long article mostly cover general health stuff that countries try to do anyway. The difference will be that countries will be assessed on progress. Assessment can be fine if in context, less fine if it consists of entitled ‘experts’ from wealthy countries with little local knowledge or context. Perhaps such compliance is best left to national authorities, who are more in use with local needs and priorities. The justification for the international bureaucracy being built to support this, while fun for those involved, is unclear and will divert resources from actual health work. 6. The Conference of the Parties may adopt, as necessary, guidelines, recommendations and standards, including in relation to pandemic prevention capacities, to support the implementation of this Article. Here and later, the COP is invoked as a vehicle to decide on what will actually be done. The rules are explained later (Articles 21-23). While allowing more time is sensible, it begs the question of why it is not better to wait and discuss what is needed in the current INB process, before committing to a legally-binding agreement. This current article says nothing not already covered by the IHR2005 or other ongoing programs. Article 5. One Health approach to pandemic prevention, preparedness and response Nothing specific or new in this article. It seems redundant (it is advocating a holistic approach mentioned elsewhere) and so presumably is just to get the term ‘One Health’ into the agreement. (One could ask, why bother?) Some mainstream definitions of One Health (e.g. Lancet) consider that it means non-human species are on a par with humans in terms of rights and importance. If this is meant here, clearly most Member States would disagree. So we may assume that it is just words to keep someone happy (a little childish in an international document, but the term ‘One Health’ has been trending, like ‘equity,’ as if the concept of holistic approaches to public health were new). Article 6. Preparedness, health system resilience and recovery 2. Each Party commits…[to] : (a) routine and essential health services during pandemics with a focus on primary health care, routine immunization and mental health care, and with particular attention to persons in vulnerable situations (b) developing, strengthening and maintaining health infrastructure (c) developing post-pandemic health system recovery strategies (d) developing, strengthening and maintaining: health information systems This is good, and (a) seems to require avoidance of lockdowns (which inevitably cause the harms listed). Unfortunately other WHO documents lead one to assume this is not the intent…It does appear therefore that this is simply another list of fairly non-specific feel-good measures that have no useful place in a new legally-binding agreement, and which most countries are already undertaking. (e) promoting the use of social and behavioural sciences, risk communication and community engagement for pandemic prevention, preparedness and response. This requires clarification, as the use of behavioral science during the Covid-19 response involved deliberate inducement of fear to promote behaviors that people would not otherwise follow (e.g. Spi-B). It is essential here that the document clarifies how behavioral science should be used ethically in healthcare. Otherwise, this is also a quite meaningless provision. Article 7. Health and care workforce This long Article discusses health workforce, training, retention, non-discrimination, stigma, bias, adequate remuneration, and other standard provisions for workplaces. It is unclear why it is included in a legally binding pandemic agreement, except for: 4. [The Parties]…shall invest in establishing, sustaining, coordinating and mobilizing a skilled and trained multidisciplinary global public health emergency workforce…Parties having established emergency health teams should inform WHO thereof and make best efforts to respond to requests for deployment… Emergency health teams established (within capacity etc.) – are something countries already do, when they have capacity. There is no reason to have this as a legally-binding instrument, and clearly no urgency to do so. Article 8. Preparedness monitoring and functional reviews 1. The Parties shall, building on existing and relevant tools, develop and implement an inclusive, transparent, effective and efficient pandemic prevention, preparedness and response monitoring and evaluation system. 2. Each Party shall assess, every five years, with technical support from the WHO Secretariat upon request, the functioning and readiness of, and gaps in, its pandemic prevention, preparedness and response capacity, based on the relevant tools and guidelines developed by WHO in partnership with relevant organizations at international, regional and sub-regional levels. Note that this is being required of countries that are already struggling to implement monitoring systems for major endemic diseases, including tuberculosis, malaria, HIV, and nutritional deficiencies. They will be legally bound to divert resources to pandemic prevention. While there is some overlap, it will inevitably divert resources from currently underfunded programs for diseases of far higher local burdens, and so (not theoretically, but inevitably) raise mortality. Poor countries are being required to put resources into problems deemed significant by richer countries. Article 9. Research and development Various general provisions about undertaking background research that countries are generally doing anyway, but with an ’emerging disease’ slant. Again, the INB fails to justify why this diversion of resources from researching greater disease burdens should occur in all countries (why not just those with excess resources?). Article 10. Sustainable and geographically diversified production Mostly non-binding but suggested cooperation on making pandemic-related products available, including support for manufacturing in “inter-pandemic times” (a fascinating rendering of ‘normal’), when they would only be viable through subsidies. Much of this is probably unimplementable, as it would not be practical to maintain facilities in most or all countries on stand-by for rare events, at cost of resources otherwise useful for other priorities. The desire to increase production in ‘developing’ countries will face major barriers and costs in terms of maintaining quality of production, particularly as many products will have limited use outside of rare outbreak situations. Article 11. Transfer of technology and know-how This article, always problematic for large pharmaceutical corporations sponsoring much WHO outbreak activities, is now watered down to weak requirements to ‘consider,’ promote,’ provide, within capabilities’ etc. Article 12. Access and benefit sharing This Article is intended to establish the WHO Pathogen Access and Benefit-Sharing System (PABS System). PABS is intended to “ensure rapid, systematic and timely access to biological materials of pathogens with pandemic potential and the genetic sequence data.” This system is of potential high relevance and needs to be interpreted in the context that SARS-CoV-2, the pathogen causing the recent Covid-19 outbreak, was highly likely to have escaped from a laboratory. PABS is intended to expand the laboratory storage, transport, and handling of such viruses, under the oversight of the WHO, an organization outside of national jurisdiction with no significant direct experience in handling biological materials. 3. When a Party has access to a pathogen [it shall]: (a) share with WHO any pathogen sequence information as soon as it is available to the Party; (b) as soon as biological materials are available to the Party, provide the materials to one or more laboratories and/or biorepositories participating in WHO-coordinated laboratory networks (CLNs), Subsequent clauses state that benefits will be shared, and seek to prevent recipient laboratories from patenting materials received from other countries. This has been a major concern of low-and middle-income countries previously, who perceive that institutions in wealthy countries patent and benefit from materials derived from less-wealthy populations. It remains to be seen whether provisions here will be sufficient to address this. The article then becomes yet more concerning: 6. WHO shall conclude legally binding standard PABS contracts with manufacturers to provide the following, taking into account the size, nature and capacities of the manufacturer: (a) annual monetary contributions to support the PABS System and relevant capacities in countries; the determination of the annual amount, use, and approach for monitoring and accountability, shall be finalized by the Parties; (b) real-time contributions of relevant diagnostics, therapeutics or vaccines produced by the manufacturer, 10% free of charge and 10% at not-for-profit prices during public health emergencies of international concern or pandemics, … It is clearly intended that the WHO becomes directly involved in setting up legally binding manufacturing contracts, despite the WHO being outside of national jurisdictional oversight, within the territories of Member States. The PABS system, and therefore its staff and dependent entities, are also to be supported in part by funds from the manufacturers whom they are supposed to be managing. The income of the organization will be dependent on maintaining positive relationships with these private entities in a similar way in which many national regulatory agencies are dependent upon funds from pharmaceutical companies whom their staff ostensibly regulate. In this case, the regulator will be even further removed from public oversight. The clause on 10% (why 10?) products being free of charge, and similar at cost, while ensuring lower-priced commodities irrespective of actual need (the outbreak may be confined to wealthy countries). The same entity, the WHO, will determine whether the triggering emergency exists, determine the response, and manage the contracts to provide the commodities, without direct jurisdictional oversight regarding the potential for corruption or conflict of interest. It is a remarkable system to suggest, irrespective of political or regulatory environment. 8. The Parties shall cooperate…public financing of research and development, prepurchase agreements, or regulatory procedures, to encourage and facilitate as many manufacturers as possible to enter into standard PABS contracts as early as possible. The article envisions that public funding will be used to build the process, ensuring essentially no-risk private profit. 10. To support operationalization of the PABS System, WHO shall…make such contracts public, while respecting commercial confidentiality. The public may know whom contracts are made with, but not all details of the contracts. There will therefore be no independent oversight of the clauses agreed between the WHO, a body outside of national jurisdiction and dependent of commercial companies for funding some of its work and salaries, and these same companies, on ‘needs’ that the WHO itself will have sole authority, under the proposed amendments to the IHR, to determine. The Article further states that the WHO shall use its own product regulatory system (prequalification) and Emergency Use Listing Procedure to open and stimulate markets for the manufacturers of these products. It is doubtful that any national government could make such an overall agreement, yet in May 2024 they will be voting to provide this to what is essentially a foreign, and partly privately financed, entity. Article 13. Supply chain and logistics The WHO will become convenor of a ‘Global Supply Chain and Logistics Network’ for commercially-produced products, to be supplied under WHO contracts when and where the WHO determines, whilst also having the role of ensuring safety of such products. Having mutual support coordinated between countries is good. Having this run by an organization that is significantly funded directly by those gaining from the sale of these same commodities seems reckless and counterintuitive. Few countries would allow this (or at least plan for it). For this to occur safely, the WHO would logically have to forgo all private investment, and greatly restrict national specified funding contributions. Otherwise, the conflicts of interest involved would destroy confidence in the system. There is no suggestion of such divestment from the WHO, but rather, as in Article 12, private sector dependency, directly tied to contracts, will increase. Article 13bis: National procurement- and distribution-related provisions While suffering the same (perhaps unavoidable) issues regarding commercial confidentiality, this alternate Article 13 seems far more appropriate, keeping commercial issues under national jurisdiction and avoiding the obvious conflict of interests that underpin funding for WHO activities and staffing. Article 14. Regulatory systems strengthening This entire Article reflects initiatives and programs already in place. Nothing here appears likely to add to current effort. Article 15. Liability and compensation management 1. Each Party shall consider developing, as necessary and in accordance with applicable law, national strategies for managing liability in its territory related to pandemic vaccines…no-fault compensation mechanisms… 2. The Parties…shall develop recommendations for the establishment and implementation of national, regional and/or global no-fault compensation mechanisms and strategies for managing liability during pandemic emergencies, including with regard to individuals that are in a humanitarian setting or vulnerable situations. This is quite remarkable, but also reflects some national legislation, in removing any fault or liability specifically from vaccine manufacturers, for harms done in pushing out vaccines to the public. During the Covid-19 response, genetic therapeutics being developed by BioNtech and Moderna were reclassified as vaccines, on the basis that an immune response is stimulated after they have modified intracellular biochemical pathways as a medicine normally does. This enabled specific trials normally required for carcinogenicity and teratogenicity to be bypassed, despite raised fetal abnormality rates in animal trials. It will enable the CEPI 100-day vaccine program, supported with private funding to support private mRNA vaccine manufacturers, to proceed without any risk to the manufacturer should there be subsequent public harm. Together with an earlier provision on public funding of research and manufacturing readiness, and the removal of former wording requiring intellectual property sharing in Article 11, this ensures vaccine manufacturers and their investors make profit in effective absence of risk. These entities are currently heavily invested in support for WHO, and were strongly aligned with the introduction of newly restrictive outbreak responses that emphasized and sometimes mandated their products during the Covid-19 outbreak. Article 16. International collaboration and cooperation A somewhat pointless article. It suggests that countries cooperate with each other and the WHO to implement the other agreements in the Agreement. Article 17. Whole-of-government and whole-of-society approaches A list of essentially motherhood provisions related to planning for a pandemic. However, countries will legally be required to maintain a ‘national coordination multisectoral body’ for PPPR. This will essentially be an added burden on budgets, and inevitably divert further resources from other priorities. Perhaps just strengthening current infectious disease and nutritional programs would be more impactful. (Nowhere in this Agreement is nutrition discussed (essential for resilience to pathogens) and minimal wording is included on sanitation and clean water (other major reasons for reduction in infectious disease mortality over past centuries). However, the ‘community ownership’ wording is interesting (“empower and enable community ownership of, and contribution to, community readiness for and resilience [for PPPR]”), as this directly contradicts much of the rest of the Agreement, including the centralization of control under the Conference of Parties, requirements for countries to allocate resources to pandemic preparedness over other community priorities, and the idea of inspecting and assessing adherence to the centralized requirements of the Agreement. Either much of the rest of the Agreement is redundant, or this wording is purely for appearance and not to be followed (and therefore should be removed). Article 18. Communication and public awareness 1. Each Party shall promote timely access to credible and evidence-based information …with the aim of countering and addressing misinformation or disinformation… 2. The Parties shall, as appropriate, promote and/or conduct research and inform policies on factors that hinder or strengthen adherence to public health and social measures in a pandemic, as well as trust in science and public health institutions and agencies. The key word is as appropriate, given that many agencies, including the WHO, have overseen or aided policies during the Covid-19 response that have greatly increased poverty, child marriage, teenage pregnancy, and education loss. As the WHO has been shown to be significantly misrepresenting pandemic risk in the process of advocating for this Agreement and related instruments, its own communications would also fall outside the provision here related to evidence-based information, and fall within normal understandings of misinformation. It could not therefore be an arbiter of correctness of information here, so the Article is not implementable. Rewritten to recommend accurate evidence-based information being promoted, it would make good sense, but this is not an issue requiring a legally binding international agreement. Article 19. Implementation and support 3. The WHO Secretariat…organize the technical and financial assistance necessary to address such gaps and needs in implementing the commitments agreed upon under the Pandemic Agreement and the International Health Regulations (2005). As the WHO is dependent on donor support, its ability to address gaps in funding within Member States is clearly not something it can guarantee. The purpose of this article is unclear, repeating in paragraphs 1 and 2 the earlier intent for countries to generally support each other. Article 20. Sustainable financing 1. The Parties commit to working together…In this regard, each Party, within the means and resources at its disposal, shall: (a) prioritize and maintain or increase, as necessary, domestic funding for pandemic prevention, preparedness and response, without undermining other domestic public health priorities including for: (i) strengthening and sustaining capacities for the prevention, preparedness and response to health emergencies and pandemics, in particular the core capacities of the International Health Regulations (2005);… This is silly wording, as countries obviously have to prioritize within budgets, so that moving funds to one area means removing from another. The essence of public health policy is weighing and making such decisions; this reality seems to be ignored here through wishful thinking. (a) is clearly redundant, as the IHR (2005) already exists and countries have agreed to support it. 3. A Coordinating Financial Mechanism (the “Mechanism”) is hereby established to support the implementation of both the WHO Pandemic Agreement and the International Health Regulations (2005) This will be in parallel to the Pandemic Fund recently commenced by the World Bank – an issue not lost on INB delegates and so likely to change here in the final version. It will also be additive to the Global Fund to fight AIDS, tuberculosis, and malaria, and other health financing mechanisms, and so require another parallel international bureaucracy, presumably based in Geneva. It is intended to have its own capacity to “conduct relevant analyses on needs and gaps, in addition to tracking cooperation efforts,” so it will not be a small undertaking. Chapter III. Institutional and final provisions Article 21. Conference of the Parties 1. A Conference of the Parties is hereby established. 2. The Conference of the Parties shall keep under regular review, every three years, the implementation of the WHO Pandemic Agreement and take the decisions necessary to promote its effective implementation. This sets up the governing body to oversee this Agreement (another body requiring a secretariat and support). It is intended to meet within a year of the Agreement coming into force, and then set its own rules on meeting thereafter. It is likely that many provisions outlined in this draft of the Agreement will be deferred to the COP for further discussion. Articles 22 – 37 These articles cover the functioning of the Conference of Parties (COP) and various administrative issues. Of note, ‘block votes’ will be allowed from regional bodies (e.g. the EU). The WHO will provide the secretariat. Under Article 24 is noted: 3. Nothing in the WHO Pandemic Agreement shall be interpreted as providing the Secretariat of the World Health Organization, including the WHO Director-General, any authority to direct, order, alter or otherwise prescribe the domestic laws or policies of any Party, or to mandate or otherwise impose any requirements that Parties take specific actions, such as ban or accept travellers, impose vaccination mandates or therapeutic or diagnostic measures, or implement lockdowns. These provisions are explicitly stated in the proposed amendments to the IHR, to be considered alongside this agreement. Article 26 notes that the IHR is to be interpreted as compatible, thereby confirming that the IHR provisions including border closures and limits on freedom of movement, mandated vaccination, and other lockdown measures are not negated by this statement. As Article 26 states: “The Parties recognize that the WHO Pandemic Agreement and the International Health Regulations should be interpreted so as to be compatible.” Some would consider this subterfuge – The Director-General recently labeled as liars those who claimed the Agreement included these powers, whilst failing to acknowledge the accompanying IHR amendments. The WHO could do better in avoiding misleading messaging, especially when this involves denigration of the public. Article 32 (Withdrawal) requires that, once adopted, Parties cannot withdraw for a total of 3 years (giving notice after a minimum of 2 years). Financial obligations undertaken under the agreement continue beyond that time. Finally, the Agreement will come into force, assuming a two-thirds majority in the WHA is achieved (Article 19, WHO Constitution), 30 days after the fortieth country has ratified it. Further reading: WHO Pandemic Agreement Intergovernmental Negotiating Board website: https://inb.who.int/ International Health Regulations Working Group website: https://apps.who.int/gb/wgihr/index.html On background to the WHO texts: Amendments to WHO’s International Health Regulations: An Annotated Guide An Unofficial Q&A on International Health Regulations On urgency and burden of pandemics: https://essl.leeds.ac.uk/downloads/download/228/rational-policy-over-panic Disease X and Davos: This is Not the Way to Evaluate and Formulate Public Health Policy Before Preparing for Pandemics, We Need Better Evidence of Risk Revised Draft of the negotiating text of the WHO Pandemic Agreement: Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Authors David Bell David Bell, Senior Scholar at Brownstone Institute, is a public health physician and biotech consultant in global health. He is a former medical officer and scientist at the World Health Organization (WHO), Programme Head for malaria and febrile diseases at the Foundation for Innovative New Diagnostics (FIND) in Geneva, Switzerland, and Director of Global Health Technologies at Intellectual Ventures Global Good Fund in Bellevue, WA, USA. View all posts Thi Thuy Van Dinh Dr. Thi Thuy Van Dinh (LLM, PhD) worked on international law in the United Nations Office on Drugs and Crime and the Office of the High Commissioner for Human Rights. Subsequently, she managed multilateral organization partnerships for Intellectual Ventures Global Good Fund and led environmental health technology development efforts for low-resource settings. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-who-pandemic-agreement-a-guide/ https://www.minds.com/donshafi911/blog/the-who-pandemic-agreement-a-guide-1621719398509187077
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    The WHO Pandemic Agreement: A Guide ⋆ Brownstone Institute
    The commentary below concentrates on selected draft provisions of the latest publicly available version of the draft agreement that seem to be unclear or potentially problematic.
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  • The Silent Shame of Health Institutions
    J.R. Bruning
    For how much longer will health policy ignore multimorbidity, that looming, giant elephant in the room, that propagates and amplifies suffering? For how much longer will the ‘trend’ of increasing diagnoses of multiple health conditions, at younger and younger ages be rendered down by government agencies to better and more efficient services, screening modalities, and drug choices?

    Multimorbidity, the presence of many chronic conditions, is the silent shame of health policy.

    All too often chronic conditions overlap and accumulate. From cancer, to diabetes, to digestive system diseases, to high blood pressure, to skin conditions in cascades of suffering. Heartbreakingly, these conditions commonly overlap with mental illnesses or disorders. It’s increasingly common for people to be diagnosed with multiple mental conditions, such as having anxiety and depression, or anxiety and schizophrenia.

    Calls for equity tend to revolve around medical treatment, even as absurdities and injustices accrue.

    Multimorbidity occurs a decade earlier in socioeconomically deprived communities. Doctors are diagnosing multimorbidity at younger and younger ages.

    Treatment regimens for people with multiple conditions necessarily entail a polypharmacy approach – the prescribing of multiple medications. One condition may require multiple medications. Thus, with multimorbidity comes increased risk of adverse outcomes and polyiatrogenesis – ‘medical harm caused by medical treatments on multiple fronts simultaneously and in conjunction with one another.’

    Side effects, whether short-term or patients’ concerns about long-term harm, are the main reason for non-adherence to prescribed medications.

    So ‘equity’ which only implies drug treatment doesn’t involve equity at all.

    Poor diets may be foundational to the Western world’s health crisis. But are governments considering this?

    The antinomies are piling up.

    We are amid a global epidemic of metabolic syndrome. Insulin resistance, obesity, elevated triglyceride levels and low levels of high-density lipoprotein cholesterol, and elevated blood pressure haunt the people queuing up to see doctors.

    Research, from individual cases to clinical trials, consistently show that diets containing high levels of ultra-processed foods and carbohydrates amplify inflammation, oxidative stress, and insulin resistance. What researchers and scientists are also identifying, at the cellular level, in clinical and medical practice, and at the global level – is that insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from poor diets not only drive metabolic illness, but mental illnesses, compounding suffering.

    There is also ample evidence that the metabolic and mental health epidemic that is driving years lost due to disease, reducing productivity, and creating mayhem in personal lives – may be preventable and reversible.

    Doctors generally recognise that poor diets are a problem. Ultra-processed foods are strongly associated with adult and childhood ill health. Ultra-processed foods are

    ‘formulations of ingredients, mostly of exclusive industrial use, typically created by series of industrial techniques and processes (hence ‘ultra-processed’).’

    In the USA young people under age 19 consume on average 67% of their diet, while adults consume around 60% of their diet in ultra-processed food. Ultra-processed food contributes 60% of UK children’s calories; 42% of Australian children’s calories and over half the dietary calories for children and adolescents in Canada. In New Zealand in 2009-2010, ultra-processed foods contributed to the 45% (12 months), 42% (24 months), and 51% (60 months) of energy intake to the diets of children.

    All too frequently, doctors are diagnosing both metabolic and mental illnesses.

    What may be predictable is that a person is likely to develop insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from chronic exposure to ultra-processed food. How this will manifest in a disease or syndrome condition is reflective of a human equivalent of quantum entanglement.

    Cascades, feedback loops, and other interdependencies often leave doctors and patients bouncing from one condition to another, and managing medicine side effects and drug-drug relationships as they go.

    In New Zealand it is more common to have multiple conditions than a single condition. The costs of having two NCDs simultaneously is typically superadditive and ‘more so for younger adults.’

    This information is outside the ‘work programme’ of the top echelons in the Ministry of Health:

    Official Information Act (OIA) requests confirm that the Ministries’ Directors General who are responsible for setting policy and long-term strategy aren’t considering these issues. The problem of multimorbidity and the overlapping, entangled relationship with ultra-processed food is outside of the scope of the work programme of the top directorates in our health agency.

    New Zealand’s Ministry of Health’s top deputy directors general might be earning a quarter of a million dollars each, but they are ignorant of the relationship of dietary nutrition and mental health. Nor are they seemingly aware of the extent of multimorbidity and the overlap between metabolic and mental illnesses.

    Neither the Public Health Agency Deputy Director-General – Dr Andrew Old, nor the Deputy Director-General Evidence, Research and Innovation, Dean Rutherford, nor the Deputy Director-General of Strategy Policy and Legislation, Maree Roberts, nor the Clinical, Community and Mental Health Deputy Director-General Robyn Shearer have been briefed on these relationships.

    If they’re not being briefed, policy won’t be developed to address dietary nutrition. Diet will be lower-order.

    The OIA request revealed that New Zealand’s Ministry of Health ‘does not widely use the metabolic syndrome classification.’ When I asked ‘How do you classify, or what term do you use to classify the cluster of symptoms characterised by central obesity, dyslipidemia, hypertension, and insulin resistance?’, they responded:

    ‘The conditions referred to are considered either on their own or as part of a broader cardiovascular disease risk calculation.’

    This is interesting. What if governments should be calculating insulin resistance first, in order to then calculate a broader cardiovascular risk? What if insulin resistance, inflammation, and oxidative stress are appearing at younger and younger ages, and ultra-processed food is the major driver?

    Pre-diabetes and Type 2 diabetes are driven by too much blood glucose. Type 1 diabetics can’t make insulin, while Type 2 diabetics can’t make enough to compensate for their dietary intake of carbohydrates. One of insulin’s (many) jobs is to tuck away that blood glucose into cells (as fat) but when there are too many dietary carbohydrates pumping up blood glucose, the body can’t keep up. New Zealand practitioners use the HbA1c blood test, which measures the average blood glucose level over the past 2-3 months. In New Zealand, doctors diagnose pre-diabetes if HbA1c levels are 41-49 nmol/mol, and diabetes at levels of 50 nmol/mol and above.

    Type 2 diabetes management guidelines recommend that sugar intake should be reduced, while people should aim for consistent carbohydrates across the day. The New Zealand government does not recommend paleo or low-carbohydrate diets.

    If you have diabetes you are twice as likely to have heart disease or a stroke, and at a younger age. Prediabetes, which apparently 20% of Kiwis have, is also high-risk due to, as the Ministry of Health states: ‘increased risk of macrovascular complications and early death.’

    The question might become – should we be looking at insulin levels, to more sensitively gauge risk at an early stage?

    Without more sensitive screens at younger ages these opportunities to repivot to avoid chronic disease are likely to be missed. Currently, Ministry of Health policies are unlikely to justify the funding of tests for insulin resistance by using three simple blood tests: fasting insulin, fasting lipids (cholesterol and triglycerides), and fasting glucose – to estimate where children, young people, and adults stand on the insulin resistance spectrum when other diagnoses pop up.

    Yet insulin plays a powerful role in brain health.

    Insulin supports neurotransmitter function and brain energy, directly impacting mood and behaviours. Insulin resistance might arrive before mental illness. Harvard-based psychiatrist Chris Palmer recounts in the book Brain Energy, a large 15,000-participant study of young people from age 0-24:

    ‘Children who had persistently high insulin levels (a sign of insulin resistance) beginning at age nine were five times more likely to be at risk for psychosis, meaning they were showing at least some worrisome signs, and they were three times for likely to already be diagnosed with bipolar disorder or schizophrenia by the time they turned twenty-four. This study clearly demonstrated that insulin resistance comes first, then psychosis.’

    Psychiatrist Georgia Ede suggests that high blood glucose and high insulin levels act like a ‘deadly one-two punch’ for the brain, triggering waves of inflammation and oxidative stress. The blood-brain barrier becomes increasingly resistant to chronic high insulin levels. Even though the body might have higher blood insulin, the same may not be true for the brain. As Ede maintains, ‘cells deprived of adequate insulin ‘sputter and struggle to maintain normal operations.’

    Looking at the relationship between brain health and high blood glucose and high insulin simply might not be on the programme for strategists looking at long-term planning.

    Nor are Directors General in a position to assess the role of food addiction. Ultra-processed food has addictive qualities designed into the product formulations. Food addiction is increasingly recognised as pervasive and difficult to manage as any substance addiction.

    But how many children and young people have insulin resistance and are showing markers for inflammation and oxidative stress – in the body and in the brain? To what extent do young people have both insulin resistance and depression resistance or ADHD or bipolar disorder?

    This kind of thinking is completely outside the work programme. But insulin levels, inflammation, and oxidative stress may not only be driving chronic illness – but driving the global mental health tsunami.

    Metabolic disorders are involved in complex pathways and feedback loops across body systems, and doctors learn this at medical school. Patterns and relationships between hormones, the brain, the gastrointestinal system, kidneys, and liver; as well as problems with joints and bone health, autoimmunity, nerves, and sensory conditions evolve from and revolve around metabolic health.

    Nutrition and diet are downplayed in medical school. What doctors don’t learn so much – the cognitive dissonance that they must accept throughout their training – is that metabolic health is commonly (except for some instances) shaped by the quality of dietary nutrition. The aetiology of a given condition can be very different, while the evidence that common chronic and mental illnesses are accompanied by oxidative stress, inflammation, and insulin resistance are primarily driven by diet – is growing stronger and stronger.

    But without recognising the overlapping relationships, policy to support healthy diets will remain limp.

    What we witness are notions of equity that support pharmaceutical delivery – not health delivery.

    What also inevitably happens is that ‘equity’ focuses on medical treatment. When the Ministry of Health prefers to atomise the different conditions or associate them with heart disease – they become single conditions to treat with single drugs. They’re lots of small problems, not one big problem, and insulin resistance is downplayed.

    But just as insulin resistance, inflammation, and oxidative stress send cascading impacts across body systems, systemic ignorance sends cascading effects across government departments tasked with ‘improving, promoting, and protecting health.’

    It’s an injustice. The literature solidly points to lower socio-economic status driving much poorer diets and increased exposures to ultra-processed food, but the treatments exclusively involve drugs and therapy.

    Briefings to Incoming Ministers with the election of new Governments show how ignorance cascades across responsible authorities.

    Health New Zealand, Te Whatu Ora’s November 2023 Briefing to the new government outlined the agency’s obligations. However, the ‘health’ targets are medical, and the agency’s focus is on infrastructure, staff, and servicing. The promotion of health, and health equity, which can only be addressed by addressing the determinants of health, is not addressed.

    The Māori Health Authority and Health New Zealand Joint Briefing to the Incoming Minister for Mental Health does not address the role of diet and nutrition as a driver of mental illness and disorder in New Zealand. The issue of multimorbidity, the related problem of commensurate metabolic illness, and diet as a driver is outside scope. When the Briefing states that it is important to address the ‘social, cultural, environmental and economic determinants of mental health,’ without any sound policy footing, real movement to address diet will not happen, or will only happen ad hoc.

    The Mental Health and Wellbeing Commission, Te Hiringa Mahara’s November 2023 Briefing to Incoming Ministers that went to the Ministers for Health and Mental Health might use the term ‘well-being’ over 120 times – but was silent on the related and overlapping drivers of mental illness which include metabolic or multimorbidity, nutrition, or diet.

    Five years earlier, He Ara Ora, New Zealand’s 2018 Mental Health and Addiction enquiry had recognised that tāngata whaiora, people seeking wellness, or service users, also tend to have multiple health conditions. The enquiry recommended that a whole of government approach to well-being, prevention, and social determinants was required. Vague nods were made to diet and nutrition, but this was not sufficiently emphasised as to be a priority.

    He Ara Ora was followed by 2020 Long-term pathway to mental well-being viewed nutrition as being one of a range of factors. No policy framework strategically prioritised diet, nutrition, and healthy food. No governmental obligation or commitment was built into policy to improve access to healthy food or nutrition education.

    Understanding the science, the relationships, and the drivers of the global epidemic, is ‘outside the work programmes’ of New Zealand’s Ministry of Health and outside the scope of all the related authorities. There is an extraordinary amount of data in the scientific literature, so many case studies, cohort studies, and clinical trials. Popular books are being written, however government agencies remain ignorant.

    In the meantime, doctors must deal with the suffering in front of them without an adequate toolkit.

    Doctors and pharmacists are faced with a Hobson’s choice of managing multiple chronic conditions and complex drug cocktails, in patients at younger and younger ages. Ultimately, they are treating a patient whom they recognise will only become sicker, cost the health system more, and suffer more.

    Currently there is little support for New Zealand medical doctors (known as general practitioners, or GPs) in changing practices and recommendations to support non-pharmaceutical drug treatment approaches. Their medical education does not equip them to recognise the extent to which multiple co-existing conditions may be alleviated or reversed. Doctors are paid to prescribe, to inject, and to screen, not to ameliorate or reverse disease and lessen prescribing. The prescribing of nutrients is discouraged and as doctors do not have nutritional training, they hesitate to prescribe nutrients.

    Many do not want to risk going outside treatment guidelines. Recent surges in protocols and guidelines for medical doctors reduce flexibility and narrow treatment choices for doctors. If they were to be reported to the Medical Council of New Zealand, they would risk losing their medical license. They would then be unable to practice.

    Inevitably, without Ministry of Health leadership, medical doctors in New Zealand are unlikely to voluntarily prescribe non-drug modalities such as nutritional options to any meaningful extent, for fear of being reported.

    Yet some doctors are proactive, such as Dr Glen Davies in Taupo, New Zealand. Some doctors are in a better ‘place’ to work to alleviate and reverse long-term conditions. They may be later in their career, with 10-20 years of research into metabolism, dietary nutrition, and patient care, and motivated to guide a patient through a personal care regime which might alleviate or reverse a patient’s suffering.

    Barriers include resourcing. Doctors aren’t paid for reversing disease and taking patients off medications.

    Doctors witness daily the hopelessness felt by their patients in dealing with chronic conditions in their short 15-minute consultations, and the vigilance required for dealing with adverse drug effects. Drug non-compliance is associated with adverse effects suffered by patients. Yet without wrap-around support changing treatments, even if it has potential to alleviate multiple conditions, to reduce symptoms, lower prescribing and therefore lessen side effects, is just too uncertain.

    They saw what happened to disobedient doctors during Covid-19.

    Given such context, what are we to do?

    Have open public discussions about doctor-patient relationships and trust. Inform and overlay such conversations by drawing attention to the foundational Hippocratic Oath made by doctors, to first do no harm.

    Questions can be asked. If patients were to understand that diet may be an underlying driver of multiple conditions, and a change in diet and improvement in micronutrient status might alleviate suffering – would patients be more likely to change?

    Economically, if wrap-around services were provided in clinics to support dietary change, would less harm occur to patients from worsening conditions that accompany many diseases (such as Type 2 diabetes) and the ever-present problem of drug side-effects? Would education and wrap-around services in early childhood and youth delay or prevent the onset of multimorbid diagnoses?

    Is it more ethical to give young people a choice of treatment? Could doctors prescribe dietary changes and multinutrients and support change with wrap-around support when children and young people are first diagnosed with a mental health condition – from the clinic, to school, to after school? If that doesn’t work, then prescribe pharmaceutical drugs.

    Should children and young people be educated to appreciate the extent to which their consumption of ultra-processed food likely drives their metabolic and mental health conditions? Not just in a blithe ‘eat healthy’ fashion that patently avoids discussing addiction. Through deeper policy mechanisms, including cooking classes and nutritional biology by the implementation of nourishing, low-carbohydrate cooked school lunches.

    With officials uninformed, it’s easy to see why funding for Green Prescriptions that would support dietary changes have sputtered out. It’s easy to understand why neither the Ministry of Health nor Pharmac have proactively sourced multi-nutrient treatments that improve resilience to stress and trauma for low-income young people. Why there’s no discussion on a lower side-effect risk for multinutrient treatments. Why are there no policies in the education curriculum diving into the relationship between ultra-processed food and mental and physical health? It’s not in the work programme.

    There’s another surfacing dilemma.

    Currently, if doctors tell their patients that there is very good evidence that their disease or syndrome could be reversed, and this information is not held as factual information by New Zealand’s Ministry of Health – do doctors risk being accused of spreading misinformation?

    Government agencies have pivoted in the past 5 years to focus intensively on the problem of dis- and misinformation. New Zealand’s disinformation project states that

    Disinformation is false or modified information knowingly and deliberately shared to cause harm or achieve a broader aim.
    Misinformation is information that is false or misleading, though not created or shared with the direct intention of causing harm.
    Unfortunately, as we see, there is no division inside the Ministry of Health that reviews the latest evidence in the scientific literature, to ensure that policy decisions correctly reflect the latest evidence.

    There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet, and health. There is no independent, autonomous, public health research facility with sufficient long-term funding to translate dietary and nutritional evidence into policy, particularly if it contradicted current policy positions.

    Despite excellent research being undertaken, it is highly controlled, ad hoc, and frequently short-term. Problematically, there is no resourcing for those scientists to meaningfully feedback that information to either the Ministry of Health or to Members of Parliament and government Ministers.

    Dietary guidelines can become locked in, and contradictions can fail to be chewed over. Without the capacity to address errors, information can become outdated and misleading. Government agencies and elected members – from local councils all the way up to government Ministers, are dependent on being informed by the Ministry of Health, when it comes to government policy.

    When it comes to complex health conditions, and alleviating and reversing metabolic or mental illness, based on different patient capacity – from socio-economic, to cultural, to social, and taking into account capacity for change, what is sound, evidence-based information and what is misinformation?

    In the impasse, who can we trust?

    Published under a Creative Commons Attribution 4.0 International License
    For reprints, please set the canonical link back to the original Brownstone Institute Article and Author.

    Author

    J.R. Bruning is a consultant sociologist (B.Bus.Agribusiness; MA Sociology) based in New Zealand. Her work explores governance cultures, policy and the production of scientific and technical knowledge. Her Master’s thesis explored the ways science policy creates barriers to funding, stymying scientists’ efforts to explore upstream drivers of harm. Bruning is a trustee of Physicians & Scientists for Global Responsibility (PSGR.org.nz). Papers and writing can be found at TalkingRisk.NZ and at JRBruning.Substack.com and at Talking Risk on Rumble.

    View all posts
    Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work.

    https://brownstone.org/articles/the-silent-shame-of-health-institutions/
    The Silent Shame of Health Institutions J.R. Bruning For how much longer will health policy ignore multimorbidity, that looming, giant elephant in the room, that propagates and amplifies suffering? For how much longer will the ‘trend’ of increasing diagnoses of multiple health conditions, at younger and younger ages be rendered down by government agencies to better and more efficient services, screening modalities, and drug choices? Multimorbidity, the presence of many chronic conditions, is the silent shame of health policy. All too often chronic conditions overlap and accumulate. From cancer, to diabetes, to digestive system diseases, to high blood pressure, to skin conditions in cascades of suffering. Heartbreakingly, these conditions commonly overlap with mental illnesses or disorders. It’s increasingly common for people to be diagnosed with multiple mental conditions, such as having anxiety and depression, or anxiety and schizophrenia. Calls for equity tend to revolve around medical treatment, even as absurdities and injustices accrue. Multimorbidity occurs a decade earlier in socioeconomically deprived communities. Doctors are diagnosing multimorbidity at younger and younger ages. Treatment regimens for people with multiple conditions necessarily entail a polypharmacy approach – the prescribing of multiple medications. One condition may require multiple medications. Thus, with multimorbidity comes increased risk of adverse outcomes and polyiatrogenesis – ‘medical harm caused by medical treatments on multiple fronts simultaneously and in conjunction with one another.’ Side effects, whether short-term or patients’ concerns about long-term harm, are the main reason for non-adherence to prescribed medications. So ‘equity’ which only implies drug treatment doesn’t involve equity at all. Poor diets may be foundational to the Western world’s health crisis. But are governments considering this? The antinomies are piling up. We are amid a global epidemic of metabolic syndrome. Insulin resistance, obesity, elevated triglyceride levels and low levels of high-density lipoprotein cholesterol, and elevated blood pressure haunt the people queuing up to see doctors. Research, from individual cases to clinical trials, consistently show that diets containing high levels of ultra-processed foods and carbohydrates amplify inflammation, oxidative stress, and insulin resistance. What researchers and scientists are also identifying, at the cellular level, in clinical and medical practice, and at the global level – is that insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from poor diets not only drive metabolic illness, but mental illnesses, compounding suffering. There is also ample evidence that the metabolic and mental health epidemic that is driving years lost due to disease, reducing productivity, and creating mayhem in personal lives – may be preventable and reversible. Doctors generally recognise that poor diets are a problem. Ultra-processed foods are strongly associated with adult and childhood ill health. Ultra-processed foods are ‘formulations of ingredients, mostly of exclusive industrial use, typically created by series of industrial techniques and processes (hence ‘ultra-processed’).’ In the USA young people under age 19 consume on average 67% of their diet, while adults consume around 60% of their diet in ultra-processed food. Ultra-processed food contributes 60% of UK children’s calories; 42% of Australian children’s calories and over half the dietary calories for children and adolescents in Canada. In New Zealand in 2009-2010, ultra-processed foods contributed to the 45% (12 months), 42% (24 months), and 51% (60 months) of energy intake to the diets of children. All too frequently, doctors are diagnosing both metabolic and mental illnesses. What may be predictable is that a person is likely to develop insulin resistance, inflammation, oxidative stress, and nutrient deficiencies from chronic exposure to ultra-processed food. How this will manifest in a disease or syndrome condition is reflective of a human equivalent of quantum entanglement. Cascades, feedback loops, and other interdependencies often leave doctors and patients bouncing from one condition to another, and managing medicine side effects and drug-drug relationships as they go. In New Zealand it is more common to have multiple conditions than a single condition. The costs of having two NCDs simultaneously is typically superadditive and ‘more so for younger adults.’ This information is outside the ‘work programme’ of the top echelons in the Ministry of Health: Official Information Act (OIA) requests confirm that the Ministries’ Directors General who are responsible for setting policy and long-term strategy aren’t considering these issues. The problem of multimorbidity and the overlapping, entangled relationship with ultra-processed food is outside of the scope of the work programme of the top directorates in our health agency. New Zealand’s Ministry of Health’s top deputy directors general might be earning a quarter of a million dollars each, but they are ignorant of the relationship of dietary nutrition and mental health. Nor are they seemingly aware of the extent of multimorbidity and the overlap between metabolic and mental illnesses. Neither the Public Health Agency Deputy Director-General – Dr Andrew Old, nor the Deputy Director-General Evidence, Research and Innovation, Dean Rutherford, nor the Deputy Director-General of Strategy Policy and Legislation, Maree Roberts, nor the Clinical, Community and Mental Health Deputy Director-General Robyn Shearer have been briefed on these relationships. If they’re not being briefed, policy won’t be developed to address dietary nutrition. Diet will be lower-order. The OIA request revealed that New Zealand’s Ministry of Health ‘does not widely use the metabolic syndrome classification.’ When I asked ‘How do you classify, or what term do you use to classify the cluster of symptoms characterised by central obesity, dyslipidemia, hypertension, and insulin resistance?’, they responded: ‘The conditions referred to are considered either on their own or as part of a broader cardiovascular disease risk calculation.’ This is interesting. What if governments should be calculating insulin resistance first, in order to then calculate a broader cardiovascular risk? What if insulin resistance, inflammation, and oxidative stress are appearing at younger and younger ages, and ultra-processed food is the major driver? Pre-diabetes and Type 2 diabetes are driven by too much blood glucose. Type 1 diabetics can’t make insulin, while Type 2 diabetics can’t make enough to compensate for their dietary intake of carbohydrates. One of insulin’s (many) jobs is to tuck away that blood glucose into cells (as fat) but when there are too many dietary carbohydrates pumping up blood glucose, the body can’t keep up. New Zealand practitioners use the HbA1c blood test, which measures the average blood glucose level over the past 2-3 months. In New Zealand, doctors diagnose pre-diabetes if HbA1c levels are 41-49 nmol/mol, and diabetes at levels of 50 nmol/mol and above. Type 2 diabetes management guidelines recommend that sugar intake should be reduced, while people should aim for consistent carbohydrates across the day. The New Zealand government does not recommend paleo or low-carbohydrate diets. If you have diabetes you are twice as likely to have heart disease or a stroke, and at a younger age. Prediabetes, which apparently 20% of Kiwis have, is also high-risk due to, as the Ministry of Health states: ‘increased risk of macrovascular complications and early death.’ The question might become – should we be looking at insulin levels, to more sensitively gauge risk at an early stage? Without more sensitive screens at younger ages these opportunities to repivot to avoid chronic disease are likely to be missed. Currently, Ministry of Health policies are unlikely to justify the funding of tests for insulin resistance by using three simple blood tests: fasting insulin, fasting lipids (cholesterol and triglycerides), and fasting glucose – to estimate where children, young people, and adults stand on the insulin resistance spectrum when other diagnoses pop up. Yet insulin plays a powerful role in brain health. Insulin supports neurotransmitter function and brain energy, directly impacting mood and behaviours. Insulin resistance might arrive before mental illness. Harvard-based psychiatrist Chris Palmer recounts in the book Brain Energy, a large 15,000-participant study of young people from age 0-24: ‘Children who had persistently high insulin levels (a sign of insulin resistance) beginning at age nine were five times more likely to be at risk for psychosis, meaning they were showing at least some worrisome signs, and they were three times for likely to already be diagnosed with bipolar disorder or schizophrenia by the time they turned twenty-four. This study clearly demonstrated that insulin resistance comes first, then psychosis.’ Psychiatrist Georgia Ede suggests that high blood glucose and high insulin levels act like a ‘deadly one-two punch’ for the brain, triggering waves of inflammation and oxidative stress. The blood-brain barrier becomes increasingly resistant to chronic high insulin levels. Even though the body might have higher blood insulin, the same may not be true for the brain. As Ede maintains, ‘cells deprived of adequate insulin ‘sputter and struggle to maintain normal operations.’ Looking at the relationship between brain health and high blood glucose and high insulin simply might not be on the programme for strategists looking at long-term planning. Nor are Directors General in a position to assess the role of food addiction. Ultra-processed food has addictive qualities designed into the product formulations. Food addiction is increasingly recognised as pervasive and difficult to manage as any substance addiction. But how many children and young people have insulin resistance and are showing markers for inflammation and oxidative stress – in the body and in the brain? To what extent do young people have both insulin resistance and depression resistance or ADHD or bipolar disorder? This kind of thinking is completely outside the work programme. But insulin levels, inflammation, and oxidative stress may not only be driving chronic illness – but driving the global mental health tsunami. Metabolic disorders are involved in complex pathways and feedback loops across body systems, and doctors learn this at medical school. Patterns and relationships between hormones, the brain, the gastrointestinal system, kidneys, and liver; as well as problems with joints and bone health, autoimmunity, nerves, and sensory conditions evolve from and revolve around metabolic health. Nutrition and diet are downplayed in medical school. What doctors don’t learn so much – the cognitive dissonance that they must accept throughout their training – is that metabolic health is commonly (except for some instances) shaped by the quality of dietary nutrition. The aetiology of a given condition can be very different, while the evidence that common chronic and mental illnesses are accompanied by oxidative stress, inflammation, and insulin resistance are primarily driven by diet – is growing stronger and stronger. But without recognising the overlapping relationships, policy to support healthy diets will remain limp. What we witness are notions of equity that support pharmaceutical delivery – not health delivery. What also inevitably happens is that ‘equity’ focuses on medical treatment. When the Ministry of Health prefers to atomise the different conditions or associate them with heart disease – they become single conditions to treat with single drugs. They’re lots of small problems, not one big problem, and insulin resistance is downplayed. But just as insulin resistance, inflammation, and oxidative stress send cascading impacts across body systems, systemic ignorance sends cascading effects across government departments tasked with ‘improving, promoting, and protecting health.’ It’s an injustice. The literature solidly points to lower socio-economic status driving much poorer diets and increased exposures to ultra-processed food, but the treatments exclusively involve drugs and therapy. Briefings to Incoming Ministers with the election of new Governments show how ignorance cascades across responsible authorities. Health New Zealand, Te Whatu Ora’s November 2023 Briefing to the new government outlined the agency’s obligations. However, the ‘health’ targets are medical, and the agency’s focus is on infrastructure, staff, and servicing. The promotion of health, and health equity, which can only be addressed by addressing the determinants of health, is not addressed. The Māori Health Authority and Health New Zealand Joint Briefing to the Incoming Minister for Mental Health does not address the role of diet and nutrition as a driver of mental illness and disorder in New Zealand. The issue of multimorbidity, the related problem of commensurate metabolic illness, and diet as a driver is outside scope. When the Briefing states that it is important to address the ‘social, cultural, environmental and economic determinants of mental health,’ without any sound policy footing, real movement to address diet will not happen, or will only happen ad hoc. The Mental Health and Wellbeing Commission, Te Hiringa Mahara’s November 2023 Briefing to Incoming Ministers that went to the Ministers for Health and Mental Health might use the term ‘well-being’ over 120 times – but was silent on the related and overlapping drivers of mental illness which include metabolic or multimorbidity, nutrition, or diet. Five years earlier, He Ara Ora, New Zealand’s 2018 Mental Health and Addiction enquiry had recognised that tāngata whaiora, people seeking wellness, or service users, also tend to have multiple health conditions. The enquiry recommended that a whole of government approach to well-being, prevention, and social determinants was required. Vague nods were made to diet and nutrition, but this was not sufficiently emphasised as to be a priority. He Ara Ora was followed by 2020 Long-term pathway to mental well-being viewed nutrition as being one of a range of factors. No policy framework strategically prioritised diet, nutrition, and healthy food. No governmental obligation or commitment was built into policy to improve access to healthy food or nutrition education. Understanding the science, the relationships, and the drivers of the global epidemic, is ‘outside the work programmes’ of New Zealand’s Ministry of Health and outside the scope of all the related authorities. There is an extraordinary amount of data in the scientific literature, so many case studies, cohort studies, and clinical trials. Popular books are being written, however government agencies remain ignorant. In the meantime, doctors must deal with the suffering in front of them without an adequate toolkit. Doctors and pharmacists are faced with a Hobson’s choice of managing multiple chronic conditions and complex drug cocktails, in patients at younger and younger ages. Ultimately, they are treating a patient whom they recognise will only become sicker, cost the health system more, and suffer more. Currently there is little support for New Zealand medical doctors (known as general practitioners, or GPs) in changing practices and recommendations to support non-pharmaceutical drug treatment approaches. Their medical education does not equip them to recognise the extent to which multiple co-existing conditions may be alleviated or reversed. Doctors are paid to prescribe, to inject, and to screen, not to ameliorate or reverse disease and lessen prescribing. The prescribing of nutrients is discouraged and as doctors do not have nutritional training, they hesitate to prescribe nutrients. Many do not want to risk going outside treatment guidelines. Recent surges in protocols and guidelines for medical doctors reduce flexibility and narrow treatment choices for doctors. If they were to be reported to the Medical Council of New Zealand, they would risk losing their medical license. They would then be unable to practice. Inevitably, without Ministry of Health leadership, medical doctors in New Zealand are unlikely to voluntarily prescribe non-drug modalities such as nutritional options to any meaningful extent, for fear of being reported. Yet some doctors are proactive, such as Dr Glen Davies in Taupo, New Zealand. Some doctors are in a better ‘place’ to work to alleviate and reverse long-term conditions. They may be later in their career, with 10-20 years of research into metabolism, dietary nutrition, and patient care, and motivated to guide a patient through a personal care regime which might alleviate or reverse a patient’s suffering. Barriers include resourcing. Doctors aren’t paid for reversing disease and taking patients off medications. Doctors witness daily the hopelessness felt by their patients in dealing with chronic conditions in their short 15-minute consultations, and the vigilance required for dealing with adverse drug effects. Drug non-compliance is associated with adverse effects suffered by patients. Yet without wrap-around support changing treatments, even if it has potential to alleviate multiple conditions, to reduce symptoms, lower prescribing and therefore lessen side effects, is just too uncertain. They saw what happened to disobedient doctors during Covid-19. Given such context, what are we to do? Have open public discussions about doctor-patient relationships and trust. Inform and overlay such conversations by drawing attention to the foundational Hippocratic Oath made by doctors, to first do no harm. Questions can be asked. If patients were to understand that diet may be an underlying driver of multiple conditions, and a change in diet and improvement in micronutrient status might alleviate suffering – would patients be more likely to change? Economically, if wrap-around services were provided in clinics to support dietary change, would less harm occur to patients from worsening conditions that accompany many diseases (such as Type 2 diabetes) and the ever-present problem of drug side-effects? Would education and wrap-around services in early childhood and youth delay or prevent the onset of multimorbid diagnoses? Is it more ethical to give young people a choice of treatment? Could doctors prescribe dietary changes and multinutrients and support change with wrap-around support when children and young people are first diagnosed with a mental health condition – from the clinic, to school, to after school? If that doesn’t work, then prescribe pharmaceutical drugs. Should children and young people be educated to appreciate the extent to which their consumption of ultra-processed food likely drives their metabolic and mental health conditions? Not just in a blithe ‘eat healthy’ fashion that patently avoids discussing addiction. Through deeper policy mechanisms, including cooking classes and nutritional biology by the implementation of nourishing, low-carbohydrate cooked school lunches. With officials uninformed, it’s easy to see why funding for Green Prescriptions that would support dietary changes have sputtered out. It’s easy to understand why neither the Ministry of Health nor Pharmac have proactively sourced multi-nutrient treatments that improve resilience to stress and trauma for low-income young people. Why there’s no discussion on a lower side-effect risk for multinutrient treatments. Why are there no policies in the education curriculum diving into the relationship between ultra-processed food and mental and physical health? It’s not in the work programme. There’s another surfacing dilemma. Currently, if doctors tell their patients that there is very good evidence that their disease or syndrome could be reversed, and this information is not held as factual information by New Zealand’s Ministry of Health – do doctors risk being accused of spreading misinformation? Government agencies have pivoted in the past 5 years to focus intensively on the problem of dis- and misinformation. New Zealand’s disinformation project states that Disinformation is false or modified information knowingly and deliberately shared to cause harm or achieve a broader aim. Misinformation is information that is false or misleading, though not created or shared with the direct intention of causing harm. Unfortunately, as we see, there is no division inside the Ministry of Health that reviews the latest evidence in the scientific literature, to ensure that policy decisions correctly reflect the latest evidence. There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet, and health. There is no independent, autonomous, public health research facility with sufficient long-term funding to translate dietary and nutritional evidence into policy, particularly if it contradicted current policy positions. Despite excellent research being undertaken, it is highly controlled, ad hoc, and frequently short-term. Problematically, there is no resourcing for those scientists to meaningfully feedback that information to either the Ministry of Health or to Members of Parliament and government Ministers. Dietary guidelines can become locked in, and contradictions can fail to be chewed over. Without the capacity to address errors, information can become outdated and misleading. Government agencies and elected members – from local councils all the way up to government Ministers, are dependent on being informed by the Ministry of Health, when it comes to government policy. When it comes to complex health conditions, and alleviating and reversing metabolic or mental illness, based on different patient capacity – from socio-economic, to cultural, to social, and taking into account capacity for change, what is sound, evidence-based information and what is misinformation? In the impasse, who can we trust? Published under a Creative Commons Attribution 4.0 International License For reprints, please set the canonical link back to the original Brownstone Institute Article and Author. Author J.R. Bruning is a consultant sociologist (B.Bus.Agribusiness; MA Sociology) based in New Zealand. Her work explores governance cultures, policy and the production of scientific and technical knowledge. Her Master’s thesis explored the ways science policy creates barriers to funding, stymying scientists’ efforts to explore upstream drivers of harm. Bruning is a trustee of Physicians & Scientists for Global Responsibility (PSGR.org.nz). Papers and writing can be found at TalkingRisk.NZ and at JRBruning.Substack.com and at Talking Risk on Rumble. View all posts Your financial backing of Brownstone Institute goes to support writers, lawyers, scientists, economists, and other people of courage who have been professionally purged and displaced during the upheaval of our times. You can help get the truth out through their ongoing work. https://brownstone.org/articles/the-silent-shame-of-health-institutions/
    BROWNSTONE.ORG
    The Silent Shame of Health Institutions ⋆ Brownstone Institute
    There is no scientific agency outside the Ministry of Health that has flexibility and the capacity to undertake autonomous, long-term monitoring and research in nutrition, diet and health.
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  • Firm helping Israel spy on Gaza includes genocide advocate
    Michael F. Brown Rights and Accountability 28 March 2024

    Palestinian children and adults try to secure food
    Giora Eiland, a retired Israeli major general, has pushed for a humanitarian crisis in Gaza, a position which has contributed to desperate scenes of Palestinians trying to secure food.
    Mahmoud Issa DPA
    The Israeli military is using Corsight facial recognition technology to collect information about Palestinians in Gaza according to The New York Times.

    “The facial recognition program, which is run by Israel’s military intelligence unit, including the cyber-intelligence division Unit 8200, relies on technology from Corsight, a private Israeli company, four intelligence officers said.”


    The Israeli military also employs Google Photos.

    Israel’s apartheid army detained, interrogated and beat Palestinian poet Mosab Abu Toha, a graduate of Syracuse University, with the assistance of Corsight’s facial recognition technology. Other Palestinians have been similarly detained via Corsight technology.
    Abu Toha notes Palestinians have died in Israeli custody.

    There is little complaint from western politicians. Corsight’s complicity isn’t seen as an urgent matter.

    Nor, for that matter, do most of these politicians give sufficient attention to Israel’s genocidal policies in Gaza.

    Board of directors

    Unmentioned by the Times is that Giora Eiland, a retired Israeli major general, serves on the board of directors of Corsight.

    When Eiland joined the board in January 2021, Igal Raichelgauz, chairman and founder of the Cortica Group, stated, “We are excited to add Giora to the company board, we believe that due to his extensive experience in the national security field, Corsight will continue growing into new markets and territories and lead the face recognition market in Israel and in the world.” Corsight is a subsidiary of Cortica, a firm focused on artificial intelligence.

    Eiland is a proponent of the ethnic cleansing of the occupied territory of Gaza.

    He wrote for the Israeli publication Ynet on 12 October that “One option is a massive and complex ground operation, with no regard to duration and cost, while the second option is to create conditions where life in Gaza becomes unsustainable.”

    In fact, Israel has done both.

    Eiland noted, without voicing dissent, that “Israel has already begun suspending the supply of diesel, fuel, electricity and water, as well as closing the border crossings. Yet, it remains uncertain whether these measures are enough.”

    He then moved to ethnic cleansing.

    “Israel issued a stern warning to Egypt and made it clear that it would not permit humanitarian aid from Egypt to enter Gaza. Israel needs to create a humanitarian crisis in Gaza, compelling tens of thousands or even hundreds of thousands to seek refuge in Egypt or the Gulf.”

    He said nothing of wanting such an arrangement to be temporary.

    Eiland then jumped beyond an ethnic cleansing of “tens of thousands or even hundreds of thousands.” He wrote: “The entire population of Gaza will either move to Egypt or move to the Gulf.”

    The retired general also recommended targeting civilian vehicles in Gaza.

    “Every vehicle in Gaza is considered a military vehicle transporting combatants. Therefore, there is no vehicular traffic, and it does not matter whether it is transporting water or other critical supplies.”

    Such rhetoric amounts to abetting war crimes and has had real consequences for Palestinian children such as 6-year-old Hind Rajab who, according to the Palestine Red Crescent, the Israeli military killed earlier this year in a car along with other family members.

    Eiland pushed collective punishment of Palestinians in Gaza as well.

    “The UN secretary-general has initiated humanitarian aid to Gaza. The Israeli condition for any aid should be a visit by the Red Cross to Israeli hostages and especially the civilians among them. Until this happens, no aid of any kind will be permitted to enter into Gaza.”

    Hinting at the overwhelming violence to come against Palestinian civilians, Eiland wrote of the developing Israeli attack: “It is comparable to the Japanese attack on Pearl Harbor, which led to the launch of an atomic bomb in Japan.”

    The Israeli military has killed over 32,000 Palestinians in Gaza since 7 October, including more than 13,000 children. The International Court of Justice deems it plausible that Israel is engaged in genocidal actions in the small coastal territory.

    Eiland wrapped up his opinion piece by declaring, “As a result, Gaza will become a place where no human being can exist, and I say this as a means rather than an end. I say this because there is no other option for ensuring the security of the state of Israel. We are fighting an existential war.”

    This goes beyond ethnic cleansing to genocide talk when speaking of “a place where no human being can exist.”


    Omer Bartov, a professor of Holocaust and genocide studies at Brown University, documented this and more from Eiland in a November opinion piece in The New York Times.
    He cited a column Eiland wrote in the Israeli newspaper Yedioth Ahronoth. The Brown University professor quoted Eiland as writing, “The state of Israel has no choice but to turn Gaza into a place that is temporarily or permanently impossible to live in.”

    Bartov also quoted Eiland for maintaining, “Creating a severe humanitarian crisis in Gaza is a necessary means to achieving the goal.”

    Then he cited the same Ynet quote noted above that “Gaza will become a place where no human being can exist.”

    Bartov commented, “Apparently, no army representative or politician denounced this statement.”

    Eiland continued with the genocidal talk in November when he wrote, “The international community warns of a humanitarian catastrophe in Gaza and of severe epidemics. We must not shy away from it, as hard as it is. After all, severe epidemics in the south of the Strip will hasten victory.”


    Corsight, with its invasive technology against a largely refugee population dispossessed in 1948, should expect heavy criticism with a board member calling for the ethnic cleansing of Gaza and to make the place uninhabitable.
    Of course, Democratic Majority for Israel received scant attention when it came to light that its board member Archie Gottesman once issued her own genocidal call against Palestinians in Gaza when she tweeted: “Gaza is full of monsters. Time to burn the whole place.”

    Ethnic cleansing and genocide against Palestinians don’t properly register with most western politicians who, of course, are providing weapons to Israel to carry out the devastation in Gaza.

    That Corsight carries out “global operations and support in the US, UK, Singapore, Australia, and R&D in Israel” with the backing of a board member proponent of ethnic cleansing and genocide will not be a significant concern in Washington.

    Popular concern, however, may prove to be a different matter.


    Corsight
    The New York Times
    Google Photos
    Mosab Abu Toha
    Syracuse University
    Igal Raichelgauz
    Cortica Group
    Giora Eiland
    Ynet
    ethnic cleansing
    Hind Rajab
    Palestine Red Crescent Society
    collective punishment
    International Court of Justice
    Gaza genocide
    Omer Bartov
    Brown University
    Democratic Majority for Israel
    Archie Gottesman
    Yediot Ahronot

    https://electronicintifada.net/blogs/michael-f-brown/firm-helping-israel-spy-gaza-includes-genocide-advocate
    Firm helping Israel spy on Gaza includes genocide advocate Michael F. Brown Rights and Accountability 28 March 2024 Palestinian children and adults try to secure food Giora Eiland, a retired Israeli major general, has pushed for a humanitarian crisis in Gaza, a position which has contributed to desperate scenes of Palestinians trying to secure food. Mahmoud Issa DPA The Israeli military is using Corsight facial recognition technology to collect information about Palestinians in Gaza according to The New York Times. “The facial recognition program, which is run by Israel’s military intelligence unit, including the cyber-intelligence division Unit 8200, relies on technology from Corsight, a private Israeli company, four intelligence officers said.” The Israeli military also employs Google Photos. Israel’s apartheid army detained, interrogated and beat Palestinian poet Mosab Abu Toha, a graduate of Syracuse University, with the assistance of Corsight’s facial recognition technology. Other Palestinians have been similarly detained via Corsight technology. Abu Toha notes Palestinians have died in Israeli custody. There is little complaint from western politicians. Corsight’s complicity isn’t seen as an urgent matter. Nor, for that matter, do most of these politicians give sufficient attention to Israel’s genocidal policies in Gaza. Board of directors Unmentioned by the Times is that Giora Eiland, a retired Israeli major general, serves on the board of directors of Corsight. When Eiland joined the board in January 2021, Igal Raichelgauz, chairman and founder of the Cortica Group, stated, “We are excited to add Giora to the company board, we believe that due to his extensive experience in the national security field, Corsight will continue growing into new markets and territories and lead the face recognition market in Israel and in the world.” Corsight is a subsidiary of Cortica, a firm focused on artificial intelligence. Eiland is a proponent of the ethnic cleansing of the occupied territory of Gaza. He wrote for the Israeli publication Ynet on 12 October that “One option is a massive and complex ground operation, with no regard to duration and cost, while the second option is to create conditions where life in Gaza becomes unsustainable.” In fact, Israel has done both. Eiland noted, without voicing dissent, that “Israel has already begun suspending the supply of diesel, fuel, electricity and water, as well as closing the border crossings. Yet, it remains uncertain whether these measures are enough.” He then moved to ethnic cleansing. “Israel issued a stern warning to Egypt and made it clear that it would not permit humanitarian aid from Egypt to enter Gaza. Israel needs to create a humanitarian crisis in Gaza, compelling tens of thousands or even hundreds of thousands to seek refuge in Egypt or the Gulf.” He said nothing of wanting such an arrangement to be temporary. Eiland then jumped beyond an ethnic cleansing of “tens of thousands or even hundreds of thousands.” He wrote: “The entire population of Gaza will either move to Egypt or move to the Gulf.” The retired general also recommended targeting civilian vehicles in Gaza. “Every vehicle in Gaza is considered a military vehicle transporting combatants. Therefore, there is no vehicular traffic, and it does not matter whether it is transporting water or other critical supplies.” Such rhetoric amounts to abetting war crimes and has had real consequences for Palestinian children such as 6-year-old Hind Rajab who, according to the Palestine Red Crescent, the Israeli military killed earlier this year in a car along with other family members. Eiland pushed collective punishment of Palestinians in Gaza as well. “The UN secretary-general has initiated humanitarian aid to Gaza. The Israeli condition for any aid should be a visit by the Red Cross to Israeli hostages and especially the civilians among them. Until this happens, no aid of any kind will be permitted to enter into Gaza.” Hinting at the overwhelming violence to come against Palestinian civilians, Eiland wrote of the developing Israeli attack: “It is comparable to the Japanese attack on Pearl Harbor, which led to the launch of an atomic bomb in Japan.” The Israeli military has killed over 32,000 Palestinians in Gaza since 7 October, including more than 13,000 children. The International Court of Justice deems it plausible that Israel is engaged in genocidal actions in the small coastal territory. Eiland wrapped up his opinion piece by declaring, “As a result, Gaza will become a place where no human being can exist, and I say this as a means rather than an end. I say this because there is no other option for ensuring the security of the state of Israel. We are fighting an existential war.” This goes beyond ethnic cleansing to genocide talk when speaking of “a place where no human being can exist.” Omer Bartov, a professor of Holocaust and genocide studies at Brown University, documented this and more from Eiland in a November opinion piece in The New York Times. He cited a column Eiland wrote in the Israeli newspaper Yedioth Ahronoth. The Brown University professor quoted Eiland as writing, “The state of Israel has no choice but to turn Gaza into a place that is temporarily or permanently impossible to live in.” Bartov also quoted Eiland for maintaining, “Creating a severe humanitarian crisis in Gaza is a necessary means to achieving the goal.” Then he cited the same Ynet quote noted above that “Gaza will become a place where no human being can exist.” Bartov commented, “Apparently, no army representative or politician denounced this statement.” Eiland continued with the genocidal talk in November when he wrote, “The international community warns of a humanitarian catastrophe in Gaza and of severe epidemics. We must not shy away from it, as hard as it is. After all, severe epidemics in the south of the Strip will hasten victory.” Corsight, with its invasive technology against a largely refugee population dispossessed in 1948, should expect heavy criticism with a board member calling for the ethnic cleansing of Gaza and to make the place uninhabitable. Of course, Democratic Majority for Israel received scant attention when it came to light that its board member Archie Gottesman once issued her own genocidal call against Palestinians in Gaza when she tweeted: “Gaza is full of monsters. Time to burn the whole place.” Ethnic cleansing and genocide against Palestinians don’t properly register with most western politicians who, of course, are providing weapons to Israel to carry out the devastation in Gaza. That Corsight carries out “global operations and support in the US, UK, Singapore, Australia, and R&D in Israel” with the backing of a board member proponent of ethnic cleansing and genocide will not be a significant concern in Washington. Popular concern, however, may prove to be a different matter. Corsight The New York Times Google Photos Mosab Abu Toha Syracuse University Igal Raichelgauz Cortica Group Giora Eiland Ynet ethnic cleansing Hind Rajab Palestine Red Crescent Society collective punishment International Court of Justice Gaza genocide Omer Bartov Brown University Democratic Majority for Israel Archie Gottesman Yediot Ahronot https://electronicintifada.net/blogs/michael-f-brown/firm-helping-israel-spy-gaza-includes-genocide-advocate
    ELECTRONICINTIFADA.NET
    Firm helping Israel spy on Gaza includes genocide advocate
    Retired general Giora Eiland has promoted making Gaza “a place where no human being can exist.”
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  • The story of Yazan Kafarneh, the boy who starved to death in Gaza
    Tareq S. HajjajMarch 25, 2024
    Yazan Kafarneh after dying of starvation. (Photo: Rabee' Abu Naqirah)
    Yazan Kafarneh after dying of starvation. (Photo: Rabee’ Abu Naqirah)
    This is not a photo of a mummy or an embalmed body retrieved from one of Gaza’s ancient cemeteries. This is a photo of Yazan Kafarneh, a child who died of severe malnutrition during Israel’s genocidal war on the Gaza Strip.

    Yazan’s family now lives in the Rab’a School in the Tal al-Sultan neighborhood in Rafah City. His father, Sharif Kafarneh, along with his mother, Marwa, and his three younger brothers, had fled Beit Hanoun in northern Gaza early on in the war.

    Yazan Kafarneh died at the age of nine, the eldest of four brothers — Mouin, 6, Ramzi, 4, and Muhammad, born during the war in a shelter four months ago.

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    Living in conditions not fit for human habitation, the grieving family had witnessed Yazan’s death before their eyes. It didn’t happen all at once but unfolded gradually over time, his frail body wasting away one day after another until there was nothing left of Yazan but skin and bones.

    Sharif was unable to do anything for his son. He died due to a congenital illness that required a special dietary regimen to keep him healthy. Israel’s systematic prevention of food from reaching the civilian population in Gaza meant that severe malnutrition — suffered by most children in the besieged enclave — in the case of Yazan meant death.

    “We first left from Beit Hanoun to Jabalia refugee camp,” Sharif told Mondoweiss. “Then the occupation called us again and warned us against staying where we were. So we left for Gaza City. Then, the occupation forced us to flee further south, and we did.”

    Yazan Kafarneh's parents and three brothers in their shelter in Rafah. (Photo: Tareq Hajjaj/Mondoweiss)
    Sharif Kafarneh’ (left), his wife Marwa (right), and their three surviving sons (center) in their shelter in Rafah. (Photo: Tareq Hajjaj/Mondoweiss)
    “If it weren’t for Yazan, I would have never left my home,” Sharif maintained. “Yazan required special care and nutrition.”

    Yazan suffered from a congenital form of muscular atrophy that made movement and speech difficult, but Sharif said that it never caused him much grief in his nine short years before the war.

    “He just had advanced nutritional needs,” Sharif explained. “But getting that food for him was never an issue before the war.”

    It was a point of pride for Sharif that he, a taxi driver, had never left his child wanting or deprived.

    “That changed in the war. The specific foods that he needed were cut off,” he said. “For instance, Yazan had to have milk and bananas for dinner every day. He can’t go a day without it, and sometimes he can have only bananas. This is what the doctors told us.”

    “After the war, I couldn’t get a single banana,” Sharif continued. “And for lunch, he had to have boiled vegetables and fruits that were pureed in a blender. We had no electricity for the blender, and there were no fruits or vegetables anymore.”

    As for breakfast, Yazan’s regimen demanded that he eat eggs. “Of course, there aren’t any more eggs in Rafah City,” Sharif said. “No fruits, no vegetables, no eggs, no bananas, nothing.”

    “But our child’s needs were never a problem for us,” Sharif rushed to add. “We loved taking care of him. He was the spoiled child of the family, and his younger brothers loved him and took care of him, too. God gave me a living so I could take care of him.”

    Due to his special needs, charitable societies used to visit Yazan’s home in Beit Hanoun before the war, providing various treatments such as physical therapy and speech therapy. All in all, Yazan had a functional, happy childhood.

    ‘He got thinner and thinner’

    The family continued to take care of Yazan throughout the war. They tried to make do with what they could find, trying as much as possible to find alternatives to the foods Yazan required. “I replaced bananas with halawa [a tahini-based confection], and I replaced eggs with bread soaked in tea,” Sharif said. “But these foods did not contain the nutrients that Yazan needed.”

    In addition to his nutritional needs, Yazan had specific medicines to take. Sharif used to bring him brain and muscle stimulants that helped him stay alive and mobile, allowing him to move around and crawl throughout their home. Those medicines ran out during the second week of the war.

    With the lack of nutrition and medication, his health took a turn for the worse. “I noticed him getting sick, and his body was becoming emaciated,” Sharif recounts. “He got thinner and thinner.”

    His family took him to al-Najjar Hospital in Rafah, where his health continued to deteriorate over the course of eleven days.

    “Even after we took him to the hospital, they couldn’t do anything for him,” Sharif continued. “All they were able to give him were IV fluids, and when his situation got worse, the hospital staff placed a feeding tube in his nose.”

    “My son required a tube with a 14-unit measurement, but all the hospital had was an 8-unit,” he added.

    When asked what was the most important factor that led to the deterioration of his son’s condition, Sharif said that it was the environment he lived in. “Before the war, he was in the right environment. After, everything was wrong. He was in his own home, but then he was uprooted to a shelter in Rafah.”

    “The situation we’re living in isn’t fit for humans, let alone a sick child,” Sharif explained. “In the camps, people would light fires to keep themselves warm, but the smoke would cause Yazan to cough and suffocate, and we weren’t able to tell them to turn their fires off because everyone was so cold.”

    Dr. Muhammad al-Sabe’, a pediatric surgeon in Rafah who works at the al-Awda, al-Najjar, and al-Kuwaiti hospitals, took a special interest in Yazan’s case.

    “The harsh conditions Yazan had to endure, including malnutrition, were the main factors contributing to the deterioration of his health and his ultimate death,” Dr. al-Sabe’ told Mondoweiss. “This is a genetic and congenital illness, and it requires special care every day, including specific proteins, IV medicines, and daily physical therapy, which isn’t available at Rafah.”

    “If things don’t change, if they stay the way they are, we’re going to witness mass death among children.”
    Dr. Muhammad al-Sabe’normal
    Dr. al-Sabe’ said that most foods administered to patients who cannot feed themselves through feeding tubes are unavailable in Gaza. “The occupation prevents these specific foods and medicines from coming in,” he explained. “Including a medicine called Ensure.”

    Ensure is a special nutritional supplement used in medical settings for what is called “enteral nutrition” — feeding patients through a nasal tube.

    “Special treatment for patients, especially children, is nonexistent,” Dr. al-Sabe’ added. “We don’t even have diapers, let alone baby formula and nutritional supplements.”

    “If things don’t change, if they stay the way they are, we’re going to witness mass death among children,” he stressed. “If any child doesn’t receive nutrition for an entire week, that child will eventually die. And even if malnourished children are eventually provided with nutrition, they will likely suffer lifelong health consequences.”

    “If medicine is cut off from children who need it for one week, this will also likely lead to their death,” he continued.

    Yazan Kafarneh after dying of starvation. (Photo: Rabee' Abu Naqirah)
    Images of Yazan Kafarneh’s emaciated body circulated widely on social media. (Photo: Rabee’ Abu Naqirah)
    Children disproportionately affected by famine

    According to a UNICEF humanitarian situation report on March 22, 2.23 million people in Gaza suffer at least from “acute food insecurity,” while half of that population (1.1 million people) suffers from “catastrophic food insecurity,” meaning that “famine is imminent for half of the population.”

    An earlier report in December 2023 had already concluded that all children in Gaza under five years old (estimated to be 335,000 children) are “at high risk of severe malnutrition and preventable death.” UNICEF’s most recent March 22 report estimates that the famine threshold for “acute food insecurity” has already been “far exceeded,” while it is highly likely that the famine threshold for “acute malnutrition” has also been exceeded. Moreover, UNICEF said that the Famine Review Committee predicted that famine would manifest in Gaza anywhere between March and May of this year.

    Dr. al-Sabe’ stresses that such dire conditions disproportionately affect children, who have advanced nutritional needs compared to adults.

    “Their bodies are weak, and they don’t have large stores of muscle and fat,” he explained. “Even one day of no food for a young child will lead to consequences that are difficult to control in the future.”

    “An adult male may go a week without food before signs of malnutrition begin to show,” he continued. “Not so with children. Their muscle mass increases whenever they eat, which in turn leads to a greater need for nutrients.”

    The lack of nutrients means that children will grow weak, the pediatric surgeon said, and that they will quickly begin to exhibit symptoms such as fatigue, sleepiness, diarrhea, vomiting, anemia, sunken eyes, and joint pains. For the same reason, Dr. al-Sabe maintained, children also respond to treatment fairly quickly — but “on the condition that they have not experienced malnutrition for more than a week.”

    After one week, reversing the effects of malnutrition becomes much more difficult. Al-Sabe’ asserts that children’s digestive tracts will slow down, they might begin to suffer from kidney failure, and their bellies can swell with fluids.

    That is what is particularly devastating for Gaza — over 335,000 children have undergone varying degrees of extreme malnutrition for months on end. The consequences are difficult to fathom on a population-wide level and for future generations. As of the time of writing, over 30 children have already died due to malnutrition in northern Gaza, but the real number is likely much higher given the lack of reporting in many areas in the north.

    ‘He didn’t need a miracle to save him’

    Yazan’s mother, Marwa Kafarneh, could barely contain her tears as she spoke of her son.

    “He was a normal boy despite his illness,” she told Mondoweiss. “He played with his brothers. He crawled and moved about, and he could open closets and use the phone, and he would watch things on it for hours.”

    “He could have lived a long life, a normal life,” she continued. “His father would have brought him everything that he needed. He wouldn’t have had to feel hungry for even a single day.”

    When she saw that the images of her son’s emaciated body had gone viral on social media, Marwa said that she preferred death over looking at the photos. “My eldest son died in front of my eyes, in front of all of our eyes,” she said. “We weren’t able to save him. And he didn’t need a miracle to save him either. All he needed was the food that we’ve always been able to provide for him.”

    Reflecting as she cried, she added: “But finding that food in Gaza today takes nothing less than a miracle.”

    Tareq S. Hajjaj
    Tareq S. Hajjaj is the Mondoweiss Gaza Correspondent and a member of the Palestinian Writers Union. He studied English Literature at Al-Azhar University in Gaza. He started his career in journalism in 2015, working as a news writer and translator for the local newspaper Donia al-Watan. He has reported for Elbadi, Middle East Eye, and Al-Monitor. Follow him on Twitter at @Tareqshajjaj.

    BEFORE YOU GO – At Mondoweiss, we understand the power of telling Palestinian stories. For 17 years, we have pushed back when the mainstream media published lies or echoed politicians’ hateful rhetoric. Now, Palestinian voices are more important than ever.

    Our traffic has increased ten times since October 7, and we need your help to cover our increased expenses.

    Support our journalists with a donation today.

    https://mondoweiss.net/2024/03/the-story-of-yazan-kafarneh-the-boy-who-starved-to-death-in-gaza/
    The story of Yazan Kafarneh, the boy who starved to death in Gaza Tareq S. HajjajMarch 25, 2024 Yazan Kafarneh after dying of starvation. (Photo: Rabee' Abu Naqirah) Yazan Kafarneh after dying of starvation. (Photo: Rabee’ Abu Naqirah) This is not a photo of a mummy or an embalmed body retrieved from one of Gaza’s ancient cemeteries. This is a photo of Yazan Kafarneh, a child who died of severe malnutrition during Israel’s genocidal war on the Gaza Strip. Yazan’s family now lives in the Rab’a School in the Tal al-Sultan neighborhood in Rafah City. His father, Sharif Kafarneh, along with his mother, Marwa, and his three younger brothers, had fled Beit Hanoun in northern Gaza early on in the war. Yazan Kafarneh died at the age of nine, the eldest of four brothers — Mouin, 6, Ramzi, 4, and Muhammad, born during the war in a shelter four months ago. Advertisement Watch now: ANGELA DAVIS on Witnessing Palestine with Frank Barat Living in conditions not fit for human habitation, the grieving family had witnessed Yazan’s death before their eyes. It didn’t happen all at once but unfolded gradually over time, his frail body wasting away one day after another until there was nothing left of Yazan but skin and bones. Sharif was unable to do anything for his son. He died due to a congenital illness that required a special dietary regimen to keep him healthy. Israel’s systematic prevention of food from reaching the civilian population in Gaza meant that severe malnutrition — suffered by most children in the besieged enclave — in the case of Yazan meant death. “We first left from Beit Hanoun to Jabalia refugee camp,” Sharif told Mondoweiss. “Then the occupation called us again and warned us against staying where we were. So we left for Gaza City. Then, the occupation forced us to flee further south, and we did.” Yazan Kafarneh's parents and three brothers in their shelter in Rafah. (Photo: Tareq Hajjaj/Mondoweiss) Sharif Kafarneh’ (left), his wife Marwa (right), and their three surviving sons (center) in their shelter in Rafah. (Photo: Tareq Hajjaj/Mondoweiss) “If it weren’t for Yazan, I would have never left my home,” Sharif maintained. “Yazan required special care and nutrition.” Yazan suffered from a congenital form of muscular atrophy that made movement and speech difficult, but Sharif said that it never caused him much grief in his nine short years before the war. “He just had advanced nutritional needs,” Sharif explained. “But getting that food for him was never an issue before the war.” It was a point of pride for Sharif that he, a taxi driver, had never left his child wanting or deprived. “That changed in the war. The specific foods that he needed were cut off,” he said. “For instance, Yazan had to have milk and bananas for dinner every day. He can’t go a day without it, and sometimes he can have only bananas. This is what the doctors told us.” “After the war, I couldn’t get a single banana,” Sharif continued. “And for lunch, he had to have boiled vegetables and fruits that were pureed in a blender. We had no electricity for the blender, and there were no fruits or vegetables anymore.” As for breakfast, Yazan’s regimen demanded that he eat eggs. “Of course, there aren’t any more eggs in Rafah City,” Sharif said. “No fruits, no vegetables, no eggs, no bananas, nothing.” “But our child’s needs were never a problem for us,” Sharif rushed to add. “We loved taking care of him. He was the spoiled child of the family, and his younger brothers loved him and took care of him, too. God gave me a living so I could take care of him.” Due to his special needs, charitable societies used to visit Yazan’s home in Beit Hanoun before the war, providing various treatments such as physical therapy and speech therapy. All in all, Yazan had a functional, happy childhood. ‘He got thinner and thinner’ The family continued to take care of Yazan throughout the war. They tried to make do with what they could find, trying as much as possible to find alternatives to the foods Yazan required. “I replaced bananas with halawa [a tahini-based confection], and I replaced eggs with bread soaked in tea,” Sharif said. “But these foods did not contain the nutrients that Yazan needed.” In addition to his nutritional needs, Yazan had specific medicines to take. Sharif used to bring him brain and muscle stimulants that helped him stay alive and mobile, allowing him to move around and crawl throughout their home. Those medicines ran out during the second week of the war. With the lack of nutrition and medication, his health took a turn for the worse. “I noticed him getting sick, and his body was becoming emaciated,” Sharif recounts. “He got thinner and thinner.” His family took him to al-Najjar Hospital in Rafah, where his health continued to deteriorate over the course of eleven days. “Even after we took him to the hospital, they couldn’t do anything for him,” Sharif continued. “All they were able to give him were IV fluids, and when his situation got worse, the hospital staff placed a feeding tube in his nose.” “My son required a tube with a 14-unit measurement, but all the hospital had was an 8-unit,” he added. When asked what was the most important factor that led to the deterioration of his son’s condition, Sharif said that it was the environment he lived in. “Before the war, he was in the right environment. After, everything was wrong. He was in his own home, but then he was uprooted to a shelter in Rafah.” “The situation we’re living in isn’t fit for humans, let alone a sick child,” Sharif explained. “In the camps, people would light fires to keep themselves warm, but the smoke would cause Yazan to cough and suffocate, and we weren’t able to tell them to turn their fires off because everyone was so cold.” Dr. Muhammad al-Sabe’, a pediatric surgeon in Rafah who works at the al-Awda, al-Najjar, and al-Kuwaiti hospitals, took a special interest in Yazan’s case. “The harsh conditions Yazan had to endure, including malnutrition, were the main factors contributing to the deterioration of his health and his ultimate death,” Dr. al-Sabe’ told Mondoweiss. “This is a genetic and congenital illness, and it requires special care every day, including specific proteins, IV medicines, and daily physical therapy, which isn’t available at Rafah.” “If things don’t change, if they stay the way they are, we’re going to witness mass death among children.” Dr. Muhammad al-Sabe’normal Dr. al-Sabe’ said that most foods administered to patients who cannot feed themselves through feeding tubes are unavailable in Gaza. “The occupation prevents these specific foods and medicines from coming in,” he explained. “Including a medicine called Ensure.” Ensure is a special nutritional supplement used in medical settings for what is called “enteral nutrition” — feeding patients through a nasal tube. “Special treatment for patients, especially children, is nonexistent,” Dr. al-Sabe’ added. “We don’t even have diapers, let alone baby formula and nutritional supplements.” “If things don’t change, if they stay the way they are, we’re going to witness mass death among children,” he stressed. “If any child doesn’t receive nutrition for an entire week, that child will eventually die. And even if malnourished children are eventually provided with nutrition, they will likely suffer lifelong health consequences.” “If medicine is cut off from children who need it for one week, this will also likely lead to their death,” he continued. Yazan Kafarneh after dying of starvation. (Photo: Rabee' Abu Naqirah) Images of Yazan Kafarneh’s emaciated body circulated widely on social media. (Photo: Rabee’ Abu Naqirah) Children disproportionately affected by famine According to a UNICEF humanitarian situation report on March 22, 2.23 million people in Gaza suffer at least from “acute food insecurity,” while half of that population (1.1 million people) suffers from “catastrophic food insecurity,” meaning that “famine is imminent for half of the population.” An earlier report in December 2023 had already concluded that all children in Gaza under five years old (estimated to be 335,000 children) are “at high risk of severe malnutrition and preventable death.” UNICEF’s most recent March 22 report estimates that the famine threshold for “acute food insecurity” has already been “far exceeded,” while it is highly likely that the famine threshold for “acute malnutrition” has also been exceeded. Moreover, UNICEF said that the Famine Review Committee predicted that famine would manifest in Gaza anywhere between March and May of this year. Dr. al-Sabe’ stresses that such dire conditions disproportionately affect children, who have advanced nutritional needs compared to adults. “Their bodies are weak, and they don’t have large stores of muscle and fat,” he explained. “Even one day of no food for a young child will lead to consequences that are difficult to control in the future.” “An adult male may go a week without food before signs of malnutrition begin to show,” he continued. “Not so with children. Their muscle mass increases whenever they eat, which in turn leads to a greater need for nutrients.” The lack of nutrients means that children will grow weak, the pediatric surgeon said, and that they will quickly begin to exhibit symptoms such as fatigue, sleepiness, diarrhea, vomiting, anemia, sunken eyes, and joint pains. For the same reason, Dr. al-Sabe maintained, children also respond to treatment fairly quickly — but “on the condition that they have not experienced malnutrition for more than a week.” After one week, reversing the effects of malnutrition becomes much more difficult. Al-Sabe’ asserts that children’s digestive tracts will slow down, they might begin to suffer from kidney failure, and their bellies can swell with fluids. That is what is particularly devastating for Gaza — over 335,000 children have undergone varying degrees of extreme malnutrition for months on end. The consequences are difficult to fathom on a population-wide level and for future generations. As of the time of writing, over 30 children have already died due to malnutrition in northern Gaza, but the real number is likely much higher given the lack of reporting in many areas in the north. ‘He didn’t need a miracle to save him’ Yazan’s mother, Marwa Kafarneh, could barely contain her tears as she spoke of her son. “He was a normal boy despite his illness,” she told Mondoweiss. “He played with his brothers. He crawled and moved about, and he could open closets and use the phone, and he would watch things on it for hours.” “He could have lived a long life, a normal life,” she continued. “His father would have brought him everything that he needed. He wouldn’t have had to feel hungry for even a single day.” When she saw that the images of her son’s emaciated body had gone viral on social media, Marwa said that she preferred death over looking at the photos. “My eldest son died in front of my eyes, in front of all of our eyes,” she said. “We weren’t able to save him. And he didn’t need a miracle to save him either. All he needed was the food that we’ve always been able to provide for him.” Reflecting as she cried, she added: “But finding that food in Gaza today takes nothing less than a miracle.” Tareq S. Hajjaj Tareq S. Hajjaj is the Mondoweiss Gaza Correspondent and a member of the Palestinian Writers Union. He studied English Literature at Al-Azhar University in Gaza. He started his career in journalism in 2015, working as a news writer and translator for the local newspaper Donia al-Watan. He has reported for Elbadi, Middle East Eye, and Al-Monitor. Follow him on Twitter at @Tareqshajjaj. BEFORE YOU GO – At Mondoweiss, we understand the power of telling Palestinian stories. For 17 years, we have pushed back when the mainstream media published lies or echoed politicians’ hateful rhetoric. Now, Palestinian voices are more important than ever. Our traffic has increased ten times since October 7, and we need your help to cover our increased expenses. Support our journalists with a donation today. https://mondoweiss.net/2024/03/the-story-of-yazan-kafarneh-the-boy-who-starved-to-death-in-gaza/
    MONDOWEISS.NET
    The story of Yazan Kafarneh, the boy who starved to death in Gaza
    9-year-old Yazan Kafarneh died of a congenital illness turned deadly by severe malnutrition under Israel’s genocidal siege. “He didn’t need a miracle to save him,” cries his mother. “All he needed was the food we’ve always been able to provide him.”
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  • Harvard University Drops COVID-19 Vaccine Mandate

    🇺🇸💉The Harvard University Health Services confirmed this week that the school will no longer require students to receive a COVID-19 vaccine.

    "We strongly recommend that all members of the Harvard community stay up-to-date on COVID-19 vaccines, including boosters if eligible," reads a notice on the University website. "Additionally, we continue to emphasize the benefits of wearing a high-quality face mask in crowded indoor settings and remaining at home if unwell."

    "HUHS considers state and federal guidance, along with advice from the University’s public health experts, in responding to COVID-19. We will continue to monitor public health data and will periodically review requirements," it continued.

    Harvard and other elite universities came under fire during the pandemic for the mandates, which several have held to long after the height of the lockdowns.

    In early 2022, university policies attracted considerable scrutiny in light of mounting evidence that two-dose mRNA vaccination coincided with a high rate of heart inflammation among young adults.

    "Students are the lowest risk population on planet Earth," Johns Hopkins University medical professor Marty Makary at the time. He further described the vaccine mandates as "a kind of martial law."

    Source:
    https://justthenews.com/politics-policy/education/harvard-drops-covid-19-vaccine-mandate

    Join ➡️ @ShankaraChetty
    Harvard University Drops COVID-19 Vaccine Mandate 🇺🇸💉The Harvard University Health Services confirmed this week that the school will no longer require students to receive a COVID-19 vaccine. "We strongly recommend that all members of the Harvard community stay up-to-date on COVID-19 vaccines, including boosters if eligible," reads a notice on the University website. "Additionally, we continue to emphasize the benefits of wearing a high-quality face mask in crowded indoor settings and remaining at home if unwell." "HUHS considers state and federal guidance, along with advice from the University’s public health experts, in responding to COVID-19. We will continue to monitor public health data and will periodically review requirements," it continued. Harvard and other elite universities came under fire during the pandemic for the mandates, which several have held to long after the height of the lockdowns. In early 2022, university policies attracted considerable scrutiny in light of mounting evidence that two-dose mRNA vaccination coincided with a high rate of heart inflammation among young adults. "Students are the lowest risk population on planet Earth," Johns Hopkins University medical professor Marty Makary at the time. He further described the vaccine mandates as "a kind of martial law." Source: https://justthenews.com/politics-policy/education/harvard-drops-covid-19-vaccine-mandate Join ➡️ @ShankaraChetty
    JUSTTHENEWS.COM
    Harvard drops COVID-19 vaccine mandate
    Harvard and other elite universities came under fire during the pandemic for the mandates, which several have held to long after the height of the lockdowns.
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  • Bill Rice Jr.'s Newsletter substack, worth the read, once again, enlightening and Bill writes with a unique style, i know him, support him: "I’m caught in ‘The Twilight Zone’, Which isn’t in some far


    Bill Rice Jr.'s Newsletter substack, worth the read, once again, enlightening and Bill writes with a unique style, i know him, support him: "I’m caught in ‘The Twilight Zone’, Which isn’t in some far
    away galaxy or a hidden dimension of time. It's right here ... right now."

    Dr. Paul Alexander
    Bill Rice Jr.'s Newsletter


    Bill Rice Jr.'s Newsletter

    I’m caught in ‘The Twilight Zone’

    Since it’s one of the best TV shows ever, I’ve recently been binge-watching old episodes of “The Twilight Zone.” I don’t know if I recommend this form of entertainment because I now feel like I’m a character inside a “Twilight Zone” storyline. It’s like I’m living in a dream and my dream includes its own dreams…

    Read more

    2 months ago · 110 likes · 147 comments · Bill Rice, Jr.

    ‘Since it’s one of the best TV shows ever, I’ve recently been binge-watching old episodes of “The Twilight Zone.” I don’t know if I recommend this form of entertainment because I now feel like I’m a character inside a “Twilight Zone” storyline.

    It’s like I’m living in a dream and my dream includes its own dreams, which may or may not even be a dream.

    As everyone who’s watched a few episodes of Rod Serling’s classic TV series knows, many characters in “The Twilight Zone” are living through some nightmare existence that slowly dawns on them.

    The horror comes from the characters’ knowledge that they might be the only person who sees that something Big and terrifying has changed in the world.

    I can’t say we’re all living in a real-world “Twilight Zone” episode … because most people on the planet still think everything is the same or as normal as ever. It’s only a certain percentage of (unlucky) citizens who “get” what’s happening.

    If everyone thought the same things and viewed the world exactly the same way, our story would lack the requisite “dramatic tension.” For drama to exist, someone has to know something’s not right here.

    In many “Twilight Zone” episodes, when a character tries to scream this out, he’s met with blank or sad stares and is told he’s the crazy and dangerous person.

    A central part of the horror comes from the fact the organizations and intelligent people who are supposed to know what’s happening either don’t know this … or they are actually responsible for our new “Twilight Zone” rules and order.

    (What is the “Twilight Zone?” Short answer: Our “New Normal.”)

    The main characters in our dramas are really looking for proof they’re not insane, that some “adult in the room” has also picked up on what’s happening and will ultimately save the world.

    But our dreams - which have now become reality - shows this isn’t going to occur either. The alleged “truth-seekers” either can’t see the truths or these people and organizations now exist to conceal these truths, which would mean they are all a part of some massive insanity-producing conspiracy.

    The layers of horror only multiply when our protagonists realize that it’s not just, say, Covid lies that are being promulgated. The thought quickly occurs to anyone stuck in “The Twilight Zone” that a litany of truth-concealing conspiracies must have been occurring all along and are still occurring.

    The real jolt of horror comes from the realization that, moving forward, this is probably the way things are always going to be.

    This would be a captivating ‘Twilight Zone’ episode …

    A riveting episode of “The Twilight Zone” might depict, say, a U.S. president who has obvious dementia, which gets worse every day he serves in the White House. The episode could chronicle awkward episodes from this patient’s every-day life that make it clear he’s suffering from serious cognitive issues.

    But the real horror wouldn’t come from these events. Instead, they would come as the script’s author increasingly reveals all of the officials and journalists who know this is happening to the leader of the free world … and none of them care.

    Indeed, their daily activities increasingly consist of covering-up this reality from the public. The horror comes from the fact the audience sees the massive number of people are who are determined to hide these truths from the public.

    That is, viewers learn this is no small conspiracy. It’s a massive conspiracy. And if these trust-worthy leaders and officials are pulling off this conspiracy, they must be involved in many larger and even more scandalous conspiracies.

    How would Rod Serling have treated Covid-19?

    It would be interesting to see how Rod Serling and his team of writers might have treated Covid-19 in a series of “Twilight Zone” episodes.

    Traditional Hollywood would show us that a deadly virus had assaulted the world and government scientists fought the virus and saved most people. But this would be fiction.

    The more original and provocative story might be the true story. The world’s alleged leaders “protected” the world from a virus that wasn’t even that deadly and all the horror came from the draconian responses to the non-threat.

    The protagonists of this story would be the people who figured this out. Modern-day “Twilight Zone” episodes would show how these people were vilified and punished for not going along with the official story-line. Or made to feel crazy and worthy of commitment.

    Viewers would learn that every important organization that is supposed to reveal the truth is, in fact, completely captured.

    The investigative journalists are captured, as are all the brilliant people at all the colleges … all the politicians and most of the doctors, plus the prestigious scientific organizations and the great companies of the world, etc.

    They were - and still are - all in on it.

    The horror of our real “Twilight Zone” episode is that some people can now so easily see how “The Twilight Zone” became possible. All it takes is for every important organization to become completely captured.

    The few people who, for some reason, weren’t captured - who didn’t drink the Kool-Aid - are the people who are left living through a real episode of “The Twilight Zone.”

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    Stephen King doesn’t understand the real horror story of Covid

    After Rod Serling, the master of horror became prolific author Stephen King. Perhaps King’s most memorable novel is The Stand, which tells the story of how a super flu kills 99 percent of the world population.

    That flu was created by mad scientists, who allowed this virus to escape onto the world. The irony is that King is in the group of influencers who bought the official narrative that the super flu of Covid-19 was naturally-occurring and that the public should have been locked down for years to protect them from this non-deadly virus.

    On top of that, according to King, the public should have lined up to get an experimental mRNA shots produced by the Military Industrial Complex and Big Pharma.

    That is, even Stephen King never realized who the real villains might be in the Covid story. In the authorized story, the villains were the citizens who didn’t believe Anthony Fauci, the people who didn’t want to take these shots or who were not afraid to leave their house.

    Still, King told his millions of fans: Be very afraid … do what Anthony Fauci says … or you too might die.

    As it turns out, the “good guys” were the government and the mega companies …. and the Fourth Estate published only the truth.

    The real Twilight Zone was not in a galaxy far, far away …

    I say Stephen King is no Rod Serling.

    For my part, I think Serling would have gotten what happened and why … and what the truly terrifying story was.

    I’ve now watched dozens of old “Twilight Zone” episodes. I’m struck by how prescient many of these storylines were. What scares me is that “The Twilight Zone” isn’t some place far out in space or some alternative dimension of reality. It’s right here on earth … right now.

    We’re all living in it, if only 15 percent of the population realizes this.

    All it takes is every important organization and leader to become captured, which wasn’t really that hard to achieve.

    For almost four years I feel like I’ve been living in a “Twilight Zone” episode. I’ve even written columns about this, basically screaming: “Someone help me! Something is wrong here!”

    But sending out a message-in-a-bottle on Substack hasn’t worked for me. I’m still in this dream. I haven’t woke up yet.

    Truth be told, I don’t know how this story’s going to end. Rod Serling didn’t tell us how to get out of The Twilight Zone.’

    https://palexander.substack.com/p/bill-rice-jrs-newsletter-substack

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    https://t.me/DrPaulAlexander
    Bill Rice Jr.'s Newsletter substack, worth the read, once again, enlightening and Bill writes with a unique style, i know him, support him: "I’m caught in ‘The Twilight Zone’, Which isn’t in some far Bill Rice Jr.'s Newsletter substack, worth the read, once again, enlightening and Bill writes with a unique style, i know him, support him: "I’m caught in ‘The Twilight Zone’, Which isn’t in some far away galaxy or a hidden dimension of time. It's right here ... right now." Dr. Paul Alexander Bill Rice Jr.'s Newsletter Bill Rice Jr.'s Newsletter I’m caught in ‘The Twilight Zone’ Since it’s one of the best TV shows ever, I’ve recently been binge-watching old episodes of “The Twilight Zone.” I don’t know if I recommend this form of entertainment because I now feel like I’m a character inside a “Twilight Zone” storyline. It’s like I’m living in a dream and my dream includes its own dreams… Read more 2 months ago · 110 likes · 147 comments · Bill Rice, Jr. ‘Since it’s one of the best TV shows ever, I’ve recently been binge-watching old episodes of “The Twilight Zone.” I don’t know if I recommend this form of entertainment because I now feel like I’m a character inside a “Twilight Zone” storyline. It’s like I’m living in a dream and my dream includes its own dreams, which may or may not even be a dream. As everyone who’s watched a few episodes of Rod Serling’s classic TV series knows, many characters in “The Twilight Zone” are living through some nightmare existence that slowly dawns on them. The horror comes from the characters’ knowledge that they might be the only person who sees that something Big and terrifying has changed in the world. I can’t say we’re all living in a real-world “Twilight Zone” episode … because most people on the planet still think everything is the same or as normal as ever. It’s only a certain percentage of (unlucky) citizens who “get” what’s happening. If everyone thought the same things and viewed the world exactly the same way, our story would lack the requisite “dramatic tension.” For drama to exist, someone has to know something’s not right here. In many “Twilight Zone” episodes, when a character tries to scream this out, he’s met with blank or sad stares and is told he’s the crazy and dangerous person. A central part of the horror comes from the fact the organizations and intelligent people who are supposed to know what’s happening either don’t know this … or they are actually responsible for our new “Twilight Zone” rules and order. (What is the “Twilight Zone?” Short answer: Our “New Normal.”) The main characters in our dramas are really looking for proof they’re not insane, that some “adult in the room” has also picked up on what’s happening and will ultimately save the world. But our dreams - which have now become reality - shows this isn’t going to occur either. The alleged “truth-seekers” either can’t see the truths or these people and organizations now exist to conceal these truths, which would mean they are all a part of some massive insanity-producing conspiracy. The layers of horror only multiply when our protagonists realize that it’s not just, say, Covid lies that are being promulgated. The thought quickly occurs to anyone stuck in “The Twilight Zone” that a litany of truth-concealing conspiracies must have been occurring all along and are still occurring. The real jolt of horror comes from the realization that, moving forward, this is probably the way things are always going to be. This would be a captivating ‘Twilight Zone’ episode … A riveting episode of “The Twilight Zone” might depict, say, a U.S. president who has obvious dementia, which gets worse every day he serves in the White House. The episode could chronicle awkward episodes from this patient’s every-day life that make it clear he’s suffering from serious cognitive issues. But the real horror wouldn’t come from these events. Instead, they would come as the script’s author increasingly reveals all of the officials and journalists who know this is happening to the leader of the free world … and none of them care. Indeed, their daily activities increasingly consist of covering-up this reality from the public. The horror comes from the fact the audience sees the massive number of people are who are determined to hide these truths from the public. That is, viewers learn this is no small conspiracy. It’s a massive conspiracy. And if these trust-worthy leaders and officials are pulling off this conspiracy, they must be involved in many larger and even more scandalous conspiracies. How would Rod Serling have treated Covid-19? It would be interesting to see how Rod Serling and his team of writers might have treated Covid-19 in a series of “Twilight Zone” episodes. Traditional Hollywood would show us that a deadly virus had assaulted the world and government scientists fought the virus and saved most people. But this would be fiction. The more original and provocative story might be the true story. The world’s alleged leaders “protected” the world from a virus that wasn’t even that deadly and all the horror came from the draconian responses to the non-threat. The protagonists of this story would be the people who figured this out. Modern-day “Twilight Zone” episodes would show how these people were vilified and punished for not going along with the official story-line. Or made to feel crazy and worthy of commitment. Viewers would learn that every important organization that is supposed to reveal the truth is, in fact, completely captured. The investigative journalists are captured, as are all the brilliant people at all the colleges … all the politicians and most of the doctors, plus the prestigious scientific organizations and the great companies of the world, etc. They were - and still are - all in on it. The horror of our real “Twilight Zone” episode is that some people can now so easily see how “The Twilight Zone” became possible. All it takes is for every important organization to become completely captured. The few people who, for some reason, weren’t captured - who didn’t drink the Kool-Aid - are the people who are left living through a real episode of “The Twilight Zone.” Share Stephen King doesn’t understand the real horror story of Covid After Rod Serling, the master of horror became prolific author Stephen King. Perhaps King’s most memorable novel is The Stand, which tells the story of how a super flu kills 99 percent of the world population. That flu was created by mad scientists, who allowed this virus to escape onto the world. The irony is that King is in the group of influencers who bought the official narrative that the super flu of Covid-19 was naturally-occurring and that the public should have been locked down for years to protect them from this non-deadly virus. On top of that, according to King, the public should have lined up to get an experimental mRNA shots produced by the Military Industrial Complex and Big Pharma. That is, even Stephen King never realized who the real villains might be in the Covid story. In the authorized story, the villains were the citizens who didn’t believe Anthony Fauci, the people who didn’t want to take these shots or who were not afraid to leave their house. Still, King told his millions of fans: Be very afraid … do what Anthony Fauci says … or you too might die. As it turns out, the “good guys” were the government and the mega companies …. and the Fourth Estate published only the truth. The real Twilight Zone was not in a galaxy far, far away … I say Stephen King is no Rod Serling. For my part, I think Serling would have gotten what happened and why … and what the truly terrifying story was. I’ve now watched dozens of old “Twilight Zone” episodes. I’m struck by how prescient many of these storylines were. What scares me is that “The Twilight Zone” isn’t some place far out in space or some alternative dimension of reality. It’s right here on earth … right now. We’re all living in it, if only 15 percent of the population realizes this. All it takes is every important organization and leader to become captured, which wasn’t really that hard to achieve. For almost four years I feel like I’ve been living in a “Twilight Zone” episode. I’ve even written columns about this, basically screaming: “Someone help me! Something is wrong here!” But sending out a message-in-a-bottle on Substack hasn’t worked for me. I’m still in this dream. I haven’t woke up yet. Truth be told, I don’t know how this story’s going to end. Rod Serling didn’t tell us how to get out of The Twilight Zone.’ https://palexander.substack.com/p/bill-rice-jrs-newsletter-substack Join 👇🏻 https://t.me/DrPaulAlexander
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  • FREEMASONRY & ZIONISM – 1. Apocalyptic “Cataclysms” by Synagogue of Satan | VT Foreign Policy
    February 24, 2024
    VT Condemns the ETHNIC CLEANSING OF PALESTINIANS by USA/Israel

    $ 280 BILLION US TAXPAYER DOLLARS INVESTED since 1948 in US/Israeli Ethnic Cleansing and Occupation Operation; $ 150B direct "aid" and $ 130B in "Offense" contracts
    Source: Embassy of Israel, Washington, D.C. and US Department of State.

    “To the angel of the church in Smyrna write: These are the words of him who is the First and the Last, who died and came to life again. I know your afflictions and your poverty—yet you are rich! I know about the slander of those who say they are Jews and are not, but are a synagogue of Satan”.
    Saint John Apostle and Evangelist – Book of the Revelation (Rev. 2, 8-10)

    In the cover image the prime minister of the Israeli Zionist Regime Benjamin Nethanyau and the “Pope of Freemasonry” Albert Pike

    NB – some quotes of American persons have been translated from sources in Italian so forgive any stylistic errors or differences with the original ones

    By Fabio Giuseppe Carlo Carisio

    VERSIONE IN ITAIANO

    «The revelation from Jesus Christ, which God gave him to show his servants what must soon take place. He made it known by sending his angel to his servant John, who testifies to everything he saw—that is, the word of God and the testimony of Jesus Christ. Blessed is the one who reads aloud the words of this prophecy, and blessed are those who hear it and take to heart what is written in it, because the time is near».

    This Prologue to the Book of the Revelation (Apocalypse) of Saint John the Evangelist, the only Apostle who died without martyrdom as a reward for his loyalty to Jesus under the cross of Golgotha, reread in recent days, after almost a million deaths caused in recent years by the wars in Ukraine, Syria. Iraq and Libya (to name the best known) and after the genocide of the Israeli army in Palestine in which over 8 thousand children were massacred by bombs in a few weeks together with around 22 thousand adults, we should be inspired by a profound spiritual reflection also by virtue of the prophecy on Armageddon, the final battle of the armies foretold in the Holy Land in the same text on the Apocalypse which in Greek, it is good to remember it only means “revelation”, “prophecy” and not “catastrophe”.

    They take on an equally tragic meaning if we think of the holocaust of millions of victims caused both by the pandemic triggered by a SARS-Cov-2 built in the laboratory and by the killer vaccines with which unscrupulous Big Pharma is testing the world population like a massive human guinea-pig to reach the transhumanist goal of eugenic health culture: denial of Nature and the Almighty God of the Judeo-Christian tradition, which has survived 7 thousand years of attempts at annihilation.

    THE GENOCIDE OF THE PALESTINIANS AND THE HOLOCAUST OF THE VACCINATED

    Faced with this extraordinary “pande-medic holocaust” made invisible by the denialism of those who govern politics and science in obedience to the powers of the New World Order clearly theorized as an evolution of NATO by the Hungarian-American plutarch George Soros in 1993, the Palestinian victims , Ukrainian, Syrian conflicts caused precisely by military conflicts plotted by the Atlantic Alliance and by Anglo-Saxon intelligence appear as the ordinary, inevitable consequence of the hatred and ferocity that has plagued human history since the time of Cain. This name will come back later…

    Therefore, the biblical reference in the Book of Revelation to “those who proclaim themselves Jews and are not, but belong to the synagogue of Satan” does not appear in vain in the case of the Zionist leader Netanyahu who is carrying out a genocide of Palestinians after having mass vaccinated his fellow Israelis for a gigantic transversal business between the Weapons Lobby and Big Pharma with American President Joesph Biden.

    Modern telecommunications means – where not blocked as in Gaza to prevent reckless reporters from documenting the war crimes ordered by Israeli Prime Minister Benjamin Netanyahu already renamed “the Hitler of the 21st Century” by Turkish lawyers who demand his indictment – have made the bloody genocide tacitly legalized by the West and carried out in the churches and hospitals of Palestine terrifying, bringing before the eyes and ears cries that implore revenge and make the sense of forgiveness waver even in Christians, all this satanic torment appears comparable screams from the silence imploded in the hearts of children torn by lethal myocarditis or in the brains devoured by turbo-cancer of the victims of adverse reactions to the mRNA Covid vaccines.

    Precisely because their roar against death is silent, broken in the throat by a sudden illness of which political, health and judicial authorities too often do not want to detect and reveal traces of the FAILURE OF A SYSTEM. Precisely that of the New World Order which is seeking God’s mercy with the merciless human reason capable of killing an 8-month-old baby girl, Indi Gregory, although she had a concrete hope of being assisted.

    THE CATACLYSM FORECAST BY THE “POPE” OF AMERICAN FREEMASONRY

    If all this happening is not a coincidence but appears to be an international and historical conspiracy foreseen in very remote times by the American “Pope of Freemasonry”, a Southern general, about whom we have already written, who was among the Confederate supporters of the Civil War but also among the founders of the KuKluxKlan and among the followers of satanic rites: Albert Pike.

    We have already mentioned his extensive correspondence with the 33rd degree Freemason of the Supreme Council of the Ancient Accepted Scottish Rite Giuseppe Mazzini who, thanks to the financing of the hooded friends of the London lodges ready to host him even though he was a fugitive terrorist in Europe, planned the Expedition of the Thousand of Masonic guerrilla Giuseppe Garibaldi with whom the Kingdom of Italy wrested a part of Rome from the Papal State in the gigantic and crude plot against Christianity and the Catholic Church, partly attenuated only by the faith of the Ruling Savoy Dynasty.

    But we had missed some passages which in the light of today’s events take on monstrous relevance, furthermore proving the imprint of Freemasonry, like a Mark of the Beast, in every religious and political conflictual drift, prodigiously foreseen in detail by General Pike.

    In these first episodes we will analyze the conspiratorial complicity of Freemasonry with Zionism. In the next one with Nazism and Jihadist Islamism, where in a previous investigation we have analyzed the role of hooded men between Capitalism and Communism.

    «The Third World War will have to be fomented by taking advantage of the differences stirred up by the agents of the Illuminati between political Zionism and the leaders of the Islamic world. The war will have to be oriented so that Islam (including the State of Israel) destroy each other, while at the same time the remaining nations, once again divided and opposed to each other, will then be forced to fight each other until to complete physical, mental, spiritual and economic exhaustion».

    This is what Pike wrote to Mazzini on 15 August 1871 in a letter according to the revelations made by the commodore of the Canadian navy William Guy Carr which he later reported in his famous 1954 book Pawns in the Game. He stated that he learned about the letter from the anti-Mason, Cardinal José María Caro Rodríguez of Santiago, Chile, the author of The Mystery of Freemasonry Unveiled (Hawthorne, California, Christian Book Club of America, 1971).

    The Navy official can be considered very reliable as worked also for the Canadian Intelligence Service during World War II, and in 1944 he published Checkmate in the North, a book about an invasion by the Axis forces to take place in the area of the CFB Goose Bay (Canadian Forces Base Goose Bay).

    Carr’s books often discuss a Luciferian conspiracy by what he called the “World Revolutionary Movement,” but he later attributed the conspiracy more specifically to the “Synagogue of Satan.”

    The term was not a reference to Judaism as he wrote: “I wish to make it clearly and emphatically known that I do not believe the Synagogue of Satan (S.O.S.) is Jewish, but, as Christ told us for a definite purpose, it is comprised of ‘I know the blasphemy of them which say they are Jews, and are not, but are the synagogue of Satan.’ (Rev. 2:9 and 3:9)


    Albert Pike, the Pope of American Freemasonry
    The Canadian commodore reported what we had already mentioned in the previous investigation on Pike and which we will try to contextualize both in the biblical, esoteric and historical context in the following lines.

    «The First World War had to be fought to allow the “Illuminati” to overthrow the power of the czars in Russia and transform this country into the fortress of atheist communism. The differences stirred up by “Illuminati” agents between the British and German Empires were used to foment this war. After the war was over, communism had to be built and used to destroy other governments and weaken religions».

    Citing Confederate General Pike who was Grand Master of the Mother Lodge of Charleston (but also, in all probability, the only Southerner to have had, until recently, a statue in his memory in the USA sculpted by an Italian but recently destroyed by vandals), the commodore added:

    «The Second World War had to be fomented by taking advantage of the difference between fascists and political Zionists. The war had to be fought in order to destroy Nazism and increase the power of political Zionism, in order to allow the establishment of the sovereign state of Israel in Palestine. During the Second World War, a Communist International had to be established as strong as the whole of Christianity. At this point the latter had to be contained and kept under control until required for the final social cataclysm».

    Rereading these sentences after having published an investigation into the recent Israeli military plan for the genocide and forced exodus of Palestinians in Egypt and Europe represents a disturbing and burning confirmation but is not enough to understand the deepest motivations of the diabolical NWO conspiracy.

    On 15 August 1871, as revealed by Carr, the Pope of American Freemasonry Pike revealed to Mazzini that at the end of the Third World War those who aspire to World Government would cause the greatest social cataclysm ever seen.

    «We will unleash the nihilists and atheists and provoke a formidable social cataclysm which will clearly show, in all its horror, to the nations, the effect of absolute atheism, the origin of barbarism and bloody subversion».

    And then again:

    «Then everywhere citizens, forced to defend themselves against a world minority of revolutionaries, these destroyers of civilization, and the multitude disillusioned by Christianity, whose worshipers will be devoid of orientation in search of an ideal, will receive the true light through the universal manifestation of pure doctrine of Lucifer finally revealed to the public eye, a manifestation which will be followed by the destruction of Christianity and atheism conquered and crushed at the same time».

    GEOPOLITICAL ANALYSIS OF THE THIRD WORLD WAR IN FRAGMENTS

    If we carefully analyze what has happened in the last twenty years, rereading them with the lens of a geopolitical intelligence analysis, we can put together these dramatic events that prove the gradual increase of the Third World War “in a patchy pattern, in fragments, or in small pieces” as defined several times by Pope Francis.

    September 11, 2001 – From the World Trade Center to the War in Afghanistan

    Avoidable massacre of the attacks on the Twin Towers facilitated by the obstacles posed by the American counter-espionage of the Central Intelligence Agency (CIA) to the investigations of the director of anti-terrorism of the FBI John O’Neill (who died in the World Trade Center where he was hired after being fired following sabotage of his professional activity). The hidden role of the Israeli counter-intelligence Mossad came to light immediately, recently with the disconcerting confirmation that two of the hijackers were collaborating with the CIA.

    Thanks to that event, the USA, led by the Weapons Lobby controlled by investment funds of Zionist financiers such as Larry Fink, began the terrible and unsuccessful war in Afghanistan

    July 18, 2007 – Hamas conquers Gaza

    Palestinian President Abbas issued a decree outlawing the Hamas militias who defeated Fatah (a Palestinian political and paramilitary organization, part of the PLO, of which Yasser Arafat was leader) and therefore removed the Gaza Strip from the control of the Authority Palestinian national authority.

    According to various intelligence experts including a former CIA director, Hamas, linked to the Sunni Muslim Brotherhood (sons of another Masonic history…), was financed by the USA and Israel precisely to lead to the Palestinian exodus plan that was configured in recent days after the attacks of 7 October which took the highly expert Israeli secret services (Shin Bet, Mossad and the military Aman) by surprise.

    March 15, 2011 – Civil War in Syria

    The Syrian Civil War begins thanks to the Color Revolution financed by Soros and armed by the CIA’s MOM operation with the supply of TOW anti-tank missiles to extremist jihadist factions related to Al Qaeda.

    In 2014, ISIS founded by Caliph Al Baghdadi entered the war shortly after his liberation from Camp Bucca where he was detained by the US Army for terrorist activity in Iraq. He was believed to be a Mossad and CIA agent

    February 20, 2014 – Start of the War in Ukraine

    The second Orange Revolution financed by the Zionist Soros in Kiev explodes in all its violence due to the shooting of mysterious mercenary snipers on Ukrainian policemen and the crowd. It seems like a repeat of what the CIA hatched in 2002 in Caracas. The coup financed by NATO countries materializes with the escape of the legitimately elected president Viktor Fedorovyč Yanukovych to friendly Russia.

    From there begins the Donbass Civil War which became a Global Conflict after the start of Moscow’s military operation to protect the pro-Russian victims of genocide by the neo-Nazi guerrillas of the Azov Battalion led by the Kiev Regime and also armed by Israel in an apparent, crazy paradox …

    April 2014 – “Sabotaged” elections in Palestine

    Fatah and Hamas sign agreements in Gaza for the return to voting in all PNA territories, foreseeing elections for the following October.

    In July, however, the Israelis launched Operation Protective Edge to destroy clandestine tunnels into their country, triggering a resurgence of military clashes. Only on 28 August was a ceasefire declared by both sides but the electoral consultations were postponed and never agreed upon again.

    October 2023 – Genocide Planned and Legalized in Gaza

    Hamas captures hostages from an Israeli Rave Party and several kibbutz settlers in the illegally occupied territories. Israel responds disproportionately by bombing everyone, women, children, hospitals, churches, UN officials. Few Western politicians denounce a GENOCIDE which instead appears LEGALIZED by almost all NATO countries.

    If we correlate the recurring subjects of these events it is easy to deduce that the Third World War in fragments has already been implemented for at least two decades with an enormous occult direction of that NATO evoked by Soros to embody the New World Order.

    ANALYSIS OF THE SOCIAL CATALYSM: MANMADE VIRUS PANDEMIC

    Let’s go back to the tired “forecasts” of the Freemason Albert Pike and reread a significant phrase:

    «We will unleash the nihilists and atheists and provoke a formidable social cataclysm which will clearly show, in all its horror, to the nations, the effect of absolute atheism, the origin of barbarism and bloody subversion».

    Since 2001, the American virologist Anthony Fauci began playing with dangerous viruses manipulated in the laboratory as biological weapons thanks to enormous funding provided by both the Department of Health and Defense, including through Pentagon agencies such as DARPA.

    https://www.gospanews.net/en/2024/01/09/faucis-testimony-before-us-congress-uncovered-drastic-failures-in-public-health-systems-and-pandemic-origin/

    In 2004 the European Commission chaired by Romano Prodi, a Soros associate, financed the Wuhan Institute of Virology strengthened by the son of President Jiang Zemin, the Executioner of Tiananmen, also in light of an agreement on collaborations for research in the bacteriological field signed with the American president Bill Clinton in 1999.

    In December 2019 the first outbreak of SARS-Cov-2 was discovered in Wuhan and for over 2 years the USA blamed the Chinese while the scientific community of Fauci & Co. tried to cover up the artificial orgone ascertained by the Senate Health Commission and the House Investigation Committee of the US Congress only in 2023.

    Now even many US politicians admit their nation’s role in building the laboratory virus. This is denied by the National Intelligence Directorate led by Avril Haines who was deputy CIA director expert in bio-weapons when Fauci was carrying out experiments on Coronaviruses on behalf of the Obama-Biden administration together in Wuhan.

    European Union politicians continue to ignore or deny the artificial origin of the virus. While almost everyone has welcomed, so much so as to impose them as mandatory even for many professional categories, the experimental mRNA genetic serums based on the toxic Spike protein and promoted by a swirl of billionaire interests of Big Pharma with governments and the usual Zionist lobbies who also invest in Warlord corporations.

    Even the Catholic Church genuflects to the Vaccine GOD.

    Let’s reread Pike’s prophecy again, a truly disturbing name when associated with the almost homonymous Covid-19 protein.

    «Then everywhere citizens, forced to defend themselves against a world minority of revolutionaries, these destroyers of civilization, and the multitude disillusioned by Christianity, whose worshipers will be devoid of orientation in search of an ideal, will receive the true light through the universal manifestation of pure doctrine of Lucifer finally revealed to the public eye, a manifestation which will be followed by the destruction of Christianity and atheism conquered and crushed at the same Time»

    HISTORICAL ANALYSIS OF THE RELATIONSHIP BETWEEN FREEMASONRY AND ZIONISM

    The detractors of the military geopolitical analyst and writer William Guy Carr who refers to the diabolical plan of the Pope of American Freemasonry are based on the fact that Albert Pike in 1871 could not have known about the birth of Communism, nor of Nazism, nor of Zionism.

    Nor even knowing about the two world wars. Unless you were among those who designed them.

    This observation can easily be refuted by citing some historical references already mentioned and which we will highlight.

    «In July 1782 the Order of the Illuminati allied itself with Freemasonry during the Congress of Wilhelmsbad, which the historian Freemason Albert Mackey defined as ‘the most important Masonic Congress of the eighteenth century’ – we read on the website Freemasonry Unmasked, full of anecdotes and authoritative historical sources – The participants in that Congress had to swear not to reveal the decisions they had made to anyone (see Nesta H. Webster, World Revolution, 1921, page 31)».

    Wilhelmsbad Castle was owned by the Ashkenazi Jewish banker (of Khazar-European origins) Mayer Amschel Rothschild who, according to various historians, in 1777 brought together twelve of his most influential friends and convinced them that if they pooled their resources they could dominate the world: this is how the Bavarian Illuminati was born.

    The French Revolution confirms their success with the annihilation of the first important Catholic Monarchy. It will be the experience of the Paris Commune of 1871, the regurgitation of the regime of terror, that will inspire Lenin in his plan for the subsequent Bolshevik and Communist revolution.

    So Pike was not only still alive at the time but knew the details.

    The Independent Order B’nai B’rith or Bené Berith (Hebrew: בני ברית, “sons of the covenant”) is a Jewish lodge founded in 1843 during the presidency of John Tyler and still existing and active. It was founded at the Sinsheimer Café, in the Wall Street neighborhood of New York, by Henry Jones and eleven other people on October 13, 1843. The original name was in German “Bundes-Brueder” (which means “League of Brothers”), in the current one which retains the initials (“BB”).

    Most of the founders were German-Jews: that is, Ashkenazi like Mayer Amschel Rothschild but also like his descendant Walter Rothschild, eldest son and heir of the banker Nathan Mayer Rothschild, the first Jewish baron of England.

    Walter Rothschild was among the promoters of the declaration for the formation of the Jewish state in Palestine, later earning the merit of becoming president of the Council of Deputies of British Jews from 1925 to 1926.

    From these seeds we arrived at 1917 when a letter from the British Foreign Minister Arthur Balfour, addressed to the “Dear Lord Rothschild”, sanctioned Balfour’s declaration which committed the British government to supporting the creation in Palestine of a home for the Jews in respect for the rights of other resident minorities.

    How did Albert Pike know all these things before they happened?

    Very simple because he was among those who concerted them in 1860 when the Southern general through Young America planned the American Civil War to defend the right to slavery, Mazzini with Young Italy committed himself to the Expedition of the Thousand and Henry John Temple, 3rd Viscount of Palmerston, British Secretary of State and exponent of the Grand Lodge of England guaranteed all financial and political support.

    The first expressions of proto-Zionism took shape, for example, in the foundation of the Universal Israelite Alliance in 1860, an organization aimed at the emancipation of the Jewish communities in the Middle East and North Africa, and in the publication of various works, including Rome and Jerusalem, written in 1862 by the German Jewish philosopher Moses Hess, Derishat Zion by the Polish-Prussian rabbi Zvi Hirsch Kalischer, and the hymn Hatikvah, whose lyrics were written by Naftali Herz Imber and which later became the anthem of the State of Israel.

    Zionism draws its roots from the new cultural environment generated in the context of the emancipation of European Jews starting from the French Revolution and throughout the 19th century and from the Haskalah.

    The haskalah, with a small delay compared to other Enlightenment movements, arose in Germany and then spread throughout much of Europe and to a small extent also across the Atlantic. The father and inspirer of the movement was Moses Mendelssohn, close to Gotthold Ephraim Lessing, a free thinker of Protestant extraction and an energetic defender of the Jews in Germany. The latter introduced Mendelssohn into the world of Berlin intellectuals where he dedicated himself to the composition of philosophical essays and dissertations.

    A varied and open movement, the haskalah probably did not close its doors even to exponents of the Frankist heresy, a sort of tail of the messianic movement of Shabatai Zevi which had long been in opposition to official Judaism, perhaps linked to lodges of freemasonry, another force of the times, definitely in relation to the Enlightenment philosophy.

    Many Jews influenced by the haskalah and the closeness it brought with European culture were seduced by the possibility of assimilation by embracing Christianity. Just think of the family of Karl Marx, descended from rabbis who converted to Protestantism, as did Mendelssohn’s own daughters. Others, however, laid the foundations of the new science of Judaism, the Wissenschaft des Judentums.

    THE LODGES INSPIRED BY THE SON OF THE BIBLICAL MURDERER CAIN

    In the previous investigation we highlighted how Marx received the task of writing Capital from British Freemasonry. In other reports we have highlighted the fundamental role played by the Protestants in the birth of the Grand Lodge of London on 24 June 1717.

    Today we add another detail by recalling the figure of John Theophilus Desaguliers (La Rochelle, 12 March 1683 – Covent Garden, 29 February 1744) who was an English scientist, religious and Freemason of French origins.

    Desaguliers emigrated to England in 1694, due to the Edict of Fontainebleau, which revoked the freedom of worship of Protestants. He approached Freemasonry, becoming Grand Master of the First Grand Lodge of England in 1718, and Deputy Grand Master in 1723 and 1725. Under his leadership, the Grand Lodge of London and Freemasonry developed in an “astonishing” way in the islands British, to the point that «in 1740 there were already more than 180 lodges».

    Each of the earliest Masonic texts contains some sort of history of the craft, or guild, of Freemasonry. The oldest work of this type, the Royal Manuscript, dating from 1390 to 1425, has a brief history in the introduction, which states that the “craft of Freemasonry” began with Euclid in Egypt, and arrived in England during the reign of ruler Æðelstan.

    A little later, the Cooke Manuscript traces Freemasonry to Jabal, son of Lamech (Genesis 4, 20-22), and tells how this knowledge reached Euclid, from him to the children of Israel when they were in Egypt, and so on for an elaborate route to Æðelstan. This myth formed the basis for later manuscript foundations, all of which claim that Freemasonry dates back to Biblical times, and pegs its institutional consolidation in England during the reign of Æðelstan (927-939).

    Shortly after the formation of the first Grand Lodge of England, James Anderson was commissioned to summarize these “Gothic constitutions” into a pleasing modern form. The constitutions produced by his work have a more widespread historical introduction than any previous one, and once again connect the history of what Freemasonry had become to its biblical roots, always inserting Euclid into the chain of narrative.

    The first question that a connoisseur of Judeo-Christian history should ask is almost banal.

    Why do the Freemasons, due to fabulous legendary and historical beliefs, trace Freemasonry to one of the descendants of the murderer Cain and not to the third son of Adam named Set from whom the Semitic culture was born?

    In this, the manipulation carried out over the centuries by Rabbinic Taldumist Judaism, well described by the Judaism expert Professor Paola Persichetti in the previous investigations in which she highlights the correlations of this Jewish regurgitation following the Destruction of the Temple of Jerusalem, seems evident.

    In France, Chevalier (Knight) Ramsay’s 1737 conference added Crusader Freemasons to the family tree claiming that they had revived the craft with secrets recovered in the Holy Land, under the patronage of the Knights Hospitaller. At this point, the “history” of the profession of continental Freemasonry separated from that of Freemasonry in England which in the meantime had published its “charter”.

    THE SCHSM ON THE GREAT ARCHITECT OF THE UNIVERSE

    The Constitutions of the Free-Masons, “for the use of the lodges” in London and Westminster, was published in 1723. It was edited by the Presbyterian clergyman James Anderson, by order of John Theophilus Desaguliers, and approved by a committee of the grand lodge under its control. The work was reprinted in Philadelphia in 1734 by Benjamin Franklin, who in that year became Grand Master of the Pennsylvania Freemasons. It was also translated into Dutch (1736), German (1741) and French (1745).

    Anderson was minister of the Presbyterian church in Swallow Street, London, which had formerly been a Huguenot church, and whose pastor in the 1690s was Desaguliers’ father. At the time of his meeting with Desaguliers, he appears to have presented himself as a Talmudic scholar.

    In various historical testimonies that we summarize for brevity, Anderson himself seems to imply the existence of an Italian Grand Lodge.

    In Naples in 1728 he saw the light of the first regular Masonic lodge established in Italy, La Perfetta Unione. Raised by the will of the Prince of San Severo, it had Egyptian symbols such as the pyramid, the Sphinx and the radiant sun in its emblem. Subsequently, the English lodge (“La Loggia degli Inglesi”) was established in Florence, founded in 1731 and Freemasonry spread rapidly, despite a series of papal prohibitions.

    But already ahead the so-called Great Schism occurred. According to a widespread opinion, the schism between French and English Freemasonry originates from the general assembly of the Grand Orient of France in September 1877. Accepting the recommendation contained in a report by the Protestant pastor (and Freemason) Frédéric Desmons, the assembly decided by a majority of amend its constitutions by inserting the formula “its principles are absolute freedom of conscience and human solidarity”. This replaced the previous statement “its principles are the existence of God, the immortality of the soul and human solidarity”.

    The reaction of the United Grand Lodge of England (UGLE) was the resolution of March 1878 which reiterated “That the Grand Lodge, while anxious to welcome in the most fraternal spirit the Brethren of any foreign Grand Lodge whose proceedings are conducted according to the Ancient cornerstones of the Order, among which the first and most important is the faith in T. G. A. O. T. U. [“the great Architect of the universe”, in English acronym], cannot recognize as ‘true and genuine’ Brothers all those who have been initiated in lodges that deny or ignore that faith.”

    FREEMASONRY SIMILAR TO THE BEAST OF THE APOCALYPSE

    Having concluded this long but necessary historical digression on Freemasonry implemented with various Wikipedia sources, let’s return to the beginning. To the book of the Apocalypse of Saint John and the disturbing esoteric symbolisms.

    If we summarize the historical notes above we can easily conclude that the first promoters of Zionism in the USA were the founders of the B’nai B’rith Lodge composed of Ashkenazi Jews (as Adolph Hitler is also believed to be) that the historians of Jewish culture they define the “13th Tribe of Israel” as they derive from the diaspora of the Khazars who had converted to Judaism for purely political reasons.

    While in Europe it spread thanks to the Rothschild Dynasty (Red Shield) which was the first to weave subversive plots with an anti-Catholic vocation from the birth of the Bavarian Illuminati up to the pact of terror for the French Revolution from which the liberation of the proto- Zionism together with that Masonic concept of “Liberté, Égalité, Fraternité” imposed by guillotining even the elderly nobles of the Catholic Vendée French region.

    In light of all this, the words of the Satanist Albert Pike, Pope of American Freemasonry, take on an iconic relevance in the common project between Masonic and Zionist Lodges for the New World Order:

    «Then everywhere citizens, forced to defend themselves against a world minority of revolutionaries, these destroyers of civilization, and the multitude disillusioned by Christianity, whose worshipers will be devoid of orientation in search of an ideal, will receive the true light through the universal manifestation of pure doctrine of Lucifer finally revealed to the public eye, a manifestation which will be followed by the destruction of Christianity and atheism conquered and crushed at the same time».

    But following this hermeneutical path to the Book of the Apocalypse, one of the most important allegories comes to mind with disconcerting and terrifying impetus:

    «The dragon stood on the shore of the sea. And I saw a beast coming out of the sea. It had ten horns and seven heads, with ten crowns on its horns, and on each head a blasphemous name. The beast I saw resembled a leopard, but had feet like those of a bear and a mouth like that of a lion. The dragon gave the beast his power and his throne and great authority. One of the heads of the beast seemed to have had a fatal wound, but the fatal wound had been healed. The whole world was filled with wonder and followed the beast. People worshiped the dragon because he had given authority to the beast, and they also worshiped the beast and asked, “Who is like the beast? Who can wage war against it?» (Rev. 13, 1-4)

    The prophet Saint John the Apostle and Evangelist delves into the concept with an aura vision

    «Then I saw a second beast, coming out of the earth. It had two horns like a lamb, but it spoke like a dragon. It exercised all the authority of the first beast on its behalf, and made the earth and its inhabitants worship the first beast, whose fatal wound had been healed» (Rev. 13, 11-12)

    It is not really scary to note how traditional esoteric Freemasonry became manifest thanks to the Anglican political schism of the Protestants and allowed Pharisaic Judaism, defeated by the Diaspora after the Crucifixion of the Messiah awaited by the Jews, to be reborn in its Talmudic form with Judaism then became with Zionism the most powerful component of the New World Order?

    We have historical clues that help identify Freemasonry as one of the two apocalyptic Beasts. But this theme will be explored in greater depth if and when we receive from the Holy Spirit the gift of the wisdom necessary to interpret it. Therefore today we cannot help but insinuate doubt…

    POWER OF CHRIST IN THE PROPHECY OF SAINT JOHN THE APOSTLE

    But it is precisely Chapter 12 of the Book of the Apocalypse (Rev. 12, 7-12) which comes to illuminate with a radiant dawn of hope the dangers of all of us Christians who strive to be among those “who listen to the words of this prophecy and put into practice the things that are written in it”:

    «Then war broke out in heaven. Michael and his angels fought against the dragon, and the dragon and his angels fought back. But he was not strong enough, and they lost their place in heaven. The great dragon was hurled down—that ancient serpent called the devil, or Satan, who leads the whole world astray. He was hurled to the earth, and his angels with him».

    Then I heard a loud voice in heaven say:

    “Now have come the salvation and the power
    and the kingdom of our God,
    and the authority of his Messiah.
    For the accuser of our brothers and sisters,
    who accuses them before our God day and night,
    has been hurled down.
    They triumphed over him
    by the blood of the Lamb
    and by the word of their testimony;
    they did not love their lives so much
    as to shrink from death.
    Therefore rejoice, you heavens
    and you who dwell in them!
    But woe to the earth and the sea,
    because the devil has gone down to you!
    He is filled with fury,
    because he knows that his time is short.”

    Since Saint John was the only Apostle who died without martyrdom for his loyalty to Jesus Christ under the cross and also survived the hell of imprisonment on Patmos (where he received the visions and locutions collected in the Apocalypse), it is probably very useful to start believing him…

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    BOOK OF REVELATION (APOCALYPSE) – HOLY BIBLE

    Epiphanius – Massoneria e sette segrete, Controcorrente Edizioni, pag. 163, 164, 165, 166. – Citazioni da I Nuovi Vespri

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    Fabio G. C. Carisio
    Fabio is investigative journalist since 1991. Now geopolitics, intelligence, military, SARS-Cov-2 manmade, NWO expert and Director-founder of Gospa News: a Christian Information Journal.

    His articles were published on many international media and website as SouthFront, Reseau International, Sputnik Italia, United Nation Association Westminster, Global Research, Kolozeg and more…

    Most popolar investigation on VT is:

    Rumsfeld Shady Heritage in Pandemic: GILEAD’s Intrigues with WHO & Wuhan Lab. Bio-Weapons’ Tests with CIA & Pentagon

    Fabio Giuseppe Carlo Carisio, born on 24/2/1967 in Borgosesia, started working as a reporter when he was only 19 years old in the alpine area of Valsesia, Piedmont, his birth region in Italy. After studying literature and history at the Catholic University of the Sacred Heart in Milan, he became director of the local newspaper Notizia Oggi Vercelli and specialized in judicial reporting.

    For about 15 years he is a correspondent from Northern Italy for the Italian newspapers Libero and Il Giornale, also writing important revelations on the Ustica massacre, a report on Freemasonry and organized crime.

    With independent investigations, he collaborates with Carabinieri and Guardia di Finanza in important investigations that conclude with the arrest of Camorra entrepreneurs or corrupt politicians.

    In July 2018 he found the counter-information web media Gospa News focused on geopolitics, terrorism, Middle East, and military intelligence.

    In 2020 published the book, in Italian only, WUHAN-GATES – The New World Order Plot on SARS-Cov-2 manmade focused on the cycle of investigations Wuhan-Gates

    His investigations was quoted also by The Gateway Pundit, Tasnim and others

    He worked for many years for the magazine Art & Wine as an art critic and curator.

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    https://www.vtforeignpolicy.com/2024/02/freemasonry-zionism-1-apocalyptic-cataclysms-by-synagogue-of-satan/
    FREEMASONRY & ZIONISM – 1. Apocalyptic “Cataclysms” by Synagogue of Satan | VT Foreign Policy February 24, 2024 VT Condemns the ETHNIC CLEANSING OF PALESTINIANS by USA/Israel $ 280 BILLION US TAXPAYER DOLLARS INVESTED since 1948 in US/Israeli Ethnic Cleansing and Occupation Operation; $ 150B direct "aid" and $ 130B in "Offense" contracts Source: Embassy of Israel, Washington, D.C. and US Department of State. “To the angel of the church in Smyrna write: These are the words of him who is the First and the Last, who died and came to life again. I know your afflictions and your poverty—yet you are rich! I know about the slander of those who say they are Jews and are not, but are a synagogue of Satan”. Saint John Apostle and Evangelist – Book of the Revelation (Rev. 2, 8-10) In the cover image the prime minister of the Israeli Zionist Regime Benjamin Nethanyau and the “Pope of Freemasonry” Albert Pike NB – some quotes of American persons have been translated from sources in Italian so forgive any stylistic errors or differences with the original ones By Fabio Giuseppe Carlo Carisio VERSIONE IN ITAIANO «The revelation from Jesus Christ, which God gave him to show his servants what must soon take place. He made it known by sending his angel to his servant John, who testifies to everything he saw—that is, the word of God and the testimony of Jesus Christ. Blessed is the one who reads aloud the words of this prophecy, and blessed are those who hear it and take to heart what is written in it, because the time is near». This Prologue to the Book of the Revelation (Apocalypse) of Saint John the Evangelist, the only Apostle who died without martyrdom as a reward for his loyalty to Jesus under the cross of Golgotha, reread in recent days, after almost a million deaths caused in recent years by the wars in Ukraine, Syria. Iraq and Libya (to name the best known) and after the genocide of the Israeli army in Palestine in which over 8 thousand children were massacred by bombs in a few weeks together with around 22 thousand adults, we should be inspired by a profound spiritual reflection also by virtue of the prophecy on Armageddon, the final battle of the armies foretold in the Holy Land in the same text on the Apocalypse which in Greek, it is good to remember it only means “revelation”, “prophecy” and not “catastrophe”. They take on an equally tragic meaning if we think of the holocaust of millions of victims caused both by the pandemic triggered by a SARS-Cov-2 built in the laboratory and by the killer vaccines with which unscrupulous Big Pharma is testing the world population like a massive human guinea-pig to reach the transhumanist goal of eugenic health culture: denial of Nature and the Almighty God of the Judeo-Christian tradition, which has survived 7 thousand years of attempts at annihilation. THE GENOCIDE OF THE PALESTINIANS AND THE HOLOCAUST OF THE VACCINATED Faced with this extraordinary “pande-medic holocaust” made invisible by the denialism of those who govern politics and science in obedience to the powers of the New World Order clearly theorized as an evolution of NATO by the Hungarian-American plutarch George Soros in 1993, the Palestinian victims , Ukrainian, Syrian conflicts caused precisely by military conflicts plotted by the Atlantic Alliance and by Anglo-Saxon intelligence appear as the ordinary, inevitable consequence of the hatred and ferocity that has plagued human history since the time of Cain. This name will come back later… Therefore, the biblical reference in the Book of Revelation to “those who proclaim themselves Jews and are not, but belong to the synagogue of Satan” does not appear in vain in the case of the Zionist leader Netanyahu who is carrying out a genocide of Palestinians after having mass vaccinated his fellow Israelis for a gigantic transversal business between the Weapons Lobby and Big Pharma with American President Joesph Biden. Modern telecommunications means – where not blocked as in Gaza to prevent reckless reporters from documenting the war crimes ordered by Israeli Prime Minister Benjamin Netanyahu already renamed “the Hitler of the 21st Century” by Turkish lawyers who demand his indictment – have made the bloody genocide tacitly legalized by the West and carried out in the churches and hospitals of Palestine terrifying, bringing before the eyes and ears cries that implore revenge and make the sense of forgiveness waver even in Christians, all this satanic torment appears comparable screams from the silence imploded in the hearts of children torn by lethal myocarditis or in the brains devoured by turbo-cancer of the victims of adverse reactions to the mRNA Covid vaccines. Precisely because their roar against death is silent, broken in the throat by a sudden illness of which political, health and judicial authorities too often do not want to detect and reveal traces of the FAILURE OF A SYSTEM. Precisely that of the New World Order which is seeking God’s mercy with the merciless human reason capable of killing an 8-month-old baby girl, Indi Gregory, although she had a concrete hope of being assisted. THE CATACLYSM FORECAST BY THE “POPE” OF AMERICAN FREEMASONRY If all this happening is not a coincidence but appears to be an international and historical conspiracy foreseen in very remote times by the American “Pope of Freemasonry”, a Southern general, about whom we have already written, who was among the Confederate supporters of the Civil War but also among the founders of the KuKluxKlan and among the followers of satanic rites: Albert Pike. We have already mentioned his extensive correspondence with the 33rd degree Freemason of the Supreme Council of the Ancient Accepted Scottish Rite Giuseppe Mazzini who, thanks to the financing of the hooded friends of the London lodges ready to host him even though he was a fugitive terrorist in Europe, planned the Expedition of the Thousand of Masonic guerrilla Giuseppe Garibaldi with whom the Kingdom of Italy wrested a part of Rome from the Papal State in the gigantic and crude plot against Christianity and the Catholic Church, partly attenuated only by the faith of the Ruling Savoy Dynasty. But we had missed some passages which in the light of today’s events take on monstrous relevance, furthermore proving the imprint of Freemasonry, like a Mark of the Beast, in every religious and political conflictual drift, prodigiously foreseen in detail by General Pike. In these first episodes we will analyze the conspiratorial complicity of Freemasonry with Zionism. In the next one with Nazism and Jihadist Islamism, where in a previous investigation we have analyzed the role of hooded men between Capitalism and Communism. «The Third World War will have to be fomented by taking advantage of the differences stirred up by the agents of the Illuminati between political Zionism and the leaders of the Islamic world. The war will have to be oriented so that Islam (including the State of Israel) destroy each other, while at the same time the remaining nations, once again divided and opposed to each other, will then be forced to fight each other until to complete physical, mental, spiritual and economic exhaustion». This is what Pike wrote to Mazzini on 15 August 1871 in a letter according to the revelations made by the commodore of the Canadian navy William Guy Carr which he later reported in his famous 1954 book Pawns in the Game. He stated that he learned about the letter from the anti-Mason, Cardinal José María Caro Rodríguez of Santiago, Chile, the author of The Mystery of Freemasonry Unveiled (Hawthorne, California, Christian Book Club of America, 1971). The Navy official can be considered very reliable as worked also for the Canadian Intelligence Service during World War II, and in 1944 he published Checkmate in the North, a book about an invasion by the Axis forces to take place in the area of the CFB Goose Bay (Canadian Forces Base Goose Bay). Carr’s books often discuss a Luciferian conspiracy by what he called the “World Revolutionary Movement,” but he later attributed the conspiracy more specifically to the “Synagogue of Satan.” The term was not a reference to Judaism as he wrote: “I wish to make it clearly and emphatically known that I do not believe the Synagogue of Satan (S.O.S.) is Jewish, but, as Christ told us for a definite purpose, it is comprised of ‘I know the blasphemy of them which say they are Jews, and are not, but are the synagogue of Satan.’ (Rev. 2:9 and 3:9) Albert Pike, the Pope of American Freemasonry The Canadian commodore reported what we had already mentioned in the previous investigation on Pike and which we will try to contextualize both in the biblical, esoteric and historical context in the following lines. «The First World War had to be fought to allow the “Illuminati” to overthrow the power of the czars in Russia and transform this country into the fortress of atheist communism. The differences stirred up by “Illuminati” agents between the British and German Empires were used to foment this war. After the war was over, communism had to be built and used to destroy other governments and weaken religions». Citing Confederate General Pike who was Grand Master of the Mother Lodge of Charleston (but also, in all probability, the only Southerner to have had, until recently, a statue in his memory in the USA sculpted by an Italian but recently destroyed by vandals), the commodore added: «The Second World War had to be fomented by taking advantage of the difference between fascists and political Zionists. The war had to be fought in order to destroy Nazism and increase the power of political Zionism, in order to allow the establishment of the sovereign state of Israel in Palestine. During the Second World War, a Communist International had to be established as strong as the whole of Christianity. At this point the latter had to be contained and kept under control until required for the final social cataclysm». Rereading these sentences after having published an investigation into the recent Israeli military plan for the genocide and forced exodus of Palestinians in Egypt and Europe represents a disturbing and burning confirmation but is not enough to understand the deepest motivations of the diabolical NWO conspiracy. On 15 August 1871, as revealed by Carr, the Pope of American Freemasonry Pike revealed to Mazzini that at the end of the Third World War those who aspire to World Government would cause the greatest social cataclysm ever seen. «We will unleash the nihilists and atheists and provoke a formidable social cataclysm which will clearly show, in all its horror, to the nations, the effect of absolute atheism, the origin of barbarism and bloody subversion». And then again: «Then everywhere citizens, forced to defend themselves against a world minority of revolutionaries, these destroyers of civilization, and the multitude disillusioned by Christianity, whose worshipers will be devoid of orientation in search of an ideal, will receive the true light through the universal manifestation of pure doctrine of Lucifer finally revealed to the public eye, a manifestation which will be followed by the destruction of Christianity and atheism conquered and crushed at the same time». GEOPOLITICAL ANALYSIS OF THE THIRD WORLD WAR IN FRAGMENTS If we carefully analyze what has happened in the last twenty years, rereading them with the lens of a geopolitical intelligence analysis, we can put together these dramatic events that prove the gradual increase of the Third World War “in a patchy pattern, in fragments, or in small pieces” as defined several times by Pope Francis. September 11, 2001 – From the World Trade Center to the War in Afghanistan Avoidable massacre of the attacks on the Twin Towers facilitated by the obstacles posed by the American counter-espionage of the Central Intelligence Agency (CIA) to the investigations of the director of anti-terrorism of the FBI John O’Neill (who died in the World Trade Center where he was hired after being fired following sabotage of his professional activity). The hidden role of the Israeli counter-intelligence Mossad came to light immediately, recently with the disconcerting confirmation that two of the hijackers were collaborating with the CIA. Thanks to that event, the USA, led by the Weapons Lobby controlled by investment funds of Zionist financiers such as Larry Fink, began the terrible and unsuccessful war in Afghanistan July 18, 2007 – Hamas conquers Gaza Palestinian President Abbas issued a decree outlawing the Hamas militias who defeated Fatah (a Palestinian political and paramilitary organization, part of the PLO, of which Yasser Arafat was leader) and therefore removed the Gaza Strip from the control of the Authority Palestinian national authority. According to various intelligence experts including a former CIA director, Hamas, linked to the Sunni Muslim Brotherhood (sons of another Masonic history…), was financed by the USA and Israel precisely to lead to the Palestinian exodus plan that was configured in recent days after the attacks of 7 October which took the highly expert Israeli secret services (Shin Bet, Mossad and the military Aman) by surprise. March 15, 2011 – Civil War in Syria The Syrian Civil War begins thanks to the Color Revolution financed by Soros and armed by the CIA’s MOM operation with the supply of TOW anti-tank missiles to extremist jihadist factions related to Al Qaeda. In 2014, ISIS founded by Caliph Al Baghdadi entered the war shortly after his liberation from Camp Bucca where he was detained by the US Army for terrorist activity in Iraq. He was believed to be a Mossad and CIA agent February 20, 2014 – Start of the War in Ukraine The second Orange Revolution financed by the Zionist Soros in Kiev explodes in all its violence due to the shooting of mysterious mercenary snipers on Ukrainian policemen and the crowd. It seems like a repeat of what the CIA hatched in 2002 in Caracas. The coup financed by NATO countries materializes with the escape of the legitimately elected president Viktor Fedorovyč Yanukovych to friendly Russia. From there begins the Donbass Civil War which became a Global Conflict after the start of Moscow’s military operation to protect the pro-Russian victims of genocide by the neo-Nazi guerrillas of the Azov Battalion led by the Kiev Regime and also armed by Israel in an apparent, crazy paradox … April 2014 – “Sabotaged” elections in Palestine Fatah and Hamas sign agreements in Gaza for the return to voting in all PNA territories, foreseeing elections for the following October. In July, however, the Israelis launched Operation Protective Edge to destroy clandestine tunnels into their country, triggering a resurgence of military clashes. Only on 28 August was a ceasefire declared by both sides but the electoral consultations were postponed and never agreed upon again. October 2023 – Genocide Planned and Legalized in Gaza Hamas captures hostages from an Israeli Rave Party and several kibbutz settlers in the illegally occupied territories. Israel responds disproportionately by bombing everyone, women, children, hospitals, churches, UN officials. Few Western politicians denounce a GENOCIDE which instead appears LEGALIZED by almost all NATO countries. If we correlate the recurring subjects of these events it is easy to deduce that the Third World War in fragments has already been implemented for at least two decades with an enormous occult direction of that NATO evoked by Soros to embody the New World Order. ANALYSIS OF THE SOCIAL CATALYSM: MANMADE VIRUS PANDEMIC Let’s go back to the tired “forecasts” of the Freemason Albert Pike and reread a significant phrase: «We will unleash the nihilists and atheists and provoke a formidable social cataclysm which will clearly show, in all its horror, to the nations, the effect of absolute atheism, the origin of barbarism and bloody subversion». Since 2001, the American virologist Anthony Fauci began playing with dangerous viruses manipulated in the laboratory as biological weapons thanks to enormous funding provided by both the Department of Health and Defense, including through Pentagon agencies such as DARPA. https://www.gospanews.net/en/2024/01/09/faucis-testimony-before-us-congress-uncovered-drastic-failures-in-public-health-systems-and-pandemic-origin/ In 2004 the European Commission chaired by Romano Prodi, a Soros associate, financed the Wuhan Institute of Virology strengthened by the son of President Jiang Zemin, the Executioner of Tiananmen, also in light of an agreement on collaborations for research in the bacteriological field signed with the American president Bill Clinton in 1999. In December 2019 the first outbreak of SARS-Cov-2 was discovered in Wuhan and for over 2 years the USA blamed the Chinese while the scientific community of Fauci & Co. tried to cover up the artificial orgone ascertained by the Senate Health Commission and the House Investigation Committee of the US Congress only in 2023. Now even many US politicians admit their nation’s role in building the laboratory virus. This is denied by the National Intelligence Directorate led by Avril Haines who was deputy CIA director expert in bio-weapons when Fauci was carrying out experiments on Coronaviruses on behalf of the Obama-Biden administration together in Wuhan. European Union politicians continue to ignore or deny the artificial origin of the virus. While almost everyone has welcomed, so much so as to impose them as mandatory even for many professional categories, the experimental mRNA genetic serums based on the toxic Spike protein and promoted by a swirl of billionaire interests of Big Pharma with governments and the usual Zionist lobbies who also invest in Warlord corporations. Even the Catholic Church genuflects to the Vaccine GOD. Let’s reread Pike’s prophecy again, a truly disturbing name when associated with the almost homonymous Covid-19 protein. «Then everywhere citizens, forced to defend themselves against a world minority of revolutionaries, these destroyers of civilization, and the multitude disillusioned by Christianity, whose worshipers will be devoid of orientation in search of an ideal, will receive the true light through the universal manifestation of pure doctrine of Lucifer finally revealed to the public eye, a manifestation which will be followed by the destruction of Christianity and atheism conquered and crushed at the same Time» HISTORICAL ANALYSIS OF THE RELATIONSHIP BETWEEN FREEMASONRY AND ZIONISM The detractors of the military geopolitical analyst and writer William Guy Carr who refers to the diabolical plan of the Pope of American Freemasonry are based on the fact that Albert Pike in 1871 could not have known about the birth of Communism, nor of Nazism, nor of Zionism. Nor even knowing about the two world wars. Unless you were among those who designed them. This observation can easily be refuted by citing some historical references already mentioned and which we will highlight. «In July 1782 the Order of the Illuminati allied itself with Freemasonry during the Congress of Wilhelmsbad, which the historian Freemason Albert Mackey defined as ‘the most important Masonic Congress of the eighteenth century’ – we read on the website Freemasonry Unmasked, full of anecdotes and authoritative historical sources – The participants in that Congress had to swear not to reveal the decisions they had made to anyone (see Nesta H. Webster, World Revolution, 1921, page 31)». Wilhelmsbad Castle was owned by the Ashkenazi Jewish banker (of Khazar-European origins) Mayer Amschel Rothschild who, according to various historians, in 1777 brought together twelve of his most influential friends and convinced them that if they pooled their resources they could dominate the world: this is how the Bavarian Illuminati was born. The French Revolution confirms their success with the annihilation of the first important Catholic Monarchy. It will be the experience of the Paris Commune of 1871, the regurgitation of the regime of terror, that will inspire Lenin in his plan for the subsequent Bolshevik and Communist revolution. So Pike was not only still alive at the time but knew the details. The Independent Order B’nai B’rith or Bené Berith (Hebrew: בני ברית, “sons of the covenant”) is a Jewish lodge founded in 1843 during the presidency of John Tyler and still existing and active. It was founded at the Sinsheimer Café, in the Wall Street neighborhood of New York, by Henry Jones and eleven other people on October 13, 1843. The original name was in German “Bundes-Brueder” (which means “League of Brothers”), in the current one which retains the initials (“BB”). Most of the founders were German-Jews: that is, Ashkenazi like Mayer Amschel Rothschild but also like his descendant Walter Rothschild, eldest son and heir of the banker Nathan Mayer Rothschild, the first Jewish baron of England. Walter Rothschild was among the promoters of the declaration for the formation of the Jewish state in Palestine, later earning the merit of becoming president of the Council of Deputies of British Jews from 1925 to 1926. From these seeds we arrived at 1917 when a letter from the British Foreign Minister Arthur Balfour, addressed to the “Dear Lord Rothschild”, sanctioned Balfour’s declaration which committed the British government to supporting the creation in Palestine of a home for the Jews in respect for the rights of other resident minorities. How did Albert Pike know all these things before they happened? Very simple because he was among those who concerted them in 1860 when the Southern general through Young America planned the American Civil War to defend the right to slavery, Mazzini with Young Italy committed himself to the Expedition of the Thousand and Henry John Temple, 3rd Viscount of Palmerston, British Secretary of State and exponent of the Grand Lodge of England guaranteed all financial and political support. The first expressions of proto-Zionism took shape, for example, in the foundation of the Universal Israelite Alliance in 1860, an organization aimed at the emancipation of the Jewish communities in the Middle East and North Africa, and in the publication of various works, including Rome and Jerusalem, written in 1862 by the German Jewish philosopher Moses Hess, Derishat Zion by the Polish-Prussian rabbi Zvi Hirsch Kalischer, and the hymn Hatikvah, whose lyrics were written by Naftali Herz Imber and which later became the anthem of the State of Israel. Zionism draws its roots from the new cultural environment generated in the context of the emancipation of European Jews starting from the French Revolution and throughout the 19th century and from the Haskalah. The haskalah, with a small delay compared to other Enlightenment movements, arose in Germany and then spread throughout much of Europe and to a small extent also across the Atlantic. The father and inspirer of the movement was Moses Mendelssohn, close to Gotthold Ephraim Lessing, a free thinker of Protestant extraction and an energetic defender of the Jews in Germany. The latter introduced Mendelssohn into the world of Berlin intellectuals where he dedicated himself to the composition of philosophical essays and dissertations. A varied and open movement, the haskalah probably did not close its doors even to exponents of the Frankist heresy, a sort of tail of the messianic movement of Shabatai Zevi which had long been in opposition to official Judaism, perhaps linked to lodges of freemasonry, another force of the times, definitely in relation to the Enlightenment philosophy. Many Jews influenced by the haskalah and the closeness it brought with European culture were seduced by the possibility of assimilation by embracing Christianity. Just think of the family of Karl Marx, descended from rabbis who converted to Protestantism, as did Mendelssohn’s own daughters. Others, however, laid the foundations of the new science of Judaism, the Wissenschaft des Judentums. THE LODGES INSPIRED BY THE SON OF THE BIBLICAL MURDERER CAIN In the previous investigation we highlighted how Marx received the task of writing Capital from British Freemasonry. In other reports we have highlighted the fundamental role played by the Protestants in the birth of the Grand Lodge of London on 24 June 1717. Today we add another detail by recalling the figure of John Theophilus Desaguliers (La Rochelle, 12 March 1683 – Covent Garden, 29 February 1744) who was an English scientist, religious and Freemason of French origins. Desaguliers emigrated to England in 1694, due to the Edict of Fontainebleau, which revoked the freedom of worship of Protestants. He approached Freemasonry, becoming Grand Master of the First Grand Lodge of England in 1718, and Deputy Grand Master in 1723 and 1725. Under his leadership, the Grand Lodge of London and Freemasonry developed in an “astonishing” way in the islands British, to the point that «in 1740 there were already more than 180 lodges». Each of the earliest Masonic texts contains some sort of history of the craft, or guild, of Freemasonry. The oldest work of this type, the Royal Manuscript, dating from 1390 to 1425, has a brief history in the introduction, which states that the “craft of Freemasonry” began with Euclid in Egypt, and arrived in England during the reign of ruler Æðelstan. A little later, the Cooke Manuscript traces Freemasonry to Jabal, son of Lamech (Genesis 4, 20-22), and tells how this knowledge reached Euclid, from him to the children of Israel when they were in Egypt, and so on for an elaborate route to Æðelstan. This myth formed the basis for later manuscript foundations, all of which claim that Freemasonry dates back to Biblical times, and pegs its institutional consolidation in England during the reign of Æðelstan (927-939). Shortly after the formation of the first Grand Lodge of England, James Anderson was commissioned to summarize these “Gothic constitutions” into a pleasing modern form. The constitutions produced by his work have a more widespread historical introduction than any previous one, and once again connect the history of what Freemasonry had become to its biblical roots, always inserting Euclid into the chain of narrative. The first question that a connoisseur of Judeo-Christian history should ask is almost banal. Why do the Freemasons, due to fabulous legendary and historical beliefs, trace Freemasonry to one of the descendants of the murderer Cain and not to the third son of Adam named Set from whom the Semitic culture was born? In this, the manipulation carried out over the centuries by Rabbinic Taldumist Judaism, well described by the Judaism expert Professor Paola Persichetti in the previous investigations in which she highlights the correlations of this Jewish regurgitation following the Destruction of the Temple of Jerusalem, seems evident. In France, Chevalier (Knight) Ramsay’s 1737 conference added Crusader Freemasons to the family tree claiming that they had revived the craft with secrets recovered in the Holy Land, under the patronage of the Knights Hospitaller. At this point, the “history” of the profession of continental Freemasonry separated from that of Freemasonry in England which in the meantime had published its “charter”. THE SCHSM ON THE GREAT ARCHITECT OF THE UNIVERSE The Constitutions of the Free-Masons, “for the use of the lodges” in London and Westminster, was published in 1723. It was edited by the Presbyterian clergyman James Anderson, by order of John Theophilus Desaguliers, and approved by a committee of the grand lodge under its control. The work was reprinted in Philadelphia in 1734 by Benjamin Franklin, who in that year became Grand Master of the Pennsylvania Freemasons. It was also translated into Dutch (1736), German (1741) and French (1745). Anderson was minister of the Presbyterian church in Swallow Street, London, which had formerly been a Huguenot church, and whose pastor in the 1690s was Desaguliers’ father. At the time of his meeting with Desaguliers, he appears to have presented himself as a Talmudic scholar. In various historical testimonies that we summarize for brevity, Anderson himself seems to imply the existence of an Italian Grand Lodge. In Naples in 1728 he saw the light of the first regular Masonic lodge established in Italy, La Perfetta Unione. Raised by the will of the Prince of San Severo, it had Egyptian symbols such as the pyramid, the Sphinx and the radiant sun in its emblem. Subsequently, the English lodge (“La Loggia degli Inglesi”) was established in Florence, founded in 1731 and Freemasonry spread rapidly, despite a series of papal prohibitions. But already ahead the so-called Great Schism occurred. According to a widespread opinion, the schism between French and English Freemasonry originates from the general assembly of the Grand Orient of France in September 1877. Accepting the recommendation contained in a report by the Protestant pastor (and Freemason) Frédéric Desmons, the assembly decided by a majority of amend its constitutions by inserting the formula “its principles are absolute freedom of conscience and human solidarity”. This replaced the previous statement “its principles are the existence of God, the immortality of the soul and human solidarity”. The reaction of the United Grand Lodge of England (UGLE) was the resolution of March 1878 which reiterated “That the Grand Lodge, while anxious to welcome in the most fraternal spirit the Brethren of any foreign Grand Lodge whose proceedings are conducted according to the Ancient cornerstones of the Order, among which the first and most important is the faith in T. G. A. O. T. U. [“the great Architect of the universe”, in English acronym], cannot recognize as ‘true and genuine’ Brothers all those who have been initiated in lodges that deny or ignore that faith.” FREEMASONRY SIMILAR TO THE BEAST OF THE APOCALYPSE Having concluded this long but necessary historical digression on Freemasonry implemented with various Wikipedia sources, let’s return to the beginning. To the book of the Apocalypse of Saint John and the disturbing esoteric symbolisms. If we summarize the historical notes above we can easily conclude that the first promoters of Zionism in the USA were the founders of the B’nai B’rith Lodge composed of Ashkenazi Jews (as Adolph Hitler is also believed to be) that the historians of Jewish culture they define the “13th Tribe of Israel” as they derive from the diaspora of the Khazars who had converted to Judaism for purely political reasons. While in Europe it spread thanks to the Rothschild Dynasty (Red Shield) which was the first to weave subversive plots with an anti-Catholic vocation from the birth of the Bavarian Illuminati up to the pact of terror for the French Revolution from which the liberation of the proto- Zionism together with that Masonic concept of “Liberté, Égalité, Fraternité” imposed by guillotining even the elderly nobles of the Catholic Vendée French region. In light of all this, the words of the Satanist Albert Pike, Pope of American Freemasonry, take on an iconic relevance in the common project between Masonic and Zionist Lodges for the New World Order: «Then everywhere citizens, forced to defend themselves against a world minority of revolutionaries, these destroyers of civilization, and the multitude disillusioned by Christianity, whose worshipers will be devoid of orientation in search of an ideal, will receive the true light through the universal manifestation of pure doctrine of Lucifer finally revealed to the public eye, a manifestation which will be followed by the destruction of Christianity and atheism conquered and crushed at the same time». But following this hermeneutical path to the Book of the Apocalypse, one of the most important allegories comes to mind with disconcerting and terrifying impetus: «The dragon stood on the shore of the sea. And I saw a beast coming out of the sea. It had ten horns and seven heads, with ten crowns on its horns, and on each head a blasphemous name. The beast I saw resembled a leopard, but had feet like those of a bear and a mouth like that of a lion. The dragon gave the beast his power and his throne and great authority. One of the heads of the beast seemed to have had a fatal wound, but the fatal wound had been healed. The whole world was filled with wonder and followed the beast. People worshiped the dragon because he had given authority to the beast, and they also worshiped the beast and asked, “Who is like the beast? Who can wage war against it?» (Rev. 13, 1-4) The prophet Saint John the Apostle and Evangelist delves into the concept with an aura vision «Then I saw a second beast, coming out of the earth. It had two horns like a lamb, but it spoke like a dragon. It exercised all the authority of the first beast on its behalf, and made the earth and its inhabitants worship the first beast, whose fatal wound had been healed» (Rev. 13, 11-12) It is not really scary to note how traditional esoteric Freemasonry became manifest thanks to the Anglican political schism of the Protestants and allowed Pharisaic Judaism, defeated by the Diaspora after the Crucifixion of the Messiah awaited by the Jews, to be reborn in its Talmudic form with Judaism then became with Zionism the most powerful component of the New World Order? We have historical clues that help identify Freemasonry as one of the two apocalyptic Beasts. But this theme will be explored in greater depth if and when we receive from the Holy Spirit the gift of the wisdom necessary to interpret it. Therefore today we cannot help but insinuate doubt… POWER OF CHRIST IN THE PROPHECY OF SAINT JOHN THE APOSTLE But it is precisely Chapter 12 of the Book of the Apocalypse (Rev. 12, 7-12) which comes to illuminate with a radiant dawn of hope the dangers of all of us Christians who strive to be among those “who listen to the words of this prophecy and put into practice the things that are written in it”: «Then war broke out in heaven. Michael and his angels fought against the dragon, and the dragon and his angels fought back. But he was not strong enough, and they lost their place in heaven. The great dragon was hurled down—that ancient serpent called the devil, or Satan, who leads the whole world astray. He was hurled to the earth, and his angels with him». Then I heard a loud voice in heaven say: “Now have come the salvation and the power and the kingdom of our God, and the authority of his Messiah. For the accuser of our brothers and sisters, who accuses them before our God day and night, has been hurled down. They triumphed over him by the blood of the Lamb and by the word of their testimony; they did not love their lives so much as to shrink from death. Therefore rejoice, you heavens and you who dwell in them! But woe to the earth and the sea, because the devil has gone down to you! He is filled with fury, because he knows that his time is short.” Since Saint John was the only Apostle who died without martyrdom for his loyalty to Jesus Christ under the cross and also survived the hell of imprisonment on Patmos (where he received the visions and locutions collected in the Apocalypse), it is probably very useful to start believing him… Subscribe to the Gospa News Newsletter to read the news as soon as it is published Fabio Giuseppe Carlo Carisio © COPYRIGHT GOSPA NEWS prohibition of reproduction without authorization follow Fabio Carisio Gospa News director on Twitter follow Gospa News on Telegram MAIN SOURCES BOOK OF REVELATION (APOCALYPSE) – HOLY BIBLE Epiphanius – Massoneria e sette segrete, Controcorrente Edizioni, pag. 163, 164, 165, 166. – Citazioni da I Nuovi Vespri STORIA DELLA MASSONERIA – WIKIPEDIA GOSPA NEWS – CONSPIRACY – FREEMASONRY – NWO GOSPA NEWS – CHRISTIANS PERSECUTED GOSPA NEWS – WUHAN-GATES DOSSIER GOSPA NEWS – PALESTINE GOSPA NEWS – WAR ZONE GOSPA NEWS – WEAPONS LOBBY DOSSIER GOSPA NEWS – COVID-19, VACCINES & BIG PHARMA DOSSIER Fabio G. C. Carisio Fabio is investigative journalist since 1991. Now geopolitics, intelligence, military, SARS-Cov-2 manmade, NWO expert and Director-founder of Gospa News: a Christian Information Journal. His articles were published on many international media and website as SouthFront, Reseau International, Sputnik Italia, United Nation Association Westminster, Global Research, Kolozeg and more… Most popolar investigation on VT is: Rumsfeld Shady Heritage in Pandemic: GILEAD’s Intrigues with WHO & Wuhan Lab. Bio-Weapons’ Tests with CIA & Pentagon Fabio Giuseppe Carlo Carisio, born on 24/2/1967 in Borgosesia, started working as a reporter when he was only 19 years old in the alpine area of Valsesia, Piedmont, his birth region in Italy. After studying literature and history at the Catholic University of the Sacred Heart in Milan, he became director of the local newspaper Notizia Oggi Vercelli and specialized in judicial reporting. For about 15 years he is a correspondent from Northern Italy for the Italian newspapers Libero and Il Giornale, also writing important revelations on the Ustica massacre, a report on Freemasonry and organized crime. With independent investigations, he collaborates with Carabinieri and Guardia di Finanza in important investigations that conclude with the arrest of Camorra entrepreneurs or corrupt politicians. In July 2018 he found the counter-information web media Gospa News focused on geopolitics, terrorism, Middle East, and military intelligence. In 2020 published the book, in Italian only, WUHAN-GATES – The New World Order Plot on SARS-Cov-2 manmade focused on the cycle of investigations Wuhan-Gates His investigations was quoted also by The Gateway Pundit, Tasnim and others He worked for many years for the magazine Art & Wine as an art critic and curator. VETERANS TODAY OLD POSTS www.gospanews.net/ ATTENTION READERS We See The World From All Sides and Want YOU To Be Fully Informed In fact, intentional disinformation is a disgraceful scourge in media today. So to assuage any possible errant incorrect information posted herein, we strongly encourage you to seek corroboration from other non-VT sources before forming an educated opinion. About VT - Policies & Disclosures - Comment Policy Due to the nature of uncensored content posted by VT's fully independent international writers, VT cannot guarantee absolute validity. All content is owned by the author exclusively. Expressed opinions are NOT necessarily the views of VT, other authors, affiliates, advertisers, sponsors, partners, or technicians. Some content may be satirical in nature. All images are the full responsibility of the article author and NOT VT. https://www.vtforeignpolicy.com/2024/02/freemasonry-zionism-1-apocalyptic-cataclysms-by-synagogue-of-satan/
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    FREEMASONRY & ZIONISM – 1. Apocalyptic “Cataclysms” by Synagogue of Satan
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