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  • Peter Moore from the London Symphony Orchestra presented a masterclass featuring Nathanael Peters, Jihong Son, and Shane Stewart at The U.S. Army Band 2024 American Trombone Workshop. #Masterclass #LondonSymphony #LSO #Trombone #ATW2024 #ATW #Music
    Peter Moore from the London Symphony Orchestra presented a masterclass featuring Nathanael Peters, Jihong Son, and Shane Stewart at The U.S. Army Band 2024 American Trombone Workshop. #Masterclass #LondonSymphony #LSO #Trombone #ATW2024 #ATW #Music
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  • Altin Sencalar presented a masterclass about expanding and selecting musical repertoire for public performance at The U.S. Army Band 2024 American Trombone Workshop. #Masterclass #JazzTrombone #Jazz #Trombone #ATW2024 #ATW #Music
    Altin Sencalar presented a masterclass about expanding and selecting musical repertoire for public performance at The U.S. Army Band 2024 American Trombone Workshop. #Masterclass #JazzTrombone #Jazz #Trombone #ATW2024 #ATW #Music
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  • The power of silence
    Validation. Empty space. Selkie, creator of Forest of the Fallen, flew up from Tasmania to tell the ASF Conference how it has grown to 131 powerful displays nation-wide

    Alison Bevege
    The stories sway in the wind, each one a person killed or injured by the covid gene-vaccines.

    The Forest of the Fallen is the exact opposite of a protest.

    When Tasmanian mother-of-three Selkie started the Forest in 2021, she didn’t anticipate the surprising power of acknowledgement.


    Loraine from Adelaide with Selkie (right) who started the displays, at the ASF conference in November. Pic: Alison Bevege
    “A co-ordinator from Tin Can Bay in Queensland is a narrative therapist and we spoke of the healing impacts the Forest was having on so many lives,” she said.

    For people who were injured, or lost their jobs, or lost a loved one, or suffered division in their families, this simple acknowledgement can bring a tremendous sense of relief just by recognising the suffering.


    “Having a sense of their story being validated by a tactile, optical display - this alone is so healing for them as many have had no recognition at all,” she said.

    “Some are completely left alone.”

    It’s a silent vigil open to any passer-by to wander in and quietly find out what has happened.

    “There are some out there who’ve experienced the loss of a loved one or are injured by the vaccines. They also set up the forests now and this gives them a sense of purpose, knowing that they are far from alone and can at least help to stop the perpetuation of deaths and injuries.”

    Speaking at the Australians for Science and Freedom conference at University of NSW on November 18, Selkie explained the magic of Forest of the Fallen which has now grown to 131 pop-up displays across Australia with more than 550 stories.

    It’s the magic of an empty space.

    Holding a space for sometimes angry people and a confused country that is still in denial

    Selkie said she found that taking herself out of the memorial was the most effective way to allow people to discover for themselves, quietly, what happened, and to process it.

    “All along I’ve stressed the importance on making sure the display is not affiliated with any other group, movement, religion or political party, keeping it open to all sets of eyes with no exclusion and no bias,” she said.


    This beautiful soul bought us chocolates and helped. Pic: Alison Bevege
    It’s free from politics, it doesn’t try to change people’s minds. It only has one message: stop looking away.

    “By taking away the mutual judgements and not disturbing the onlooker’s process, it’s allowing them the time to grasp what it is they are standing right in front of.

    “Taking away all other propaganda and signage was important as I saw this, too, deterred onlookers from reading the stories.”


    FoTF, High Cross Park, Randwick, November 18. Pic: Alison Bevege
    Selkie said when she first started Forest of the Fallen in 2021, about 95 percent of onlookers were disapproving and outright rude.

    “Today the tables have completely turned and now 95 percent of onlookers are supportive,” Selkie said, and even police have become helpful, sometimes stepping in to protect displays from the rare “angry noodles”.

    “I’m now writing a memoir as it has been a truly profound, incredible journey for me.”

    Selkie, who compiles the PDF master list to print, and coaches all the volunteer co-ordinators, found herself working seven days a week to make the Forests run smoothly, while homeschooling her youngest child.

    The stories used in Forest of the Fallen have been widely reported in corporate media or documented and checked by Jab Injuries Australia, and are willingly shared.

    Share

    Letters From Australia helped set up a Forest of the Fallen, and I witnessed the relief: it’s like rain in the desert.

    On November 18 at High Cross Park, Randwick, we set up a forest with the help of Phil Schultz whose brother Barry died 18 days after the Pfizer shot, Bridget from Coogee Stand in the Park, and Loraine from Adelaide.

    Many passers-by had stories of their own.

    A bright young Russian with sparkling blue eyes told of how his wife died not long after the gene-vaccine, but he was sure it was not related. Then he ran to the shops and bought us chocolates, and promised to help us next time.

    A man on a bike immediately started helping put up the stakes. He refused the jab after the first injected man at his office ended up in ICU. He wasn’t getting it after that, but saw his colleagues lining up. They were afraid for their jobs.


    “Bike man” had his own story to tell. Picture: Alison Bevege
    Two Texan tourists said nobody dares tread on their freedom, yet when the gene-vaccines came out people just rolled over.

    “I couldn’t undestand it,” said one.

    Phil himself had a chance to meet Loraine, with whom he is unexpectedly connected by his late brother Barry.

    When Adelaide doctor Barry Schultz’s story went into Forest of the Fallen for the first time, his widow Diane went to see the display, which Loraine was setting up.


    (left) Diane with Barry’s story in Adelaide. Pic: Loraine. (right) Barry’s brother Phil with Loraine in Sydney. Pic: Bevege
    Loraine told the volunteers that Barry was a new addition, and that he had delivered about 1500 babies in his career before he took the Pfizer shot which killed him 18 days later.

    Just as Loraine was explaining, Diane came up behind her - “That’s my husband,” she said.

    It was a wonderful moment for both of them. A lovely acknowledgement.

    This is the healing that Australia needs.

    Don’t look away.

    Thanks to Kevin Nguyen, the talented filmmaker who compiled a magnificent video of the Randwick FoTF above.

    You can do this, too

    REPORT your gene-vaccine injury to the TGA here.

    TELL your story to Jab Injuries Australia here.

    VISIT the Forest of the Fallen here.

    CONTACT Forest of the Fallen here: You can do this, too.

    SEE the Forest on Instagram here.

    WATCH the Forest of the Fallen videos on Odysee here.

    JOIN the class action for vaccine injured and bereaved here.

    CONNECT with jab injured resources at Coverse here.

    Updates: 27 November, added Diane’s pic from Loraine in Adelaide, corrected spelling. 28 November: more spelling corrections plus Barry delivered about 1500 babies, more than 1000.


    https://open.substack.com/pub/lettersfromaustralia/p/the-power-of-silence?utm_campaign=post&utm_medium=web

    https://telegra.ph/The-power-of-silence-04-03
    The power of silence Validation. Empty space. Selkie, creator of Forest of the Fallen, flew up from Tasmania to tell the ASF Conference how it has grown to 131 powerful displays nation-wide Alison Bevege The stories sway in the wind, each one a person killed or injured by the covid gene-vaccines. The Forest of the Fallen is the exact opposite of a protest. When Tasmanian mother-of-three Selkie started the Forest in 2021, she didn’t anticipate the surprising power of acknowledgement. Loraine from Adelaide with Selkie (right) who started the displays, at the ASF conference in November. Pic: Alison Bevege “A co-ordinator from Tin Can Bay in Queensland is a narrative therapist and we spoke of the healing impacts the Forest was having on so many lives,” she said. For people who were injured, or lost their jobs, or lost a loved one, or suffered division in their families, this simple acknowledgement can bring a tremendous sense of relief just by recognising the suffering. “Having a sense of their story being validated by a tactile, optical display - this alone is so healing for them as many have had no recognition at all,” she said. “Some are completely left alone.” It’s a silent vigil open to any passer-by to wander in and quietly find out what has happened. “There are some out there who’ve experienced the loss of a loved one or are injured by the vaccines. They also set up the forests now and this gives them a sense of purpose, knowing that they are far from alone and can at least help to stop the perpetuation of deaths and injuries.” Speaking at the Australians for Science and Freedom conference at University of NSW on November 18, Selkie explained the magic of Forest of the Fallen which has now grown to 131 pop-up displays across Australia with more than 550 stories. It’s the magic of an empty space. Holding a space for sometimes angry people and a confused country that is still in denial Selkie said she found that taking herself out of the memorial was the most effective way to allow people to discover for themselves, quietly, what happened, and to process it. “All along I’ve stressed the importance on making sure the display is not affiliated with any other group, movement, religion or political party, keeping it open to all sets of eyes with no exclusion and no bias,” she said. This beautiful soul bought us chocolates and helped. Pic: Alison Bevege It’s free from politics, it doesn’t try to change people’s minds. It only has one message: stop looking away. “By taking away the mutual judgements and not disturbing the onlooker’s process, it’s allowing them the time to grasp what it is they are standing right in front of. “Taking away all other propaganda and signage was important as I saw this, too, deterred onlookers from reading the stories.” FoTF, High Cross Park, Randwick, November 18. Pic: Alison Bevege Selkie said when she first started Forest of the Fallen in 2021, about 95 percent of onlookers were disapproving and outright rude. “Today the tables have completely turned and now 95 percent of onlookers are supportive,” Selkie said, and even police have become helpful, sometimes stepping in to protect displays from the rare “angry noodles”. “I’m now writing a memoir as it has been a truly profound, incredible journey for me.” Selkie, who compiles the PDF master list to print, and coaches all the volunteer co-ordinators, found herself working seven days a week to make the Forests run smoothly, while homeschooling her youngest child. The stories used in Forest of the Fallen have been widely reported in corporate media or documented and checked by Jab Injuries Australia, and are willingly shared. Share Letters From Australia helped set up a Forest of the Fallen, and I witnessed the relief: it’s like rain in the desert. On November 18 at High Cross Park, Randwick, we set up a forest with the help of Phil Schultz whose brother Barry died 18 days after the Pfizer shot, Bridget from Coogee Stand in the Park, and Loraine from Adelaide. Many passers-by had stories of their own. A bright young Russian with sparkling blue eyes told of how his wife died not long after the gene-vaccine, but he was sure it was not related. Then he ran to the shops and bought us chocolates, and promised to help us next time. A man on a bike immediately started helping put up the stakes. He refused the jab after the first injected man at his office ended up in ICU. He wasn’t getting it after that, but saw his colleagues lining up. They were afraid for their jobs. “Bike man” had his own story to tell. Picture: Alison Bevege Two Texan tourists said nobody dares tread on their freedom, yet when the gene-vaccines came out people just rolled over. “I couldn’t undestand it,” said one. Phil himself had a chance to meet Loraine, with whom he is unexpectedly connected by his late brother Barry. When Adelaide doctor Barry Schultz’s story went into Forest of the Fallen for the first time, his widow Diane went to see the display, which Loraine was setting up. (left) Diane with Barry’s story in Adelaide. Pic: Loraine. (right) Barry’s brother Phil with Loraine in Sydney. Pic: Bevege Loraine told the volunteers that Barry was a new addition, and that he had delivered about 1500 babies in his career before he took the Pfizer shot which killed him 18 days later. Just as Loraine was explaining, Diane came up behind her - “That’s my husband,” she said. It was a wonderful moment for both of them. A lovely acknowledgement. This is the healing that Australia needs. Don’t look away. Thanks to Kevin Nguyen, the talented filmmaker who compiled a magnificent video of the Randwick FoTF above. You can do this, too REPORT your gene-vaccine injury to the TGA here. TELL your story to Jab Injuries Australia here. VISIT the Forest of the Fallen here. CONTACT Forest of the Fallen here: You can do this, too. SEE the Forest on Instagram here. WATCH the Forest of the Fallen videos on Odysee here. JOIN the class action for vaccine injured and bereaved here. CONNECT with jab injured resources at Coverse here. Updates: 27 November, added Diane’s pic from Loraine in Adelaide, corrected spelling. 28 November: more spelling corrections plus Barry delivered about 1500 babies, more than 1000. https://open.substack.com/pub/lettersfromaustralia/p/the-power-of-silence?utm_campaign=post&utm_medium=web https://telegra.ph/The-power-of-silence-04-03
    OPEN.SUBSTACK.COM
    The power of silence
    Validation. Empty space. Selkie, creator of Forest of the Fallen, flew up from Tasmania to tell the ASF Conference how it has grown to 131 powerful displays nation-wide
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  • ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians
    Israeli TV channels aired a number of reports showing the torture and humiliation of Palestinians in Israeli prisons. The videos are consumed by the Israeli public as entertainment, revealing the sadism of Israeli society.

    Jonathan OfirMarch 6, 2024
    Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel)
    Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel)
    Over the past month, mainstream Israeli television channels have aired what can only be described as snuff films. They depict the systematic torture of Palestinians from Gaza in Israeli jails. Such videos have aired on at least three occasions — twice on Channel 14, and once on the public broadcaster, Channel 13. While Channel 14 is considered right-wing, so is about two-thirds of the Israeli public, and the more “mainstream” Channel 13 has shown no qualms about airing similar footage.

    The broadcasts follow prison officials into detention centers to document the mistreatment of prisoners, which seems to be something that the officials — and apparently the viewers — find satisfying rather than revolting. The airing of these snuff films is a demonstration of societal sadism.

    As Yumna Patel has recently reported, several rights groups have sounded the alarm over the widespread and systemic abuse that Palestinian prisoners face at the hands of the Israeli authorities. These groups’ calls have been unintentionally buttressed by Israeli soldiers’ unapologetic videos of themselves torturing or demeaning Palestinian detainees, which they boastfully post on social media. Now, it seems that the phenomenon has expanded to mainstream Israeli television.

    The two aforementioned reports on Channel 14 (threads with subtitles can be found here and here) contained footage of actual interrogation sessions during which torture was used. The Channel 13 report did not, but it exposed some of the worst prison conditions to be broadcast to the public. These conditions include forcing prisoners to live in inhumane conditions and subjecting them to torture and harassment. Here’s the 11-minute video with translated subtitles.

    Israel Channel 13 prison tour 18.2.2024
    ‘The feeling is one of pride’

    “Here, we see the cells in which the Nukhba terrorists are held,” the narrator says.

    The “Nukhba” refers to elite Hamas-led fighters who carried out the October 7 attack. In the cell, viewers notice metal bunkbeds without mattresses, and instead of a toilet, there is just a hole in the floor. The room is almost completely dark throughout the day, and prisoners have their hands and legs chained together.

    We hear attack dogs barking constantly as prisoners are made to kneel while bound and blindfolded, their heads touching the floor.

    “This is how it should be,” a guard says. “This is how a Nukhba prisoner should be…what happened on October 7 will never return.”

    In another scene, a guard shouts at prisoners as dogs continue to bark incessantly. “Heads down! Heads on the floor!” he yells.

    “There are many prisoners here that I personally saw at the [October 7] events,” a prison official says, taking pride in humiliating them. “The difference is that this time, he is afraid, shaking, with his head on the floor…no Allahu Akbar, nothing. You won’t hear a squeak from him.”

    “They have no mattresses,” says a warden shift commander. “They have nothing…we control them 100% — their food, their shackling, their sleep…[we] show them we are the masters of the house.” Even without knowing the background to that phrase, to hear him say it is chilling.

    “Masters of the house” was the election slogan of Itamar Ben-Gvir, the Jewish Power leader and current Minister of National Security. Ben-Gvir declared war on Palestinian prisoners long before October 7, and this has included shutting down bakeries that supply bread to prisoners — described by Ben-Gvir as an “indulgence” — and drastically limiting prisoners’ water use. So now it’s become much worse.

    While one is tempted to believe that all prisoners here are “Nukhba” members, it turns out that many of them aren’t even suspected of that. Rather, they were rounded up in Gaza after October 7, during mass arrests in which hundreds of Gazan men were stripped and paraded in a most sadistic demonstration of power. The mass arrests also included hundreds of women, including pregnant women detained with their babies. Israeli security officials told Haaretz that by their own estimate, “only 10 to 15 percent of the hundreds of the semi-naked and bound Gazan men arrested in the Strip during the recent days are Hamas members or those who identified with the organization.”

    Back to the Channel 13 coverage, viewers can hear the nonstop blasting of the Zionist anthem, Am Israel Hai (“the people of Israel live”).

    “The prison authorities claim that it is meant to boost the morale of the staff,” the narrator declares. “But it is clear that this is another part of the psychological warfare against the prisoners.”

    Torture, in other words.

    It’s hard to imagine the depths to which Israeli society has sunk. The official tells the Channel 13 reporter that “the feeling is one of pride.”

    The reason such sadism has become formalized as a matter of policy is because this is what the Israeli public demands. The Israeli Democracy Institute released a survey last week showing that two-thirds of Jewish Israelis oppose “the transfer of humanitarian aid to Gaza residents at this time,” even if “via international bodies that are not linked to Hamas or to UNRWA.” For right-wing voters, the opposition to aid jumps from 68% to 80%.

    This is not Israel’s Abu Ghraib moment, because when Abu Ghraib was revealed, most Americans were revolted. Israeli society, on the other hand, is thirsting for genocide. No wonder they consume such videos as entertainment on mainstream TV.

    Thanks to Tali Shapiro, B.M.@ireallyhatyou, Hilel Biton-Rosen, and Dave Reed.


    ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians

    https://mondoweiss.net/2024/03/we-are-the-masters-of-the-house-israeli-channels-air-snuff-videos-featuring-systematic-torture-of-palestinians/?utm_content=buffer5ce81&utm_medium=social&utm_source=twitter&utm_campaign=buffer
    ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians Israeli TV channels aired a number of reports showing the torture and humiliation of Palestinians in Israeli prisons. The videos are consumed by the Israeli public as entertainment, revealing the sadism of Israeli society. Jonathan OfirMarch 6, 2024 Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel) Screenshot from Channel 13 report on Palestinian prisoners. (Photo: Jonathan Ofir Youtube Channel) Over the past month, mainstream Israeli television channels have aired what can only be described as snuff films. They depict the systematic torture of Palestinians from Gaza in Israeli jails. Such videos have aired on at least three occasions — twice on Channel 14, and once on the public broadcaster, Channel 13. While Channel 14 is considered right-wing, so is about two-thirds of the Israeli public, and the more “mainstream” Channel 13 has shown no qualms about airing similar footage. The broadcasts follow prison officials into detention centers to document the mistreatment of prisoners, which seems to be something that the officials — and apparently the viewers — find satisfying rather than revolting. The airing of these snuff films is a demonstration of societal sadism. As Yumna Patel has recently reported, several rights groups have sounded the alarm over the widespread and systemic abuse that Palestinian prisoners face at the hands of the Israeli authorities. These groups’ calls have been unintentionally buttressed by Israeli soldiers’ unapologetic videos of themselves torturing or demeaning Palestinian detainees, which they boastfully post on social media. Now, it seems that the phenomenon has expanded to mainstream Israeli television. The two aforementioned reports on Channel 14 (threads with subtitles can be found here and here) contained footage of actual interrogation sessions during which torture was used. The Channel 13 report did not, but it exposed some of the worst prison conditions to be broadcast to the public. These conditions include forcing prisoners to live in inhumane conditions and subjecting them to torture and harassment. Here’s the 11-minute video with translated subtitles. Israel Channel 13 prison tour 18.2.2024 ‘The feeling is one of pride’ “Here, we see the cells in which the Nukhba terrorists are held,” the narrator says. The “Nukhba” refers to elite Hamas-led fighters who carried out the October 7 attack. In the cell, viewers notice metal bunkbeds without mattresses, and instead of a toilet, there is just a hole in the floor. The room is almost completely dark throughout the day, and prisoners have their hands and legs chained together. We hear attack dogs barking constantly as prisoners are made to kneel while bound and blindfolded, their heads touching the floor. “This is how it should be,” a guard says. “This is how a Nukhba prisoner should be…what happened on October 7 will never return.” In another scene, a guard shouts at prisoners as dogs continue to bark incessantly. “Heads down! Heads on the floor!” he yells. “There are many prisoners here that I personally saw at the [October 7] events,” a prison official says, taking pride in humiliating them. “The difference is that this time, he is afraid, shaking, with his head on the floor…no Allahu Akbar, nothing. You won’t hear a squeak from him.” “They have no mattresses,” says a warden shift commander. “They have nothing…we control them 100% — their food, their shackling, their sleep…[we] show them we are the masters of the house.” Even without knowing the background to that phrase, to hear him say it is chilling. “Masters of the house” was the election slogan of Itamar Ben-Gvir, the Jewish Power leader and current Minister of National Security. Ben-Gvir declared war on Palestinian prisoners long before October 7, and this has included shutting down bakeries that supply bread to prisoners — described by Ben-Gvir as an “indulgence” — and drastically limiting prisoners’ water use. So now it’s become much worse. While one is tempted to believe that all prisoners here are “Nukhba” members, it turns out that many of them aren’t even suspected of that. Rather, they were rounded up in Gaza after October 7, during mass arrests in which hundreds of Gazan men were stripped and paraded in a most sadistic demonstration of power. The mass arrests also included hundreds of women, including pregnant women detained with their babies. Israeli security officials told Haaretz that by their own estimate, “only 10 to 15 percent of the hundreds of the semi-naked and bound Gazan men arrested in the Strip during the recent days are Hamas members or those who identified with the organization.” Back to the Channel 13 coverage, viewers can hear the nonstop blasting of the Zionist anthem, Am Israel Hai (“the people of Israel live”). “The prison authorities claim that it is meant to boost the morale of the staff,” the narrator declares. “But it is clear that this is another part of the psychological warfare against the prisoners.” Torture, in other words. It’s hard to imagine the depths to which Israeli society has sunk. The official tells the Channel 13 reporter that “the feeling is one of pride.” The reason such sadism has become formalized as a matter of policy is because this is what the Israeli public demands. The Israeli Democracy Institute released a survey last week showing that two-thirds of Jewish Israelis oppose “the transfer of humanitarian aid to Gaza residents at this time,” even if “via international bodies that are not linked to Hamas or to UNRWA.” For right-wing voters, the opposition to aid jumps from 68% to 80%. This is not Israel’s Abu Ghraib moment, because when Abu Ghraib was revealed, most Americans were revolted. Israeli society, on the other hand, is thirsting for genocide. No wonder they consume such videos as entertainment on mainstream TV. Thanks to Tali Shapiro, B.M.@ireallyhatyou, Hilel Biton-Rosen, and Dave Reed. ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians https://mondoweiss.net/2024/03/we-are-the-masters-of-the-house-israeli-channels-air-snuff-videos-featuring-systematic-torture-of-palestinians/?utm_content=buffer5ce81&utm_medium=social&utm_source=twitter&utm_campaign=buffer
    MONDOWEISS.NET
    ‘We are the masters of the house’: Israeli channels air snuff videos featuring systematic torture of Palestinians
    Israeli TV channels aired a number of reports showing the torture and humiliation of Palestinians in Israeli prisons. The videos are consumed by the Israeli public as entertainment, revealing the sadism of Israeli society.
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  • 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.

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    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/
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    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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  • A thesis proposal is a crucial step for writing a master's thesis. Outline the thesis ideas and provide an exact roadmap for research using this fully customizable thesis proposal PowerPoint template. You can use this PPT template to identify the problem and provide a proposed solution to that issue. Download now: https://bit.ly/3Of6lH0
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    A thesis proposal is a crucial step for writing a master's thesis. Outline the thesis ideas and provide an exact roadmap for research using this fully customizable thesis proposal PowerPoint template. You can use this PPT template to identify the problem and provide a proposed solution to that issue. Download now: https://bit.ly/3Of6lH0 #thesisproposal #thesis #powerpointpresentation #powerpointtemplates #powerpointdesign
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  • Avi Shlaim: ‘Three Worlds – Memoirs of an Arab – Jew’
    This beautiful, inspiring, elegiac book is the story of the author’s journey – a journey from Baghdad to Israel in 1950, aged five, and from Israel to England. But Avi Schlaim’s journey was at different levels. It was geographical and it was cultural. It also became a political journey to his own position today.

    His personal experiences illustrate a bigger story of the Jewish exodus from Iraq to Israel in 1950 following the creation of Israel in 1948. His story and his words speak more eloquently than any reviewer can, and so for the most part, I quote directly from his memoir.

    The book is “a glimpse into the lost and rich world of the Iraqi-Jewish community”. Perhaps, coming from what he describes as a prosperous, privileged family, he may see the past through rose-tinted glasses. But his memories are precious.

    “We belonged to a branch of the global Jewish community that is now almost extinct. We were Arab-Jews. We lived in Baghdad and were well integrated into Iraqi society. We spoke Arabic at home, our social customs were Arab, our lifestyle was Arab, our cuisine was exquisitely Middle Eastern and my parents’ music was an attractive blend of Arabic and Jewish…We in the Jewish community had much more in common, linguistically and culturally, with our Iraqi compatriots than with our European co-religionists.

    Of all the Jewish communities in the Ottoman Empire, the one in Mesopotamia was the most integrated into local society, the most Arabised in its culture and the most prosperous… When the British created the Kingdom of Iraq…the Jews were the backbone of the Iraqi economy”

    Jewish lineage in Mesopotamia stretched as far back as Babylonian times, pre-dating the rise of Islam by a millenium.

    “Their influence was evident in every branch of Iraqi culture, from literature and music to journalism and banking. Banks – with the exception of government owned banks – and all the big markets remained closed on the Sabbath and the other Jewish holy days.” By the 1880s there were 55 synagogues in Baghdad.

    He describes how in Iraq there was a long tradition of religious tolerance and harmony. “The Jews were neither newcomers nor aliens in Iraq. They were certainly not intruders”. By the time of the First World War, Jews constituted one third of the population of Baghdad.

    He contrasts Europe and the Middle East. “Unlike Europe the Middle East did not have a ‘Jewish Question’. “Iraq’s Jews did not live in ghettos, nor did they experience the violent repression, persecution and genocide that marred European history. There were of course exceptions, notably the infamous pogrom against Jews in June 1941, for which the actions of British imperialism must take substantial responsibility.

    By 1941, antisemitism in Baghdad was on the increase but was more a foreign import than a home grown product. There was a violent pogrom against the Jewish community named the farhud. The Jews were seen as friends of the British. 179 Jews were murdered and several hundred injured. It was completely unexpected and unprecedented. There had been no other attack against the Jews for centuries. Avi gives many examples of Muslims assisting their Jewish neighbours.

    And yet he writes: “The overall picture, however, was one of religious tolerance, cosmopolitanism, peaceful co-existence and fruitful interaction.”

    The critical moment was the creation of Israel. “As a result of the Arab defeat, there was a backlash against the Jews throughout the Arab world. “What had been a pillar of Iraqi society was increasingly perceived as a sinister fifth column”, with Islamic fundamentalists and Arab nationalists identifying the Jews in their countries with the hated Zionist enemy.

    Palestinians “were the main victims of the Zionist project. More than half their number became refugees and the name Palestine was wiped off the map. But there was another category of victims, less well known and much less talked about: the Jews of the Arab lands”.

    The sub-title of the book refers to ‘Arab-Jews’. “The hyphen is significant. Critics of the term Arab-Jew see it as… conflating two separate identities. As I see it, the hyphen unites: an Arab can also be a Jew and a Jew can also be an Arab…We are told that there is a clash of cultures, an unbridgeable gulf between Muslims and Jews… The story of my family in Iraq -and that of many forgotten families like mine – points to a dramatically different picture. It harks back to an era of a more pluralist Middle East with greater religious tolerance and a political culture of mutual respect and co-operation.”

    Yet the Zionists portray the Jews as the victims of endemic Arab persecution and this is used to justify the atrocious treatment of the Palestinians. Thus the narrative of the ‘Jewish Nakba’ to create a ‘false symmetry between the fate of two communities. This narrative is not history; it is the propaganda of the victors.”

    On 29th November 1947 the General Assembly of the United Nations voted for the partition of mandate Palestine into two states: one Arab, one Jewish. The General Council of the Iraqi Jewish community sent a telegram to the UN opposing the partition resolution and the creation of a Jewish state. “Like my family, the majority of Iraqi Jews saw themselves as Iraqi first and Jewish second; they feared that the creation of a Jewish state would undermine their position in Iraq… The distinction between Jews and Zionists, so crucial to interfaith harmony in the Arab world, was rapidly breaking down”.

    Iraq’s participation in the war for Palestine fuelled tensions between Muslims and Jews. Iraqi Jews were widely suspected of being secret supporters of Israel. With the defeat of Palestine a wave of hostility towards Israel and the Jews living in their midst swept through the Arab world. Demonstrators marched through the streets of Baghdad shouting “Death to the Jews.” And the government needing a scapegoat did not simply respond to public anger but actively whipped up public hysteria and suspicion against the Jews.

    At this point official persecution against the Jews began. In July 1948 a law was passed making Zionism a criminal offence punishable by death or a minimum sentence of seven years in prison. Jews were fired from government jobs and from the railways, post office and telegraph department, Jewish merchants were denied import and export licences, restrictions placed on Jewish banks to trade in foreign currency, young Jews were barred from admission to colleges of education and the entire community was put under surveillance.

    The number of Jewish immigrants leaving Iraq to the end of 1953 numbered almost 125,000 out of a total of 135,000. The Jewish presence going back well over 2,000 years was destroyed.

    And yet for all this the mass exodus did not occur till 1950/1951 in what was known as the ‘Big Aliyah”. The majority of Iraqi Jews did not want to leave Iraq and had no affinity with Zionism. Most who emigrated to Israel did so only after a wave of five bombings of Jewish targets in Baghdad. It has long been argued that the bombings were instigated by Israel and the Zionists to spark a mass flight of Iraqi Jews to Israel, needed as they were to do many of the menial jobs and to boost numbers in the army.

    The author makes a forensic examination of the evidence – based on examination of documents and on interviews – and concluded that three out of the five bombings were carried out by the Zionist underground in Baghdad, a fourth – the bombing of the Mas’uda Shemtob synagogue, which was the only one that resulted in fatalities – was the result of Zionist bribery and there was one carried out by a far right wing, anti-Jewish Iraqi nationalist group.

    When the Iraqi Jews arrived in Israel, their experience fell short of the Zionist myth. At the airport in Israel, many were sprayed with DDT pesticides “to disinfect them as if they were animals.” They were then taken to squalid and unsanitary transit camps. Some camps were surrounded by barbed wire and guarded by policemen. The immigration and settlement authorities had no understanding of their customs and culture. “They thought of them as backward and primitive and expected them to take their place at the bottom of the social hierarchy and be grateful for whatever they were given… The lens through which the new immigrants were viewed was the same colonialist lens through which the Ashkenazi establishment viewed the Palestinians.”

    “We were Jews from an Arab country that was still officially at war with Israel. European Jews.. looked down on us as socially and culturally inferior. They despised the Arabic language…I was an Iraqi boy in a land of Europeans.”

    For his grandmothers, Iraq was the beloved homeland while Israel was the place of exile. “Migration to Israel is usually described as Aliyah or ascent. For us the move from Iraq to Israel was decidedly a Yeridah, a descent down the economic and social ladder. Not only did we lose our property and possessions; we also our lost our strong sense of identity as proud Iraqi Jews as we were relegated to the margins of Israeli society.” The experience was to break his father.

    “The unstated aims of the official policy for schools were to undermine our Arab-Jewish identity… A systematic process was at work to delegitimise our heritage and erase our cultural roots” It was a clash of cultures. The Mizrahim were earmarked to be the proletariat – the fodder to support the country’s industrial and agricultural development. As one author put it, “We left Iraq as Jews and arrived in Israel as Iraqis.” They were clearly, to borrow from current jargon, “the wrong kind of Israeli”.

    His journey was a political one too. His message and his warnings are unequivocally universalist. “The Holocaust stands out as an archetype of a crime against humanity. For me as a Jew and an Israeli therefore the Holocaust teaches us to resist the dehumanising of any people, including the Palestinian ‘victims of victims’, because dehumanising a people can easily result, as it did in Europe in the 1940s, in crimes against humanity.”

    He had previously argued that it was only after the 1967 war that Israel became a colonial power, oppressing the Palestinians in the occupied territories. However, “a deeper analysis… led me to the conclusion that Israel had been created by a settler-colonial movement. The years 1948 and 1967 were merely milestones in the relentless systematic takeover of the whole of Palestine… Since Zionism was an avowedly settler-colonial movement from the outset, the building of civilian settlements on occupied land was only a new stage in the long march… The most crucial turning point was not the war of 1967 but the establishment of the State of Israel in 1948.”

    And more: “the two-state solution is dead or, to be more accurate, it was never born… The outcome I have come to favour is one democratic state… with equal rights for all its citizens regardless of ethnicity or religion.” He is absolutely right in my view.

    His family’s story “serves as a corrective to the Zionist narrative which views Arabs and Jews as congenitally incapable of dwelling together in peace and doomed to permanent conflict and discord… My experience as a young boy and that of the whole Jewish community in Iraq, suggests there is nothing inevitable or pre-ordained about Arab-Jewish antagonism… Remembering the past can help us to envisage a better future… Arab-Jewish co-existence is not something that my family imagined in our minds; we experienced it, we touched it.”

    Optimistic? Yes, perhaps over-optimistic. But towards the end of this masterpiece, Avi Schlaim justifies his message. “Recalling the era of cosmopolitanism and co-existence that some Jews, like my family, enjoyed in Arab countries before 1948 offers a glimmer of hope… It’s the best model we have for a better future.”


    https://www.jewishvoiceforlabour.org.uk/article/avi-shlaim-three-worlds-memoirs-of-an-arab-jew/
    Avi Shlaim: ‘Three Worlds – Memoirs of an Arab – Jew’ This beautiful, inspiring, elegiac book is the story of the author’s journey – a journey from Baghdad to Israel in 1950, aged five, and from Israel to England. But Avi Schlaim’s journey was at different levels. It was geographical and it was cultural. It also became a political journey to his own position today. His personal experiences illustrate a bigger story of the Jewish exodus from Iraq to Israel in 1950 following the creation of Israel in 1948. His story and his words speak more eloquently than any reviewer can, and so for the most part, I quote directly from his memoir. The book is “a glimpse into the lost and rich world of the Iraqi-Jewish community”. Perhaps, coming from what he describes as a prosperous, privileged family, he may see the past through rose-tinted glasses. But his memories are precious. “We belonged to a branch of the global Jewish community that is now almost extinct. We were Arab-Jews. We lived in Baghdad and were well integrated into Iraqi society. We spoke Arabic at home, our social customs were Arab, our lifestyle was Arab, our cuisine was exquisitely Middle Eastern and my parents’ music was an attractive blend of Arabic and Jewish…We in the Jewish community had much more in common, linguistically and culturally, with our Iraqi compatriots than with our European co-religionists. Of all the Jewish communities in the Ottoman Empire, the one in Mesopotamia was the most integrated into local society, the most Arabised in its culture and the most prosperous… When the British created the Kingdom of Iraq…the Jews were the backbone of the Iraqi economy” Jewish lineage in Mesopotamia stretched as far back as Babylonian times, pre-dating the rise of Islam by a millenium. “Their influence was evident in every branch of Iraqi culture, from literature and music to journalism and banking. Banks – with the exception of government owned banks – and all the big markets remained closed on the Sabbath and the other Jewish holy days.” By the 1880s there were 55 synagogues in Baghdad. He describes how in Iraq there was a long tradition of religious tolerance and harmony. “The Jews were neither newcomers nor aliens in Iraq. They were certainly not intruders”. By the time of the First World War, Jews constituted one third of the population of Baghdad. He contrasts Europe and the Middle East. “Unlike Europe the Middle East did not have a ‘Jewish Question’. “Iraq’s Jews did not live in ghettos, nor did they experience the violent repression, persecution and genocide that marred European history. There were of course exceptions, notably the infamous pogrom against Jews in June 1941, for which the actions of British imperialism must take substantial responsibility. By 1941, antisemitism in Baghdad was on the increase but was more a foreign import than a home grown product. There was a violent pogrom against the Jewish community named the farhud. The Jews were seen as friends of the British. 179 Jews were murdered and several hundred injured. It was completely unexpected and unprecedented. There had been no other attack against the Jews for centuries. Avi gives many examples of Muslims assisting their Jewish neighbours. And yet he writes: “The overall picture, however, was one of religious tolerance, cosmopolitanism, peaceful co-existence and fruitful interaction.” The critical moment was the creation of Israel. “As a result of the Arab defeat, there was a backlash against the Jews throughout the Arab world. “What had been a pillar of Iraqi society was increasingly perceived as a sinister fifth column”, with Islamic fundamentalists and Arab nationalists identifying the Jews in their countries with the hated Zionist enemy. Palestinians “were the main victims of the Zionist project. More than half their number became refugees and the name Palestine was wiped off the map. But there was another category of victims, less well known and much less talked about: the Jews of the Arab lands”. The sub-title of the book refers to ‘Arab-Jews’. “The hyphen is significant. Critics of the term Arab-Jew see it as… conflating two separate identities. As I see it, the hyphen unites: an Arab can also be a Jew and a Jew can also be an Arab…We are told that there is a clash of cultures, an unbridgeable gulf between Muslims and Jews… The story of my family in Iraq -and that of many forgotten families like mine – points to a dramatically different picture. It harks back to an era of a more pluralist Middle East with greater religious tolerance and a political culture of mutual respect and co-operation.” Yet the Zionists portray the Jews as the victims of endemic Arab persecution and this is used to justify the atrocious treatment of the Palestinians. Thus the narrative of the ‘Jewish Nakba’ to create a ‘false symmetry between the fate of two communities. This narrative is not history; it is the propaganda of the victors.” On 29th November 1947 the General Assembly of the United Nations voted for the partition of mandate Palestine into two states: one Arab, one Jewish. The General Council of the Iraqi Jewish community sent a telegram to the UN opposing the partition resolution and the creation of a Jewish state. “Like my family, the majority of Iraqi Jews saw themselves as Iraqi first and Jewish second; they feared that the creation of a Jewish state would undermine their position in Iraq… The distinction between Jews and Zionists, so crucial to interfaith harmony in the Arab world, was rapidly breaking down”. Iraq’s participation in the war for Palestine fuelled tensions between Muslims and Jews. Iraqi Jews were widely suspected of being secret supporters of Israel. With the defeat of Palestine a wave of hostility towards Israel and the Jews living in their midst swept through the Arab world. Demonstrators marched through the streets of Baghdad shouting “Death to the Jews.” And the government needing a scapegoat did not simply respond to public anger but actively whipped up public hysteria and suspicion against the Jews. At this point official persecution against the Jews began. In July 1948 a law was passed making Zionism a criminal offence punishable by death or a minimum sentence of seven years in prison. Jews were fired from government jobs and from the railways, post office and telegraph department, Jewish merchants were denied import and export licences, restrictions placed on Jewish banks to trade in foreign currency, young Jews were barred from admission to colleges of education and the entire community was put under surveillance. The number of Jewish immigrants leaving Iraq to the end of 1953 numbered almost 125,000 out of a total of 135,000. The Jewish presence going back well over 2,000 years was destroyed. And yet for all this the mass exodus did not occur till 1950/1951 in what was known as the ‘Big Aliyah”. The majority of Iraqi Jews did not want to leave Iraq and had no affinity with Zionism. Most who emigrated to Israel did so only after a wave of five bombings of Jewish targets in Baghdad. It has long been argued that the bombings were instigated by Israel and the Zionists to spark a mass flight of Iraqi Jews to Israel, needed as they were to do many of the menial jobs and to boost numbers in the army. The author makes a forensic examination of the evidence – based on examination of documents and on interviews – and concluded that three out of the five bombings were carried out by the Zionist underground in Baghdad, a fourth – the bombing of the Mas’uda Shemtob synagogue, which was the only one that resulted in fatalities – was the result of Zionist bribery and there was one carried out by a far right wing, anti-Jewish Iraqi nationalist group. When the Iraqi Jews arrived in Israel, their experience fell short of the Zionist myth. At the airport in Israel, many were sprayed with DDT pesticides “to disinfect them as if they were animals.” They were then taken to squalid and unsanitary transit camps. Some camps were surrounded by barbed wire and guarded by policemen. The immigration and settlement authorities had no understanding of their customs and culture. “They thought of them as backward and primitive and expected them to take their place at the bottom of the social hierarchy and be grateful for whatever they were given… The lens through which the new immigrants were viewed was the same colonialist lens through which the Ashkenazi establishment viewed the Palestinians.” “We were Jews from an Arab country that was still officially at war with Israel. European Jews.. looked down on us as socially and culturally inferior. They despised the Arabic language…I was an Iraqi boy in a land of Europeans.” For his grandmothers, Iraq was the beloved homeland while Israel was the place of exile. “Migration to Israel is usually described as Aliyah or ascent. For us the move from Iraq to Israel was decidedly a Yeridah, a descent down the economic and social ladder. Not only did we lose our property and possessions; we also our lost our strong sense of identity as proud Iraqi Jews as we were relegated to the margins of Israeli society.” The experience was to break his father. “The unstated aims of the official policy for schools were to undermine our Arab-Jewish identity… A systematic process was at work to delegitimise our heritage and erase our cultural roots” It was a clash of cultures. The Mizrahim were earmarked to be the proletariat – the fodder to support the country’s industrial and agricultural development. As one author put it, “We left Iraq as Jews and arrived in Israel as Iraqis.” They were clearly, to borrow from current jargon, “the wrong kind of Israeli”. His journey was a political one too. His message and his warnings are unequivocally universalist. “The Holocaust stands out as an archetype of a crime against humanity. For me as a Jew and an Israeli therefore the Holocaust teaches us to resist the dehumanising of any people, including the Palestinian ‘victims of victims’, because dehumanising a people can easily result, as it did in Europe in the 1940s, in crimes against humanity.” He had previously argued that it was only after the 1967 war that Israel became a colonial power, oppressing the Palestinians in the occupied territories. However, “a deeper analysis… led me to the conclusion that Israel had been created by a settler-colonial movement. The years 1948 and 1967 were merely milestones in the relentless systematic takeover of the whole of Palestine… Since Zionism was an avowedly settler-colonial movement from the outset, the building of civilian settlements on occupied land was only a new stage in the long march… The most crucial turning point was not the war of 1967 but the establishment of the State of Israel in 1948.” And more: “the two-state solution is dead or, to be more accurate, it was never born… The outcome I have come to favour is one democratic state… with equal rights for all its citizens regardless of ethnicity or religion.” He is absolutely right in my view. His family’s story “serves as a corrective to the Zionist narrative which views Arabs and Jews as congenitally incapable of dwelling together in peace and doomed to permanent conflict and discord… My experience as a young boy and that of the whole Jewish community in Iraq, suggests there is nothing inevitable or pre-ordained about Arab-Jewish antagonism… Remembering the past can help us to envisage a better future… Arab-Jewish co-existence is not something that my family imagined in our minds; we experienced it, we touched it.” Optimistic? Yes, perhaps over-optimistic. But towards the end of this masterpiece, Avi Schlaim justifies his message. “Recalling the era of cosmopolitanism and co-existence that some Jews, like my family, enjoyed in Arab countries before 1948 offers a glimmer of hope… It’s the best model we have for a better future.” https://www.jewishvoiceforlabour.org.uk/article/avi-shlaim-three-worlds-memoirs-of-an-arab-jew/
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  • Avi Shlaim: ‘Three Worlds – Memoirs of an Arab – Jew’
    This beautiful, inspiring, elegiac book is the story of the author’s journey – a journey from Baghdad to Israel in 1950, aged five, and from Israel to England. But Avi Schlaim’s journey was at different levels. It was geographical and it was cultural. It also became a political journey to his own position today.

    His personal experiences illustrate a bigger story of the Jewish exodus from Iraq to Israel in 1950 following the creation of Israel in 1948. His story and his words speak more eloquently than any reviewer can, and so for the most part, I quote directly from his memoir.

    The book is “a glimpse into the lost and rich world of the Iraqi-Jewish community”. Perhaps, coming from what he describes as a prosperous, privileged family, he may see the past through rose-tinted glasses. But his memories are precious.

    “We belonged to a branch of the global Jewish community that is now almost extinct. We were Arab-Jews. We lived in Baghdad and were well integrated into Iraqi society. We spoke Arabic at home, our social customs were Arab, our lifestyle was Arab, our cuisine was exquisitely Middle Eastern and my parents’ music was an attractive blend of Arabic and Jewish…We in the Jewish community had much more in common, linguistically and culturally, with our Iraqi compatriots than with our European co-religionists.

    Of all the Jewish communities in the Ottoman Empire, the one in Mesopotamia was the most integrated into local society, the most Arabised in its culture and the most prosperous… When the British created the Kingdom of Iraq…the Jews were the backbone of the Iraqi economy”

    Jewish lineage in Mesopotamia stretched as far back as Babylonian times, pre-dating the rise of Islam by a millenium.

    “Their influence was evident in every branch of Iraqi culture, from literature and music to journalism and banking. Banks – with the exception of government owned banks – and all the big markets remained closed on the Sabbath and the other Jewish holy days.” By the 1880s there were 55 synagogues in Baghdad.

    He describes how in Iraq there was a long tradition of religious tolerance and harmony. “The Jews were neither newcomers nor aliens in Iraq. They were certainly not intruders”. By the time of the First World War, Jews constituted one third of the population of Baghdad.

    He contrasts Europe and the Middle East. “Unlike Europe the Middle East did not have a ‘Jewish Question’. “Iraq’s Jews did not live in ghettos, nor did they experience the violent repression, persecution and genocide that marred European history. There were of course exceptions, notably the infamous pogrom against Jews in June 1941, for which the actions of British imperialism must take substantial responsibility.

    By 1941, antisemitism in Baghdad was on the increase but was more a foreign import than a home grown product. There was a violent pogrom against the Jewish community named the farhud. The Jews were seen as friends of the British. 179 Jews were murdered and several hundred injured. It was completely unexpected and unprecedented. There had been no other attack against the Jews for centuries. Avi gives many examples of Muslims assisting their Jewish neighbours.

    And yet he writes: “The overall picture, however, was one of religious tolerance, cosmopolitanism, peaceful co-existence and fruitful interaction.”

    The critical moment was the creation of Israel. “As a result of the Arab defeat, there was a backlash against the Jews throughout the Arab world. “What had been a pillar of Iraqi society was increasingly perceived as a sinister fifth column”, with Islamic fundamentalists and Arab nationalists identifying the Jews in their countries with the hated Zionist enemy.

    Palestinians “were the main victims of the Zionist project. More than half their number became refugees and the name Palestine was wiped off the map. But there was another category of victims, less well known and much less talked about: the Jews of the Arab lands”.

    The sub-title of the book refers to ‘Arab-Jews’. “The hyphen is significant. Critics of the term Arab-Jew see it as… conflating two separate identities. As I see it, the hyphen unites: an Arab can also be a Jew and a Jew can also be an Arab…We are told that there is a clash of cultures, an unbridgeable gulf between Muslims and Jews… The story of my family in Iraq -and that of many forgotten families like mine – points to a dramatically different picture. It harks back to an era of a more pluralist Middle East with greater religious tolerance and a political culture of mutual respect and co-operation.”

    Yet the Zionists portray the Jews as the victims of endemic Arab persecution and this is used to justify the atrocious treatment of the Palestinians. Thus the narrative of the ‘Jewish Nakba’ to create a ‘false symmetry between the fate of two communities. This narrative is not history; it is the propaganda of the victors.”

    On 29th November 1947 the General Assembly of the United Nations voted for the partition of mandate Palestine into two states: one Arab, one Jewish. The General Council of the Iraqi Jewish community sent a telegram to the UN opposing the partition resolution and the creation of a Jewish state. “Like my family, the majority of Iraqi Jews saw themselves as Iraqi first and Jewish second; they feared that the creation of a Jewish state would undermine their position in Iraq… The distinction between Jews and Zionists, so crucial to interfaith harmony in the Arab world, was rapidly breaking down”.

    Iraq’s participation in the war for Palestine fuelled tensions between Muslims and Jews. Iraqi Jews were widely suspected of being secret supporters of Israel. With the defeat of Palestine a wave of hostility towards Israel and the Jews living in their midst swept through the Arab world. Demonstrators marched through the streets of Baghdad shouting “Death to the Jews.” And the government needing a scapegoat did not simply respond to public anger but actively whipped up public hysteria and suspicion against the Jews.

    At this point official persecution against the Jews began. In July 1948 a law was passed making Zionism a criminal offence punishable by death or a minimum sentence of seven years in prison. Jews were fired from government jobs and from the railways, post office and telegraph department, Jewish merchants were denied import and export licences, restrictions placed on Jewish banks to trade in foreign currency, young Jews were barred from admission to colleges of education and the entire community was put under surveillance.

    The number of Jewish immigrants leaving Iraq to the end of 1953 numbered almost 125,000 out of a total of 135,000. The Jewish presence going back well over 2,000 years was destroyed.

    And yet for all this the mass exodus did not occur till 1950/1951 in what was known as the ‘Big Aliyah”. The majority of Iraqi Jews did not want to leave Iraq and had no affinity with Zionism. Most who emigrated to Israel did so only after a wave of five bombings of Jewish targets in Baghdad. It has long been argued that the bombings were instigated by Israel and the Zionists to spark a mass flight of Iraqi Jews to Israel, needed as they were to do many of the menial jobs and to boost numbers in the army.

    The author makes a forensic examination of the evidence – based on examination of documents and on interviews – and concluded that three out of the five bombings were carried out by the Zionist underground in Baghdad, a fourth – the bombing of the Mas’uda Shemtob synagogue, which was the only one that resulted in fatalities – was the result of Zionist bribery and there was one carried out by a far right wing, anti-Jewish Iraqi nationalist group.

    When the Iraqi Jews arrived in Israel, their experience fell short of the Zionist myth. At the airport in Israel, many were sprayed with DDT pesticides “to disinfect them as if they were animals.” They were then taken to squalid and unsanitary transit camps. Some camps were surrounded by barbed wire and guarded by policemen. The immigration and settlement authorities had no understanding of their customs and culture. “They thought of them as backward and primitive and expected them to take their place at the bottom of the social hierarchy and be grateful for whatever they were given… The lens through which the new immigrants were viewed was the same colonialist lens through which the Ashkenazi establishment viewed the Palestinians.”

    “We were Jews from an Arab country that was still officially at war with Israel. European Jews.. looked down on us as socially and culturally inferior. They despised the Arabic language…I was an Iraqi boy in a land of Europeans.”

    For his grandmothers, Iraq was the beloved homeland while Israel was the place of exile. “Migration to Israel is usually described as Aliyah or ascent. For us the move from Iraq to Israel was decidedly a Yeridah, a descent down the economic and social ladder. Not only did we lose our property and possessions; we also our lost our strong sense of identity as proud Iraqi Jews as we were relegated to the margins of Israeli society.” The experience was to break his father.

    “The unstated aims of the official policy for schools were to undermine our Arab-Jewish identity… A systematic process was at work to delegitimise our heritage and erase our cultural roots” It was a clash of cultures. The Mizrahim were earmarked to be the proletariat – the fodder to support the country’s industrial and agricultural development. As one author put it, “We left Iraq as Jews and arrived in Israel as Iraqis.” They were clearly, to borrow from current jargon, “the wrong kind of Israeli”.

    His journey was a political one too. His message and his warnings are unequivocally universalist. “The Holocaust stands out as an archetype of a crime against humanity. For me as a Jew and an Israeli therefore the Holocaust teaches us to resist the dehumanising of any people, including the Palestinian ‘victims of victims’, because dehumanising a people can easily result, as it did in Europe in the 1940s, in crimes against humanity.”

    He had previously argued that it was only after the 1967 war that Israel became a colonial power, oppressing the Palestinians in the occupied territories. However, “a deeper analysis… led me to the conclusion that Israel had been created by a settler-colonial movement. The years 1948 and 1967 were merely milestones in the relentless systematic takeover of the whole of Palestine… Since Zionism was an avowedly settler-colonial movement from the outset, the building of civilian settlements on occupied land was only a new stage in the long march… The most crucial turning point was not the war of 1967 but the establishment of the State of Israel in 1948.”

    And more: “the two-state solution is dead or, to be more accurate, it was never born… The outcome I have come to favour is one democratic state… with equal rights for all its citizens regardless of ethnicity or religion.” He is absolutely right in my view.

    His family’s story “serves as a corrective to the Zionist narrative which views Arabs and Jews as congenitally incapable of dwelling together in peace and doomed to permanent conflict and discord… My experience as a young boy and that of the whole Jewish community in Iraq, suggests there is nothing inevitable or pre-ordained about Arab-Jewish antagonism… Remembering the past can help us to envisage a better future… Arab-Jewish co-existence is not something that my family imagined in our minds; we experienced it, we touched it.”

    Optimistic? Yes, perhaps over-optimistic. But towards the end of this masterpiece, Avi Schlaim justifies his message. “Recalling the era of cosmopolitanism and co-existence that some Jews, like my family, enjoyed in Arab countries before 1948 offers a glimmer of hope… It’s the best model we have for a better future.”


    https://www.jewishvoiceforlabour.org.uk/article/avi-shlaim-three-worlds-memoirs-of-an-arab-jew/
    Avi Shlaim: ‘Three Worlds – Memoirs of an Arab – Jew’ This beautiful, inspiring, elegiac book is the story of the author’s journey – a journey from Baghdad to Israel in 1950, aged five, and from Israel to England. But Avi Schlaim’s journey was at different levels. It was geographical and it was cultural. It also became a political journey to his own position today. His personal experiences illustrate a bigger story of the Jewish exodus from Iraq to Israel in 1950 following the creation of Israel in 1948. His story and his words speak more eloquently than any reviewer can, and so for the most part, I quote directly from his memoir. The book is “a glimpse into the lost and rich world of the Iraqi-Jewish community”. Perhaps, coming from what he describes as a prosperous, privileged family, he may see the past through rose-tinted glasses. But his memories are precious. “We belonged to a branch of the global Jewish community that is now almost extinct. We were Arab-Jews. We lived in Baghdad and were well integrated into Iraqi society. We spoke Arabic at home, our social customs were Arab, our lifestyle was Arab, our cuisine was exquisitely Middle Eastern and my parents’ music was an attractive blend of Arabic and Jewish…We in the Jewish community had much more in common, linguistically and culturally, with our Iraqi compatriots than with our European co-religionists. Of all the Jewish communities in the Ottoman Empire, the one in Mesopotamia was the most integrated into local society, the most Arabised in its culture and the most prosperous… When the British created the Kingdom of Iraq…the Jews were the backbone of the Iraqi economy” Jewish lineage in Mesopotamia stretched as far back as Babylonian times, pre-dating the rise of Islam by a millenium. “Their influence was evident in every branch of Iraqi culture, from literature and music to journalism and banking. Banks – with the exception of government owned banks – and all the big markets remained closed on the Sabbath and the other Jewish holy days.” By the 1880s there were 55 synagogues in Baghdad. He describes how in Iraq there was a long tradition of religious tolerance and harmony. “The Jews were neither newcomers nor aliens in Iraq. They were certainly not intruders”. By the time of the First World War, Jews constituted one third of the population of Baghdad. He contrasts Europe and the Middle East. “Unlike Europe the Middle East did not have a ‘Jewish Question’. “Iraq’s Jews did not live in ghettos, nor did they experience the violent repression, persecution and genocide that marred European history. There were of course exceptions, notably the infamous pogrom against Jews in June 1941, for which the actions of British imperialism must take substantial responsibility. By 1941, antisemitism in Baghdad was on the increase but was more a foreign import than a home grown product. There was a violent pogrom against the Jewish community named the farhud. The Jews were seen as friends of the British. 179 Jews were murdered and several hundred injured. It was completely unexpected and unprecedented. There had been no other attack against the Jews for centuries. Avi gives many examples of Muslims assisting their Jewish neighbours. And yet he writes: “The overall picture, however, was one of religious tolerance, cosmopolitanism, peaceful co-existence and fruitful interaction.” The critical moment was the creation of Israel. “As a result of the Arab defeat, there was a backlash against the Jews throughout the Arab world. “What had been a pillar of Iraqi society was increasingly perceived as a sinister fifth column”, with Islamic fundamentalists and Arab nationalists identifying the Jews in their countries with the hated Zionist enemy. Palestinians “were the main victims of the Zionist project. More than half their number became refugees and the name Palestine was wiped off the map. But there was another category of victims, less well known and much less talked about: the Jews of the Arab lands”. The sub-title of the book refers to ‘Arab-Jews’. “The hyphen is significant. Critics of the term Arab-Jew see it as… conflating two separate identities. As I see it, the hyphen unites: an Arab can also be a Jew and a Jew can also be an Arab…We are told that there is a clash of cultures, an unbridgeable gulf between Muslims and Jews… The story of my family in Iraq -and that of many forgotten families like mine – points to a dramatically different picture. It harks back to an era of a more pluralist Middle East with greater religious tolerance and a political culture of mutual respect and co-operation.” Yet the Zionists portray the Jews as the victims of endemic Arab persecution and this is used to justify the atrocious treatment of the Palestinians. Thus the narrative of the ‘Jewish Nakba’ to create a ‘false symmetry between the fate of two communities. This narrative is not history; it is the propaganda of the victors.” On 29th November 1947 the General Assembly of the United Nations voted for the partition of mandate Palestine into two states: one Arab, one Jewish. The General Council of the Iraqi Jewish community sent a telegram to the UN opposing the partition resolution and the creation of a Jewish state. “Like my family, the majority of Iraqi Jews saw themselves as Iraqi first and Jewish second; they feared that the creation of a Jewish state would undermine their position in Iraq… The distinction between Jews and Zionists, so crucial to interfaith harmony in the Arab world, was rapidly breaking down”. Iraq’s participation in the war for Palestine fuelled tensions between Muslims and Jews. Iraqi Jews were widely suspected of being secret supporters of Israel. With the defeat of Palestine a wave of hostility towards Israel and the Jews living in their midst swept through the Arab world. Demonstrators marched through the streets of Baghdad shouting “Death to the Jews.” And the government needing a scapegoat did not simply respond to public anger but actively whipped up public hysteria and suspicion against the Jews. At this point official persecution against the Jews began. In July 1948 a law was passed making Zionism a criminal offence punishable by death or a minimum sentence of seven years in prison. Jews were fired from government jobs and from the railways, post office and telegraph department, Jewish merchants were denied import and export licences, restrictions placed on Jewish banks to trade in foreign currency, young Jews were barred from admission to colleges of education and the entire community was put under surveillance. The number of Jewish immigrants leaving Iraq to the end of 1953 numbered almost 125,000 out of a total of 135,000. The Jewish presence going back well over 2,000 years was destroyed. And yet for all this the mass exodus did not occur till 1950/1951 in what was known as the ‘Big Aliyah”. The majority of Iraqi Jews did not want to leave Iraq and had no affinity with Zionism. Most who emigrated to Israel did so only after a wave of five bombings of Jewish targets in Baghdad. It has long been argued that the bombings were instigated by Israel and the Zionists to spark a mass flight of Iraqi Jews to Israel, needed as they were to do many of the menial jobs and to boost numbers in the army. The author makes a forensic examination of the evidence – based on examination of documents and on interviews – and concluded that three out of the five bombings were carried out by the Zionist underground in Baghdad, a fourth – the bombing of the Mas’uda Shemtob synagogue, which was the only one that resulted in fatalities – was the result of Zionist bribery and there was one carried out by a far right wing, anti-Jewish Iraqi nationalist group. When the Iraqi Jews arrived in Israel, their experience fell short of the Zionist myth. At the airport in Israel, many were sprayed with DDT pesticides “to disinfect them as if they were animals.” They were then taken to squalid and unsanitary transit camps. Some camps were surrounded by barbed wire and guarded by policemen. The immigration and settlement authorities had no understanding of their customs and culture. “They thought of them as backward and primitive and expected them to take their place at the bottom of the social hierarchy and be grateful for whatever they were given… The lens through which the new immigrants were viewed was the same colonialist lens through which the Ashkenazi establishment viewed the Palestinians.” “We were Jews from an Arab country that was still officially at war with Israel. European Jews.. looked down on us as socially and culturally inferior. They despised the Arabic language…I was an Iraqi boy in a land of Europeans.” For his grandmothers, Iraq was the beloved homeland while Israel was the place of exile. “Migration to Israel is usually described as Aliyah or ascent. For us the move from Iraq to Israel was decidedly a Yeridah, a descent down the economic and social ladder. Not only did we lose our property and possessions; we also our lost our strong sense of identity as proud Iraqi Jews as we were relegated to the margins of Israeli society.” The experience was to break his father. “The unstated aims of the official policy for schools were to undermine our Arab-Jewish identity… A systematic process was at work to delegitimise our heritage and erase our cultural roots” It was a clash of cultures. The Mizrahim were earmarked to be the proletariat – the fodder to support the country’s industrial and agricultural development. As one author put it, “We left Iraq as Jews and arrived in Israel as Iraqis.” They were clearly, to borrow from current jargon, “the wrong kind of Israeli”. His journey was a political one too. His message and his warnings are unequivocally universalist. “The Holocaust stands out as an archetype of a crime against humanity. For me as a Jew and an Israeli therefore the Holocaust teaches us to resist the dehumanising of any people, including the Palestinian ‘victims of victims’, because dehumanising a people can easily result, as it did in Europe in the 1940s, in crimes against humanity.” He had previously argued that it was only after the 1967 war that Israel became a colonial power, oppressing the Palestinians in the occupied territories. However, “a deeper analysis… led me to the conclusion that Israel had been created by a settler-colonial movement. The years 1948 and 1967 were merely milestones in the relentless systematic takeover of the whole of Palestine… Since Zionism was an avowedly settler-colonial movement from the outset, the building of civilian settlements on occupied land was only a new stage in the long march… The most crucial turning point was not the war of 1967 but the establishment of the State of Israel in 1948.” And more: “the two-state solution is dead or, to be more accurate, it was never born… The outcome I have come to favour is one democratic state… with equal rights for all its citizens regardless of ethnicity or religion.” He is absolutely right in my view. His family’s story “serves as a corrective to the Zionist narrative which views Arabs and Jews as congenitally incapable of dwelling together in peace and doomed to permanent conflict and discord… My experience as a young boy and that of the whole Jewish community in Iraq, suggests there is nothing inevitable or pre-ordained about Arab-Jewish antagonism… Remembering the past can help us to envisage a better future… Arab-Jewish co-existence is not something that my family imagined in our minds; we experienced it, we touched it.” Optimistic? Yes, perhaps over-optimistic. But towards the end of this masterpiece, Avi Schlaim justifies his message. “Recalling the era of cosmopolitanism and co-existence that some Jews, like my family, enjoyed in Arab countries before 1948 offers a glimmer of hope… It’s the best model we have for a better future.” https://www.jewishvoiceforlabour.org.uk/article/avi-shlaim-three-worlds-memoirs-of-an-arab-jew/
    WWW.JEWISHVOICEFORLABOUR.ORG.UK
    Avi Shlaim: ‘Three Worlds – Memoirs of an Arab – Jew’
    Graham Bash reviews this groundbreaking personal and political memoir by Avi Shlaim in which he laments the lost world of…
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  • Chimaeras and interspecies hybrids; the sinister agenda hiding behind covid
    Rhoda WilsonMarch 20, 2024
    There is something that has quietly slipped through the din of the murderously phoney episode called covid-19, Dr. Mathew Maavak writes. “If the covid-19 vaccines were ‘experimental gene therapies’, what other genetic experimentations continue unhindered out there?” he asks.

    In May 2020, Dr. Maavak wrote an article about how SARS-CoV-2 was not germinated in a vacuum. The Wuhan Institute of Virology conducted research with alarming global parallels including the pursuit of superintelligence and the development of chimaeras, or interspecies hybrids.

    What he wrote in May 2020 is still relevant today, he says. So yesterday, Dr. Maavak reposted his now four-year-old article.

    Let’s not lose touch…Your Government and Big Tech are actively trying to censor the information reported by The Exposé to serve their own needs. Subscribe now to make sure you receive the latest uncensored news in your inbox…

    Coronavirus in a Time of Chimaeras and Beyond

    By Dr. Mathew Maavak

    In May 2020, just as the coronavirus made hourly headlines, I had suspected that the virus was part of a much more sinister agenda. What I wrote back then remains just as relevant today. Here it is.

    Genetically-Enhanced Competitiveness

    The Sars-Cov-2 virus, which allegedly causes covid-19, was not germinated in a vacuum. The type of research conducted at the Wuhan Institute of Virology had ominous analogues worldwide. These included the quest for super intelligence and the development of interspecies hybrids or chimaeras.

    What began as a scientific mission to remedy congenital defects has rapidly morphed into a global race to create designer babies, super soldiers and transhumans through the aid of biotechnology, artificial intelligence and/or machine-neuralinking. 21st century eugenics is tacitly justified by the need to boost “national competitiveness.”

    China leads the way here. In one revealing episode, genome sequencing giant BGI Shenzhen had procured and sequenced the DNA of more than 2,000 people – mostly Americans – with IQ scores of at least 160. According to Stephen Hsu, a theoretical physicist from Michigan State University and scientific adviser to BGI:

    An exceptional person gets you an order of magnitude more statistical power than if you took random people from the population …

    BGI Shenzhen intends to become a “bio-Google” that will collate the “world’s biological information and make it universally accessible and useful.” From 2012 onwards, it began collaborating with the Bill & Melinda Gates Foundation (“BMGF”). No surprises there.

    Scientific endeavours like these are based on the assumption that an assemblage of smart samples can help in the identification and transplantation of optimal bits of genetic material into future generations.

    Can a virus or vaccine perform this transplantation? Or will such agencies be used to cull the majority of the human population before a “genetic antidote” emerges to reverse their lethal effects? It will be too late for the vast majority of mankind by then. artificial selection, backed by artificial intelligence, may decide who gets this new booster. But is such a hypothetical scenario even realistic? There are too many imponderables here but viruses, nasal swabs and “vaccines” will surely deliver vital data for the “New Human Genome Project.”

    New Eugenics Zeitgeist

    The science of eugenics is not dissuaded by the nurture over nature debate, even after exhaustive studies had failed to establish genetic variants associated with intelligence. For example, a 2010 study led by Robert Plomin, a behavioural geneticist at King’s College London, had probed over 350,000 variations in single DNA letters across the genomes of 7,900 children but found no prized variant. Curiously, most of the smart samples procured by BGI Shenzhen were sourced from Plomin’s research activities.

    Periodic setbacks did not deter the proponents of “procreative beneficence” who argue that it is a human duty to augment the genetic codes of future generations. Failure to do so is couched in terms of “genetic neglect” and even child abuse. If this sounds eerily familiar, look no further than the worldview which once animated the Western world before the Nazis elevated it to a whole new level altogether.

    The eugenics zeitgeist has gripped China in a big way. Under its Maternal and Infant Health Care Law (1994), foetuses with potential hereditary diseases or deformities are recommended for abortion. At the rate Beijing is building its eugenics utopia, the definition of deformity may ultimately include a genetically pre-diagnosed average IQ.

    Instead of inciting public outrage, the law precipitated a headlong rush to select “intelligent” babies through methods like preimplantation genetic diagnosis (“PGD”). The idea behind PGD is to screen and identify the most promising embryos for implantation and birth. Combined with CRISPR gene-editing tools, next-generation Chinese citizens are expected to exhibit remarkably higher IQs – at least according to bioethicists who fret over a future marked by the “genetic haves” and “genetic have-nots.” China already has three CRISPR-edited babies whose current fate remains unknown.

    In the aftermath of the corona psychosis, the availability of “smart samples” would have increased exponentially and may dovetail nicely with the eugenics agenda of the Rockefeller Foundation and BMGF. Incidentally, Bill Gates grew up in a household that was heavily invested in population control and eugenics.

    Our smart societies may inevitably face the existential question of “live-lets” and “live-nots” down the line. The orchestrated rebellion towards selective extinction, if it occurs, has a tragicomical public face: An autistic Swede who parrots the “listen to the science” and “listen to the experts” mantra.

    How will future designer babies contribute to society? For one thing, we will be missing individuals like Beethoven (deaf); Albert Einstein (learning disability/late development); John Nash (schizophrenia); Andrea Boccelli (congenital glaucoma) and Vincent van Gogh (chronic depression/anxiety) and a host of others like them. A future Stephen Hawking (motor neurone disease) and Greta Thunberg (Asperger’s Syndrome – allegedly) will be genetically disqualified before birth.

    It is now inconvenient to consider intelligence as a result of peer interactions, human environment and ingenious reactions to adversity. (I personally define intelligence as an ability to nip the bullsh*t in its foetid bud).

    Mapping out the complex and sometimes unpredictable interplay between 100 trillion synaptic connections in a human brain may take centuries to accomplish but that does not deter the utopians of today.

    After all, genetic manipulation is the eugenic wormhole that promises to accelerate the emergence of a super society at warp speed. The late billionaire paedophile, Jeffrey Epstein, was a prominent proponent of this philosophy. Epstein intended to breed a “super race of humans with his DNA by impregnating women at his New Mexico ranch, genetic engineering and artificial intelligence.” Welcome to Lebensborn 2.0!

    Prominent scientists linked to Epstein’s transhumanist fantasies included “molecular engineer George Church; Murray Gell-Mann, the discoverer of the quark; the evolutionary biologist Stephen Jay Gould; the neurologist and author Oliver Sacks; and the theoretical physicist Frank Wilczek.” The late Stephen Hawking – who will ironically flunk the genetic pre-screenings of tomorrow – was another Epstein associate.

    Forget about Mars missions; major powers see eugenics as the next great frontier. Its hyper-materialistic focus is encapsulated by the following analogy from Russian scientist Denis Rebrikov:

    It currently costs about a million roubles (US$15,500 at that time) to genetically change an embryo – more than a lot of cars – but prices will fall with greater use … I can see the billboard now: “You Choose: a Hyundai Solaris or a Super-Child?”

    You are comparing a child, super or not, with a Hyundai? I mean a Hyundai, really? Sometimes, the road to hell is paved with good intentions but most of the time, it begins with a diabolically silly proposition.

    But why stop at children? From genetically engineered horses in Argentina that are supposedly faster, stronger and better jumpers to super-dogs in China that are comprehensively superior to the average mutt, the DNA of the entire natural world is being slated for a revolutionary redesign.

    Crouching Chimaeras, Hideous Hybrids

    The masters of our universe however cannot create future generations of superhumans without being adept at recombining genetic sequences across species. That is the logic guiding eugenicists. As a result, a slew of chimaeras or interspecies hybrids have been spawned with the aid of CRISPR technology. These include ghastly human-monkey hybrids, monkey-pig hybrids, human-rabbit hybrids and a host of other lab-manufactured monstrosities.

    Chimaeras are created when human embryonic stem cells are injected into embryos of other species. The goal, for the time being, is to induce growth of targeted human organs. Those facing terminal illnesses will no longer have to worry about long organ waiting lists. Chinese scientists have just transplanted a modified pig liver into a brain-dead human and it seems to have worked.

    A less controversial approach to human organ replacement is 3D bioprinting or its 4D bioprinting iteration. These techniques involve the “printing” of a replacement organ from the stem cells of a transplant recipient, thereby eliminating the odds of organ rejection.

    But why stop at replacement organs when we can have “replacement humans” altogether? Future generations must think like Einsteins, be as nimble as leopards and possess owl-like night visions. And, of course, be virus-resistant as well!

    The manipulation of the human genome is the new “grand response” to the venerable set of “grand challenges” for 2030 and beyond. China is the go-to place for such genetic tinkering as some of these undertakings are technically illegal in the West. And this is where the utility of covid-19 comes into the picture. It provides the perfect pretext to remove such ethical constraints. After all, “Disease X” is just waiting to escape from the belly of some bat or pangolin …

    Since 2014, the Wuhan Institute of Virology has been the recipient of a two-stage grant worth $7.2 million from the United States government for gain-of-function research into bat coronaviruses. According to a Newsweek report in April 2020:

    Many scientists have criticised gain of function research, which involves manipulating viruses in the lab to explore their potential for infecting humans because it creates a risk of starting a pandemic from accidental release.

    Such caution has not deterred a flurry of research into microbial gene manipulation. The Wuhan experiments may have either spawned the Sars-Cov-2 virus or it may have provided a fraudulent context for future tyrannical mandates.

    But to solely blame China for the coronavirus “pandemic” is a tad unfair. Just as China is the factory of the world for foreign corporations, it is also the genetic incubator for a variety of viruses and chimaeras for foreign governments and foundations. Even so, the human-pig chimaera was the creation of the Salk Institute in California. Research into the world’s first human-mouse hybrid was largely a Japanese affair. The Portuguese in the meantime had created a virus chimaera.

    The United Kingdom, on their end, had spawned a human-cow hybrid embryo in 2008 – perhaps in keeping with the bovine disposition of those glued to the BBC. It was in Britain where the game-changing Dolly the Sheep was cloned in 1996.

    The transition from sheep to sheeple may turn out to be a short 21st century Jurassic Park ride.

    Coincidences and Consequences

    Before the advent of gene-editing tools and supercomputing, it would have been impossible to create a viable chimaera. The Biotech-Industrial Complex and contact tracing-type panopticons constitute a new growth area for Tech Titans that were once facing bankruptcy.

    The dangers of genome editing were in fact included in the Worldwide Threat Assessment reports submitted to the United States Congress in 2016 and 2017. These risks were either omitted or glossed over in the 2018 and 2019 reports – just as such risks gravitated to the high impact-high likelihood quadrant.

    Is it a coincidence that the nations most affected by covid-19 – at least during the first two years of its alleged spread – were the very ones that had either promoted or encouraged a variety of genetic experimentations that are contrary to nature? If – and that is a big “if” – these nations succeed in their quest for “designer babies” and “superhumans,” the rest of mankind will be rendered redundant. Some mass extermination event may transpire under the guise of World War III, food shortages, Disease X or a combination thereof.


    If everything goes according to plan, however, there will be 500 million potential specimens left for The Great Reset. The Third World, whose leaders are being monetarily incentivised to focus on unattainable Sustainable Development Goals (“SDGs”), will be consigned to the ash heaps of history.

    It is quite ironic that a new generation of cerebrally deficient “thought leaders” and “experts” are being groomed to promote the demises of their societies and themselves.

    About the Author

    Mathew Maavak, with a PhD in Policy Studies, specialises in systems science, global risks, strategic foresight, geopolitics and governance. He is a Malaysian expert on risk foresight and governance.

    Dr. Maavak has published numerous op-eds on a variety of eclectic subjects for over 20 years – by ‘connecting the dots’ in a disjointed world. He is the author of a Substack page titled ‘The Eye Opener’ which you can subscribe to and follow HERE.



    https://expose-news.com/2024/03/20/chimaeras-and-interspecies-hybrids/
    Chimaeras and interspecies hybrids; the sinister agenda hiding behind covid Rhoda WilsonMarch 20, 2024 There is something that has quietly slipped through the din of the murderously phoney episode called covid-19, Dr. Mathew Maavak writes. “If the covid-19 vaccines were ‘experimental gene therapies’, what other genetic experimentations continue unhindered out there?” he asks. In May 2020, Dr. Maavak wrote an article about how SARS-CoV-2 was not germinated in a vacuum. The Wuhan Institute of Virology conducted research with alarming global parallels including the pursuit of superintelligence and the development of chimaeras, or interspecies hybrids. What he wrote in May 2020 is still relevant today, he says. So yesterday, Dr. Maavak reposted his now four-year-old article. Let’s not lose touch…Your Government and Big Tech are actively trying to censor the information reported by The Exposé to serve their own needs. Subscribe now to make sure you receive the latest uncensored news in your inbox… Coronavirus in a Time of Chimaeras and Beyond By Dr. Mathew Maavak In May 2020, just as the coronavirus made hourly headlines, I had suspected that the virus was part of a much more sinister agenda. What I wrote back then remains just as relevant today. Here it is. Genetically-Enhanced Competitiveness The Sars-Cov-2 virus, which allegedly causes covid-19, was not germinated in a vacuum. The type of research conducted at the Wuhan Institute of Virology had ominous analogues worldwide. These included the quest for super intelligence and the development of interspecies hybrids or chimaeras. What began as a scientific mission to remedy congenital defects has rapidly morphed into a global race to create designer babies, super soldiers and transhumans through the aid of biotechnology, artificial intelligence and/or machine-neuralinking. 21st century eugenics is tacitly justified by the need to boost “national competitiveness.” China leads the way here. In one revealing episode, genome sequencing giant BGI Shenzhen had procured and sequenced the DNA of more than 2,000 people – mostly Americans – with IQ scores of at least 160. According to Stephen Hsu, a theoretical physicist from Michigan State University and scientific adviser to BGI: An exceptional person gets you an order of magnitude more statistical power than if you took random people from the population … BGI Shenzhen intends to become a “bio-Google” that will collate the “world’s biological information and make it universally accessible and useful.” From 2012 onwards, it began collaborating with the Bill & Melinda Gates Foundation (“BMGF”). No surprises there. Scientific endeavours like these are based on the assumption that an assemblage of smart samples can help in the identification and transplantation of optimal bits of genetic material into future generations. Can a virus or vaccine perform this transplantation? Or will such agencies be used to cull the majority of the human population before a “genetic antidote” emerges to reverse their lethal effects? It will be too late for the vast majority of mankind by then. artificial selection, backed by artificial intelligence, may decide who gets this new booster. But is such a hypothetical scenario even realistic? There are too many imponderables here but viruses, nasal swabs and “vaccines” will surely deliver vital data for the “New Human Genome Project.” New Eugenics Zeitgeist The science of eugenics is not dissuaded by the nurture over nature debate, even after exhaustive studies had failed to establish genetic variants associated with intelligence. For example, a 2010 study led by Robert Plomin, a behavioural geneticist at King’s College London, had probed over 350,000 variations in single DNA letters across the genomes of 7,900 children but found no prized variant. Curiously, most of the smart samples procured by BGI Shenzhen were sourced from Plomin’s research activities. Periodic setbacks did not deter the proponents of “procreative beneficence” who argue that it is a human duty to augment the genetic codes of future generations. Failure to do so is couched in terms of “genetic neglect” and even child abuse. If this sounds eerily familiar, look no further than the worldview which once animated the Western world before the Nazis elevated it to a whole new level altogether. The eugenics zeitgeist has gripped China in a big way. Under its Maternal and Infant Health Care Law (1994), foetuses with potential hereditary diseases or deformities are recommended for abortion. At the rate Beijing is building its eugenics utopia, the definition of deformity may ultimately include a genetically pre-diagnosed average IQ. Instead of inciting public outrage, the law precipitated a headlong rush to select “intelligent” babies through methods like preimplantation genetic diagnosis (“PGD”). The idea behind PGD is to screen and identify the most promising embryos for implantation and birth. Combined with CRISPR gene-editing tools, next-generation Chinese citizens are expected to exhibit remarkably higher IQs – at least according to bioethicists who fret over a future marked by the “genetic haves” and “genetic have-nots.” China already has three CRISPR-edited babies whose current fate remains unknown. In the aftermath of the corona psychosis, the availability of “smart samples” would have increased exponentially and may dovetail nicely with the eugenics agenda of the Rockefeller Foundation and BMGF. Incidentally, Bill Gates grew up in a household that was heavily invested in population control and eugenics. Our smart societies may inevitably face the existential question of “live-lets” and “live-nots” down the line. The orchestrated rebellion towards selective extinction, if it occurs, has a tragicomical public face: An autistic Swede who parrots the “listen to the science” and “listen to the experts” mantra. How will future designer babies contribute to society? For one thing, we will be missing individuals like Beethoven (deaf); Albert Einstein (learning disability/late development); John Nash (schizophrenia); Andrea Boccelli (congenital glaucoma) and Vincent van Gogh (chronic depression/anxiety) and a host of others like them. A future Stephen Hawking (motor neurone disease) and Greta Thunberg (Asperger’s Syndrome – allegedly) will be genetically disqualified before birth. It is now inconvenient to consider intelligence as a result of peer interactions, human environment and ingenious reactions to adversity. (I personally define intelligence as an ability to nip the bullsh*t in its foetid bud). Mapping out the complex and sometimes unpredictable interplay between 100 trillion synaptic connections in a human brain may take centuries to accomplish but that does not deter the utopians of today. After all, genetic manipulation is the eugenic wormhole that promises to accelerate the emergence of a super society at warp speed. The late billionaire paedophile, Jeffrey Epstein, was a prominent proponent of this philosophy. Epstein intended to breed a “super race of humans with his DNA by impregnating women at his New Mexico ranch, genetic engineering and artificial intelligence.” Welcome to Lebensborn 2.0! Prominent scientists linked to Epstein’s transhumanist fantasies included “molecular engineer George Church; Murray Gell-Mann, the discoverer of the quark; the evolutionary biologist Stephen Jay Gould; the neurologist and author Oliver Sacks; and the theoretical physicist Frank Wilczek.” The late Stephen Hawking – who will ironically flunk the genetic pre-screenings of tomorrow – was another Epstein associate. Forget about Mars missions; major powers see eugenics as the next great frontier. Its hyper-materialistic focus is encapsulated by the following analogy from Russian scientist Denis Rebrikov: It currently costs about a million roubles (US$15,500 at that time) to genetically change an embryo – more than a lot of cars – but prices will fall with greater use … I can see the billboard now: “You Choose: a Hyundai Solaris or a Super-Child?” You are comparing a child, super or not, with a Hyundai? I mean a Hyundai, really? Sometimes, the road to hell is paved with good intentions but most of the time, it begins with a diabolically silly proposition. But why stop at children? From genetically engineered horses in Argentina that are supposedly faster, stronger and better jumpers to super-dogs in China that are comprehensively superior to the average mutt, the DNA of the entire natural world is being slated for a revolutionary redesign. Crouching Chimaeras, Hideous Hybrids The masters of our universe however cannot create future generations of superhumans without being adept at recombining genetic sequences across species. That is the logic guiding eugenicists. As a result, a slew of chimaeras or interspecies hybrids have been spawned with the aid of CRISPR technology. These include ghastly human-monkey hybrids, monkey-pig hybrids, human-rabbit hybrids and a host of other lab-manufactured monstrosities. Chimaeras are created when human embryonic stem cells are injected into embryos of other species. The goal, for the time being, is to induce growth of targeted human organs. Those facing terminal illnesses will no longer have to worry about long organ waiting lists. Chinese scientists have just transplanted a modified pig liver into a brain-dead human and it seems to have worked. A less controversial approach to human organ replacement is 3D bioprinting or its 4D bioprinting iteration. These techniques involve the “printing” of a replacement organ from the stem cells of a transplant recipient, thereby eliminating the odds of organ rejection. But why stop at replacement organs when we can have “replacement humans” altogether? Future generations must think like Einsteins, be as nimble as leopards and possess owl-like night visions. And, of course, be virus-resistant as well! The manipulation of the human genome is the new “grand response” to the venerable set of “grand challenges” for 2030 and beyond. China is the go-to place for such genetic tinkering as some of these undertakings are technically illegal in the West. And this is where the utility of covid-19 comes into the picture. It provides the perfect pretext to remove such ethical constraints. After all, “Disease X” is just waiting to escape from the belly of some bat or pangolin … Since 2014, the Wuhan Institute of Virology has been the recipient of a two-stage grant worth $7.2 million from the United States government for gain-of-function research into bat coronaviruses. According to a Newsweek report in April 2020: Many scientists have criticised gain of function research, which involves manipulating viruses in the lab to explore their potential for infecting humans because it creates a risk of starting a pandemic from accidental release. Such caution has not deterred a flurry of research into microbial gene manipulation. The Wuhan experiments may have either spawned the Sars-Cov-2 virus or it may have provided a fraudulent context for future tyrannical mandates. But to solely blame China for the coronavirus “pandemic” is a tad unfair. Just as China is the factory of the world for foreign corporations, it is also the genetic incubator for a variety of viruses and chimaeras for foreign governments and foundations. Even so, the human-pig chimaera was the creation of the Salk Institute in California. Research into the world’s first human-mouse hybrid was largely a Japanese affair. The Portuguese in the meantime had created a virus chimaera. The United Kingdom, on their end, had spawned a human-cow hybrid embryo in 2008 – perhaps in keeping with the bovine disposition of those glued to the BBC. It was in Britain where the game-changing Dolly the Sheep was cloned in 1996. The transition from sheep to sheeple may turn out to be a short 21st century Jurassic Park ride. Coincidences and Consequences Before the advent of gene-editing tools and supercomputing, it would have been impossible to create a viable chimaera. The Biotech-Industrial Complex and contact tracing-type panopticons constitute a new growth area for Tech Titans that were once facing bankruptcy. The dangers of genome editing were in fact included in the Worldwide Threat Assessment reports submitted to the United States Congress in 2016 and 2017. These risks were either omitted or glossed over in the 2018 and 2019 reports – just as such risks gravitated to the high impact-high likelihood quadrant. Is it a coincidence that the nations most affected by covid-19 – at least during the first two years of its alleged spread – were the very ones that had either promoted or encouraged a variety of genetic experimentations that are contrary to nature? If – and that is a big “if” – these nations succeed in their quest for “designer babies” and “superhumans,” the rest of mankind will be rendered redundant. Some mass extermination event may transpire under the guise of World War III, food shortages, Disease X or a combination thereof. If everything goes according to plan, however, there will be 500 million potential specimens left for The Great Reset. The Third World, whose leaders are being monetarily incentivised to focus on unattainable Sustainable Development Goals (“SDGs”), will be consigned to the ash heaps of history. It is quite ironic that a new generation of cerebrally deficient “thought leaders” and “experts” are being groomed to promote the demises of their societies and themselves. About the Author Mathew Maavak, with a PhD in Policy Studies, specialises in systems science, global risks, strategic foresight, geopolitics and governance. He is a Malaysian expert on risk foresight and governance. Dr. Maavak has published numerous op-eds on a variety of eclectic subjects for over 20 years – by ‘connecting the dots’ in a disjointed world. He is the author of a Substack page titled ‘The Eye Opener’ which you can subscribe to and follow HERE. https://expose-news.com/2024/03/20/chimaeras-and-interspecies-hybrids/
    EXPOSE-NEWS.COM
    Chimaeras and interspecies hybrids; the sinister agenda hiding behind covid
    There is something that has quietly slipped through the din of the murderously phoney episode called covid-19, Dr. Mathew Maavak writes. “If the covid-19 vaccines were ‘experimental gene therapies…
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  • Destroying Super Immunity & Getting Rid of That Annoying Cough
    Dr. Syed Haider

    I made it through multiple upper respiratory illnesses affecting my wife and kids over the last year without getting sick myself.

    The biggest difference maker seemed to be spending a lot of time outdoors in sunny Puerto Rico.

    It’s not just about the vitamin D that you get in the afternoons, it’s also about the lack of blue light toxicity you get the rest of the day from glass filtered indoor sunlight (or artificial lights).

    Blue light in the visible spectrum needs to be balanced by the naturally present infrared and UV spectrum in natural sunlight. Unfortunately both are blocked by typical window glass.


    Anyway, my long run of seemingly bulletproof immunity came to an inglorious end when I finally succumbed to what had been plaguing my nuclear family for a couple weeks: it began with a tickle in my throat, then progressed to a mild sore throat, stuffy and runny nose, bad a cough, and fatigue. It was rough going for a day or two. Hard to sleep with all the coughing.

    My post mortem analysis of what went wrong: I visited family overseas, where they live in an apartment full of artificial light and not much direct sun. I did my best to get outside, but couldnt do it anywhere near as much as I used to at home. Then (perhaps more or less important?) I started including once a week “stress test days” (nee cheat days) on my carnivore diet. That turned into a general laxity during my regular carnivore diet days, including eating out and being exposed to ubiquitous seed oils.

    Then one day I was enjoying my meat dish at a local restaurant and decided spur of the moment (always a mistake) to try the side dish I would have normally skipped. Unfortunately it was probably the worst possible side I could have indulged in: a nightshade veggie bomb comprising tomatoes, potatoes, eggplant and various kinds of peppers.

    Nightshade vegetables are notoriously toxic (despite mainstream claims that the toxins are neutralized by cooking), especially for those with a history of autoimmune disease, or leaky gut. They are also problematic for anyone with a history of allergic disorders or MCAS. It doesn’t help that traditional methods of picking and preparation that minimized the toxicity for otherwise healthy people are no longer followed.

    Pin on Hold the tomato
    Almost immediately after consuming this side dish I started to feel that first tickle in my throat and it was a slow downhill roll from there. Took 2-3 days, during which I had enough of a chance to head it off with some high dose vitamin C, but I’m one of those people who usually prefers to let nature take its course (maybe don’t do this in our current environment of repeated COVID infections, with all the problems they can bring).

    Once the illness got started I began to notice very clearly that what I ate had an almost immediate impact on how I felt. I think it probably required the sensitization of having been strictly carnivore for weeks beforehand.

    Thank you for reading Dr. Syed Haider. This post is public so feel free to share it.

    Share

    I could tell when I ate high histamine fruits or vegetables that my symptoms would worsen significantly, I might get an instant headache, stuffy nose, worsening cough, fatigue, dizziness, and even occasional anger outbursts that had plagued me before the carnivore experiment.

    All these can be due to histamine intolerance. When you’re sick or already exposed to something that lowers your histamine tolerance, adding histamine-containing foods or those that tend to liberate histamine is just added fuel for the fire.

    Histamine Intolerance Doctor Gilbert AZ
    Anyway this has been going around (not surprising since it is winter). Some people get bad diarrhea, for others it’s the cough that’s the worst.

    If you treat this early in the first day or two you can usually cut it short within the first week. If not then many people end up being somewhat under the weather for a couple weeks and the unlucky ones have lingering symptoms for many weeks. It’s not necessarily anything new, it happened before COVID too. Now people are hyperaware of it, and for good reason, because the current iterations are often due to the COVID bioweapon which damages every organ system.

    Whether or not COVID was diagnosed you can usually treat a cough heavy post viral syndrome with key lifestyle changes like avoiding airway irritants (eg use an air filter) low or even no carb (but first try a good quality medicinal honey 1-3 teaspoons dissolved in warm water 1-3 times a day), avoiding trigger foods, plenty of direct sunlight, good sleep; supplements from mygotostack.com like vitamin C, D, zinc, quercetin, turmeric, nigella sativa; and prescription meds from mygotodoc.com like: ivermectin and LDN (we can’t prescribe codeine for cough online since its a controlled substance).

    Other effective treatments include IV vitamin C, IV ozone, HBOT, or what’s easier and nearly as effective: a home oxygen concentrator a couple hours a day,

    However one of the best and most underappreciated ways to get rid of a lingering non productive (dry) cough is simple breathwork.

    That’s because it’s not always just a persistent infection or inflammation that leads to a persistent cough, it may be that, but it is also often a disordered breathing pattern that can develop after just a couple days of illness. This pattern becomes imprinted on the nervous system and can be hard to shake. The longer you leave it unaddressed the longer it may continue. The more you cough the more likely you are to keep coughing, and the less you cough the more likely you are to stop coughing.

    Now, when most people think of breathwork they think of deep breathing exercises. But deep breathing is usually a trigger for a coughing fit rather than any kind of solution (during my long COVID illness I also found it can also worsen anxiety).

    The real fix for a persistent cough (and anxiety) due to a disordered nervous system is often in breathing less, while becoming aware of the impending urge to cough and trying to head it off and suppress it.

    Practitioners of the Buteyko breathing method have a great exercise for stopping a persistent dry cough.

    Share

    When you feel the urge to cough you press your hand over your mouth, swallow and hold your breath for 5 seconds while telling yourself you don’t need to cough. Then start breathing slow and shallow through the nose, keeping your hand over your mouth. Imagine the air going in one nostril and out the other in a circle (obviously this is not actually happening it just helps keep the breathing light and not irritating to the throat, partly a psychological phenomenon).

    Do this whenever you feel the urge to cough during the day, and you’ll see that it often works rather well and makes you more aware of what triggers the coughing. Unless there is something more serious going on (don’t nocebo yourself, just assume there is not) it usually only takes 1-3 days of this to retrain your nervous system and end the cough for good.

    You can also check out other Buteyko and pranayama yoga breathing methods (like alternate nostril breathing) for stopping a cough on YouTube:


    If there is residual inflammation, often manifested by a post nasal drip irritating the throat leading to coughing fits (easy to test if you have this, just lie down flat and see if you start coughing, or get worse, within a minute or so), it’s also important to avoid trigger foods that raise histamine or lead your own body to release histamine.

    Some common ones include: the nightshades I mentioned (tomatoes, potatoes, eggplant, all peppers), bananas, strawberries, mangoes, citrus fruits, avocado, chocolate, dairy, preserved or canned meats and fish, leftover meat and fish, lentils, beans, alcohol, tea, coffee and there may be some that are individual specific (think of any foods that in small or large quantities have caused you problems in the past).

    If you don’t go low or no carb, then also avoid grains until better as they tend to be pro inflammatory.

    Fish oil supplements have a short term anti-inflammatory effect that may lead to a longer term proinflammatory outcome. I’m not clear on all the science and implications here, but you can check out Chris Masterjohn’s work on the topic. Generally speaking it seems to be fine to eat fatty fish for the Omega 3s, but most people should probably avoid the high dose supplementation currently recommended by some groups.

    Another key lifestyle measure that works great for the post nasal drip is lifting your head at night using 2-3 pillows (or a wedge pillow - also helps with chronic reflux), and even propping yourself up against the headboard or wall behind your bed. Might be uncomfortable at first, but it’s better than a night of hacking up your lungs.

    Manage Acid Reflux & more: EZsleep Wedge| EQUANIMO
    I’ve also used pieces of chewed and softened licorice root to help cover up the irritating sensation of a post nasal drip while sleeping.

    Using a neti pot a few times a day may also help with this, and you can add things like turmeric, hydrogen peroxide, iodine, or just go with the usual salt water flush.

    If there is a persistent infection then more drastic measures will be needed including the IV methods mentioned above, and you can consider nebulization of peroxide.

    Promising studies have been done on more exotic methods of relieving a cough such as nebulizing honey, drinking a mixture of honey and coffee syrup dissolved in water, and inhaling a very dilute mixture of capsaicin (from cayenne peppers - which can help with both cough and post nasal drop, and other than snorting or otherwise breathing it in, you can also mix it with honey or water and take it orally as an antihistamine).

    Finally, the most powerful herb I know of for insomnia and anxiety is the sedative-hypnotic mulungu bark, and it is also effective in treating various kinds of coughs.

    Let me know below if you’ve gotten sick this winter, and what you swear by to get better, especially what works for a prolonged dry nagging cough.

    https://blog.mygotodoc.com/p/destroying-super-immunity-and-getting

    https://telegra.ph/Destroying-Super-Immunity--Getting-Rid-of-That-Annoying-Cough-03-20
    Destroying Super Immunity & Getting Rid of That Annoying Cough Dr. Syed Haider I made it through multiple upper respiratory illnesses affecting my wife and kids over the last year without getting sick myself. The biggest difference maker seemed to be spending a lot of time outdoors in sunny Puerto Rico. It’s not just about the vitamin D that you get in the afternoons, it’s also about the lack of blue light toxicity you get the rest of the day from glass filtered indoor sunlight (or artificial lights). Blue light in the visible spectrum needs to be balanced by the naturally present infrared and UV spectrum in natural sunlight. Unfortunately both are blocked by typical window glass. Anyway, my long run of seemingly bulletproof immunity came to an inglorious end when I finally succumbed to what had been plaguing my nuclear family for a couple weeks: it began with a tickle in my throat, then progressed to a mild sore throat, stuffy and runny nose, bad a cough, and fatigue. It was rough going for a day or two. Hard to sleep with all the coughing. My post mortem analysis of what went wrong: I visited family overseas, where they live in an apartment full of artificial light and not much direct sun. I did my best to get outside, but couldnt do it anywhere near as much as I used to at home. Then (perhaps more or less important?) I started including once a week “stress test days” (nee cheat days) on my carnivore diet. That turned into a general laxity during my regular carnivore diet days, including eating out and being exposed to ubiquitous seed oils. Then one day I was enjoying my meat dish at a local restaurant and decided spur of the moment (always a mistake) to try the side dish I would have normally skipped. Unfortunately it was probably the worst possible side I could have indulged in: a nightshade veggie bomb comprising tomatoes, potatoes, eggplant and various kinds of peppers. Nightshade vegetables are notoriously toxic (despite mainstream claims that the toxins are neutralized by cooking), especially for those with a history of autoimmune disease, or leaky gut. They are also problematic for anyone with a history of allergic disorders or MCAS. It doesn’t help that traditional methods of picking and preparation that minimized the toxicity for otherwise healthy people are no longer followed. Pin on Hold the tomato Almost immediately after consuming this side dish I started to feel that first tickle in my throat and it was a slow downhill roll from there. Took 2-3 days, during which I had enough of a chance to head it off with some high dose vitamin C, but I’m one of those people who usually prefers to let nature take its course (maybe don’t do this in our current environment of repeated COVID infections, with all the problems they can bring). Once the illness got started I began to notice very clearly that what I ate had an almost immediate impact on how I felt. I think it probably required the sensitization of having been strictly carnivore for weeks beforehand. Thank you for reading Dr. Syed Haider. This post is public so feel free to share it. Share I could tell when I ate high histamine fruits or vegetables that my symptoms would worsen significantly, I might get an instant headache, stuffy nose, worsening cough, fatigue, dizziness, and even occasional anger outbursts that had plagued me before the carnivore experiment. All these can be due to histamine intolerance. When you’re sick or already exposed to something that lowers your histamine tolerance, adding histamine-containing foods or those that tend to liberate histamine is just added fuel for the fire. Histamine Intolerance Doctor Gilbert AZ Anyway this has been going around (not surprising since it is winter). Some people get bad diarrhea, for others it’s the cough that’s the worst. If you treat this early in the first day or two you can usually cut it short within the first week. If not then many people end up being somewhat under the weather for a couple weeks and the unlucky ones have lingering symptoms for many weeks. It’s not necessarily anything new, it happened before COVID too. Now people are hyperaware of it, and for good reason, because the current iterations are often due to the COVID bioweapon which damages every organ system. Whether or not COVID was diagnosed you can usually treat a cough heavy post viral syndrome with key lifestyle changes like avoiding airway irritants (eg use an air filter) low or even no carb (but first try a good quality medicinal honey 1-3 teaspoons dissolved in warm water 1-3 times a day), avoiding trigger foods, plenty of direct sunlight, good sleep; supplements from mygotostack.com like vitamin C, D, zinc, quercetin, turmeric, nigella sativa; and prescription meds from mygotodoc.com like: ivermectin and LDN (we can’t prescribe codeine for cough online since its a controlled substance). Other effective treatments include IV vitamin C, IV ozone, HBOT, or what’s easier and nearly as effective: a home oxygen concentrator a couple hours a day, However one of the best and most underappreciated ways to get rid of a lingering non productive (dry) cough is simple breathwork. That’s because it’s not always just a persistent infection or inflammation that leads to a persistent cough, it may be that, but it is also often a disordered breathing pattern that can develop after just a couple days of illness. This pattern becomes imprinted on the nervous system and can be hard to shake. The longer you leave it unaddressed the longer it may continue. The more you cough the more likely you are to keep coughing, and the less you cough the more likely you are to stop coughing. Now, when most people think of breathwork they think of deep breathing exercises. But deep breathing is usually a trigger for a coughing fit rather than any kind of solution (during my long COVID illness I also found it can also worsen anxiety). The real fix for a persistent cough (and anxiety) due to a disordered nervous system is often in breathing less, while becoming aware of the impending urge to cough and trying to head it off and suppress it. Practitioners of the Buteyko breathing method have a great exercise for stopping a persistent dry cough. Share When you feel the urge to cough you press your hand over your mouth, swallow and hold your breath for 5 seconds while telling yourself you don’t need to cough. Then start breathing slow and shallow through the nose, keeping your hand over your mouth. Imagine the air going in one nostril and out the other in a circle (obviously this is not actually happening it just helps keep the breathing light and not irritating to the throat, partly a psychological phenomenon). Do this whenever you feel the urge to cough during the day, and you’ll see that it often works rather well and makes you more aware of what triggers the coughing. Unless there is something more serious going on (don’t nocebo yourself, just assume there is not) it usually only takes 1-3 days of this to retrain your nervous system and end the cough for good. You can also check out other Buteyko and pranayama yoga breathing methods (like alternate nostril breathing) for stopping a cough on YouTube: If there is residual inflammation, often manifested by a post nasal drip irritating the throat leading to coughing fits (easy to test if you have this, just lie down flat and see if you start coughing, or get worse, within a minute or so), it’s also important to avoid trigger foods that raise histamine or lead your own body to release histamine. Some common ones include: the nightshades I mentioned (tomatoes, potatoes, eggplant, all peppers), bananas, strawberries, mangoes, citrus fruits, avocado, chocolate, dairy, preserved or canned meats and fish, leftover meat and fish, lentils, beans, alcohol, tea, coffee and there may be some that are individual specific (think of any foods that in small or large quantities have caused you problems in the past). If you don’t go low or no carb, then also avoid grains until better as they tend to be pro inflammatory. Fish oil supplements have a short term anti-inflammatory effect that may lead to a longer term proinflammatory outcome. I’m not clear on all the science and implications here, but you can check out Chris Masterjohn’s work on the topic. Generally speaking it seems to be fine to eat fatty fish for the Omega 3s, but most people should probably avoid the high dose supplementation currently recommended by some groups. Another key lifestyle measure that works great for the post nasal drip is lifting your head at night using 2-3 pillows (or a wedge pillow - also helps with chronic reflux), and even propping yourself up against the headboard or wall behind your bed. Might be uncomfortable at first, but it’s better than a night of hacking up your lungs. Manage Acid Reflux & more: EZsleep Wedge| EQUANIMO I’ve also used pieces of chewed and softened licorice root to help cover up the irritating sensation of a post nasal drip while sleeping. Using a neti pot a few times a day may also help with this, and you can add things like turmeric, hydrogen peroxide, iodine, or just go with the usual salt water flush. If there is a persistent infection then more drastic measures will be needed including the IV methods mentioned above, and you can consider nebulization of peroxide. Promising studies have been done on more exotic methods of relieving a cough such as nebulizing honey, drinking a mixture of honey and coffee syrup dissolved in water, and inhaling a very dilute mixture of capsaicin (from cayenne peppers - which can help with both cough and post nasal drop, and other than snorting or otherwise breathing it in, you can also mix it with honey or water and take it orally as an antihistamine). Finally, the most powerful herb I know of for insomnia and anxiety is the sedative-hypnotic mulungu bark, and it is also effective in treating various kinds of coughs. Let me know below if you’ve gotten sick this winter, and what you swear by to get better, especially what works for a prolonged dry nagging cough. https://blog.mygotodoc.com/p/destroying-super-immunity-and-getting 👉https://telegra.ph/Destroying-Super-Immunity--Getting-Rid-of-That-Annoying-Cough-03-20
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    Destroying Super Immunity & Getting Rid of That Annoying Cough
    I made it through multiple upper respiratory illnesses affecting my wife and kids over the last year without getting sick myself. The biggest difference maker seemed to be spending a lot of time outdoors in sunny Puerto Rico. It’s not just about the vitamin D that you get in the afternoons, it’s also about the lack of blue light toxicity you get the rest of the day from glass filtered indoor sunlight (or artificial lights).
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    https://countermarkets.com/5-essential-skills-digital-economy/
    Whether pursuing entrepreneurial ventures or freelance opportunities, mastering these skills can significantly enhance one’s ability to make money online. https://countermarkets.com/5-essential-skills-digital-economy/
    COUNTERMARKETS.COM
    5 Essential Skills In The Digital Economy - Counter Markets
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