My personal philosophy on Coronavirus management;

My personal philosophy on Coronavirus management;

As South Africa fails to achieve ‘lockdown’ on day 1 of the 21 day lockdown, the Alexandra Township being the problem, I need to pen my thoughts on how the Human Dictate ‘Voice of Reason’ Philosophy would have handled the pandemic, if the system dictate was not in control.

The Federal and Canton system that the Human Dictate Philosophy promotes, features from Pamphlet 40, very simply, it is that the human will dictate how we handle all aspects of our lives, from health, security, education, et cetera, therefore, as you read this pamphlet, place yourself in a position, where you are able to make decisions of how to manage and control your life, and those of your community?

What the Coronavirus has done to the world, is bringing fear to ‘everyone’, and if you allow fear to dominate your thinking and resulting actions, the fear will reduce you immune system’s capacity to protect you. If you are like me, ‘Aged’, with other complications associated with age, the fear that we are being exposed to as the Coronavirus, approaches us, will negatively impact on the ‘complications associated with age, and should you be exposed to the virus, the medical responders will be faced with complications when treating you.

This generated fear, brings support for the South African Police’s violent abuse on the Townships, from the upper and middle-class living in comfort in the suburbs, the typical comment is;

“That is good they do not want to listen, they must be taught, they must learn to obey the President.” 

Once you are in a position to make your own decisions, with the support of your community, fear will not be part of the process.          

In later Pamphlets, I use Switzerland as an example that we should follow, with regard to their Federal and Canton system, so firstly I must comment on what I saw as a problem to control the virus in Switzerland, and that is the migration of essential service personnel, from across their border, it is typical of what South Africa will face, in a few weeks, not days.

Firstly, the international border control, for movement in and out of the Country, would be controlled by the Canton where the border is located, when the virus is first brought to our attention, the local canton management committees, in the case of ORT Airport, Johannesburg, Alexandra, Soweto, Pretoria, Kempton Park, Benoni, and all the others not mentioned, would have a meeting, and implement control measures.

No person would be allowed to leave the Country, if they were travelling through any of the Countries where the virus had already been identified.

Those travellers, who were not moving through countries where the virus had already been identified, would become part of the ‘movement management’ system, where the travel particulars are registered, under their residential Canton, let us use Johannesburg Canton as the example, and the Johannesburg Canton management committee, will have the responsibility of maintaining contact with the traveller, ensuring that he is met on return, duly tested, and that the Johannesburg Canton monitors the traveller, in terms of the testing level that is in place.

The travellers arriving from, or through any infected Country, would be tested, if negative, they will be warned to avoid any social contact, and would be required to retest in ten days, and notify the port of entry, of the results.

More importantly, how do we manage the internal transmission between locals, who would have become infected locally.

        I live in the old Johannesburg, and according to my Human Dictate Philosophy, old Johannesburg would be an independent ‘greater Canton’, Alexandra Township, another, and the City of Soweto, our other Canton neighbour.

Johannesburg would probable be divided into 8 smaller Cantons, each with a management Committee, Alexandra into 4 smaller Cantons, and Soweto into 8 or more smaller Cantons.

Alexandra, and parts of Soweto, and other Cantons, could not possible be ‘locked-down’ on their individual properties, the majority of their properties, no more that 5mX5m, accommodating, 4 to 8 people. Alexandra as a community, could be locked-down, and free movement allowed inside the defined border of the larger Canton. 

The Alexandra and Soweto Canton communities, provide the bulk of the essential services labour, to the old Johannesburg Canton, and this would need to be managed, if we wish to reduce the transfer of any virus, in both directions.

Human Dictate is not going to decree how the Alexandra and Soweto larger Cantons, protect their residents, but as virtual CEO of the larger Johannesburg Canton, I would put the following plan of action into place.

On the day that our first resident tests positive,

1: All schools and educational institutions are closed,  any lost education can be made up in time.

1.1: The global world extends into all these educational institutions, with learners and students, needing to travel as far as 60 km to get to school every day.

1.2: These building and facilities will be used for the management of the essential services.

2: The smaller Cantons, will take control, of every essential service and business in the area, a business / medical node in the area, will be allocated an educational institution building, where all essential service providers staff / labour, will be accommodated, including provision for young children where needed.

2.1; Once we move into ‘lockdown’ stage, the essential service workers, will be in a safe controlled environment, within walking distance to the business / service provider.

2.2: This will remove the transport issues, where you will find packed busses, moving from outside of the Johannesburg area, in order to provide he essential services.

3: During Lockdown, no movement, between the larger Canton boundaries, will be permitted.

4: During Lockdown, the 8 smaller Johannesburg Cantons, will allow business that comply with the essential business / services accommodation protocols, to operate, the smaller Cantons will agree / define restrictions on jogging, dog-walking, and ensure that only residents of their smaller Cantons, are in the area that they are protecting.

5: Every smaller Canton, will identify the risk population, ‘Aged, who wish to be protected’ TB, HIV, and other health risks, and as a community, a system would be defined, where my home displays a white flag, I am ‘Aged, who wish to be protected’, I will wear a small white flag on my shoulder, and similar identifications for all risk categories.

6: As Canton Communities, making decisions on behalf of our Canton, protecting our Canton from infection, and ensuring that no infection leaves our Canton, we would be in the position, to take the necessary action, to control the impact of any virus.

Granted, Human Dictate will require us all to be on the front line to control the virus, today, our medics are fighting the battle, with limited support from us, even though we are in virtual total lockdown, while we rely on the system to stop all the leaks, it can never be done, without contribution from all.

Cedric de la Harpe

Rich Man Poor Man, epidemics distributed socially

Rich Man Poor Man, how epidemics are distributed socially:

In the 19th Century Rudolf Virchow distinguished between “artificial” and “natural” epidemics. Typhus, scurvy, tuberculosis and mental illness, he considered “artificial”, that is, concentrated among the poor, clearly differentially distributed among social classes, while dysentery, malaria and pneumonia were “natural” epidemics, more evenly distributed among the various social classes.

Campus Rudolf Virchow Africa
Campus Rudolf Virchow Africa

In the 21st Century, malaria has been switched to poverty, and HIV/AIDS, although not restricted to the poverty group, is perceived to be a poverty illness, in my opinion, these diseases kill many in the poverty groups, because the ‘local’ traditional healers, are forbidden to heal these diseases in competition with economic interests, escalating poverty levels, while maintaining illness levels.

As we enter 2021, and I Google Typhoid as a poverty diseases, what are the symptoms of Typhoid?

Fever, Headache, Weakness and fatigue, Muscle Aches, Sweating, Dry cough, Loss of appetite, Stomach Pain.

Typhoid is endemic within South Africa, and sporadic cases are reported in all provinces every year. In addition to sporadic endemic disease, clusters and outbreaks may occur. There is ongoing risk of typhoid fever in any area where water quality and sanitation is not optimal.

The typhoid germ enters the body through the mouth, usually in contaminated food and water. Drinking water taken from contaminated wells was a common source of infection. The patient suffered headache and nose-bleeding, general body aches, a feeling of tiredness and persistent fever which may have lasted up to three weeks. He developed a rash, called ‘rose spot’ and relapsed into delirium and mental confusion. Bronchitis and pneumonia were secondary and frequently fatal effects.

The typhoid germ enters the body through the mouth, usually in contaminated food and water. Drinking water taken relapsed from contaminated wells was a common source of infection. The patient suffered headache and nose-bleeding, general body aches, a feeling of tiredness and persistent fever which may have lasted up to three weeks. He developed a rash, called ‘rose spot’ and into delirium and mental confusion. Bronchitis and pneumonia were secondary and frequently fatal effects.

The burden of diarrheal diseases is very high, accounting for 1.7 to 5 billion cases per year worldwide. Typhoid fever (TF) and cholera are potentially life-threatening infectious diseases, and are mainly transmitted through the consumption of food, drink or water that has been contaminated by the feces or urine of subjects excreting the pathogen.

Disciple Cedric, has interacted with hundreds of Township and Village residents, who display these symptoms, they will attend the local clinic, and be treated with a small envelope of pills.

This is where I add a video of the typical failed service delivery in South Africa, water born sewerage, spewing out of the manhole, flowing into a spring that feeds the Klipspruit, and soon it joins the Vaal River, entering the Johannesburg water supply system.

The Klipspruit flows through residential and agricultural areas, children swim in the Klipspruit, people use the water for washing, themselves, washing their bedding and their clothes.

The local farmer’s livestock drink from the Klipspruit, the local farmers use the Klipspruit to irrigate their crops.

How many of the South African poverty groups, who may be exposed to Salmonella typhi in South Africa, are correctly diagnosed and treated accordingly?

Rich Man Poor Man, who is suffering?

The primary diseases of poverty, like TB, malaria, and HIV/AIDS, and the often co-morbid and ever-present malnutrition, take their toll on helpless populations in developing countries.

Poverty is not just income deprivation, but capability deprivation and optimism deprivation as well.

The interplay of these diseases of poverty is substantial and can hardly be overlooked. We know how TB compounds AIDS. TB and HIV are synergistic infections: HIV infection increases the rate of activation of latent TB infection and speeds progression of TB. TB accelerates the progression of AIDS by increasing the rate of HIV replication.

We also know how malnutrition compounds TB. “TB is associated with poverty, overcrowding, alcoholism, stress, drug addiction and malnutrition… The disease spreads easily in overcrowded, badly ventilated places and among people who are undernourished.”

We also cannot forget how all three, TB, HIV/AIDS and malnutrition, are dynamically interlinked with each other and with their overlord, poverty itself.

The social dimension of poverty can hardly be discounted. “. no social phenomenon is as comprehensive in its assault on human rights as poverty.

Poverty erodes or nullifies economic and social rights such as the right to health, adequate housing, food and safe water, and the right to education.

Alcoholism, drug abuse, chronic mental disorders, sociopathy, beggary, violence in family and neighbor-hoods, physical abuse and neglect of the female (especially the female child), commercial sex, all these, while they may impact any strata of society, leave their greatest trail of devastation among the impoverished.

Poverty and Income/Capability/Optimism Deprivation

More importantly, the poor, assailed by life’s vicissitudes and society’s callousness, may learn to accept their fate and sink further into the morass of poverty, disease and deprivation.

A greatly reduced self-esteem, with a feeling of being trapped in a helpless situation, with no succour in sight, adds to the crippling effect of poverty-disease-deprivation on human existence.

Poverty is not just income deprivation but capability deprivation as well. Millions of people living in the third world are still “unfree,” “denied elementary freedom and, imprisoned in one way or another by economic poverty, social deprivation, political tyranny, or cultural authoritarianism”.

There is a distinction between lack of income and lack of capacity. Poor people acutely feel their powerlessness and insecurity, their vulnerability and lack of dignity. Rather than taking decisions for themselves, they are subject to the decisions of others in nearly all aspects of their lives.

Their lack of education or technical skills holds them back. Poor health may mean that employment is erratic and low-paid. Their very poverty excludes them from the means of escaping it. Their attempts even to supply basic needs meet persistent obstacles, economic or social, obstinate or imaginative, legal or customary. Violence is an ever-present threat, especially to women.

The poorest use what resources they have, and considerable resourcefulness, in their struggle to survive. For the poor, innovation means risk, and risk can be fatal. Helping them improve their capacities calls for imagination as well as compassion.

Equally important, along with income and capability deprivation, poverty also means optimism deprivation. Let us explain what we mean thereby. The will or motivation to fight poverty, the urge to escape its shackles, the hope that the fight will succeed one day-this optimism is lost due to subsistence living and the daily fight for survival.

There seems to be no cause for cheer, no redemption around the corner, no way out, howsoever much the person struggles. A trapped helpless feeling, which grows on the person, aided and abetted at every step by the life situation around-this is what mainly sustains the poverty-disease-deprivation spiral. It is this optimism deprivation that may be a salient feature of the depression that overwhelms such individuals, adds to resource deprivation and income deprivation and, finally, does the person in.

DIFFICULTY TO DIAGNOSE?

The duration of infection is a major determinant of the risk of severe complications, and a delay in administering appropriate antibiotic treatment may have serious consequences.

Isolation of S. typhi from blood is the most common method of diagnosis, though the bacterium can also be isolated from bone marrow, feces and duodenal fluid. Blood culture displays suboptimal sensitivity, generally being positive in only about 50% of cases.

It also has several limitations, including the volume of blood needed, the need for prompt transport to the laboratory, interference due to prior antibiotic use, limited laboratory expertise and equipment, and expense.

Disciple Cedric fires his first shot in the Poverty Revolution:

The voices of the poverty group, presently can’t be heard, the healer must be the attorney of the poverty group, if any of your community have Typhoid symptoms, you must request them to take a picture of any waste/sewerage water following in their neighbourhood, take their mobile phone with the picture, to their nearest community Clinic, ask the Clinic management, to have a Typhoid test conducted, and they must request management to provide a written test report.

The written report should be copied to you as the healer, who must collate your patients results, and forward to the Campus Rudolf Virchow Africa, structure.

Every picture so taken, and request to be tested for Typhoid, will be firing a bullet in support for poverty alleviation.

Disciple Cedric,

Campus Rudolf Virchow Africa

SMS of WhatsApp +27 82 565 2520, text only

Email Cedric@cedricdelaHarpe.co.za

Visit Soweto and Alexandra with Taste of Africa:

   

Kaalvoet Challenge to the ‘medical science’

Kaalvoet suggests that the Coronavirus management, provided minds can understand the scientific reasons for why he has identified six countries as comparison, these comparisons will show conclusive evidence that South Africa should never have locked down.

Europe Link:        United Kingdom:   Italy:   Sweden:

No Lockdown:     Sweden:     Belarus:

Africa & Asia:     South Africa:    Pakistan

Graph 1:

Comparison:   Death rate, expressed as 7 day rolling average: 

Period Covered:   Day 15 after each Countries first reported Covid-19 death,  to Day 45. 

Graph 1
Graph 1

Kaalvoet Findings Graph 1:

United Kingdom and Italy, reach same level on Day 45, reason, both Countries exposed to the normal winter flu season, both population sizes very similar, both have a very high level of aged population, both have superior medical facilities, and both countries lifestyle is in the wealth group. 

Sweden does not lockdown, and off this graph, it shows no negative trend. 

South Africa, Pakistan, flat-line in comparison, and Belarus, who does not lockdown, is hidden in this flat-line.

Graph 2:

Comparison:   Death rate per 1 million of the population, expressed off a 7 day rolling average,  three countries.

Period Covered:   Day 15 after each Countries first reported Covid-19 death,  to Day 45.

Graph 2
Graph 2

 Kaalvoet Findings Graph 2:

Pakistan, (green) is the model that South Africa (black) could follow, Imran Khan removing restrictions on May 10.

Belarus, does not lockdown, and although the death rate per 1 million population, appears to be higher, Graph 3, will show it in comparison to Europe:

 Graph 3:

Comparison:   Death rate per 1 million of the population, , expressed off a 7 day rolling average, 3 plus 3 countries. 

Period Covered:   Day 15 after each Countries first reported Covid-19 death,  to Day 45.

Graph 3
Graph 3

 Kaalvoet Findings Graph 3:

Sweden who does not lockdown, ends day 45, at the same level as United Kingdom and Italy, on a comparative ratio of deaths per 1 million population, confirming that European model is related to all three Countries exposed to the normal winter flu season,   they have a very high level of aged population, they have superior medical facilities, and their countries lifestyle is in the wealth group. 

  In Comparison with the European Countries South Africa and Pakistan, should have followed the Belarus model. 

My final comment on the death rate, till lockdown is lifted.

Cedric de la Harpe