The Saudi-led international coalition intervened in the Yemen conflict in 2015. It has also imposed a land and sea blockade. According to UNICEF, around 11 million Yemeni children are directly affected by the war and around 2.2 million are extremely malnourished / credit: Press TV
Editor’s Note: This article originally appeared in Peoples Dispatch.
More than 11,000 Yemeni children have been killed or injured since the escalation of fighting in Yemen in 2015, the United Nations International Children’s Fund (UNICEF) reported on Sunday, December 11. The Saudi-led international coalition intervened in the conflict in Yemen in 2015.
Commenting on the number of children killed or maimed in the Yemen war, Catherine Russell, executive director of the UNICEF, noted that this was at best a conservative figure and that “the truce toll of this conflict is likely to be far higher.”
Russell was on a visit to the country where the Saudi-led international coalition, backed by the United States and its European allies such as the United Kingdom and France, is waging a war against the Houthi forces who control capital Sanaa since March 2015. The war has killed hundreds of thousands of people and devastated what was already the poorest country in the Arab world.
Saudi Arabia accuses the Houthis of being an Iranian proxy, responsible for displacing Yemen’s rightful government in 2014-15. The Houthis have denied the Saudi allegations and claimed that they are fighting against the corrupt ruling classes of their country, who do not serve the people but act as facilitators of international loot of Yemeni resources.
Russell called for the immediate resumption of the UN-mediated ceasefire which had ended in October this year. In April this year, for the first time in seven years of war, both the warring sides had agreed to a two-month ceasefire. The ceasefire was extended twice, and the country experienced a rare six months of relative peace. However, both parties refused to extend the ceasefire beyond October after the UN failed to devise substantial grounds for its indefinite extension.
Millions on the Verge of Death
Russell noted that in the period since the ceasefire ended, 62 Yemeni children have been killed and “hundreds of thousands more remain at risk of death from preventable diseases or starvation.”
According to the UNICEF, around 11 million Yemeni children are directly affected by the war and around 2.2 million of them are extremely malnourished. A quarter of these 2.2 million children are below the age of five and extremely susceptible to deadly diseases such as cholera and measles, among others.
UNICEF also noted that regular immunization in the country has been badly affected due to the war, with over 28 percent children missing their routine vaccinations.
The Saudi-led coalition, apart from waging its ground and air offensive in populated areas, has also imposed a crippling air, sea and land blockade of the country since 2015, preventing the supply of essentials including food, fuel, and medicine. The blockade has been identified as the main reason for the large-scale starvation in Yemen, which has pushed millions to the verge of death due to hunger and lack of medicines and healthcare equipment.
Underlining the causes of their refusal to extend the UN-mediated ceasefire, the Houthis highlighted the failure to address the central issue of the Saudi blockade which would have “alleviated the suffering of Yemeni people.” Throughout the period of the ceasefire, the Houthis had been raising the issue of insufficient easing of the blockade and had accused the Saudi-backed forces of violating the norms of the truce.
The scale of destruction caused by the war and the blockade has forced the UN to categorize Yemen as “the world’s worst humanitarian crisis.”
Editor’s Note: This article originally appeared in Multipolarista.
The U.S. government has imposed aggressive sanctions that aim to “kneecap” China’s tech sector and halt the country’s rise, Washington policymakers and industry analysts have admitted.
The Joe Biden administration took the extraordinarily aggressive action this month of blocking China from importing most semiconductors, machines to create chips and supercomputer parts.
A former Pentagon official acknowledged that this was a “disproportionate” and “unilateral” attack, amounting to a “form of economic containment.”
Jon Bateman, an ex-analyst for the Defense Intelligence Agency (DIA) who served in several important policy roles in the Pentagon, wrote that U.S. officials have “imposed disproportionate measures” and “strong-armed others into compliance.”
Washington’s “mindset all but guarantees a continued march toward broad-based technological decoupling,” he concluded.
Bateman stated that the “increasing boldness of U.S. unilateral actions, and Washington’s open embrace of a quasi-containment strategy” reflect the U.S. government’s new cold war goal: “China’s technological rise will be slowed at any price.”
Today, Bateman is a senior fellow in the technology and international affairs program at the Carnegie Endowment for International Peace, a powerful Washington-based think tank that helps Washington craft policy – with plentiful funding from the U.S. government, its allies, large corporations and banks, and billionaire oligarch family foundations.
Bateman is by no means a pro-China advocate. In April, he published a report for Carnegie called “U.S.-China Technological ‘Decoupling’: A Strategy and Policy Framework.”
In the lengthy document, Bateman “offered a concrete picture of what centrist decoupling might look like and how implementation could work at the agency level.”
Bateman wrote the Foreign Policy article as part of a debate with more hard-line hawks in elite Washington policy-making circles. He warned that their “maximalist” strategy could backfire and hurt the U.S. and its allies, and instead promoted a more cautious, incrementalist approach.
“America’s restrictionists—zero-sum thinkers who urgently want to accelerate technological decoupling—have won the strategy debate inside the Biden administration,” he warned.
“More cautious voices—technocrats and centrists who advocate incremental curbs on select aspects of China’s tech ties—have lost,” Bateman lamented.
He acknowledged that Washington’s new cold war on China has been completely bipartisan, but “Donald Trump’s scattershot regulation and erratic public statements offered little clarity to allies, adversaries, and companies around the world,” whereas “Joe Biden’s actions have been more systematic.”
“The United States has waged low-grade economic warfare against China for at least four years now—firing volley after volley of tariffs, export controls, investment blocks, visa limits, and much more,” he wrote.
Bateman said the Biden administration’s new sanctions, however, “more so than any earlier U.S. action, reveal a single-minded focus on thwarting Chinese capabilities at a broad and fundamental level.”
“Although framed as a national security measure, the primary damage to China will be economic, on a scale well out of proportion to Washington’s cited military and intelligence concerns,” he wrote.
He added, “The U.S. government imposed the new rules after limited consultation with partner countries and companies, proving that its quest to hobble China ranks well above concerns about the diplomatic or economic repercussions.”
Bateman noted that the United States is trying to pressure allies to join its new cold war on China, leading an international campaign to economically isolate Beijing by building a “Chip 4” alliance with South Korea, Taiwan, and Japan – which control the vast majority of the global semiconductor industry.
Bateman’s fears that these aggressive new cold war policies could backfire have already come true. Washington’s rapid attempt to decouple the U.S. economy from China is taking a toll on U.S. universities.
At least 1,400 scientists of Chinese descent have left U.S. research institutions and instead gone to China, according to a report published this October by academics at Harvard, Princeton, and the Massachusetts Institute of Technology (MIT).
The South China Morning Post reported that the “high number illustrates a ‘chilling effect’ resulting from U.S. government policies deterring research and academic activity by scientists of Chinese descent and suggests American research could suffer.”
The tech press has sounded similar alarm bells about Washington’s bellicose attacks on Beijing.
Electronics industry website EE Times quoted a corporate analyst who said the U.S. “sanctions put a temporary checkmate on China developing their foundry industry at more advanced nodes.”
The website also used cold war rhetoric to refer to the aggressive U.S. policies, writing:
The latest U.S. salvo in the chip war against China will set back its domestic chipmakers by generations, while global suppliers of semiconductors and fab tools will incur billions of dollars in lost sales because of a giant dent in demand out of China, analysts told EE Times.
The administration of U.S. President Joe Biden has strengthened Cold War measures from longer than 40 years ago. In its new rivalry, the U.S. aims to freeze China’s advancement on a new front: chip technology that is critical for economic development and military superiority.
Wired said Washington’s “sweeping new controls are designed to keep [China’s] AI industry stuck in the dark ages while the U.S. and other Western countries advance.”
The tech magazine quoted Gregory Allen, director of the AI governance project at the Center for Strategic & International Studies (CSIS), an influential neoconservative think tank in Washington that is bankrolled by the weapons industry, U.S. government, and Washington’s allies.
Allen summed it up: “The United States is saying to China, ‘AI technology is the future; we and our allies are going there—and you can’t come.’”
Benjamin Norton is founder and editor of Multipolarista.
The West wants African countries to condemn the war in Ukraine, but doesn’t want to hear their views on conflicts in Libya or Yemen. Why not? African Stream’s Clinton Nzala outlines the double standard during a discussion on Bolivia’s Kawsachun News. pic.twitter.com/ecuJ9Xslr9
The West wants African countries to condemn the war in Ukraine, but doesn’t want to hear their views on conflicts in Libya or Yemen. Why not? African Stream’s Clinton Nzala outlines the double standard during a discussion on Kawsachun News.
More than 3,000 Accredited Social Health Activists (ASHAs) protested in the city of Kolhapur in India’s Maharashtra state on October 26 after several of their demands, such as the legal status of full-time workers, better working conditions, adequate pay, medical insurance, and others, weren’t met / credit: Sanket Jain
Prajakta Khade walked into a public health center daily for three months in early 2021, without ever receiving medical care. The healthcare worker’s 26 notebooks—containing more than 3,000 pages of community health records—point to why she couldn’t seek treatment for her ailments. She was simply too busy.
In March 2020, India’s health ministry tasked 1 million Accredited Social Health Activists (ASHAs) like Khade with COVID-19 duty in rural areas. This, in a country where 65 percent of its 1.38 billion people live outside cities. Suddenly, ASHAs’ workload increased exponentially. Yet, they remain underpaid and now suffer stress-related chronic ailments.
“If a positive case was found in the area, we had to visit the patient, contact trace, arrange medical facilities, measure their oxygen and temperature levels daily, and ensure they complete quarantine,” Khade explained about the added duties to treat the infectious respiratory disease. But all Khade was given to do her job in the assigned area in India’s Maharashtra state was a single N95 mask and 200 milliliters of sanitizer.
ASHAs, an all-women healthcare cadre, remain the foot soldiers of India’s rural healthcare. One worker is appointed for every 1,000 citizens under India’s 2005 National Rural Health Mission. ASHAs are responsible for more than 70 tasks, including providing first-contact healthcare, counsel regarding birth preparedness, and pre- and post-natal care. Plus, they help the population access public healthcare and ensure universal immunization, among other things.
The World Health Organization announced a pandemic in March 2020. But in many countries, lack of adequate healthcare and no social safety nets amid lockdowns wrecked the lives of ordinary people. In India, for example, an additional 150 million to 199 million people are expected to enter poverty in 2021 and 2022.
Chronic Illnesses Spike
One day about a year ago, while surveying people in her village of Vhannur in India’s Maharashtra state, 40-year-old Khade felt dizzy. But she couldn’t take a break. “At one point, my face was swollen, and I could barely see anything.” It turned out her blood pressure level had surged to 252/180 mmHg (millimeter of Mercury), much higher than the standard limit of 120/80. That is how she got diagnosed with hypertension.
However, a month’s worth of medications didn’t help because she continued to experience stress as her workload increased. Senior officials at the health center had early on issued an order to submit patient records daily by noon.
ASHAs, who aren’t considered full-time workers, receive performance-based incentives paid on the number of tasks completed. “For COVID duty, the government decided our worth as merely 33 Indian Rupees per day (43 U.S. cents),” she said. “We received this amount only for three months in the past two years.”
Moreover, during the peak of COVID-19 cases in 2021, salaries for Maharashtra’s ASHAs were delayed by five months, according to Khade. Netradipa Patil, an ASHA from Maharashtra’s Kolhapur district and leader of a union that represents more than 3,000 ASHAs, confirmed this.
One day last year, Khade’s supervisor asked for a list of hypertension and diabetes patients from her village of about 1,200 people—at 10 o’clock at night.
“How could I survey the entire community in the night?” she asked.
Often, such orders meant skipping lunch and staying hungry for 11 hours at a stretch. ASHAs worked four hours prior to the pandemic. Now, 12-hour days are normal.
When medications didn’t help, Khade consulted two private doctors. “After six months of hassle, the doctor doubled my dose to 50 milligrams.” Khade lost over 10 kilograms (22 pounds) of weight and was placed on medications to address anxiety. Even today, she suffers from fatigue.
“I was never this weak,” she asserted.
Chronic diseases among ASHAs are rising rapidly because of the workload, says Patil. “We protect the entire community, but there’s no one to look after our health.” ASHAs in Maharashtra, she says, average a monthly income of Rs 3,500 to 5,000 ($45 to $66 USD).
This reporter spoke to ASHAs’ senior officials from Maharashtra’s Kagal block. (In India, a cluster of villages form a block and several blocks form a district. Vhannur village is in the Kagal block of Maharashtra’s Kolhapur district.) Senior officials said they are not responsible for ASHAs’ deteriorating mental and physical health, and pointed to the Indian government’s order to submit data. The officials didn’t want to be named. Instead, they relayed that they also are overworked.
“ASHAs do the majority of the health department’s work, and they are massively underpaid for their duty,” said Dr. Jessica Andrews, a medical officer at Kolhapur’s Shiroli Primary Health Center. She has been handling mental health cases. “Without them, the health system will collapse.”
‘Not Treated As Humans’
Several ASHAs across India have worked for over a year without a break. One of them is Pushpavati Sutar, 46, diagnosed with hypotension (low blood pressure) and diabetes within seven months of COVID-19 duty in November 2020. Like Khade, she experienced constant spells of dizziness.
“Often, there was fake news of community COVID transmission in my area,” she said.
Every day, senior officials at the health center hounded her to find more details about such instances.
An ASHA for 13 years, she’s never made an error in her surveys and was sure of no community transmission. “After investigating, I found that the accused was COVID negative. Instead, two of his relatives were positive.”
She had to clear such misconceptions almost every day, answer senior officials’ questions, collect records and perform her regular duty. “For several days, I couldn’t sleep,” she remembered.
Further, fearing COVID-19 guidelines and quarantine rules, community members began demanding ASHAs hide COVID-19 cases. “People even accused us of spreading COVID as we would survey the entire village,” Sutar recounted. Moreover, she said senior officials asked ASHAs to visit the families of COVID-19 patients—instead of allowing data collection over the phone—putting them at risk of infection.
“At several places, there have been instances of community violence, where ASHAs were beaten up,” said Patil, who has filed legal complaints on behalf of the assaulted workers and is helping them mentally recover.
Kolhapur’s ASHA union has written to several government authorities, including Maharashtra’s chief minister and Indian Prime Minister Narendra Modi, highlighting the mental toll of COVID-19 duty. Still, none of their letters have garnered a helpful response.
“Forget adequate pay,” said Khade, as she continued surveying, juggling between completing her task and trying to keep her mind at ease. “We are not even treated as humans.”
ASHA Rehana Mujawar, of Maharashtra’s Tardal village, shows COVID-19 records she is required to fill out every day by visiting her community of more than 1,000 members / credit: Sanket JainASHA workers Rekha Dorugade and Mandakini Kodak trekking the Dhangarwada hill to complete their survey, a steep patch of 5 kilometers (3.1 miles) in Kolhapur’s Pernoli village / credit: Sanket JainAn ASHA worker took a selfie as part of their protest on July 21 in Maharashtra’s Kolhapur city / credit: Sanket JainASHA workers protest outside the district collector’s office in Kolhapur city with placards mentioning their workload. In the center, wearing a red saree, is ASHA union leader Netradipa Patil, who has been fighting for better working conditions for over a decade / credit: Sanket JainASHAs across India have been protesting for better pay, full-time worker status and proper working conditions / credit: Sanket JainIndia has 810 district hospitals for 833 million rural people. In mountainous regions like Kolhapur’s Masai Pathar, ASHAs often trek, risking their lives to save pregnant women and make healthcare facilities accessible / credit: Sanket JainAn ASHA worker explains breastfeeding and taking care of a newborn to a community woman in Maharashtra’s Khutwad village / credit: Sanket JainIn Kolhapur’s Khutwad village, ASHA Maya Patil informs a migrant sugarcane cutter, whose relative gave birth to a child a month prior, about post-natal care and how they can access public healthcare facilities / credit: Sanket JainTo inspire fellow ASHAs, Netradipa Patil shares a WhatsApp status quoting lyricist and poet Gulzar: “Milta To Bahut Kuch Hai Is Zindagi Me, Bas Ham Ginti Usi Ki Karte Hain, Jo Hasil Na Ho Saka. (We get many things in life, but we only count the things we couldn’t achieve) / credit: Sanket JainASHAs also distribute iron, calcium, and vitamin tablets, among others, to community women and children every month. “For distributing these medicines, we’re merely paid Rs 100 ($1.30 USD),” says ASHA Netradipa Patil / credit: Sanket JainASHA Prajakta Khade collected the sputum of a patient she suspects to be a tuberculosis patient / credit: Sanket Jain“Be it any health record, the health department relies on our surveys and fieldwork,” says Khade, who has been an ASHA since 2009 / credit: Sanket JainWomen often share their health and mental issues with ASHA workers, as they have built a safe bond over the past decade / credit: Sanket JainAs part of the Health Ministry’s program of reducing non-communicable diseases, ASHAs across Maharashtra are tasked with surveying communities by asking them more than 60 questions. “We will merely be paid Rs 5 (6 U.S. cents) per form for collecting and filling in all the details,” says Khade / credit: Sanket JainA significant part of Khade’s time goes into filling out by hand medical records. “If any record is incomplete, our seniors immediately probe an inquiry, and even the pay is deducted,” she says / credit: Sanket JainSo far, Khade has spent over Rs 10000 ($131 USD) on doctors, medical tests, and medications, an equivalent of three months of her salary. “ASHAs don’t receive any health support system from the government, nor any medical insurance,” she says / credit: Sanket JainASHA Jayashree Khade from Kolhapur’s Vhannur village tested positive for COVID-19 in May 2021. “None of my seniors even once asked about my health. It was only the fellow ASHAs who helped me,” she says / credit: Sanket JainPrajakta Khade gives a plastic bottle to a community woman asking her to submit sputum for tuberculosis detection / credit: Sanket JainPushpavati Sutar, as part of postnatal visits, often counsels women on breastfeeding, seeks regular updates on the health of both the mother and the newborn, and provides the required medications / credit: Sanket JainAn ASHA worker filling out health records of a newborn in Kolhapur’s Shirol region, noting important details / credit: Sanket JainSutar distributes iron and folic acid tablets to her community members / credit: Sanket JainTo ensure community members take medications and supplements on a schedule, ASHAs often write instructions in the native language on the box / credit: Sanket JainSutar ignored her hypotension symptoms for several months and continued the survey because of the tremendous workload / credit: Sanket JainASHA workers always counsel community members on proper healthcare. Here, she is talking to a woman in Kolhapur’s Shirol region about early childhood health / credit: Sanket JainAs part of the health ministry’s Anemia Free India program, ASHAs are given a long notebook to maintain the records of 6- to 51-week-old children and 5- to 10-year-old children from their community. ASHAs regularly provide tablets to prevent anemia / credit: Sanket JainASHAs’ role doesn’t end with distributing medications. They answer questions people raise / credit: Sanket JainASHA Rani Koli, from Kolhapur’s flood-affected Bhendavade village, surveying her community after the July floods. “Even my house was ravaged by the 2019 and 2021 floods, but we keep working to make sure everyone remains safe,” she said / credit: Sanket JainASHA Kavita Patil talking to senior citizens in Kolhapur’s Bhendavade village to understand the mental toll of living through two floods / credit: Sanket JainASHA workers Netradipa Patil and Maya Patil surveying a community to learn more about how two floods and lockdowns affected the lives of rural community women / credit: Sanket Jain
Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.
