Bronx Parents and Teachers Protest AOC Military Recruitment Fair

Hasina Hajukhan never imagined that returning to her maternal house would turn into a near-death experience. In April, the 28-year-old was seven months pregnant, and her medical parameters were normal. “I was taking extra care to ensure no complications during childbirth,” she told Toward Freedom.

As is customary in many parts of India, pregnant women return to their parents’ homes to give birth. When Hajukhan first reached her mother’s house in Ganeshwadi village of the western Indian state of Maharashtra, she felt nauseated. “It was April’s final week, and I couldn’t even breathe properly,” she recounted. A heat wave had taken hold. “The climate was the stark opposite of what it was in my husband’s village.” In Ganeshwadi, things kept getting complicated with the rising heat. “Every day, I was breathless and would feel dizzy.”

Using a desk fan at the highest speed didn’t help, as it just circulated more hot air. An air conditioning system was something her family could not afford. The tin sheet roof would get extremely hot. During this crucial time, Hajukhan needed rest. However, she spent most of her day stepping out to gasp for cold air. In May’s final week, things got worse. “I felt as if I was going to die,” she recalled, teary-eyed.

Immediately, her mother dialed Ranjana Gavade, an accredited social health activist (ASHA worker), part of a community of 1 million women healthcare workers appointed for every 1,000 people in India’s villages. ASHAs are responsible for more than 70 healthcare tasks, with a particular focus on maternal and child health.

“I was worried looking at her rapidly deteriorating health and informed my colleagues.” Upon their instructions, Gavade called a government ambulance and swiftly took her to the district hospital, 33 kilometers (20.5 miles) away. Hajukhan gave birth to underweight twins. Her troubles still hadn’t ended when she was discharged after three days. For a month since then, Hajukhan has been trying to ensure her twins gain weight, but all efforts have failed. As a result, they weren’t administered the necessary Bacillus Calmette–Guérin (BCG vaccine used against tuberculosis), Hepatitis B, and Polio vaccines.

The Kolhapur district, where Hajukhan lives, has been reporting recurring floods, heat waves, incessant rainfall, and hailstorms triggered by climate change. She said everything would have been normal had she not returned to her parents’ home to give birth in the heat waves. “My children wouldn’t have had to live such a dangerous life,” she said.

Like in the village of Ganeshwadi, climate change impacts have been delaying children’s immunization schedules throughout India, making them vulnerable to diseases. Research has found that if a child belonged to a district highly vulnerable to climate change, the odds of stunting rose by 32 percent, low weight by 45 percent, anemia by 63 percent and acute malnutrition by 42 percent. An analysis by global nonprofit Save the Children found that, globally, 774 million children are living in poverty and at a high risk of climate-related disasters. Weather disasters ranging from floods to droughts prevent children from obtaining nourishment, causing low weight, and these disasters put a break on children receiving vaccinations on time. Their weakened immune systems, as a result of a lack of proper nourishment in crisis times, make them vulnerable to other diseases. Being sick can halt the necessary immunizations, and these delays have led to a rise in epidemics and diseases.

How Floods Impact Universal Immunization

Snehal Kamble, 24, a resident of Maharashtra’s flood-prone Arjunwad village, remembers the year 2019 in meticulous detail. “A day before the floods, I was preparing to go to my parent’s house.” Five months pregnant, she was looking for iron folic acid tablets. “Instead, all of us went to a flood relief camp,” she recounted. From there, she moved to another relief camp within a few days, as the water rose further. “During this time, I was worried about my house and belongings,” she said. She fell sick and was away from home for 15 days. “Those were the most difficult days of my life,” she shared. Then in January 2020, she gave birth to a boy named Sangarsh, who has often fallen sick. “When I went to my maternal house, he just couldn’t bear the heat there,” she said. The dehydration and spells of fever he experienced affected his immunization schedule. “His Pentavalent vaccine was delayed by several months because of health ailments,” said ASHA worker Shubhangi Kamble (no relation to Snehal), who has been monitoring this child since birth.

Further, his Measles-Rubella vaccine and Vitamin A dose were also delayed, making him vulnerable to diseases. “Vaccines need to be administered on time,” said Sachin Kamble, a nursing officer at the district women’s hospital in Maharashtra’s Osmanabad district. “Otherwise, it affects a child’s immunity, making them more vulnerable to diseases.”

He pointed out how the lack of vaccinations led to 2,692 cases in 2022 in Maharashtra, which reported the highest measles count in India. That was an eight-fold increase from the previous year. During this time, India reported 12,773 cases. India’s National Family Health Survey (NFHS) said only 31.9 percent of children ages 24 months to 35 months had received a second dose of measles-containing vaccine in 2019-21.

Another healthcare worker, Kavita Magdum, from flood-affected Ganeshwadi village, said that children in her surveying area never fell ill so frequently. She started noticing such stark changes only in the past five years. Upon inspecting this, she found, “Stress caused by the changing climate is leading to this.” For instance, Magdum sees that many children aren’t drinking breast milk, which has impacted their medical parameters. These drastic changes reflect in Indian government statistics, as well. During 2015-16, 58.6 percent of children ages 6 months to 59 months (just under 5 years old) were anemic in India. By 2019-20, this number rose to 67.1 percent. In addition, 32 percent of children nationally remain underweight.

After a year-and-a-half, Snehal’s son started getting better, thanks to Shubhangi’s consistent visits, when she monitored every parameter and ensured the best possible treatment by working hours beyond her duty. “Once the vaccination schedule started falling in place, his health, too, began improving,” Shubhangi shared.

Untimely Administration of Vaccines

While climate change is making it difficult for these healthcare workers to complete universal immunization, another challenge is the untimely vaccine administration.

“There are many instances, where vaccines in several villages are just not available,” said Netradipa Patil, leader of more than 3,000 ASHA workers and co-founder of Deep-Maya Foundation, a non-profit that works for women and children. “During such times, it becomes extremely challenging for us healthcare workers to manage everyone.”

Patil has observed that the workload has increased tremendously for all the ASHA workers because of the delay in vaccination. This is because ASHA workers are responsible for immunization, and in case of any discrepancy or error, they are held accountable. Research published in 2016 concluded, “Lack of timely administration of key childhood vaccines, especially DPT3 (the three doses of the Diphtheria, Tetanus and Pertussis vaccine) and MCV (measles-containing vaccine), remains a major challenge in India and likely contributes to the significant burden of vaccine-preventable disease-related morbidity and mortality in children.” Another paper published in 2019 inferred, “The proportion of children with delayed vaccination is high in India.”

In 2021, the World Health Organization found that 25 million children around the world under the age of 1 didn’t receive vaccines, a figure not seen since 2009. “Many children never get the Vitamin A doses on time. These doses are just not available when required,” Patil said, suggesting the Indian government should consult local healthcare workers to arrange vaccination. “We need to reach more and more people, and, currently, looking at the changing climate, we aren’t prepared to do this,” she shared. Patil made simple suggestions like identifying vulnerable children and their locality and monitoring them from the earlier stages, even before the disaster strikes. “Just by proper identification, we can save so many children,” she said.

Rising Undernourishment

Fed up with feeding medications and tonics that didn’t seem to help increase his weight and prevent him from continually falling ill due to the changing weather conditions, Rashi Patil, 23, quit taking her son to the doctor every month after 18 months. “My son just wouldn’t eat anything,” Patil said.

Moreover, the changes in local climatic patterns affected her son’s health, and he often fell sick. Last year, he was hospitalized for a week as his platelets fell and a fever intensified. What followed next were recurring illnesses that delayed his immunization schedule. Because of the fever in March, he wasn’t administered the Pentavalent 1 vaccine (it protects from five life-threatening diseases: Diphtheria, Pertussis, Tetanus, Hepatitis B and Hib [Haemophilus Influenzae Type b]). Her son soon became weak and began recovering only after the vaccine’s administration. All this while, her son struggled with good eating habits. After several trials and errors, Rashi and her husband, Rajkumar, discovered the climate affected their son’s health and eating habits.

“Now, their son makes it a point to eat only outside the house, where he gets some cold air,” says Rashi. “Contrastingly, this was never the case with my elder daughter.”

Toward Freedom reached out to Ganeshwadi’s community health officer, Dr. Prajakta Gurav, regarding what steps her team was taking to deal with delayed immunization. Gurav hasn’t replied as of press time.

The impact of poor diets is more obvious at the national level. For instance, just 11.3 percent of children between the ages of 6 months and 23 months receive an adequate diet. Plus, in 2022, India ranked 107 out of 121 countries on the global hunger index. These numbers further reveal how climate change is exacerbating the existing faultlines.

The problem is not restricted to India. Of the countries at severe risk of being adversely affected by climate change, the report by Save the Children says, “Burundi has the highest rate of stunted children (54 percent), followed by Niger (47 percent), Yemen (46 percent), Papua New Guinea (43 percent), Mozambique (42 percent) and Madagascar (42 percent).”

Research published in PLOS Medicine found that in 22 sub-saharan African countries, drought led to lower chances of completion of BCG (Bacillus Calmette-Guérin), Polio and DPT (diphtheria, tetanus, and pertussis) vaccines. “We took vaccines to the last mile. Now, climate change is eroding progress.”

For Komal Kamble, 30, vaccinating her 2-year-old daughter remains challenging. Her remote mountainous village of Kerle, in Maharashtra’s Kolhapur district, remains inaccessible most of the year.

For the village population of less than 1,100 people, the nearest healthcare facility is 15 kilometers away. Last year, within a week of October rains, the road that connects her village to the nearest hospital was completely under floodwater.

Komal’s daughter couldn’t get proper medical care for two days, worsening her health. Her chest was full of cough, and the fever rose, making things difficult for the agrarian Kamble family. This wasn’t restricted to heavy rainfall, though. Since her birth in 2021, Komal has taken her daughter to a private doctor at least 20 times, spending over Rs 15,000 ($182). Last year, she was feverish and wasn’t given the crucial Japanese encephalitis vaccine, a Vitamin A dose and the Measles-Rubella vaccine. This made her vulnerable to more diseases, challenging the Kamble family.

Healthcare worker Shubhangi Kamble from Arjunwad says that instances of children missing their vaccination are rising rapidly. When she went to find out why this was happening in her village, Arjunwad, she saw that children fell sick during floods and heat waves. “This was the time that coincided with their vaccination schedule, and so many couldn’t get the vaccines,” she shared.

However, a delay in vaccination has caused more problems than she had anticipated.

“Almost every day, at least one parent dials me asking where they should get their children hospitalized,” she said.

Now, every rainfall brings a health issue for Komal’s daughter. “I am tired of going to the healthcare center to hear that my daughter is underweight or sick and can’t be given the vaccine,” Komal said, with frustration in her voice.

Meanwhile, with every climate disaster, it will become increasingly difficult for many families to complete the immunization in time. “I’ve been vaccinating children for over a decade, but things never got this difficult. We took vaccines to the last mile. Now, climate change is eroding progress,” said healthcare worker Kavita Magdum.

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.

The Afghanistan Papers: A Secret History of the War by Craig Whitlock and the Washington Post (Simon & Schuster: New York, 2021)

Afghanistan was thrust into the international media spotlight and public consciousness in August, when the United States and its coalition partners fled the country as the Taliban walked into the presidential palace, establishing itself as the ruling authority. While Afghanistan may finally be free of outside military occupation, Afghans are still suffering the deadly consequences of 40 years of U.S.-led subversion and war. Today, tens of millions of mostly poor and rural Afghans are at risk of dying due to lack of food, with the United Nations estimating 97 percent of people could be below the poverty line by next month. This is all largely a result of international sanctions and the United States freezing Afghanistan’s sovereign assets.

Despite these dire conditions, however, U.S. media outlets have moved on from Afghanistan after declaring it a colossal “failure” and publishing military and government officials’ memoirs and accounts of “lessons learned.” Encapsulating this kind of shortsighted thinking is long-time Washington Post reporter Craig Whitlock’s first book, The Afghanistan Papers: A Secret History of the War. While the author delivers a thorough chronological history of the U.S.-led war on Afghanistan from the U.S. perspective, he largely fails to criticize the war aside from what has already been known for the entire history of this settler-colony: That its ruling military and government officials lie in pursuit of their narrow self-interests.

Of course, with a title as such, the book has received many comparisons to the Pentagon Papers, the leaked reports on the U.S. war on Vietnam that the New York Times published in 1971. Beyond the title of the book, Whitlock is clearly inspired by what has often been lauded as a great show of strength for the U.S. “free press”: Revealing systemic lies the highest ranking U.S. government and military officials have told throughout a war that had no clear objectives. If it sounds familiar, that’s because it is.

If the reader is aware of this history, along with the other U.S.-waged or -backed wars across the globe today—in places like Yemen, Syria, Somalia, and now Ukraine—much of what is presented as revelatory may seem obvious. This is not to take away from the importance of the “Afghanistan Papers,” the nearly 10,000 pages of once-classified material, made publicly available courtesy of Whitlock and the Washington Post. Nor is it to deride the significance of the injustices that the U.S. government and military have inflicted upon Afghanistan and the region. Rather, it is to make the point that while the elites in Washington continue to hold much of the world hostage in what’s shaping up to be the most violent imperial decline in history—with nuclear ramifications that could bring about an end to life as we know it—this is a story that is becoming all too familiar.

That politics in the United States is a game for the elite—who are willing to do and say anything to maintain their power—is more common knowledge than Whitlock may think. This is evident with that only one-quarter of people in the United States say they trust the government. With this in mind, many readers will not be surprised to learn the Pentagon fabricated stories to justify the long war in Afghanistan. That military commanders made grandiose claims of the “progress” they were making on the battlefield. That consecutive White House administrations allowed for cycles of escalations and different iterations of the war to continue. And that elected officials—both Democrats and Republicans—have always come together at times of apparent bitter divides to direct the public’s attention away from such wars.

With that said, Whitlock misses an important opportunity to specify that—despite this seemingly impenetrable web of lies, deceit and deception—it is not so much the fault of the U.S. public for not being more aware. A majority are poor or working class, an entirely different class to Whitlock’s own. Nor is it that they are a docile group of sheep that can persistently be misled, as he frequently makes it seem. In fact, the vast majority of the U.S. public, struggling to make ends meet and living paycheck to paycheck, seem acutely aware of the levels of sophistication to which the U.S. government will go to pursue the narrow material interests of an elite few in Washington.

The issue does not lie in ignorance, which—following Whitlock’s logic—is something this book should have addressed. What prevents people from stopping the next U.S.-waged war is the same capitalist dictatorship in Washington that everyday Afghans have been made to bear for 40 years. It is the same class leading the war on poor and working-class people in the United States, marring any chance of popular democratic action against such wars.

Whitlock is clear that with the source material he relied on to craft his narrative, the book is by no means a definitive history of the war. Regardless, this narrow framework has the effect of placing Afghanistan—along with its rich history, culture and people—in a vacuum. In spite of the book’s thoroughness and detail, by the book’s final chapter, a reader with no prior knowledge of Afghanistan would be left with much to learn of the ongoing war, if economic sanctions are considered the next phase of the U.S. war on Afghanistan.

While Whitlock and the Washington Post have clearly gone to great lengths to make thousands of pages of once-classified Pentagon documents not only public, but digestible to the average reader, an important connection that could have further raised the reader’s consciousness was missed. Since it’s a story that’s been told before, what could possibly be missing from what has been lauded as the “definitive U.S. history” of the war?

By the book’s end, the average reader is likely to be left wondering why so many government and military officials were committed to lying about the justifications for the war and how it was actually playing out on the ground. What could have possibly been the driving force behind so many cover-ups and false narratives throughout? Could it be that the answer—either brushed aside or outright ignored by Whitlock and the Washington Post—has much to do with profit? Ultimately, Whitlock fails to answer the why question of the war, missing a crucial opportunity to provide a further clarity.

But, then again, that was not the book Whitlock set out to write. He delivers what has come to be expected from highly paid journalists at privately owned newspapers: A misleading narrative that U.S.-waged wars like those in Vietnam and Afghanistan only end when journalists like himself decide to put pen to paper. And not when the people living there—Vietnamese and Afghans alike—have no choice but to fight back.

This book is a vital resource that thoroughly details the atrocities U.S. government and military officials knew they were committing—and seemingly got away with—throughout the war on Afghanistan. Whitlock and the Washington Post certainly do not deserve condemnation for trying. But one can only hope that as conditions worsen for the poor in Afghanistan and the United States alike, Whitlock and the Washington Post will become stronger, more formidable opponents to future U.S.-waged wars. However, readers should be warned: Do not bet on that.

Patterson Deppen serves on the editorial board at E-International Relations, where he is editor for student essays. He is a member of the Black Alliance for Peace Solidarity Network. His writing has appeared in TomDispatch, The Nation, The Progressive, E-International Relations and other outlets.

Editor’s Note: African Stream produced the following video report.

BURKINA SAYS BYE-BYE TO FRENCH TROOPS

Burkina Faso is expelling French troops from the country. It’s given Paris one month to wrap up its ‘anti-terror’ operation – seen as a failure by locals and officials alike. #BurkinaFaso #France #African #AfricanStream pic.twitter.com/eP9psL4WVx

— African Stream (@african_stream) January 23, 2023