Childhood Immunization Schedules Increasingly Delayed in India As Floods and Other Climate Change Impacts Get In the Way

Sanket Jain July 10, 2023 Sanket Jain Admin, Archives, Asia

Accredited Social Health Activist (ASHA) worker Kavita Magdum monitors the health of infants and children. Here, she weighs one of twins of Hasina Hajukhan / credit: Sanket Jain

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.

ASHA worker Shubhangi Kamble spends a significant amount of time each day talking to community women to help them understand the impact of climate change on children / credit: Sanket Jain

“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.

ASHA worker Shubhangi Kamble often works beyond her duty to ensure every child completes the universal immunization on time. Here, she speaks to a woman to help her understand how climate change can impact her son’s health / credit: Sanket Jain

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.

ASHA worker Ranjana Gavade frequently visits Hajukhan’s home to monitor the health of her children / credit: Sanket Jain

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.

A woman playing with her child in Maharashtra’s Kolhapur district / credit: Sanket Jain

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.

Moving on, Reflecting Back—Charlotte Dennett’s Editorial Tenure Ends

Charlotte Dennett May 12, 2021 Charlotte Dennett Editor's Blog, The More We Know...

Now that my Toward Freedom guest editorship has come to an end, I am reflecting back on the stories we ran for the past 6+ months and the writers who wrote them.

The scenes coming out of Modi’s India and its pandemic nightmare have been particularly horrific, causing me to inquire about the health of Toward Freedom contributor Sanket Jain. Sanket is a freelance journalist based in western India. TF ran two of his stories in December and February about how India’s poorest citizens were barely coping with Covid. He emailed me back: “Fortunately, I am safe. For the past few weeks, I have been on the field documenting the disaster that’s unfolding in remote villages of India. Last week, I was shooting photos at the crematorium to see how many people have died of COVID because the Government is hiding official numbers. It’s a nightmare to see a human disaster unfolding at such a massive scale. From lack of oxygen, improper vaccination policy, COVID patients facing ostracism in the village, to frontline healthcare workers facing verbal abuse and even physical assault, India is witnessing a humanitarian crisis. I hope we come out of this disaster soon.”

Stay safe, Sanket, and keep sending us your stories.

Another writer who moved me deeply is Charles Wachira. His recent story on what’s happening in Uganda opened my eyes to what’s happening throughout much of Africa; the maintenance of dictatorial rule [e.g through the (truly) rigged election of President Yoweri Museveni in Uganda] to ensure “stability” for resource extraction by foreign corporations. With remarkable patience in responding to my queries, Charles produced evidence that the Great Game for Oil is now on steroids in East Africa (much of which lies opposite the Red Sea – and Saudi Arabia.)

Fascinatingly, a similar situation is playing out in West Africa, as explained by Eric Agnero in his story on how President Alassane Ouattara was able to extend his unconstitutional rule over Cote d’Ivoire, aided and abetted by France and the United States.

I admit: I came into this job with a geopolitical perspective, one which is followed by most world powers as they survey entire regions for riches. I discovered it during decades of researching my new book on endless wars. You’ll find a geopolitical analysis reflected in my article on Afghanistan: If you want to understand the many wars that have swept through the Middle East, Central Asia, and now Africa, you need only to follow the pipelines and the oil schemes taking place right now. All this, despite promises by Big Oil to invest in alternative energy to slow down climate change.

Trend Lines in the TF Stories

Looking back, it was a privilege to be able to choose stories that reflected extraordinary, indeed history-making events between October 2020 and early May. Below, I will highlight some of those stories, as certain trends begin to emerge. Call them patterns of history. Ten years from now, you may want to look back on them as if they were diary entries of an unforgettable period in your life, featuring Covid 19, Trump’s defeat, the January 6 assault on the capitol; the re-invigoration of the Black Lives Matter movement after the death of George Floyd; the rise of the right wing in the United States based on claims of voter fraud, the similar tactics used by Trump’s fascist allies abroad. Democracy v Racist Authoritarianism is one overriding theme. Look for others:

In October 2020, Toward Freedom ran stories on two historic elections. Olivia Arigho-Stiles’s article on the elections in Bolivia, which returned the MAS party to power, gave us some hope that massive turnouts could turn the table on authoritarian regimes. Meanwhile, in the leadup to the November elections in the United States, Harvey Wasserman and Greg Palast sounded warnings that voter fraud mechanisms were in place in Florida and Wisconsin. Who could have guessed that Secretary of State Raffensperger (or, as Palast calls him, Raffens-purger) would later emerge as a hero for upholding the integrity of Georgia’s vote for Biden, when in 2020 he was responsible for purging 198,000 names from the voter roles!

The big news in November 2020, was the defeat of Donald Trump thanks to the commitment of black and brown voters, who ensured “the largest turnout ever by U.S. voters in a presidential election.” We were so hopeful, I wrote back then. noting that Trump’s “multiple lawsuits claiming ‘voter fraud’ have been rejected so far by U.S. courts for lack of evidence.” As It turned out, Trump continued to use voter fraud to enrage his base…even against fellow Republicans. The fight against a fascist movement in America is far from over.

We also witnessed through the reporting of Serbian journalist Nicolas Micovec some tense super-power standoffs. In Belarus, a proxy battle by “the Western-backed Belarusian opposition” failed to topple President Alexander Lukashenko, who is still firmly supported by Russia.” In Nagorno-Karabakh, more deadly proxy battles were raging between Armenian and Azerbaijani forces, where “the conflict is being carefully watched for two reasons: 1) its potential to spread beyond its borders, and 2) an underlying energy war between Russia, the US, and the European Union.”

In December 2020, we began to take stock of what the world would soon face with the new Biden administration. Climate change was high on the agenda, especially since the Trump administration in November officially withdrew the US from the 2015 Paris Agreement. Rashika Pardikar, an Indian journalist, wrote of the “responsibility to both undo the damage done by the Trump administration and do more to address climate vulnerability concerns, especially in the developing world.’ Especially, she notes, because “the US is responsible for 25% of global emissions.” And what could provide better evidence of the dangers of climate change than two horrific Category 4 hurricanes which slammed into Nicaragua and Honduras in November, two weeks apart? Toward Freedom contacted Dan Higgins of the Burlington-Puerto Cabezas Sister City program. His and others’ reporting helped raise aid for the people of Puerto Cabezas, where roughly 2,000 homes were destroyed, and another 9,000 properties were damaged. The article turned into a good opportunity for Higgins to reflect on the history of “Port,” whose “peoples, languages, culture and history [on the Atlantic Coast} are very different from the Spanish-speaking side of Nicaragua.” He writes that the issue of autonomy “continues to be a flash point in Nicaraguan politics, with differing interpretations of what autonomy means.”

Elections in Venezuela, another hot point in international affairs (due in large part to the Trump administration’s economic sanctions to bring about regime change), came into focus as CodePink sent reporter Teri Mattison to observe the country’s December 6 legislative elections. “The sanctions imposed on Venezuela are a form of economic warfare… meant to create hardship and unrest,” Teri reported. (The elections resulted in a victory for President Nicolas Maduro and his allies. The opposition, which boycotted the elections, claimed “election fraud!” Thanks to reporting from Peter Lacowski, “Cries of election fraud by Donald Trump and his followers are familiar to Venezuelans; their right-wing opposition has been doing the same thing for years.”

In January 2021, we focused on Trump’s lies about a “stolen election,” which triggered the right wing assault on the Capitol on January 6, causing TF to immediately probe for details. Jonathan Ben Menachem provided some shocking details in “Cops at the Capitol,” which revealed, “at least 26 sworn members of U.S. law enforcement agencies from at least 11 states have been identified by law enforcement agencies and local reporting as attendees of the Jan. 6 rally.” Alexander Hinton, in his evaluation of the raid, warned us –correctly as it turned out – not to underestimate far right extremists in the US.

The other big news of January, of course, was the Inauguration of Joe Biden, and “Why Poet Amanda Gorman Stole the Inaugural Show” with her reading of her newest poem, “The Hill We Climb.” We published her poem in full, noting that Gorman was about halfway through the poem on Jan. 6, when pro-Trump rioters stormed into the halls of Congress, some bearing weapons and Confederate flags. She stayed awake late into the night and finished the poem, adding verses about the apocalyptic scene that unfolded at the Capitol that day.” Her eloquent performance was a source of pride for the Black Lives Matter movement and its supporters.

By February 2021, Toward Freedom reported that Trump’s voter fraud allegations seem to have found a receptive audience with generals in Myanmar. Emily Blumenthal observed “glaring similarities between the attempted coup in the US and the successful coup in Myanmar.” She quotes from the rightwing US group QAnon, which supported the coup: “The Burmese military has arrested the country’s leaders after credible evidence of widespread voter fraud became impossible to ignore…Sounds like the controlled media and Biden admin are scared this might happen here. “ An expert on Myanmar concluded, “Trump has given despots across the world fresh rhetorical ammunition to justify their authoritarian actions.”

If this weren’t unsettling news in the post-Trump era, our apprehension about Biden’s foreign policy turned to alarm after US forces bombed Syria in February. In their piece, Medea Benjamin and Nicolas Davies remind us that “the airstrikes were supposedly authorized by the 20-year-old, post-9/11 Authorization for the Use of Military Force (AUMF), legislation that Rep. Barbara Lee has been trying for years to repeal since it has been misused, ‘to justify waging war in at least seven different countries, against a continuously expanding list of targetable adversaries.’

In March 2021, Toward Freedom observed the 10th anniversary of the Arab Spring with disturbing reportage about the least known revolts in Bahrain. Finian Cunningham reveals that “Western powers played a nefarious role to ensure that the Arab Spring was kneecapped in order to cripple any progressive potential.” In Tunisia, where popular revolts launched the Arab Spring, Alessandra Bajek provides an in-depth report, noting that “Tunisia has failed to make any substantial progress in the daily lives of its citizens as the country’s democratization is not accompanied by a socio-economic transition. Nor should we forget that it was the Obama-Biden administration that oversaw the Arab Spring, as well as the regime change in Libya, which devolved into a disastrous civil (read proxy) war, killing thousands with many more displaced. According to Mathew Cole, Blackwater mercenaries poured into Libya, portraying themselves as “unarmed logistical personnel being sent in to support oil and gas companies.”

In April 2021, Toward Freedom reported on escalated tensions between Israel and Iran, after Israel bombed Iran’s Natanz uranium enrichment facility. Kim Zeter reports, “The sabotage seemed timed to send a message — both to Iran and to the U.S. and Europe. It occurred just days after talks began in Vienna to revive the Obama-instigated 2015 nuclear agreement with Iran to control its uranium enrichment production.” Fortunately, cooler heads once again prevailed, and the negotiations are continuing. There is even talk that Saudi Arabia and Iran have been holding secret talks.

The situation in Yemen, as revealed by William Boardman, is not as rosy as the Biden administration would have us believe. “Biden,” he writes, “promised that the US would be ‘ending all American support for offensive operations in the war in Yemen.’ Biden gave no specific details. The six-year bombing continues. The six-year naval blockade of Yemen continues. The humanitarian crisis continues, with the threat of famine looming. In effect, Biden has participated in war crimes since January 20, with no policy in sight to end the killing.” Long-time activist Kathy Kelley, worried that the American people were becoming desensitized to the killings in Yemen, reporting on a hunger strike taking place in Washington, DC. demanding an end to the war in Yemen.

Concluding Thoughts: The pandemic brought us many challenges. I, for one, was fortunate to have a job that allowed me to connect with writers from around the world from the safety of my own home.

Now that the pandemic is gradually lifting, I hope to spend more time promoting my book, which suffered greatly from being published during the lockdown. I wish all readers well as they hopefully recalibrate their lives toward a better future. Maybe a new Renaissance will be born out of COVID-19, just as the Renaissance emerged out of Italy’s Black Death in the 15th century. Let history—and science—be our guide, and may today’s movements –for democracy, justice and true equality—be our inspiration!

Sinking Cities Project: ‘Alexandria: Layers of History, Levels of Threat’

Rehab Abdalmohsen November 17, 2022 Rehab Abdalmohsen Admin, Africa, Archives

Editor’s Note: This article, originally published by Unbias the News, is part of the Sinking Cities Project, which covers six cities’ responses to sea-level rise. The investigation was developed with the support of Journalismfund.eu, European Cultural Foundation and the German Postcode Lottery.

In order to visit Alexandria’s most famous museum, you need to dive into its sea. Much of this ancient Egyptian city was lost to sea, and sank beneath the waves of the Mediterranean around the 3rd or 2nd century.

Located 2.5 kilometers (1.55 miles) off the coast of Alexandria, “Abu Qir Sunken Cities Museum” hosts the underwater ruins of both the Thonis-Heracleion and Canopus cities, where visitors can see the lighthouse that was one of the world’s Seven Wonders, along with anchors, gold coins, and the remains of the palace where Cleopatra and Anthony lived their last days, all lying at the bottom of the sea, as a testament of how vulnerable humans are to nature’s forces.

Since the discovery of the two long-lost cities and other underwater sites, scientists and researchers have been striving to unravel the reason behind the collapse and submergence of these great cities more than 1,500 years ago. They are also investigating the probability of history repeating itself.

Historical Precedent

Franck Goddio, the French underwater archaeologist who, in 2000, discovered the city of Thonis-Heracleion said that parts of the city’s ancient coastline sank beneath the sea “due to a combination of natural phenomena, including a series of earthquakes and tidal waves.”

Spending most of his long career studying ancient Alexandria, Magdy Torab, professor of Geomorphology at the Faculty of Arts, Damanhour University, suggests the same reasons for what happened there. “Alexandria is located close to some active tectonic plates, we witness a lot of earthquakes from near and distant sources that caused damages to the city, both in historical and recent times. One of the effects of those land movements is causing land subsidence,” he said.

In a study published by the Austrian Academy of Sciences Press in 2018, Torab also investigated sea level variation at Alexandria over the last millennia. “There is an abrupt relative sea level rise that occurred from the mid-8th century to the end of 9th century that explains the wide movement of sinking that happened at this time.”

Exploring the different reasons that led to the disappearance of this coastal city has a special importance as it is used by scientists to predict earthquake hazards in the coastal areas today.

Torab describes the effect of the seismic activities that the ancient city of Alexandria faced at this time, “land may have subsided as a result of an earthquake that followed an undersea earthquake or tsunamis.”

Land subsidence is a gradual or sudden sinking of the earth’s surface. The phenomenon can be caused by many reasons. Some of them might be related to human activities or part of a natural process like earthquakes.

The Mediterranean region has a witnessed many destructive earthquakes, among them the 365 Crete earthquake, which happened between the fourth and sixth centuries and was followed by a devastating tsunami that swept out Alexandria, and the Nile Delta, killing thousands.

So the great port that hosted the legendary Alexandria library flooded by a giant wall of water that puts big parts of the city under the water. Does this indicate that this might happen again?

According to the UNESCO, Alexandria is among five cities in the Mediterranean sea that is under the threat and need to be “tsunami-ready” by 2030. “Statistics show that the probability of a tsunami wave exceeding 1 meter in the Mediterranean in the next 30 years is close to 100 percent.”

Between the Sky and the Sea

Ziad Morsy knows Alexandria by heart. That’s hardly surprising, considerings he and his ancestors have lived in the city for decades. But what is remarkable is how much he knows about the invisible part of Alexandria, the part settling underwater.

For more than 12 years, Morsy’s work was under the water, as a scholar at Alexandria Centre for Maritime Archaeology and Underwater Cultural Heritage, then a visiting Lecturer of Maritime Archaeology. His job was to dive in the sea and collect data, because, as he said, “to be prepared for the future we need to understand the past”.

“Global warming will definitely affect Alexandria’s shoreline. But is it going to be the reason behind its sinking? I don’t think so. From my point of view, there is a long list of reasons, and global warming comes at the end of this list,” Morsy told Unbias the News.

He summarized the factors that determine “whether Alexandria is going to stay above the water or sink under the water” in three points: The city land level, the Mediterranean sea level, and Lake Mariout.

Geographical Precarity

If you search for Alexandria in the map, you will notice the port’s unique location, at the western end of the Nile River Delta and between two water bodies: the Mediterranean Sea in the north and Lake Mariout in the south.

The lake, which used to be much larger, is filled with brackish water because it receives a large amount of sewerage output and discharge of untreated irrigation wastewater that comes from the western delta. Although it connects to neither the Mediterranean Sea nor the River Nile, in order to keep the water level in this landlocked lake below sea level, water gets pumped and discharged from the lake into the sea.

“Imagine if the pumps didn’t work for any reason, the water level in the lake would increase and overflow, which means that parts of southern Alexandria would be flooded by the water,” said Morsy, citing another infrastructure risk.

Morsy believes that researchers are turning their heads toward the sea level rise effect, when the real focus should be on the land of Alexandria:

“A tsunami will not remove Alexandria from the map. Tidal waves will certainly cause damage. But what will swallow this city are earthquakes and land subsidence. We will go down to the bottom of the sea, just the way it happened before.”

The Mermaid of the Mediterranean

The spot where Alexandria was constructed is playing a vital role in the city’s sinking scenarios. It dates back to 331 B.C, when Alexander the Great chose to build a city surrounded by two water bodies: the Mediterranean Sea in the north to make it a trade center, and Lake Mariout to the south, where he directed the Greek architect Dinocrat to design “Alexander’s Harbor.”

But the chosen location was a barren area. So the engineer needed to establish a complex, intelligent system to supply water from the Nile through canals, and then distribute water through a branched pipeline system and store it in underground tanks.

Parts of this old pipeline system still exist but are not functioning, as the new city is built on the top of the many ancient cities that came ahead of it, “And this is in itself another cause of subsidence,” said Torab.

“If you are living in Alexandria, it will be normal for you to suddenly pass by a big hole in the middle of a road you are used to walking on every day, or see a building with visible cracks. It is an obvious form of land subsidence,” Morsy said.

This issue inspired the Goethe Institute in Alexandria to join the project “Atlas of Mediterranean Liquidity,” which aims to show the impact of climate change on the Mediterranean through interactive maps and artwork.

Morsy contributed to the project. He sees it as a good way to raise awareness on how the city water sector was historically managed, and the challenges the city is going through. All is done through an interactive map done based on historical maps and city plans.

The ancient Alexandria was also built on limestone coastal ridges covered by a layer of clay, then a layer of the Nile river silt accumulated through the years. These landforms added to the fragility of the land toward subsidence, Morsy explained. The ancient Alexandria was also built on limestone coastal ridges that were covered by a layer of clay, then a layer of the Nile river silt that was accumulated through the years and these landforms added to the fragility of the land toward subsidence, Morsy explained.

Land Regression

Before reaching the Mediterranean, the Nile divides into two branches, Damietta and Rosetta. The number of branches is not clear, but they used to empty themselves in the Mediterranean Sea. One went through Alexandria even during the time of Queen Cleopatra. The blockage of the “Canopic branch,” due to the lack of maintenance, affected the sediment supply to the delta and the shoreline, which was vital for compensating the soil that got swept away by the waves, and caused land regression.

“Since the construction of the High Aswan Dam (HAD) across the Nile at Aswan in 1964, fresh water and sediment delivery to the coast of Alexandria declined every year. Because of the absence of sediments, the rates of soil erosion, land subsidence and groundwater salinity increased. This led to losing some lands to the sea, and we will be losing more,” said Ahmed Radwan, professor at National Institutes of Oceanography and Fisheries of Egypt (NIOF).

Daniel Jean Stanley and Andrew G. Warne published a well-recognized paper, “The Sea level and Initiation of Predynastic Culture in the Nile Delta.” They mentioned that, since 1964, essentially no sediment has been transported by the Nile River to the coast and also concluded that the Nile Delta “… is no longer an active delta but, rather, a completely wave-dominated coastal plain along the Mediterranean coast.”

He added that, without this dam, Egyptians would have survived neither the Nile flood, which killed hundreds of souls, nor the drought that hit the east African countries in the late ’80s and early ’90s: “The HAD was the real engine behind the development that happened in the country at this time.”

Land Reclamation

Radwan lives in Alexandria. He witnesses the coastal protection project that gets implemented by the government every day, and researches many hot spots. He believes the government’s reclamation and nourishment efforts are the safeguards for much of the coastland we are witnessing today:

“Let me give you an example. Abu Quir bay Headland is gained from the sea. Without the governmental effort to fill the gap in sediments, the area would have been lost to the sea. This is why sand feeding is important – to compensate for what nature was doing and bring in some ecological balance to the area that was lost to the sea with soil, cements or rocks.”

Between 1987 and 1994, artificial beach nourishment projects were implemented at Abu Qir, Stanley, El Asafra, Mandara and El Shatby beaches, with and without concrete jetties.

According to the UNESCO report, every year, 20-ton blocks are dumped into the water to protect the Corniche (road built along a coast) wall from wave action and seasonal winter floods.

“Land nourishment is not a permanent solution,” said Hisham Elsafti, who participated in the design and evaluation of many projects in marine civil engineering in Alexandria as a researcher at Alexandria University.

Elsafti works for the Department of Hydromechanics and Coastal Engineering at Leichtweiß Institute for Hydraulic Engineering and Water Resources of the Technical University of Braunschweig in Germany. He explained that “soft” solutions like beach nourishment might be more favorable because the global direction nowadays is to implement an Integrated Coastal Zone Management (ICZM). It is an interdisciplinary, iterative approach for sustainable use of the coastal zone combined with nature-based solutions, sometimes also referred to as building/engineering with nature.

He gave an example of nature-based solutions supporting local coastal ecosystems to protect the coast, “in Indonesia, the country is using mangrove forests to dampen tsunamis’ damage to its coast.”

Hard and Soft Solutions

In 1984, the American engineering services company Tetra Tech, Inc. developed a Shore Protection Master Plan (SPMP) for the Nile Delta Shoreline and Alexandria for the Shore Protection Authority (SPA) of Egypt. It designed specific schemes for 13 selected shore protection projects, which were then categorized as “first priority projects,” and “second priority projects.”

The solutions applied by the Egyptian government are mostly “hard engineering solutions.” It is a well-known technique to protect its shoreline by placing coastal concrete armor units that change the patterns of seabed erosion and siltation for a long distance along the shore, as Elsafti said.

Before the soft and hard engineering solutions, Alexandria used to get its shore protection from two natural sources, the long shore parallel breakwater called “Pharos Island,” an island composed of a series of ridges. The Nile and the Litani—especially the Nile river—were significant in supplying sediment along the shore and filling the deficiency in the coastal sediment budget.

Humans tried to mimic those natural islands, and make artificial islands through land reclamation. Part of the supposed benefits of those islands is protecting the main shoreline. The government reclaimed a big part of the shore in Alexandria. In the north coast, and in Al-Alamein city to the west of Alexandria, a big project of land reclamation took place, aiming to build more than 25 high buildings, each including more than 41 floors.

“The benefits of those projects are economical but their relation to coastal protection is limited,” said Elsafti who also explains how any human interference in nature should be studied well, in order to avoid fixing a problem in one location only to cause problems in others.

He added that if sand nourishment is done at a place in the sea where the sand doesn’t belong, then the sand will shift from that spot, and sediment in another. “This is why any sand nourishment project takes into consideration the annual sand feed process.”

The Shore Protection Authority released a report titled “Adaptation to Climate Change in the Nile Delta through Integrated Coastal Zone Management.” It mentioned that “even if these measures—of coastal protection—were fully in place some of them may eventually prove to have negative impacts without a proper understanding of longer-term coastal dynamics associated with climate change. Therefore, more complex (mixed) approaches are required to increase the robustness of the coast and ensure sustainable long-term adaptation.”

Unlike the old city of Alexandria, the new Al-Alamein is considering coastal protection mechanisms throughout the construction process. During my visit to the place, I witnessed the large scale of engineering coastal protection work even before the completion of the construction.

Buildings under construction tower in the distance of blue-green water

Buildings under construction along the beach

Buildings under construction as seen from the highway in Alexandria, Egypt

The IPCC (Intergovernmental Panel on Climate Change) Special Report on the Ocean and Cryosphere in a Changing Climate (SROCC) mentioned that the Egyptian government has committed $200 million to hard coastal protection at Alexandria and adopted integrated coastal zone management for the northern coast, including jetties, groins, seawalls, and breakwaters to combat beach erosion. “Recent activities include integrating SLR (sea level rise) risks within adaptation planning for social-ecological systems, with special focus on coastal urban areas, agriculture, migration and other human security dimensions,” says the report.

Lack of Coordination

Working as climate change advisor at the technical office in the Ministry of Environment and Environmental Affairs Agency has given Nadia Mohamed Elmasry a chance to witness what is happening on the ground to save Alexandria from sinking.

In 2017, she was involved in a project with the Public Authority for Shore Protection on a project to map the hotspots that urgently need the construction of tide breakers, to decrease erosion in these areas.

“After finishing the study, we noticed that some spots got eroded more than our expectations. Does this mean that the study was wrong? No, there were some unplanned development projects not included in our study, and they were built without considering the erosion map, such as the North Coast Compounds and new Al-Alamein.”

Nadia Mohamed Elmasry

This explains why the beach looks different before and after the establishment of the compounds oin the north coast. “Before the construction you could see a sandy, beautiful beach. But after it you will notice the sudden appearance of a rocky beach,” said Elmasry.

She explained this normally happens when extensive engineering projects take place in the sea—such as those undertaken to create yacht marina or jetties—without studying the erosion rates, the shoreline change pattern and the tidal movements. These affect the tides’ direction and the erosion pattern, and cause high erosion rate in one place and increase in sedimentation in another one.

Elmasry opened the map and pointed her finger at the coastline of Alexandria and northcoast and said:

“Look at this shoreline. Some spots here were under high threat, but the situation in those spots improved a lot. Unfortunately some other spots deteriorated. I believe it’s not because of the lack of environmental studies, but the lack of cooperation between the different entities.”

The Egyptian government is facing this threat from many quarters. At the top of the list come the Egyptian Coastal Research Institute and the Egyptian Public Authority for Shore Protection, whose roles are to monitor the evolution of the Egyptian coasts to determine the near shore zone changes of the coasts. They predict future changes in the coastal zone by using mathematical models to select the most economical and effective protective measures.

They also prepared the Alexandria Integrated Coastal Zone Management Project (AICZM) under climate change scenarios, along with other entities such as the Egyptian Environmental Affairs Agency (EEAA) which, they say, is providing the most efficient, low cost and effective control works to protect the heavily populated areas.

Who Can See the Sea?

Alexandria has gone through many phases of abundance and deterioration throughout its modern history. The city lost its prestigious place and importance as a cultural and commercial center, and its population notably declined. It happened just before the earthquake that hit the city and caused big damage to its infrastructure and buildings, including ruining the lighthouse around 956 AD.

But gradually the city regained its place. Now it is facing the opposite problem. An over-growing population shrunk the space for houses, which encouraged the construction of tall buildings by the seaside. Many cafes and restaurants sprung up on the now-concrete shore, and together all these structures added big pressure on the infrastructure and the land.

If you plan to visit the remarkable coastal city, there is a high chance you won’t be able to see the sea, or sit on a sandy shore. The coastline mostly consists of big blocks of concrete to protect the shore from erosion, with either cubic shapes or four-legged quadripods, or restaurants and cafes that will stand as a barrier between you and the sea view.

Elsafti clarified that coastal defenses along Alexandria’s coast were developed to support the widening of the Corniche by means of a revetment structure. These sloping structures erode the power of the waves behind them, but it is not related to SLR. “Revetments should be designed to prevent the seepage of fine soil material from the large gaps between the coastal concrete armor.”

He described how hard it used to be to move from one place to another using the Corniche road before the widening, and the shore nourishment that had been done years ago, “Traffic used to be a nightmare. The Corniche widening project helped a lot in facilitating the movement.”

Yasmine Hussein is a research director at the Human and the City for Social Research (HCSR), and her family members are old residents of Alexandria. Before talking about the city, she took a deep breath and, with a voice full of sadness, she said: “Yes, there used to be sand and shores, and walking on the Corniche was a basic outing for Alexandrian families. I built hundreds of sand castles just like all kids my age at the time. Those childhood memories are gone, and now, there is almost no shore. There are either concrete blocks, or restaurants and cafes constructed on the shore. The generation that witnessed Alexandria 15 or 20 years ago is feeling a great amount of sorrow and nostalgia.”

Hussein contributed to many studies about Alexandria. One of them is “Alexandria Corniche: Between privatization and the right to see the sea ,” which investigated how the highly populated city of Alexandria, with its more than half a million inhabitants nowadays, lost most of its shores. She attributed this loss to the urbanization projects implemented without enough consideration to the environment, or before the completion of the project’s environmental studies.

“The threat comes not only from sea level rise but other factors, such as land subsidence and the threat of earthquakes. This is what happened in the past and led to the sinking of this city twice, in 956 AD and 1303 AD,” said Hussein.

“We are inside the climate change, not waiting for it to happen,” Hussein added with a strong voice, “We used to have seasonal rain in the winter. It is locally called ‘NOAA’. It is more intense now. The rain is heavier, the storms are faster, and the tides are higher. This situation is causing damages; almost every year we are witnessing (extreme weather events).”

She explained that Alexandria faces two challenges. The first is repeating the same scenario and sinking again by tsunamis or earthquakes, and the second is the seasonal sinking every winter because of the extreme weather events.

One of the challenges that adds to the fragility of the city is the heavy construction and housing projects that took place everywhere: “This is a heavy weight on the land. It is an unbearable load … that doesn’t consider the environment or climate change.”

This increased privatization also takes a toll on public space. In 2019, the research center HCSR launched a campaign called, “Alexandria can’t see the sea,” to create awareness and encourage communities to get involved and be aware of the situation in their city before it’s too late. Hussein recalled, “We received good feedback from the community members. We asked people to send photos of the sea view to compare between the view in the past and now, collected those “before and after” photos, held an exhibition where we showcased what is going on the ground, and presented our studies.”

Top of the List

In their annual report, the IPCC said that “in the absence of any adaptation, Egypt, Mozambique, and Nigeria are projected to be worst affected by sea level rise in terms of the number of people at risk of flooding annually in a 4℃ (39.2°F) warming scenario.”

The report explored the potential damages due to SLR and coastal extreme events in 12 major African cities. The city of Alexandria in North Africa leads the ranking, with an aggregate expected damage of $36 billion and $50 billion under the moderate scenario, where emissions peak around 2040 and then decline.

The Egyptian Ministry of Water Resources and Irrigation reports a sea level rise at an average rate of 1.8 mm (0.7 inches) per year until 1993. The following two decades, the water level rose by 2.1 mm (0.8 inches) per year, and since 2012 it reached 3.2 mm (0.12 inches) per year. The Nile delta is reported to sink at the same rate, which amplifying the negative impacts of SLR.

But Morsy believes that a satellite view might not give the most accurate data regarding the effect of SLR in Alexandria, “We need studies that will focus on small scales and local environmental aspects and their effects. The effect of climate change and SLR is not equal everywhere in Alexandria.”

Morsy agreed that sometimes researchers focus on the worst case scenarios to encourage governments to take actions: “There was an old study that predicted that Alexandria will sink in 2023. But look how the situation is now; the city didn’t sink.”

He said that if the city is going down it’s because of all the factors that get mentioned:“Every thousand years the city goes down by one meter.”

Morsy leaves me to dive again and swim beside the ancient Alexandria. His dream now is to live on a ship in the Nile in Aswan, so that if a flood happens he will be safe in his Ark.

Rehab Abdalmohsen is an independent science journalist and water reporter whose work has appeared in ScieDev.net, @NatureNews, the Niles magazine, among others.

Crushing Dissent During India’s Lockdown

Rishabh Jain May 26, 2021 Rishabh Jain Admin, Admin, Archives, Asia

“The very thought of him having to plead to jail authorities regarding a basic service like clean water to wash his swelled eye still gives me anxiety attacks,” says Jenny Rowena, wife of Hany Babu.

Babu, a 55-year-old Delhi University professor, is among many political prisoners who have been detained after having been charged under a draconian Indian law, the Unlawful Activities Prevention Act (UAPA). His family released a statement to the press that mentions Babu’s severe eye infection, which could damage his vital organs.

Only after Babu’s family’s repeated appeals did the court allow him to get proper medical treatment and tests at a private hospital, the expenses of which his family will bear.

This is a glimpse into the conditions the Indian state machinery forces people to endure as it goes about filling overcrowded prisons, in violation of basic civil and legal rights, as the pandemic ridden situation further deteriorates. The situation has worsened because of the ruling Bharatiya Janata Party (BJP)’s use of a 54-year-old draconian law.

India’s National Investigation Agency (NIA) had arrested Babu in a case referred to as the “Bhima Koregaon case.” Bhima Koregaon is a village in the western Indian state of Maharashtra. The NIA alleged several activists gave incendiary speeches, causing clashes to erupt January 1, 2018, between Dalits and Hindu right-wing groups.

Many other activists and academics, including Anand Teltumbde, Sudha Bhardwaj, Father Stan Swamy, Gautam Navlakha and others—most of whom are 50 or older—were arrested in the same case and continue to languish in jail. They have been denied proper medical treatment, even as they suffer ailments.

For example, Father Stan Swamy, 84, a tribal-rights activist, has Parkinson’s Disease. He told the court during a May 21 hearing that during the past eight months he has been detained, his health condition has worsened.

“When I came here, I could eat, read, take a bath by myself,” Swamy testified. “Now I have to depend on others even to feed me.”

The family of Sudha Bhardwaj, a 60-year-old lawyer-activist, approached the court to access her medical records. She suffers from diabetes, hypertension and several other health issues. Meanwhile, others like writer and activist Anand Teltumbde suffer from asthma.

Yet another political prisoner, G.N. Saibaba, a 53-year-old who was formerly a professor at Delhi University, continues to live in similar conditions. He is 90 percent disabled and also tested positive for COVID-19 in February. His daughter, Manjeera, says although he has recovered, Saibaba is weak. She says despite several letters to jail authorities and the Ministry of Home Affairs, which oversees Indian internal security and domestic affairs, no helper has been provided.

“He is 90% disabled and can’t do work on his own. He needs a helper to do his day-to-day activities. Whether it’s brushing his teeth, getting up from the bed, going to the toilet—he needs help with everything,” Manjeera says. “But there is no helper.”

She also alleges that despite knowing co-morbidities could be life-threatening for a COVID-19 infected patient, he wasn’t provided proper medical care after testing positive. The family had no choice but to hire a courier service to transport life-saving medicines and supplements to him.

A medical facility is attached to every jail. However, Manjeera said they are unprepared to treat inmates.

“The jail hospital—there is no hospital. It’s like a small barrack: A bed and that’s it,” she explained. “There is no one to take care of you.”

Meanwhile, Saibaba, who was arrested in 2014, is serving a life sentence for his alleged links to the banned Communist Party of India (Maoist).

All these political prisoners, lodged in several jails across India, continue to live in devastating conditions as the coronavirus wreaks havoc across the nation.

Deploying a Draconian Law During Lockdown

An important mechanism used by the Indian state to prevent political prisoners from being released is the Unlawful Activities Prevention Act (UAPA). The law—enacted in 1967—reverses “innocent until proven guilty” to “guilty until proven innocent.” The ruling BJP amended the UAPA in July 2019 to designate an individual as a terrorist without trial. Previous versions of the act only allowed groups to be designated as terrorists.

In introducing the amendment, Home Minister Amit Shah said individuals should be charged under the law for taking part in an act of terrorism, for helping prepare for such an act, and for raising money or spreading information to aid terrorism.

Amit Shah, Indian Minister of Home Affairs / Ministry of Home Affairs

“Sir, guns do not give rise to terrorism, the root of terrorism is the propaganda that is done to spread it, the frenzy that is spread,” Shah told the Indian Parliament in 2019. “And if all such individuals are designated as terrorists, I don’t think any member of parliament should have any objection.”

This anti-terror law allows the detention of the accused without charge for up to 180 days.

“UAPA is something that with its amendments is designed to detain people indefinitely,” as prominent social activist and author Harsh Mander points out. “This can be understood from the fact that no charge sheet has been filed in the Bhima Koregaon and Delhi riots case, and yet the people are being detained indefinitely.”

In December 2019, as the Indian government passed the controversial Citizenship Amendment Act (CAA), protests erupted across the nation. However, in the wake of the protests, riots broke out in various parts of northeast Delhi during February 2021, after which several activists—many hailing from the marginalised minority communities—were arrested under the UAPA.

Mander alleges the BJP-led government has used a medical emergency to keep political prisoners inside prison without access to lawyers and proper healthcare facilities.

“Although the amendments in UAPA were made by previous governments, the current ruling party has used it to a greater extent and as a weapon against dissent,” Mander said.

He also asserted courts have failed undertrials (people detained while awaiting trial) and prisoners in safeguarding their rights.

“The courts should have objected and released guidelines regarding the release of undertrials and de-congestion of prisons,” Mander added. “They should have taken a sympathetic and humane view regarding the political prisoners.”

The overcrowding in Indian prisons is not a new phenomenon. Currently, 44 million cases are pending in Indian courts, and that number continues to increase. The slow pace overburdens prisons, as undertrials are kept waiting.

Overcrowded Indian Prisons

In a National Crime Records Bureau (NCRB) report published in 2019, 478,600 prisoners are lodged inside Indian jails, whereas they only have capacity for 403,700 inmates.

That means Indian jails are at 118.5 percent capacity. Also, around 68 percent of detainees are undertrials—not convicted prisoners.

As the coronavirus spread across the country in 2020 and beyond, overcrowded prisons have become a hotbed of infection. On April 28, the High Court of Delhi, while hearing a petition on the release of detainees, asked the concerned authorities to come up with a plan to de-congest jails. On May 7, the Indian Supreme Court also directed states to protect prisoners’ right to life and provide them with proper medical care during this pandemic. It ordered states to release undertrials facing non-serious charges on bail and people convicted of similar charges on parole.

Last year, as the pandemic broke out, close to 42,000 prisoners initially were released. But later, with a dip in the number of cases, many were returned to the prisons on the orders of the Supreme Court.

With the classification of legal services as “unessential,” but the construction of the $2.8 billion (USD) Central Vista Redevelopment Project in New Delhi deemed “essential,” the BJP government’s priority is evident. Yet the lives of political prisoners hang in the balance as they are refused bail, and as they struggle for access to basic amenities and medical care behind prison bars.

Rishabh Jain is a journalist who writes on Indian politics and issues central to India. He is based in New Delhi.

Related Articles

Related Articles

Moving on, Reflecting Back—Charlotte Dennett’s Editorial Tenure Ends

Sinking Cities Project: ‘Alexandria: Layers of History, Levels of Threat’

Crushing Dissent During India’s Lockdown