Tag: Plague

  • A Coming Plague

    In Ireland and the UK, Anti-vax sentiment, or vaccine hesitancy, along with deteriorating trust in the medical establishment, has set the stage for a coming plague. As a consequence of a recent outbreak of measles in the UK, Irish GP’s are now being encouraged to inform Public Health officials of suspected measles cases. The reasons for this are entirely sensible: records can be kept, cases tracked and the overall situation monitored.

    Unlike COVID-19, measles is a risky disease for children, particularly immuno-suppressed ones. Few, if any, doctors dispute that it kills about one in five thousand children, and that six in a thousand will get life-threatening pneumonia or meningitis.

    I don’t wish to sound alarmist; on an individual level if one of my own kids contracted measles I would not be overly concerned, but that is mainly down to them having all of the HSE-recommended childhood vaccinations (with the exception of those currently recommended for children in in respect of COVID-19).

    As a result of near-universal vaccination coverage, measles presents relatively rarely in General Practice. When it is encountered in a healthy or vaccinated child, it usually causes little apprehension.

    In 2017, after three years without a single recorded case in the UK, the WHO declared with great fanfare that a nation had eliminated measles. Unfortunately, Nature is not bound by WHO policy. The (somewhat deluded) party lasted for about two years, after which, cases began to re-appear; but in small enough numbers so as to be of relatively little concern in terms of public health.

    Even if a single country does manage to eliminate a particular disease the absence of testing for tourists and overseas travellers makes it impossible to stamp it out completely over the long term. Viruses and bacteria don’t need passports.

    Given the paucity of measles cases in Ireland – it had been years since I encountered a case – I was surprised when an email arrived from the authorities reminding me that I should report all cases to the Department of Health, and that, at the weekends, these notifications should be made through the emergency services. I was even more surprised that while working over the February bank holiday weekend to be reporting three suspected cases.

    The current outbreak in the UK has yet to be declared an ‘epidemic’. I imagine there are political reasons for this reluctance; but, given the highly contagious nature of the disease and the current level of cases it is perhaps only a matter of time before that changes.

    Measles is one of the most highly transmissible viruses. It is far more virulent than COVID-19 and has an infectivity rate of almost 100%. Being in the same room as a child with measles for no more than a few minutes is likely to result in transmission. Again, this is not intended as scaremongering, it is merely to point out that what is now happening in the UK is almost certainly happening in Ireland too.

    According to our own HSE, COVID-19 has an infection fatality rate of 0.17 deaths per 100,000 cases (roughly one death in a million cases) in children. Measles has an infection fatality rate of 300 per 100,000 cases in children under five-years-old. The reason I trust the medical consensus on this is that measles has been the subject of research and study for decades. The same cannot be said for COVID-19.

    Image Matthias Zomer.

    The short unhappy life of ‘Herd-Immunity’

    When a population is vaccinated against measles to a level of about 95%, the remaining 5% of unvaccinated children remain safe, as a consequence of the much-abused term, ‘herd-immunity’. This simply refers to the fact that those not immunised or vaccinated enjoy immunity by virtue of the majority of other people around them having immunity.

    Immunity can come from vaccination, or from having contracted the disease. With herd immunity, measles (much like COVID-19) can’t spread as easily to those more vulnerable to the disease. This is because, even though naturally immune or vaccinated people will get the virus, their symptoms should be relatively minor. The duration of their infection should be briefer, and thus the potential spread to the vulnerable, or the 5% of unvaccinated, becomes less likely.

    There comes a tipping point when vaccination or immunity levels fall below a threshold of 95%. Then herd-immunity fails and the unvaccinated and vulnerable are no longer protected. Infections become not only more common among the vaccinated, but, importantly, potentially dangerous to the unvaccinated. It is believed that in the UK for 2022-2023 the vaccination uptake (in respect of the MMR) is currently running at less than 85%. There were 1603 suspected cases of measles reported in the UK in 2023.

    The current outbreak in the UK poses a number of questions, in particular: what will the consequences of a measles epidemic be in the UK and Ireland, especially for unvaccinated and immunocompromised children? As measles is presently part of an MMR vaccine, is it not reasonable to expected similar outbreaks of Mumps and Rubella?

    For Measles (unlike COVID-19) there are reliable statistics going back several decades. This is research that has stood the test of time and consistent scientific review. However, after the scaremongering associated with the COVID-19 vaccination program, it is likely that many people are now sceptical about the fatality rate being talked about. Most readers will be familiar with the story of the boy who cried wolf.

    In respect of morbidity and mortality the evidence in relation to measles is relatively incontestable. The risks are real, particularly for immuno-suppressed children such as those undergoing chemotherapy.

    In many ways, vaccinating our own healthy kids against measles is a kind of social duty that almost all parents participate in for the greater good. It is a duty that is entirely contingent on trust in HSE vaccination advice.

    After vaccination, the overwhelming majority of kids will survive a measles epidemic, however a small but significant percentage of children will suffer needlessly, and many will die.

    I don’t question that there is such a thing as a vaccine injury. However, most of us take this risk and make this decision on behalf of our children, not just for their sake but, in particular, for the sake of the vulnerable. Thus, it is a reasonable expectation that all parents should shoulder some of the burden, some of the ‘risk’, and fully engage with the childhood immunisation programme.

    No vaccine is ‘risk free’, sticking an empty syringe into someone’s arm comes with the very real risk of infection, cellulitis, anaphylaxis, shock etc. Indeed, no medical intervention is entirely without risk. We parents tolerate those risks because we trust the medical profession and the HSE. Throughout the pandemic, and particularly in its aftermath – where we are yet to see a formal inquiry into policies and consequences – that trust has been quite seriously eroded.

    Image: Karolina Grabowska.

    A question of trust?

    A recent (2023) IPSOS poll found that with regards to the medical profession, surprisingly, it was the local pharmacist, and not the doctor or nurse, who topped the poll in respect of public trust.

    Although fears persists over a discredited study in the late 1990s linking the MMR vaccine to autism, this was investigated and debunked. Nonetheless, damage has been done and residual hesitancy and mistrust in respect of the MMR vaccine exists to this day.

    Personally and as a physician, I feel that even in the unlikely event of a tiny risk of autism associated with the MMR, I would still reluctantly have my kids vaccinated; if I thought that it would avoid death and suffering in a greater number of kids.

    As stated, all vaccines come with risks that we share as parents and as a society. But that risk is contingent on trust in the medical profession, and mine has certainly been shaken in recent years.

    Simple, deductive reasoning would relate the current fall in vaccine uptake to a decline of confidence in public health guidance. How has this come about?

    In March/April, 2020 elderly nursing home residents were thrown under the bus, as untested hospital patients were dumped into the nursing home sector, and do not resuscitate orders (DNRs) were made. All of this carry on is now common knowledge.

    Even the Zero-Covid fanatics must have raised an eyebrow at policies that linked the transmissibility of a virus to the amount of money spent in a pub. The COVID-19 vaccines were, unequivocally, forced on non-vulnerable people throughout the pandemic. The levels of coercion applied in terms of mandates and passports was absolutely unprecedented. This was reinforced by the public vilification of any individual who dared to decline or expressed fears over taking the vaccine

    There were many stark warnings of censure from the regulator (IMC) for any doctor in Ireland who failed in his or her “duty to follow and promote NPHET policy.”

    Image: Beyzaa Yurtkuran.

    Language Games

    Now that the dust has begun to settle, many people have come to recognise that the use of the word ‘vaccine’ to describe the COVID-19 jab, was (and is) problematic. COVID-19 ‘vaccines’ are, technically speaking, not vaccines in the traditional sense. They are pieces of genetic material (DNA, mRNA) that work in an entirely different manner to traditional vaccines. They are more correctly referred to as ‘gene therapy’ or ‘genetic vaccinations’ and prior to COVID-19 they had never been permitted for use in the general public.

    Calling the injections ‘vaccinations’ from the outset, effectively (but rather deviously) attached this novel technology to all of the antecedent good that traditional sub-unit vaccines have accomplished throughout the centuries. Language is a powerful weapon.

    As more people have had the time to look into the difference between a ‘Covid jab’ and a traditional vaccine, the ‘lie’ or at least the misappropriation of the term ‘vaccine’ has become increasingly apparent.

    Two of the original four genetic vaccines (the two DNA vaccines) were quietly removed from circulation within the first few months of use. Although at the time the government declared (in an Orwellian way) that this was because they were in “short supply”. In truth, it had   become clear that they were associated with significantly higher level of side effects than the mRNA type. This difference was not apparent to a frightened public during the pandemic, but more people are aware of that difference today, and that awareness is growing, in spite of the semantics.

    One of the difficulties in respect of ‘the science’, ‘the facts’ or the ‘data’, during the pandemic, has been over problems with interpretation. For example: the meaning of a ‘Covid death’. Was that unfortunate death caused by COVID-19?  Or was it an expected death in a very elderly person from pneumonia? Or someone who simply had a positive PCR test within the preceding two weeks? We must remember too that emergency COVID-19 funding for the nursing home sector was contingent on the reported number of COVID-19 cases.

    Then there is the cycle threshold of the PCR test itself, detecting the presence of traces of the virus, as opposed to clinically relevant infections; and then plastering these dodgy ‘facts’ before a frightened public, day after day and night after night.

    The overall effect of COVID-19 upon nations has invariably been described in terms of deaths per million. This metric was applied in spite of how COVID-19 mortality being overwhelmingly confined to over sixty-fives. Different countries have vastly different demographic structures, making the famous  ‘deaths per million’ statistic, almost entirely irrelevant.

    Many doctors tried to point these contrary facts out throughout the pandemic; all were silenced with anti-vax and even ‘right wing’ slurs. One GP was suspended and many more (including myself) were put on trial by the regulator and are awaiting sentencing. Therefore, it is important (to myself and my “anti-vax” colleagues) to unpack the accusation before we are also blamed by the regulator for the coming plague.

    Image: Daniele Idini.

    A nation of ‘Anti-vaxers’?

    It may surprise people to learn that so far this season, between 18/9/23 and 16/01/2024, 82% of Ireland’s Healthcare Workers (including Doctors and Nurses) have NOT taken the COVID-19 vaccination booster.

    If that is not bad enough, 64% of Healthcare Workers have not taken the influenza vaccine either, which is NOT a genetic vaccine. This is a truly shocking statistic as it would imply that the vast majority of healthcare workers, who are responsible for promoting and administering the COVID-19 and influenza vaccines, have not availed of either themselves.

    Uptake of Autumn Booster & Seasonal Influenza doses by HSE HCWs since 18/09/2023 to 16/01/2024

    In total 109,136 records for HSE HCWs were included in the analysis.

    • Overall Uptake • 19,843 received COVID-19 vaccine, an uptake of 18.2%
    • 39,719 received influenza vaccine, an uptake of 36.4%

    COVID-19 Vaccination Uptake in Ireland Weekly Report Autumn Campaign 2023 Week ending Sunday 21st January 2024 HSE/HPSC

    The fact that myself and several of my GP colleagues are presently being prosecuted by the regulator for being critical of what purports to be a ‘vaccine’, which is currently being avoided by 82% of our colleagues, tells a story in itself, one that is very political and very Eyrish.

    In the nursing home sector, where those most vulnerable to death from COVID-19 currently reside, 22% of residents have not availed of the COVID-19 vaccine and 16% have not availed of the influenza vaccine. 82% of the workers who care for them have not been vaccinated against either.

    If we were living in a democracy, as opposed to a corporate-ocracy, these figures would represent a resounding vote of ‘no confidence’ in any Minister. Silence in the mainstream media clearly shows (once again) who is actually paying the piper.

    Unbelievable as it may seem, the situation becomes even more bleak (or ridiculous depending on your perspective) when one considers the current public health advice in respect of COVID-19 vaccines for children. The HSE’s website as of 06/02/24 outlines the following guidance:

    Irish children over the age of six months are apparently in need of vaccination: ‘to give them protection against serious Covid-19 illness.’

    Despite the scaremongering, many parents are now aware that this advice is tantamount to a ‘lie’, or at the very least, a gross exaggeration. It is vanishingly rare for COVID-19 to cause “serious illness” in children.

    Most people are surely wondering why this misinformation continues? If the HSE cannot be trusted in respect of the COVID-19 vaccine advice, people may also wonder whether it can be trusted in respect of other vaccines.

    What the above (HSE) table shows is that the uptake of COVID-19 vaccination this season for people between the ages of six months and fifty years of age is 2.8%, i.e., more than 97% of      people in that age category have not availed of a COVID-19 vaccines this winter, in spite of HSE advice to do so.

    The numbers become even more stark when one looks at the uptake in kids between twelve and seventeen: a mere 0.3%. As these figures are derived from 2022 census data the actual      uptake is likely to be even lower, as the population has increased since 2022!

    The salient point is that 82% of health care workers have thus far declined the vaccine, and 97% of those under the age of fifty have also declined it, while 99.7% of the parents of twelve to seventeen year olds. All of these ‘Anti-vaxers’ have declined, despite advice from the HSE. Now what does this say in respect of confidence in the advice from the Minister or the HSE?

    I sincerely hope that most people are capable of distinguishing between advice as it pertains to COVID-19 vaccines, and advice that relates to tried and trusted vaccines included in the childhood immunisation programme. There can be no doubt in anyone’s mind that this resounding national rejection of HSE guidance by members of the general public, and by an overwhelming majority of healthcare workers, reflects a lack of confidence, which is bound to have an impact on the uptake of vaccines in general.

    As alluded to, in the case of measles it merely takes a fall below 90-95% uptake of vaccines before herd immunity becomes ineffective at preventing outbreaks and even epidemics.

    Excess Mortality

    Another contributor to the current lack of confidence in the government’s health policies has been the recent emergence of OECD mortality analysis. Unlike the equivocation that might surround data points in respect of ‘cause of death’, ‘PCR cases’ and various other data sets, there is almost no equivocation surrounding mortality figures themselves.

    Sadly, when someone dies, they are dead. There is little occasion for debate, confusion or obfuscation in that regard. The number of people who die in Ireland each year is a number that cannot really be interfered with by vested interests. Whilst there might be debate about cause and diagnosis, the date and occurrence of deaths are unequivocal.

    Every year in Ireland c. 55,000 babies are born and approximately 32,000 people die. The numbers fluctuate a little in line with population increases etc., but the ‘death rate’ and the ‘birth rate’ generally remain the same. If the death rate increases unexpectedly, as one would expect following a disaster of some kind, like; an earthquake, a tsunami or a pandemic for example, the increase in deaths are then referred to as ‘excess mortality.’

    For almost two straight years during the COVID-19-era, the Irish people were subjected to a nightly announcement on RTE news – ‘ringing out the dead’– pointing to the catastrophic daily loss of life that was occurring across the nation. To this day the official figure in respect of COVID-19 deaths stands at almost ten thousand.

    One would think that a tragedy that has resulted in so much death will naturally register in respect of our mortality figures? That there will of course be a massive increase in excess mortality during the pandemic? The straight answer here is no! It seems there was no increase in excess mortality for the years 2020, 2021 and 2022. A truth that is fully accepted and even embraced by the government!

    In 2023 the OECD analysed mortality figures in Ireland and elsewhere for the duration of the pandemic. They came to the conclusion that for the years 2020, 2021, and 2022 there was NO excess mortality in ireland, i.e. during the years of the pandemic there was no increase in the number of expected deaths.

    An immediate reaction might be to assume that the OECD crowd are a bunch of ‘Plandemic’ conspiracy nuts! Perhaps they got something seriously wrong? Truth is that the OECD is one of the most credible sources of data on the planet. And yes, they did make all the appropriate calculations for an increase in the population due to immigration etc.

    Remember, Ireland had a census in 2022, so they had the most up-to-date figures to hand. You can’t get a more accurate assessment than the OECD findings.

    So where did the ten thousand COVID-19 deaths go? All of the reported deaths within the nursing home sector were real. I witnessed this myself as fourteen of my own nursing home patients died in the space of a couple of months.

    Tragic as any death is, the majority in this case were part of the expected mortality in each given year, hastened by several months as a consequence of inept government policy. Most of the COVID-19 deaths that occurred outside the nursing home sector were recorded in people with a positive PCR test, as opposed to having died as a direct consequence of Covid-19.

    The official figure of almost ten thousand deaths from COVID-19 represents about a third of the total deaths one would expect to see in Ireland in a given year. Those deaths must surely have affected our mortality figures in some observable way? They did not because they were part of the (tragic) but entirely ‘normal’ number of deaths that Ireland experiences each year.

    What the OECD figures tell quite clearly is that if the pandemic was not a “hoax” then its effect was systematically exaggerated. A claim that in spite of the figures, remains confined to the realm of conspiracy and far from any danger of a public inquiry.

    So what does the Government have to say in respect of the OECD findings? For three long years we were informed that we were enduring the worst pandemic in living memory. Policies aimed at reducing loss of life cost the exchequer thirty billion euro for the first two years. Yet there was no excess loss of life and the ten thousand ‘COVID-19 deaths’ melt into the normal yearly mortality figures?

    Obviously both positions are mutually exclusive: one cannot have a pandemic with ten thousand deaths and have no increase in excess mortality.

    Unfortunately for the Government there is absolutely no point in trying to deny the OECD findings. So they decided to embrace warmly, gratuitously even, their analysis, asserting that the reason there had been no excess deaths was because of the “success” of government policies throughout the pandemic. Their response is only two pages long and I would urge everyone to read it in its entirety.

    It is truly frightening in terms of the paucity of credit it extends to the intelligence of the Irish people. Minister Donnelly said:

    Ireland asked a lot of its population during this time and the restrictions that were put in place had a profound impact on us all.

    These figures point to the success of Ireland’s public health measures, and to the strong uptake of our COVID-19 vaccination programme.

    Chief Medical Officer Professor Breda Smyth said:

    The OECD Working Paper highlights some of the important caveats associated with previously published estimates on excess mortality during the core pandemic years.

    The population in Ireland demonstrated a strong adherence to public health measures during this time, and Ireland’s COVID-19 vaccination programme has been one of the most successful in the world, with 96% of the adult population receiving their primary vaccinations.

    We know that vaccines save lives, as well as preventing serious illness and hospitalisations.

    COVID is still with us, and immunity wanes over time, so I would like to remind all those who are eligible to top up their protection with a COVID booster this winter, as well as keeping up to date with their flu vaccine.

    The mysterious Cheshire cat-like presence and disappearance of ten thousand COVID-19 deaths is almost magical. It (the cat) appears when the Government wishes to justify lockdowns, vaccine passports and additional billions in expenditure. But in response to the OECD findings its voice is drowned out by a cacophony of self-praise.

    The disappearance of excess mortality is explained by the public’s (96%) enthusiasm for a (effectively mandatory) vaccine. But wait a minute! If there were no excess deaths in 2020, and the vaccine did not arrive in Ireland until 2021, how could the vaccine possibly account for no excess deaths in 2020?

    In fact, by February 2021 at the height of ‘the second wave’ a mere ten per cent of the population had been vaccinated. I doubt whether most people in Ireland are gullible enough to believe in vanishing cats, but I could be wrong. Certainly trust in journalism appears to have plummeted to just 40% according to a recent survey.

    Interestingly, in respect of the OECD findings, there has been a real increase in mortality figures yet this only arrives after the pandemic, in 2023. Myself and many others attribute this ‘spike’ in excess deaths in 2023 to the palpable consequence of missed diagnoses, closed clinics and screening programmes during the lockdowns.

    There is of course a growing school of thought that associates the increase in excess mortality in 2023 with side effects from the ‘vaccine’ itself. I am more sceptical on this account. However, it is a hypothesis that is difficult to dismiss out of hand.

    Determining this issue is not helped by the barriers people face in trying to record a vaccine-related side-effect or death in Ireland. Beyond logging on to an obscure HPRA website and filling out a seven-page form, there is neither the observable means, nor any degree of encouragement, for doctors, or the general public, to report adverse reactions to the COVID-19 vaccines. Unlike a ‘COVID-19 death’, deaths that occurs within two weeks of a COVID-19 vaccine are not recorded as a ‘vaccine-related death’. In such cases the vaccine does not even get a mention.

    The HSE are currently running a campaign informing people how to recognise a thrombosis (a recognised potential side effect of mRNA vaccines), yet there is not a single poster in a single medical office in the entire country that might explain how to record or report a side effect related to the vaccine itself.

    I suspect that a growing number of people in Ireland are aware of the official misinformation in relation to COVID-19. Many of us understand that what occurred during the pandemic was based on lies and deception. The most immediate question we must attempt to answer is not whether we were lied to – that much is obvious – the real question is why? Who are the people who have profited from those lies?  If we follow the chem-trails in the wake of the thirty billion euros where will this lead us?

    Blame the regulator

    Four years ago on 15/04/2020, shortly after the arrival of COVID-19 in Ireland I published the above letter in the Irish Medical Times; a paper predominately read by Irish doctors. I tried to debunk the COVID-19 myth before it got off the ground, estimating a total of no more than fifty-five COVID-19 deaths for the first five months of 2020. It was the beginning of the end of my career in General Practice. I was pilloried and vilified[ by a small, but highly influential, clique, some of whom are the Taoiseach’s chums. The attacks were such that colleagues (with a few exceptions) who might have harboured similar suspicions, learned very quickly, to keep very quiet.

    At the time a large payout for General Practice was unfolding before our eyes, beginning with a payment for each time we answered the telephone. In April, 2020, before the full extent of the neglect in the nursing homes had become apparent, I resigned from the Irish Medical Council in an attempt to highlight what was happening. My resignation was ignored by the Medical Council, who then lied to the media, saying that I had resigned for “personal reasons”.

    It might seem petty to complain about the description, “for personal reasons”, but it was targeted to a specific audience of colleagues and journalists. My credibility as a doctor was being undermined. I was “not fit for purpose.” Thus, anything I might have to say on the issue of COVID-19 or nursing home deaths was tainted.

    Shortly after my resignation, I was placed under investigation by the IMC and am presently awaiting a date for my fitness-to-practice hearing. One colleague Dr. Gerry Waters (a braver man than I) has already been suspended for calling the pandemic a ‘hoax’ right from the start. Myself and several others have been compelled to wait on the equivalent of a professional ‘death row’ for several years now.

    I am probably somewhat biased in my conviction that the cause of professional compliance with an at times deadly and at times idiotic array of policies, lies with the regulator: the Irish Medical Council.

    Numerous people complained to them throughout the pandemic about registered doctors (Holohan, Varadkar himself and many more), who were behind the policies. The Irish Medical Council answers directly to the Minister of Health. The word from the top was clearly that rebel doctors should be silenced.

    At one point the head of the Irish College of General Practitioner’s was actively encouraging discrimination against those patients who had been unable or unwilling to take the vaccine. Several doctors and members of the public lodged complaints with the regulator in respect of policies and even overt discrimination, all of it was ignored:

    Without exception, every single whistleblower, every single complaint in respect of medically registered policymakers, tendered to the regulator during the pandemic was completely ignored.

    Should we see an inevitable rise in disease and deaths as a consequence of the current lack of confidence in HSE guidance, it is because we learned absolutely nothing from the Banking Crisis. We have not learned that crises in Ireland stem from the unfettered power of institutions, the friendship ties between those institutions; and the abject failure of regulators who are themselves in bed with those institutions.

    Should there be an increase in mortality amongst our children, those deaths might not disappear quite as easily and as mysteriously as the Cheshire Cat.

    Feature Image

  • Fear and Loathing in the Time of Covid-19

    Fear plays a major role in influencing the decisions we make and the actions we engage in. Research has shown that there are sound evolutionary reasons for this. The selection pressures from these types of danger have resulted in domain-specificity in the reactivity of the fear system, meaning that the system has evolved special sensitivity toward such dangers. However, ‘not all human fears are instinctual and hardwired—we need to learn what to be afraid of. [i] While this capacity is critical in helping humans deal with the different environments in which they find themselves and which present different sources of ‘danger’, it can also be abused by those seeking to advance their own interests at our expense.

    Harnessing Fear in the name of ‘Sales’

    The power of fear has long been recognised as a potential source of profit by the business world. Preying on anxieties and ‘creating’ new ones when required to suit their needs, marketing departments have managed to exploit human fears to successfully boost client sales. As Kali Halloway writes: ‘Listerine’s 1920s ads turned bad breath from a fairly common minor flaw into halitosis, a condition that made you into a social pariah, sexless and alone,’ – leading to an increase in sales in just seven years from $115,000 to over $8 million. ‘In the 1930s, Lysol – a product we now know should be kept as far from genitalia as possible – was marketed as a douche (and more covertly, as feminine birth control), in ads that basically told women no one would ever love them with their awful natural-smelling vaginas.[ii]

    Indeed, even the threat posed by pandemics have provided grist to the mill for opportunistic marketing teams, keen to leverage the fear generated in their diffusion. According to Barry Shafe, the former head of Cussons product development and man behind the launch of Carex in the UK during the SARS epidemic, ‘background noise of pandemic fear was all that was needed to drive consumers to antibacterial soap.’ There was no need to even emphasise the element of fear in their advertising for the project as ‘real fear sells better than invented fear.’[iii]

    While the manipulation of the public’s purchasing choices through exploiting the evolutionary programmed and adapted prism of the human ‘fear emotion’, is at the very least questionable, it is only the tip of the iceberg in this respect.

    Ad extracted from a scanned copy of the pulp magazine Weird Tales from 1950,

    Fear and Hatred in Times of Plague

    In times of plague and pestilence, fear is an omnipresent companion. This fear all too frequently translates into a desire to find someone to blame for the danger with which we are faced. The greater the threat to people’s safety and the less control they can exercise over it, the greater the risk that blame for their dilemma will be ascribed to an ‘outside’ group, generally those who are not members of one’s community or nation, no matter how transparently illogical the reasoning.

    As Dr. Jonathan Quick writes:

    We are all afraid of death. We respond to the fear of epidemic disease by wanting to blame someone else. Anytime a threat arises, we want to blame the “other,” those not like “us.” At the outbreak of the 1918 Spanish flu, Americans blamed “the Hun”. AIDS was blamed on gay men.[iv]

    During the Black Death, which struck Europe in the mid-14th century, there was widespread fear and panic as this unknown disease wreaked havoc throughout Europe. Although communities around Europe often turned upon those seen as outsiders, particularly other nationalities, the Jewish community became the primary focus of this fear. This resulted in horrific instances such as the massacres of Jewish people in Frankfurt and Brussels and the extermination of the Jewish populations in Narbonne and Carcassonne.[v]

    Representation of a massacre of the Jews in 1349 Antiquitates Flandriae (Royal Library of Belgium manuscript 1376/77).

    ‘Fake News’

    The predilection to blame outsiders, the ‘other’ for the spread of infectious diseases, is further aggravated by the propagation and dissemination of false rumours. The author Maryn McKenna, who researched this phenomenon during the Ebola crisis came up with a term for this, ‘Ebolanoia’. Tracking public response to Ebola in the U.S., McKenna related how individuals and businesses that had been incorrectly identified as having been exposed to Ebola suffered as a result.

    False rumors caused a small, long-standing, family-owned bridal shop in Ohio to close. Rumors forced healthy school personnel and students in North Carolina and Texas who had visited West Africa to stay out of school, even though they were thousands of miles from the nearest Ebola outbreak. Misinformation fomented harassment of African-born students as well as other acts of fear and discrimination.[vi]

    The anti-Chinese messages currently being circulated in the mainstream media and through social media are generally linked by their proponents to a desire to hold China as accountable for both the spread and deadly impact of Covid-19. While some of these inferences have been less direct, casting suspicion and opprobrium on China and the Chinese people by association, others have given free rein to their racist impulses, such as the French newspaper that proudly displayed the headline ‘Yellow Alert’.[vii]

    Dubious as these assertions are in the first place, they are made even worse by the conflation of ordinary Chinese people with the purported misdeeds of China, which has led to serious racist incidents and discrimination against Chinese people around the world. Furthermore, it behoves us to remember that the racist slandering of Chinese people is not occurring in an historical vacuum. It, in fact, stands on the shoulders on a substantial corpus of anti-Chinese racism that has been present for well over a hundred years.

    ‘Yellow Peril’

    The likelihood that a specific outside group – ethnic, religious, etc – will be stigmatised and discriminated against, as well as the severity of the reaction, will be influenced by the history of how these people have been regarded in the past.

    As a child growing up, I remember hearing the phrase ‘yellow peril’. I had no idea what this term meant or referred to apart from the fact that it in some way indicated a potential threat. However, like so many phrases that slipped into everyday usage, divorced from their original context, the phrase ‘yellow peril’ has an insidious and disturbing history. As Vince Cable, former leader of the Liberal Democrats, writes:

    In the early years of the 20th century there was a deep fear among western societies, expressed both in politics and popular writing, that they were in danger of being overwhelmed by the Chinese: the “Yellow Peril”. Children’s comics were full of the exploits of the evil Dr Fu Manchu, a Bond-type villain bent on world domination. Even serious writers such as Jack London perpetuated the myth. In 1911, the British Home Office circulated material which warned of a “vast and compulsive armageddon to decide who is to be a master of the world; the white or yellow men”.[viii]

    Anti-Chinese violence in Britain and the ‘Empire’

    19th and early 20th century society in Britain overtly displayed its anti-Chinese sentiments. Racist depictions of Chinese were widespread in the media and this had a knock-on effect, impacting how they were dealt with by the judicial system and in other areas of daily life.[ix] Anti-Chinese feeling even led to acts of violent aggression against the Chinese community. Discussing the current racist violence against the Chinese in Britain, Suresh Grover of The Monitoring Group explains, ‘[T]he experience of racism against the Chinese community is not a new feature in British society” with “reports of race riots targeting Chinese businesses and laundries as early as 1919.’[x]

    This racist attitude towards Chinese people was rife throughout the ‘Empire’. Schools were segregated in Victoria during the latter part of the 19th and early 20th century[xi] and in British Columbia Chinese Canadians were subject to social, economic and political segregation.[xii] According to OmiSoore Dryden the James Robinson Johnston Chair in Black Canadian Studies in the Dalhousie University Faculty of Medicine:

    Anti-Chinese racism has a long history in Canada — the Chinese head tax, the Exclusion Act, just to name two. Chinese people were often referred to as the “Yellow Peril” — a plague, something that would bring destruction to white people and colonial Canada.[xiii]

    These racist incidents and stereotyping of Chinese was based on a sentiment of ‘white’ superiority over other races that justified a discriminatory treatment of these people. This feeling of racial superiority is perfectly captured in the following quotation from Edmund Barton, the first prime minister of Australia, when discussing the Immigration Restriction Bill in 1901:

    There is no racial equality. There is basic inequality. These races are, in comparison with white races … unequal and inferior. The doctrine of the equality of man was never intended to apply to the equality of the Englishman and the Chinaman. There is deep-set difference, and we see no prospect and no promise of its ever being effaced. Nothing in this world can put these two races upon an equality. Nothing we can do by cultivation, by refinement, or by anything else will make some races equal to others.

    Anti-Chinese Violence and Segregation in 19th and 20th century U.S.

    An 1886 advertisement for ‘Magic Washer’ detergent: ‘The Chinese Must Go’.

    It was racist stereotypes such as these that led to widespread discrimination and segregation of Chinese people, particularly in predominantly ‘Anglo-Saxon’ countries. In the U.S. for example there were many instances of white people violently assaulting Chinese communities. In 1885, 150 armed white miners forcibly expulsed Chinese immigrations out of Rock Springs (Wyoming), murdering 28 people and burning the homes and businesses of members of the Chinese community. This massacre went unpunished. This incident, however, was only one of many. As Brayden Goyette writes, in the 1870s and 1880s, there were 153 anti-Chinese riots that broke out in the American West.[xiv] According to the historian James Mohr:

    …in Honolulu, doctors, colonial administrators, and the general US colonial population lamented the outbreak of bubonic plague in 1900 because it prompted fears that the city would become associated with Asia, where plague was then present… Ultimately, the public health authorities burned contaminated buildings, but fires spread beyond their control and consumed most of Chinatown in flames. Similar anti-Chinese responses occurred in San Francisco during the plague epidemic of 1900–04, when Chinese-specific quarantines were enacted.[xv]

    The insecure environment within which the Chinese found themselves led to a process of self-segregation by the Chinese to safeguard their communities and families. As John Kuo Wei Tchen, chair of public history and humanities at Rutgers University and co-founder of the Museum of Chinese in America in New York explains, ‘[T]he Chinatowns we know today — in New York, San Francisco and Los Angeles — are really the consequence of the exclusion laws, which created the conditions, between racism and the law itself, for segregated, isolated Chinatowns.’[xvi]

    The continuing plague of Anti-Chinese Racism

    According to Suresh Grover, the 2001 Foot and Mouth crisis, saw a distinct increase in racist incidents against the Chinese community ‘due to the unsubstantiated smear that the disease had spread from a Chinese restaurant using illegally imported meat.’[xvii]

    A 2009 review on the racism experienced by Chinese people, conducted by the University of Hull and The Monitoring Group (TMG), concluded that the Chinese community was subjected to significant level of anti-Chinese racism in Britain:

    The UK Chinese people are subject to substantial levels of racist abuse, assault and hostility. The types of racist abuse suffered by the UK’s Chinese people range from racist name-calling to damage to property and businesses, arson, and physical attacks sometimes involving hospitalisation and murder.[xviii]

    This racism can be quite insidious and permeate virtually every area of daily life, even where one might least expect it. Writing about the racism experienced by Chinese people, the actress Elizabet Chan describes how on her first role, ‘the Bafta-winning director chuckled to everyone on set that I’d trained in kung fu,’ and how in her field ‘any character who speaks in some kind of dodgy east Asian accent is considered hilarious.’[xix]

    The racism that continues to permeate is inappropriately nourished by the racist tropes of our past. As Sophie Couchman, a curator at the Chinese Museum in Victoria state, states,

    It is disappointing that the same language is still used, certain words we used in the 19th century to talk about Chinese immigration – ‘influx’ and ‘swamped’ – and it’s all these sort of monsoonal words.

    Covid-19 and upsurge in anti-Chinese racism

    The current Covid-19 crisis has seen a dramatic rise in racist assaults on Chinese people globally as a result of their stigmatisation on traditional as well as newer social media. A major contributing factor in this rise has been the reckless use of derogatory references to China by elected politicians. The most egregious example of this is of course the U.S. president, Donald Trump, who on numerous occasions referred to ‘coronavirus’ as the ‘Chinese virus’.[xx]

    In the U.K., there have been numerous incidents of violence perpetrated against Chinese people as well as other East Asian people mis-identified by their assailants as being of Chinese origin. Reported incidents include,

    confirmed reports of incidents of serious assaults against Chinese students by large groups of white youth … abuse in supermarkets and Chinese owned Take-away businesses, racist graffiti on shop windows and physical violence on the streets or around international student hostels… a Japanese person … greeted as Chinese and then deliberately urinated upon … the attack on the young man from Singapore who was beaten up in February by youths who punched him in the face before shouting out ‘coronavirus’ .. on Oxford Street, one of the busiest streets in the world.[xxi]

    Ireland has not been immune to this reaction on the part of its citizens, as was evident in the racist attack on a Chinese restaurant in Galway.[xxii] The anti-Chinese reaction, provoked by Covid-19 has also been widespread in Asia, where restaurants in South Korea displayed ‘No Chinese allowed’ signs in the early stages of the pandemic, Twitter users in Japan initiated the hashtag #ChineseDontComeToJapan trend and over 125,000 people in Singapore, added their names to a petition urging their government to prevent Chinese nationals from entering the city-state.[xxiii]

    Promotion of anti-Chinese racism

    The perfect storm of victimising the ‘other’, arises the ‘desire’ to blame the other for one’s predicament is seized upon by ideologues to promote their objectives or, in the case of political, business and religious leaders to cover up their own inadequate or misdirected efforts to tackle the threat. The willingness of prominent politicians with large constituencies of ‘followers’, to promote a ‘Blame China’ narrative has contributed significantly to the upsurge in the targeting of the  UK’s Chinese and South East Asian communities.[xxiv]

    There are two principal reasons why political and other major economic and social figures in the Global North are seizing upon this opportunity to stigmatize China.

    At the broader level, the emergence of China, particularly in terms of its’ economic and technical expansion, has created unease and anxiety amongst many in both the US and Europe, as they fear their position of economic and political dominance is being threatened. As the journalist Patrick Cockburn observes while:

    Many politically palatable reasons… will be advanced in the coming months… the real charge against China is one of effectiveness. It has shown itself more competent than other powerful states in dealing with two world crises: the 2008 financial crisis and the pandemic of 2019-20.[xxv]

    A secondary and, in the case of leaders such as Trump who have completely mishandled the Covid-19 crisis, more immediate goal is to indict, criminalise and convict China in the court of public opinion, thus distracting from their own ineptitude in a desperate effort to revitalise their political prospects. Now, rather than being seen as the principal architects of the disastrous response to Covid-19 which has resulted in many thousands of death, political leaders in Covid-19 ravaged countries can depict themselves as righteous defenders of their nation’s security and safety against the new ‘yellow peril’.

    Fudging Statistics

    One of the major excuses for the political onslaught against China has been the alleged fudging of statistics on the number of fatalities and case incidents in Wuhan and how this may have impacted upon the measures the U.S. and Europe implemented to tackle the virus.[xxvi] The thesis appears to be that if more cases and more deaths had been reported early on by the Chinese authorities, this would have conveyed the seriousness of the threat to the political leaders in the U.S. and Europe. The authorities in these countries would then have taken the threat of Covid-19 more seriously and ensured appropriate measures were in place to minimise its impact on their countries and citizens.

    Covid-19 was a new virus and therefore required a certain amount of time to be identified and its exact nature determined. It is more than possible that the number of fatalities and cases was greater in China than recorded and that its virulence was therefore underestimated initially. It is also likely that at the earlier stages many cases were not identified and that it was circulating earlier and more widely than initially thought. We have seen in the past week or so, reports emerging from several countries including, inter alia, France and the U.S, that cases were present well in advance of earlier estimations.[xxvii] Ireland probably also had cases prior to initially believed, as this coronavirus might actually have reached Irish shores as early as last year.[xxviii]

    It is clear that if there was a significant excedent of cases and fatalities above those initially communicated by China to the international community that this could be argued to have made the new virus appear less threatening that it actually was. However, the reports on the level of fatalities and cases received by the international community were the same for all. Yet, despite this, countries such as Viet Nam, Singapore, South Korea, New Zealand, Cuba, and several others were able to introduce measures to effectively minimise the spread and impact of this coronavirus, others failed miserably.

    A case in point is that of Viet Nam. In Viet Nam, as of May 7th, there were only 288 confirmed cases with no reported fatalities.[xxix] This low incidence of cases has been achieved despite the fact that Viet Nam has a population of over 90 million, shares a lengthy border with China, has a relatively weak health sector, compared to wealthier countries, and the inability to carry out widespread testing as was the case in South Korea. Critical to the success of Viet Nam in tackling Covid-19 has been the stringent and effective measures imposed by the authorities there, a united political will and the social discipline and unity of the Vietnamese people along with building on the lessons learned from dealing with previous epidemics.[xxx]

    This would appear to indicate that irrespective of the validity of the charges against China with respect to their transmission of the number of cases and fatalities,  the information provided by China was sufficient for appropriate prevention and containment measures to be implemented.

    International Fudging?

    Fellipe Lopes/Cassandra Voices

    Furthermore, there is reason to doubt much of the figures that have been reported internationally on both fatalities and incidence of cases.

    Ireland has encountered several difficulties in providing reliable and up-to-date statistics on Covid-19 in Ireland and adjustments have already had to be made to previously supplied totals. Ireland has also had issues with respect to delays in testing[xxxi] resulting in late updating of coronavirus figures, false negatives[xxxii] and the tragic case of an 89-year-old man who died of the virus before even receiving his results[xxxiii], which would appear to confirm the belief that we will see more amendments to the current totals further down the road. The accuracy of the numbers provided of people infected has also been criticised by members of the health service involved in treating patients directly.[xxxiv]

    There are serious grounds on which to question the figures that the United Kingdom has reported. The Office for National Statistics (ONS) in the UK estimated that the actual number of deaths in England and Wales up to April 17, and registered to April 25 were some 23,000, some 6,375 higher than the figures by NHS England and Public Health Wales collectively, which were only documenting hospital deaths.[xxxv] However, on the 28th of April, the day before the UK started to include non-hospital Covid-19 related deaths, the Health Ministry announced the total deaths for the UK were 21,092 in hospital settings, still less than the number provided by the ONS for 11 days earlier and which only covered England and Wales[xxxvi]. The Financial Times in a report, which generated significant attention, estimated that, in fact, the actual death total in the UK would be over twice the figure reported.[xxxvii]

    A further issue arises in trying to engage in international comparison of available statistics, in particular the fatality rate per confirmed cases. As it currently stands on May 7th, the number of confirmed cases in Ireland amounts to 22,385, with a reported mortality total of 1,403.[xxxviii] This is a mortality rate of just under 6.3 % relative to the number of confirmed cases. In the U.K., the total confirmed cases on the same day was 215,858, with 29,958 deaths recorded. This equates to a mortality rate of 13.9% of the identified cases. While allowance needs to be made for the fact that countries are at different stage of the Covid-19 curve, this can hardly fully explain the dramatic differences in these statistics.

    Cooperation and Respect

    As Patrick Cockburn writes, the approach of the Trump administration in promoting a form of cold war against China is highly irresponsible given the need at this time for a ‘global medical and economic response… to counter a virus that has spread from Tajikistan to the upper Amazon and can only be suppressed or contained by international action.’[xxxix]

    It is not only in tackling Covid-19 now that such cooperation is essential. If we are to ensure the global protection of humanity, of all people wherever they may live, we need to establish an international framework through which we can all contribute to the future protection of our species, in an atmosphere of mutual respect free from discrimination and racist slurs.

    As OmiSoore Dryden remarks,

    …racist stereotype causes harm, not only to Chinese people and to Asian people, but to all of us. Viruses are not caused by a specific people. Gay people and African people did not create HIV. Chinese people did not create SARS or COVID-19. These types of racist stereotypes are diversionary tactics that do nothing to stop the spread of viruses.[xl] 

    The Way Forward?

    Writing in 2004, Christopher Duncan, a zoologist and Susan Scott, a social historian, noted that since 1970, some 34 years, [A]t least 30 previously unknown infectious diseases for which there is no fully effective treatment have appeared… more than are known to have emerged in the preceding 3,000 years.”[xli]

    The zoologist Peter Daszak, president of the New York – based EcoHealth Alliance, has researched coronaviruses and inter-species transmission of viruses in China. In 2013, he suggested that given the ability of coronaviruses to rapidly move between species, that it would be advisable to made an investment of about $1.5bn. which he estimated would enable the discovery of ‘all the viruses in mammals.’ This would permit the development of the required vaccines and test kids to successful cope with and stop the first stage of new infection disease emergences.[xlii]

    If Daszak’s advice had been heeded when it was made back in 2013, it is quite possible that we might have been able to effectively stop Covid-19 at source or at least severely impede its progress, thus buying time for the implementation of the required measures to eradicate its threat. Of course, hindsight is a wonderful thing but while we can’t turn back the hands of time, we need to prepare for the future and other potential viruses. The past 20 years have seen the emergence of a growing number of infectious diseases– SARS, MERs, Zika… It is therefore imperative we come together as an international community and pool our cumulative resources to formulate policies and put in place measures to protect ourselves from future potential threats. The stigmatisation and abusive racialisation of nations or people has no place in this process and we must reject it absolutely.

    Final Thought

    As Prabir Purkayaashta writes, [T]he Covid-19 pandemic is only uncovering the deeper fissures that are already existing, and widening existing fault lines in the world.[xliii] We need to be vigilant to this, particularly the appalling legacy of anti-Chinese racism at this time, though we should also remember that the colonial empires of the European nations as well as the expropriation of U.S, Canadian, Australian, New Zealand and other lands from indigenous peoples were based upon an all pervasive racist ideology that also targeted many other peoples.

    I would just like to conclude with what a quotation from Melanie Coates which it eloquently summarises our current situation as well as how the current pandemic of anti-Chinese racism should be tackled.

    In this torrent of fear and anxiety, we cannot afford to isolate people even more through stigma and xenophobia; we each have a responsibility to support each other and advocate for a better society. Those with the loudest voice—the government and media—must speak out to condemn these actions. They have a duty to educate the public, protect the vulnerable, and hold people accountable for prejudice and discrimination. By staying silent we let xenophobic narratives—specifically, anti-Asian sentiment—and racist attacks damage our society, the repercussions of which will likely persist beyond the pandemic.[xliv]

    [i] Mathias Clasen, How Evolution Designed Your Fear, Nautilus, 27 October 2017, http://nautil.us/issue/53/monsters/how-evolution-designed-your-fear

    [ii] Kali Holloway, Fear Sells, and We’re All Buying: How Marketers Channel Dark Forces to Rake in Billions, Alternet, 15 March 2015, https://www.alternet.org/2015/03/fear-sells-and-were-all-buying-how-marketers-channel-dark-forces-rake-billions/

    [iii] Jacques Peretti, SUVs, handwash and FOMO: how the advertising industry embraced fear, The Guardian, 6 July 2014, https://www.theguardian.com/media/2014/jul/06/how-advertising-industry-concept-fear

    [iv] Dr. Jonathan D. Quick, The End of Epidemics: The Looming Threat to Humanity and How to Stop it, Scribe Publications, Brunswick (Victoria) Australia / London U.K., p. 18

    [v] Sean Martin, The Black Death, 2007, Pocket Essentials Harpenden (Herts), p. 75

    [vi] Ibid, p. 151

    [vii] Alan McLeod, As Coronavirus Spreads So Does Anti-Chinese Racism, MintPress News, 31 January 2020, https://www.mintpressnews.com/coronavirus-spreads-anti-chinese-racism/264546/ z

    [viii] Vince Cable, America is rekindling the dangerous myth of the ‘Yellow Peril’ to wage a new war with China, The Independent (UK), 5 May 2020, https://www.independent.co.uk/voices/china-coronavirus-trump-us-yellow-peril-cold-war-a9499221.html

    [ix] Sascha Auerbach, Race, Law, and “The Chinese Puzzle” in Imperial Britain, Palgrave Macmillan (Basingstoke, Hampshire), 2012

    [x] Liz Fekete (interview with Suresh Grover and Dorothea Jones of TMG), Race hate crimes – collateral damage of Covid-19?, 20 April 2020, http://www.irr.org.uk/news/race-hate-crimes-collateral-damage-of-covid-19/

    [xi] Jesse Robertson, Chinese Students Challenge Segregation, Canada’s History, 31 March 2016, https://www.canadashistory.ca/explore/peace-conflict/chinese-students-challenge-segregation

    [xii] British Columbia Consultation Process, Discrimination, British Columbia Consultation Process website, accessed 8 May 2020, https://www2.gov.bc.ca/gov/content/governments/multiculturalism-anti-racism/chinese-legacy-bc/history/discrimination

    [xiii] El Jones, Racist tropes about COVID-19 echo the long history of anti-Asian stereotyping, Halifax Examiner, 21 March 2020, https://www.halifaxexaminer.ca/featured/racist-tropes-about-covid-19-echo-the-long-history-of-anti-asian-stereoyping/

    [xiv] Braden Goyette, How Racism Created America’s Chinatowns, HuffPost, 22 May 2019,  https://www.huffpost.com/entry/american-chinatowns-history_n_6090692?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuYmluZy5jb20vc2VhcmNoP3E9YW50aS1jaGluZXNlK3JhY2lzbStoaXN0b3J5JnFzPW4mc3A9LTEmcHE9YW50aS1jaGluZXNlK3JhY2lzbStoaXMmc2M9MC0yMyZzaz0mY3ZpZD0zOTgyOUFGMUE4OTY0NERDOTI2QzlDM0M2QzRGNUNBMSZmaXJzdD03JkZPUk09UEVSRQ&guce_referrer_sig=AQAAAELCOEV2ALOukZvuaYLPfFDs17vSB7GnxzElQFI86JDKtAg1c6SkgceU_7eL5sDYSxJ4pbBCIbVCm0a31WLOaL0Y86iT83FNLSJZRoY8RCXx_v_5stbVDikryd6FMC-zGjmmYCkSSzT83zKX1arVii_gxaFliXQrbz6500CREzPt

    [xv] Alexander I R White, Historical linkages: epidemic threat, economic risk, and xenophobia, The Lancet, 27 March 2020, p. 1251, https://www.thelancet.com/action/showPdf?pii=S0140-6736%2820%2930737-6

    [xvi] Caitlin Yoshiko Kandil, How 1800s racism birthed Chinatown, Japantown and other ethnic enclaves, NBC News, 13 May 2019, https://www.nbcnews.com/news/asian-america/how-1800s-racism-birthed-chinatown-japantown-other-ethnic-enclaves-n997296

    [xvii] Liz Fekete, ibid

    [xviii] COLE, Bankole, ADAMSON, Sue, CRAIG, Gary, HUSSAIN, Basharat, SMITH, Luana, LAW, Ian, LAU, Carmen, CHAN, Chak-Kwan and CHEUNG, Tom, Hidden from public view: racism against UK Chinese (Technical Report), Hull University and The Monitoring Group, 2009, http://shura.shu.ac.uk/10529/1/Cole_Hidden_From_Public_View_-_English.pdf

    [xix] Elizabeth Chan, Chinese Britons have put up with racism for too long, The Guardian, 11 January 2012, https://www.theguardian.com/commentisfree/2012/jan/11/british-chinese-racism

    [xx] Vijay Prashad, Du Xiaojun – Weiyan Zhu, Growing Xenophobia Against China in the Midst of CoronaShock, Counterpunch, 31 March 2020, https://www.counterpunch.org/2020/03/31/growing-xenophobia-against-china-in-the-midst-of-coronashock/

    [xxi] Ibid

    [xxii] Jack Beresford, Disturbing footage emerges online of alleged racist attack on Chinese restaurant in Galway, The Irish Post, 17 April 2020, https://www.irishpost.com/news/disturbing-footage-emerges-online-alleged-racist-attack-chinese-restaurant-galway-183680

    [xxiii] Marco della Cava and Kristin Lam, Coronavirus is spreading. And so is anti-Chinese sentiment and xenophobia, USA Today, 3 February 2020, https://eu.usatoday.com/story/news/nation/2020/01/31/coronavirus-chinese-xenophobia-racism-misinformation/2860391001/

    [xxiv] Liz Fekete, ibid

    [xxv] Patrick Cockburn, Trump is Igniting a Cold War With China to Try to Win Re-election, The Independent, 5 May 2020, https://www.counterpunch.org/2020/05/05/trump-is-igniting-a-cold-war-with-china-to-try-to-win-re-election/

    [xxvi] Nick Wadhams and Jennifer Jacobs, China Concealed Extent of Virus Outbreak, U.S. Intelligence Says, Bloomberg, 1 April 2020 (updated 2 April), https://www.bloomberg.com/news/articles/2020-04-01/china-concealed-extent-of-virus-outbreak-u-s-intelligence-says

    [xxvii] Holly Chik and Simone McCarthy, Coronavirus timeline takes a twist after early case identified in France, South China Morning Post, 6 May 2020, https://www.scmp.com/news/china/science/article/3083081/britains-coronavirus-cases-came-mainly-europe-not-china

    [xxviii] Marie O’Halloran, Coronavirus may have been in Ireland last year, Taoiseach says, Irish Times, 7 May 2020, https://www.irishtimes.com/news/politics/oireachtas/coronavirus-may-have-been-in-ireland-last-year-taoiseach-says-1.4247423

    [xxix] John Hopkins University of Medicine, Coronavirus Resource Centre, John Hopkins, accessed 7 May 2020, https://coronavirus.jhu.edu/map.html

    [xxx] Michael Sullivan, In Vietnam, There Have Been Fewer Than 300 COVID-19 Cases And No Deaths. Here’s Why, National Public Radio (U.S.), 16 April 2020, https://www.npr.org/sections/coronavirus-live-updates/2020/04/16/835748673/in-vietnam-there-have-been-fewer-than-300-covid-19-cases-and-no-deaths-heres-why; Sean Fleming, Viet Nam shows how you can contain COVID-19 with limited resources, World Economic Forum, 30 March 2020, https://www.weforum.org/agenda/2020/03/vietnam-contain-covid-19-limited-resources/

    [xxxi] Mark O’Brien, Coronavirus Ireland: Testing for COVID-19 slammed as ‘disaster’ as screening slows to trickle at Croke Park, Dublin Live, 10 April 2020, https://www.msn.com/en-ie/news/other/coronavirus-ireland-testing-for-covid-19-slammed-as-disaster-as-screening-slows-to-trickle-at-croke-park/ar-BB12rXXm

    [xxxii] Ronan Smyth, HSE says ‘fewer than 100’ wrongly told they had tested negative for Covid-19, Extra.ie, 14 April 2020, https://www.msn.com/en-ie/news/uknews/hse-says-e2-80-98fewer-than-100-e2-80-99-wrongly-told-they-had-tested-negative-for-covid-19/ar-BB12CFcb

    [xxxiii] Adam Daly, 89-year-old man who died in nursing home had been waiting 15 days for Covid-19 test result, TheJournal.ie, 09 April 2020, https://www.msn.com/en-ie/news/coronavirus/89-year-old-man-who-died-in-nursing-home-had-been-waiting-15-days-for-covid-19-test-result/ar-BB12oMVg

    [xxxiv] Cianan Brennan, ‘The numbers are being fudged’, says nurse who brands testing regime an ‘omnishambles’, 15 April 2020, https://www.breakingnews.ie/ireland/the-numbers-are-being-fudged-says-nurse-who-brands-testing-regime-an-omnishambles-994236.html

    [xxxv] Jasmin Gray, Coronavirus Linked To 40% More Deaths In England And Wales Than Previously Thought, HuffPost, 28 April 2020, https://www.huffingtonpost.co.uk/entry/ons-coronavirus-deaths-april-17_uk_5ea7dd4fc5b6085825788762

    [xxxvi] RTE News, UK Covid-19 death toll rises as care home deaths included, RTE, 28 April 2020,

    [xxxvii] John Burn-Murdoch, Valentina Romei and Chris Giles, Global coronavirus death toll could be 60% higher than reported, Financial Times, 26 April 2020, https://www.ft.com/content/6bd88b7d-3386-4543-b2e9-0d5c6fac846c

    [xxxviii] RTE, 29 more deaths, 137 new cases of Covid-19, RTE Coronavirus News, 7 May 2020, https://www.rte.ie/news/coronavirus/2020/0507/1137105-covid-19-figures/

    [xxxix] Patrick Cockburn, ibid

    [xl] El Jones, ibid

    [xli] Susan Scott and Christopher Duncan, Return of the Black Death, 2005, Wiley Chichester (West Sussex), p. 279

    [xlii] W. T. Whitney, COVID 19: Think Science and the People, Counterpunch, 30 April 2020, https://www.counterpunch.org/2020/04/30/covid-19-think-science-and-the-people/

    [xliii] Prabir Purkayastha, US Trade War against China Takes a Coronaviral Turn, Newsclick India, 01 May 2020, https://www.newsclick.in/US-trade-war-china-takes-coronaviral-turn

    [xliv] Melanie Coates, ibid

  • Plagues of Prejudice

    In December 1899 Honolulu-based physicians attributed two deaths to bubonic plague, and a local paper duly announced that the ‘scourge of the Orient’ had arrived.[i] Within months a first plague fatality was reported in continental U.S. as Chinese-American Chick Gin (Wing Chung Ging or Wong Chut King depending on the transliteration) succumbed to the disease in San Francisco. The cause of death was based on a classic plague symptom of swelling around the groin, but was disputed even after rudimentary bacterial analysis. Regardless, political and health authorities were already taking actions that resonate today.

    Fearing the economic impact of a dreaded disease, the state governor denied the existence of plague altogether, accusing his own health officials of propagating rumours and ‘injurious opinions’ detrimental to the ‘great and healthful city.’[ii] Conversely, successive quarantines had already been imposed on San Francisco’s Chinatown, excluding non-Asian homes and businesses despite their proximity. Enforced by barbed wire and a heavy police presence, the blockade led to dwindling food supplies and a steep rise in costs. An experimental vaccine with severe side effects, developed in 1897 by bacteriologist Waldemar Haffkine, was made obligatory for any Chinese (and Japanese) wanting to leave the city.

    In 1900, Honolulu’s Chinatown was set on fire to in a misdirected effort to control Bubonic plague.

    Unsurprisingly, the turn-of-the-century scapegoating of East Asians in California did not occur in a vacuum. Anti-Chinese prejudice had already been formalized in the Chinese Exclusion Act of 1882, banning their immigration for undermining the ‘dignity and wage scale of American workers.’[iii] There were, likewise, widespread perceptions of the Chinese as carriers of disease. If Europeans had been imperilled by the ‘barbaric hordes of Asia’, germs represented ‘a peaceful invasion more dangerous than a warlike attack.’[iv] And while dogma of the day suggested limited danger to the West due to advances in health and civilization, extreme measures might be necessary with plague. In such cases Russia’s ‘heroic methods’ in its Chinese colonies were helpfully referenced, as firing squads for the infected ‘saved trouble and other people’s lives.’[v]

    An 1886 advertisement for ‘Magic Washer’ detergent: ‘The Chinese Must Go’.

    Old Wine, New Bottle

    Associating disease with marginalized groups, minorities and others has hardly been an exclusively American experience. And by today’s standards, persecution over illness is not necessarily as crude, but neither can toxic discourse or indeed violence be excluded. The arrival of a new coronavirus in December 2019 is a case in point. The linking of its presumed place of origin in Wuhan with East Asians generally, and Chinese in particular, did not take long to manifest itself as multiple accounts of discrimination emerged. In Western countries this played on traditional racial tropes such as sordid animal markets and uncleanliness. Reflecting an entirely different experience, namely apprehension over Chinese influence, regional reaction was also alarmist. Both say as much about perceptions of mainland China as of the disease itself.

    There is no shortage of recent examples that demonstrate medical scapegoating around a novel or poorly understood disease. In 2010, the lynching of voodoo priests in Haiti originated with rumours of pout kolera (magic cholera powder) deliberately poisoning the water supply. The choice of target was partially reflected in the complex history of voodoo practitioners and the Haitian State. At times associated with resistance to foreign occupation, at others integrated into the personality cults of Haiti’s twentieth century dictatorships, notably that of ‘Papa Doc’ Duvalier. Confusion over the origins of the cholera epidemic ‘fed on feelings of insecurity and fear’, in turn fuelling stigmatization and violence.[vi] More sustained anger eventually shifted towards the unwitting culprits, negligent United Nations peacekeepers that had contaminated the Artibonite river with cholera-infected faeces.

    Vodou ceremony, Jacmel, Haiti, 2002. Image: ‘Doron’.

    A corollary of medical scapegoating is fear and misinformation. Fundamental weaknesses in the Pakistani health sector, combined with accusations of a fake Hepatitis B campaign orchestrated to locate and kill Osama Bin Laden, has reinforced suspicions of polio vaccinations. With rumours of polio vaccines being either harmful or simply a front for intelligence gathering, health workers have since borne the brunt of attacks by armed groups.[vii] Misunderstandings and distortions around Ebola, both in West Africa in 2014 and more recently in the Democratic Republic of Congo have led directly to the deaths of medical staff. In the latter case, mistrust over the response is rampant, provoked in part by ‘community resentment’ over the focus on Ebola while ignoring underlying problems in the country.[viii]

    The targeting of health workers as somehow responsible for bringing illness into a community, and thus the cause or at least the visible manifestation of a terrifying epidemic, is an extreme example of the need to apportion blame. But if sickness has historically been portrayed as a punishment for sin, socially excluded groups and minorities have proven most vulnerable. Whether linked to mortality or fear of the unknown, context is key to understanding the long history of how those on the margins of society have been scapegoated. Much as nineteenth century descriptions of Chinese immigrants as ‘walking time bombs of infection’ cannot be separated from pervasive Sinophobia, the frequent panic associated with novel or misunderstood illness has tended to reinforce pre-existing stereotypes.[ix]

    From Tragedy to Farce

    The fate of Chick Gin aside, apportioning individual responsibility for epidemics is unusual in that it is difficult to prove. ‘Typhoid Mary’ is likely the most infamous example as she came to be seen as ‘synonymous with the health menace posed by the foreign-born.’[x] An Irish immigrant cook, Mary Mallon was a so-called healthy carrier of typhoid bacteria, unintentionally instigating outbreaks amongst her wealthy employers in New York until she was eventually tracked down in 1906. Vilified in the papers as a ‘walking typhoid fever factory’ or a ‘human culture tube’,[xi]  Mallon would end her days in forced isolation.

    ‘Typhoid’ Mary Mallon in hospital.

    On a more grandiose scale, Canadian air steward Gaëtan Dugas was posthumously declared ‘Patient Zero’, accused of intentionally infecting his partners with HIV and provoking the spread of AIDS in North America.[xii] Although later disproved, the fear and exclusion of the five ‘H’s – homosexuals, heroin addicts, haemophiliacs, hookers and Haitians – remained commonplace in the 1980s.

    Much like the five ‘H’s, easier to trace is the scapegoating of entire groups, the archetypal example almost certainly being the pogroms and massacres inflicted on European Jews during the Black Death. Rumours of an ‘anti-Christian international conspiracy’ fit snugly with long-standing antisemitism, particularly when mortality rates among Jews were seen as inexplicably low (the fact that sensible hygiene laws laid out in the book of Leviticus had been employed was entirely ignored). Initially directed at medieval lepers and vagrants, Jews came to be accused of poisoning wells, eventually resulting in the extermination of entire communities.[xiii] Six hundred years later hygiene control of typhus, a lice-borne pathogen, became an element of Nazi propaganda intended to justify the mass murder of human carriers during the Holocaust.[xiv]

    Representation of a massacre of the Jews in 1349 Antiquitates Flandriae (Royal Library of Belgium).

    The transatlantic journey of yellow fever holds particular irony in the history of racial stereotyping over disease. The mosquito-borne virus’s first documented appearance in the New World was in 1647 Barbados. Even if thoroughly misunderstood at the time, much like malaria there was an assumption that black Africans were immune to the disease, all the more so as white Europeans were so highly susceptible (in reality this was largely due to early exposure during childhood). This immunity in turn became one of the justifications on which the Atlantic slave system was built. Brutal conditions on the sugar plantations and corresponding high mortality rates ensured continued new arrivals, often with the same immunity, all the while reinforcing the original racial stereotype. It was only as slavery was gradually abolished in the nineteenth century, a period coinciding with multiple outbreaks of yellow fever in the American South, that former slaves were themselves accused of spreading the disease.[xv]

    Skibbereen, west Cork, in 1847 by James Mahony.

    Cholera likewise has a special place in the history of medical scapegoating and became highly politicized. Despite having long circulated locally on the Indian subcontinent, it only emerged on the global stage in the early nineteenth century, an appearance closely intertwined with colonial trade policies. As the bacteria must be ingested through contaminated water or food, the poorest and most deprived urban areas proved most vulnerable. And given the profile of its victims, the spread of cholera inevitably took on class connotations that shifted smoothly towards immigrants, even as disease transmission came to be better understood. The Irish migratory experience was strongly marked by outbreaks of cholera, with higher mortality rates used as ‘corroboration that they were carriers of the disease’ rather than a reflection of widespread discrimination and impoverishment.[xvi]

    The link between poverty and disease was particularly apparent with venereal disease, more specifically syphilis (and gonorrhoea with which it was often confused). Referred to at times as the ‘secret plague’ given the strong underreporting, symptoms had been recognizable since the late fifteenth century. And while there had long been a feminized connotation as per responsibility, hence the expression ‘one night with Venus and a lifetime with Mercury’, apportioning syphilitic blame took on far more sinister connotations through the later association with underprivileged women. Various incarnations of the Contagious Diseases Act in 1860s Britain essentially allowed the arrest and forced treatment of prostitutes in an attempt to limit venereal disease in the military, and subsequently the broader population.[xvii]

    The emergence of syphilis also provoked an unusual example of xenophobic scapegoating, essentially a bizarre etymological battle that took on global proportions. As the disease spread throughout Europe and beyond, rivals were duly named responsible. For the French it was the Neapolitan disease, the Italians vice versa; the Russians blamed the Poles; the Dutch turned towards the Spanish; in Japan it emerged as the ‘Chinese ulcer’; while the Turks were less discerning, simply referring to the Christian disease.[xviii] The 1918 influenza pandemic likewise went through multiple national incarnations before settling on the familiar Spanish flu, a reference to the neutral country that first reported the disease. Both examples border on the farcical and if there are lessons to be learned, at least as far as 1918 is concerned, it is rather the impact of censorship and misinformation in controlling a pandemic.[xix]

    Lessons Unlearned

    Being reminded of past madness has a purpose, especially as we have a nasty habit of repeating our errors. Our understandable fear of disease sadly has often revealed our basest instincts, further stigmatizing the most vulnerable and endangering the health of all. Barbaric reflexes are never far from the surface. The emergence of a new pandemic has provoked ugly reactions very much reminiscent of the past, and counterproductive to controlling both the disease and the corresponding panic. While there are no rules to the patterns of hate linked to epidemics, just as increased social cohesiveness is also a potential consequence, the choice of scapegoating targets is not random. Facile demonization of the ‘foreign’ remains a perpetual risk, and disease a convenient pretext.

    As for Chick Gin, he was merely the first of many plague fatalities in 1900 San Francisco. Over the next eight years at least one-hundred-and-seventy-two others would perish, both Chinese and non-Chinese.

    Duncan McLean is a senior researcher with the Research Unit on Humanitarian Stakes and Practices, Médecins Sans Frontières – Switzerland. The views expressed in this article are those of the author and in no way represent the organization to which he belongs. The content is an extension of a short editorial published in French and German, available as follows: https://www.letemps.ch/opinions/fleaux-sanitaires-aux-prejuges-sociaux; and https://www.nzz.ch/meinung/coronavirus-seuchen-suendenboecke-gesucht-ld.1543032.

    [i] ‘Bubonic Plague, Breed of Filth, Here’, The Hawaiian Star, Honolulu, 12 December 1899.

    [ii] ‘No Plague Says Governor Gage’, The San Francisco Call, San Francisco, 14 June 1900.

    [iii] Alan M. Kraut, Silent Travelers: Germs, Genes, and the ‘Immigrant Menace’, John Hopkins University Press: Baltimore, 1994, p. 80.

    [iv] ‘Chinatown is a Menace to Health’, The San Francisco Call, San Francisco, 23 November 1901.

    [v] ‘The Scourge of a Century’, Lincoln County Leader, Toledo, 11 May 1900.

    [vi] Ralph R. Frerichs, Deadly River: Cholera and Cover-up in Post-earthquake Haiti, Cornell University Press: Ithaca, 2016, p. 148.

    [vii] ‘Winning the War on Polio in Pakistan’, International Crisis Group, Asia Report 273, 23 October 2015.

    [viii] ‘DRC Ebola Outbreaks: Crisis Update’, Médecins Sans Frontières, 9 March 2020. https://www.msf.org/drc-ebola-outbreak-crisis-update

    [ix] Quote taken from testimony to Congress in 1876 over the state of Chinese immigration, Mary Roberts Coolidge, Chinese Immigration, Arno Press: New York, 1969 (original 1909), p. 106.

    [x] A. Kraut, see above note 3, p. 97.

    [xi] ‘Woman ‘Typhoid Factory’ Held a Prisoner’, The Evening World, New York, 1 April 1907.

    [xii] Charlie Campbell, Scapegoat: A History of Blaming Other People, Duckworth Overlook: London, 2011, p. 161.

    [xiii] John Kelly, The Great Mortality: An intimate History of the Black Death, Harper: London, 2006, pp. 232, 248.

    [xiv] Samuel K. Cohn, Pandemics: Waves of Disease, Waves of Hate from the Plague of Athens to A.I.D.S., Historical journal (Cambridge, England), 2012 November 1; 85(230): 535-555.

    [xv] Sheldon Watts, Epidemics and History: Disease, Power and Imperialism, Yale University Press: London, 1999, pp. 245-246.

    [xvi] Philip Alcabes, Dread: How Fear and Fantasy have Fueled Epidemics from the Black Death to Avian Flu, Public Affairs: New York, 2009, pp. 74-75, 77.

    [xvii] S. Watts, see above note 15, pp. 153-54.

    [xviii] Deborah Hayden, Pox: Genius, Madness, and the Mysteries of Syphilis, Basic Books: New York, 2003, p. 23.

    [xix] Laura Spinney, Pale Rider: The Spanish Flu of 1918 and How it Changed the World, Jonathan Cape: London, 2017, p. 63.