*** 19-Oct-14 World View -- Forecasting the Ebola endgame and Global Risk
This morning's key headlines from GenerationalDynamics.com
- The Ebola endgame
- Updating the Global Conflict Risk Assessment for Ebola
- The World Health Organization (WHO)
- Ebola in West Africa
- Ebola in megacities and dense slums
- Ebola in war zones
****
**** The Ebola endgame
****
Today, the biggest threat to US security by far is China, which is
preparing as rapidly as possible for a preemptive massive missile
attack on American cities, aircraft carriers, and military
installations. There are also terrorist threats to the U.S., but what
we now call terrorism will simply dissolve and be subsumed into World
War III. For example, the ISIS "terrorist" group will join with the
Sunni component of the coming sectarian Sunni vs Shia war in the
Mideast, while the Hezbollah "terrorist" group will join the Shia
component. The Shia component will be allied with Iran, Russia and
India, while the Sunni component will be allied with Pakistan and
China. In that sense, what we now call terrorism is really just a
side show to what will be a number of regional and global existential
wars over the next 10-15 years. There's no guarantee that the United
States will survive.
The above Generational Dynamics assessment, or something like it,
might have been written at any time in the last few years.
But now there's major new factor that has to be considered: The Ebola
pandemic. It's now clear that Ebola will play an important role in
the world in the next few years, and will change the course of
history. Ebola will spread in Africa beyond West Africa. It will
spread first into war zones, such as Syria, and it will spread into
densely packed slums in megacities. For that reason, it will a big
part of the coming world war. I fully expect Ebola to have spread
around the world by 2030, killing hundreds of millions of people.
****
**** Updating the Global Conflict Risk Assessment for Ebola
****
In 2004, I identified the "The six most dangerous regions in world" based on a Generational Dynamics
analysis. My conclusion at the time was that a new world war would be
started by a regional war in one of those six regions, or by a global
financial crisis or by a global bird flu pandemic.
I incorporated those six region/items in a "Global Conflict Risk
Assessment" graphic that I began posting on the Home Page of my web site.
Its purpose was to encapsulate the current state of the world, and
the likelihood of world conflict. The intention was that the graphic
would be updated only rarely, as world events require. The original
graphic, posted on October 1, 2004 was:
Global Conflict Risk Graphic - October 1, 2004
Note that in 2004, I considered the most dangerous of all to be the
Russian Caucasus, because of the recent Beslan massacre and because
... wait for it! ... Russia's president Vladimir Putin was showing
extreme belligerence toward Ukraine. That was ten years ago. Plus
ça change, plus c'est la męme chose.
There have been seven changes in the ten years since then, the last
one on January 1, 2013:
Global Conflict Risk Graphic - January 1, 2013
If you'd like to review all the Conflict Risk Graphics in
chronological order, along with brief explanations of why each risk
level was assigned, see Global Conflict Risk Graphics
Today I'm updating the graphic for the first time since the
beginning of 2013. The updated graphic is as follows:
Global Conflict Risk Graphic - October 19, 2014
The two most significant changes is that two items have crossed over from
"High Risk" to "Active":
- Mideast: The "Arab Awakening" has so thoroughly
destabilized the Mideast that, in my view, the Syria/Iraq and Yemen
wars will be not be settled before the spiral into a larger regional
war. This is in contrast to the five previous Mideast wars: the war
between Israelis and Hezbollah, fought largely on Lebanon's soil in
2006; the war between Palestinian factions Hamas and Fatah in Gaza in
2008, that led to Hamas control of Gaza; Operation Cast Lead, the war
between Israel and Hamas in Gaza early in 2009; the two wars between
Israel and Hamas in Gaza in November, 2012 and July-August 2014.
Those wars could be settled with a ceasefire, but in my view, no
ceasefire is possible in the Syria/Iraq and Yemen wars anymore.- Ebola: It's now clear that Ebola will not be controlled,
and will play a significant role in the world's future. I'll be
discussing this issue at length below.
****
**** The World Health Organization (WHO)
****
The World Health Organization (WHO) has been under a great deal of
criticism from politicians trying to deflect the blame from their own
failings. One common criticism is that WHO did not react quickly
enough after the first Ebola outbreak in Guinea, and didn't even
realize the severity of the problem. In fact, WHO has conducted its
own internal investigation, and found that "it botched attempts to
stop the Ebola outbreak in West Africa, blaming factors including
incompetent staff and a lack of information," and that they should
have realized that "traditional infectious disease containment methods
wouldn't work in a region with porous borders and broken health
systems," according to the AP
In fact, the Ebola crisis is the moment that the World Health
Organization was created for. It was created by the survivors of
World War II -- and it was also created by the survivors of the 1918
Spanish Flu epidemic that killed tens of millions of people. The WHO
should have reacted immediately on the Ebola breakout, and done
everything possible to make sure that the mistakes of 1918 would not
be repeated.
But anyone who understands generational theory knows that that's not
how the world works. The survivors of a crisis, any crisis, spend
their lives implementing institutions and measures to guarantee that
the same crisis will not happen again, but once those survivors are
gone, the generations of survivors that come after will simply believe
that no such thing, in this case something like the 1918 epidemic,
could ever happen again, because we're all smarter now and so those
old-fashioned crises are no longer possible.
The critical generational event occurred in 1976, 58 years after the
1918 epidemic, when the "swine flu" panic occurred. The public became
hysterical over the possibility of a new flu pandemic. Responding to
public demands, the government prepared millions of doses of swine flu
vaccine. The pandemic amounted to nothing, and the whole thing was a
political fiasco.
So the 1976 swine flu fiasco served the purpose of discrediting anyone
who worried about a new epidemic. This generational change in
attitude continues today, and explains why WHO "botched" the Ebola
investigation. (For further discussion of the 58-year hypothesis, see
"The Iraq war may be related to the bombing of Hiroshima and Nagasaki."
from 2008.)
****
**** Ebola in West Africa
****
In fact, it's not clear to me that WHO could have stopped the Ebola
pandemic even if they had been sufficiently alarmed when it started.
In the previous section, we quoted WHO as blaming itself for not
realizing that "traditional infectious disease containment methods
wouldn't work in a region with porous borders and broken health
systems." Those porous borders and broken health systems would have
been the same whether WHO was alarmed or not.
There have been several outbreaks of Ebola, mostly in Zaire (now
renamed to Congo). In those cases, the outbreaks were confined to a
few small, remote villages, and the outbreaks were controlled by
blocking travel into or out of the affected villages, and then letting
the pandemic "burn itself out," in the words of one analyst I heard.
This means that everyone in the village became infected. Most people
died, but the ones who survived could rebuild their villages and be
immune to Ebola for the rest of their lives.
Well, whether that kind of containment could have been accomplished
when it first broke out in Guinea is not known to me, but it's certainly
true that containment will not work now.
The mathematics of the published figures is irresistible. There are
10,000 infections now in West Africa, and the number of infections
doubles every 3-4 weeks. That means that there will be millions of
infections by Summer or Fall 2015. And there's nothing that can stop
it from spreading beyond West Africa - Côte d'Ivoire is particularly
vulnerable.
Furthermore, 50-70% of those infected die. This means that within a
couple of years or so, more than half the population of West Africa
will die of Ebola. The same will be true of other countries that
the spread of Ebola reaches.
What about a vaccine? I have not heard anyone say that a vaccine will
be available in less than a year or two in large quantities. Even if
a vaccine were available today, could it be administered to, say, the
population of Côte d'Ivoire in time to save it from the spread of
Ebola? I would think not.
****
**** Ebola in megacities and dense slums
****
Lagos, Nigeria
Lagos has a fairly sophisticated health system. When an Ebola patient
arrived by plane in Lagos in July, there was a swift reaction.
Through contact tracing, officials located some 900 people who were
potentially exposed to the disease. There were finally 19 confirmed
cases of Ebola and eight deaths, but the infection was stopped in
Nigeria.
But now imagine someone with Ebola arriving on the train pictured
above in Lagos, Nigeria, and visiting friends and family. Suppose he
infected a couple of other people, and before anyone realized what was
going on, people with whom he'd been in contact left town on the same
train. This is not an unlikely scenario. How would that Ebola
outbreak be contained?
Passengers aren't identified on a train the way they are on a plane.
So contact tracing would be impossible. If there were 900 people
potentially exposed, there would be no way to identify and find them,
and they would go on infecting other people.
Once again, this is not an unlikely scenario. It's fairly certain to
happen, and it's fairly certain to continue happening.
Megacities are particularly vulnerable, because there is public
transportation and anonymity. The 20 largest megacities in the world,
according to Demographia (PDF) are:
POPULATIONS OF WORLD'S 20 LARGEST MEGACITIES
----------------------------------------------------------------
| 1 | Tokyo-Yokohama, Japan | 37,555,000 |
| 2 | Jakarta (Jabotabek), Indonesia | 29,959,000 |
| 3 | Delhi, DL-HR-UP, India | 24,134,000 |
| 4 | Seoul-Incheon, South Korea | 22,992,000 |
| 5 | Manila, Philippines | 22,710,000 |
| 6 | Shanghai, SHG-ZJ-JS, China | 22,650,000 |
| 7 | Karachi, Pakistan | 21,585,000 |
| 8 | New York, NY-NJ-CT, United States | 20,661,000 |
| 9 | Mexico City, Mexico | 20,300,000 |
| 10 | Sao Paulo, Brazil | 20,273,000 |
| 11 | Beijing, BJ, China | 19,277,000 |
| 12 | Guangzhou-Foshan, GD, China | 18,316,000 |
| 13 | Mumbai, MAH, India | 17,672,000 |
| 14 | Osaka-Kobe-Kyoto, Japan | 17,234,000 |
| 15 | Moscow, Russia | 15,885,000 |
| 16 | Los Angeles, CA, United States | 15,250,000 |
| 17 | Cairo, Egypt | 15,206,000 |
| 18 | Bangkok, Thailand | 14,910,000 |
| 19 | Kolkota, WB, India | 14,896,000 |
| 20 | Dhaka, Bangladesh | 14,816,000 |
----------------------------------------------------------------
However, what may be more important than total population is
population density. The following table lists the most densely
populated cities in the world, with a few United States cities added
to the end of the table:
#PEOPLE/SQ MILE IN WORLD'S MOST DENSELY POPULATED CITIES
------------------------------------------------------------
| 1 | Dhaka, Bangladesh | 44,000 |
| 2 | Hyderabad, Pakistan | 40,700 |
| 3 | Mumbai, MAH, India | 32,300 |
| 4 | Kalyan, MAH, India | 30,300 |
| 5 | Chittagong, Bangladesh | 28,400 |
| 6 | Vijayawada. AP, India | 27,900 |
| 7 | Hong Kong, China: Hong Kong SAR | 25,700 |
| 8 | Malegaon, HAM, India | 24,700 |
| 9 | Macau, China: Macau SAR | 23,700 |
| 10 | Aligarh, UP, India | 23,500 |
| 11 | Karachi, Pakistan | 22,800 |
| 12 | Ranchi, JHA, India | 21,200 |
| 13 | Surat, GUJ, India | 21,000 |
| 14 | Madurai, TN, India | 20,700 |
| 15 | Gwalior, MP, India | 20,700 |
| 16 | Asansol, WB, India | 20,500 |
| 17 | Salem, TN, India | 20,000 |
| 18 | Ahmedabad, GUJ, India | 19,800 |
| 18 | Rajkot, GUJ, India | 19,800 |
| 20 | Kathmandu, Nepal | 19,400 |
| 37 | Kinshasa, Congo (Dem. Rep.) | 16,700 |
| 39 | Bogota, Colombia | 16,600 |
| 40 | Gaza, Palestine | 16,500 |
| 43 | Alexandria, Egypt | 15,600 |
| 55 | Kano, Nigeria | 15,000 |
| 81 | Lagos, Nigeria | 13,800 |
| 209 | Mexico City, Mexico | 9,800 |
| 564 | Leicester, United Kingdom | 4,700 |
| 794 | Los Angeles, CA, United States | 2,400 |
| 808 | San Francisco-San Jose, CA, United States | 2,100 |
| 823 | Honolulu, HI, United States | 1,900 |
| 823 | Las Vegas, NV, United States | 1,900 |
| 829 | Miami, FL, United States | 1,800 |
| 830 | New York, NY-NJ-CT, United States | 1,800 |
------------------------------------------------------------
Of course, a city doesn't have to be on either of these lists to be
vulnerable. Even a small, densely populated neighborhood in an
otherwise sparsely populated city could be vulnerable.
Either way, the point is that megacities and densely populated cities
are going to be vulnerable to Ebola outbreaks, and many of these
outbreaks will occur before it's all over.
****
**** Ebola in war zones
****
There have been a small number of Ebola cases in the United States so
far, and what I've learned by watching them unfold is that controlling
them requires the following:
- Temperature screenings at airports, bus and train stations,
seaports, or at any point of entry at any border.- Patient isolation of infected patients, or suspects.
- Contact tracing -- identifying and isolating anyone with whom
an infected patient has had contact.
None of these things will be possible in a war zone, where health
services will have broken down, and where health workers will be
vulnerable to gunfire and bombs. That means that once even a small
Ebola outbreak occurs in war zone, there will generally be no way to
keep it from spreading.
I've been writing for years about the coming Clash of Civilization
world war where India, Russia and Iran will be our allies versus
China, Pakistan, and the Sunni Muslims. Now we have to add the "Ebola
factor," which will interact with everything else going on in the
world. Ebola outbreaks will destabilize more regions of the world,
leading to more wars, and war zones will be the perfect places where
Ebola outbreaks can spread.
During the time of the Black Death plague of the 1340s, attacking
armies would use catapults to hurl dead soldiers over the walls of
walled cities, so that the citizens of those cities would also die of
the plague. Maybe in the next few years, we'll be seeing some of
those catapults again.
KEYS: Generational Dynamics, Ebola, World Health Organization, WHO,
Global Conflict Risk Assessment, West Africa, China
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