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Jewish World Review Nov. 17, 2009 / 30 Mar-Cheshvan 5770 Why has the global response to swine flu been so politicized? By Anne Applebaum http://www.JewishWorldReview.com | _ I woke up yesterday morning with a sore throat and mentioned this fact to a friend. "Swine flu?" he asked, oinking a few times for emphasis. No, as far as I can tell, I do not have swine flu, the virus more formally known as H1N1. But even if I did, I'm not entirely sure that anyone around me would take it very seriously. How did we get to this point? That is, how did we get to a point where outbreaks treated with the utmost seriousness by the World Health Organization—swine flu has been officially declared a pandemic—receive vastly different levels of respect in different countries, different cities, and even among different social groups within them? Some seem convinced that the current flu epidemic is a modern version of the Black Death. Others—including a number of elected politicians and health bureaucrats—suspect a hoax perpetrated by Swiss drug companies. Although the wide variety of reactions has been present since the disease first appeared in the spring, the subsequent failure to come to any global consensus about how swine flu should be treated is producing as many medical reactions as there are national governments. Look at Ukraine, for example, where public awareness went from "zero" this summer to "panic" this autumn. Late last month, politicians began to speak of mass illness and mass death. The government quarantined several provinces, shut down parliament, and banned mass gatherings. When the dust began to clear last week, it appeared that there had been a small outbreak of swine flu, but most of the people who got sick didn't have the H1N1 virus. So far, swine flu death rates in Ukraine are no higher than those for flu or pneumonia in other years. None of which has stopped the flu panic from spreading westward faster than the virus itself—though, again, all Ukraine's neighbors have behaved differently. Slovakia closed most of its border crossings with Ukraine. Hungary did not close its borders but launched a mass vaccination campaign. Poland did neither and has so far bought no vaccine at all on the grounds that swine flu is actually more benign than ordinary flu and that the vaccine might therefore do more harm than good. Each one of these countries has produced different medical explanations for its actions, and each medical explanation is widely perceived to be a cover for political machinations, at least by the relevant government's opponents. In Ukraine, a second wave of rumors now holds that the flu panic was spread by one or more presidential candidates (elections are due in January) in order to gain an advantage; the current president has accused the prime minister, who is seeking the presidency, of spending more on her election campaign than on flu-response measures. In Hungary, widespread distrust of a very unpopular government has led to mass refusal to use the expensively purchased vaccine. In Poland, some accuse the health ministry of plain stinginess. The politicization of disease response is not unique to Eastern Europe; nor are arguments about who gets which treatment. In the United States, an outcry followed the news that employees of Goldman Sachs and Citigroup got their vaccines before others; a similar scandal erupted in Germany when it emerged that two kinds of vaccine are available—and that the one perceived to be "safer" is going to government officials and the military. Few of the world's democracies will avoid a partisan debate over disease response this flu season, while few of the world's autocracies will avoid wild rumors. I've written before that a touch of media panic never hurts—at least it teaches people what the disease in question might be—but what we're seeing now is something different—not media panic, but official panic, inconsistent information, and rapid policy changes that seem inspired by political demands, not medical need. As it turns out, hardly anyone, anywhere, has thought through the logistics or the morality of rapid vaccine distribution. As it turns out, hardly anyone knows what to make of the World Health Organization and its Web site. Is the word pandemic just medical bureaucratese for a cough and a sore throat? Or does it mean that everyone who isn't vaccinated will die? Presumably, the answer lies somewhere in between, but WHO hasn't yet figured out how to explain that. Neither have most national governments. You can train all the doctors you want, but if they can't explain to the public concepts like "high-risk groups" and "probability" and "some people really need this vaccine, but most don't," then every epidemic, severe or mild, will become a public-relations disaster. So far, swine flu is not a medical emergency, though no one says that very clearly. And if it becomes one, how will we know? Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here. APPLEBAUM'S LATEST Gulag: A History   Nearly 30 million prisoners passed through the Soviet Union's labor camps in their more than 60 years of operation. This remarkable volume, the first fully documented history of the gulag, describes how, largely under Stalin's watch, a regulated, centralized system of prison labor-unprecedented in scope-gradually arose out of the chaos of the Russian Revolution. Fueled by waves of capricious arrests, this prison labor came to underpin the Soviet economy. JWR's Applebaum, a former Warsaw correspondent for the Economist and a regular contributor to the Wall Street Journal and the Washington Post, draws on newly accessible Soviet archives as well as scores of camp memoirs and interviews with survivors to trace the gulag's origins and expansion Sales help fund JWR. Comment on JWR contributor Anne Applebaum's column by clicking here. Previously: 11/10/09: After the wall fell 11/03/09: Angela Merkel's Quiet Revolution 10/20/09: Will the President of Europe Be a Gifted Pol or a Compromising Bureaucrat? 09/29/09:What Is Iran Afraid Of? 09/22/09: Letting Europe Drift 09/17/09: Greed and fear are proving stronger than companies' commitment to free speech 09/08/09: Will Obama Fight For Afghanistan? 09/01/09: The Polish Prologue 08/20/09: Why Afghans Need a Vote 07/29/09: No Burqa For Clinton 07/14/09: The Summit of Green Futility 07/09/09: Obama Puts Medvedev Ahead of Putin 06/30/09: In Morocco, an alternative to Iran 06/23/09: An overlooked force in Iran 06/16/09: Some good in a bad election 06/09/09: Why Is the Right Doing So Well in Europe? 06/02/09: Is China Pulling Strings in North Korea? 05/26/09: What a Member of Parliament Deserves 04/22/09: The Twitter Revolution That Wasn't 04/14/09: Do we really need interactive exhibits to bring Jefferson to life? 04/07/09: No Nukes? No Thanks: Obama's odd obsession with universal nuclear disarmament 03/31/09: What's Loud, Unnecessary, and Costs $75 Million? 03/23/09: Ctrl-Alt-Diplomacy 03/03/09: European Disunion 02/24/09: Who cares what Hillary Clinton says to China's leaders about human rights? 02/17/09: Witless protection 02/10/09: Our Ticket Out of Afghanistan 01/27/09:Why some foreigners can't believe Obama won the presidency fair and square 01/20/09: A Flight Test for All of Us 01/14/09: Europe's New Cold War 01/07/09: Pointless Peace Proposals 12/30/08: The magnificent rhetorical legacy of the Founding Fathers 12/23/08: Do riots in Athens portend demonstrations in Paris and Cincinnati? 12/16/08: Breach of Trust: Bernard Madoff's massive fraud will cripple American capitalism 12/09/08: In praise of charismatic politicians 12/03/08: Moscow's Empire of Dust 11/20/08: Getting Past Mythmaking In Georgia 11/12/08: In Praise of Political Rock Stars 10/03/08: Election Day myths you must resist 09/30/08: Not just a metaphor: Lehman Brothers was economic's 9/11 09/04/08: Class of '64 08/28/08: Did Hillary really help the Barack cause? 08/27/08: ‘Show of Power,’ Indeed 08/19/08: What Is Russia Afraid Of? 08/13/08: When China Starved 08/11/08: Two of the world's rising powers are strutting their stuff 08/05/08: How Alexander Solzhenitsyn's The Gulag Archipelago changed the world 07/29/08:‘The Hour of Europe’ Tolls Again … But are European politicians up to the task? 07/15/08: Why Does Obama Want To Campaign in Berlin? 07/01/08: Citizen Athletes: How did a guy who can't speak Polish end up scoring Poland's only goal of Euro 2008? 06/24/08: Why do we expect presidential candidates to be kind? 06/17/08: Pity the Poor Eurocrats 06/12/08: Is the World Ready for a Black American President? 05/28/08: The Busiest Generation: America seems to value its children's status and achievements over their happiness 05/20/08: Leave Hitler Out of It: The craze for injecting the Nazis into political debate must end 05/13/08: A Drastic Remedy: The case for intervention in Burma 05/07/08: A Warning Shot From Moscow? 04/23/08: Radio to stay tuned to 04/17/08: China learns the price of a few weeks of global attention 04/01/08: Head scarves are potent political symbols 03/26/08: The Olympics are the perfect place for a protest 03/19/08: Could Tibet bring down modern China? 03/12/08: Have political autobiographies made us more susceptible to fake memoirs? 03/05/08: Why does Russia bother to hold elections? 02/20/08: Kosovo is a textbook example of the law of unintended consequences 02/06/08: A Craven Canterbury Tale 02/06/08: French prez' whirlwind romance reminds voters of his political recklessness © 2009, Anne Applebaum. By permission of the author

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