Friday, January 02, 2009

Rajashree Papal: Community Health Worker and Epi researcher

I have written previously about Community Health workers in Dahanu Taluka (Maharashtra) and in Harur Taluka (Tamil Nadu).

I also met community health workers in Purandhar Taluka, Pune district (Maharashtra) who were trained by the Foundation for Research in Community Health (FRCH): Pushpa, Kalpana, and Rajashree are all remarkable women, but Rajashree stood out for the epidemiological research she'd done.

Rajashree Tai (center, reading) at a meeting in Mandhar Hamlet

Rajashree is an Arogya Tai in Mandhar hamlet (served by the Parinche Primary Health Center [PHC]). Many women in her hamlet used to report feeling tired and not having a healthy appetite. Suspecting anemia, Rajashree got the PHC to check the Hemoglobin level in about 50 women from her hamlet. Mandhar is a small hamlet in a mountainous region south of Pune, where people are dependent on rains for agriculture. She compared the Hemoglobin of women here to that of women from Khengrewadi, a village with access to year-round irrigation for agriculture.

Rajashree Tai found that the prevalence of anemia in Khengrewadi was far less than that in Mandhar, where 84% of the women tested were anemic. She referred people who were severely anemic to the PHC and got them Iron Folic Acid tablets-the PHC initially denied these tablets to anemic women saying they were only meant for pregnant women. However, Rajashree managed to lobby the PHC officials to provide IFA tablets to anemic women. She also counseled others in the village to eat leafy vegetables and use iron vessels to cook food in. She was able to reduce the prevalence of anemia by 50% in her village.

Rajashree had categorized her data, allowing her to make a fairly detailed comparison of Mandhar and Khengrewadi. For instance, there were a fair number of women with Hemoglobin levels between 6.1 and 7, 7.1 and 8, 8.1 and 9 in Mandhar, but none in these categories in Khengrewadi (everyone tested in Khengrewadi had a Hemoglobin level >9.0). I'm not going to reproduce all her data here, but they showed that the odds of a woman having anemia (with Hemoglobin <9.0) in Mandhar are about 50 times that in Khengrewadi.

It is interesting that in neither village did anyone tested have a hemoglobin level >12.0, which would be normal for adult women. There could be at least two reasons for this: 1. it could have something to do with the accuracy of the test in Parinche, or 2. it could be that people in this area have a depressed level of hemoglobin in general. If the second case is true, people with a healthy diet still have a Hemoglobin level <12.0. I wonder if this might warrant a rethink about the normal range of Hemoglobin for adult women in this area based on their diet?

Tuesday, December 30, 2008

Think globally, eat Bhakri

My previous post talked about farmers in the Sittilingi valley intercropping millet, onions, and brinjal with cotton and turmeric so that they are food secure.

A millet grown widely in India and in the Sittilingi Valley is Bajra (Pearl Millet). Apparently, you need more energy to mill Bajra than you do to mill rice or wheat. Older ladies in the valley say they used to mill Bajra manually, but younger generations do not have the energy to do this. They also say they used to have the energy because they consumed Bajra!

Not sure if Bajra can make you powerful, but it is definitely healthier than rice or wheat: it has higher fibre content, and whole grain flour always has high levels of iron. Most importantly, it grows easily, even in soil that may be unfertile for other crops.

In the US, I've found millet flour in Whole Foods, though it doesn't say exactly which millet they milled! I've used it, and it's ok, though nothing like the Bajra flour straight from the farm that Suvarna used in Pune-the lady who used to help me with my house work, Suvarna, would bring home Bajra flour milled on her farm near Nasik. She taught me how to make Bajra Rotis, or Bhakris.
Think globally, eat bhakri.



Thursday, December 25, 2008

Doctors with Bags Full of Craft

This is an article from the October 2008 edition of Dishaa. You can also read about community-health workers, flood-relief efforts in Bihar, and a report on widows in Vidarbha in the newsletter.

In 1948, the World Health Organization (WHO) defined health as a “state of complete physical, mental, and social well-being, and not merely the absence of disease.” Since 1993, Tribal Health Initiative (THI) has shown what it takes to achieve this level of health. Working in the adivasi, rural, Sittilingi valley (Dharmapuri District, Tamil Nadu), THI has brought infant mortality down from 150 in the 1990s to 32 in 2007; maternal mortality is now non-existent. Where women used to give birth outside their home – in the dirt – because of a belief that evil spirits are released along with child-birth, they now do so in the presence of a trained birth attendant, called a “health auxiliary” (HA; usually an older woman from their village). These HAs also make sure that women get check-ups during pregnancy and after childbirth. But health is not the only thing these ladies do – when asked what their most important task is, they said in a flash, “promoting organic farming.”

Farmer Thirthan with his Turmeric harvest. Photo: THI

When Regi and Lalitha George, founders of THI, undertook a padayatra to take the pulse of the valley in 2004, the overwhelming issue facing people was getting a good price for their farm produce. “Farmers who practiced chemical-intensive farming found themselves in debt unless they had a very good crop,” says Regi. THI organized multiple workshops on organic farming techniques; now, farmers in Sittilingi valley grow cotton, turmeric and, of late, even rice organically. The costs of inputs have gone down and they now make profits from their farms. “We are into organic farming from the health point of view,” says Lalitha: farmers are urged to intercrop, and brinjal, millets and onions are grown alongside cash crops, promoting food security in the family even as cash crops provide income.

The Lambadi community, with support of the Health Auxiliaries, is reviving its traditional art of embroidery, which has fallen out of fashion with the rise of the sari (the Lambadis are nomads who migrated to the region from western India many generations ago). On Lalitha’s urging, increasing numbers of people in these villages are now rediscovering their art. Embroidered craft items are now sold, and provide extra income for the family. They proudly call their line of craft items Porgai – which means “pride” in the local language. “Our relatives are often surprised when the two of us,doctors,enter their house with bags full of crafts,” laughs Lalitha. Maybe it takes doctors who sell crafts to make social well-being, a key component of the WHO definition of health, a reality.

Tuesday, December 23, 2008

The Story of the Cotton Ambulance



Helping farmers in the Sittilingi Valley weigh their organically grown cotton is a key part of the agriculture initiative of THI; previously, farmers would often get duped by traders to whom they sold their produce. But since THI purchased a weighing machine, farmers know exactly how much cotton they have produced before they go to the trader. Furthermore, thanks to negotiations carried out by THI, organically produced cotton is now sold at Rs. 7 above the market-price for inorganically grown cotton, to Co-optex, the Tamil Nadu government-owned handloom industry, making organic-cotton production lucrative in the valley. Increasing numbers of farmers in the valley are switching to organic farming, and many are looking to get certified as organic under the "group certification" scheme of the government, meant especially for small farmers. Picture: THI.

Monday, December 22, 2008

Where there is no Doctor - in spite of a PHC



As I entered the Primary Health Center (PHC) in Velhe, about 70 kms from Pune city, the nurse asked me, “Will the doctor be in today?” As it was, the doctor arrived on the next state transportation bus from Pune - I can only surmise from her question, that he attended the PHC only irregularly.

As I spoke with him, it became clear that he, with a family to raise, finds it impossible to stay in a remote village where staff quarters are in a state of disrepair – 6 hours of load-shedding a day and no water in their taps – and water needs to be filled from a hand-pump outside the building. The state of their working environment is not much better – the PHC has been under renovation for two months now (and work is at a stand-still at the present time) with no make-shift space provided for health-workers to function in; the PHC has no water, and water at the near-by rural hospital (RH) also comes from the hand-pump. Ironically, the PHC was envisaged in the Indian healthcare system as the most important facility through which people in far-flung villages would be provided outreach healthcare services.


If the clinics and doctors’ residences were provided essential infrastructure such as water and electricity, it would go a long way toward ensuring that people are provided their right to a functioning primary health care system in their villages – doctors would be much more likely to stay on site, and serve at the PHC regularly.

Social Health Activists they are – Will the government accredit them?


SunderBai is a Kokana adivasi lady, and a Pada Swayam Sevak in her hamlet, about 6 kms from the Saiwan Primary Health Center (Dahanu Taluka, Thane District, Maharashtra). She was trained by Support for Advocacy and Training to Health Initiatives (SATHI) to diagnose minor ailments, conduct health awareness, and to undertake activities that are neglected by the government health system, such as chlorinating drinking water. She takes pride in the work she does – she took the initiative to undergo further training, and now makes and dispenses herbal ayurvedic medicines in addition to the allopathic medicines that she learned to dispense as a result of her training by SATHI. She was amongst 48 women recognized in 2003 as Community Health Workers by SNDT University in Mumbai.

KuppiAmma, a health auxiliary in AK Thanda village (Harur Taluka, Dharmapuri District, Tamil Nadu), was trained by Tribal Health Initiative (THI). In addition to diagnosing and treating minor ailments, she makes sure women with infants get post-natal examinations at health camps conducted by THI in her village. She was chosen as a health auxiliary on account of her being trusted in her village; having finished her own child-rearing activities, she is looked up to in issues regarding child rearing. KuppiAmma is also a community organizer, and is now leading her village in its shift to organic farming techniques. Under her leadership, members of her Lambadi tribal community are attempting to re-learn their traditional embroidery that is the verge of extinction. She is a community organizer, health educator, and trusted partner in the village’s social affairs.

If I had to formulate a common designation for these remarkable women, it would be “social health activist.” And they are that because of their stature in their village, their leadership qualities, and the quality of the training they received. Yet, these are not variables considered by the government when filling the post of ASHA – an ‘accredited social health activist’ – under the National Rural Health Mission. The government requires that the ASHA have studied at least till the 8th standard in school. While this requirement has been relaxed if no one in a village qualifies, it imposes a restriction in villages where there may be women who are school-educated – they must be chosen under the government’s requirements, even if it means overlooking a more trusted woman in the village, who might better embody the leadership qualities so necessary in a social health activist. “I applied for the post of ASHA, but was told I was ineligible – unfortunately, I never went to school even though I was trained by good doctors to diagnose diseases,” says SunderBai.

NGOs like SATHI and THI require that a woman chosen to be a Community Health Worker (CHW) fulfill one requirement above all else: that she be trusted by her village. Education level is only secondary, if a requirement at all. In fact, SunderBai and KuppiAmma prove that completely illiterate women can, given the right training (SATHI uses pictorial manuals to train illiterate people), be extremely competent primary health care providers. NGOs who train CHWs also realize the need for compensating them – these ladies maintain an agricultural day-job and need to be compensated for the time they spend mobilizing the community on issues of health. I met community health workers in four parts of India this past summer – none were paid very much (their pay ranged from Rs. 350 to Rs. 700 a month), but this money is important to these women, in addition to the satisfaction and pride that their work gives them. The government’s approach of not paying ASHAs and relying on them to volunteer their time, energy and knowledge, has no basis, either in theory or in the experience of NGOs who have trained CHWs in the past.

By appointing women who may have already been trained in a hamlet (like SunderBai) as an ASHA, the government would not only save time and money needed to train another lady, but would also gain a well-trained and trusted health worker. Furthermore, by using training methods like those that have been used by SATHI to successfully train illiterate women, any requirement for school-education can be removed, thus ensuring that the woman with qualities most suited to the job, is chosen. Finally, the government must remunerate ASHAs for their efforts. Otherwise, the ASHA program runs a risk of failure, much like a CHW program instituted by the government in 1978. Then, 92% of CHWs were male, underpaid at Rs. 50 a month, and under-trained – they received only two weeks of training at the nearest Primary Health Center. The government has done well this time around, to insist on hiring women as ASHAs, and to have continuous training and discussion as part of the training-strategy. However, it would do much better if it compensated ASHAs adequately, and required only that she be chosen by her village Gram Sabha, rather than also impose ad hoc education requirements that put her at risk of becoming simply the lowest rung in the government health machinery.

A shorter version of this article was carried in the Oct 2008 edition of Dishaa

Wednesday, April 16, 2008

Talking Braille: A new tool to teach blind children

An article I wrote in 2007 is here
"Learning Braille can be a formidable challenge in developing countries. Supriya Kumar profiles a new device that's addressing the task."

Wednesday, November 15, 2006

An opportunity to end health care slumber

Read the published version at India Together

The HIV epidemic has brought into focus multiple public health issues facing rural India today. In this respect, it presents us with an opportunity to deal with issues that have been neglected and even been actively ignored for too long. Supriya Kumar writes that dealing with the HIV epidemic could lead to a fortuitous tackling of chronic problems in India's public health set-up.


It wasn't until she heard the village gossip about HIV having been the cause of her husband's death, that Leela decided to get tested for the dreaded virus. Her worst fears having been realised, Leela had no choice but to focus all her energies on staying healthy for as long as possible so that she could care for her daughter. When Pratima Patil of SAATHII (Solidarity & Action Against The HIV Infection in India) visited them, Leela's nine-year old daughter, who aspires to be a singer, sang a breathtakingly beautiful song about prayer - she spends long hours praying for her mother's health. "There are many women like Leela - they end up finding out only after the husband is dead that they were at risk of contracting the virus, and it's often too late to protect themselves. These women are then shunned by their families and left to fend for themselves", says Patil.

I spoke to Patil, the associate director of SAATHII in the US, after she returned from a fact-finding research trip to rural India. She visited patients and orphanages for HIV-infected children in rural Maharashtra, bringing back heart-wrenching stories of the stigma that infected people (and even people who are not infected but have lost a family-member) have to face. SAATHII is an organization based in the US and in three cities in India, working to raise awareness about issues related to HIV/AIDS, with the aim of expanding access to prevention and treatment services.

Parts of rural India are in the throes of an HIV epidemic. Upto 5% of all people in some areas carry the virus. Women who test positive in antenatal clinics most often claim to have never had casual sex. However, like Leela, they are dependent on their husbands to also be faithful in their relationships in order to steer clear of HIV. Men in rural India, however, often migrate to cities after a harvest, looking to earn some extra money. The three M's, Migrant men with money, it turns out, have played a large role in the spread of the virus from high-risk populations into the general rural population.

The number of people migrating from villages in search of work has increased since the agricultural sector was faced with a crisis. Fluctuations in the price of agricultural commodities like cotton and rubber have left many farmers deep in debt, forcing them to migrate in search of jobs in cities. This situation, however, of being away from home and family, presents its own harsh set of stresses. Many migrants, having contracted HIV from sex-workers (prevalence of the virus among whom is greater than 20% in some cities), bring it back to their villages. “With husbands leaving the villages, and in some cases, committing suicide because they were unable to escape from the trauma of debt, selling sex also becomes a matter of survival for their wives”, says Dr. L. Ramakrishnan, SAATHII’s Director of Programs and Research in India. Voluntary testing centers are few and far between in rural India. People who suspect that they may be infected are reluctant to make repeated journeys to the testing center in the district headquarters for fear of being suspected of carrying the virus. So migrants returning from cities rarely get tested.

"The country is in the process of setting up testing facilities at the Taluk level, but this will still not bring testing to the doors of the rural population", says Dr. Sai Subhasree Raghavan, founder and director of SAATHII. "One way to really bring testing to the villages is to integrate it with the rural health mission, which does reach villages via their village level workers", she says. The National Rural Health mission (NRHM) is an ambitious project set up by the UPA government that could in fact bring voluntary testing and basic health care to villages. But this will happen only if innumerable vertical programs can be integrated and if primary health centers (PHCs) are allowed access to funds for the specific tests and drugs needed in the villages they serve. By contrast, in the present scenario, people that Patil met had to travel 4 hours on a bus to the district headquarters to get tested; this cost them their day's wages and forced them to forgo earnings, and by extension, food for the day – an obvious deterrent in itself to voluntary counseling and testing.

HIV is mostly sexually transmitted in India, with the exception of the north-eastern states, where injecting drug users are the majority of HIV-infected people, the virus being transmitted via used needles. Large areas of southern India, notably Tamil Nadu, Andhra Pradesh and Karnataka, as well as parts of rural Maharashtra, have been labeled "high prevalence" areas. Prevalence is measured in terms of percentage of people who test positive for the virus. Overall in the country, prevalence is put at about 0.8% in the general population and less than 5% in the groups most at risk, which makes ours a low-prevalence country. In parts of India though, general prevalence is as high as 5%, making those parts, very high prevalence. Of course, when we're talking about a country with a population of 1.1 billion people, a small increase in percent infected people translates to a very large increase in the sheer number of people carrying the virus.

The virus has taken the largest toll on the most productive people in society. Grandparents - grandmothers, most often - take on the burden of caring for their grandchildren. Patil tells the story of Paribai, a grandmother of two, who, at a frail 60 years of age, works 10 hours a day in the fields to earn Rs.30. That's just enough to bring home enough flour, lentils, sugar and salt to feed the four of them that day. Somedays, the grandparents go without food to allow the grandchildren to eat. "And this is by no means an uncommon story", says Patil. She visited an HIV-infected boy suffering from Tuberculosis (TB) in hospital; he weighed 17.5kgs at 12 years of age. His grandmother, his sole caretaker, was at his bed-side; she cleans houses everyday to make money for medical expenses, resorting to borrowing money for school fees.

TB is one of the major killers in India. It is treatable with a regimen of drugs. Patil visited a little boy who is HIV positive, and has TB, in addition to other treatable conditions such as skin rashes. "He is most-probably a candidate for Anti-RetroViral Drugs (ARVs)", says Patil. His grandparents (also his caretakers), can't afford the trip to the hospital in the district headquarters in order to access either ARVs or drugs to fight his TB and skin infection. The latter should be available in the PHC near their village, but availability of even drugs to treat TB is sporadic here and the PHC discriminates against HIV-infected people. This leaves the boy grappling with conditions that are immensely treatable if only our health care system functioned as it is supposed to. We have a stated need for one PHC for every 30,000 people, yet the number of people served by a PHC is more than double that today. Existing PHCs are poorly equipped and poorly staffed. Coupled with this has been a rising negative perception among rural Indians about government-run publicly funded health centers. People cite lack of availability of drugs and long distances from their villages to the PHCs for not using them. "The first point of contact with a health care center is inevitably a private center", says Patil. Such private care centers are not regulated by the government, and may not provide drugs at the most affordable prices. HIV-hit families find themselves spiralling into debt; parents of infected people spend their life-savings trying in vain to save their children, only to be left with the burden of taking care of their grandchildren in penury.

While anti-retroviral therapy is being made available to the public free of cost, on a limited scale, there is no government fund that grandparents of children orphaned by HIV, or even the children themselves, can tap into to. The government is in the process of consultations to provide some aid to such people, says Patil. We will have to wait and see what comes out of these consultations. We can hope, in the meanwhile, that the government takes a well-rounded approach to dealing with the problem: an approach that addresses the need for testing centers accessible to villages and for reliable availability in PHCs of not just ARVs but also even more basic drugs to treat opportunistic infections. Most importantly, the government needs to step up education of people at the grassroots so that women at risk know about the disease, how it is spread, how to protect themselves, where to get tested, and where to access ARVs.

There has been some argument about whether India is, in fact, faced with an HIV crisis at all. Arguments over the numbers of infected people, though, are beside the point. With government hospitals in district headquarters being the only publicly funded testing centers in densely populated states like UP, it is quite likely that we are underestimating the number of infected people. That aside, though, the fact that we can get Anti-retroviral treatment (ART) to only 50,000 of the 500,000 (and only 1,500 children out of 15,000) who need them, even as we boast of exporting these drugs to African countries, speaks quite poorly of our own basic health system. In the past few years, policies to tackle the HIV/AIDS epidemic have all targeted urban centers, leading to the availability of Voluntary Testing and Counseling Centers and ART in a large number of government hospitals in big cities. It is only now that the government is turning to rural areas as the disease spreads into our villages. The government aims to have set up close to 100 treatment centers by the end of this year.

"We need to come up with dramatic, innovative approaches to get ART at affordable prices to our own citizens", says Raghavan. She visited Malawi last year where drugs are given by community-based organizations in the communities. "Such a decentralised approach is the only way we will be able to expand services", she continues. India's health budget is a dismal 0.9% of the total budget. As a result, the current level of funding to provide ART to 135,000 patients over the next five years is coming from the Global Fund. "We need to identify sources of funding within the country to cover funding for the rest of the 350,000 patients who need ART. Unfortunately, there has been no large-scale initiative from the pharmaceutical industry to come together to scale-up these services to the patients. And accountability lies with all of us - with the government, with civil society, with the pharmaceutical industry, with the activist and with the private sector. We have not been able to come together to make this happen - and it should be very possible to make it happen", says an impassioned Raghavan. Government policy is still reacting to the spread of the virus into rural India. This would be a good time to reverse that trend and pro-actively take a bottom-up approach allowing primary health centers and sub-centers a degree of autonomy, so that they can spend an allocated budget on drugs and treatments most required in the particular villages they serve. This would also allow the private sector and pharmaceutical industries to step in and fill the most glaring gaps in supply of not just ARVs, but also drugs to treat TB and rashes.

There are signs that the government is on the right track: On August 8th this year, representatives from 620 districts were invited to Delhi to discuss a grassroots approach to tackling the issues surrounding HIV/AIDS. Such approaches need to be backed up by renewed spending by both the state and union governments to revamp our public health system. Dealing with the HIV epidemic could lead to a fortuitous tackling of chronic problems in India's public health set-up. HIV-infected people may then be able to access not just ARVs but also basic drugs to treat TB and skin rashes without the delay and uncertainty present in PHCs today. Even patients without HIV who need access to health care would be well-served by an improvement in access to a reliable supply of drugs at well-run and well-maintained PHCs. The HIV epidemic has brought into focus multiple public health issues facing rural India today. In this respect, it presents us with an opportunity to deal with issues that have been neglected and even been actively ignored for too long.


Names of HIV-affected people have been changed to protect identities

Tuesday, August 01, 2006

Genetically Modified Food: A Case for Stricter Regulation

This is a paper I wrote last year.

Food security around the world, especially in developing countries is an extremely important issue. Genetic Engineering has been proposed as a technology that will increase food production and decrease starvation. Here, I will analyze the science of and policies formulated to regulate genetically engineered organisms. I will weigh the European view against the US view regarding production and consumption of genetically engineered (GE) crops and propose that developing countries should formulate policies with their own unique situations in mind. This is critical for the long-term food security of the world.

Genetic engineering of food crops results in two broadly classifiable types of genetically modified organisms (GMOs): Process-based GMOs are those that result from engineering the process that goes into the generation of the organism. For example, herbicide-tolerant soybean, in which the plant is engineered to be resistant to an herbicide, results in no externally identifiable change to the end product itself. Product-based GMOs are those where the end product is substantially different from traditional varieties of the product, either in terms of nutritional value or in terms of shelf life or aesthetic appeal [1]. For example, “Golden Rice” is rice engineered to produce high levels of beta-Carotene, which is the precursor to Vitamin-A.

The first GE crop to be cultivated commercially was planted in 1996 in the US. Since then, many countries have adopted GE crops. 25% of the world’s cultivated land is now under GE crop cultivation. That is about 200 million acres, of which 63% is in the US and 21% is in Argentina. Of the three most cultivated crops in the US, 85% of all soybean, 76% of cotton and 45% of the corn cultivation in the US is now genetically engineered [2]. This represents a major change in cultivation that affects large numbers of consumers as well as the environment. It also makes trade in GE food produce an important issue, especially for countries that produce large quantities of it.

Consumers are affected by changing patterns of cultivation as the produce they buy contains higher amounts GE food or seeds. If GE foods were labeled as such, it would represent new choices for the consumer. If, however, as in the US, there is no requirement to label GE foods, the consumer then has no choice but to consume the new kind of food or to rely on producers of non-GE foods labeling their products. There are many reasons why consumers may want GE food labeled. Being a relatively new technology, we are forced to rely on laboratory tests rather than data about direct effects on humans, as there has not been adequate time for such data to accumulate. All laboratory tests of nutrient content in process-based GE foods suggest that they are entirely benign with respect to human health, but without adequate data on direct effects on humans, there will always be a large percentage of the population that would simply rather have nothing to do with the new technology. As regards effects on the environment, cultivation of GE crops on farms, even process-based crops, could have adverse effects on the diversity of plants and animals in the vicinity. The possible effects have been documented and range from effects on non-target species to escape of the transgene from the GE plant to neighboring wild species. These risks are much greater when the country importing GE seeds has high levels of natural biodiversity, either in terms of wild species of the crop in question or animal and plant species in general. This makes countries importing GE seeds apprehensive of the effect accidental or intentional planting of these seeds in traditionally non-GE farms could have on their own production and exports. On the positive side, however, GE crops like Bt-cotton do have the potential to reduce pesticide use on farms, thus affecting the environment positively. The bottom line is that perceptions about GE crops around the world with respect to their effects on health, the environment and the economy are polarized, and this inevitably has an effect on the largest producer of GE foods, the US, in terms of export markets. Policies that deal with the production, labeling and trade of GE crops and food products differ between the European Union (EU) and the US, with the rest of the world left as yet largely, grappling with the issue.

The effect adopting GE crops could have on exports of countries is evident by looking at the exports of the US, the largest producer of GE foods in the past few years. As of 1999, 18% of all US corn production was marked for export, with Japan representing 37% of the world market for exported US corn. There have been restrictions imposed recently on GE corn in major Asian markets including Japan and Korea, requiring labeling of GE-containing shipments. This has resulted in apprehension among US exporters about the effect it will have on already falling US corn exports. Revenue from exports to Europe for exported US corn fell from $300 million in the mid-1990s to only $10 million in recent years because GE-varieties of US corn have not been approved by the EU. While Europe represents only 5% of the world market for US corn, this is still significant considering the sheer magnitude of the fall in revenue. As for Soybean, 29% of the production is exported, with the EU being the major importer of US soy. With only one variety of GE soy having been planted in the US, and its approval by the EU, soy exports from the US have not suffered as much as corn exports [3]. It is obviously in the best interest of US exporters to push for market access for their GE produce. However, some countries are formulating regulations that look at each product on a case-by-case basis, making a decision as to grant market access based on the specific risks associated with it. Furthermore, countries are taking into consideration EU import policies while making decisions on whether to adopt GE seeds on their own farms. Adopting the technology brings with it the risk of losing the European market for their food exports.

GE Policies and the issues that inform them

Policies to regulate import and production of GE crops are decided by countries concerned. However, trade between countries is regulated by the world trade organization (WTO). The Codex Alimentarius commission, created by the World Health Organization (WHO) is responsible for food safety standards that traders and countries adhere to. As far as Biosafety and environmental concerns go, the Convention on Biodiversity set up by the United Nations drafted the Cartagena Protocol on Biosafety, which came into effect after 50 countries ratified it. This happened in September 2003. Presently, 110 countries are signatories to the protocol, the US not being one of them. The Cartagena Protocol gives importing countries the power to ask for risk assessments and scientific tests if they have any doubt about the environmental risk associated with a “living modified organism” being imported [4]. The protocol thus adopts a “precautionary principle”, much like the European Union, whose regulatory policies are defined by it. The precautionary principle requires that it be proved that GE food or crops are risk free before they are deregulated. Of course, this requires defining the possible risks associated with GE foods or crops (see below for possible risks). In the absence of a scientifically defined risk associated with a particular food/crop, restricting import of the product may be viewed as going against the WTO’s trade rules.

US policy with respect to GE crops is quite different. The US is the largest producer of GE products. Market forces drive the country’s policy with respect to internal consumption of GE food products or crop cultivation. The US consumer has not demanded labeling of products that contain GE foods; the Biotech industrial lobby is of course large and powerful enough in the US to be able to ward off any such demands, should they surface. The US Department of Agriculture (USDA) oversees issues that deal with the environmental safety of GE crops, while the Food and Drug Administration (FDA) deals with issues about food safety. Crops and products are viewed as harmless unless there is a proven risk associated with them. There is, of course, a risk associated with an approach such as this. Once commercialization of a GE crop has been allowed and a crop planted on many thousands of acres of land, it may be too late to deal with a risk, should one emerge. Likewise, with respect to food safety, the “don’t ask, don’t see” approach will only identify the largest problems while any subtle risks associated with a GE food product will go unnoticed, especially if GE foods are not labeled as such [5].

This brings us to the issue of labeling GE food products. Europe has adopted the most stringent rules yet requiring that all products in which genetically modified substances make up 1% or greater of the total be appropriately labeled. This of course presents a problem for most large-scale exporters in the US as their packaging and handling practices make it economically unviable and practically impossible to keep non-GE produce completely free from GE produce. Many other countries are adopting rules requiring labeling of products that contain GE food. Consumers in Europe seem to be much more apprehensive of GE foods than consumers in the United States though some surveys do suggest that a growing percentage of US consumers may also want to have GE produce-containing foods labeled as such [6]. Survey after survey has shown that the European consumer believes that the risks associated with GE foods outweigh the benefits. The widespread European apprehension has been analyzed to be due to the high importance Europeans give to dining practices and their food in general [7]. Whatever the reasons, European people remain vehemently opposed to consuming GE food products. This leads to an interesting quandary for developing nations. They are faced with the option of either adopting GE seeds in the hope of increasing production and decreasing pesticide use, or rejecting GE crops for fear of losing the European market. The recent food aid crisis, which saw African nations faced with a famine turn away food aid from the US because it contained GE corn seeds, highlights this quandary.

Scientific studies of the risks of GE crops

In order to understand if the apprehension regarding GE crops is justified, we need to look at what the risks associated may be. The most popular GE crops have been Herbicide tolerant (HT) varieties of corn and soybean as well as Bt-Cotton. The HT varieties are, as the name suggests, tolerant to a particular herbicide that the farmer can then buy from the same Biotech Company he/she buys the seeds from. Application of this herbicide indiscriminately still allows targeting weeds for death while allowing the HT crop to survive. Possible risks associated with the HT technology are
* Resistance development in weeds
* Leeching of herbicide into ground water
* Any possible effects on plant and animal populations that make up the ecosystem of the HT crop plants.

Bt-crops have been engineered to produce a bacterial toxin that makes the plants resistant to lepidopteran pests. The risks associated with Bt-crops are
* Resistance development in target insects
* Undesirable effects on non-target insects and other organisms
* Introgression of the transgene into wild plant varieties growing near GE plants

The US Department of Agriculture (USDA) oversees most regulation of GE crops in the US. The USDA however, does not have a firm set of regulations and tests that must be performed on a crop that is proposed for commercial planting. The onus for setting up consultations with the USDA regarding any possible environmental risks associated with a GE crop rests with the company producing the seed. This makes the legal framework extremely weak. There is documented evidence suggesting there may be unforeseen effects of genetically engineered crops.
1. A recent study [8] in the journal, Nature, showed that a nematode-resistance gene from transgenic potato grown in the central Andes was transferred to wild potato plants growing near transgenic varieties. There is a possibility that stable introgression of transgenes could confer altered fitness on wild plants. Especially in areas of high biodiversity (the Central Andes is the center for biodiversity for potato), escape of transgenes presents a major risk of the technology.
2. A Nature study in 2000 [9] showed that Bt-corn pollen could kill Monarch larvae in laboratory tests. (Monarch butterflies are also lepidopterans, like the bollworm which is the target of Bt toxin) This was extremely worrisome as Bt-corn had already been commercialized and planted in huge areas of the US Midwest, through where Monarchs are known to migrate. However, miraculously, further studies showed that in the field, the variety of Bt-corn that proved most harmful to Monarchs had not sold well and hence had not been planted extensively.
3. Finally, a recent study [10] showed that there was considerable escape of the HT transgene from a creeping bentgrass variety that Monsanto is trying to commercialize. Creeping bentgrass is used in golf courses etc. as a perennial grass variety, and is known to be wind-pollinated, which makes it likely, right at the outset, for escape of the transgene to occur.

These are but three studies and by no means the only ones, that show that environmental risks associated with transgenic crops are very real and, as illustrated by the Monarch case, regulations to assess and deal with these risks are not in place even in the largest producer of GE crops, the US. There is also the possibility that more effects will be uncovered as time goes on; this is a young technology, which has had only 8 years since the first commercial cultivation of a GE crop. Furthermore, any effects on humans right now is probably going undocumented due to the lack of a labeling requirement in the US, the largest consumer of GE produce. The (as yet) unpredictable nature of the technology and the rush to commercialization by the Biotech companies should urge us to demand that the US government strengthen the regulatory framework within which the companies and traders operate.
Europe has adopted the precautionary approach, which mandates that until you prove that there are no detrimental effects of the proposed technology, it be treated as a risk. Thus, if there is any doubt regarding the risks associated with a technology, they follow the precautionary approach. Developing nations should waste no time in formulating policy to regulate entry of GE crops and foods. Many tropical countries have very high levels of Biodiversity. Any leakage of transgenes into wild relatives in biologically diverse environments, especially in the centers of biodiversity for the crop in question could wreak havoc. Why however, would developing nations be more concerned about effects on the environment than about ensuring food security for their people? We should hope that they adopt a long-term outlook; GE food crops may be able to feed the hungry now, but if transgenes introgress into wild varieties, long term biodiversity of the crop and hence, long term food security will be in peril. There are analyses that show that poor people are hungry in developing nations not for lack of available food, but for lack of buying power to acquire that food. Even if we accept the premise that increasing production is important in developing nations, sufficient safeguards to regulate use of GE crops and decrease risks associated with them are simply not in place in most cases. Safeguarding biodiversity, and thus, ensuring long-term world food security should be the foremost priority for all regulatory bodies and policy formulators, especially in the biodiverse tropical countries.

End Notes:
Definitions:
Fitness The fitness of an individual is measured by its contribution to the next generation.
Introgression Crossing of two plant populations to introduce new genes into a wild population
Lepidopterans The genus comprising butterflies and moths is called Lepidoptera.
References:
[1] Phillips, P and Isaac, G. (1998). GMO labeling: Threat or opportunity? AgBioForum, 1(1), 25-30. Available on the World Wide Web: http://www.agbioforum.org
[2] Fact Sheet of The Pew Initiative on Food and Biotechnology. Available on the World Wide Web: http://pewagbiotech.org/resources/factsheets/display.php3?FactsheetID=2
[3] International Trade Concerns over Biotechnology Challenge U.S. Agriculture Exports, Report of the US General Accounting Office to the US Senate (2001). Available on the World Wide Web:
http://www.gao.gov/new.items/d01727.pdf
[4] Cartagena Protocol on Biosafety. Available on the World Wide Web:
http://www.biodiv.org/convention/articles.asp
[5] Mellon, M. and Rissler, J. (2004) Environmental Effects of Genetically Modified Food Crops. Available on the World Wide Web: http://www.ucsusa.org/food_and_environment/biotechnology/page.cfm?pageID=1219
[6] Genetically Engineered Organisms Policy Issues Education Project. Labeling of foods derived from GE crops. Available on the World Wide Web: http://www.geo-pie.cornell.edu/educators/downloads/fs7_tomato.pdf
[7] Richardson, JB. (2000). EU agricultural policies and implications for agrobiotechnology. AgBioForum, 3(2&3), 77-83. Available on the World Wide Web: http://www.agbioforum.org
[8] Celis, C., Scurrah, M. Cowgill, S., Chumbiauca, S., Green, J., Franco, J., Main, G., Kiezebrink, D., Visser, RGF. and Atkinson, HJ. (2004) Environmental biosafety and transgenic potato in a centre of diversity for this crop. Nature 432, 222 – 225
[9] Losey, JE., Rayor, LS. and Carter, ME. 1999. Transgenic pollen harms monarch larvae. Nature 399: 214.
[10] Watrud LS, Lee EH, Fairbrother A, Burdick C, Reichman JR, Bollman M, Storm M, King G, Van de Water PK. Evidence for landscape-level, pollen-mediated gene flow from genetically modified creeping bentgrass with CP4 EPSPS as a marker. Proc Natl Acad Sci U S A. (2004) 101(40):14533-8.

Friday, July 28, 2006

Newton's Third Law of Politics

Comment on US policy toward Afghanistan

Newton's third law of physics states that every action has an equal and opposite reaction. While this is certainly true in science, it's also proving to be true in politics. This paper deals with Afghan politics in an attempt to understand the complex issues that have resulted in the rise of the presently ruling Taliban in Afghanistan. Applying Newton’s Third Law to this part of the world, 'action' refers to U.S. support of the Afghan mujahideen revolting against Soviet rule in the 1980's. Aid was in the form of state-of-the-art arms and ammunition delivered to the warriors in Afghanistan via neighboring Pakistan, which served as a conduit. This equipped untrained rebels with guns and rockets, which they used, at the time, to fight Soviet forces, who were trying to establish socialist rule in Afghanistan. Afghanistan, thus, served as a far-removed battleground on which the two superpowers of the cold-war fought for supremacy. Once the Soviets left in 1989, however, the U.S., and the world at large, lost interest in the country, leaving huge amounts of ammunition in the hands of tribal warriors, who turned their guns on each other, as well as on the West. The `reaction’ is being witnessed today, as terrorists trained in Afghanistan who were funded by the U.S., are expressing their dissatisfaction with what seems like everything "western" by targeting Americans around the world. The bombings of two U.S. embassies in Kenya and Tanzania in 1998, and the bombing of USS Cole, a U.S. naval battle ship, in Aden, in 2000, have been blamed, by Washington, on what it refers to simplistically, as 'Islamic fundamentalists'. These Islamic fundamentalists are trained in Pakistan and Afghanistan and rose to power on arms supplied by the U.S. during the Reagan administration; they use their expertise on the very people whose money fed, and possibly, still feeds them. How did this happen? What leads to U.S. support of Pakistan even today? What can the world at large do about the ruling Taliban in Afghanistan? Should we even do anything? These are just some of the questions we are faced with when we start analyzing the recent history and politics of Afghanistan.

The history of Afghanistan

In trying to analyze Afghan politics, we must look at the tribal history of the country and try and understand its traditions. Afghanistan has never been a united society with a central leadership. The nature of the society and its many tribes1 dictates that there must be a decentralization of power. From 1933 till 1973, King Zahir Shah ruled Afghanistan in exactly this kind of decentralized fashion, with local leaders weilding much more power than the king did. For many of those forty years, he ruled under the guidance of his cousin and prime minister, Daoud Khan. In 1963, though, with the resignation of Daoud he asserted his independence, and drafted a constitution for Afghanistan, which provided legal equality for men and women. The constitution also gave precedence to secular law over Islamic Shari'a law. These constitutional reforms polarized Afghan society, as people either favored a faster pace of change, supporting the Peoples' Democratic Party of Afghanistan (PDPA), which was a socialist group touting Kremlin-style politics, or a return to conservative Islamic tradition. This kind of reaction from the society is what makes it tough to analyze the priorities of Afghan people even today. On the one hand, they have a right to gender equality and freedom of speech and expression, but on the other hand, they might not actually attach as much importance as anyone in the West to either of these two rights, as they might to the preservation of Islamic tradition, and conservative social values. This makes it very important for us to stand back and understand the values of the people in Afghanistan, before we espouse democratic and secular principles in such a society. Having said that, however, we should note that there are a variety of ethnic groups in Afghanistan, each with its own values and principles. There is not, therefore, any consensus in Afghan society as to what degree of liberalism is acceptable. The levels of freedom, in all likelihood, will need to be decided by individual ethnic groups, with local government, and even local laws. This is the way Afghan society was set up before the arrival of the Soviets1. Local governments, which reported back to a central authority with only limited power in local issues, was the result of centuries of evolution in a democratic and politically liberal society.

In 1973, King Zahir Shah was overthrown in a coup by his cousin Daoud. Daoud was a liberal, and the coup was met with resistance from the religious conservatives. He also wanted to reduce Afghanistan's dependence on the Soviet Union on the economic, political and military fronts. This was seen as a threat by the Soviets, who many believed, helped orchestrate the coup to overthrow and kill Daoud in 1978. The PDPA, which took power as a result of the coup, was in favor of Soviet style rapid reforms. They made education compulsory, and used force to apply changes, disregarding the traditional and cultural values of the Afghans. This prompted an uprising by the masses against the PDPA, who they viewed as just a puppet in the hands of the Soviets. There was also a call for 'jihad' or a holy war, by Islamic fundamentalists, who were in the minority in Afghan society at the time. It is important to note the distinction between the popular uprising of the people of Afghanistan against imposed cultural change by the Soviets and the PDPA, and the mujahideen fighting a holy war. A power struggle within the PDPA also ensued, ending in the assassination of Nur Mohammed Taraki, the president , by Hafizullah Amin. Amin was disliked by Moscow, and the Soviets were left with the options of either withdrawing support to Afghanistan, or intervening militarily, to remove Amin from power to instate a more Moscow-favorable person at the helm. It was impossible for the Soviets to withdraw support, as that brought the possibility of an end to socialist policies in Afghanistan, and a possible 'Islamization', especially in view of the recent rise to power of radical Islamists in neighboring Iran. So the Soviet Union went for a full scale military intervention in Afghanistan, played a direct role in killing Amin, and instating Babrak Karmal and later, Najibullah, as president in Afghanistan. They also sought to quell the mujahideen uprising through air raids, and large scale destruction on the ground, which adversely affected the farming communities in Afghanistan, and displaced families, who were forced to flee to refugee camps in Iran or Pakistan.

The mujahideen were aided militarily by the U.S., via Pakistan, if only because they were against the USSR. The people of Afghanistan, who were also fighting Soviet intervention, were not supported by the U.S. – the reasons for this anomaly we can only guess. It is conceivable that the U.S. wanted to fund someone who would play their game, and would blindly fight the Soviets with the fervor of a religious war, rather than fund people who had their own values and livelihoods to defend. Whatever the reasons behind the U.S. choosing to fund groups of radical Islamists with little popular support, the common man in Afghanistan was caught between the Soviets who were ready to destroy everything in Afghanistan, including civilian settlements, and a group of religious zealots, armed with weaponry they were not trained to use. The people of Afghanistan, thus, were forgotten, and not paid any attention to as the two superpowers, one in disguise, fought a bloody war.

Pakistan, as a poor third world country, surrounded by formidable neighbors in China, the USSR, and India, saw this as an opportunity to glean everything possible out of the situation. General Zia-ul Haq, the then ruling military leader in Pakistan, negotiated with the U.S. to get large scale military aid, in addition to that being sent for the mujahideen in Afghanistan. He also told the U.S. that Pakistan would serve as a conduit for arms into Afghanistan on the condition that the U.S. not only fund, but also give it a free hand at developing its own nuclear program. The U.S., desperate at the time, for an ally in the region, agreed. Thus started Pakistan's foray into the world of nuclear power. Today, the U.S. and the world are well justified at considering Pakistan the most dangerous nuclear power in the world, on account of a very unstable government, a dysfunctional democracy, and power struggles in politics, that make it difficult to understand who calls the shots in that country.

Through the 1980s, the Soviets fought a costly war in Afghanistan, finally completing a pullout in 1989. The cold war itself ended soon after, but the socialist government in Afghanistan, lasted for two years after the country that created it itself had disintegrated. In 1992, the mujahideen took power in Kabul. It is important to realize here, that the U.S. and Pakistan had believed that the PDPA government would not last long after the withdrawal of Soviet forces, and hence, urged the mujahideen parties to form a coalition interim government2. They tried to do this, but when the Najibullah government did not fall in 1989, the mujahideen groups, unable to arrive at a consensus on how to form a coalition, turned their arms on each other. This resulted in some fierce infighting in Afghanistan, and a prolonged 'jihad'. In 1992, the interim government finally took power, with Burhanuddin Rabbani at the helm. Rabbani, being an ethnic Tajik, did not have the support of the majority Pushtuns in Afghanistan. This created problems for the mujahideen government right at the outset. The mujahideen rule was fraught with strife all over Afghanistan. Various rebel groups that had headquarters in various cities around Afghanistan, fought to retain control in those areas. As a result, there was hardly any peace in Afghanistan, even though the jihad had officially ended. This could explain why a group of students who called themselves the Taliban, were looked upon favorably, when they moved systematically through Afghanistan in 1996, purging the populace of weapons. The Taliban have their headquarters in Kandahar, and now control 95% of Afghanistan, the exception being the panjshir valley in the northeast, which is still ruled by a mujahideen group, referred to as the northern alliance.

The Taliban
The Taliban movement started as a small student group in Kandahar in 1994 (1). The students were taught a radical interpretation of the Quran in jirgas (religious schools) in refugee camps on the border between Afghanistan and Pakistan, run by some of the most radical Islamists known. They came back to Afghanistan, to create an Islamic state based on this interpretation of the Quran. When the Taliban succeeded in gaining control of a large portion of Afghanistan within a short time in 1996, the people welcomed them, as it put an end to the constant bombing and shelling that they had witnessed over the past fifteen years.

Soon, though it became clear that the Taliban were more radical in their interpretation of the Quran and in their implementation of the Shari'a law than anything the world had ever seen. They immediately issued a dress code for everyone in Afghanistan, disallowed women from working in the urban setting with men from outside their family, allowed women to get health care only in hospitals specially set up for treating women (1), banned television on the grounds that Islam was against the 'visual representation of the human form'1. Most importantly, they banned girls from attending schools. The Taliban believe that more than going to school, the emphasis should be on the kind of education children receive. Girls, according to the Taliban, learn everything they need to know in the society, at home (1). Boys can only attend jirgas. Education, as we know it, was stopped completely.

The ideals of the Taliban are entirely foreign to anyone brought up on modern, liberal values. In analyzing them, however, we should be careful to take into account the naturally conservative nature of Afghan society. It is extremely tough to gauge the sentiment amongst Afghans today, as so few are willing to speak out, for fear of punishment by the regime. Whether this silence on the part of Afghan people is due to a fear, or a lack of access to media, or even due to a contentment with the Taliban laws, is a matter that needs to be addressed by the media.

Most important from the point of view of the U.S., is the housing of Osama bin Laden, the Saudi millionaire, by the Taliban. Bin Laden fought on behalf of the mujahideen in the 1980s, but now, is alleged to be supporting, mostly financially, the Taliban. Bin Laden is on a list of the ten most wanted criminals by the FBI in the U.S. He has been blamed for the 1998 bombings of U.S. embassies in Africa, and is blamed by the U.S. for any international crime that no organization claims responsibility for.
(In case you're wondering, I wrote this in 2000, well before 9/11)
The U.S. should realize, that if it wants bin Laden and the Taliban to stop targeting Americans around the world, it needs to explore ways of stopping completely the availability of the money that funds them. Air-raids against the country are going to adversely affect only the people of Afghanistan, while leaving the Taliban and other terrorist training camps virtually unaffected.


Afghan relations with its neighbors and the omnipresent issue of oil

The Taliban regime is widely viewed as repressive, radical, and against gender equality. This has prompted most nations to reject the Taliban government. Prominent exceptions, though, are Pakistan, Saudi Arabia and the UAE. Pakistan has a very evident agenda in supporting the Taliban. It is to Pakistan's advantage to have a government in Kabul, that will dance to its (Pakistan's) tunes, resulting in a vast Islamic block stretching from Afghanistan to Central Asia. This affords Pakistan some confidence when dealing with its relatively powerful neighbor, India. The U.S. too, feels that it needs an ally in the region, and with the traditionally non-aligned nature of India, the U.S. has had to rely on Pakistan. This complicates the situation, as U.S. support for Pakistan translates indirectly into support for the Taliban, as Pakistan is firmly behind the radical organization. This might explain the lack of a strong U.S. policy against the Taliban. Washington probably finds it impossible to speak out firmly and loudly against the Taliban when its strategic ally, Pakistan, as well as Saudi Arabia, the ally it needs at all times to fulfill its oil requirements, back them.

Afghanistan is bordered to the north, by three countries, that came into existence after the fall of the Soviet Union, and are still trying to find their identity outside the shadow of Russia. There is the constant possibility that Islamic fundamentalism will spill over from Afghanistan into Turkmenistan, Uzbekistan and Tajikistan. Russia, of course will do its absolute best to avoid such a scenario. Today, Russia's concern is not so much a diplomatic and psychological stranglehold on Central Asian politics, as maintaining an economic advantage in the area. They would rather have the Central Asian republics remain militarily and economically dependent on Russia, than have them bear allegiance to Pakistan, and therefore, indirectly, to the U.S. As I write this, I wonder if the cold war is really over. In this region of the world, especially, which lies at the crossroads of Europe, the Middle east, and South Asia, it looks like you still have to be aligned with either the U.S. or Russia, in order to have your military and economic needs met.

Look closely, though, and you might see another spoke in the wheel: China. It's tough to see it on the map, but Afghanistan has a sliver of land that borders China. China has become worried of late, that radical Islamism might spill over into its western province of Xinjiang. China would like to work with Iran and Pakistan to bring peace to Afghanistan. The Taliban, for their part, would rather strike a deal with China than risk air-strikes by Russia, who think the Taliban have been training Chechen rebels. In addition to ending the war, China wants to cement a good relationship with Iran. On the 25th of July, 2000, Taliban diplomats assured China that they would not allow any anti-China activities to be carried out inside Afghanistan (4). (An inadvertent acknowledgement of activities against other nations being carried out under Taliban rule, may be?). Any negotiations between China and the Taliban, will no doubt worsen China-Russia relations. Both these countries want to assert their supremacy in Asia, and if China forges ahead in relations with Iran, it might indeed win this diplomatic battle. Russia, however, is more concerned with economic gains, and military ware has always been Moscow's economic strength. In the past few days, Russia, announced that it would support Ahmed Shah Masoud's mujahideen forces that are fighting the Taliban in northern Afghanistan, one of the few areas in the country that the Taliban has not yet gained control over. This support will be military aid, along with chemical weapons, made available to Masoud, via Tajikistan. With this announcement from Russia, one would expect to see the Taliban scrambling to cement a peace deal, and possibly a military agreement of some kind with China. The last thing that Afghanistan wants to see right now, is a renewal of a full-fledged war, with external elements calling the shots. In light of this, the warring factions in Afghanistan, the Taliban and the northern Alliance, have agreed, according to the United Nations , to hold talks in an effort to bring peace to the war-torn land (4).
Afghanistan needs desperately, to maintain good relations with the Central Asian oil-rich republics. There are two possible routes for transporting oil that these countries produce, to the waterways so that it can be transported to the lucrative markets of Europe and North America.. They are through Iran, or through Afghanistan and Pakistan. Obviously, whichever countries are chosen to build pipelines through will benefit enormously economically. Chinese ships have recently been granted rights to load and unload cargo at Port Said, the gateway to the Suez canal (4). China in fact, is seen to be an emerging power in the control of the world's waterways. It's easy to see Beijing's plan to control oil transport around the world. This would also explain its efforts to forge good relations with both Iran, and Afghanistan. This way, whichever country has pipelines built through it, China stands to gain.
Kazakhstan has acknowledged the Taliban as the major force in Afghanistan. It is interesting to note that this has come even as the military ruler of Pakistan, General Musharraf, is visiting Kazakhstan. It'll be interesting to know what transpired in the meetings between the premiers of these two countries. Whatever each country's interest is, it looks like everyone has to gain from peace in Afghanistan. In all these grand plans being hatched around the world, though, there is one interest that is conspicuously missing - the interest of the Afghan people.

Alternatives to fundamentalism and violence in Afghanistan: what can we do to help?

Since no country seems to prioritize the interests of the Afghan people, we need to ask whether there are any alternatives to violent factions ruling Afghanistan. Is there a democratic undertone to society? It is very difficult to assess the situation in Afghanistan today, because of the many contradictory reports about Afghan social sentiment. It is important to keep in mind, in such studies, however, the naturally conservative nature of society in the country. As stated before, it is difficult to gauge social sentiment regarding the Taliban, as it remains possible that their ideologies do in fact reflect the conservative Islamic tradition in Afghanistan. It is increasingly becoming evident, however, that while most Afghans supported the Taliban in the first three years of their rule in the hope of a lasting peace, they are now disillusioned with the Taliban's total repression of the freedom of expression of the people of Afghanistan (5). There is at least one seemingly democratic organization that is active, but is forced to work underground, in Pakistan. Representatives of the Revolutionary Association of the Women of Afghanistan (RAWA), recently visited the U.S. and spoke out against the Taliban regime (7). Members of RAWA have been outspoken in condemning the U.S. policy of supporting the mujahideen against the Soviets. In the view of RAWA, the mujahideen were not the true representatives of the Afghan people at all; they were Islamic fundamentalists, who were a minority in the society. The U.S. supported them, and converted them into party leaders and politicians. RAWA also condemns the 1998 air-strikes by the U.S. against Afghanistan on the grounds that the people who really suffered were the Afghan populace, and not the Taliban leadership.
RAWA holds very important the values of democracy and human rights (7). They believe that when there is no peace in the country, there is no point in fighting only for women's rights. Hence, they are campaigning for a complete purging of Afghan society, including the Taliban, of arms. They would like to see King Zahir Shah reinstated as an interim ruler, while the society recovers from 20 years of war, and oppression, giving people a chance to build a democracy in which the rights of people are respected.
In order for peace to return to Afghanistan, it will be very important for every country that is aiding either the Taliban or Ahmed Shah Masoud's Northern alliance, to completely stop such support. Military disengagement being the need of the hour in Afghanistan, the Russian decision to arm the northern alliance with chemical weapons becomes all the more appalling. For military disengagement to take hold, the U.S. and the U.N. will have to actively persuade Pakistan, Saudi Arabia, Iran and Russia from stopping military support to the Taliban5, the Northern Alliance and other mujahideen groups. It is only when the sources of arms and ammunition for the warring factions dry out, that peace will return to Afghanistan. The U.N. should also engage in peace-keeping during such a period of transition.
Most importantly, the international community will have to recognize the fact that the warring factions in Afghanistan are the result of money poured in by them, and that until the monetary and military funds dry out, the war will rage on. The ones who suffer, will be the people of Afghanistan. The international community was responsible for starting the war, is responsible for the continuing war, and the overall terrible situation in Afghanistan today. After 21 years of violence, the international community will have to bear the responsibility of giving back to the Afghan people, the right to rebuild and rule their own lives.


References:
1 Marsden, Peter; The Taliban: War, Religion and the New Order in Afghanistan (Oxford University Press, 1998)
2 Rais, Rasul Bakhsh; War Without Winners (Oxford University Press, 1994)
3 www.heritage.org
4 www.stratfor.com
5 www.afghanistanfoundation.org
6 www.saidit.org
7 www.rawa.org