Fragilecologies Archives
17 December 2003
Guest Editorial: By Dr. John Shepherd, M.D.
jcscmstas@msn.com
Walk together, talk together O ye people of the earth, Then and only then Shall ye have peace. –Sanskrit proverb
John Shepherd, M.D., a family physician from Colorado, U.S., spent part of 2003 in Tobanda Camp in eastern Sierra Leone working in a Liberian refugee camp.

When I returned from Sierra Leone in mid-2003, I expected to fill a notebook with comments on the differences and stark contrasts between West Africa and the United States. But after trying to provide primary health care in Sierra Leone to Liberian refugees fleeing an unimaginably cruel civil war — a continuation of the mayhem that infested Sierra Leone for a decade — I found innumerable similarities. Admittedly, our technologically burdened American society does not lack dialysis machines or advanced radiologic equipment and chickens don’t patrol our examination rooms for insects nor does wood dust fall from the termites feeding on the wooden poles supporting the roof on the tables and chairs. On a daily basis parents in the U.S., unlike those in Sierra Leone, don’t carry their children into a clinic on their backs or in a wheelbarrow to die of cerebral malaria, herbal poisonings, malnutrition, or Lassa fever. The American expected life span of 78 years, exceeds the 38 years of Sierra Leone, fewer than 18 out of every 100 women expire during childbirth in the U.S., and in most populations in the U.S. more than 20 percent of children live beyond five years of age.
Yet I recognize the shoeless man dressed in torn tee shirt and rope-belted frayed pants, because he walked into the homeless clinic in Denver where I have worked. Some people seek care only when they can no longer tolerate the pain, while others whimper and exaggerate the slightest ill — a range from unbelievable restraint to quaking fragility. Adolescent boys with diabetes skip meals in defiance of authority and don’t come for medication even though the insulin has added an additional five kilograms of weight to strengthen their sparse frames and increased their energy. Some people ask for too much and some refuse to demand enough. All seek enough uncontaminated water, protection from the weather, adequate food, and freedom from fear. Individual diversity melds into the same spectrum of behavior.
Neither country has an organized national health care system that would treat every citizen with the same dignity and quality of care. The Minister of Health in Sierra Leone cares as little for the individual as the insurance company executive in the U.S. People are denied health care because they lack the fee of 5000 Leones (less than $2.10) or because they have no insurance. Complacency and Neglect in the U.S. and Europe ignore the annual death of 11 million children from diarrhea, malaria, and measles. The World Health Organization estimates that $7.5 billion would eliminate malaria which kills a child every 30 seconds. The U.S. expects to spend over ten times that amount for the Iraq war and the U.S. and Western Europe spend $17 billion each year on pet food. Malaria kills more people every 2.5 hours and TB every three hours than the total mortality due to SARS, yet inequities in income distribution and power allow the latter to receive the press coverage.
Functionally, the U.S. legal administration ignores our Constitution just as the magistrates in Sierra Leone demand bribes for favorable rulings. Insidiously contradictory government behavior leads the U.S. to lecture the world about the need to prohibit the proliferation of weapons of mass destruction while seeking Congressional authority to develop nuclear tipped “bunker buster” missiles and leads West African governments to post billboards warning of AIDS, measles, and hemorrhagic fever without offering them condoms, vaccines, or vector control and mechanisms to protect food from rat urine.
The major U.S. political parties fail to cooperate enough to legislate policy needed to assist the poor, while non-governmental organizations have inadequate oversight to guarantee the delivery of goods to people seeking refuge from mutilation. Cultures of greed deter cooperation, and economic systems assure self-perpetuation leading to irresponsible attempts at humanitarianism or “philanthropic pretense” as author Joseph Conrad labeled it. Wealth lies concentrated under the control of a few privileged people, while “conflict minerals” (valuable minerals that are mined and sold) buy guns and not public health, schools, or food for the vast majority.
The same color as the Los Angeles sun falling through the exhaust fumes into the Pacific, the West African sun sets round and orange through the dry-season dust and the smoke of the jungle burning to open land to plant cassava. Unable to see beyond tomorrow or their own village or city, people tend to focus on themselves, their children, their clans and discriminate against outsiders or any foreign element. A perversion of reason provides a pretext for despising, humiliating, and oppressing others. Even survival requires a conquest of human spirit.
Unable to conceptualize beyond the chiefdom or county, poor planning and lack of sustainability dooms good intentions to ultimate insignificance. Antinomian criminals drag a man to death chained behind a truck in Texas, while West African rebels amputate the limb of a child with a machete. Animists, Muslims, Christians, Jews, Buddhists and atheists all live within meters of each other yet can’t recognize the similarities of their beliefs.
The official language is English in both countries, yet many people know little or nothing of it and speak in numerous other languages. Refugees struggle to obtain 2100 kcal per day while obese westerners accustomed to consuming twice that amount strive for this goal. In the U.S., some children go without meals because poverty denies them and in Sierre Leone children go without meals because there is no food. Mothers cry or ululate over the death of their children.
Africa is not just an allegory, but a reality that metaphors can’t capture.
One thought ever at the fore –
That the Divine Ship, the World, breasting Time and Space,
All People of the globe together
Sail, sail the same voyage, are bound to the same destination.
— Walt Whitman(19th century American poet)
As another example, Hurricane Andrew was a very damaging and expensive extreme event. Although damage was of course caused by this hurricane, studies have since shown that a considerable amount of damage could have been avoided, had the construction companies simply adhered to southern Florida’s building codes. As another example, floods along the Mississippi in the summer of 1993 were very damaging to “protected” settlements in the floodplain. In retrospect, it became clear that decisions to allow for development in the natural floodplain bore as much responsibility for the damage as did the heavy rains and resulting high water in the river system.
Since the end of the Cold War in the early 1990s, the U.S. government has questioned scientific research’s relevance to addressing societal needs. Now, just about every scientific endeavor seeks to show such relevance, in part by claiming its value to society, at least in their opening paragraphs or colorful brochures. Yet, science budgets do not provide adequate funding to identify the societal aspects of these issues, even though many of the solutions to climate- and weather-related problems lie in the realm of social science research. A better forecast of the trajectory of Hurricane Andrew would likely have had little impact on the physical damage it caused; likewise for the floods in the Mississippi or the famines in Africa.
There have always have been competing, if not diametrically opposed, views about the “proper” relationship between nature and its exploitation by society. Even in everyday commerce, it is said that “you don’t get what you deserve, you get what you negotiate”. Similarly, the fate of the natural world depend on the outcome of negotiations that go on day in and day out to resolve conflicting views about whether, when or how a society ought to interact with its natural environment.
Most environmental problems in which humans become involved are of the creeping kind in the sense that they are incremental, low-grade, almost imperceptible changes, but are cumulative over time. Today, for example, soil erosion is not much worse than it was yesterday and tomorrow it will not likely be much worse than it is today. Yet, after some years have passed, those incremental but cumulative changes in soil conditions will have turned a manageable problem into a soil-erosion crisis.
It is clear that we need nature. It is the life support system for individuals as well as societies, for flora as well as fauna, for governments as well as corporations. The challenge to civilization is to identify pathways for societies to exploit nature in a way that does not render it useless or harmful to future generations. The truth is that several generations of humans are alive at any given time. For example, a 15-year old today is tomorrow’s policy maker. She or he can engage in discussions with people who are now 30 years old, or 45, or 60, or 75 or even 90! She or he can engage in decisions related to human-nature interactions that affect the future state of the natural environment. Now, at the outset of the 21st century, is the right time to hold an intergenerational discussion about the environment. Today’s leaders can ask the leaders of the future about the kind of world they want to inherit.
The thoughts that follow were written primarily in Moscow at the World Climate Change Conference (WCCC 2003) in early October 2003. It was there that supporters of the Kyoto Protocol — individuals, groups, governments — were hoping that Russia’s President Vladimir Putin would announce that he would sign the protocol, thereby putting it into force as an international document. All eyes were on this scientific conference. The organizers did as promised: they delivered Putin as the keynote speaker.
Alas, the pro-Kyoto attendees from a wide range of countries, including Russia, were greatly disappointed. More so, when they realized that the Russian organizers of the WCCC had planned a frontal attack on the science of climate change and, more specifically, on the protocol and Russia’s support for it.
That leaves the Russian Federation as the next largest major producer of greenhouse gases (at the levels emitted in 1990, the protocol’s base year) to sign or not to sign the Protocol. If Putin signs the protocol, it will go into force. If he decides not to sign, the protocol goes into the dustbin of history. What is the government of Putin to do?
In February of 1999 I was trekking with a college buddy and a guide in the Gunung Leuser National Park in Sumatra. We were about 3 hours into our 3 day jungle adventure when I heard the unmistakable sound of chainsaws buzzing in the distance. The buzz saws made my ears perk up more than usual on that day because no doubt this was illegal logging or sometimes called timber poaching, in one of the last unmolested areas of Sumatra. The park is on the flanks of the over 3,000 meter peak Gunung Leuser and contains some of the richest biodiversity in the world including Sumatran tigers, rhinos, elephants, orangutans, hornbills, and countless other bird and insect species. That afternoon, as we were setting up camp on the Bohorok River, a burst of rain fell right on time as it usually does in the tropics. Having just finished my degree in physical geography my eyes were fresh out of 4 years of training to observe my environment. What I saw after that brief shower was a Bohorok river that had turned into the color of chocolate milk and nearly left its banks before it ebbed and settled back to its normal state. Was I witnessing floodwaters exacerbated by deforestation or was it just heavier rain upstream that I was ignorant about? Given the news on November 3rd, 2003, almost five years after my visit to the region, I believe that it was due to deforestation upstream.
On October 30th, a stationary low pressure centered over North Sumatra province began its 5-day assault on the normally 1-3 meter deep Bohorok River and turned it into a monster not witnessed in modern times. On November 3rd, the combination of heavy rain falling onto the illegally deforested slopes of the Bohorok watershed caused a wall of water 4 meters high to come barreling down the narrow canyon containing mud, earth and perfectly sawed logs where first it met the Orangutan Rehabilitation Center, then the many guesthouses that line the footpath towards the park headquarters, and finally downstream to Bukit Lawang village and beyond. In its wake it left at least 180 dead and more than 400 buildings destroyed or 90% of the total village. This was an environmental crime of major proportions!
One of my fondest memories of Bukit Lawang was sitting on the guesthouse porch overhanging the aqua-blue Bohorok River, watching orangutans building their nests 60 meters high in the forest canopy. Most of the orangutans around the town and the rehabilitation center were once stolen as infants from these very forests by “bio pirates” (i.e., poachers) and then sold as pets (just another example of an environmental crime, primate kidnapping!). Once they lost their cute baby faces and became the 100+ kilo people of the forest (orangutan means “forest people” in Indonesian) that they are, their human captors dumped them at the proverbial curbside of society. The fortunate ones were the orangutans who made it back to their jungle home and were witness to the November 3rd unnatural disaster. I wonder what those original people of the forest were thinking from the safety of their perches as these new people of the forest below became the victims of an environmental crime? The orangutans would be a destructive character witness against the defense. What would they like to say to a judge and jury? We will never know, but we can guess.
Turning 30 seemed to affect lots of people. They hadn’t reached their millionaire status yet or launched a career that would make them either well heeled or well known. To me, 30 was a no-brainer. I can’t recall any trauma. In fact, I liked the 30s. For some reason it might have been my best decade.
This year, going from 59 to 60, is in fact a major jump for a host of reasons. At 59 you still believe that you are going to work forever. You have several projects that you are trying to complete, and you are starting new ones that will likely run for years. There is no proverbial light at the end of the tunnel. The day you turn 60, that light appears and from then on it gets closer and closer at a steady pace.
There are, however, some important points to keep in mind. Deserts, real deserts where rainfall is extremely low (technically, below 100 mm annual precipitation) and evaporation rates very high, are the result of natural processes. The ascending motion of the atmosphere at the equator must descend somewhere at the relatively higher latitudes, and that “somewhere” is a belt of arid lands that girdle the globe – from the Sahara to the Arabian Peninsula, across greater Central Asia and extending into the western part of China. Ascending motion of the atmosphere is a precondition for cloud formation and its consequent rainfall. Descending motion tends to kill cloud formation and therefore the possibility of reliable and substantial amounts of precipitation. There is also a considerable range of vegetation types that exist in the broader desert environment (hyperarid to arid to semiarid). It may not be the type of vegetation that societies like or prefer to see or can use directly or indirectly, but it shows that various types of vegetation have adapted to and can flourish in such a seemingly harsh drylands environment. Interestingly, throughout history civilizations and traditional cultures (i.e., nomadic, pastoral, and oases societies) have learned to live and flourish in such an environment.
Uzbekistan is a relatively poor land-locked country in the midst of Central Asia. It was part of the Soviet Union along with the other Central Asian states of Turkmenistan, Tajikistan, Kazakhstan, and Kyrgystan. Uzbekistan gained independence at the end of 1991 as a result of the breakup of the Soviet Union and the fall of communism. Since then, it has pursued an economic development strategy that has required a large infusion of American and other foreign economic developmental and humanitarian assistance.
Riding through the countryside in late spring, one can see the large expanses of treeless arid lands covered with wheat and cotton, two of the country’s major crops. At the same time, one can also see large barren landscapes crusted with white salts and a few plants (called halophytes) that can survive in such salty soils. Large livestock herds of sheep, goats, and cows can be seen munching on whatever vegetative cover there is. The rangelands are overgrazed to varying extents by the livestock, because there are too many animals for the amount of vegetation available as fodder.
The color green also represents ecology and a belief in and support for environmental sustainability. This meaning of green is the name of environmentally oriented political parties (e.g., the Green Party in Germany). A principal tenet of the environmental movement is to achieve sustainable human interactions with the natural environment. Basically, it can be represented by the “precautionary principle,” a principle based on restraint: take no action that might adversely affect the natural environment in the long term, the lack of scientific information notwithstanding. This is a difficult principle to put into practice, however, as there are groups in society that tend to seek gains in the short term, when adverse impacts may seem to be only slight. Over time, though, the impacts on the environment mount and produce environmental crises in the long term. What seemed sustainable from a short-term perspective proved after some time to have become unsustainable.
To many Americans the phrase “the buck stops here” is associated with Harry Truman, America’s 33rd president. As a no-nonsense president, he took responsibility for the things that went wrong during his administration. The logic behind his statement was as follows: he had appointed his high level administrators, cabinet secretaries, and if their agencies, for whatever reason, caused politically embarrassing problems, Truman felt that the ultimate responsibility for those problems rested with him as the head of government and commander in chief. He displayed this sentiment in a sign on his desk in the Oval Office since the mid 1940s.