Modest Expectations – Vile Bodies

If you are writing a sermon, it is good to have a text, in this case from The Gospel of The Boston Globe.

At a time when climate change and those who fight it demand that coal be treated like tobacco, as a danger everywhere it is burned, Australia is increasingly seen as the guy at the end of the bar selling cheap cigarettes and promising to bring more tomorrow.

Along with koalas, kangaroos, and beaches, the country — the world’s third-largest exporter of fossil fuels — is becoming known for refusing to clean up its act.

With just days to go before a major UN climate conference in Scotland, Australia is one of the last holdouts among developed nations in committing to net-zero emissions by 2050, and it has refused to strengthen its 2030 target or make plans for transitioning away from its deep commitment.

Coal-o-phile Dundee

The country’s prime minister, Scott Morrison, only recently agreed to attend the climate summit after criticism from Queen Elizabeth II and a crowdfunded billboard in Times Square that mocked his reluctance to address climate change, calling him “Coal-o-phile Dundee.”

Australia’s inertia points to a pressing challenge for the world: how to get places that profit from a dangerous product to transition before it becomes too late. With the threat of even more damaging storms and fires looming if temperatures keep rising, a combine-and-conquer approach is required — fossil fuel users and producers both need to kick the habit.

The kings of carbon are not in a rush. A UN report recently released found that coal, oil, and gas production will keep growing at least until 2040, reaching levels more than double what is needed to prevent a catastrophic rise in global temperatures.

Australia is a major contributor to the problem. In energy terms, the continent is essentially a bigger version of West Virginia: Coal is still king, natural gas is celebrated, and the conservative government has a lot in common with Senator Joe Manchin, a West Virginia Democrat, who has blocked President Biden’s sweeping plan to shift the country toward renewable energy.

In May, the International Energy Agency released a detailed overview of what it would take to cut carbon dioxide emissions to net-zero by 2050 and keep the average global temperature from increasing by 1.5 degrees Celsius over preindustrial levels — the threshold beyond which the Earth faces irreversible damage.

Near the top of the list: end investment in new sources of fossil fuels.

Australia’s response? Yeah, nah.

The federal government still revels in Australia’s role as the world’s largest coal exporter. A report from the Department of Industry, Science, Energy and Resources last month used a medal icon in denoting the country’s status as the world’s coal leader, expected to ship out 439 million tons this year, up from 400 million tons last year.

In the last month alone, three new coal mining projects have been approved. In New South Wales, a production hub for the thermal coal burned in power plants — some of the biggest contributors to global emissions — proposals for 20 new coal mines are under review. And that does not include a giant project in the state of Queensland, where the Indian industrial giant Adani is trying to build the largest coal mine in the world.

Nor does it include Australia’s expansion of natural gas. The government plans to open at least five new gas fields, including the giant Beetaloo Basin project in the Northern Territory, which has been granted subsidies of around $170 million. The tax breaks given to the fossil fuel industry last year alone were worth more than what Australia spends on its army — and the federal resources minister, Keith Pitt, said this month that the government should spend even more to protect coal and gas.

Critics argue that it is all the product of a warped political and media culture that has spent decades doing the industry’s bidding while deceiving the public, exaggerating coal employment, and understating the need to reverse course. Federal elections are often won or lost in the coal areas of Queensland, and with another contest due next year, the coalition government’s junior partner, the National Party, which represents regional areas, is playing a familiar hand.

“For at least 10 years, they’ve been telling people that climate change is rubbish, that it doesn’t exist, that we can continue digging up and burning coal forever and a day,” said Zali Steggall, an independent member of Parliament who unseated a former prime minister, Tony Abbott, in 2019 with a campaign focused on climate. “They have a difficult job now in turning around to those communities and saying we were wrong or misleading you and we need to do this.”

Until the devastating bush fires of two years ago, Australians might not have blinked at their government’s continued support for fossil fuels. The country is responsible for less than 2% of the world’s carbon dioxide emissions.

But the Australian public has become increasingly concerned. Polls show that a strong majority of Australians want climate action even if the costs are significant and want the government to stop approving new coal mines.

There is some momentum at the local level. Several states, including New South Wales, have committed to net-zero by 2050 and more immediate emission reductions that go beyond the 26%-28% cut that Australia promised with the Paris climate agreement.

Thanks also to changes in farming practices and solar panels on people’s homes, Australia’s emissions are now projected to fall by around 34% by the end of this decade compared to 2005 levels. But that decline is still weak by international standards, with the United States promising cuts of 50%-52% by 2030, Britain agreeing to a 78% decline by 2035, and Japan pledging a reduction of 46% by 2030.

I remember the first weeks of Whitlam’s reign. I also remember the treachery and traducery of McMahon’s last year where the Government refused to confront the obvious reforms needed. And with the decay, the government leaked continually rather than made a splash, with McMahon himself the master of the watering can.

When Whitlam won the 1972 election, there was no leisurely transfer of power. He brushed the inept McMahon aside and, with Lance Barnard, with the blessing of the then Governor General Paul Hasluck, set up a temporary duumvirate.

This enabled Whitlam to immediately abolish conscription, end Australian military participation in South Vietnam and release Vietnam draft resisters from prison. He recognised Communist China and warned the United States against renewed bombing in North Vietnam.

Whitlam had a degree of courage, which I have found in only one other major politician in my experience.

I only hope that when the next Government comes to power, the person who becomes the Prime Minister acknowledges the matters relating to climate, as so clearly set out above, and sets about a clear remedy.

It should be possible through those who have paid the Porter legal bills to identify the biggest polluters in this country, not only in terms of climate change but also of the social fabric of the nation …

… and stop this disgraceful persecution of people, who are universally of colour as the modern version of non-white is now called, by releasing them from the various concentration camps, if you want to be brutally frank, imprisoning these persecuted refugees who have come by sea.

And finally, let us judge those who would loot the Treasury, and release their names. Strip away the black tape of redaction and coverup.

The overriding lesson for Australia at this very difficult time for the future of not only ourselves but also the planet – those determining the nation’s policy are just not up to the challenge. Brown nosing is no substitute for policy.

An Eloquent Statement on leaving Kinross Wolaroi School, Orange

… I believe that each and every one of us in the graduating class of 2020 has something special to offer to our friends, our family and to our community so long as we persevere. After 13 years of schooling, we will finally enter into the wider world and go our separate ways. They say that smooth seas do not make skilful sailors. This year has been anything but smooth sailing and I know that wherever we end up, we will all be well equipped to face and overcome the challenges that life throws at us. I hope that you find happiness wherever you may go in life and I wish you all the best for the future. – Edward Taylor Year 12.

In explanation, I was looking for something else and came across the magazine of this hybrid Presbyterian/Methodist co-educational boarding school located in Orange New South Wales. I don’t know whether I had ever heard of the school, but casually reading it, I came upon the valedictory address given by this young man. I wished I had been able to articulate my future at his age as well he did at the end of a difficult year. He will need all that resilience while the present clowns of climate change control his generation’s destiny and will be headstones by the time this young man will fulfill his own expectations.

George Repin

George died a week ago at 3.30pm. He was 93, and thus he had a life well lived. He was a Russian émigré from Shanghai, whose family started Repin’s coffee inns in Sydney in 1930. These were very successful, and the name Repin became a household name for a place to have a cup of tea as well as coffee. During the Depression, hard-up businessmen used the coffee shops to run their ailing businesses. American servicemen during WWII, unused to tea, found access to coffee through Repin’s – a boon. Repin’s in the fifties were the places the Push literati frequented in the afternoon to discuss how many angels were on certain pinheads.

George Repin’s father died suddenly in 1949 and George, recently graduated doctor, was midway through his residency at the Royal Prince Alfred Hospital. He abandoned his medical career for the moment and took control of the family business.

Despite being a household name in Sydney, the name Repin meant nothing to me because I was born in Melbourne, and there was a large social gulf between the two cities. I cannot remember any Sydneysider who holidayed in Melbourne. We had family in Sydney, but although we were frequent visitors, my father loving Manly and my mother having a close friend who lived in Point Piper, I can never remember Repin being mentioned. It would have been easier if I had known this when I moved to Sydney in 1979.

After the family coffee business closed in 1966, George joined the AMA and after a period became Secretary General, just in time for the negotiations to commence on the shape of the health care system following the report of the Nimmo Inquiry in 1969. The Ludecke Inquiry was where George became blooded in dealing with the Federal Government. Then the Whitlam government came to power in 1972, with its stated intent of introducing a universal health scheme.

George was an avowed opponent of governmental control of medical practice. He was also very skilled in preserving the interests of doctors, including medical incomes, while ensuring that he never confused the Federal government’s constitutional power to provide a range of health patient benefits – but not doctor’s fees. The word  “fee for medical benefit” was the mantra one used when discussing medical benefits and beware the glittering eye if you strayed into saying that the Commonwealth government had the power to set doctors’ fees.

It was not riveting stuff, but the meticulous way that George controlled such syntax meant the AMA countered the Commonwealth Health Department from implying it determined doctors’ fees. Yet I believe it was a deliberate ploy to imply, falsely, that if doctors did not charge a fee equivalent to the patient benefit, they were flouting the law.

Doctors could charge what they considered to be fair and reasonable. Incomes and prices were the responsibility of the States and I was closely associated with the referendum that Whitlam initiated late in 1973 where the intent of a “yes” vote was to transfer these State powers over incomes and prices to the Commonwealth. The referendum was soundly defeated, but it meant I was well acquainted with this division in Commonwealth powers.

The disciplined Repin approach meant that, for a long period until the destructive Shepherd influence, the power of the AMA over medical incomes was due to this one man, paradoxically through the way he handled the periodic government-initiated reviews of the patient fees for medical benefits.

As such he had a major stabilising influence on the profession at a time when there was a diffusion of medical specialties into subspecialist groups. Much of this could be attributed to the adherence to the relativities which had been built into the medical benefits system but owed somewhat to the way the various existing specialties in 1970 valued themselves. This resulted in distortions of the actual value, but it was the genius of Repin that maintained acceptance of relativities – in one word some of the profession were more knowledgeable and skilled than others in the initial phase. This self-valuation created distortions.  Yet George always maintained that a doctor could do anything, given circumstances, and somehow he was able to assure the relativities in the fees for medical benefit – no mean feat.

His resilience was tested by a severe bout of Guillain-Barre syndrome, but in true Repin style he overcame this disease, which almost paralysed him for a time, and went back to full-time work..

For most of the time during the Repin stewardship, government accepted the AMA as the sole legitimate representative of the profession. George had to juggle  differences, such as between the NSW Branch, which was essentially an employer’s organisation, and the Victorian branch with very much an industrial approach negotiating terms and conditions with the Victorian State in a number of landmark cases.

For five years from 1979 I was his Deputy at the Australian Medical Association. We were two very different individuals; he did not support my appointment, but just after I commenced, George went overseas and on return he seemed satisfied with the way I handled the preparation of the AMA submission to government, where I had the opportunity to work with one of the most highly respected and able Sydney lawyers of the time, Bob Stephens.

This gave me an early insight into how organised and meticulous George Repin was. Despite his distaste for government control, his strength in negotiation and ability to coalesce the profession around the importance of medical benefits (whether Medibank or Medicare) paradoxically ensured that his legacy was woven into both schemes. In turn, this has assured the ongoing system Australia has today, despite it having become somewhat tattered over the past decades.

Not long after I started, in early 1980, he agreed that I should take the lead secretariat role in the preparation of the AMA submission to the Jamison Inquiry (the Commission of Inquiry into the Efficiency and Administration of Hospitals). This enabled me to travel around the AMA branches and receive an early valuable lesson on how organised medicine worked around Australia. The AMA agreed to the appointment of Robert Wilson, an excellent economist and cost accountant, to assist me.

The submission was highly regarded by the bulk of the AMA grandees and more importantly for myself was that I achieved an independence within the organisation, which forged the basis of our ongoing relationship.

My relationship with George was totally professional. I do not remember having any social interaction with him. I was never invited to his home; I never even had a social drink in his office or elsewhere. He only told me one thing about his boyhood. It has stuck with me. On one occasion when at Scot’s College, after being bullied, he hid behind a fence and threw rocks at his tormentors. I bet he was accurate, but I didn’t quiz him.

Always combative though our relationship was, he imposed a way of handling circumstances which proved very valuable. I wish I had had him as a tutor as a young man as he would have imposed an intellectual discipline, foreign to my instincts but I suspect very Russian. Our politics were so far apart, but only rarely did they disturb our relationship, and as someone commented if we happened to be on the one side, which occasionally happened, nobody could stop us.

At the outset I said I would work there for at least five years, as the superannuation arrangements were second best only to Qantas then. In five years and one month after beginning the job, I left to set up a consultancy business. I remember George firmly shaking my hand as his last gesture. George was to work for another three years before relinquishing the post. Having negotiated the move, understandably he himself did not want to move to Canberra.

The one thing I did wonder about was why, after 1984, the periodic reviews between the Government and the AMA were abandoned with his say-so; that was George’s source of power and authority. It may be that, after supporting their abandonment, he missed them. Maybe he just got tired of Bruce Shepherd.

As for me, I had experienced one of the most productive five year periods of my life; George taught me a lot; yet I never asked his advice.  After I left the AMA I never talked more than a dozen words to him.

It was a pity because reading his regular column in the “Pittwater News” only after his death, I realised what an underlying affinity I had for George. As with everything he did, he did not waste a word.

When I heard he was terminally ill, I sent a short message thanking him. I hope he read it. I meant what I wrote.

Monterey

The challenge came. What about canneries? You’ve spent enough time in northern Victoria to know all about them. Mentioning canneries reminded me of what has been one of my favourite places to visit in the world. Previously, in one of my earlier blogs, I had mentioned the junction of the Darling and Murray Rivers as my favourite place in Australia.

After my blog, last week, on tanneries and stannaries, she had said “What about canneries and for that matter granaries!” Monterey, an easy choice!

Lying south of San Francisco, Monterey was written about by John Steinbeck. The canneries that line the waterfront are now stylish reminders of an era long gone when the run of sardines was such down the Pacific coast that catching and canning sardines became the sustenance living of many, especially during the Depression. But like so many profitable fishing industries, it died when the fish were no more – overfished in an era where the notion of conservation did not exist.

Cannery Row

We amble down Cannery Row, made famous by Steinbeck. It retains some of the old atmosphere, if not the smells of what it was. Monterey has its own “rialto”, structures bridging the road now announcing that this is Monterey Canning Row, but yet prosaically this “rialto” was only a place for offices rather than being vibrant walkways above the street.

This was one of Steinbeck’s haunts and he was very friendly with Ed Ricketts, the pioneering marine biologist whose work, particularly on tidal flows, established his reputation. Ricketts was not unlike Steinbeck in appearance, politics and living a full life, whatever that means. He was killed on the edge of Cannery Row in 1948 when hit by a train. He was only 50.

The cannery façade thus still exists, punctuated by hotels and stores selling memorabilia, but what is the most memorable at the end of the Row is the three-storied Hewlett Packard Aquarium, with the three-storied kelp forest as the first sight of this structure.

The one area where the child in me emerged was the interactive pond where one could handle the various sea creatures, the starfish and the gooey sea anemones. I don’t remember any sea urchins, but given their spikes and the care taken to ensure kids like me still had a hand after removing my arm from the water, there probably weren’t any; yet it was a tactile experience so important in tuning the senses.

Sea otters

Staying at the Monterey Plaza Hotel enabled us to see the sea otters, frolicking in the sea in the lee of the hotel, with its deck acting as a viewing platform. The sea otter’s fur, unlike that of the seals is not waterproof. Therefore, the otters have to eat a large amount of fish and shellfish daily. One’s sleep can be disturbed by the sound of those animals cracking open the shellfish as they float on their backs in the sea. One of the reasons for them becoming an endangered series was that their voracious appetites provided competition for the fishermen – and the otter pelts could also command a good price.

Like many of the places I have visited, I suspect Monterey has become one of those tourist destinations, and therefore I probably will never go back, if only to retain memories of a less tourist-infested age.

The Age of Confusion

The advent of vaccination has shown a course of action where there have been both positive and negative aspects, but moreover it has provided a window on what works and what does not.

One of the prime movers in vaccination, when the national levels of vaccination had started lagging in the mid 1990s, was Michael Wooldridge when he became the Federal Minister of Health in 1996. One of the most vocal advocates of the campaign was the late Gay Davidson, whose daughter, Kiri, had died of a complication of measles. Gay was both an influential Canberra journalist and a mother who had first hand experience of the horrific decline of her daughter from a beautiful vibrant child to a helpless vegetative state because of this rare late complication of measles.

The message was clear. Vaccinate! Now another campaign.  What has been encouraging, after a very hesitant start, is how vaccination against COVID-19 has progressed. The problem is that the early ambivalence, aided by the social media, allowed all the misinformation to gather momentum.  Fortunately, the momentum for universal vaccination that may have been slower at the outset has at last been far greater recently. The rare complications from the vaccine administration, which fuelled the initial hesitancy seem now to have been mostly cast aside as witness the successful introduction of vaccination in school children above the age of 11.

The other complication of the early hesitancy was the failure of the Commonwealth government to effectively lead the response, because it had not ordered enough of the mRNA vaccines , banking on both the Queensland version and the licensed AZ vaccine to do the job. The Queensland vaccine was a flop, and those academics who promoted it so vigorously should have been more roundly condemned than they were for their flagrant self-publicity. As for the AZ vaccine, once the production line was sorted it has been effective, if less popular than Pfizer and now Moderna.

What has been done in NSW and Victoria emphasises the desire of people to get out of prison – to be paroled – except each Premier has a huge number on parole, including a substantial number who should continue to be locked up because of their flagrant disregard of the rules. Separating this unvaccinated group for re-incarceration would be a challenge, and currently the appetite for any such action is not strong.

It is time to change reporting the number vaccinated to a more correct number by incorporating the 12 years plus age group. Presumably this is not being done because of the lesser level of vaccination of this age group. This number has been increasing rapidly and will soon not be different from the adult population.

This will be further complicated by the extension of vaccination to children aged five to 11. The White House announced (and since confirmed by the FDA) that they will soon be able to get a COVID-19 shot from paediatricians, the local pharmacy and potentially even from their schools. The detailed plans for the expected authorisation of the Pfizer shot for these younger children are expected shortly, after lengthy studies to test vaccine safety. The recommended dose will be about one-third of the adult dose. It will be interesting to see whether the TGA delays approval in Australia until just before the school year starts next year.

United States regulators have also signed off on extending COVID-19 boosters to Americans who received the Moderna or Johnson & Johnson vaccines and anyone eligible for an extra dose can now receive a brand different from the one they received initially.

From our point of view, there is a need to assure the same level of vaccination in every State (and that includes Western Australia); and the challenge of assuring the first double dose vaccination, monitoring the teenage vaccination, introduction into children and assuring an ordered booster regime needs to be answered – as does the need to factor in additional variants, such as the emerging new Delta AY.4.2 variant identified in the UK and USA. It would be useful to obtain details of the vaccination program – the assumption being we have enough vaccines and identification of recipients nationally is assured, and I mean assured, not waved away into some contract deal among mates.

May I suggest somebody think of Jeroen Weimar for the task, even if he doesn’t bob up in a general’s uniform (but look out for the coffee cups).

Congratulations, Minister Hunt, you seem to be adopting aphorisms from The Prince, in particular when the news is good: release it unto the multitude in small amounts deliberately and progressively. Apparently this ploy helps maintain the applause.

Mouse Whisper

I was talking the other day to my one of bandicoot cousins, Bullum, and the topic turned to this Virus, the one we are hopping to avoid.  I thought it was a good test of the efficacy for each of the Commonwealth funded Aboriginal Medical Services (AMS) to see how well they vaccinated their particular mob. Bandicoot Bullum said he was a bit nonplussed by those who seemed to speak for the various AMS complaining about the Government not vaccinating their mob.

He thought that it would be one of the key jobs for each AMS to get to as close to 100 per cent vaccination as possible, and only complain if they were not supplied with enough vaccine. He thought there was no shortage of supply; yet doses have been reported as going to waste. But maybe the bush telegraph would tell him something else.

He seemed to have a good point. This is now a time when the strength of the AMS can be tested, rather just being at the mercy of our brother rhetorical advocates.

Modest Expectations – West of Liverpool

I have just watched Dr Paul Kelly, Australia’s Chief Medical Officer, again on television this week. As we stagger out of this two year spotlight on this bloody virus, Australia will eventually realise how much it owes to this guy, whose calmness among the brouhaha of scientific advice has always known where the horizon is. I hope he can pass on this undoubted skill in his stewardship of public health. 

Nowhere to Hide in Unalloyed Comfort

Tannery

I was reading a text about pollution of a river in Brazil, the Rio Tiete, which runs through São Paulo, and is very polluted in places. One of the words even my young language teacher was unfamiliar with was “curtumes” – the word for tanneries.

I thought how familiar would the average young punter be with the word tannery. There would be some who might believe a tannery is where you go to lie on a tanning bed and stimulate the growth of your malignant melanomas.

How many young people would know what a tannery is?

Tanning animal hides was undertaken as far back as Neanderthal man, and  involves turning animal hides, particularly deer, into leather. Neanderthal man learnt to soften the hides by recognising the efficacy of animal fat, particularly bear, as well as bone marrow and brain. Thus, tanning has always been a messy business. Surplus skin was boiled together with other animal parts into glue.  A totally unpleasant process perpetuated for eons.

However, in the city of my youth, if there was a distinctive unpleasant smell, generally there would be an abattoir around. Tanning hides also involves the use of arsenic, formaldehyde and other pollutants that used to be dumped in a nearby river.

The importance of leather was never more emphasised to me than in the following anecdote. I  remember some years ago a vegan said the only animal product for which he, the vegan, had not found an adequate substitute was shoe leather. However, today it seems mushroom mycelia, banana and pineapple leaves, paper and cork are apparently now favoured as plasticised replacements. The petrochemical industry seems to have pushed the tannery aside.

As a result of all the pressures, there are few tanneries left in this country and the export market for hides has fallen away over the past decade. China, as it does with most polluting industries, leads in tanning, but the biggest exporter of leather is Italy.  It was the link through the leather trade (China to Italy) that facilitated COVID-19’s invasion of Europe via Chinese leather workers who had been brought in to work on the production of shoes and other leather accessories in Northern Italy – and the rest is history.

The tannery is a declining industry; but the stannary represents an even more distant industry. My ancestors came from one of three stannary towns in Devon – Ashburton. This place name is my great-grandparent’s headstone. Tin was first mined in Mesopotamia and there is much speculation as to the origin of tin mining.  The history books assure us the Ascent of Humankind passed from stone to bronze age, which means that tin was a very early metal discovered and used, alloyed with copper to form bronze.

An extensive examination of tin mining in Cornwall and Devon, published in 1908, summed up the plight of the stannary: The smelters are still at the present day the purchasers of the ore of the stannaries, and the antiquated and in some respects apparently unjust business relations between smelter and tinner are responsible for a share of the depression which has rested for a number of years on the tin mines of Cornwall.

The stannary, even in primitive form, was where tin was smelted and thus had played an important part of our early ancestors’ existence. Here, for many centuries, Devon and Cornwall were extremely important revenue producing vehicles, and it is not by chance that the Prince of Wales holds the purse strings of the Duchy of Cornwall. The towns, both in Devon and Cornwall, where the most important centres of tin mining were located; they were called Stannary Towns, a quaint appellation that still exists today. We are reminded of them by the increasing number of minor celebrities who ramble around Britain in TV docos – the remains of tin mining in these two counties always scores a mention.

The Duchy Palace which housed Cornwall’s Stannary Parliament

As for stannary, well it apparently comes from a Cornish word “steyn”, corrupted from the Latin word “stannum”. It should be noted that although we have one of the largest underground tin mines in the world on the West Coast of Tasmania, there are no stannaries, or re-named as tin smelters, in Australia. Our stannic concentrates have to be shipped to Indonesia, Malaysia – and, wait for it, China – to be refined. China has the largest tin deposits in the world, in an industry which, a decade or so ago, was nearly destroyed by the formation of an unsustainable cartel.

So, what’s in a name – tannery or stannary? Progress?

The Premier Pirouette

Pirouettes may be executed singly or as multiple rotations; the latter is commonly performed in the adagio part of a grand pas de deux.

There are many variations of pirouettes.

Watching the flourish of the new NSW Premier with the curious name is to watch an anarchist without the black flag. Unlike that anarchic atavar Tolstoy, he may not yet believe that following the teachings of Jesus and practising non-violence would lead to the collapse of the state and the capitalist economy, but perhaps he would subscribe to the first part.

Now an anarchic mind at work.  I applaud his decision to abandon hotel quarantine.

Hotel quarantine was a stratagem to tide the hotel industry over during the pandemic, but it has lasted longer than expected and the longer the hotel quarantine has been used, the more its frailty has emerged. Only the decision to limit to a dribble the number of people coming to Australia has masked the inadequacy of hotel quarantine.

I applaud his decision to abandon sign language at media conferences. This American import is a means of communication for less than 20,000. For many viewers, it is irritating pantomime, and there is the particularly objectionable sight at Queensland Government press conference where this hulking figure overpowers the conference with his flamboyant gesturing. Just read the subtitles.

I believe that the NSW Premier’s decision to open the borders is consistent with this anarchic progress; but we shall see. The border closure has been peppered with such phrases as “fortress” and “freedom” and “hermit” and the jargon of follow-the-leader journalism”, all words within the anarchist’s lexicon.

As one anarchist has written, freedom is a slippery character. Individual freedoms are tempered by exercising the freedom of one’s will over that of others. Here anarchy of individual freedom runs up against the authoritarian view of imposing their definition of freedom on others. Here the Pirouette, while mouthing the desire to ensure that no one can use institutional structures to deny individual freedoms, exercises absolute authority.

Pirouette or Whirling Dervish

He has pirouetted away from the public health physicians as his soothsayers. He perceives their academic, often contradictory discourse  is increasingly bamboozling the healthy illiterate. The Chief Health Officer now may read the daily COVID figures as though she were reading the Landline weather report, without any media one day and then let loose with her own media conference on another day.

It was interesting to see the Governor-elect of Queensland, in response to the NSW announcement of opening of international borders, shrilly shroud-waving for perhaps the last time. Everybody in Queensland will get the Virus was her dire prediction. For the Queensland Premier, everybody will get vaccinated; something the departing Chief Health Officer has left in her “To Do” basket.

The danger in all this pirouetting is that the importance of public health maybe downgraded. Fortunately, if the media loses interest in providing all and sundry with a microphone, Australia will settle down.

The importance of therapeutic agents has meant that Australia is creating a backup drug stockpile – the efficacy of their actions presumably titrated against the actual need (rather than that of the pharmaceutical companies needing to flog these cures), cost and ease of administration.

The therapeutic agents are no replacement for vaccination. The danger of this approach is exemplified by a well-to-do architect, unvaccinated as is the Texan way, who contracted a severe form of the Virus and was treated by a cocktail of these drugs and survived. He had been very sick and was now, at the time of interview, recovered and considering whether he should be vaccinated. Still ambivalent, despite the severity of his disease.

The problem, as pointed out to him, was that these drugs may assist your recovery from one infection, but they do not prevent you from succumbing to the Virus again. Even having recovered from COVID-19, vaccination is still the ideal choice since it provides a significant boost to antibody levels and hence a more consistent immunity.

Fortunately, we do not have any of our leaders beholden to Trump, and so vaccination hesitancy is not a component of our recovery. Nevertheless, the introduction of drugs which do work should assist in pushing aside the quackery as exemplified by advocacy of hydroxychloroquine, ivermectin and zinc.

The ongoing problem is the requirement for suitable quarantine facilities although this raises the whole question of the number of quarantine places needed, especially if home quarantine is found wanting. The facilities in Victoria and Queensland are being constructed. They will be built in order to reduce the claustrophobia of the current hotel quarantine. At the same time, access to open air should be much better than the artificiality and variability of  air conditioned environments.

These facilities provide a reserve power for each State where quarantine is still required. After all, the troubling yet not unexpected appearance of a variant on the Delta variant reinforces the need for such facilities now and into the future.

Five rapid antigen tests (two saliva and three nasal) have been approved by the TGA for use from 1 November (although with no information yet about how they may be used). Rapid antigen tests are already being used in a variety of settings, including aged care facilities, for film and TV production and at the Howard Springs quarantine facility when it was run by the Commonwealth government.  Responsible use of these testing kits (meaning you don’t hide positive tests) will assist in quarantine and the ability to travel in accord with the rules being imposed by the various State jurisdictions. That’s the theory anyway.

Such an approach works when there is a sense of responsibility and not the selfishness and ignorance, particularly rampant among that cohort of young men with a high level of these two qualities. Youth is bullet proof until death occurs, and then there is the spectacle of tears and flowers and roadside crosses – until the bulletproof vest of youth corrodes with age. Then it is government’s responsibility to pick up the pieces.

Until the sense of community responsibility evens out, then the community must have quarantine facilities to provide a place to curb this restlessness and self-indulgence. I wonder whether anybody in the youthful NSW government has thought this requirement through.

There are other problems, the first is how to deal with waning immunity. This is the next frontier. Fortunately, the question of the appropriate time for a booster after double dose vaccination, is being addressed and appears to have been agreed as six months.

In the long term, any time less than a year for a booster will become tiresome.  The whole inconvenience of being vaccinated in the first place may have been overcome for now. Regular vaccination should become part of assuring the public health of the community. The addition of boosters should continue the same mixture of incentives, including fear, which have shown to be successful in the current rate of vaccination in Australia, although maintaining the 80-90 per cent vaccination rate beyond this year will be a significant challenge – hence, the current discussion about retaining mandated vaccination.

Similarly, there is consideration of immunisation for children from five years to 12 years; what is the plan if the Pfizer application is approved by the FDA in America? Does the Therapeutic Goods Administration then provide approval without delay, followed by the blessing of ATAGI? In other words, there are strands of policy coursing through the veins of the Commonwealth Health Department, without any obvious connection to the various State’s programs on vaccination rates, as though that is the end point rather than an important interim stage.

The main problem with pirouetting, it does not necessarily mean progress, however extravagant, graceful and flamboyant.  And once the pirouetting stops then what is next for the unresolved challenges broached above.

It did not take long for the pirouette to resume. At the end of the week, I have been confounded and am now agog – the proposal for funding towards the manufacture of mRNA vaccines in NSW.  Just out of the Ether?

Building Links in Northern Ireland is better without Bunkers

Let them and me repose in obscurity and peace, and my tomb remain uninscribed, until other times, and other men, can do justice to my character; when my country takes her place among the nations of the earth, then, and not till then, let my epitaph be written. I have done. – Robert Emmet from the Dock 1803.

To me, it will always be Derry. I remember walking the ramparts of Derry, being watched by security cameras. It was one of those drizzly grey days – the ramparts are grey and the view over Derry is grey, except for the wall murals, the futurist slashes of colour, the stark black and white merging in the greyness of Bloody Sunday.  This is the tapestry of the Troubles. I was here well after the 1998 Good Friday Agreement had brought an uneasy truce to Northern Ireland.

Derry mural

Walking round, overlooking the Bogside, here was I, an Irish Nationalist sympathiser who had never had the courage of my convictions to ever voice them. Like myself, Robert Emmet was not a Roman Catholic but passionate about the Irish being a free nation, even with all its gross imperfections. At various stages, I have thought about obtaining Irish citizenship, because my grandfather was born in Ireland, which made me eligible. In the end, although I have sung the Irish national anthem many times, you can only owe allegiance to one country, and that – for better or for worse – is Australia.

My first encounter with The Troubles was in the eighties when I travelled across the border from Donegal into Fermanagh to the border town of Belleek, famous for its porcelain. Crossing the border I passed by these sentry boxes manned by British troops. I showed my passport and was asked what I was doing. “Tourist” can be difficult to sustain as an excuse, given that I was driving an uncommon route for tourists and, as I learnt later, this was a road used by the IRA to travel between the two countries.

Belleek porcelain is not to my taste. Wandering around the factory was interesting.  It was only later when I drove down the deserted road after leaving Belleek, with Lough Erne below, that I started to feel distinctly uneasy. Even though the clouds were low, the view was superb.  Despite the niggling anxiety, I stopped to take photos, and every time I did so, I had this feeling of being watched. Yet, looking around, there was nothing to see.

Even then, the roads in Northern Ireland were far better than on the other side of the border. It is strange that I noticed this, but I needed to pass through Enniskillen. I remembered I filled up the petrol tank here. As I recall, it was the time between the first and second Enniskillen bomb attacks. On each occasion many were killed, both soldiers and civilians. Needless to say, I did not take in the sights of Enniskillen.

I suppose looking back, I was glad to find refuge over the border back in the Republic in Co Cavan, where I stopped to buy Cavan crystal glasses and a crystal bear. I had traversed Co Fermanagh and nothing had happened, but then most of the time nothing does happen. Nevertheless, there is always the apprehension that something may happen, even when you are sympathetic, as I have been, even siding with the Republican cause. Yet irrespective of my sympathies if it had been the IRA operatives who stopped me on the road, demanding to know my business – they would have, in all probability, enacted their version of Jedburgh justice – shoot me first, try me later.

But then there was a still small voice, which said, “pull yourself together, don’t be so dramatic, boyo, you’re not on the stage of the Abbey Theatre.”

Donald Trump’s Bizarre Obsession

In 2016, presidential candidate Trump challenged a critic, Mayor Sadiq Khan of London: “Let’s do an IQ test,” as if intelligence testing were a board game, or an arm wrestling match.

Lately, Trump has been tossing around his crazy epithet “low IQ,” as in “very low-IQ individual Robert De Niro” or “low-IQ Mika Brzezinski.” I wonder if anyone other than De Niro’s mother has ever fretted about her son’s being “mentally” challenged. He’s a great actor; does he need great board scores too?

Trump is not the first politician to ply these waters. In 1987, then-Presidential candidate Joe Biden lashed out at a questioner, saying, “I think I have a much higher I.Q. than you do.” Biden then proceeded to make Trumpian, i.e. false, claims about finishing in the top half of his law school class.

I suppose most people want to be thought of as intelligent, and we know Trump is manically insecure about almost everything. Anyone who has to boast that he is “really smart” and “a very stable genius” calls attention to his intellectual vulnerability.

Why? There’s no evidence that Trump is an idiot; indeed, quite the contrary. He’s obviously lazy, preferring the intellectual slurry of television to the written word. He may have suffered the expected mental erosion of a 72-year-old (Sic)*, but he’s not slow.

*Trump was born in 1946 and thus is 75.

This above extract from The Boston Globe was somewhat ruminative; it is as though one of the senior staff at The Boston Globe had a space to fill and wrote this piece, while at the same time reminding us of Biden’s mental frailty (a situation which has always troubled me).

The analysis of Trump reminds us of the fact that mental deterioration afflicts everybody to some degree, and whether IQ is a valid measurement or not when you age; it is still there to check some level of functioning. As such it may give some solace to Trump if he wanted to demonstrate his mental prowess.

Trump is such a narcissistic personality that I doubt that he would submit himself to an IQ test.  Even if he did and the test did not validate his boast, then he would say that those administering the test had falsified the results or stolen his brain or anything that came into the confabulating gap in his 75 year old cerebrum.

I did an online IQ test, finishing the 20 questions well within the allotted time. My score was 108.  So, I am just average Giacomo, but I do have visual perception in the top one per cent. That’s great because I can perceive the light at the end of the tunnel as that hooded chap with a sickle waving a lantern. The problem is that I am not smart enough to calculate the length of the tunnel.

Mouse Whisper

A Liverpool merchant called John Bellingham shot dead the UK Prime Minister, Spencer Perceval, in the halls of the Houses of Parliament on 11 May 1812.  Bellingham was summarily executed a week later at Newgate Prison.

As written, after Perceval’s death, the Parliament made generous provisions for his widow and children and approved the erection of a monument in Westminster Abbey.

Thereafter his ministry was soon forgotten, his policies reversed; there was no hand wringing by Parliamentarians and consequent acts of government to enhance security to further alienate their constituents by the erection of portcullises and attendance by armed guards. He was, after all, the Prime Minister when there was not a hungry security industry to feed and community fear to be cynically provoked.

As for us rodents, Mouseilini was the last of ours to be drowned in a vat of warfarin – or rather in a rat sack.

Modest Expectations – Calling the Cayman Islands

There are certain misuses of words, some of which make me shudder. I once wrote an essay abut the misuse of “disinterest”, frequently used wrongly to express “uninterest”, rather than used in its true meaning of being unbiassed. “Uninterest” admittedly is an ugly word.  “Disinterest” has bounced around in the English lexicon, at various stages indeed meaning lack of interest and, given the way the word is now being used, we are destined for another period of change in the meaning of disinterest back to a lack of interest. The transition of such a change in meaning may only generate uninterest if any disinterested observer can be bothered.

My word of the moment is “visitation”. I was reminded of the dubious use of the word by Dom, the new NSW Premier. From behind his glittering glasses, he announced that he would be making visitations. Now you and I are mere mortals and thus make visits. “Visitations” are somewhat different. I have never made a visitation. Why?

A visitation: The Embrace of Elizabeth and the Virgin Mary

“Visitation” was first defined in about 1300 (sic), “a visit by an ecclesiastical representative to examine the condition of a parish or abbey” It was derived from Anglo-French visitacioun, based on the Latin visitatio. The supernatural sense of “a sight, apparition, a coming of God to a mortal” arises the middle of the 14th century.

On second thoughts, given his proclivities, maybe it did mean “visitation”. The ghosts (or spirits) must conform to social distancing even though they’ve all been wearing masks for years.

Avoca Hotel

Now who would have thought it?

Avoca Hotel has been included in a pilot scheme on “opening up” Victoria for the fully vaccinated in the wake of the COVID-19 virus pandemic.

My association with the pub started when I was rung up by my cousin and informed that Uncle Frank had died. It was the summer of ‘72. Frank, one of my mother’s seven brothers, had died and the funeral service would be at Redbank in Central Victoria. Would I like to join him and go to the funeral?

Redbank Cemetery

The service and burial would be at Redbank, near Avoca near the graveyard. Avoca was the main township in the then Pyrenees Shire, which was the only local government area in Victoria to have a mountain range to itself. That was not quite true because this line of hills was only a spur of the Great Dividing Range.

Frank lived in Avoca and on his small property in the township he kept a flock of sheep.  Since he needed to feed them, he used the Long Paddock which, in this context, was all the roadside vegetation across the Shire and beyond. As a consequence it was affectionately known – through gritted teeth – as Egan’s Paddock. So, we went first to Avoca to pay our respects to his widow, who was too frail to attend the service.

After his funeral, everybody stood around, every now and again peering into the grave, as if they wanted to make sure there was nobody knocking to get out. My cousin’s black humour; not mine. Someone said that it was good to see how many people had turned up for Frank’s funeral, because there wouldn’t be a funeral for 60 miles around that Frank would not have attended.

I remember his youngest brother, Charlie, turned up, with braces over his collarless shirt, looking as if he had just come from shearing sheep on the family property. Charlie said he had problems with his eyes. I did not connect that with why he hadn’t donned normal funeral clobber.

The yarning would have gone on endlessly if the fire bell hadn’t sounded. There was smoke over the hill, and anyway we close relatives wanted to get down to the Avoca pub for a drink. I had never met Uncle Frank, but his son-in-law, known as “Webbie” still touched me for a tenner so he could buy a slab of beer.

When I reflect on that, we were drinking at the pub, so why the extra booze?

There was a great deal of merriment remembering the Frankish eccentricities. Uncle Gordon, who was the eldest brother, a great bloke and a WW1 digger, distinguished himself by drinking one too many and slipping off the bar stool. Fortunately he was caught by us before he hit the floor.

That was my memory of the Avoca pub – the wake for Frank; and of course I never saw my tenner again.

Since that time the area has become well-known for its wines. I remember the first vintages including the brilliant Warrenmang red, with the peppermint taste.

As for the Avoca pub, it has gone a bit upmarket since that summer day so long ago when we buried Frank Egan and drank to his memory.

The Two-Edged Chief Health Officer Role

Continuing on a theme that I have maintained, but undoubtedly one that is difficult to put in place now that two States have been exhausted by the lockdowns – namely selected segregation … quarantine is another word for segregation; imprisonment is another.

It is noteworthy that of all the States, Queensland is building a custom-made quarantine facility at Toowoomba. Queensland has survived by imposing a series of mini-lockdowns, yet neither NSW nor Victoria has dedicated quarantine facilities. Victoria is ostensibly building one, but it has not got much media attention. Of course, NSW has done nothing.

The problem is that politicians are consumed by the short term, and their advisers only reinforce the views of their political masters. Increasingly health policy should be concerned with the preventative aspects of the burden of disease but as I have mentioned many times before, health language is a barrier for most, as is fluency in any language the older one gets. This virus pandemic is not the only public health problem – if not pandemic – that the community will be confronted with in the future.

One of the keystones of inhibiting the spread of disease is to enhance social distancing, and somebody ought to tell the world if there is a better way than segregation. Segregation demands disciplined structuring; hence adequate funding and staffing.

Like many services, where prevention is geared to an anticipated emergency such as police, ambulance and fire brigade, there is potentially substantial downtime. When I reviewed ambulance services some years ago, there was substantial (and, at that time, unproductive) downtime.  As a side but important issue, it is the duty of those responsible for downtime from attending emergencies to assure useful engagement of staff.

However, when downtime is translated as being in an hour long queue to discharge a patient for admission to hospital, that is only as profitable as the use of ambulance officers working as supernumerary carers can be construed. Deficiencies in the hospital admission process being covered up by using the ambulance as a ward on wheels is not the most profitable use of the ambulance service.

Staff in new dedicated quarantine facilities will face the same problem of integration into a wider public health service. Once there were infectious diseases hospitals, but with the rise of economic rationalist vandalism in the eighties and nineties, infectious disease hospitals were one casualty, even despite there being a concurrent AIDS pandemic.   Now the need for dedicated facilities indicates the rebirth of a public health service where care becomes an integral part of the health care system, rather than being reflected as a Greek chorus of epidemiologists where the patient is a scrap of data.

Unfortunately in Australia, for everybody with the merest public health experience and even – or especially – those without any formal training, commentary has become a free-for-all. It is just another of the consequences of the news cycle. People have shifted their position, and as the public health bureaucracy has been sucked into advocacy and prophecy, then it is not surprising that politicians have become irritated.

There is resentment in political circles towards the power accorded to chief health officers – not all, but where the chief health officers have garnered too much attention, albeit becoming cult figures. Generally, they have stuck around for too long – in the spotlight. As a model for balancing the science and the spotlight, Dr Paul Kelly appears to have demonstrated an appropriate mixture, where he chooses his appearance adroitly and leaves the less important public utterances to others. He makes sure that he is conservative in the true sense – of having to be convinced that the course advocated is well-founded to make the change. He stays away from daily pontification.

The Americans consider public health to be a uniformed service; and it is not uncommon to see the US Surgeon-General kitted out thus.

If I were Premier, having made a statement interpreting health policy and the opening up of the State, and a journalist then asked me, as occurred the other day: “What does Dr Chant think…”, I know what I would do. Not immediately, but don’t look now Dr Chant.

Queensland has sent its Chief Health Officer to be Governor, where she can be important without being important. It should be recognised inter alia that a whole Queensland strawberry crop was trashed in 2018 at the cost of $160m, where Dr Young’s advice played a prominent role. As one commentator noted recently on this situation, where needles were found in in strawberries at three sites: “However, in a way, it’s actually kind of quaint to be reminded that a public health scare with three reported instances led to a major national response while the largest COVID outbreak and death toll in the country is followed with talk of how soon we can get the pubs back open.”

There is talk of the Chief Health Officer’s power being curtailed in Victoria, being downgraded; and as for Dr Chant, I would be sure that a promotion awaits her – or her being absorbed as a consultant somewhere.

If the senior positions are downgraded the problem I see is that public health may suffer. Politicians very quickly forget the lessons of the past because in this world the uncertainty of the word “pandemic” has yet to be incorporated into personal ambition and the uncontrollable search for post-political recognition. Another dangerous pandemic.

Nevertheless, whether the power of the senior health officials is downgraded or not, the need for dedicated quarantine facilities or some other effective means of segregating the ill or potentially ill should not be allowed to slip off the policy agenda into a limbo of uninterest.

A Randomised Controlled Trial of One

Voltaran Osteo-Gel is the alias for diclofenac diethylamine – to be rubbed on affected joints 12 hourly. It is one of those potions that bobs up on the television screen where there she is, one moment limping in pain, then next soothingly rubbing the gel on her knee and then nossa running the City to Surf or part thereof. No longer the grimace, now wreathed in smiles with the obligatory male handbag running alongside her, a trail of blue and saffron gossamer dust in her wake.

I have osteoarthritis badly, and also polymyalgia rheumatica – and as such I am a randomised controlled trial of one – it doesn’t work for me this way. For years I have been in pain, sometimes agonising, and I assure the punters topical gels don’t work for my big joints.

However, small joints, particularly finger joints are a different matter. I have found when I get arthritic pain in these small joints, application of Voltaran works. The reason I have written this piece now is that I developed acute pain in my right little finger the other day, the hand with which I use the mouse.  So, I started to apply the Voltaran and the finger has improved, at least the pain has lessened and the functionality has improved.

I found a review of the efficacy of these gels in the BMJ which in part concluded:

… after excluding industry-funded/sponsored trials, only diclofenac patch was statistically superior to placebo for pain relief and none of the topical NSAIDs was better than placebo for functional improvement. This suggests that the efficacy of topical NSAIDs may be inflated by industry involvement. However, the limited number of remaining non-industry-funded/sponsored trials (only 12 trials for pain relief and 11 trials for functional improvement) may be too small to detect the difference, as these trials were small (ranging from 31 to 179 participants, median size 100). Further non-industry-funded/sponsored trials for topical NSAIDs are still needed, as this is a group of drugs with greater contextual effect than their oral counterparts and it is more difficult to blind participants in trials and hence very easy to inflate their treatment benefits over placebo.

Concentrating on my little finger, what objective evidence have I got for this gel helping. It may be just a self-limiting acute arthritis, part of the joys of having a chronic autoimmune disease. I have not had any trauma, because although I struck my hand on the balustrade which caused an ugly bruise on the back of my hand, my adjacent finger is not bruised.

My other fingers are fine, although at the outset of my encounter with PMR, I did develop a swollen middle finger on the same hand, which improved with application of the gel.

I suppose it could be gout, but no family history, and none of the drugs that I am taking predisposes to gout – well, not in the fine print paper that comes in the drug package.

This conceals a far bigger problem –

Namely the privileged place pharmacists have in our society. Having been for a time closely associated with the pharmacists for part of my professional life, I consider they are a very much the curate’s egg.

Pharmacists are, in the main, shopkeepers. Yet as result of a concerted effort to strengthen an academic basis for pharmacy from just a cohort of those working in hospitals and who believed that pharmacy had moved from apothecary status, learning in a university environment replaced the apprentice structure of the profession.

My year of medicine was the last year where we were taught materia medica – the fancy name for compounding pills, potions, unguenta and tonics. I always remember “extract of male fern” as the quaint talisman for this ancient art of sorcery. The next year, materia medica was replaced by “pharmacology”. This change encapsulated the change in the teaching of pharmacy students towards a firm evidential basis.

Yet while this expanded the academic profile of pharmacy, the cornerstone of pharmacy remained the shopfront. Pharmacists have been a protected species; I remember when Ipana toothpaste was only sold by pharmacists. Yet in those days pharmacies still sold cigarettes.

The advent of modern pharmacology, heralded by the development of antibiotics – a major influence – changed the whole face of therapy. Not that certain plant-derived substances, like digitalis, did not work; many of the other medicaments in the pharmacy operated on their placebo effect. This still holds true in so much of the goods being peddled these days, often with outrageous and erroneous claims. The vitamin industry is one such area where the legitimate role of these substances has been subverted into some magical beneficence, to say nothing of serious profits. What I find particularly objectionable is the advertisements depicting whole families, their shopping carts laden with an array of placebo, gaily trotting off to a world of drug habituation and advertisements promoting “chewy vitamins” for children, as if pill popping – or gummy chewing – should be a normal part of growing up.

The pernicious influence extends to the growth of addictive drugs, as witness the use of OxyContin and other similar drugs, another disgrace shared across the whole of the health professions. I believe the excesses of some of the community pharmacies should be trimmed, especially among the warehouse chains where professional ethics can seem very threadbare. Any claims about these arrays of so-called natural remedies should be evidence-based and not some exercise of necromancy, dressed up as beautiful young women.

The Pharmacy Guild has lobbied hard and successfully for the maintenance of their position in the community. The periodic Pharmacy Agreements between the Federal Government and the Guild in relation to reimbursement under the Pharmaceutical Benefits Scheme (PBS) have always been generous.

At the same time, community pharmacies have continued to sell all these peripheral placebos, as well as cosmetics, toys, sweets – in fact almost anything that can vaguely be associated with perceived wellbeing. Inevitably this has led to the growth of the pharmacy warehouse; and I wonder why the advertisements peddled by some of these outlets have not been curtailed by the Therapeutic Goods Administration (TGA). But then organised pharmacy has strong buying power – particularly of political parties where the industry has been and remains a significant donor.

The community pharmacy, despite its lobbying power and probably over-privileged and over-subsidised place in the community, should not be underestimated as being perceived as the true community health centre for much of the community. The fact that there have been those in the Liberal Party who see them as outpost of the Party because of the innate business conservatism of many of the pharmacists should not be used to deny its important role in community health.

Another conservative force, the medical profession, is always paranoid when they perceive pharmacists creeping onto what the profession considers its territory. I always took a lead from my father who, even more than 60 years ago, had the pharmacy next door where he could pop in and get advice, where “out the back” he could discuss the appropriate course of action for patients with complex or difficult conditions. As my father and the pharmacist, Jim Beovich, demonstrated over many years, it was such a rich symbiotic relationship.

The community pharmacy’s involvement with the national vaccination program has been a success. Hence the apparent success of this public health intervention should be written up as evidence of what succeeds and what does not, so it can be incorporated into a policy framework which is not lost. So much corporate memory has been lost, as I can well attest, with the unnecessary need to re-invent the process because of the lack of corporate memory, a common and disastrous fault of modern bureaucracy.

Individual pharmacists are influential in their community. The community pays a price for the Pharmacy Guild’s easy access to that. What is important is to ensure that the methodology for setting prices being paid for prescription pharmaceuticals is transparent and not obfuscated so the community pays more than is reasonable.  Influence through lobbying for political gain is always an essential part of the curate’s egg’s yolk, no matter the standing of the profession, even at a time of beatification of the profession, which inevitably will occur with the success of the vaccination program. Just because the Gorgon, Big Pharma is standing behind you with an outrageous price schedule is no excuse for just passing it in without protest to us punters.

The musical instrument called “hydrodaktulopsychicharmonica”

I could not resist heading a piece with the longest name for any musical instrument currently being played somewhere in the world.

Playing the Hydrodaktulopsychicharmonica

I am no muso. I remember someone mentioned that I could have made a bass if I had not been totally tone deaf. I tried playing the recorder as we all did; and even moved to the clarinet. Mercifully, this was a very small affliction on Australian ears.

Knowledge of this headline word had come from my being apprised of the town of Castelfidardo in Le Marche, one of the lesser known regions of Italy south of Emilio-Romagna on the Adriatic Coast.  Castelfildardo is a town where piano accordions are made and have been made since the beginning of the 19th century, whether in mahogany or maple. They also have dabbled in the manufacture of “armonice” of which the above longest word for a musical instrument – the glass harmonica – is a subset.

Now this is apparently the only reliable place in the world to get this instrument repaired, and it takes three months. Added to this the creatori di fisarmoniche are a dying breed because it is an Italian trait to take your skill to your grave without telling anybody. It does have an effect!

Years ago, I can remember the accordion was a common instrument and, in my youth, Lou Toppano was both its virtuoso and its public face within Australia with his TV appearances. Piano accordions were associated with various ethnic groups. Toppano tried to project the sophisticated sleekness of the Latin amante.  But the invariable characteristic was the smile, the smile when you had this lump of wood and metal weighing between 5 and 14 kilograms on your chest – and you were expected to play it! The accordion fell out of favour with rock n roll; it is said that the bass electric guitar was the instrument that often replaced the accordion in the band.

Somebody who I hold dear admitted she played it when she was young but said that if I wanted to shame her, I would not further identify her. Such a reaction shows how the accordion player has become somewhat of a caricature.

Thus, I was intrigued by an article in the Boston Globe by a young professional accordionist. By and large optimistic in tone, she nevertheless commented on how difficult it was to maintain the accordion in working condition, but she had been lucky to find a repairer in New Jersey.

She indicated in her article how specialised was repair of accordions, which would probably be a disincentive for those who found their grandparents’ accordion as a dusty relic. It is one of the most difficult instruments to play.

But if you think that playing the instrument is difficult, don’t step on it or throw it against the wall or fall over and be pinned by it. Here is an annotated repair requirement, according to the author of the article, with that unsurprising name of Madonna.

A job for Castelfidardo …

First is the know-how; second is spare parts such as keys, reed valves (usually leather strips), and metal rods; and third is tools, though most of these can’t be found at your average hardware store. Tools like a set of bellows to test reeds without having to put the whole instrument back together again; a setup to melt wax at a low enough temperature to set reeds without burning them; maintenance and tuning tools that look like what a dentist might use to scrape plaque off someone’s teeth; even a tray that indexes bass buttons (so there is no confusion of removal order). 

So, there you are – a trip through the Accordion Keys; intriguing when you realise that there had been the demise of an instrument that you never really missed – except that when the strolling accordion player, with the risus sardonicus, is headed for your restaurant table, you knew it was time for a toilet break.

Blue on Blue

Giuliano Cecchinelli is busy these days, as is everyone at Buttura & Gherardi Granite Artisans in Barre, Vt., one of about 20 manufacturers of headstones and other memorials in and near this city of 9,000, which styles itself the “granite center of the world.” 

The pandemic’s staggering death toll, now approaching 700,000 nationwide, is only part of the reason for the rising demand. It’s also driven by baby boomers who are looking ahead, ordering monuments, and deciding how they and their families will be commemorated after death, Gherardi said

The Boston Globe often has these little vignettes. What is it with the Italians and cemeteries? When I read this, I remember the bluestone quarry which, like all bluestone quarries, is memorable for just that – the blueness, especially when the first of these quarries that I ever saw was in Vermont, a closed quarry, the stone left there in all its sombre yet striking solitude, water slowly filling it up.

When I decided that my late parents should have some recognition and a High Celtic Cross was beyond my means and a tad over-the-top anyway – apart from which, I found those traditional grey monumental slabs so cold and depressing – I decided that I would place a bluestone rock as the headstone.

After all, if Victoria ever decided to have a State rock, it would surely be bluestone. My school was a bluestone pile, but it was only one of many buildings built in the latter part of the 19th century.  Other buildings used it for the foundations and for the many cobbled streets, lanes and alleyways were laid out in bluestone. This rock allows for water drainage and prevents the growth of weeds.

So, we went out to one of Italian stone masons whose sites dot the outer northern suburbs of Melbourne. The headstone we chose was a lump of bluestone rock, neither sculpted nor moulded in any way. Just a simple recognition of this stone which forms much of olivine basalt rock which covers the ancient volcanic Victorian plains, one of the biggest in the World. The prevalence of bluestone gives Victoria that image of a conservative sobriety with architecture distinguished by its blue-black stone buildings.

From the beginning of Melbourne, bluestone quarries were opened throughout what is now Melbourne suburbia. Most of these had closed well before I was born. Out of curiosity I eventually went to see one remaining bluestone quarry near Tylden in Central Victoria, I was impressed by the majestic slabs of blue rock, I suppose because it was so much a part of my life for 12 years from first grade.  Recent pictures are disappointing because the quarry no longer has that air of a familiar majesty, but now resembles just any open cut mine.

Nevertheless, what’s in a name? Victorian bluestone is completely different geologically from that of Vermont or indeed that of Eastern USA, which is basically a residue of glaciers namely schist, but not the basalt from an ancient volcanic origin. My eye being attracted to the article of Giuliano Cecchinelli only goes to show what a little vignette can do.

I’m still learning; and that is the real vignette.

Mouse Whisper

O trava-linguas

Eu

Não Quero

O Queijo

No meu Queixo                  … Que, zero?

 

Modest Expectation – An Item for Long Review

Ideas for a scrapbook?

When this blog was commenced 133 weeks ago, it was a different world. I didn’t expect that I would create a rod for my back by labelling each blog with a numerical connection to the name of the blog without being repetitive. When I started the blog, it was just by way of a scrapbook of ideas, and I was lucky to have a number of guest writers. They provided some leavening given that writing on a weekly basis is a serious business. One person caught in the middle of a pandemic with an irregular shuttered existence has a challenge to report usefully when the country’s leadership has been so uneven and where the principle of uncertainty has played into disturbance of the collective mind where the enemy is never “a tangible there” but “an intangible everywhere”.

I remember reading Erving Goffman on “Asylum” and “Stigma” when I was a young man. These books elaborated the concept of total institutions and the relationship between the inmates and those in supervisory positions of the inmates.

Goffman’s “total institutions” concept can be traced back to the establishment of the Hôpital Général in Paris in 1656 by Louis XIV. Once an arsenal, a rest home for war veterans, and several hospitals, the Hôpital Général served as a house of confinement for the poor, the homeless, the unemployed, prisoners and the insane – those who sought assistance and those who were sent there by royal or judicial decree. In the space of several months, one out of every hundred inhabitants of Paris would find themselves confined in these institutions indiscriminately.

Australia is in various stages of lockdown; a euphemistic way of describing imprisonment–lite.

Goffman set out his rules for the game. How relevant are they to our current society after such a period of intermittent lockdowns?

Goffman’s inmate is subject to three rule sets. The first are “house rules”, which should be “relatively” explicit both prescriptively and proscriptively.

In exchange, secondly there are clearly defined rewards and privileges for obedience. Bound up with this system is the nature of release. The third element is the nature of punishment, when the rules are broken.

Does Goffman give any clue as to how the inmate should respond? No, he does not. His analysis of various responses to lockdown is well catalogued whether monastery or mental hospital. The concept of a prolonged imprisonment was not seen as the consequence when the Virus first appeared early last year. Then a selection of politicians from both sides of politics participated in light-hearted advertisements to encourage hand washing. It was as though it was similar to the mood at the outbreak of WW1 when the early prediction was of the conflict being over by Christmas 1914.

With imprisonment, the length of sentence is known; in the asylum, this is less certain, when translated to a whole community locked down.

In the early phase of the pandemic, the conspiracy theorists and the anarchists, the libertarian-authoritarians and anti-vaxxers were yet to form their confederacy.  Rather it was the doomsayers. After initial hesitation, a strong advocacy time for improved hygiene, social distancing leading on to community isolation and, belatedly, masks  and hope improved the compliance of the community.

Unfortunately, Trump and the mad assortment of the above consolidated the COVID nonsense. It should not be forgotten that this activity was unconsciously aided and abetted by elements of the research community scrabbling for funding and prepared to participate in studies, on, for instance, hydroxychloroquine and ivermectin.

The race for a useful vaccine commenced. Over the previous 20 years, there had been much preliminary research on vaccines into these viruses, which was translated into an accelerated pathway for developing an effective vaccine. The nature of the coronavirus, with its chameleon quality, presented a problem, but the value of the previous work became clear with the mRNA vaccines demonstrating efficacy and able to have an accelerated introduction this year.

Last year showed the impressive use of the lockdown – but turning much of Australia into a prison until the Virus was apparently conquered. Unfortunately, the Virus changed into a more virulent form.

The Federal Government refused to develop dedicated quarantine facilities and if it were not from some robust medical advice, a nascent mixture of the above toxic creatures some of which already existed within the Parliament  exhibited the same Trumpian irresponsibility which plunged the World into the pandemic crisis.

The successful suppression of the Virus lulled Australia into a period of self-satisfaction, not recognising that armistice is necessarily unconditional surrender.

The problem has been that, despite enhanced vaccination, the second wave lockdown in NSW has not been as effective once the Delta variant got into the community. The delay in Berejiklian’s response let the Virus loose. It reached Victoria before any lockdown measures were in place. Even the swift lockdown there was insufficient, and the lack of compliance in Victoria has been poor in traditional working class areas, when the Federal government failed to restore sufficient income support to offset not being able to go to work.

“House rules” had not been explicitly stated to the effect that, if the virus appeared again, you, the community would be imprisoned again even when you had been granted both the privileges of vaccination and some income support. The first round had generated sufficient anger, assuaged by Job Keeper and Job Seeker; a second lockdown term in both NSW and Victoria (and the ACT) was not brief, there was little income support and the severity of the lockdown varied according to the particular whim of the government.

However, this lockdown has been resisted by a group of “ex-prisoners” who have set up an urban guerrilla operation designed not only to burn down “the prison” but also to institute a Trotskyist state of permanent revolution. The State has no way of collecting these guerrillas who have become carriers of the virus, the frontline shock troops for the Virus, except by reacting to the rioters. The more strident they become the more the resentment builds up in the rest of the community, made worse because of no improvement. At the same time, the Murdoch media has inflamed the situation by encouraging this resentment without advocating a solution.

Is there one?

In the post WWII community, democracies have paradoxically increased the number incarcerated. Now, what about the vaccine refuseniks and those infected. Prisons are acceptable for the first, but what of the second? Bespoke quarantine arrangements – infectious diseases sanitoria – all linked to a healthy outcome, may be acceptable. But for God’s sake, do not use the words “lock hospitals” or “concentration camps”.

However, all such facilities must have a degree of humanity; but all imply selective isolation.  Our society will have to develop a system of temporary standardised isolation facilities, where those infected are well treated but there is suitable surveillance. Otherwise, as has been shown, this, and future viruses, will spread like wildfire, vaccination or not such facilities need to be integrated into the health system.

Opening up the community becomes a meaningless term while a significant group in the community remains defiant, refusing vaccination, and in fact enhancing the pandemic, replete with the images once invoked by Erving Goffman.  

A small endeavour 

This is the story about how the pandemic has disrupted a small program in Malawi – but first, the background.

Mustapha drove us in the Toyota Land Cruiser from Majete, in the south of Malawi, to Pumulani on Lake Malawi.  It took seven hours, during which time we left the wildlife reserve for a front row seat of rural Malawi and then, contrasting that view, with that of the commercial hub of Blantyre with its profusion of modern buildings, cars and men in suits and ties. Blantyre is the toilet break stopover. Even the posh hotel does not have sufficient toilet paper and the spare toilet paper had been left in the truck. To paraphrase the saying about chooks: “don’t count your rolls until they are attached”.

Mustapha is a Sunni Moslem. He prays five times a day, observes Ramadan and his food is halal. He is a ranger at the wildlife reserve and lives three hours away in a village where he goes home for four days a month. Home is a two-room brick house with separate cooking and washing facilities. In the language of the Chichewa people, he is bambo; his wife mai and they have two ana – one is four years; the other, a ten month old baby. Both are boys.

Most of the rangers are Christian; his village is mixed, like his workplace.  This is reflected in the countryside through which we pass, where church and mosque co-exist in the one village. The Muslim influence spread from the north under Arab influence and there are concentrations of Muslims along the Lake. However, Malawians are predominantly Christian.

The camp we have left lies on the Shire River, which we cross twice more on our trip across Malawi. The riverbank is lined by elephant grass but behind this natural stockade are cultivated rows of corn and squares of green vegetable garden – maize, beans, tomato plants, sweet potatoes and onions are common crops – the abundance of these vegetables is evident in the markets of the various townships we pass through.

Outside Blantyre, rural Malawi is people walking – women and children, water containers or packages on their heads; children in brightly coloured uniforms straggling home from school.  Rural Malawi is also oxcarts being driven and bicycles, mostly ridden by men. Bicycles are loaded down with charcoal or straw-coloured thatching grass or wooden staves. Bags of charcoals standing like sentinels abut the road, ready for sale. Stooks of thatching grass also line the roadside for sale.

Police roadblocks are everywhere, but only once are we asked where we are going.

As we go further north and towards the central Malawi plain the country becomes drier. Baobab trees appear in profusion. Flashes of yellow, red and pink signify the profusion of bougainvillea. It vaguely resembles the Australian Kimberley with the rocky outcrops, the red earth and vegetation dominated by acacia interspersed by villages with signature mango trees. Here lies the difference between this part of Malawi and the Kimberley.

The Kimberley is sparsely populated, unlike Malawi where the villages tumble against one another so that walking between villages is feasible. So much of the traffic is pedestrian, despite two large buses destined for Lilongwe passing us at a breakneck speed. There are minibuses and mitolos clustered in the larger townships overloading themselves with people and goods. We pass a bicycle, one of many, a youth hunched over the handlebars. The message on his violet T-shirt is memorable: “Jesus is my hero.”

Surprisingly at no stage have we seen evidence of the major cash crop of Malawi, tobacco. Hereby hangs another dilemma that Malawi faces. Malawi is recognised as the source of superior tobacco. Yet increasingly in the Western world tobacco is a pariah crop. World opinion is closing in on tobacco usage because of its undeniable link with cancer and a host of other diseases.  It is a matter which cannot be swept as cigarette ash under the carpet of government inertia worldwide.

We reach our destination after seven hours. Lake Malawi extends for 500 kilometres and we’re at the southern end. It looks like a giant sea and it is little wonder that the early Australian explorers, aware of what was happening in Africa, searched for an inland sea. In parts the Lake is 400 m deep and 52 km wide. The Shire River is the only river that flows out of Lake Malawi, joining the Zambezi River in Mozambique. The Lake extends north to the Tanzanian border; and a small part lies within the Mozambican border. This is the Southern end of the Great Rift Valley, where the tectonic plates are inching apart. The Great Rift Valley runs from Mozambique, through the Lake, to Tanzania, where it splits into two.

The Eastern flank runs through Kenya and the West through Burundi, Rwanda and Uganda, before joining again in Ethiopia, running into and along the Red Sea, turning northward to end in the far reaches of Syria. I cannot help thinking that the Great Rift Valley is a metaphor for Africa – a tectonic plate moving its 48 component countries apart. Perhaps the metaphor is too cute and exaggerated, but it is surprising nobody seems to have traversed these jagged faults to find, in documentary terms, the “Real Africa” to see how long the rift really is. Michael Palin has crisscrossed the world; Stephen Fry has landed glancing blows in encompassing the 50 states of America; and David Attenborough has “terrorised” the fauna in his “pan-world”exploration of why and who and what we are.

Life is tranquil – so different from the above intrepid world travellers. The only excitement is the female baboon bounding towards me across the patio and seizing my morning tea biscuits. One into the mouth; and knowing that she has the advantage of surprise, seizing a second. The plate clatters onto the tiles and breaks into pieces. She has gone, chased by the staff.

I sit as a speck on the edge of this enormous freshwater pond. We are eating fish – the chambo – a white-fleshed, elegant tasting fish – drawn from the lake. We sailed around in a dhow and watched the fish eagles circling and the silent men in their canoes, each searching for fish. We sailed past a pod of hippopotami lounging just off the shoreline. A ribbon of villages lines the beach. They could be on a desert island. Except that when the dhow heads back to shore there is this rocky escarpment so reminiscent of north-west Australia.

But there is another facet of the camp where we are staying. They are acting as protection for a dozen albino children living in the nearby villages – the eldest being 18. Albinos are constantly at risk of being kidnapped, slaughtered, and dismembered for their body parts. The superstition in several East African countries that possession of albino remains will provide luck is a grotesque reflection on our human condition; and in the last two years before we went 18 children had been reported killed in Malawi. The real number? Who knows! Family members have been known to be complicit in such barbarity.

We rightly worry about rhinoceros being killed for a lump of inert keratin; we should also express our abhorrence of this human trade for what – a person with a congenital lack of melanin pigment.

There are practical requirements for albinos living in this part of Africa, beside expressing outrage – sunscreen, UV protective clothing, sun hats, sunglasses – and there is a need for eye testing facilities.

The camp where we stayed had set up a project to support albino children in three local villages; this involved their staff and also donations from guests from time to time.  Easy to just hand over some notes and move on, however we decided to become involved in the longer term by providing bulk supplies of sunscreen and sun protective gear that was not easy to obtain in Malawi and other East African countries. However, that plan struck a snag early on – the cost of getting a large amount of sunscreen from Australia to Malawi was prohibitive – $40 to post just one litre and more than three months on the road! A different solution was needed and no assistance was forthcoming from courier companies.

For a number of years one of us had been going to Africa each year so instead of sending supplies, I took packages with me – with more than 50 kgs of sunscreen and 50 pairs of sunglasses.  This was still cheaper for me to take it and pay for a return flight from Johannesburg to Malawi (including a night in Lilongwe) than to freight the stuff from Australia! I would give it to a contact in Malawi who delivered it to the camp from where it was then distributed. Customs in Malawi were bemused by the exercise, seemingly concerned I was planning to set up shop there and long discussions were usually involved with the customs officers about the exercise.

However, COVID put paid to those plans. By the time I can get another large supply to Malawi it will likely be three to four years since the last delivery without outside assistance, just one of the many impacts of COVID on African people. The health devastation wrought by COVID upon African countries and the lack of vaccines for all but a small percentage of the population makes me so sad, given for someone like myself who loves southern Africa and its people.  For the many local people who have relied on tourism for their livelihoods, the sudden and extended cessation of travel to African countries has left many struggling to survive.

Affluent western countries may now be opening up for travel but the acute shortage of COVID vaccines across Africa means day to day living as well as tourism will not return to anything like normal for years.

Armenians in Ireland

I was intrigued when seeing the Armenian Cross, the so-call khachkar, which are still being constructed in that country. I thought how much these khachkars resembled the Celtic cross, particularly the high crosses. Apparently there were Armenian monks in Ireland in around the 8th century, refugees from Islam. The two High Crosses, one at Durrow in Co Offaly and the other at Muiredach in Co Lough are suggestive of the traditional Armenian khachkars.

Ruins of Rahan Church

The one at Durrow is close to the village of Rahan, where there was a monastery dating from the 5th century. The first monastery was established in the 5th century BCE and then extended 100 years later by St Carthage. The site consists of two churches and the ruin of a mediaeval tower house, and therefore existed four centuries before the Armenians are said to have come.

The Armenians may have been housed in the monastery. The Armenian churches have pointed domes to mimic the cone of Mt Ararat, and high vaulting with the height of the church matching the length of the church. There is enough remaining of the Rahan church to strongly hint at the association. The stonework and pitched roof line resemble that of contemporary 9th century surviving Armenian architecture. The other association which may have relevance is that it is known Charlemagne used Armenians as his architects.

However, so much is lost in speculation as the dots joining them have been pulverised in the passage of unrecorded time.

Gտեսություն, ցտեսություն, Գլեդիս

What is going on in Australian politics in terms of corruption is as old as the First Fleet. Gary Sturgess, while Director-General of the Premier’s Office, was once the genius behind Nick Greiner who, as Premier, introduced the Bill creating the Independent Commission against Corruption (ICAC) when Premier in 1988 (sic):

In recent years, in New South Wales we have seen: a Minister of the Crown gaoled for bribery; an inquiry into a second, and indeed a third, former Minister for alleged corruption; the former Chief Stipendiary Magistrate gaoled for perverting the course of justice; a former Commissioner of Police in the courts on a criminal charge; the former Deputy Commissioner of Police charged with bribery; a series of investigations and court cases involving judicial figures including a High Court Judge; and a disturbing number of dismissals, retirements and convictions of senior police officers for offences involving corrupt conduct… No government can maintain its claim to legitimacy while there remains the cloud of suspicion and doubt that has hung over government in New South Wales.

The charge sheet Greiner listed was long.  Later, Greiner was himself a casualty, when supporting one of his Ministers. These actions were referred to the newly-formed ICAC and he resigned when the four independent parliamentarians would not support him.  He was replaced by John Fahey.

What sticks in the craw is the outrage that this Government body, which has done its homework obviously painstakingly and interviewed the former Premier, should be pilloried. The former Premier knows that the game is up, because if ICAC had got it wrong, well somebody as well-versed as her would have invoked the “force field” with anecdotes of the poor little migrant, who has triumphed against the odds.

The concealment of the Deal, which the politicians want to shovel under the carpet, using privacy as the cleaning agent, was not helped by the ambivalent response from Mark Dreyfus. He, the Shadow Federal Attorney-General on one hand indicated that an incoming Labor government would introduce a meaningful ICAC. Yet on the other hand he had the qualification suggesting that there should be more secrecy to enshroud the preliminary investigation, aka “wriggle room”, which suggests that there are a number of sidelong glances towards certain colleagues, given the Labor Party itself is not “squeaky clean”.

Yet recently I received in the mail one of those unsolicited letters sent to his “million closest friends” from Albanese. The letter announced in bold that “An Albanese Labor Government will establish a powerful transparent and independent National Anti-Corruption Commission.” There was no detail, but it seemed more robust than the utterance of Dreyfus. One favourable Dreyfus action was that unlike some of his other Labor colleagues, he did not fall for the trap of effusively praising a disgraced departing Premier.

I suspect Berejiklian has no other life apart from politics; she was coddled by the media, unlike Julia Gillard. It should be remembered that Niki Savva conducted a relentless war against Gillard in the media, with that deadly efficiency women have when they want to bring down another woman. Berejiklian had none of that criticism; she “ascended” to the top unlike the messy way Gillard did.

The requirement for a National ICAC will be advanced if the next election produces a raft of intelligent independents not bound to the mindless obedience that the factional system of both parties imposes. The need for robust debate should be freed from those politicians, often influential, who have been compromised, as has been clearly shown by this Federal Government’s record of thinly-veiled corruption.

Has somebody lost the lock on the Pandora’s Box?

Pandora with her box

It seems that there is a virus of resignation sweeping the NSW Parliament. The one thing I admired in John Barilaro’s resignation was his refusal to criticise ICAC, because the reasons for his resignation are still unclear.

His comment was most unlike that of his Federal National leader, Barnaby Joyce who has likened ICAC to the Spanish Inquisition. I am surprised that Barnaby believes ICAC is thus run by Dominicans obsessed with Jewish and Muslim apostasy.  The Spanish connection on the other hand seems to have formed an important part of Mr Perrottet’s life through his membership of Opus Dei, which was the brainchild of Josemaria Escrivá, a Spanish priest with close links to Franco’s rule. Therefore, if one believes Joyce, Dominic Perrottet with his Spanish connection should be a strong supporter of ICAC.

And you think I’m being ironic!

As well, for those interested in what happens to seats vacated by NSW Premiers requiring a by-election, the Liberals should remember when they picked up Premier Wran’s seat of Bass Hill in 1986. Narrow victory it may have been, but there was a 22 per cent swing. Yet the Labor Party does not seem to have the appetite for such a course in relation to Gladys’ seat; but nevertheless the Liberal Party should call a by-election as soon as possible to stymie any independent candidature.

Now NSW is faced with a trifecta of by-elections, and the more politicians protest about an organisation dedicated to rooting out corruption, the more they lose whatever shred of trust remains within the community,

Yet Jesuit-trained Barnaby can’t shut up. His antics remind me of that old joke (and here I am indebted to The Guardian) about a Franciscan, a Dominican and a Jesuit who are arrested during the Russian revolution for spreading the Christian gospel and thrown into a dark prison cell. In a bid to restore the light, each man reflects on the traditions of his own order.

The Franciscan decides to wear sackcloth and ashes and pray for light. Nothing happens. The Dominican prepares and delivers an hour-long lecture on the virtue of light. Nothing happens. Then the Jesuit gets up and mends the fuse. The light comes on.

Really, you don’t say, Barnaby was taught by the Jesuits. Perhaps he only heard the words, “light” and “fuse” – and made the wrong connection.

“Volere Volare o Vogare Qualsiasi”

Letter from New York City

October 2021

Dear Readers,

It’s the most wonderful time of the year—that is, if you enjoy the spookier things in life. There are more than a few scary tales on our October roster, including Edith Wharton’s own selection of her best ghost stories, a new paperback of the Edward Gorey-illustrated edition of the H.G. Wells classic The War of the Worlds, and another selection of supernatural stories from our friends at Notting Hill Editions. Below you’ll find some fun, spine-tingling readings, as well as a peek inside the latest title in the New York Review Comics series and a little bit of the story behind the cover of Mr. Beethoven, Paul Griffiths’s inventive novel about the eponymous composer.

If you are a local or visiting New York City this weekend, consider coming by the NYRB booths at the Brooklyn Book Festival. We will be at booth 12 for Children’s Day on Saturday, October 2, and at booth 405 and 406 for the Main Day on Sunday, October 3. We will be selling books and, on the Main Day, giving copies of The New York Review of Books away. We would love to see you there. 

— An email received from the New York Review of Books.

Sorry.  Hope to see you next year; but thanks for the invitation. Saturday and Sunday were a bit cloudy, otherwise the weather in this past week has been a bit variable – rain and all, but New York is New York, Virus or Not!

The question I bet nobody will ask Dom Perrottet

Do you wear or have ever worn a cilice?

Do you know of anybody who wears a cilice?

If the reply is no, you, the investigative journalist should then approach his brother who is Dean of Warrane College and ask what is its policy in relation to the wearing of the cilice.

I would be mortified if any of you, the fourth estate, dared to ask, but may do so; but Morrison is not a valid reply.

Mouse Whisper

It is acceptable for the political leader to stand before his or her constituency to make a sweeping gesture and say “I have a vision for the country…”

Often it would be more truthful if the same political leader would rather have said, “I have a hallucination for the country…”

But how acceptable would that be?

I have a hallucination for the country…

Modest Expectation – Hiroshi Mikitani

I was sitting at the table writing. It was about midnight. No, the candle was not guttering in the fireplace, nor were the shadows sending their long indigo fingers across the room towards me.

And then there was this almighty crash against the window. Looking around the cause was not immediately obvious; however, there she was, crouched on the top of the bars on the window outside just below the curved head jamb – this tiny ringtail possum. She was peering in. This jill has been a frequent nocturnal visitor and generally likes to perch on the balcony rail, but tonight she had been attracted by the light. There are no food scraps left out nor is there a grease trap. However, there is large clump of bamboo below the balcony, and thus there must be a feast of insects in the bamboo, including cockroaches. Cockroaches infest the suburb where we live, and if this adopted Jill as she is called, can contain them, well Jill you can crash into the window any time, as long as you don’t bring a Passel, and break the pane.

Anyway, we now know when she arrives…

Just like John Elliot 

The late John Elliot and I were contemporaries at the University of Melbourne, but he did commerce and played billiards; I did medicine and played politics. I can’t remember him; he was younger than I was.

Our paths crossed in the seventies; sometimes amicably; sometimes less so as he went on his merry way building his Empire and meddling in politics.

One encounter sticks in my mind. It was about 1980, and he had been a guest speaker at an Australian Institute of Political Science Summer School.

We happened to be walking back from one of the sessions, or maybe after his speech.

He turned to me suddenly and said, “You know, Jack, the difference between you and me? I’m a success and you’re not. “

What could I say? At that point of time, these two specks trudging through the Universe, he was probably right then. Not sure that was necessarily so later, until he butted his last fag, and trudged further on from me up to that Jam Factory in the sky.

It’s a funny thing. He was lucky not to be gaoled. Yet, I really didn’t mind Elliot. A friend of mine thought of him as charismatic despite his fondness for ordering culo di maiale with his Fosters. Increasingly transmogrified into a latter-day Mr Punch, he was a creature of our time, not of this time.

Known for Potatoes and not Necessarily those in the Ground

Idaho is one of many states where GOP lawmakers have responded to early-pandemic restrictions with moves to limit public health powers, arguing that the measures paved the way for alarming incursions on people’s rights. A state law passed this March gave county leaders veto power over some orders from health boards — like the mask mandate that drew fury and demonstrations in Ada County last year. 

Former Ada County commissioner Diana Lachiondo (D) said she was used to “working quietly in the background” as a member of the region’s Central District Health Board. They monitored West Nile virus and made sure toxic algae blooms didn’t grow in lakes. Then, she said, the pandemic made public health explosively political.

Opponents of mask mandates showed up outside her home with air horns and audio clips from the movie “Scarface,” in which actor Al Pacino famously says, “say hello to my little friend”, as he uses a grenade launcher and fires a barrage from an assault rifle. At least one person was armed – from The Washington Post. 

In explanation, Ada County is located in the southwestern part of the U.S. state of Idaho. As of the 2010 United States Census, the county had a population of 392,365,  making it the state’s most populous county, with 23.3% of the state’s 2010 population. In this county, its seat and largest city is Boise, which is also the State capital. -Wikipedia

When I was undertaking the Rural Stocktake for the Commonwealth Department of Health, I visited WWAMI which were medical schools, organised under the rubric of “rural”. The University of Washington, including the main medical school, is highly rated. To get that statement into some perspective, the University of Washington is ranked 16th in the world and third among U.S. public universities according to 2020 Academic Ranking of World Universities.

At that time this University ran the Medical School for Wyoming, Alaska, Montana and Idaho, in addition to Washington, hence the acronym. Given these states have sparse populations there was an avowed intention for them to concentrate on rural health. The problem, as I found out later, is that educating well-trained doctors in rural areas just makes them attractive to city hospitals looking to recruit skilled young health professionals. This hardly solves the dearth of these professionals in rural areas.

Sandpoint, Idaho

However during my visit, which started out in the very urban coastal Seattle, I ended up seeing some parts of Idaho. It is a state which gets very little attention unless one skis or enjoys the “amenities-rich” areas of the northern part of Idaho extending up to the Canadian border. The town I visited, which exhibited this “amenities rich” profile, was Sandpoint.

The doctors here were well served by students from the University whom they taught. It was a great environment for those wanting a conventional conservative community framed by ski slopes and mountain trails. Nevertheless, it was prosperous and undeniably rural with a population of just under 9,000 and intensely conservative.

There is a division between the northern part where the picturesque forested area is; what one expects of the Pacific North-West.  The southern portion, essentially altiplano and much drier, is where the capital Boise is located. The transition from north to south seemed to be Coeur d’Alene, a large undistinguished town, where I visited an Indian community medical service. I use an ordinary general practice as a yardstick for effectiveness. I grew up in an era of busy general practices and even though I never practised as a general practitioner, I did many locums, including for my father. Later I was associated with many rural general practices in establishing rural intern training. There were very few indigenous medical services which measured up to that yardstick, and a casual view of that one at Coeur d’Alene then would have needed a longer visit, given I visited when there seemed not to be many patients.

The amount of money allocated between Washington and Idaho was starkly demonstrated when I visited the two WWAMI campuses. It was clear that Washington State puts far more resources into education than does Idaho. Buildings, staff, programs – adjoining but so different.  They are in Pullman in Washington and Moscow in Idaho- only the border separates these two campuses.

Boise at that time was a small city, like so many of the state capitals. Unlike Sandpoint, which is at a forested 639m, Boise is on the altiplano at 832 m. So different in rainfall. At that time over 20 years ago, the guys I had lunch with were already talking about Boise becoming the new Silicon Valley; but it took almost the intervening time till now for the concept to stir into reality.  Nevertheless, from a business point of view, Idaho is on the move. On the basis of cumulative GDP and domestic migration plus non-farm employment growth, Idaho ranks 8th in the nation, and yet it lags badly in social expenditure, including that spent on public health.

This has been brought into relief by the COVID-19 crisis. Here is a State still rooted emotionally in a conservative agricultural and mining past of rugged individualism, yet paradoxically dependent on neighbouring Washington State to soak up those that it cannot treat because of the lack of health facilities.

I visited Spokane from where a member of the WWAMI faculty, who accompanied me around Idaho, was based. Spokane is a city of 230,000 in Eastern Washington, only 29 km from the Idaho border and 55 kms from Coeur d’Alene.

Spokane county itself is 53 per cent fully vaccinated (overall 63% Washington State) and across the border the corresponding Idaho county is 39 per cent fully vaccinated (overall 45% Idaho).

The current death rate from COVID-19 in Spokane County is far higher than anywhere else in Washington, being 5 a day based on a 7-day average. Spokane is bearing much of the Idaho caseload. In other words, Washington, where outdoor masking is mandatory, is having to treat the consequences of a State that discourages vaccination, masking, social distancing.  The problem is the area incorporating both States is uniform geographically and unsurprisingly attracted the same people with whom each hence shares much of the cultural heritage and attitudes. The only difference is how each State is coping with the Virus.

The Palouse

Individualism and pig-headedness are cut from the same cloth. As we drove back from Boise, we crossed the fertile Palouse, wheatlands where the differentiation between the two States was lost. I always thought that education with dispersal of the health knowledge capital into such areas would produce a more rational view of health. Yet Idaho still ranks 37th and Washington 14th in public health measures; but does that apply where the WWAMI campuses intersect at Pullman and Moscow?

In terms of its economic development Idaho is said to be a progressive state. But COVID-19 has questioned its worth, given the macabre report that so great have been the Idaho COVID-19 related deaths lately that the funeral homes are running out of space, being forced to hire mobile morgue facilities and admitting that cremations are running two weeks behind schedule. As the deaths are among the unvaccinated, someone opined darkly that no further government action in this State – where the Lieutenant Governor, Janice K. McGeachin wants to ban mask wearing – may be needed.

Yes, reinforcing the report at the head of this piece, Idaho is the State where some joker threatened to kill the doctor if he did not treat his father with ivermectin for his COVID-19. Is it really the Gem State?

And by the way, it does say something about border closures.

Plat de jour – Tehan-boned stake

While France’s military is dwarfed by that of the United States or China, it remains one of the world’s strongest and is backed by a world-class domestic military industry.

With 5,000-7,000 soldiers in the Pacific region, 20-40 military aircraft, and seven naval ships, France is the only European nation with genuine military strength in the region. The French air force has also carried out exercises deploying Rafale fighters from France, halfway across the world, to the Pacific as a show of strength.

France also has a seat on the United Nations Security Council, giving it a measure of hard power around the world. But for the great power that France once was, it is sometimes just not enough.

“The decline of France is a theme that emerges often, especially during electoral periods, and is popular among the right and far right. It’s the idea that France used to be extremely powerful and influential, and that the France of today is insignificant and contemptible. It’s obviously a narrative that can be questioned for a number of reasons.”

This is a very sober analysis. Having been against the intrusion by the French into the South Pacific with their nuclear testing program in the 1990’s, I worked to try and improve the co-operation throughout the South Pacific between the public health services. This cooperation was also forthcoming in relation to the nuclear testing.

Understandably, at that time there was complete silence shown by the Francophone area. Nevertheless, the problem went away, with the French buckling and ceasing nuclear testing. Language differences remain one of the difficulties, but even at that time the South Pacific Commission, as it was then called, was based in New Caledonia and the recently-appointed Director General at that time was an Australian. This situation is currently ironically the same, with another Australian now heading up the now South Pacific Community – another time of crisis.

When I headed the Australasian Faculty of Public Health Physicians (AFPHM) as President for three years, I made a point of visiting New Zealand at least twice a year, and with the assistance of the then Minister for Development Cooperation and Pacific Island Affairs from 1993 to 1996 was developing a strategy for public health in the South Pacific. My last act, despite my prominent anti-nuclear testing stance, was a meeting in New Caledonia of the then Commission. It was supposed to herald further co-operation.

Unfortunately, two things changed, the Labor Party was voted out. Bilney lost his seat – and the interest from the incoming Government was zilch -and it was also near the end of my fixed term in office. My successor showed no interest in pursuing the matter. He had achieved his standing by being an expert on the anatomy of the rat brain – says it all really.

French nuclear testing, Bikini Atoll

The French could have been interested and it is important if you want to meaningly communicate with the French to speak the language and know more about them, apart from their cuisine. In the original makeup of the South Pacific Commission, both Great Britain and the Netherlands were members, but they relinquished their seats with the loss of colonies (the Brits did a “Melba” but that was short-lived). However, the French have held onto New Caledonia, the Wallis & Futuna Islands and French Polynesia, and maintained a strong presence. They reluctantly agreed to the creation of Vanuatu in 1980 out of that strange condominium arrangement with Great Britain then called New Hebrides.

There are 26 members of the community incorporating Polynesia, Melanesia and Micronesia. So, although its title is “South Pacific Community,” the Micronesian nation members are in the Northern Pacific.

And when Pitcairn Island is incorporated, then the members are guardians over great amounts of the Pacific Ocean.

Thus, the recent clumsiness of Australia has yet to be worked through. I wonder if Morrison even knows we have Our Man in Noumea. Yet I’m sure Morrison would be having regular conversations with His Man in the OECD. At least Corman speaks French fluently – I do not know about the new Australian Ambassador to the OECD, Brendan Pearson, or whether he speaks fluent French.

Morrison has managed to tie himself up in a number of showboats, because of his desire to hold a megaphone. One of the latest, the QUAD– where the quid pro quad is not immediately evident – hope it won’t end up in a Quad wrangle. Now, it’s AUKUS (if you introduced Canada, it would be CAUKUS and Russia, it would RAUKUS). I also thought Mirage was only a fighter airplane; not a nuclear submarine fleet.

Now the South Pacific Community is one of the only landlines with a French connection left to Morrison. Here there is a common interest, protection of the Pacific Ocean in all aspects for all the nations within the South Pacific Community. Who knows how valuable they will be in the future?

Before WW11 the Japanese had sampans all over the South Pacific, doing a bit of pillaging, fishing and gathering intelligence. The Chinese now have what are euphemistically called “fishing boats” roaming all over the Pacific, doing much the same but in a more sophisticated way. As with Afghanistan and Iraq, we are being dragged away from our base. It is not the South China Sea where our interests lie. There is great deal of ocean for the Community to patrol, let alone the waters of China. At least the French have naval bases in New Caledonia and Tahiti if justification for their interest in the Pacific was needed.

Then, with all this breathless collection of acronyms that Morrison has brought back in his Gladstone bag, why snub New Zealand? After all, New Zealand more than Australia shares a heritage with Polynesia and the South Pacific. Wait a minute, there is another alliance where New Zealand does have a monocle in common with us – Five Eyes. Is that a true sharing arrangement?

Five Eyes

But then the cold sixth eye – that of Dawn comes. Australia wakes in a sea of acronyms triumphant, but for what purpose?

At dawn, China remains our major export market (42%) followed by Japan (13%) then the South Koreans (7%), USA (5.5%) and UK and Singapore (4% each) India and New Zealand (3% each). France ranks 22nd; not Asterix but not that much, predominantly coal.

Now didn’t Paul Keating question the Australian policy of cutting off our noses…

So which of our alliances incorporates China? Or do we have a Backdoor Alliance somewhere, maybe CAOZ?

I would get confused if I did not know Morrison was a marketing man, and the author of “Where the Bloody Hell are You?” Perhaps you can answer that, Prime Minister. You know you never ask a question without knowing the answer.

The Fragrance of France

I still cannot let go of our crass behaviour in regard to French sensitivity, even though I personally am very ambivalent about the French. That ambivalence is encased in some of my poetry, but I do love my memories.

Vanilla flower

Coming out of that reverie, I have to say I have journeyed across French Polynesia, as well as visiting, with a dose of malaria, one of the French Indian Ocean Département, Réunion, where grows much of the vanilla, ylang-ylang and vetiver, and also has produced a French Prime Minister, Raymond Barre. There is a French naval base there and last year France and India held sea exercises around the Mascarene Islands.

Turning to the South Pacific Ocean, before Bali became the Australian tourist destination de choix, New Caledonia and Tahiti were popular with Australians. This was not because of a love of the Melanesian and Polynesian populations necessarily, but it was a taste of French life in the South Pacific. The lure of Club Med was everywhere. That is the problem. The island population are the backdrop, only incorporated as far as women in shimmying in grass skirts and smiling faces proffering coconut or some other tropical delicacy, or booze.

The myth of the South Pacific was embodied in a popular musical “South Pacific”, based on the American, JM Mitchener’s novel, Bali Ha’i. The French colonies escaped the barbarity of the War in the South Pacific, it was nevertheless very important to the Americans. Australia was in French Polynesia in the espionage business there when there had been a battle for control between Vichy and Gaullist forces and particularly before the Americans arrived in 1942 and took over control.

During WWII, the American presence in the French Pacific was significant. Noumea was the main US base with 22,000 troops, but it had air bases at Efate and Espiritu Santo in the then New Hebrides where there were 4,300 stationed.  There were 2,600 on Wallis Island, and 4,000 at a refuelling base at Bora Bora and the Raiatea meteorological station in French Polynesia. An uninhabited French possession, Clipperton, served as a meteorological and radio base.

It has been said that the American interlude enhanced the way the French handled these areas post-war as distinct from Vietnam or North Africa. The French were poor colonists in terms of their treatment of the indigenous people, and if one discounts Corsica, the only other remaining overseas territories are in the Caribbean and, uneasily, French Guiana. The French hate giving up their overseas possessions as witnessed by the difficulty in the achievement of Vanuatu’s independence, which only occurred because of the unique condominium relationship with Great Britain; this is worthy of a standalone blog.

When I first visited New Caledonia and sought to buy an artefact which typified the culture, the shopkeeper laughed and said the genuine old stuff had all been taken by the Americans during the War – and then in Noumea, the indigenous people were backdrops to colonial French life.

Fortunately, I have been acquainted, through the diaries of a young man who worked on the island of Eromanga in the 30s, of the New Hebrides, then  jointly administered by the French and British. His diaries provided a tantalising insight.

In Vanuatu where I stayed with my friend on his island off Efate in the lagoon, there was more contact with the local indigenous people.

While staying there, we did fly to Tanna. Standing on the edge of an active volcano Yasur on that island was one of those experiences that is hard to forget – no railings, just the hot lava spurting out and upwards  – the trade winds blowing the sulphurous smoke away.

Yet the Americans left a quasi-spiritual legacy in the John Frum movement, but this nation in all its diversity exemplifies the challenge the whole of Melanesia presents, whether being colonised by France, Great Britain and in the past Germany and The Netherlands – and not forgetting now Indonesia.

French Polynesia is where I did have direct contact with the local people when in the Marquesas far out on the edge of French Polynesia. Perhaps of all the places I have ever visited in the South Pacific, this is where I became more immersed and able to observe the interaction between the French colonists and the Islanders. It is said that the Marquesans are the closest to the New Zealand Maoris in both their customs and language.

At the time we visited, very little English was spoken, but we got by. However, French Polynesia is spread over a large area of the Pacific Ocean, and therefore strategically it remans important; but even more so now at a time where there are social disturbances whether due to climate change or from disease. Even given French aloofness, it is important not to gratuitously insult the French.

So where does that leave us in relation to the South Pacific Community. Great Britain left in 2004, and the direct American interest is through American Samoa (if one discounts the nations north of the Equator). Apart from the all-pervasive influence of USA, what is the relevance of the albatross called AUKUS?  Especially as I repeat the following from one of my blogs written in May last year by a person far smarter than most, certainly Morrison, i.e. if manned submarines are really needed, Australia should buy nuclear, reducing the number to six and buy them completely constructed and fitted out in France.

I was not aware of any major investment by India in the South Pacific, and Japan certainly was a pest before WWII especially with continuing harassment over the Australian mandate over New Guinea. More recently, trade between Japan and the South Pacific nations is uneven. The largest exporter to Japan from the region is Papua New Guinea, mainly liquefied natural gas (LNG) while other countries export a variety of primary products. More than 95% of exports to Japan from these countries are based largely on mining and fishing-based products. Not particularly useful in terms of either COVID-19 or climate change.

As for India, it has a great facility for getting involved in all sorts of relationships and talking a great deal; but as far as can be discerned, its contribution to the South Pacific in tangible terms has been minimal, and only the ethnicity of Fiji provides any Indian footprint. So much for the QUAD being relevant.

China is a different matter. I could not say this better. While China is by no means the dominant donor in the Pacific, the way in which it delivers its aid — large infrastructure projects funded by concessional loans — makes these projects stand out. Chinese lending has also been used as a vehicle to get Chinese state-owned enterprises into the region. These companies are now competing in commercial activity across the board. According to China’s own investment statistics, Chinese construction activity in the region was $958 million as of 2017, almost six times greater than its foreign aid activities.

For instance, China owns Tonga (unless it can reschedule the debt) and it is only recently that Samoa has ditched the proposal for China to build a port. Vanuatu continues to flirt with the Dragon.

But the Chinese own neither French Melanesia nor Polynesia. Not yet anyway; and Australia with its heightened sense of Sinophobia snubs the French. Incroyable!

Willow is not Necessarily Shallow

This push for ridding the language of gender differentiation has reached another closing of the fork, in this case that of between batsman and batswoman. The resultant of closing this fork is “batter”.

“Batter” is a word of violence. “The batter battered the bowling.” or

“Bumper battered, the batter succumbed.”

“Batter” is also that mixture of flour and liquid. There are three types – “drop batter” as in he was “the first drop batter”; “pour batter’ obvious but get your spelling right, and “coated batter” which you find on a village pitch in Yorkshire on a mid-summer day.

There you go, for the sake of gender anonymity, “Going out to open the innings is a violent mixture of flour and water.”

My solution is to call them Willow.  The bats are willow. Calling the bat handlers “willow” is environmentally conscious. Notwithstanding “Out for a duck, the weeping willow trudged back to the pavilion”, the name is more euphonious, and instead of “bumpers”, we could have “wind in the willows.”

However, as you go out to the crease, would you prefer to be called, “the batter coming to the wicked” or “these willow have the wood on these bowlers”.

Some blogs ago, I also questioned…

Mass General Brigham, the state’s largest health care provider, said Tuesday that it will not administer Biogen’s controversial new Alzheimer’s drug to patients, dealing another setback to the Cambridge company and its expensive treatment.

The network, which includes the flagships Massachusetts General Hospital and Brigham and Women’s Hospital, is the latest major US health care system to opt against offering monthly infusions of the drug, called Aduhelm, over concerns about its safety and effectiveness. – from The Boston Globe

Mouse whisper

The matter has been raised by the cartoonists already. However, my New Zealand friend Kioreann has a taken this idea for protestors to a far more serious level. The police should be armed with specially designed dart rifles where they fire syringes full of vaccine into each of the protesters. These rifles would fire very penetrative darts since the hides of these protesters are particularly thick.

As compensation, these protesters will be able to collect their “Freedom from COVID-19” certificates as they are driven away in those comfortable vans and the protest date when they will receive their second dart.