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.

Modest Expectations – Dominican Republic

“Ladies and gentlemen: the story you are about to hear is true. Only the names have been changed to protect the guilty.”

Strike me lucky, Blue, did you hear that? They are at it again – the Coalition of the Willing has now changed its name to a self-preened great Aukus. Yes, I know the Great Auk has joined the Dodo, but the word here is Aukus. Remember the name! And no cracks about Noah’s Aukus.

The great AUK – now extinct

I’ve a friend who has been associated with the Senior Service since he was 19 years old. I asked him a simple question – why does Australia need submarines? He thought it was a good question, and he answered in conventional terms, that he thought Xi had the same expansionist propensity that the Japanese military had before the Second World War. I said to him it sounded like a version of the yellow peril coming from the North.

My friend made the observation that the French contract was rubbish, and the Adelaide shipyards were just not up to the requirements. From my point of view, having heard from a variety of sources, Master Pyne will have a lot to answer for this in relation to his involvement, apart from any fiduciary gain, just to shore up a few South Australian Parliamentary seats for the Liberal Party! Any objective assessment would have concluded how poor were the underlying assumptions, an impression reinforced by knowing of the recent involvement of Jane Halton as a consultant.

Yet five years ago Australia had entered into a contract – ill-formed, ill-thought through – but did the Australian Government confront the French with its concerns? Probably not. If so, why now go behind the back of the French government?

Nevertheless, the cackhanded way in which Morrison has responded to being hoodwinked into the nuclear submarine imbroglio is par for the course. That was compounded by the gratuitous insult by an American President, who knows of Morrison’s failed bet on Trump. Biden seems unable to bring himself to utter his name.

Despised by Biden. Morrison has also pissed off the French (and probably the EU as well) and the Chinese. The rest of Asia is looking askance, especially when they also see Boris, the dishevelled spectre of the playing fields of Eton College, in the mix. The question may rightly be asked – why are the British meddling in the Pacific since they do not even have any British Overseas Territory tax havens in the Pacific to defend?

Nevertheless, Morrison is following in the traditions of the recent past Australian Prime Ministers where, despite the trumpet blast about the number of members of the Coalition of the Willing (apart from a Danish contingent of about 50 troops), only Australia and Great Britain made any sizeable military contribution to America’s ill-starred invasion of Afghanistan.

The French refused to join, although it had previously committed 17,000 troops to the Gulf War in 1991.  And who can forget Menzies’ embarrassing involvement in the Suez Crisis in 1956 where, by Jove, those “gyppos” needed to be taught a thing or two. At that time the French joined the British in tickling Menzies’ vanity.

According to my source, the Americans will probably flog Australia the Virginia class nuclear submarine.  At what cost? A lot is the best estimate, and just re-emphasises the non-answer to my initial question, when Australia has a small navy, minuscular compared to both China and the USA.

This Virginia class submarine, with a crew of about 135 sailors, can carry up to 24 torpedoes and Tomahawk cruise missiles. The boat’s top underwater speed is about 25 knots (46km) per hour. The submarine has an advantage, namely the reactor plant will not require refuelling during the ship’s lifetime. But the question remains of what will the life time look like if it takes 20 years to build this fleet. It does not make sense.

Just look at the logistics. From laying down plans to final commissioning seems to take about six to seven years; but General Dynamics already has a backlog, with the boondoggle being a tasty supplement to maintain the money flow to the American armaments industry in, say, 20 years’ time. Needless to say, these submarines will be built in the USA, not Australia. There are just so many subsidiary suppliers of equipment to make Australian involvement in the manufacture impossible.

There are a few other queries, especially as the life of a submariner is not one which is immensely popular with the younger generation. Long periods of time next to a nuclear reactor underwater is not the most enticing job prospect, given the amount of time needed to ensure that the person recruited has the ability to remain sane in a closed underwater environment. So how is this to be answered?

The alternative is to invest in smaller unmanned submarines, more suitable for our shallow coastal waters. These are being built by Boeing and, according to my source, may be the future. They are cheaper; and nobody cries over the sinking of an unmanned drone.

The observations from my friend seem very sound, especially as he is concerned with our defence; not some vain manoeuvre to spend a great amount of funding on a project where the competition is already set between the two heavyweights. The Chinese are investing in more and more nuclear submarines.

Deployment of nuclear submarines confronting the Chinese in the South China sea should be left to the Americans – and the Japanese. In the undersea domain, the increase in Japan’s submarine force is highly regarded throughout Asia, and even America’s anti-submarine warfare operators struggle to track Japan’s modern fleet of super-quiet non-nuclear submarines. Note the comment about the stealthiness. This was a major criticism of the French submarines ordered by Australia, which apparently are so noisy one can hear La Marseillaise anywhere if the enemy wishes to tune in.

Even Taiwan is building new submarines. Paradoxically, there are some suggestions, one of which is that the Americans are seeking to reduce their nuclear submarine fleet. This may give some clue as to the US interest; and hence sloughing a few off to Australia – obviously at the right price whether for outright sale or some form of lend-lease – to shorten the period from 20 years to a much more “acceptable” timeframe. These alternatives may have more currency now the possibility of such has been denied by a former US Secretary for the Navy.

Sometime in the future there may be six nuclear submarines under an Australian ensign; an expenditure which could have been spent on a more mobile unmanned underwater navy, able to have quick deployment around the vulnerable coast of north-west Australia demonstrated so clearly when the Japanese attacked there, as well as Darwin in 1942. I wonder still whether this “sometime in the future” scenario will ever eventuate, but I certainly won’t be around to see it.

I do not weep for the French. In the 1990s, when President of the Faculty of Public Health Medicine within The Royal Australasian College of Physicians, I coordinated with Saatchi a protest against the French nuclear tests in the South Pacific at Mururoa Atoll. This protest involved colleagues from New Zealand and other South Pacific constituencies. I also well remember the callous bombing of the Rainbow Warrior by the French in Auckland Harbour in 1985. It should be noted that the French last withdrew its ambassador from Canberra in 1995, after Australia had withdrawn our ambassador from France two months earlier.

Given all this, I am sure that Malaysia, Indonesia and the Philippines will be unhappy about Australia gratuitously poking around underwater in the archipelago, knowing that there are already a number of nuclear submarines close by, if not in disputed territorial waters.

The other diplomatic problem for Australia is that the last thing the South Pacific nations will want is a nuclear reactor with a boxing kangaroo motif berthed in their harbours, which reinforces that point about the unattractiveness of the submariner’s life.

But then, will this whole extravaganza ever occur?

To boost or not to boost 

An advisory panel, independent of the Food & Drug Administration (FDA), has voted to recommend administering Pfizer vaccine booster doses to people over 65 and those at high risk of severe COVID-19. The shots would be given at least six months after the original two shots.

The panel had earlier voted against a broader proposal from Pfizer to make booster shots available for people 16 and older. However, the FDA is not bound to accept the recommendation.

What is important is that Israel and USA have evidence for the efficacy of boosters, and it seems that six months is an indicative time for a booster dose of both Pfizer and Moderna vaccines. The need for a booster for AZ vaccine is less clear. What is known is that the AZ vaccine is a “slow burner”, and immunity levels build over time, especially when the dosing period is stretched. Currently the gap between first and second doses is between eight and 12 weeks which gives an optimal immune response.

For the third booster dose, it may be preferable to give a different brand of vaccine than the one used for the first two shots. This is specifically mentioned for the AZ vaccine. This would be positive news for those Australians over 65, who have been denied access to the Pfizer vaccine for their initial inoculation.

Booster shots are subject to speculation as to efficacy, but both Moderna and Johnson & Johnson are lined up seeking FDA approval. There is a suggestion that the Moderna booster requirement may be half the initial inoculation shot and, given the arrival of Moderna vaccine into this country, such information is relevant.

What is important is for the Government to develop a national approach to boosters, assuming that Australia will follow the FDA decisions, and moreover Israeli experience. In other words, let us not get caught up in the no man’s land of indecision; the Government failed comprehensively in relation to vaccines – they cannot afford to fail again.

The debate still centres on the level of vaccination and applauding the great response of Australians to be vaccinated once the vaccine hesitancy was  overcome. I for one, was in that cohort, and masked my hesitancy by taking the advice to space the influenza and COVID-19 vaccines. As I wrote in an April blog:

The other one, given the problems with the rollout, if I was able to secure a first dose, how long shall I have to wait for the second dose, and then more importantly, for the booster? It does not seem clear to me, whether (or more optimistically, when that will occur). That is why the J&J vaccine appeals to me more because it is single dose; but will it ever be registered in Australia? Questions, questions everywhere, but only opinions to imbibe. That is my reaction as an elderly consumer eligible for the injection. I am confused, and so will hold back. In the Australian climate it seems the best option is to wait and see.

I hope that same indecision does not dog mixed vaccine boosters, but at least if Pfizer is approved for boosters it can be used potentially across all of those over the age of 65 years. In retrospect, my comment in relation to the J&J vaccine seems have been a good bet. Although there were production difficulties, it is said that the second injection provides near to 100 per cent protection.

In any event, the matter of boosters should not be let slip in the way other matters have been mismanaged, because if boosters prove successful, then a six-monthly cycle hopefully can be converted to a minimum one year with further tweaking of the vaccine. This would then cement the booster added into the influenza vaccination cycle, with the possibility of a combined flu-COVID vaccine. This is in the future, but the matter of boosters must be part of the conversation now.

There is one distraction, if it can be called that. Why should Australia be applying for boosters when the undeveloped world is largely unvaccinated? Australia cannot take responsibility for the world. Yet if Australia accepts public health responsibility for our neighbours, the level should be clearly defined; and once it is clearly defined then these nations should be incorporated so their level of access is the same as ours.Yet at the same time those nations should accept the same level of responsibility as us.  Every society has got its “whack jobs”, every society has its level of ignorance, but public health responsibility is universal just as taboos are universal. It is all about the acceptable mix of persuasion and coercion.

Sweden Calling

I read the article by James Baillieu in Crikey extolling the virtues of the Swedish approach to the COVID-19 pandemic.  After reading it, I am sorry to miss articles on the benefits of the “English moat usage in repelling the Virus” or the “Cumulative benefit of monocle use when taking ivermectin.”

But I joke, my Lord, when such an authoritative source as yourself waxes lyrical on Sweden and its approach to the Virus. I appreciate you attribute your expertise on Sweden to your genetic pool.

My Swedish friend, a distinguished doctor from the Karolinska, who unhappily has not had been afforded the wisdom of working for seven years for McKinseys, which has been so much on show in its advice to that other McKinsey genius, Master of the Hunt, Greg.

I took the liberty, my lord, of forwarding your Epistle to The Nation of Crikey to my Swedish friend.

My friend, having read the Epistle has replied (sic):

Outcome measures obviously differ vastly whether you are a potential pub client locked (at home) or a frail elderly  person with the sword of Damocles sharpened above you. 

Australia is to be congratulated having saved so far ca 50,000 lives (compared to similar countries including Sweden)

It is somewhat callous to imply that a 0.1% death rate is negligible. The figure is also off by a factor of 10 in developed countries.  I strongly disagree.  

However there are other costs, lives not lived, children not schooled, economic problems to evaluate also before a total score can be tallied. 

To me it seems that Australia 

  1. Was lucky to be able to close borders
  2. Enforce lockdowns that saved many lives
  3.  School closures may not have been evidenced (i.e not been objectively assessed).
  4. Lockdowns only work for short times during which extensive vaccination must occur lest the disease take hold again savagely which is now occurring (in Sweden). 

We are now in Sweden following Denmark in repealing nearly all Covid restrictions, hoping fervently that our vaccination rate is ultimately sufficient.

(Consider) that there are groups in society both more exposed and sadly neither accepting vaccination nor being reached by the information, which is also as clear as it was more than a year ago when the typical Covid patient(in Sweden) was an immigrant taxi driver.  

Subsequently, he informed me that the architect of the Swedish approach, Tegnall is showing signs of stress. Baillieu labels Tegnall as independent; no he’s not – he is a civil servant. Baillieu maybe means “maverick”. Perhaps if Tegnall resigns, “maverick” becomes “martyr” in Baillieu language.

Baillieu trumpets zero deaths from COVID-19 in Sweden. On 17 September alone, there were 22 new reported deaths and 1,009 new reported cases; then on 22 September, 19 deaths. What a callous statement by Baillieu saying “Sweden’s COVID death toll of 0.14% of the population was nearly all people who had a short time to live.” 14,000 people about to die on his say-so. As my friend wrote: It is somewhat callous to imply that a 0.1%(sic) death rate is negligible.

While its economy may be showing signs of recovery, Swedish sources still say there is significant uncertainty. It’s possible that restrictions to curb the spread of infection will tighten again in autumn if cases rise, and this would impact economic growth.

Over the course of next year, employment growth is predicted to slow down further as GDP increases more slowly, but the number of employed people will still increase. Many businesses are looking for skilled workers again. A total of 190,000 people in Sweden have now been without a job for over a year. It seems a sober assessment of the current Swedish situation complementing my friend’s comments. Not a small hit, as Baillieu asserts.

Demonstrators on the steps of the Shrine, Melbourne

I don’t like what is occurring with the Virus unsuppressed in both Melbourne and Sydney, but when an over-privileged graduate of the Melbourne Establishment has a childish tantrum disguised as an objective assessment then I too, a product of the same environment, feel deeply ashamed.

What nonsense his final words: “Restore our rights and freedoms. Stop harming our children and instead protect them.”

I hope he was not wandering along the Westgate Freeway protesting this lack of Freedoms with all the irresponsible.

My great grandfather did not lose his money in the Depression of the 1890s in which the Baillieu family was a prominent player; the consequences of the Depression still affect Melbourne to this day. My great grandfather did not have much time for the Baillieus either.

John Shelby Spong

Spong sounds as if came from the world of Spike Milligan.

Bishop John Spong

Yet John Shelby Spong was a very, very serious influence. Some may say that Spong flaunted once-controversial views, but now many have become mainstream.  At times I wonder why I retain my Anglicanism, until I am reminded of Spong. I have been fortunate in knowing some great Anglican priests, but it is hard to live in the Sydney diocese which has all but abandoned people like Spong in its literal Bible interpretation and acquired intolerance of anybody not in its own image – seemingly not that of the Trinity anyway.

Yet one statement in the obituary prompted me to seek further information, and that was the statement about Judas Iscariot. He is so vilified, and yet in an excellent article on the iconography by Dr Felicity Harley relating to Judas, the early church was much more forgiving of Judas and his suicide. The reader is explicitly told that he had remorse; and there is no condemnation of Judas in his choice to take his own life in the way that he does. Rather, in recording the suicide Matthew allows guilt to pass from Judas to the Jewish leaders who ignore Judas’s confession and his atoning gesture and are thereby rendered guilty.

Later he was further vilified for that act in addition to his betrayal of Christ, and by the time of the medieval church the Hanged Judas had been consigned to the darkest parts the Inferno.

It is testimony to Spong that even in death, his obituary has made me think, in any areas I thought very much cut and dried.

I am indebted to this lightly edited obituary from The Washington Post, which I doubt will get much currency in Australia.

Long one of the most liberal voices among the nation’s Episcopalians, Bishop Spong has died at the age of 90.

In 1989, while he was bishop in Newark, N.J., he ordained the first openly gay male priest in the Episcopal Church, the Rev. Robert Williams.

Though the Rev. Ellen Barrett, an openly lesbian priest, had been ordained a decade earlier, Bishop Spong drew national attention by sending letters inviting all the church’s bishops — many of whom opposed his actions — to attend the ordination of Williams that December.

“Christian moral standards have changed quite dramatically,” Bishop Spong told The New York Times before the ordination. “We had slavery in a Christian nation. We had oppressed women. I think that our world is more Christ-like when it’s open to all of God’s children.”

And he added: “We believe that the Church needs to be honest. We have gay priests in every diocese.”

The author of more than two dozen books, Bishop Spong questioned some of Christianity’s fundamental doctrines while over the years he had often taught and lectured at Harvard Divinity School.

“He was trying to find the kernel and sweep away the husk of what it meant to follow Jesus. He was always seeking after that truth,” the Rev. Canon Kelly Brown Douglas, canon theologian at Washington National Cathedral and dean of the Episcopal Divinity School at Union Theological Seminary, said; “What he truly came to understand is doctrine and dogma doesn’t make us Christian. Doctrine and dogma doesn’t make us church. What makes us church is respecting the sacredness of every single human being and creating a world that does that and making sure the church is leading the world in doing so.”

“In so many ways,” she added, “he was ahead of the church.”

Nine months after Bishop Spong ordained Williams, the Episcopal Church’s House of Bishops voted to pass a resolution affirming that it is “inappropriate” to ordain a practicing homosexual.

“The way the church treats its gay and lesbian members,” Bishop Spong said afterward, “strains the very fabric of my life by tearing it between my loyalty to Jesus Christ, who made a habit of embracing the outcast, and my loyalty to a church that historically has rejected Blacks, women and gays.”

Born in Charlotte, N.C., on June 16, 1931, John Shelby Spong was raised in fundamentalist churches amid those whose values were racist, sexist, and homophobic.

When he was young, he was taught that gay people were sinful, women were subordinate to men, and whites were superior to people of color.

His father, a salesman who struggled with alcoholism and died when John was 12, told him he should always say “sir” and “ma’am” to his elders, so long as they were not Black.

Bishop Spong later said the greatest influence on his upbringing was his mother, who was part of a strict Presbyterian sect that refused to play hymns because the lyrics were not “God’s words.” He later targeted that kind of biblical literalism in his books and sermons.

In 1998, for example, he criticized LGBTQ opponents as “uninformed religious people who buttress their attitude with appeals to a literal understanding of the Bible. This same mentality has marked every debate about every new insight that has arisen in the Western world over the last 600 years. It is a tired, threadbare argument that has become one of embarrassment to the cause of Christ.”

He graduated from the University of North Carolina in 1952 and received a master’s in divinity from Virginia Theological Seminary in 1955. That same year, he was ordained to the priesthood and married Joan Lydia Ketner, who died in 1988. In 1990, he married Christine Mary Bridger, an administrator in the Newark archdiocese who went on to edit his work.  He was survived by his wife, five children and six grandchildren. He had a sister, who also has outlived him.

Before he became a bishop in New Jersey, he served for 20 years as a priest in North Carolina and Virginia. As rector of St. Paul’s Episcopal Church in Richmond, known as the Cathedral of the Confederacy because it was where Robert E. Lee and Jefferson Davis had worshiped, he took down the Confederate flag that flew above the building.

As the civil rights movement progressed, Bishop Spong found himself preaching to Black and white congregations alike, and said he worked to shed what he called the “residual racism” of his upbringing.

“I happen to believe that God’s image is in every human being, and that every human being must [be treated] with ultimate respect … And the Black people in America were the first people who made this very clear to me,” he said in a 2001 interview with the ABC, Australia’s national broadcaster.

He later expanded his ministry to encompass the fights for gender equality and LGBTQ rights. Soon after he arrived at the Diocese of Newark in the mid-1970s, the diocese became one of the first to ordain women to the priesthood.

The Rev. V. Gene Robinson, who in 2003 was consecrated as the church’s first openly gay bishop, has recently called Bishop Spong “a prophet”, using the term in the sense of “someone who speaks truth to power, who says those things that people don’t want to hear because it calls their morality and their lives into question.”

“I stand on his shoulders,” Robinson added. “Were it not for the work that he did and the ministry that he did and the advocacy on behalf of LGBTQ people that he did, I wouldn’t be a bishop. He did it long before it was popular or politically correct — he did it because he believed it was the Gospel.”

After publishing “Resurrection: Myth or Reality? A Bishop’s Search for the Origins of Christianity,” Spong spoke with the Globe in 1994 about parts of Christianity he was challenging.

Neither Judas Iscariot nor a betrayal by one of the 12 apostles was mentioned in early parts of the New Testament, he said.

“Judas was a creation of the Christian Church, which sought to shift blame for Jesus’s death from the Romans to the Jews,” he said.

In his 2005 book “The Sins of Scripture: Exposing the Bible’s Texts of Hate to Reveal the God of Love,” Bishop Spong wrote:

“I am now convinced that institutional Christianity has become so consumed by its quest for power and authority, most of which is rooted in the excessive claims for the Bible, that the authentic voice of God can no longer be heard within it.”

He did not say Amen. Others may.

There’s a Tree in the House

I was looking at an old repeat of Grand Designs in Australia where the owners erected a huge tree trunk as a centrepiece of their house in the tropical bush south of Darwin. It was a huge endeavour.

Trees, in the house …

By chance, at the same time, we received a short message from a renter of our property in Tasmania, which read in part; “Thank you so much for a wonderful stay in your holiday house. Our young boys absolutely loved the trees in the house.”

I had watched this installation of the tree trunk in the Northern Territory house, and yet did not immediately associate with the three massive blackwood trunks which support our house together with the trunk of a King Billy pine, which was the only old wood.

The blackwood poles were green at the time of construction and this is shown by some splitting in the poles , but the house is nearly 30 years old and seemingly that is now stabilised. The simple observation of children entering the property for the first time, full of wonderment at something we just take for granted; for them the house may be a fugue of interwoven wood. But from ageing eyes like mine, you only see what you don’t see.

Mouse Whisper

In Italy, May 1 is known is “Festa dei Lavatori”. It is a day of little work, also known in Italian as “la toiletta”. In southern England on the same day, there is a little known ceremony heralding the harvest of the first honeycomb. It is known as “Bee Day”.

Modest Expectations – Lopez Nunes

Consider this summer’s Lollapalooza music festival in Chicago. All those attending were required to provide proof of vaccination or a negative coronavirus test. Anyone unvaccinated was required to wear masks throughout, even though the festival was outdoors. And those attending were asked to accept a “Lollapalooza Fan Health Pledge” promising they had not tested positive or been exposed to covid within two weeks or experienced any covid symptoms within 48 hours. The result? Of the hundreds of thousands of fans who attended the festival, only a few hundred have subsequently tested positive — and it is unclear whether any of them were infected at Lollapalooza.

Eighteen months into the pandemic, we’ve learned that outdoor gatherings are reasonably safe — it’s the indoor activities that invariably follow that are deadly. At Sturgis, (the annual pilgrimage to this tiny town in South Dakota for motorcycle enthusiasts) it is unlikely that the outdoor bike rallies were a problem. Most of the spread likely happened in the evenings, when people crowded into bars and restaurants, most unvaccinated, all unmasked. Large gatherings that work on keeping indoor spaces safe through vaccinations, masking, ventilation and other techniques can keep the entire gathering safer. 

Over the past year, every time we have tried to defy the virus by scorning precautions, the virus has won, and people have suffered and died: significant outbreaks, a lot of hospitalizations, too many deaths. Large gatherings like rallies, festivals and fairs are the biggest test of what our society can do in a pandemic.

The simple interpretation of the large outbreak after Sturgis is that big gatherings are just not possible during a pandemic. But that is the wrong lesson. It’s important for Americans to find ways to come together. So we should ask how we can make gatherings safer. 

Here, the pandemic playbook is straightforward: Ensure you have a highly vaccinated population. Verify people’s vaccination status. Require rapid and frequent testing, especially for the unvaccinated. Improve indoor air quality, and use masking intermittently when needed.

None of these are difficult to achieve. And none of them should be particularly inconvenient. If we do all that, we can safely get back to the things we love and the events that bring us together, like music festivals, concerts and motorcycle rallies. From The Washington Post

On the way to Sturgis to catch a dose of COVID

The Sturgis motor bike rally attracts, over a 10-day period in August, about 500,000 people, all unvaccinated, all maskless, all completely ignoring any anti-viral precautions. I remember last year the forlorn image of the lone nurse at the empty COVID-19 testing station at Sturgis.

Sturgis is a small town in sparsely populated Mead County of that State; perhaps the nearest equivalent in Australia might be the annual gathering of ute owners and their vehicles in Deniliquin.

One difference is the Deni Ute Muster, as it is called, attracts only about 25,000 with up to one hundred utes, and it has been cancelled this year, as it was last year – out of respect for the lethal nature of the Virus.

Small town where, when the crowd arrives and leaves, in this case in Sturgis the number of COVID-19 cases shot up. There have been variable estimates of the extent of the spread engineered by the Sturgis participants and the numbers range up to 266,000. But given the reliability of the data, just use the word “substantial” – as good as any semi-quantitative measure.

While that irresponsible Governor of South Dakota rides around pillion at such a festival, herself vaccinated (not in evidence) but maskless (in evidence) what does one expect from a country one spit away from the sinkhole.

In 1788, Sydney was all we had

One matter is evident in the lead up to the election. Both the Prime Minister and the Leader of the Opposition come from the same state, and not only that, but also from suburban Sydney. There is resentment building against NSW; and that is unsurprising given what a target Berejiklian has made for herself, and which may intensify once the shadow cast by ICAC may challenge her “ermine saviour” image promoted by the AFR and subsequently universally lampooned. Again, she is a product of suburban Sydney schooling in North Ryde, and her deputy’s stronghold is in Queanbeyan, which may as well be a de facto suburb of Canberra; moreover, conventional suburbia.

I have lived half my life in Victoria and the other half in New South Wales.  I also have been lucky enough to travel widely around Australia during my working life. I remember having to work in Queensland, and that feeling of being labelled a “Mexican”, which I soon shed; but on the other hand if the Queenslanders don’t like you (which is the politician’s lot) it is hard to shed the sombrero.

I have seen images of Albanese in Queensland and he doesn’t exactly look in place there; whereas Morrison fits the bill (Queensland has a hearty dose of evangelical happy clappers like himself) at least in the country areas. The number of billboards in rural Queensland telling one that “Jesus saves”, would encourage anybody to open a bank account.

As if a prescient sign, a former Albanese sidekick has been booted from his position as Mayor of the Inner West Council, suffering the ignominy of not being able to finish his term in December, when a new council will be elected.

“The name’s Bill. Bill Shorten,” the kicker line began. “Remember it well. He’s a union supremo at the moment. He’s pals with both foxes and hounds. He’s the face of 21st century Labor. Heading for The Lodge? You better believe it.” 

I remember this quote about Bill Shorten. It doesn’t get much currency these days.

I am not a great fan of Shorten. From my sources in Melbourne flow streams of negativity. His rise to the leadership was not a pathway which personally I would have taken, but he got there, with all his “zinger” arrogance clearly demonstrating a complete lack of sense of humour in the process. A very unlovely image over seven years, and he lost the election.

Equally unlovely men have had a second chance, but in so doing, they regulated their outer coating – spots and stripes are changed accordingly. When he was young, Shorten’s essential meanness was hidden behind a youthful face and a shock of hair. I doubt whether he has changed that much, but he is intelligent, far more than the current Prime Minister and his essential meanness of spirit could carry the Labor Party to victory, given that image of NSW being the teacher’s pet and that totally inept performance of his fellow Victorian, Frydenberg, who has continually attacked his own State.

Shorten does not have to be Bob Hope with devastating one liners; he needs to convert his meanness into an image of resilience and show compassion. The baby kissing “aw-shucks” image is not Shorten; leave that to Morrison and his baseball cap.

These are hard times. Once, there was a hard time in Northern Tasmania. I was not close enough to the Beaconsfield mine disaster to know how Shorten was perceived locally at the time – whether a sincerely concerned union official or a silver-tailed blow-in – courtesy of Dick Pratt’s private plane. But he was there on the spot, not in Hawaii. Shorten’s intuitive response was one of being seen there.

Man of the people, Beaconsfield

Smart people always learn; and Shorten is smart. Howard learnt; he had the same propensity of shifting alliances – a polite way of putting it. After all, it was said Shorten was in his element in Beaconsfield given his expertise in undermining. This facet of his way up the pole of influence will always dog him; but being likened to a rodent ultimately did not impede Howard’s rise to Prime Ministership, where he did a reasonable job. He was fortunate to have Tim Fisher as his Deputy – both, may I add, New South Welshmen but at least Tim’s electorate bordered Victoria. This a luxury Morrison does not have.

The Australian government is not the plaything of New South Wales politics. Premier Andrews summed up the resentment “I signed up to a national plan to vaccinate the country, not a plan to vaccinate Sydney.” Note Andrews did not say NSW; he said Sydney.

The Lodge, Canberra

Andrews embodied a bitterness which is palpable around Australia. There is no better symbolism than Morrison going home to Sydney every weekend. He is a Sydneysider; he is not an Australian. The Lodge is where the Prime Minister of Australia resides. The problem is that, as Keating first demonstrated, it is too easy for a Sydney-based Prime Minister to use Kirribilli House as the main residence, not the Lodge. However, Canberra was constructed to symbolise the Australian Federation, not some form of extended Sydney papacy because of the accident of the first settlement, Port Jackson, where Arthur Phillip stuck the Union Jack.

The Prime Minister should test his popularity in Victoria for a start. Victoria gets a new seat at the next Federal election – a safe Labor seat named after Bob Hawke; and the recent redistribution makes the seat of Chisholm even more marginal for the Liberal Party. Especially if it is recommended as an electoral issue that Kirribilli House be opened up for the nation or sold, in order to dispense with the notion that the Federal Government is just an extension of NSW politics. After all, Kirribilli was acquired in 1919 by another NSW-based Prime Minister, Billy Hughes, to prevent the site being redeveloped.

Only since 1956 has it been the place where the Prime Minister could entertain, but not live. However, since the end of 1991 Australia has had NSW-based Prime Ministers except for the Rudd/Gillard six-year era – in other words, over a 30 year period we have had a NSW Prime Minister for 25 of those, and thus surreptitiously turning Kirribilli into the Prime Ministerial residence is outrageous. Canberra was created for that purpose, and the Lodge is the official residence of the Prime Minister, not an apartment when Parliament is sitting. Moreover, it has been recently renovated at a cost of $9m.

What a choice, with the wife and kids with a residence overlooking the Harbour, the Government being seen as not disrupting the children’s schooling.  One can see how that resonates in the community – Big Daddy.

Then no matter what, the lights will continue to burn brightly in Kirribilli, with comfy fireside chats with the NSW Premier, especially if the two share the same political affiliation – and the children are playing around at his feet.

Kiribilli-by-sea

Do we really want Albanese to continue this dubious NSW tradition?

You know, the rest of Australia can go hang but Daddy is always home for dinner – and close to Hillsong on Sundays.

Wilcannia on the Darling River

“Jack Best, you should know better.”

The woman, a Barkinji elder, had been looking at me strangely for a few minutes as I was talking. I stopped, sheepish as a naughty child.

I realised that what I was saying was trespassing into woman’s business.

That was the way.  I was openly admonished. I should have recognised her initial non-verbal scolding.  Aboriginal people are very good on non-verbal communication; the more you work with them, the more you learn how to respond appropriately.

Yet in this instance, it demonstrated that she recognised as a whitefella that I had been trusted by the local Aboriginal population, and my action was not ignorance borne of lack of knowledge; but it had been my unthinking chatter when I had wandered into women’s business by describing something I had seen.

As I said, she was a Barkinji elder, her people fine-boned Aboriginals whose land lies along the Darling River.

I spent a considerable amount of time in Wilcannia when I was working in the Far West of NSW. Whether I had any long term impact, perhaps but I doubt it. Nevertheless, I remember a time when the myth was abroad implying that Wilcannia was a dangerous place where you would not want to stop. I never had that feeling.  Yet it has always been very easy to criticise Wilcannia because the town depends on Government funding, one way or another. For a period, there was an attempt to introduce the building trades, complete with a bricklaying machine. Not a success.

Wilcannia is a very circumscribed community. Once a port on the Darling River, it now has a very important place in Australia’s heritage, both for Aboriginal people and whitefellas. Whitefellas still lived in the town – when I was there one white nun was still resident in the convent.

There was a very involved white family who had a substantial property on the Darling River, just north of Wilcannia – a beautiful property. When the Darling River is not a dry creek bed or a stream discoloured by algal blooms, it is one of the most beautiful rivers in the world, and a property being on the river had a grandstand view, employing an apt sporting cliché, one of those that riddle our language.

Wilcannia is at a junction of roads going in all directions – the conventional access east-west  via the Barrier Highway; or north along the Darling to Bourke – a rough route through Tilpa and Louth. South, you turn off the Barrier highway and go down through the Manara Hills to Ivanhoe, where I once got off the Indian Pacific at 3am in order to be given a lift back to Wilcannia. Also, I once drove the 800 kilometres from Wilcannia to Melbourne on a Saturday in a Ford Laser without power steering.

Notwithstanding, Wilcannia is a self-contained Aboriginal community, with its buildings reflecting the whitefella heritage. The buildings were constructed of the distinctive cream sandstone from the now overgrown quarry  just out of town. Wilcannia stone has a distinctive cerise streak running through it.

Whitefella heritage

Now Wilcannia is in the middle of the pandemic and, given how circumscribed the community is, it is not surprising that once the Virus arrived there, most of the community were liable to become infected. The vaccination caravan arrived, and while there is a local hospital, there has been no local doctor, although there was someone in the past, who was a bit of a “Doc Holliday”.

The Royal Flying Doctor Service (RFDS) provided a clinic several times a week. The local nursing staff were hard-bitten but a generous lot; they had to be because there was a regular client group, who would turn up at all hours of the day or night. While the RFDS was there to pick up emergency cases; there also was always the chance of a woman unexpectedly turning up in labour at the hospital, well into the second stage, since ante-natal care for many of the Indigenous population is under-utilised.

What I find somewhat ironic with the pandemic and the resistance to a dedicated quarantine facility by the NSW Government is the provision of motor homes and tents in Wilcannia to isolate the infected. This is an expensive way of providing a dedicated facility; and it seems to have escaped the media’s attention to ask why hasn’t the Government been able to produce the same facilities for the infected burghers of the west and south-west of Sydney – early in the outbreak? The pundits would suggest the cost would be prohibitive and nobody would be prepared to dedicate the golf courses, for instance, for this use for the pandemic duration for such a facility.

But why should there be such a positive act of discrimination towards one community and not elsewhere in NSW?    All irony aside, what happens in Wilcannia will be instructive if NSW Health have the wit to engage in the community long term. Why? Because one way or another the whole Wilcannia community will either be vaccinated, be infected or a mixture of both.

Being an isolated community, it would be interesting to see how long the immunity lasts and whether there are differences between those vaccinated and those naturally infected. The problem is the level of trust that the Barkinji give to us whitefellas. I spent many years there on and off as I said, but always recognised how conditional trust is.

My closest contact is dead. He was one of several blackfellas with whom I developed that level of trust; but that was a long time ago. Nevertheless, we did develop a blueprint – an understanding. The lesson for me was that Wilcannia provided an insight into a community caught on the edge of whitefella civilisation. Yet that took years to obtain.

The Ghost of Al Grassby

I was going to give Albanese-bashing a break, but he cannot save himself. The topic was  Australian multi-culture and how his Party had been the centre of multi-cultural advocacy. He instanced Al Grassby as being a promotor of multi-culturism, when a member of Parliament. Al Grassby initially received a great deal of favourable coverage because of his colourful self-portrayal. This face of the Griffith Calabrian N’drangeta was hidden for many years, and it was a very unfavourable way of supporting the candidature of Kristina Keneally to the Lower House to mention Grassby in any way.

Kristina Keneally

I agree with Paul Keating that she is an acquisition in the Lower House, not the least for having a sharp mind and being articulate at the same time. She leaves some of the dummies who apparently are Ministers in her wake.

It is unsurprising in his enthusiasm for multi-culturism that Albanese failed to mention the exploits of those two multi-cultural warriors, Eddie Obeid and Joe Tripodi, prominent bugbears that Keneally “cut off at the pass”.

I am sure Ms Keneally remembers those two examples of Australian multi-culturism during her nightmare Premiership, as she ploughs into her new electorate-in-waiting.

Nevertheless, if she inherits the Home Affairs portfolio under a Labor Government, her experience will be very useful in dealing with a guy called Pezzullo.

King Penguins on the bookshelf

King Penguins were a delightful series of books produced as one of the inspirations of Alan Lane, the founder of Penguin Books. He borrowed the concept from a small German publisher, Insel-Verlag.

Alan Lane started the publication of Penguin books in 1936, where he reprinted books in characteristic pocket editions.

In 1939, the first in this series of King Penguins – “British Birds” appeared.

As Lane said himself: “The aim of the King Penguin is different. These have not been planned to coincide with the public’s growing appreciation of art, but rather to appeal to the general liking for illustrated keepsakes of special projects.”  Unless you sample these books, that description is less than informative.

The first book had a pale green cover, with brown solid edges with white streaks between each brick, like ribbons of mortar. The full title British Birds on Lake, River and Stream lies over an inked cartoon of a kingfisher.  There were 16 colour plates taken from John Gould’s massive collection of Birds of Great Britain, which extended to seven volumes. In a one shilling crown octavo pocket size book, the King Penguin is an elegant sampler, beautifully presented, of often esoteric subjects. The introductory description of this first one acknowledged  how Gould spent several years in Australia and prepared a 600 plate Birds of Australia and is regarded as the Father of Australian ornithology.

Seventy-six King Penguins and 20 years later, the last King Penguin was published. The subject matter – the Sculpture of the Parthenon. While I enjoyed the British bird book, I’m not big on the Parthenon. But that is the quirky diversity of this set. As recounted in an earlier blog, I used the 1950 King Penguin, Romney Marsh, as a guide to find the various churches deep in this reclaimed Kent marshland.

I now have a complete King Penguin set, the collection of which was started by my father. My father bought Penguin books by the bookcase – adding to his collection every month. Not only Penguins but Pelicans, which were essentially the non-fiction counterpart.  Penguins typically had an orange colour (unless crime, which had a green cover; biography royal blue; travel/adventure crimson). The Pelicans were sky blue in colour and were published from 1937 to 1990. Along the way, when the Penguin Classics were issued, my father never missed one; King Penguins were different. He bought those when he was interested in the subject matter.

Having inherited these, I thought I must try and obtain the full set. The first and easiest option was to buy a full set, and now on eBay to buy a full set the buyer needs about US$1,000. For me, when such international trading entrepôt to tap did not exist, they were much harder to access; it was the thrill of the chase and over about five years, mostly in small secondhand bookshops in England, a complete set was achieved. Some are in better condition than others, but it was the joy of discovery – and inching towards the full set.

Magic Books of Mexico

When the last one was collected,  in my case Popular Art in Britain, my feeling of elation at having achieved the goal quickly became followed by a sense bordering on melancholia. What next? An achievement which will not materially change anything.

Yet recently I have found out about another one which I don’t have. That was the one reprinted for the Olympics Games in 1968, “Magic Books of Mexico”. My collector melancholy has lifted – if only temporarily.

The next venue?

The Pentagon has spent more than $14 trillion on the war in Afghanistan, with “one-third to one-half” of the total going to military contracts, according to a newly released report by the Costs of War Project at Brown University.

According to the report, which outlines the corporate beneficiaries of post-9/11 Pentagon spending, one-quarter to one-third of all contracts in recent years have been awarded to just five major corporations: Lockheed Martin, Boeing, General Dynamics, Raytheon, and Northrop Grumman – From The Boston Globe

After Afghanistan and Vietnam and Korea, coming to a venue near you – 1955, 1975, 2021; or another way 1951, 1965, 2001 – 5 years, 10 years, 20 years. To feed the above corporations, will the next conflict be the real Armageddon – or just 40 years devoted to an exercise in the Defence of Freedom as well as feeding the maw of the above named corporations?

The blood of Afghanistan is barely dry on the American escutcheon before there is more feeding of the maw, with the proposal to infect Australia with nuclear submarine technology. The beneficiary of this Thursday’s announcement? General Dynamics. Will anybody ever learn?

The Waste Land has never seemed more relevant.

This decayed hole among the mountains

In the faint moonlight, the grass is singing

Over the tumbled graves, about the chapel

There is the empty chapel, only the wind’s home.

It has no windows, and the door swings.

And for chapel, substitute mosque, synagogue, temple or whatever suits your prayer.

Mouse Whisper

How do you make an Armenian cross?

Mention the word accountability!

Or else hire yourself a good carver of khachkars (sounds like a guttural version of cash cow), an example below with the characteristic cross of the Armenian Apostolic Church. If you want to see the eclectic nature of the Christian Church, just wander into the Church of the Holy Sepulchre in Jerusalem. The church territory is carved up between six Christian sects so that the Chapel of Saint Helena is a 12th-century Armenian church contained on the lower level. All mine!

As a paw note, I acknowledge my uncle Charles Arnamousian, for this information.

A khachkar

Modest Expectations – Sepoy Khudadad

I remember the world changed when I woke up around 3.00 am on 12 September where I was staying in Adelaide on this day 20 years ago. The television was on; I moved to turn it off. A plane was flying into a skyscraper. God, why do they run disaster movies at this hour, I thought. Then I realised it was real…

9/11 Memorial

I do not generally acknowledge anniversaries…

I leave my wife to do all the heavy lifting in this regard. Yet like all people who pretend that such milestones can just be shrugged away, I am secretly moved by spontaneous expressions of affection. Father’s Day this year was a day I will remember because of the interaction with my two sons, and the way the family, their wives and children provided background sensitivity to this old blogger, heavy with hoar.

This memorable interaction was capped off by the Aylesbury duck for dinner. I can’t remember whether I have had Aylesbury duck before. Because of its quintessential association with the United Kingdom, I may have; but no special quack sticks in my head.

Our local Rozelle restaurant has gone through many changes but has survived and is now called Le Coq. Owned by a Frenchman from Réunion, it always provided an uncomplicated “un plat de jour” accompanied by a sightly upmarket “vin ordinaire”.

With the lockdown, the restaurant had crossed the Channel and was providing Aylesbury duck as one of the options for a “cook at home” Dad’s dinner. In other words, the restaurant prepared the raw materials, complete with an orange sauce accompaniment.

My wife is a marvellous cook, but the instructions were simple. Just pre-heat the oven to 200oC and place the duck in the oven for 45 minutes. Take the duck out of the oven, add the Kipflers and Brussel sprouts and then put everything back in the oven for 15 minutes; complete by reheating the orange sauce on low heat for five minutes. Even a Kooking Klutz like me could do it (but I didn’t).

Brilliant, brilliant meal, even if the chestnuts were water chestnuts!

No, I don’t think I had Aylesbury Duck in Aylesbury, but I have enjoyed its relative in Peking, as it was once called.

A small plane flew over the Caribbean Coast and I never noticed

I don’t generally keep correspondence, but I still have one letter from Greg, written on Scripps Clinic and Research Foundation notepaper, dated 17 December 1971 and, as he said in his letter, he would have sent a Christmas card except that “the millionaires of La Jolla have revolting taste and I can’t find any I like.”

That was Greg – just a tiny explosion out of nowhere.  Presumably that is why we took such an instant dislike to one another when we first met. We were too much alike – I, a pathology registrar and he, a laboratory scientist.

Greg developed a relationship with another laboratory scientist, a beautiful Chinese woman called Neva, who came with impeccable Shanghai heritage, and had a serenity which counterpointed Greg’s impetuosity.

Neva was friendly with both of us, and it was a time which I recounted in an earlier blog, about being feted in a particular Chinatown restaurant. I have a recollection that we came together for a very good night. Greg and I, previous adversaries, bonded. Maybe it was another time, but the point of this narrative is that we became friends. His wider circle of friends was different from mine, as instanced by his taking all of us up to Dunmochin, the property owned by Clifton Pugh at Cottles Bridge in that artistic quarter of outer Melbourne.

Then Neva went to Canada; and Greg left Australia soon after, but not for Canada. As he said in his letter, he had crossed the Pacific on a slow boat, and from Panama he had flown to Bogota, then by “a very dangerous small plane” to Leticia, the only Colombian city on the Amazon River, where three countries intersect: Colombia, Peru and Brazil. Boat to Manaus took seven days down the Amazon; and then that seemed enough on the river because he hitched a ride with the Brazilian air force to Belem, near the mouth of the Amazon, and then took a bus via Brasilia, motoring down to Rio de Janeiro.

He worked in a “dreadful little clinical Laboratory” there for 100 days, before he decamped to Sucre and Potosi, the baroque colonial past in Bolivia. It did not mention whether he enjoyed Potosi, about 4,000 metres above sea level and Sucre, at a more comfortable 2,800 metres above sea level. Sucre was where the Spanish conquistadors preferred to live in sub-tropical splendour in summer. At the same time their solid silver lifestyle was being mined in the surrounding Andes.

Then he went on to La Paz. He did the obligatory pilgrimage to Macchu Picchu in Peru, up the coast to Ecuador and back into Colombia via Cali to Bogota. Not a mention of drugs, but I knew Greg liked an odd joint or two.

Then one line in the letter transports him up to the Colombian Caribbean Coast, which must have been quite a journey, especially when catching a small boat to the Panamanian frontier, and then a small plane to Panama City. I took this part of his travels at face value – still do, although some might read the words twice.

When I pause in re-reading this letter 40 years later, I realise in a paragraph how great was the experience gained as he purchased a motorbike to ride through Central America towards California, the end point. He rode through Guatemala, with its magnificent Mayan ruin at Tikal, and Mexico gets a mention. You would think that was by motorbike – a sort of Easy Rider. However, somewhere along the way, the motorbike was ditched and he wrote that he had “a marvellous time travelling mostly on the backs of trucks, hitchhiking and in trains”. Countries are not differentiated; some people are marvellous. The letter from the ever-optimistic Greg ends in California.

At the time of the letter he was working as a technician, the parenthetic comment being the scientist’s rank without a PhD. He was working in the laboratory of Ralph Riesfield with three Italians, one German and three Americans (all unnamed). Riesfield had just arrived at Scripps, already a well known and successful scientist who, as a young man searching for a career, had consulted Einstein. Einstein had probably recognised Riesfield as a fellow refugee from Vienna, escaping as he did in 1938 with the Gestapo a street away. In itself this may have attracted the interest of Einstein, who may have recognised the family name.

While at Scripps, Riesfield distinguished himself as a pre-eminent immunologist, involved in the development of immunological agents to treat cancer.

Greg hoped to work another year at Scripps and then get on with his quest, heading off to Africa then to Europe, hoping to get work, then back through Asia and home.

I hope he had a good life. I never heard from him again. I wonder whether he ever saw Neva again. But I kept the letter, because I wanted to remember a time when there were guys like Greg whom I knew and who, even for a short time, made my life richer.

The Hotel Pattee

The train don’t go through Perry no more.

However, I get ahead of myself.

We decided once we had got to about 35 States of the United States of America that we should make an attempt to visit them all.  We had friends and acquaintances who lived in America.

I recalled one guy who had been a post-graduate at the University of Melbourne. He was always Mac to me. I don’t know how we met, but I remember him as tall Yankee, a member of the Democratic Party. We lived in those heady times of John Kennedy and, for a time, we all had hope of a new world in which Kennedy would play a central role. We loved his sense of informality, the informality of youth. Mac told me about a friend of his who worked on one of the Asian desks in the State Department; his phone rang and it was Kennedy on the line. He wanted some information and so he went straight to the guy who had it.

In those days we didn’t have many savvy Yank scholars in our midst – especially one who was young, a budding historian, and who had served as an officer in the Marine Corps. He was eight years older than me, but I think he found me interesting, perhaps because 1960-61 was the period of my Presidency of the Student Representatives Council. Occasionally in your life you enter a circle in which, for a while, you are influential and attract attention before fading back into the ruck.

Mac was very much an Ivy League product, a Harvard graduate, who was returning to a post at Princeton after his year in Australia. He married soon after he returned to the US. I know that much.

Fast forward to 2009, and I knew from desultory correspondence with him, that he had ended up at the University of Iowa where he stayed for his whole professional life, building up a formidable reputation as an American History scholar. I later found out his area of research included the Appalachians, which had always interested me, as has westward movement of the white settlers into Indian territory with the dispossession of the indigenous tribes, which became such a stain of what is referred to as “civilisation”.

Iowa city is the University town where Mac lived for most of his career. As we had never been to Iowa I decided to write to see whether he was still there. He replied to say he had retired from his academic post the previous year, assumed the title of Emeritus and moved back to the East Coast where he was born. The bare facts; no mention of wanting to catch up – after all what was there to talk about after over 50 years since last contact.

So that was that – no reason to go to Iowa City. No reason to go there, but we did. It is a three hour drive from Chicago, where we were staying with friends. Chicago is one of my favourite cities, but that is in a raft of other stories.

Iowa city was like many of its kind, owing its existence to the University; clean, respectable, middleclass-familiar. We stayed in the University hotel overnight, nothing much to do so we ventured out into the wilds of Iowa.

I remember that scene in the Hitchcock film “North by Northwest” where Cary Grant’s character in the film was being pursued in the corn field by a crop duster plane. For some reason I always thought it was meant to be Iowa; in fact it was supposed to be Indiana but was actually filmed in California. Anyway, if one wants to see flat plains covered in soya beans, Iowa is the place – with or without a vengeful crop duster plane.

Hogback Covered Bridge, Madison County, Iowa

We headed out into rural Iowa and spent the day driving around Madison County looking at the six covered bridges, which had been highlighted in the eponymous film a decade before with Merryl Streep and Clint Eastwood playing lovers.

To get to Perry, we needed to bypass Des Moines. The covered bridges are scattered, which meant considerable driving over unfamiliar backroads to find them. Thus, we were a bit tired when we reached Perry.

We stopped outside one of those Beaux Arts buildings with the vaguely Italianate style, which reflect the wealth of turn-of-the century America. This was a hotel, which announced itself on its green portico as the Hotel Pattee. As we found out, it had been built in 1913 when Perry was a thriving railway town, but had fallen into disrepair until resurrected by a lady who had been born in Perry, remembered the heyday and was determined to renovate the old hotel. Renovate was not quite the word, because each of the rooms had been meticulously renovated in a certain style. For instance, there was a Swedish Room, an Irish room, a Mexican Room, even a Quilt room – different motifs for a host of different rooms (but no Australia room).

There is even a Chautauqua room, although for those getting misty-eyed about that eponymous racehorse, Circuit or “tent” Chautauqua refers to a movement seeking to bring self-realisation and self-improvement. The first Circuit Chautauqua appeared in 1904 and travelled to 15 towns in Iowa. The goal was to deliver educational, spiritual, and cultural stimulation to rural and small-town America. Theodore Roosevelt described Chautauqua as “the most American thing in America”. Chautauqua is an Iroquois word that was used to describe a lake in western New York where this movement started.

However, we ended up in the Italian room with the ornate iron bed, lush drapes and hangings from Assisi and Fortuny silk chandelier. There were other reminders of Italy, for instance in faux-lava wall cameos; the illusion of a room in an Italian villa was created. There was even an Italian version of the prie-dieu complete with kneeler. No photos exist of me trying it out to see if She was around.

Hotel Pattee’s Mexican Room

While it was exotic, there were some tell-tale signs that a blanched pachyderm had stalked the lobby. There was a reconstructed Diner, which was closed except for breakfast.  Even now, one can see how many times the hotel has changed hands, but remained open. Nevertheless, the pachyderm still hovers.

As we found out, the woman who had extravagantly, if imaginatively, renovated the property has been forced to sell it three years before, and it had just re-opened when we stayed. There was a quality of impermanence in the air, because the rooms had been so carefully tailored to reflect this woman’s idea of a particular culture. The Italian room ostensibly celebrated that many Italians worked on the railroad. As as we walked around the town, we saw it was not a folly.

This was a workers’ town, not a tourist re-creation despite the exotic Hotel Pattee. There was still an active foundry in the centre of town, belching smoke into the air, the doors open so we could see the furnace; and we were lucky to find a laundry behind the hotel, where the women owners were very friendly and did our accumulated washing very quickly – we promised to send them a clutch of clip-on koalas for their trouble.

When experience is weighed, that day was one of the most unexpected. Covered bridges are another part of our American adventures; maybe one of us will write about it, because you must squat and have a slice of American pie after walking through each of those structures.

The Hotel Pattee was one extraordinary structure enough for one day, a day which started the day years before I first met Mac.

Never Drop Your Guard

Erin Goodyear, 28, is recovering from a breakthrough (COVID-19 vaccine) infection contracted after traveling to Arkansas for a 10-year high school reunion while cases were spiking.

She felt secure enough to attend the reunion, held in a well-ventilated venue, and to stay with her vaccinated parents. Goodyear does not regret her decision because of the opportunity to reconnect with old friends. But she wishes she had avoided certain activities, such as the drag show in a poorly ventilated and packed basement bar she attended after the reunion. 

After returning home to the District, Goodyear experienced an illness she described as a two-day cold that left her weak but not worried enough to get a coronavirus test until a friend suggested it. She also was concerned she might have infected her parents, who are vaccinated and did not become sick. Now, she has her guard up and plans to wear a mask, socialize outdoors and skip bars.

“Maybe my risk tolerance will change in the fall and winter when I’m lonely and want to see people, and I may have to do that inside more,” said Goodyear, who works for a non-profit. “The physical recovery and mental and emotional recovery did take a toll, and I just don’t want to go through that again either.” – from The Washington Post.

This is another reminder that social life is a viral challenge for the young mobile cohort, even to those like herself, who have been either fully vaccinated or have endured the disease full on, or both.

I have written about breakthrough earlier as a warning that it occurs. I agree with the approach of the Chief Medical Officer, Paul Kelly, that these should not be overplayed, but on the other hand, the experience of those who have suffered breakthrough should not be discounted either. I have already quoted one in an earlier blog and in this case of a young woman who travelled to Arkansas (a largely unvaccinated State) for a 10 year reunion. This visit included a packed underground bar late at night. You can imagine the roistering going on – a perfect climate for the Virus to have a field night. Even for someone fully vaccinated, it was obviously not enough. She had a mild COVID-19 episode, and now had moved on, leaving this anecdote behind.

It reminded me of my days when we would be packed into hotel bars, often with low ceilings, with the air thick with cigarette smoke, and I being one of the smokers. Most of us weren’t taken immediately to the nearest hospital with respiratory disease.

Okay, in our student days we would wake up the next morning with a hangover and in the colourful parlance of the time – a mouth like the bottom of a cocky’s cage”. However, fast forward in time, and those who persisted in smoky environments, still smoking (the equivalent risk of being unvaccinated), and eventually the hacking cough of chronic bronchitis compounded by cancer of the lung led to be a hospital statistic, whether or not in ICU.

Social distancing by igloo

We have not eliminated smoking, but here in Australia smoking is contained, but not zero, and moreover has fallen out of favour as a social transactional tool. Maybe the same will happen to enclosed bars and night clubs until the community adopt a social distancing standard equivalent to the smoking ban in such areas.

Therefore, the Virus should begin to elicit the same response even if, at the moment, there are places in Australia where it has been suppressed. Victoria is battling it, NSW has given up, the other States must determine the rules which will allow lotus land to be preserved – yet not in aspic.

Let us be under no illusions.  Nobody has a clue how to safely navigate this country out of this muddle. I feel very sorry for Paul Kelly, the only bastion of sanity in Canberra; “the only rational squeak in the Morrison bubble”, as one wit put it. When I get the chance, I listen to Kelly very closely since he has been very clear-headed and remarkably outwardly calm during this whole crisis.

As I wrote very early in the Virus invasion, Australia should have built special quarantine centres in each State. However, I assume nobody in this country wants to admit anybody carrying disease. I could imagine Barnaby Joyce’s mob screaming if he said, “let all the cattle or their products in without quarantining them for foot and mouth (FMD) disease”. We have not had any FMD, a devastating disease in cattle, on this Continent since 1872 – I think that makes the point. Victoria and Queensland seem to be going to produce bespoke quarantine centres, but not NSW.

Determine the regime for vaccination and determine now (not in some Morrison future) the optimal time for boosters. This chopping and changing around only confuses even those of us with some knowledge.

Determine which age you commence the program. I hit upon 12 years of age in a previous blog. It may be earlier, but whatever the age, remember that this Virus seems to use children as an efficient Vector.

Why do I keep banging on, because some governments seem to be possessed with the infantile notion that either we can live locked up or that it does not matter that the health system may collapse under the weight of cases (we’ll just adjust our model to remove that assumption) – because in the end, folks, it’s the ivermectin or hydroxychloroquine or, may I say it, the blood of Jesus Christ which will save us. Just ask the Texans.

Mouse Whisper

It is called the Armenian Fallacy. Here am I, propped against my mousehole door, looking at some person who looks very serious and is called Susan Pearce. She apparently has drunk from the same bowl as her Boss because she has switched from daily totals of increases in vaccinations to a weekly average, because the rate of vaccination has slowed, inevitably.

In the meantime, the number of people being tested is increasingly a meaningless statistic. After all, it is mandated for those living in the uber-locked down LGAs who work in essential jobs in the community. Therefore, if it is compulsory, then most people obey and the bigger this cohort with in turn a required frequency of testing will dictate the number of tests parroted each day by the government. Yes, compliance;  but nothing to do with health status.

The other statistic she used was that 90 per cent of people with the Virus are being treated outside hospital. Even a little mouse like me would think that misleading – it is the actual number in hospital which counts when measured against existing resources.  Morrison used the same fallacy when using percentages to downplay the effect of hotel quarantine breakout.

The day of reckoning is upon us, but I can retreat into my Mousehole, and pretend I am in Cornwall.

Modest Expectations – Renunciation of Citizenship

The Potala

If Australia is the hermit kingdom, what does that make the Lodge in Canberra?  The Potala?  It is not particularly helpful for two of the most powerful politicians to lock themselves away. Perhaps if they were creative geniuses such a juxtaposition may provide positive outcomes; but in the end, with men without such a spark, Australia ends up with a scene of reinforcement of similar attitudes and behaviour – an integral loop brewed around eggs and bacon and lox and cream cheese. A daily diet of fuelled fossils and property developers complete a depressing taste sensation of these eremites.

It is an ironic tableau given the Prime Ministerial shift in stance on the national lockdown.

Cameron Stewart made a shrewd observation on the Insiders program on 20 August to the effect that much would be revealed with Victoria’s ability to get the number of COVID-19 cases under control. The outbreak in the Albanian community in the Shepparton area, which is linked to the Caroline Springs cases, reflects the infectivity of the Delta Variant and the ease with which the virus spreads through families and the various workplaces. Unlike NSW the numbers were “grumbling along” in Victoria – until recently. There is doubt that the Victorian government wants the number lower. Nevertheless, with a lockdown, the numbers were initially contained – with the fear that with any loosening of restrictions the situation would mimic that of Sydney.

If Victoria had forced the daily case numbers down, even if not to zero, then Australia – except for NSW – would have the prospect of emerging from lockdown. NSW is still left with its population in some Berejiklian limbo, supported by an isolated NSW Prime Minister and a Victorian-based Treasurer, being slowly braised on the tip of Morton’s Fork.

The dilemma is that Australia can then be unlocked, except for NSW – the pariah State surrounding the equivalent of wartime Switzerland, called the Australian Capital Territory, providing succour to the war-fatigued refugees from the NSW War Zone, now garrisoned by the Delta Variant.

NSW inhabitants will be seeking refugee status, waving vaccination papers at the border seeking access to a COVID-19 free State. Its health system has collapsed under the load of COVID cases, with everybody wanting their elective procedures to be undertaken interstate because of the compromised status of each of the major NSW hospitals and their depletion of staff.

When anybody is used to being able to more or less control their activities, mostly by using devious tactics laced with lies, the Virus does not buy any of that. This is being shown by politicians hiding away, emerging only for controlled appearances with the media, at best having fragmentary knowledge of health to spread political half-truths. Underneath, the only Federal government strategy is wishing that the Virus would go away – and given his Pentecostal beliefs, the Prime Minister no doubt prays that “Jesus will directly intervene.”

If you want to stop the spread, you have to stop the vectors – people moving around in a disordered fashion (Brownian movement) – for at least two weeks. That is not going to happen in NSW – and, as has been proved elsewhere, vaccination helps, but achieving even 75 per cent is a challenge, not only because of the anti-vaxxers, but also  the unvaccinated  young who are spreaders.

A few weeks ago I set out a plan and inter alia suggested that as school was one place where you can capture the cohort, vaccination be provided at age 12. Vaccination may have to occur at an even younger age. However, that debate has yet to be had, as this Prime Minister’s mental energy is consumed in wedging poor hapless Albo.  Really, is that what governing Australia has been reduced to?

The point is, will Australia open up with NSW locked out? I am sure the other States are sick of Berejiklian and that NSW cabal called the Prime Minister’s office. A Treasurer held hostage because, in the end, plaintively he cries from the overgrown Lodge tennis court, a metaphor for Australia:

I coulda’ been a contender …

You don’t understand! I coulda’ had class. I coulda’ been a contender. I could’ve been somebody. Instead of a bum, which is what I am – let’s face it.”

Maybe he will, because Cameron Stewart has proved prescient. Andrews has not got the Victorian State’s daily average down to 10 cases a day. As the week has progressed the attainment of Andrews’ goal seems unlikely to occur. Andrews is now not a counterpoint for NSW’s abject failure. Andrews now needs to recalibrate without seeming to become another Berekjiklian – the quintessential flailing, failed Premier, being pursued by the hounds of  Queensland and Western Australia. Basking to Baskerville?

Morton’s Fork

To-day everyone has to pay the heaviest taxes in our history, but whereas in former times nobody liked paying taxes, now (let us I hope) we willingly do so, for we know that our money is helping: the fight for freedom. But this willing spirit was not shown in the reign of Henry VII, whose method of taxation produced a dilemma known as “Morton’s Fork.”

His officers of taxation did not hesitate to exact forced loans from people of property. They acted in accordance with the theory that if a man lived economically he could not have failed to have saved money, and was, therefore, in a position to make his Sovereign a handsome contribution.  

Likewise, if he lived extravagantly he evidently possessed means, and was also in a position to assist his King. No wonder we inherited a dislike for taxation!

Most revolutions have originated from the excessive taxation of the common people, such as the American Revolution, which was fought to escape English taxes, and the French Revolution to end the crushing impositions of the ruling classes.

This rather quaint letter the Sydney Morning Herald published in wartime 1940 almost irrelevantly invoked the concept of Morton’s Fork. Here then there was no hint of the dilemma which Morton wilfully created when hunting for extra revenue for Henry VII, after he had come to the throne following the energy sapping War of the Roses where Morton had played an important role.

Cardinal John Morton

Although he was a Dorset man by birth, Morton had hitched himself to the Lancastrian cause, and survived during Yorkist imprisonment with his head still intact on his torso. Between being Bishop of Ely and Cardinal Morton, Archbishop of Canterbury, he did have a stint in Tower of London – more a Morton roller-coaster than a fork. Moreover, Morton was always close to the Church, even though he first appears as the principal of Peckwater Inn, which had been given to an Augustine Priory several centuries before. It later became the site of Christ Church Oxford, but publican to priest gives Morton a special cachet.

Berejiklian is facing her own version of Morton’s Fork if she “lets it rip” and dismantles the lockdown; in all probability the State will collapse, as already clearly exemplified by a health system under extreme stress and NSW would attain complete pariah status within the Federation. If she intensifies the lockdown, then she is a form of Armenian toast with her Liberal Party backers, in a way never seen before by those unaffected in her Statewide constituency.  If they cannot protest in the streets, NSW voters have that alternative in 2023, unless there is revolt and cries for secession from the unaffected parts of the State well before that time.

There has already been the Tweed Heads Secessionist Movement, and what should have occurred at Federation, with all NSW south of the Murrumbidgee River being ceded to Victoria, may emerge as a local sentiment.

Then she would have to put a complete lockdown on the affected areas, allowing for no movement out for at least four weeks. Vaccination – who knows – may be her “opium of the people”. Let us face it, already we have evidence from elsewhere of the short-term effectiveness of the vaccines; but we have no plan to bolster up the very satisfactory take up to date, to include boosters even though Australia is still a long way from Shangri-La.

The World is based on getting your assumptions right

Covid-19 has exposed Australia’s economy for what it is.

We have a large, clean land and good weather. We dig dirt out of the ground which we sell as iron ore to China, which turns it into steel to build often vacant apartment blocks to pump GDP growth. We dig fossilised trees out of the ground which we also sell to China as coal to make that steel, and to burn in Japan for electricity while their nuclear reactors slowly get back online after Fukushima.

We sell immigration dressed up as education, mainly to China, which is now Australia’s third largest “export” market at $32 billion per annum – which is now halted. We are completely dependent on China which is now in a cold war with the US, possibly turning hot – where over one third of all merchandise exports go.”

So where to from here?

Technology and the elaborate transformation of our raw materials into sophisticated products with higher margins and a greater global market is the answer.

The fastest way to get there is to do everything we can to educate the nation with higher skills.

I would be paying people to go to university or TAFE in the right areas instead of sitting around in zombie companies on Job Keeper, use the spare capacity from the drop in international students to educate our own citizens and dramatically ramp up the sophistication and skills base taught at TAFE to make it a world class trade school.

My first assumption is this writer is not particularly friendly to the Morrison Government. However, like all assumptions, I could be wrong.

He is a prolific Twitter user, often commenting on subjects outside his areas of expertise, including the Sydney lockout laws, COVID-19, Politics of the United States, Donald Trump, Economic policy and many others. This has resulted in criticism from various circles including investors, who strongly suggest he should spend more energy growing a profitable company instead of constantly posting on social media.

This comment is inserted at the base of his Wikipedia biography, and my assumption is that the subject of the criticism did not insert that excerpt.

Again, I may be wrong.

Matt Barrie

The subject is Matt Barrie, self-described entrepreneur and IT expert. He has inserted himself into the “Doherty Model” debate with a very long criticism of the Doherty Institute’s modelling. He challenges the underlying assumptions of the model, and his criticism is peppered with annotations such as “garbage”.  I assume that he is calling into question the veracity of the Doherty model.

Parenthetically, when such a report as the Doherty one is commissioned and one can assume when the Government has predetermined the outcome, it politicises the findings and hence any recommendations in the Report. Here is the further parenthetic assumption that the Morrison government is following its normal pathway of creating a scapegoat, in this case in the form of Professor Lewin, if the whole Report goes “pear-shaped”, is discredited joining the $8m COVID-19 app which detected as it did only 17 cases – on the policy scrap heap..

It is part of my assumptions that the Government, which has made a number of appalling decisions, including prematurely congratulating the NSW government on successfully “quashing” the viral spread, has yet to learn.

The concern I have is how any of the models of the outcome of this Virus have factored in its transmissibility by those vaccinated, and the effect of the virus becoming endemic in children. The community has tolerated children as spreaders of that other coronavirus – the common cold – with its seasonal fluctuation. There is no vaccine, but we live with it because it is so mild in comparison with other infections and people are not hospitalised.

I am making the assumption that the AZ vaccine will be phased out as the mRNA vaccines, with their improved methods of production including the ability to be modified,  become the vaccines of choice. In itself this will present the Australian government with a number of problems in setting the policy agenda, including the substitution process, having invested so heavily in the AZ vaccine.

However, the assumption can be made that the shortages of vaccines will pass, and therefore the debate about whether Australia has booster doses or whether we help the disadvantaged countries achieve optimal vaccination also will fade as an issue.

Nevertheless, there remains the unanswered question of if, and when, boosters are required, and how young one needs to be to receive the first vaccine injection. Still questions that need to be answered, I assume.

Needless to say, it is poor form when asked to reveal the change in the modelling, Professor Lewin says she cannot. The assumption may be made that she has something to hide. The Doherty modellers should be asked to explain their model in front of their peers – publicly.

Whether he is right or wrong, Matt Barrie shows how debatable some of the assumptions underlying the report are, and therefore we do have a number of existing media forums where this can be debated, providing that the Chair of any such debate is knowledgeable and talented enough to lead the debate into objective territory. But that again is an assumption in many respects.

Hey Gladys. Where’re You Going This Weekend?

This is a story for you, Gladys.

There is a family we know in Tasmania.

They wanted to go on a holiday to Kakadu, but first they needed to visit relatives in Adelaide.

They boarded the Spirit of Tasmania with their car and were able to drive across Victoria and then stay in Adelaide with their relatives before flying to Darwin, where they rented a camper van and went to Kakadu, whence we received a text to say they were enjoying themselves. Very good people, and really good for them, not only to see their relatives in Adelaide but also to have a holiday in the Tropics during Tasmania’s chilly winter.

Then they drove their rented camper van from Darwin to Adelaide and then went home the way they had gone, in their own car.

What is that about lockdowns here? None.

The point is that the rest of Australia, especially if the smouldering Victorian outbreak is controlled, is leading a normal life, albeit a bit more hygienically than before.

A long time ago we booked a flight to Broome, having already booked on a cruise along the Kimberley coast, which would have also enabled us to go to Tiwi country, ending in Darwin. We anticipated the cancellation (which ultimately occurred) by flying to Broome early so that we could change to an alternative plan of driving to Darwin.  Having been to the Kimberley and the Northern Territory multiple times over the years we  knew what remained on our tourist agenda. However, along came the limo driver and the Berejiklian response, which has left the State locked down, with no demonstrable way of anything changing before the end of the year – if then.

Of course, none of the above  was possible for us, because of the Berejiklian stuff up. Nor any ability to go to Tasmania, nor to see our family in Melbourne.

I fail to see this adulation for the NSW Premier opening us all up for a picnic in the park or Dr Chant teaching us baby steps. Unfortunately, NSW has Berejiklian, who would be seen as an aberration in any other State. She has no strategy except vaccination in the face of the escalation of cases and a stressed health system.

Can I remind her of one thing? During the War, outside Tocumwal, they constructed an airstrip and nearby a 1,000 bed facility for war casualties, effectively taking them out of the firing line. The only way to deal with this crisis is to separate the infected, the virus vectors, until they are no longer vectors. A tent hospital would do it, because although the airstrip at Tocumwal still exists, the tent hospital has long gone and the land restored. The point is that rapidly setting up a fully functioning facility has been shown to be feasible and implementable. And a long way away without being a long way away. The wartime planners understood the apparent paradox and dealt with it accordingly.

Similar sites are available to NSW. What about some of those coastal golf courses in Sydney? Requisition these. Show some guts.

A suitable place for a quarantine village…

Watch what happens at Wellcamp when you have people with a real record of creating an airport and industrial park, as the Wagner brothers have shown; now given the task of creating a bespoke quarantine facility. In three months that will be operating.

However, you need courage to build such a facility in the face of Morrison the underminer. NSW needs a blueprint; the other States have provided various and the only unfortunate shred Berejiklian has in her policy patchwork is if Victoria has failed to reduce the number of cases. How threadbare can you become!

A Distant Mirror

I remember back in 1978, when I was reconstructing my library, I read a review about this new book titled A Distant Mirror by Barbara Tuchman. I remember sending a note to my friend in America asking her to buy me a copy, such were the times then in getting new American books. She bought a handcut first edition, which beautifully encased the views of one of the most influential historian of the 20th century, Barbara Tuchman.

The Distant Mirror metaphor drew attention to the parallels in the phenomena extant in both the 14th and 20th centuries.  On the surface there is Voltaire’s interjection of “history never repeating itself, man does” which may seem relevant, but where does it take one?

Back to this very extensive narrative of the 14th century.

Tuchman noted that there was a tendency of historians to skirt the 14th century, perhaps because of the disastrous consequences of the Black Death plague 1348-1350 “which killed an estimated one-third of the population living between India and Iceland.” She felt this a difficult age for historians as it was an interruption in the story of human progress.

Even now, over 30 years since her death, her thoughtful analysis is worth reading.

How delightful, southern France in summer …

In contrast, read the airy twitter post from the anachronistic Alexander Downer, having got an exemption to travel to France no less. Downer is chortling on about how lovely France is at this time of the year in summer – away from the Australian Oubliette – no lockdowns; just a France with 17,590 cases recorded yesterday and a “trivial” 74 deaths.

Reminiscent of Pope Clement VI during the stint in France away from that infested place called Rome, the papacy lodged in the south of France at Avignon at the height of the Black Death.  He was ordered by his doctor to sit between two fires in the papal apartments – during the summer. Rather than avoiding the miasma, the fire discouraged the fleas, the vectors of the Yersinia pestis bacillus. Also, the Pope had the added benefit of his doctor insisting on him being socially isolated, despite the Pope losing a third of his cardinals, most of whom were some relation in some shape or form to him anyway.

Better than lockdown, milord! Especially when you have no cardinals to worry about.

Now this is Freedom (Thanks to The Boston Globe)

What we are missing by having the lockdown.

For legions of island residents and visitors, traveling to and from Martha’s Vineyard and Nantucket has always been a bit of a headache.”

But this summer, the ordeal of snatching a coveted reservation on heavy travel days, and navigating the maze of buses, cars, and general commotion at the terminals has gone to migraine level, fuelling a season of discontent on the islands and mainland alike.”

Summer crowds at Martha’s Vineyard

“A fresh wave of tourists, along with an influx of new full-time island residents fleeing COVID, have packed ferries with thousands more cars, requiring travellers to book reservations weeks in advance for peak times.”

Mouse Whisper

The reward for reaching a record number of COVID cases in a single day – we can have a picnic outside – le déjeuner sur l’herbe or,

emulating Tom Lehrer’s picnic in the park:

All the world seems in tune
On a spring afternoon
When we’re poisoning pigeons in the park

…or a squirrel or two…”

Lots of ideas. Time for me to get some fresh air.

By the way, Is Tom Lehrer still alive?

Le déjeuner sur l’herbe

Modest Expectations – A Rock in Utah

On the 9-10 May 2001, the House of Representatives met in Melbourne to celebrate the Centenary of Federation Commemorative Sittings. Twenty years on, only five of those who were sitting as Members that day are still members of Parliament.

One is Kevin Andrews, a somewhat desiccated hangover in the Coalition, who is about to be consigned to “feather duster” status, after an undistinguished 30 years in Parliament and after losing preselection.

Warren Entsch and Bob Katter are from the wilds of Northern Queensland. Both have been able to ensure election without regard to any political affiliation. Katter is part of a dynasty, and both have fiefdoms. Intervention in any issue of national importance is incidental; neither is in a position to be national leader; and indeed, do not want to be so. They both want influence of their own choosing, even as they have become old men.

The other two who were there that day? Antony Albanese and Tanya Plibersek. Each has represented inner Sydney electorates for the Australian Labor Party for that period of time; in fact Albanese was elected in 1996 and Plibersek 1998. Frankly, I thought there would be more than just five, but these latter two are still very relevant to Australia as we move towards 2030.

Yet what have they done to move the needle towards ensuring a better life for Australia?

When Whitlam came to power in 1972, he gave Australia a mighty jolt. He had foreshadowed significant change during the vindictive years of McMahon and the alcohol-stained Gorton incumbency. “It’s Time” rang around Australia.

So dangerous was Whitlam to the bunyip aristocracy that eventually, with the connivance of the Royal household and the American security service, a coup was engineered in 1975 which led to Whitlam being sacked by a drunken popinjay called Kerr, dripping in the lard of an antique post and aided and abetted shamefully by the then Chief Justice Barwick.

However, the people showed very clearly that they were tired of Whitlam.  I was a spectator in these exciting times because, whatever could be said of these years, Australia threw off its bunyip ossification.

What followed was instructive, and the fact that the current government is as bad as it has ever been has given me cause to reflect. The decade post-Whitlam saw some of the most important policy made at a national level which brought us from a narrow Poujardist, sectarian-ridden country to one where the economy and the social structures bloomed – until this past decade.

Howard, for all his conservatism and his unconscious comic talent, strangely was the last remnant of that age, during which the mood of the country reverted to that previous xenophobic jingoistic time.

Malcolm Fraser came to power in 1975 in a landslide, which could be interpreted as a rejection of progress, and he was then successively re-elected until he was voted out in 1983. Fraser was a “curate’s egg”. For instance, his approach to economic reform was that of nineteenth century Victorian protectionism. His attitudes here with the morning-suited Eggleton whispering in his ear, set back our progress a decade.

However, despite the whisperings, he did make a number of decisions that can be attributed to his government having worthwhile impacts. I have tried to think of what Albanese and Plibersek have accomplished given that they have held ministerial positions and been in Cabinet over the past decade.

The reason I am musing about this was the discovery of an article in the Guardian Weekly written 13 years ago. The title “Harpoons Down – Australia’s Last Whaling“. The last whaling hunt happened in 1978. The last whaling station was at “Cheynes Beach” near Albany, a city on the southwestern coast of Australia. It was closed that year. At the time, there was a great deal of concern expressed as to the fallout in that community; the normal talk about the loss of jobs and of a city under stress given its isolated location.

Cheynes Beach whaling station near Albany

I remember visiting the station six years earlier when it was fully operational. When we arrived, the whales were being cut into huge slices. We weren’t worried about the smell. There is a lot of blood, but my children eagerly touched the body of the closest whale carcass.

My sons haven’t forgotten that experience since. People may abhor the slaughter of whales – whaling was so much part of our heritage as watching them has become today. My sons had grown up spending their holidays in Port Fairy, in a rubble walled stone cottage built in 1848. Port Fairy, together with other settlements on Victoria’s southern coast and the offshore islands of Tasmania, owed much of their origin to whaling. The cottage was named for Ben Bowyers, himself a whaler, who built it.

In April 1979 Malcolm Fraser pledged his government’s “total commitment to protect the whale”.  It was said that he was heavily influenced by his daughter, Phoebe. Nevertheless, a total ban on whaling in Australia and the development of policy for the protection of whales further afield in international waters followed. For this, Fraser could claim that he had achieved a major change in Australian policy and attitudes.

The cessation of whaling did not convert Albany into a ghost town. I think of an ongoing prosperous city today when, across the Continent, there are coal mines dotted all along coastal New South Wales. Yet Albanese and Plibersek, if not cowering under the assault of the coal mining industry and their union collaborators, are certainly not indicating a co-ordinated program to reduce coal mining either.

That is the worrying problem. That if Australia is faced with ridding itself of a corrupt government prolonging the moral desert, do we need a timid alternative with a blank record dedicating itself for minimising change, thus retaining a compromised bureaucracy with a carousel of consultants looting the country? Moreover, where is the plan to rid the coastal strip from the Illawarra to the Hunter of coal mining? After all, I am old enough to remember the despoliation of the beaches in the same area near Newcastle by sand mining and the bleat about loss of jobs. No sand mining in the Myall Lakes now. Loss of jobs? Not that you ever know whether these sand miners were ever reduced to penury.

Do we trust a government led by any NSW politician of any political colour? When last in power in this State, the ALP government was full of corruption, as we the community are being reminded as we watch the fall out still be played out in the courts.

More spine, Albo. Dig up the “goat tracks”, as Eddie Obeid so colourfully described the trail of lobbyists and hucksters wandering to and around the Parliamentary Executive Offices!

Additionally, a small piece of advice, get yourself or at least one of your trusted lieutenants to become fluent in Health as Neal Blewett did. The lack of appreciation that Health has a separate language leaves any politician such as Plibersek at a disadvantage. Certainly it did when she was Minister.

When I met her some years ago it was clear that she and her advisers spoke a form of Health creole. However then, speaking fluent Health was not as critical as it is today, especially in the misinterpretation of the meaning of vaccine percentages.

The Mystery of Jane Halton

Vaccine advances, including the remarkable success of mRNA technology, made it possible to develop jabs for a previously unknown pathogen in less than a year, rather than the decade or more it would traditionally take. But as much as we improved, the delivery of vaccines still took far too long. In the future, our goal must be to roll out vaccines in just 100 days. This goal, first articulated by CEPI, has been adopted and championed by the UK Government as part of its G7 Presidency. Achieving it could save millions of lives and trillions of dollars should we face another pandemic threat. – Richard Hatchett – June 2021

Richard Hatchett is the Chief Executive Officer of the Coalition for Epidemic Preparedness Innovations (CEPI), the Oslo-based organisation formed in 2017. The following blurb, even suitably abridged, sets out the objectives:

CEPI works to advance vaccines against emerging infectious diseases…and establishes investigational vaccine stockpiles.

CEPI also funds new and innovative platform technologies with the potential to accelerate the development and manufacture of vaccines.

CEPI is working with partners across the world on the development and manufacturing of a safe and effective vaccine against COVID-19 and is seeking US$2 billion from global donors to carry out this plan. 

Australia has given CEPI a relatively small amount of $13million (half of which has already been provided) towards the $2billion. In addition to governments, notably the UK, the Gates and Wellcome Foundations have each given $100 million.

Richard Hatchett has had a remarkable career and it is outlined most relevantly in a recent book by the prolific Michael Lewis titled “The Premonition – A Pandemic Story”.  In short, Lewis focuses on a group of scientists and doctors who spent years trying to ensure America was prepared for a deadly pandemic. A medically-trained epidemiologist, Hatchett is first mentioned in the book as having being recruited by one Rajeev Venkayya, a relatively junior medical graduate himself part of a group planning for governmental response to pandemics.

Serendipity is often but not invariably associated with momentous change. Dr Venkayya arrived at the Bush White House at a time when Bush, as described in the book, was “pissed”. Bush had been at the helm when 9/11 occurred; there had been the catastrophic Hurricane Katrina – and he did not know what to do. In fact, my personal memory from afar at the time of 9/11 was of the dazed, uncomprehending look on Bush’s face when he was interrupted reading a story to pre-schoolers, to be told of the planes crashing into the Twin Towers and the Pentagon.

Yet there, in this book “The Premonition”, it was said that in the summer of 2005, Bush read a book about the 1918 Spanish influenza outbreak and the devastation wrought. The book influenced Bush to such an extent that he wanted a plan to prevent this happening again. Bush had had many plans pushed his way on a number of matters, a number of which yielded catastrophic situations occurring, for instance, in Afghanistan.

Yet this proved different.

At the time in 2005 we had the outbreak of avian flu H5N1, and dire predictions of massive loss of human life, which never eventuated. Yet in the previous two years, the world had got its first spread of the SARS coronavirus, the forerunner of the COVID-19 virus.

Bush listened to Dr Vekayya, who wrote down a sketchy plan – 12 pages “which amounted less to a plan than a plan to have a plan”.  Bush asked Congress for $7.1 billion to spend on this three-part pandemic sketch plan, and Congress gave it to him. It was an insight into how Bush governed by instinct but, on this occasion, he was mostly right. Yet the business of getting a policy into place, which was little more than vaccinate and isolate, proved very difficult, given that it crossed the influential Centres for Disease Control (CDC) way of thinking.

To the Vekayya group another doctor was recruited, Carlton Mercer. He came from the Veterans Administration and over time this little-known figure became, with Hatchett, the vanguard for turning the Vekayya sketch into a defined course of action, namely when a pandemic appeared imminent, in the absence of a vaccine it was to go quickly and hard in locking down the community, close schools and social distance people from one other. The problem with people who genuinely drive change is that there is always the research/medical establishment prepared to cast aspersions. In this case, this was the CDC.

When Obama came to power, he stopped listening to these Bush appointees and their accumulated experience. He was bolstered in 2009 by predicted dire consequences of the swine flu pandemic – caused by another influenza virus H1N1 – that did not eventuate. Mexico had followed their guidelines; so what! America did not; and nothing much happened.

COVID-19 was yet to come.

Richard Hatchett in 2017 ended up running CEPI, which was a critical position as related in the book, because it was able to redirect substantial funding in the development of vaccines, particularly Moderna and AstroZeneca, when the pandemic struck and the Virus was isolated. Funding was also provided by CEPI to the University of Queensland for its ultimately failed vaccine. Considering the hype surrounding this group, perhaps more reliance was placed on its success than should have been. In any event, it left Australia with very few vaccine paddles, later in 2020. At that time Australia was basking in its success of suppression of the Virus.

Since leaving the advisory role to a President who had stopped listening to him, Richard Hatchett has been very active nevertheless.

The mystery of Jane Halton? Given her position as Chair of CEPI, which she is always flaunting, the question has been asked as to why she did not influence Australia in its acquisition of vaccines by Australia in 2020, given the directions being taken by CEPI, given the obvious international standing of the CEPI CEO, Richard Hatchett. I would have thought she would have told the Government what to do, as is her wont. She certainly should have known about the efficacy of the various vaccines under development around the world, including that of the University of Queensland, and the need to stockpile a range of vaccines, not just one.

Very strange, almost as mysterious as why she is the Chair of CEPI in the first place.

Sprod 

A drawing of a Grecian urn. The athlete on the urn being offered a laurel wreath. The caption – “no thanks I’ll take the money.”

The children on the beach watching a Punch and Judy show. The sign against the beach stage read “Now in its 290th year”.

An exercise in whimsy.

George Napier Sprod was an Australian cartoonist who, for much of his working life after the Second World War, worked in England. A cartoonist who signed himself Sprod? Who would believe the name was not just a humorous pseudonym? But George Napier Sprod was indeed born in South Australia.

As has been written elsewhere, in 1938 at the age 19, George Sprod left home without notice. He had decided to ride his bike along the Murray River en route to Sydney. He got as far as Hay before selling his bike and continuing by train. Once in Sydney he set up residence in Kings Cross and started freelancing as a cartoonist and working as a street photographer.

World War II intervened. He joined up, became a gunner, was sent to Singapore, was captured and then was a POW in Changi until the end of the War. During that time he teamed up with Ronald Searle and the two of them edited a paper called “Exile”. It must have been difficult for the Japanese to comprehend, given their distinctive styles. Searle in fact had a marked effect on the Sprod development

After the War he went back to Australia, worked for a time on the Packer papers, the Daily Telegraph and Womans Weekly, found out he was not a political cartoonist and went to England, where he hit paydirt, particularly with then Punch Editor, Malcolm Muggeridge.

In the “Introduction” to a collection of Sprod cartoons, mostly ones that had appeared in Punch, published in 1956 under the title “Chips off a Shoulder”, Malcolm Muggeridge described Sprod’s drawings as very funny, with a gusto, an earthiness. “The inherent absurdity of human life positively pleases him, and his bold and uproarious situations convey this pleasure. I would say he was in no tradition at all, but just Sprod.

Muggeridge, later on the Introduction, opined on why Australia produced and nurtured more humorous artists than anywhere else. He suggested it may have been the harshness of life and the vastness of Australia, which elicited the wry smile as the readiest and most natural response, as Muggeridge so elegantly puts it. Muggeridge mentions a number of Australian cartoonists, but lumped David Low in with them. Low, probably the most acclaimed political cartoonist of them, was a New Zealander, who did work for eight years in Sydney before spending the rest of this life cartooning in England.

Just before I left running the community health program in Victoria, one of my nursing team, as an impromptu gesture presented me with a first edition of “Chips off a Shoulder”. The year was 1979, the book having been published two decades before. On the fly leaf, she had written my initials and under these the words “A sense of humour” and then below at the foot of the page “Best wishes, always” followed by a long dash. I remember once she did ask what I would like as an epitaph. I don’t remember how this matter came up, but I remember my response, “I tried”.

It is funny what you treasure and would never sell. After I left the job, I never saw her again. Her name was Beryl.

But then I never went searching for Sprod, who by that time had retreated from England back to Australia because of some messy domestic relationship there. He died in Marrickville in 2003, I know that much and that he did go on to publish a number of other books of cartoons.

Where has All the Influenza Gone?

Influenza is very much part of the discussion swirling around the COVID-19 discussions. Reference is continually being made to the 1918 Spanish flu epidemic; and reference is made to the fact that people have died of influenza in the past and we did not lock down Australia.

One can speculate about this. My view is that the Australian community has become used to the winter appearance of the virus, and there was always at the outset of “the flu season”, the Australian representative of the World Health Organisation Collaborating Centre for Reference on Influenza appearing to warn us of its dangers.  Australia was thus well placed. Scientists at the Centre in Melbourne—one of six such centres globally—faced an imprecise predictive process because of the variability of the various strains. This explained the vaccine’s varying effectiveness year to year as the Commonwealth Serum Laboratory (CSL) tried to make the most effective vaccine to counter this shifty virus.

Thus, there is a yearly vaccine, and there were established rituals. Those working in the health sector were encouraged to be vaccinated, and each health centre, generally as part of infection control, provided a systematic approach. In any event the prevalence of influenza waned as the country emerged from winter.

People died, and in fact up to 2020, every year from 2014 onwards the number of people who died increased, almost reaching 1,000 a year – until 2020 when the number dropped to 36, and then this year nil. The average age of death was 88, and hence influenza mortality was conventionally believed to be confined to the very old.

This year the community was advised to space its influenza and COVID-19 injections. I had the influenza injection first, when it became available. This I did because early in the year the COVID-19 virus seemed suppressed and the Delta variant had yet to emerge as the scourge it has become. So, in my case, “vaccine hesitancy” was an artefact, because of the expert advice to space the injections.

There is much speculation about why this apparent extinction of influenza mortality has occurred. The first is that it is only a lull in the disease progression and it will come roaring back with enhanced infectivity. Others suggest that the measures taken in regard to the current pandemic, such as social distancing, better hygiene and school closures have contributed.

Whatever the core reason for the current situation of zero mortality, the course of the influenza virus should be closely monitored but, from this unexpected effect, it does suggest that the hard approach is working.

In 1918 the community was hit by the influenza pandemic which, some say, never really went away. It just became attenuated; but there have been pandemic years. I remember the Asian flu pandemic in 1957 because I ended up in Fairfield Infectious Diseases Hospital. There have been outbreaks since, all caused by descendants of the Spanish flu virus, generally milder and seasonally self-limited. In summary, seasonal influenza has tended to kill the oldest and youngest in a society but has been less virulent since the 1918 pandemic – roughly half of those who died were men and women in their 20s and 30s, in the prime of their lives.

Why does the community not get so worried about influenza? First, I suggest it is because of its predictability. This is reflected clearly by the ritual of flu vaccine injections. Yet have the measure that have been put in place over the past two years fatally suppressed the flu virus? An open question.

Secondly, the coronavirus is different. The common cold is a coronavirus; the conventional wisdom – we don’t die of the common cold. But this is different, and the world was unprepared for this relative of such a mild disease to rear up and become a dangerous lethal virus, initially with no vaccine and then, as if in response to the emergence of vaccines, the more dangerous delta variant appeared.

Influenza has a predictability; this virus has not, especially as the messaging changes almost daily. These changes have increased the uncertainty, whereas the rules to deal with pandemics from a pure public health context have always been simple and unequivocal, with perhaps the added use of masks. Social distancing, school closure, restriction of all movement, personal hygiene, use of hand sanitiser, the importance of the reproduction factor – all well known.

Thirdly, another difference compared with influenza is the way this current pandemic has been handled in Australia. This is the politicisation with the inability of politicians not to interfere. The failure occurs when politicians panic, want instant solutions, unfortunately showing both ignorance and weakness at the same time. Politicians always seem to know better, especially when it interferes with business and political donors.

Ignore the public health rules, as is happening at present in NSW, and how long will it be before it is not only Afghani seeking refugee status in States with low rates of infection. One person, being a proponent of the “Let it rip” school of dealing with the Virus, said to me that he wanted to leave the country. Don’t worry. Currently, NSW is the place for you.

Mouse Whisper

Michael Kirby is an illustrious man of the people. He is known to deliver newspapers. Yet he has 30 honorary doctorates – quite a collection. There are 23 from Australian universities. Shame on the University of Western Australia and the University of Queensland. You are real laggards. But has anybody else got more honorary doctorates than our Michael K?

What a fancy dress party Michael, the Thespian, can stage. But why the number?  I suppose it is because some people collect stamps; others, like Michael, collect Tudor caps.

My mausmeister has fond but distant memories of him and that other colourful figure of Sydney University politics, the late Vincent John Flynn. He remembers the things which were said about him by those two worthies during those halcyon days of student politics, not to his face, but after he had left a meeting early.

You see Flynn had inter alia currency issues; and so does Michael. Different form of currency; different definition. Both defined by spotlight, one avoidance of it, the other always searching for it.

Modest Expectations – Totally White

The ship is sinking. Most of us are begging the passengers to get into the lifeboats. Others are telling them to ignore us, that they’re better off trying to swim. Or, worse, denying the plain fact that they’re in danger at all.

The COVID-19 pandemic has been a practice run for the even bigger global catastrophe that is climate change.

And instead of doing everything we can to save as many people as possible, we’re trying to get past the morally bankrupt right-wingers who would sooner see our fellow passengers set adrift on the ocean than admit they’re wrong and lose sway.  Boston Globe 12 August 2021

When the Ruby Princess catastrophe occurred last year, it smacked of undue influence in high places. To clear the ships, various influential Liberal names bounced around – somebody had relatives on the ship, and so on, rolling around the rumour mill. However, the media bias tended to scrub the political decks clean before the miasma could take over. The problem with NSW is that the history of the colony and then the State has been laced with corruption, and it is no different under this Premier.

At the time of the Ruby Princess debacle and for weeks following when Dr Kerry Chant was reported as advocating an incomprehensible “zig-zag approach”, I was firmly of the opinion she should be sacked. That did not help my reputation among some of my public health colleagues. In this fiasco, there were others who were the fall guys and were sidelined, but as they had no public profile they could be sidelined without fuss, irrespective of the ultimate consequences upon their respective careers.

There is an old saw which says that the controversy generated is inversely proportional to autonomy of action. Even if you try to be professional, are basically honest and hardworking, in the end if you become of no use to government, you will endure the spin, labelled the scapegoat. That unfortunately is happening now, quite unfairly, to Dr Chant. This is especially so when the State has a Premier who is a genius in deflecting responsibility. As I have written before, Berejiklian shows all the Armenian traits for survival, regularly changing her political raiment to ensure survival at the expense of others.

Dr Chant has been pilloried in the conservative press. She has been humiliated by her Minister Hazzard in front of a Parliamentary Committee.  It was her fault that the lockdown did not occur earlier … that is the spin from the Premier’s office. In the guise of praise, Berejiklian has always heaped the consequences of any COVID-19 Government decisions on the shoulders of Dr Chant, presumably the Berejilkian office ensuring that an appropriate story is fed to the media. In line with abandoning Chant, she has now stopped talking about decisions being based on “medical advice”, it is now “a whole of Government approach”.

At the time I felt very sorry for Dr Chant being consigned to irrelevance as the Premier seemed to be doing, centimetre by centimetre. There is one impediment that the Premier has created for herself by installing Dr Chant as NSW Premier’s Woman of the year 2021 with accompanying effusive praise. Hence the methods being used to erode her standing by the corridors whisperers, who inhabit all political systems.  After all, that cynosure of NSW Government intelligence, Dominic Perrottet, is reported at one stage as saying Dr Chant should take a cut in salary, presumably as punishment for not quelling the pandemic. As one dark wit has said about Dr Chant, she has come from Punchbowl to Punching Ball.

One thing I found out when holding an influential advisory role – one minute there is lavish praise heaped on you, with the danger that you believe it; the next minute, not. Chant does not fit into that category of being sucked in by that spin. Rather she has had the naïve view that politics will yield to logic, but in the current Coalition culture that is the last thing that is valued.

At the time I thought that Chant was at the point of resignation, it would be interesting to see how the public health community reacts.

Despite the usual AFR prediction the day before, there was certainly a volte face by the NSW government on Saturday 14 August when the cases rose to 446, and spread had seemingly occurred in the Aboriginal population in Western NSW?

Dr Chant returned on the Sunday and gave a report of the public health situation without political spin, controlled emotionally, but intense in her message. The Premier in the same session admitted the Saturday was a wake up call and that “she went upstairs to Dr Chant with the Deputy Premier after the briefing”.  Hello, Dr Chant was not at the 11am briefing; she was “upstairs”. One can only speculate on what occurred after that briefing apart from the Premier’s crabbing mea culpa. Furthermore, Berejiklian has reversed her previous strategy of not discouraging the dark shadows denigrating Dr Chant.

I thought Dr Chant realised that public health is part of the mysteries of political science.  I hoped she had enough resin on her hands to contain the slippery Gladys, whose business mates face the task of whether they go to ground or continue to be a noisy claque.  Unfortunately, Dr Chant, you can only use that stratagem of threatening to resign once.

Hence, by Wednesday, Chant had all but capitulated. The SMH reported her performance at the media conference where she had the opportunity to maintain her grip on the proceedings but no! As reported in the SMH, “The Premier and I are very committed to achieving the same outcomes,” Dr Chant said. “We have a shared vision: a shared vision which is high vaccination coverage and very low levels of community transmission.”

Vision or hallucination? The circuit breaker that Dr Paul Kelly had yearned remained connected. The only glimmer was that the Premier had found out that a basic reproduction number exists.

Then Dr Chant was again absent from the Thursday briefing without any comment and the moveable feast of ostensible deputies commenced again with 681 cases today.

The Commonwealth Chief Health Officer, Dr Paul Kelly, has said there is a need for a circuit breaker. Dr Chant’s resignation, or threat thereof, could have done just that. However, I am getting around to the belief that the Kelly circuit breaker will be the resignation the NSW Premier. That is not liable to happen in the short term with the neutralisation of Dr Chant.

By the way, Oliver Cromwell lurks in the South. Not Premier Andrews but “the eliminationist”, Dr Brett Sutton, the Chief Health Officer of Victoria.

Soon the comparison may well be stark if Victoria succeeds. Then the heat will be on the soles of the Berejiklian footwear. 

The Level of Incompetence

Every person with COVID will have 10-20 contacts to trace, which means if you have 100 cases a day, you need to trace 1,000-2,000 contacts within 24-48 hours. If you don’t trace them rapidly, you will miss the window of opportunity to prevent them infecting others. If you don’t trace them all, you will face a growing backlog and lose control of the epidemic.

This comment was made last year to the National Cabinet by the then Chief Scientist, when he also said that for every outbreak, the government reaction should be to go early and go hard. It seems that the NSW Premier was not listening at the time.

No matter how good the contact tracing system is, in the end it will be overwhelmed if the case load gets out of control. It is no good boasting about the number being tested if there is not the infrastructure to process the tests and report quickly; and then having identified those who are positive, they need to be isolated and their contacts traced.

There are those who believe that you can turn contact tracing into a digital exercise.  All the attempts at using computer codes or computerisation in relation to health status has been dotted with unmitigated disasters, but while the governments are under the pernicious sway of the big consultancy firms then like the poor, they will be with us always. A prime example was the COVID-19 app, which was flogged mercilessly by the government at the onset of the pandemic. This app has been an unmitigated failure.

The introduction of QR codes has improved the situation of identifying people who had been to exposure sites, but the success of any system, as with face-to-face contact tracing depends on honesty and compliance, and here, as some American source said, Australians are compliant whereas in America it would be impossible to initiate the lockdown Australians have endured without there being open opposition, in all probability, violent. Just how compliant and honest the population is in relation to the use of QR codes in the long term remains to be seen, but the maskless opponents have crawled out of the long grass and are barking at shop assistants about their “rights” to be non-QR and maskless.

After all, the Government has the tools to punish lack of compliance, by increasing penalties, both monetary and incarceration; it should use these tools.

Nevertheless, in relation to honesty, I have always wondered whether some of the cases of breaking lockdown rules hide criminal activity; presumably drugs and other illicit stuff does not move magically and lockdowns make the transport of drugs somewhat inconvenient. I wonder whether this question has been investigated, or even asked, because if a person has something to hide, he or she is not liable to confess to a contact tracer unless the contact tracer is a priest, and even then, if you are COVID-19 positive, are you going to tell them about the contraband in your possession and your contacts aka clients?

A Family Tragedy

All families need at least one mystery. On the night of 13 December 1929, a tragedy occurred in our family. Rupert Clarke was my Aunt Grace’s husband. He was also Ararat’s Shire Secretary. Ararat has always been a government town, since being a railway hub there were many workers located there.  On the hill surrounded by high bluestone walls was the prison, which held the most dangerous criminals – the mad and the bad – men who had killed and having escaped hanging were there at the Governor’s pleasure because they had been adjudged insane.

My aunt had gone to her sister who lived in the nearby town of Stawell for Christmas. Rupert was to follow, but he had work to do before he could go up to Stawell. Since he had been left to his own devices and presumably wanting to avoid the domestic chores, he decided to move into the Turf Hotel.

Turf Hotel, Ararat

The Turf Hotel no longer exists but it was then a three-storied hotel. Whereas the second floor had direct access to the balcony with its cast iron lacework, the next floor was aligned to the roof of the balcony, and the windows opened onto this roof; it was a somewhat curious construction.

As described in the local newspaper, Rupert had spent the evening yarning with the Assistant Shire Secretary and was said to have retired at midnight, stating that he wanted to study the municipal books. Did he find something puzzling – a little untoward? Who would know, because next morning he was found on the street below, in his pyjamas, in a pool of blood. It was speculated that he had sleepwalked – climbed out of bed and through the open window, wandered across to the edge of the balcony roof, and then plunged onto the street 50 feet (15.2metres) below. Apparently it was known that he walked in his sleep.

He was still alive, although he had compound fractures of both arms and one leg. He was unconscious and was described with “serious injuries to the head”. He was seen by the local doctors, obviously there was nothing much they could do, and he died at 11.00 am without regaining consciousness. He was 30 years old.

It was one of those things I heard about, but nobody ever talked about it. My aunt, with whom I had a good relationship, never talked about it. She died in 1975, and I found the newspaper cutting relating to her husband’s death sometime after.

Sleepwalking is often linked with stories of horror and there is no more famous scene than that where a highly agitated Lady Macbeth is sleepwalking and trying to wash her hands of the bloodbath in which she has been a willing participant, while her doctor stands on the side making commentary without interfering.

I have been reassured without delving back 90 years that Rupert’s death was an accident. No defenestration here. But did he find anything untoward in the municipal books? Maybe his yarning with his assistant involved consumption of a drink or two. I do not know and nobody has volunteered whether there were underlying genetic factors. Sleepwalking runs in families, and children are more likely to sleepwalk, and then grow out of it.

So, there it is.  Death by misadventure, but for those with a suspicious mind, the basis of a good story.

As for Aunt Grace. She never enjoyed Christmas after that. She never remarried.

The Meeting at Telgte

Many years ago, I read the famous history of the Thirty Years’ War by Cicely Wedgewood which was published in 1938, the work of a young historian. Cicely Wedgewood, always known as C.V., was a member of the family which has so much penetrated our lives with their china, apart from anything else. It was a long time ago when I read it and I marvelled at this most significant piece of European history happening at the same time as the rise and fall of the Stuart kings and the accession of Oliver Cromwell. We were taught about this period in England but nothing about this immensely destructive conflict in Europe happening at the same time.  Moreover, there was this magnificent historical source written by a very young Wedgewood.

There was a link with the English Monarchy as James I’s daughter, Elisabeth, was the wife of Frederick V, ruler of the Palatinate and briefly the King of Bohemia, after the defenestration of two of the ruling Roman Catholic aristocrat Regents from the windows of Prague Castle by Protestant allies of Frederick, who then ascended the throne – for a year (a cardinal rule in Prague is – don’t go near a window – it has happened before and since).

The Roman Catholic aristocrats, although falling 70 feet, survived because they all fell into a dung heap. Nevertheless, they disturbed the heap enough for some of it to hit the fan, in a manner of speaking, to fuel the beginning of the destructive sectarian Thirty Years’ War.

Günter Grass wrote his historical allegorical novella concerning a meeting of poets in Telgte, a city near the Dutch border, at the Bridge Inn there. A group from across the German states had been called together to exchange their poetic gems and provide, by the force of their deliberation, significant moral persuasion to end the War.

This gathering, although convened by a major historical figure in the Prussian poet and hymn writer Simon Dach, was mythical; even though it did not happen as written it still bore a certain sense of authenticity.  The attendees were real persons, but unless versed in the German language writers of the 16-17th century, the names just become a brain-numbing cascade, and thus for the inexperienced reader as myself, I need to read the novella again. I say German language, because the disparity within the German nation indicates the various linguistic preferences of the participants in the convocation.

This convocation, in a world where it was perilous to move about, was held under the protection of a Hessian soldier poet, Christoffel Gelnhausen and his band of Swedish musketeers and cavalry.

The innkeeper, Libuschka, had participated in a number of military incursions herself. She had been on “harum-scarum” campaigns, participated as a soldier in the distribution of loot.  She captivated her literary audience by detailing her exploits when she had been in her twenties, “in breeches and on horseback” she had served in the Battle of Lutter and taken a Danish captain prisoner. This Battle 20 years before had been a spectacular defeat of the Protestants under Christian IV, the Danish king. She is the only woman whose personality is drawn out in the novella. There is the normal background of young women who could have walked out of Moll Flanders, free love being the escape amid the squalor of war.

The book weaves a background of violence, ever-present fear of atrocity, and yet central Europe had been at war for nearly 30 years, the countryside had been laid waste, food was in short supply. The description of the feast in the book where, at a time of famine, the assembled company rationalised their gourmandising by not asking too deeply how the soldiers had obtained the ingredients.

The key historical association was that Telgte was close to Münster, where ultimately the Treaty of Westphalia, which meant the end of the War, was concluded. The literary figures had no effect on the Treaty deliberations, as they were brutally informed.

In the end, protection of the soldiers was removed and the inn burnt down, but those participants, although vulnerable, all returned to their disparate homes safely.  I suppose that was the closest one could get to a happy ending.

The Treaty of Westphalia

The Treaty of Westphalia in 1648 gave the Swiss independence from Austria and the Netherlands independence from Spain. The German principalities secured their autonomy. Sweden gained territory and cash, Brandenburg and Bavaria made gains; France acquired most of Alsace-Lorraine. The prospect of a Roman Catholic reconquest of Europe vanished forever. Protestantism was in the world to stay.

The above is a concise summary. Grass wrote this novella post-WW2. Germany had suffered a cataclysmic defeat and been divided into four zones by the foreign victors. This was not a Treaty, but an unconditional surrender. Central Europe, as it was three centuries before, had been laid waste in the prosecution of territorial aims and ideological pursuits.

How ironic to read such a book at the time when the President of the United States  has called a halt on a pointless war, recognising there is no gain in prosecuting it further. Yet the political braying within his country for what he has done – for what?  Only to save military face and spend billions more in dollars?  The guilt-ridden neocon shadows who have led us into this War of the Willing are now very much more the older but, as is in evidence, not wiser men unfortunately – or dead themselves.

Just a Normal day with the Lobbyists

Limitations of Authorized Use 

Sotrovimab is not authorized for use in patients: 

  • who are hospitalized due to COVID-19, OR 
  • who require oxygen therapy due to COVID-19, OR
  • who require an increase in baseline oxygen flow rate due to COVID-19 (in those on chronic oxygen therapy due to underlying non-COVID-19 related comorbidity). 

Benefit of treatment with sotrovimab has not been observed in patients hospitalized due to COVID‑19. SARS-CoV-2 monoclonal antibodies may be associated with worse clinical outcomes when administered to hospitalized patients with COVID‑19 requiring high flow oxygen or mechanical ventilation – GSK/Vir Technology release for media and investors 26 May 2021

With all the concentration on vaccination to counter COVID-19, the purchase of 7,700 doses of sotrovimab, described as a “novel monoclonal antibody treatment”, occurred in early August. The drug’s efficacy has yet to be peer reviewed. The Government was coy about the cost. However, from information available it costs about USD2,200 a dose and is given intravenously as an 8ml bolus. This drug was purchased while it still had only an Emergency Use Authorisation (EUA) from the FDA in America.

Much of the drug company information is parroted back by one “Greg Hunt, Liberal Party of Australia Somerville Australia”. This authorisation is jammed in the middle of a Ministerial media release by this resident of Somerville in Victoria. There is reference to the support it is receiving from one of the  expert committees.

The day after the Hunt release, nevertheless, Australia’s top COVID-19 clinical advisory group was reported  (sic):

There is not yet enough high-quality evidence to support use of a new monoclonal antibody treatment, of which the federal government recently bought more than 7700 doses.Based on the fact it was an interim analysis of a single study, with relatively low numbers, the panel decided to give an only-in-research recommendation, pending the availability of more data,” he said. “We don’t base our recommendations on press releases. Other countries have also purchased Sotrovimab. The government is trying to get ahead of the curve and purchasing a drug, pending review by the TGA, is reasonable.”

This is a two-bob-each-way answer, especially given the “killer” information in last line of the pharmaceutical company’s release is “between 30 June and 13 July, the drug was administered to 6,175 patients with mild and moderate disease, and within 14 days 92% of recipients had fully recovered with a 99% ICU prevention rate”.

With a Government grasping at straws, why have we not heard  much about this wonder drug, especially given the haste in purchase?  Given the Government propensity to magnify every minute scrap of positive information, here the Federal Government has been strangely muted.

Far be it from me to suggest that a well-placed lobbyist got in the ear of the Boy from Somerville and cleaned up – not the huge bucks of some of the expenditure – on the Treasury line item labelled “Rorts”.

Where now are the vials of Sotrovimab? Into which veins has this drug gone? If any? More information please, before it is an invitation for an avalanche of unproven drugs with unpronounceable names dumped on our “fatal” shores, courtesy of a very persuasive lobbyist.

Or emerging into a more positive light, just how is the administration of this life-saving drug progressing?

The cost of this exercise – about $20m?  Just petty cash, so inured Australia has become that it has not been questioned.

Mouse Whisper

I am only a mouse but I can’t keep out these whispering echoes.  The sounds are persistent. Perhaps a bent banana may help – certainly the glint of gold does not.

 Japanese government auditors have estimated the true costs are likely at least to be $25 billion, which includes projects related to the Games.

You actually have very limited possibilities of stripping down cost because the majority of the business decisions are made by the IOC and international athletics organizations.

Even under the best circumstances, putting on the Olympics is quite a burden financially … covid-19 definitely hasn’t made it easier for Tokyo.”

You have been warned, my fellow mice gnawing on the sugar cane ambrosia, oblivious of the world tomorrow.

These recent Games are sure to put an unprecedented burden on the host city of Tokyo and the Japanese government, which is facing a ballooning national debt that is worsening because of the pandemic.

Remember all that is yellow is not gold. Bananas eventually lose their yellow glow, blacken, then rot.