COVID-19: An infection without borders

Worshippers circumambulate the sacred Kaaba in Makkah's Grand Mosque, Islam's holiest site, on March 7, 2020. Authorities reopened on Saturday the area around the sacred Kaaba, reversing one of a series of measures introduced to combat the coronavirus outbreak. (AFP / Abdel Ghani Bashir)
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Updated 09 March 2020
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COVID-19: An infection without borders

  • Epidemiologists believe COVID-19 infection is worse than SARS or Middle East Respiratory Syndrome (MERS)
  • Virologists worldwide are racing to produce a vaccine but there is no guarantee that one will be found

LONDON: It is more than 60 days since China first alerted the World Health Organization (WHO) to the emergence of a mysterious new virus in the city of Wuhan.

Since then, the virus has been identified and named — SARS-CoV-2. It has infected more than 100,000 people around the world, caused more than 3,000 deaths, shaken stock markets and prompted predictions of job losses, shortages of food and medicines and even a global economic meltdown.

Certainly, fear of the coronavirus disease 2019 (COVID-19) is affecting events and organizations around the globe, from the cancelation of football matches and conferences to the closure of Asian theme parks and museums in Italy and France.

Saudi Arabia has temporarily stopped entry into the Kingdom by land from three GCC neighbors, with the Ministry of Sports suspending public attendance at all sports events.

Inevitably, a shadow hangs over other major international events, from the summer’s Tokyo Olympic Games to Expo 2020 in Dubai, due to open in October.

FASTFACTS

People in coronavirus-affected countries should avoid large gatherings, handshakes or hugs, maintain “social distancing” from others, cover their nose and mouth while coughing or sneezing, and wash their hands regularly.

Many people who contract the coronavirus will have no symptoms or only a mild version of the disease.

Most deaths so far have been among the elderly or others with long-term health conditions.

The risk of dying after contracting the coronavirus is just 0.9% for someone with no other health conditions, 5.6% for cancer patients.

The risk is 6% for people with high blood pressure, and 7.3% and 10.75% for individuals with chronic respiratory disease and cardiovascular disease respectively.

Despite the WHO’s reluctance to classify the outbreak as a pandemic — a disease that has spread globally — most epidemiologists believe that the window of opportunity for limiting the spread of the disease by banning flights to and from infected countries or shutting borders has long closed.

Is the coronavirus worse than SARS or Middle East Respiratory Syndrome (MERS)? Yes. In two months, it has killed almost twice as many people as those two viral diseases combined, and many epidemiologists believe that the coronavirus will continue spreading widely.

Clearly, the emphasis must now shift to controlling it within individual countries via swift identification and isolation of cases, and the equally rapid tracing, testing and, if necessary, isolating of anyone with whom infected people have come into contact.

For even the best health care systems, this is a challenging task, the success of which will be dependent on a series of still unknown variables.

As virologists around the world race to produce a vaccine — and there is no guarantee that one will be found — so epidemiologists are developing best-guess answers.

One of the teams most experienced in this field is at the Center for the Mathematical Modelling of Infectious Diseases at the London School of Hygiene & Tropical Medicine, where a coronavirus working group is running computer models to look at outcomes based on a range of possibilities.

The team’s initial conclusion, that “in most scenarios, highly effective contact tracing and case isolation is enough to control a new outbreak of COVID-19 within 3 months,” sounds reassuring. But, as their paper published last week in the journal Lancet Global Health points out, success will depend on exactly which scenario emerges.

The findings suggest two crucial steps that every country currently with one or more cases should be taking. Although logistically and economically challenging, the best hope of control lies in mass population testing to identify and isolate infected people before symptoms emerge.

Opinion

This section contains relevant reference points, placed in (Opinion field)

Resources should also be invested now in creating effective contact-tracing teams. Until more is known about the incubation period of the virus, according to evidence so far patients should be isolated for at least two weeks, and possibly three.

The coronavirus is, of course, not the first epidemic to trigger global panic, but we should take heart from our experience of those that have come before.

Although no longer in the headlines, neither SARS nor MERS, which are genetically related but in many ways different to the coronavirus, have gone away, but thanks to timely and effective intervention failed to live up to their apocalyptic billing.

SARS, which was first reported in Asia in February 2003, spread to two dozen countries, infecting 8,098 people worldwide and killing 774, before the outbreak was contained in July the same year.

The virus succumbed to strict isolation, quarantine and tracing of contacts and there have been no known cases anywhere in the world since 2004.

MERS, first identified in Saudi Arabia in 2012, continues to kill, but on a much-reduced scale. Between Dec. 1, 2019, and Jan. 31, 2020, Saudi Arabia reported 19 cases of MERS infection, with eight deaths, bringing the total number of cases globally since 2012 to 2,521, with 919 deaths.

But although the new coronavirus is related to the others, each operates in subtly different and potentially confounding ways, which makes lessons learnt from one difficult to apply to another.

For example, the Spanish flu was an unusually deadly strain of avian influenza, a viral infectious disease that killed possibly 50 million people worldwide over about a year in 1918 and 1919.

With SARS, symptoms came on rapidly, which meant cases could be identified quickly, leading to swifter and more effective isolation and treatment.

When swine flu, the disease caused by the then-novel H1N1 virus, emerged in the US in April 2009, the world again seemed to be facing a pandemic disaster. In the event, swine flu infected one-tenth of the global population and killed as many as 575,400 people worldwide. But by August the following year the WHO declared it had run its course.

Today swine flu is just one of the seasonal influenzas that flare up annually around the world, which is not to say it is of no consequence. Every year, despite vaccines, various mutating strains of flu infect an estimated four million people, causing almost half a million deaths.

We have, in other words, learnt to live with flu, a grim reality that should at least help us to put into perspective the threat posed by the coronavirus.

Most of the fatalities so far have been in China, where the disease originated, and experience with other coronaviruses tells us that if effective control measures are put in place in other countries, we can limit the damage.




A couple wearing facemasks smear their faces with colored powder to celebrate Holi, the Hindu spring festival of colours, in Hyderabad. (AFP)

There are, however, still many uncertainties about the true scale of the spread of the virus.

For a start, because many people seem to contract only a mild case of the coronavirus, it is certain that the incidence of the disease around the world is being significantly under-reported.

Many carriers will have no symptoms and even those with only a “lite” version of the key symptoms — a slightly elevated temperature, tiredness and dry cough — will not visit a doctor, will recover without medical help and will not be counted in the statistics.

The upside of this is that the overall death rate from the disease — currently provisionally estimated at 2 or 3 percent — is undoubtedly exaggerated. The downside is that these silent carriers can still spread the disease, undetected.

For now, the immediate future course of the coronavirus cannot be predicted with any accuracy and we certainly cannot assume it will go the same way as swine flu, MERS or SARS.

On March 2, when WHO raised its assessment of the threat of the coronavirus to the highest level, Michael Ryan, director of health emergencies, said that this was a reality check for every government in the world.

“Wake up. Get ready,” he said. “This virus may be on its way, and you need to be ready.”

This time, luck might not be on our side.

 


Blinken calls for US, China to manage differences

Updated 53 min 18 sec ago
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Blinken calls for US, China to manage differences

  • China has not announced plans for US Secretary of State to meet Xi Jinping
  • Antony Blinken is the first US secretary of state in 14 years to visit Shanghai

SHANGHAI: US Secretary of State Antony Blinken called Thursday on the United States and China to manage their differences “responsibly” as he went on a charm offensive ahead of expected tough talks.
A day before meeting Beijing’s top brass to tackle thorny issues including Russia, Taiwan and trade, Blinken’s visit to Shanghai has seen him sample local food, watch a basketball game and stroll along the city’s famous Bund promenade.
Visiting the local Communist Party leader in a room with sweeping views of the Shanghai skyline, Blinken said US President Joe Biden was committed to “direct and sustained” dialogue between the world’s two largest economies after years of mounting tension.
“I think it’s important to underscore the value — in fact, the necessity — of direct engagement, of speaking to each other, laying out our differences, which are real, seeking to work through them,” Blinken said.
“We have an obligation for our people — indeed an obligation to the world — to manage the relationship between our two countries responsibly.”
The Chinese Communist Party secretary for Shanghai, Chen Jining, welcomed Blinken partly in English and spoke of the importance of US businesses to the city.
“Whether we choose cooperation or confrontation affects the well-being of both peoples, both countries and the future of humanity,” Chen told him.
The country’s financial capital, Shanghai is often a stepping stone to power in China, with President Xi Jinping previously serving briefly in the city.
China has not announced plans for Blinken to meet Xi, although on Blinken’s last visit in June, they saw each other in a meeting announced at the last minute.
On Thursday, Blinken also met students at the Shanghai campus of New York University, where he voiced hope for more Americans to study in China.
He insisted the United States was committed to welcoming Chinese students.
Beijing has repeatedly alleged that Chinese nationals with valid travel documents, including students, have been subject to aggressive interrogations and deportations at US airports.
“President Biden and President Xi are determined to strengthen our people-to-people ties,” Blinken said.
Blinken, the first US secretary of state in 14 years to visit Shanghai, opened his visit Wednesday evening at a restaurant serving steamed buns.
Sporting a suit without a tie, he ate with his senior staff in a shopping arcade as curious onlookers snapped pictures.
Blinken then went to watch a basketball game between the Shanghai Sharks and Zhejiang Golden Bulls, staying until the end of the nail-biting play-off.
Such softer diplomacy, once a staple of US-China relations, would have been unimaginable until recently, with hawks in both countries speaking of an emerging new Cold War.
Blinken’s aides hope his smiling persona at public events draws an implicit contrast to his Russian counterpart Sergei Lavrov and his gruffer approach when he visited China earlier this month.
Blinken is expected to raise concerns about China’s relationship with Russia when he meets the leadership in Beijing.
Although US officials were initially pleased that Beijing has not shipped weapons to Russia for its war in Ukraine, they now say that China’s alarm at Moscow’s setbacks on the battlefield has prompted it to export vast quantities of industrial supplies to Russia.
US officials believe China is more receptive to Western concerns as it seeks to focus on managing economic headwinds at home and wants to avoid friction with the West.
But China is also furious about a series of moves by Biden — who is facing a tough re-election fight in November against Donald Trump — they say serve to constrain the Chinese economy.
Most recently, the US Congress approved legislation that would force the divestment of blockbuster social media app TikTok from its Chinese owners or face a ban in the world’s largest economy.
Biden supports the legislation, arguing that TikTok, popular among young people, poses security and privacy concerns. China has accused the United States of unfair economic coercion.
Unusually, Trump has distanced himself from a TikTok ban. He has otherwise championed a tough line on China, with vows to raise tariffs drastically if he returns to office.
US officials also say that Blinken will encourage China to act with restraint as Taiwan inaugurates a new president next month.
China claims the self-governing democracy as its own and has not ruled out using force to seize it.
Privately, US officials were relieved by China’s approach during Taiwan’s election, believing that easing US-China tensions helped.
They assessed that Beijing’s assertive military moves did not go beyond past precedent.


Rwanda’s Hope Hostel once housed young genocide survivors. Now it’s ready for migrants from Britain

Updated 25 April 2024
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Rwanda’s Hope Hostel once housed young genocide survivors. Now it’s ready for migrants from Britain

KIGALI, Rwanda: Rwanda says it’s ready to receive migrants from the United Kingdom after British Parliament this week approved a long-stalled and controversial bill seeking to stem the tide of people crossing the English Channel in small boats by deporting some of them to the East African country.

There is even a place ready and waiting for the migrants — a refurbished Hope Hostel in the vibrant upscale neighborhood of Kagugu, an area of the Rwandan capital of Kigali that is home to many expats and several international schools.

The hostel once housed college students whose parents died in the 1994 genocide, this African nation’s most horrific period in history when an estimated 800,000 Tutsi were killed by extremist Hutu in massacres that lasted over 100 days.

British Prime Minister Rishi Sunak has pledged the deportation flights would begin in July but has refused to provide details or say about how many people would be deported.

Rwanda government’s deputy spokesperson Alain Mukuralinda told The Associated Press on Tuesday that authorities here have been planning for the migrants’ arrival for two years.

“Even if they arrive now or tomorrow, all arrangements are in place,” he said.

The plan was long held up in British courts and by opposition from human rights activists who say it is illegal and inhumane. It envisages deporting to Rwanda some of those who enter the UK illegally and migrant advocates have vowed to continue to fight against the plan.

The measure is also meant to be a deterrent to migrants who risk their lives in leaky, inflatable boats in hopes that they will be able to claim asylum once they reach Britain. The UK also signed a new treaty with Rwanda to beef up protections for migrants, and adopted new legislation declaring Rwanda to be a safe country.

“The Rwanda critics and the UK judges who earlier said Rwanda is not a safe country have been proven wrong,” Mukuralinda said. “Rwanda is safe.”

The management at the four-story Hope Hostel says the facility is ready and can accommodate 100 people at full capacity. The government says it will serve as a transit center and that more accommodations would be made available as needed.

Thousands of migrants arrive in Britain every year.

After they arrive from Britain, the migrants will be shown to their rooms to rest, after which they will be offered food and given some orientation points about Kigali and Rwanda, said hostel manager Ismael Bakina.

Tents will be set up within the hostel’s compound for processing their documentation and for various briefings. The site is equipped with security cameras, visible across the compound.

Within the compound are also entertainment places, a mini-soccer field, a basketball and a volleyball court as well as a red-carpeted prayer room. For those who want to light up, “there is even a smoking room,” Bakina explained.

Meals will be prepared in the hostel’s main kitchen but provisions are also being made for those who want to prepare their own meals, he said. The migrants will be free to walk outside the hostel and even visit the nearby Kigali city center.

“We will have different translators, according to (their) languages,” Bakina added, saying they include English and Arabic.

The government has said the migrants will have their papers processed within the first three months. Those who want to remain in Rwanda will be allowed to do so while authorities will also assist those who wish to return to their home countries.

While in Rwanda, migrants who obtain legal status — presumably for Britain — will also be processed, authorities have said, though it’s unclear what that means exactly.

For those who choose to stay, Mukurilinda said Rwanda’s government will bear full financial and other responsibilities for five years, after which they will be considered integrated into the society.

At that point, they can start managing on their own.


Russia vetoes a UN resolution calling for the prevention of a dangerous nuclear arms race in space

Updated 25 April 2024
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Russia vetoes a UN resolution calling for the prevention of a dangerous nuclear arms race in space

  • The vetoed resolution sought to call on all countries not to develop or deploy nuclear arms or other weapons of mass destruction in space
  • Russia dismissed the resolution as “absolutely absurd and politicized” and didn’t go far enough in banning all types of weapons in space

UNITED NATIONS:  Russia on Wednesday vetoed a UN resolution sponsored by the United States and Japan calling on all nations to prevent a dangerous nuclear arms race in outer space, calling it “a dirty spectacle” that cherry picks weapons of mass destruction from all other weapons that should also be banned.
The vote in the 15-member Security Council was 13 in favor, Russia opposed and China abstaining.
The resolution would have called on all countries not to develop or deploy nuclear arms or other weapons of mass destruction in space, as banned under a 1967 international treaty that included the US and Russia, and to agree to the need to verify compliance.
US Ambassador Linda Thomas-Greenfield said after the vote that Russian President Vladimir Putin has said Moscow has no intention of deploying nuclear weapons in space.

US Ambassador to the United Nations Linda Thomas-Greenfield addresses members of the UN Security Council during a meeting on non-proliferation of nuclear weapons on April 24, 2024. (AP)

“Today’s veto begs the question: Why? Why, if you are following the rules, would you not support a resolution that reaffirms them? What could you possibly be hiding,” she asked. “It’s baffling. And it’s a shame.”
Putin was responding to White House confirmation in February that Russia has obtained a “troubling” anti-satellite weapon capability, although such a weapon is not operational yet.
US National Security Advisor Jake Sullivan on Wednesday echoed Thomas-Greenfield, reiterating that “the United States assesses that Russia is developing a new satellite carrying a nuclear device.” If Putin has no intention of deploying nuclear weapons in space, Sullivan said, “Russia would not have vetoed this resolution.”

Russia’s UN Ambassador Vassily Nebenzia dismissed the resolution as “absolutely absurd and politicized,” and said it didn’t go far enough in banning all types of weapons in space.
Russia and China proposed an amendment to the US-Japan draft that would call on all countries, especially those with major space capabilities, “to prevent for all time the placement of weapons in outer space, and the threat of use of force in outer spaces.”
The vote was 7 countries in favor, 7 against, and one abstention and the amendment was defeated because it failed to get the minimum 9 “yes” votes required for adoption.
The US opposed the amendment, and after the vote Nebenzia addressed the US ambassador saying: “We want a ban on the placement of weapons of any kind in outer space, not just WMDs (weapons of mass destruction). But you don’t want that. And let me ask you that very same question. Why?”
He said much of the US and Japan’s actions become clear “if we recall that the US and their allies announced some time ago plans to place weapons … in outer space.”
Nebenzia accused the US of blocking a Russian-Chinese proposal since 2008 for a treaty against putting weapons in outer space.
Thomas-Greenfield accused Russia of undermining global treaties to prevent the spread of nuclear weapons, irresponsibly invoking “dangerous nuclear rhetoric,” walking away from several of its arms control obligations, and refusing to engage “in substantive discussions around arms control or risk reduction.”
She called Wednesday’s vote “a real missed opportunity to rebuild much-needed trust in existing arms control obligations.”
Thomas-Greenfield’s announcement of the resolution on March 18 followed White House confirmation in February that Russia has obtained a “troubling” anti-satellite weapon capability, although such a weapon is not operational yet.
Putin declared later that Moscow has no intention of deploying nuclear weapons in space, claiming that the country has only developed space capabilities similar to those of the US.
Thomas-Greenfield said before the vote that the world is just beginning to understand “the catastrophic ramifications of a nuclear explosion in space.”
It could destroy “thousands of satellites operated by countries and companies around the world — and wipe out the vital communications, scientific, meteorological, agricultural, commercial, and national security services we all depend on,” she said.
The defeated draft resolution said “the prevention of an arms race in outer space would avert a grave danger for international peace and security.” It would have urged all countries carrying out activities in exploring and using outer space to comply with international law and the UN Charter.
The draft would have affirmed that countries that ratified the 1967 Outer Space Treaty must comply with their obligations not to put in orbit around the Earth “any objects” with weapons of mass destruction, or install them “on celestial bodies, or station such weapons in outer space.”
The treaty, ratified by some 114 countries, including the US and Russia, prohibits the deployment of “nuclear weapons or any other kinds of weapons of mass destruction” in orbit or the stationing of “weapons in outer space in any other manner.”
The draft resolution emphasized “the necessity of further measures, including political commitments and legally binding instruments, with appropriate and effective provisions for verification, to prevent an arms race in outer space in all its aspects.”
It reiterated that the UN Conference on Disarmament, based in Geneva, has the primary responsibility to negotiate agreements on preventing an arms race in outer space.
The 65-nation body has achieved few results and has largely devolved into a venue for countries to voice criticism of others’ weapons programs or defend their own. The draft resolution would have urged the conference “to adopt and implement a balanced and comprehensive program of work.”
At the March council meeting where the US-Japan initiative was launched, UN Secretary-General António Guterres warned that “geopolitical tensions and mistrust have escalated the risk of nuclear warfare to its highest point in decades.”
He said the movie “Oppenheimer” about Robert Oppenheimer, who directed the US project during World War II that developed the atomic bomb, “brought the harsh reality of nuclear doomsday to vivid life for millions around the world.”
“Humanity cannot survive a sequel to Oppenheimer,” the UN chief said.
 


Long-awaited US military aid no ‘silver bullet’ for Ukraine

Updated 25 April 2024
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Long-awaited US military aid no ‘silver bullet’ for Ukraine

  • Kyiv has been heavily reliant on billions of dollars of US military aid in its war with Russia following Moscow’s full-scale invasion in February 2022

WASHINGTON, United States: The United States is the first to acknowledge that its long-awaited $61 billion aid package for Ukraine is not a "silver bullet."

As weapons and ammunition are rushed to the country, other issues such as manpower shortages in Kyiv's struggling military have come to the fore.

Meanwhile, the monthslong delay in passing the aid package — caused by wrangling among US lawmakers — has further weakened Ukraine's position on the battleground, according to analysts.

President Joe Biden, who quickly signed the law Wednesday after it passed Congress, said the bill "should have gotten there sooner."

Jake Sullivan, his National Security Advisor, said the aid package "will make a difference," but warned "there is no silver bullet in this conflict."

"One capability is not going to be the ultimate solution," Sullivan told a White House briefing, though he added "Ukraine's position in this conflict will improve and we believe that Ukraine can and will win."

Kyiv has been heavily reliant on billions of dollars of US military aid in its war with Russia following Moscow's full-scale invasion in February 2022.

But in recent months Ukrainian forces — outgunned and outmanned — have struggled to hold back Russian troops.

And in the United States — Ukraine's largest provider of military assistance — a bogged-down Congress had not approved large-scale funding for Kyiv since December 2022 before the new package was passed this week.

It contains nearly $14 billion to train, equip and finance the needs of the Ukrainian army.

Manpower shortage

Garret Martin, of the American University School of International Service in Washington, said the delay by US lawmakers in passing the aid package "had a cost."

"The aid can shore up Ukraine but it's not a magic wand that could fix all the challenges they face," Martin said.

"What the package cannot do is deal with the shortage of manpower," he added.

Biden and his Ukrainian counterpart Volodymyr Zelensky have discussed the manpower issue, according to the White House.

In April, Kyiv reduced the minimum age for military conscription from 27 to 25, making thousands more men eligible for the draft.

And this week, it stopped issuing new passports abroad to military-aged Ukrainian men, as part of measures to push them to return home and fight.

Max Bergmann, of the Center for Strategic and International Studies, said that the impact of American aid would depend on European efforts.

"European nations need to ramp up (weapons) production now," Bergmann said.

"Europe's goal should be to put itself in a position to potentially fill a future gap left by the United States should it not pass another supplemental."

Bergmann said that Ukraine should use 2024 to "hold the line, exhaust and attrit Russian forces," with next year possibly presenting an opportunity for a Kyiv offensive.


Malala Yousafzai vows support for Gaza after backlash

Updated 25 April 2024
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Malala Yousafzai vows support for Gaza after backlash

  • Pakistan has seen many fiercely emotional pro-Palestinian protests since the war in Gaza began last October

LAHORE, Pakistan: Nobel laureate Malala Yousafzai on Thursday condemned Israel and reaffirmed her support for Palestinians in Gaza, after a backlash in her native Pakistan over a Broadway musical she co-produced with former US Secretary of State Hillary Clinton.

Yousafzai, who was awarded the Nobel Peace Prize in 2014, has been condemned by some for partnering with Clinton, an outspoken supporter of Israel's war against Hamas.

The musical, titled "Suffs," depicts the American women's suffrage campaign for the right to vote in the 20th century and has been playing in New York since last week.

"I want there to be no confusion about my support for the people of Gaza," Yousafzai wrote on X, the former Twitter. "We do not need to see more dead bodies, bombed schools and starving children to understand that a ceasefire is urgent and necessary."

She added: "I have and will continue to condemn the Israeli government for its violations of international law and war crimes."

Pakistan has seen many fiercely emotional pro-Palestinian protests since the war in Gaza began last October.

Yusafzai's "theatre collaboration with Hillary Clinton -- who stands for America's unequivocal support for genocide of Palestinians -- is a huge blow to her credibility as a human rights activist," popular Pakistani columnist Mehr Tarar wrote on social media platform X on Wednesday.

"I consider it utterly tragic."

Whilst Clinton has backed a military campaign to remove Hamas and rejected demands for a ceasefire, she has also explicitly called for protections for Palestinian civilians.

Yousafzai has publically condemned the civilian casualties and called for a ceasefire in Gaza.

The New York Times reported the 26-year-old wore a red-and-black pin to the "Suffs" premier last Thursday, signifying her support for a ceasefire.

But author and academic Nida Kirmani said on X that Yousafzai's decision to partner with Clinton was "maddening and heartbreaking at the same time. What an utter disappointment."

The war began with an unprecedented Hamas attack on Israel on October 7 that resulted in the deaths of around 1,170 people, according to an AFP tally of Israeli official figures. Hamas militants also abducted 250 people and Israel estimates 129 of them remain in Gaza, including 34 who the military says are dead.

Clinton served as America's top diplomat during former president Barack Obama's administration, which oversaw a campaign of drone strikes targeting Taliban militants in Pakistan and Afghanistan's borderlands.

Yousafzai earned her Nobel Peace Prize after being shot in the head by the Pakistani Taliban as she pushed for girls' education as a teenager in 2012.

However, the drone war killed and maimed scores of civilians in Yousafzai's home region, spurring more online criticism of the youngest Nobel Laureate, who earned the prize at 17.

Yousafzai is often viewed with suspicion in Pakistan, where critics accuse her of pushing a Western feminist and liberal political agenda on the conservative country.