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Photo: RNZ Pacific / Jenny Meyer
Photo: RNZ Pacific / Jenny Meyer

SocietyNovember 28, 2019

Sāmoa is deep in a measles crisis. The last thing it needs is misinformation

Photo: RNZ Pacific / Jenny Meyer
Photo: RNZ Pacific / Jenny Meyer

As the death toll grows, the immunisation campaign is crucial. At a time like this individuals spreading nonsense is downright dangerous, writes Madeleine Chapman.

As of November 27, there have been 33 confirmed measles-related deaths in Sāmoa, 29 of them children. There have been 2,686 confirmed cases of measles in the current outbreak, in a country with a total population of less than 200,000.

It’s believed the epidemic originated in New Zealand, where vaccination rates were at a historic low earlier this year. The rapid spread of the disease in Sāmoa was aided by low immunisation rates (less than half), particularly in the past 18 months. In July 2018, two babies died after receiving the MMR vaccine. The director general of health said the deaths were from human error – incorrect storage and incorrect mixing – and not the vaccine itself. However, administering of the MMR vaccine was banned throughout the country for several months and only started up again in April of this year. All children turning one in that time were not immunised. The World Health Organisation (WHO) estimated that in 2018, only 40% of 12-month-old infants received their first dose of the measles vaccine. In 2013 that figure was 99%.

“When they started vaccinating again in April, a lot of families who missed the first dose just didn’t take their kids back. Partly from no time but also limited access and it was a bit frightening,” says Sapeer Mayron, a reporter for the Samoa Observer.

“In terms of the anti-vaxxers, I really only see it online. The people here, they’re not necessarily not believing in the vaccine, it’s that they’re not exactly confident in the health system.”

Dr Nikki Turner, director of the Immunisation Advisory Centre, agrees. “There is a loss of confidence generally in the health services in Sāmoa that needs to be addressed. The issue now is to support them to restore that trust.”

Huge efforts are being made to inform the Sāmoan public about the importance of immunisations and what to do if they or their children exhibit measles symptoms.

What doesn’t help these efforts is misinformation broadcast by people with a large audience but no expertise. Taylor Winterstein, an Australian blogger, and Eliota Sapolu, a former rugby player for Sāmoa, each have tens of thousands of followers on social media. They are apparently competing to see who can spread the most nonsense online.

Winterstein claimed that by declaring a national state of emergency and undertaking a mandatory vaccination schedule for vulnerable groups, Sāmoa is “turning into Nazi Germany”. Sapolu tweeted that the vaccines being administered are from India (true) and are “cheap” and “shit” (untrue) (wtf?).

The vaccines are from the Serum Institute of India, one of the largest vaccine manufacturers in the world. Their vaccines are approved by the WHO. Over half the children in the world will receive at least one vaccine manufactured by Serum Institute.

In Sāmoa, the reality is that most people simply want to do what’s best, and are willingly going for vaccinations, particularly those who live far from hospitals and are now being reached by mobile services.

“In my experiences out and about, the only resistance to the vaccination campaign and the measles effort I’ve noticed was when the government banned under 19s from travelling between Savai’i and Upolu [the two islands of Sāmoa],” says Mayron. “And that was because it was sudden and families were separated.”

Turner knows that just because such vocal theorists are in the minority doesn’t mean they are without influence. “When you’re dealing with fear in these situations, a few very vocal people with misinformation can do a lot of damage.

“From the World Health Organisation down, everyone knows that vaccines help to stop measles.”

When people are scared, they are vulnerable. Sāmoa is a scary place to be right now. Children are dying every day, and dozens of people are being diagnosed with a highly contagious, but entirely preventable, disease. The end is nowhere in sight so drastic measures have been taken to protect the most vulnerable groups.

What people like Winterstein and Sapolu are doing is not only frightening the most vulnerable. It’s outright dangerous.

Keep going!
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Getty Images

SocietyNovember 28, 2019

Arming police is heavy-handed and ill-advised – and Māori and Pasifika will pay the price

Getty Images
Getty Images

We know that implicit bias exists in our society. It exists in our workplaces, it exists in our schools, and exists when our police use guns, writes Fa’anana Efeso Collins, a former researcher in youth gangs and currently councillor for Manukau. 

Earlier this year I went along to the Pasifika Youth Court as an observer. I attended with scepticism, but found myself deeply moved by a process that worked in partnership with our young people, their families and the justice system.

The court’s aim is to reconnect youth offenders not only to their culture but to the community they had wronged. And it’s working – with research showing that this court and its Māori equivalent have been proven to reduce re-offending rates. But beyond the pragmatic purpose of this process, there was something beautiful about the way compassion and cultural familiarity fills this space. Our own languages were spoken, our elders were present, and our own customs were honoured. Through this merging of two ancient traditions, one founded in Westminster, London, the other in the islands of the Pacific, our young people were being ushered back into relationship with their friends, family and the victims of their crimes.

However, this symbiotic merging of cultures is more like a high-speed crash involving a log truck and a motorbike when considering the latest policing initiative for South Auckland. Armoured vehicles with gun-toting cops, called Armed Response Teams, will now patrol the streets of the Counties Manukau district, and will do for the next six months.

Police have chosen South Auckland in response to increased presence of organised crime and guns, a reality I won’t deny. I do however seriously question the logic that peace in our community might be achieved through the introduction of even more guns – even in the hands of police.

Far from feeling protected, I have serious fears for the safety and wellbeing of my South Auckland community. I especially fear for Māori and Pasifika that are the likely targets of this trial.

The latest report on tactical options used by police revealed that Māori accounted for over half of all events where tactical options were applied, more than any other ethnicity combined. Pasifika were also over-represented in this statistic. Where Pākehā are more likely to have handcuffs, restraints, or empty hand force used on them, Māori and Pasifika are likely to experience more extreme tactics in the form of OC spray or tasers. Most worryingly, two-thirds of all people shot by police in the last 10 years have been Māori or Pasifika.

Such appalling statistics indicate that discrimination against Māori and Pasifika is real. We know that implicit bias exists in our society. It exists in our workplaces, it exists in our schools, and exists when our police use guns.

So, when our communities are so vulnerable to violence, when the stakes are potentially fatal, where is the justification in militarising our police?

A Princeton study of a similar initiative run in Maryland revealed that militarising the police had no discernible impact on reducing violent crime. What it did achieve, however, was a noticeable erosion in the public’s perception of police.

In South Auckland, our trust and confidence in the police is already lower than other parts of the country. People are scared to engage at every level of our justice system and I regularly hear stories of racial profiling and aggressive over-policing that leave my community feeling targeted, humiliated and like it’s always going to be “us versus them”. In order to effectively engage with our people, police must focus on mending this relationship instead of introducing initiatives that will seriously damage it.

Tackling the problem of gangs also requires us to acknowledge that gangs provide our people with opportunities that they are unable to find elsewhere.

Gangs provide income, status and employment, when legitimate job opportunities run dry. They provide a sense of pride and purpose when the state has left you disempowered. They provide you with a sense of family and friendship when you’ve been cut off from your community. They also provide a sense of identity when your own culture has been devalued.

To effectively deal with gangs, we must heal the intergenerational trauma that has been caused by a history of colonisation, displacement, institutionalised racism and poverty. We must treat the root cause and establish a way forward that acknowledges indigenous struggle or Pacific diaspora at its core. To rid our communities of gang violence, we must look across the spectrum of our community services to initiatives that are making a difference.

The Pasifika Youth Court is exactly the type of approach which can lead to meaningful change, rather than the blunt tool that is the Armed Response Teams. Culturally-grounded, whanau-led processes can flip a system that all too often works in isolation from the people it targets. We must put the power back in the hands of our people and recognise that community-led approaches are best practice. We must focus on preventative measures that are informed by the community and carried out in collaboration with them. And we must push back on heavy-handed, top-down initiatives that refuse to acknowledge the root cause of gang violence.

South Auckland is my home, a community – not a training ground for ill-thought out policy that could see our people wind up as collateral damage. We are resilient, capable and we will continue to survive. More so, we will fight for the opportunity to flourish and succeed, without guns.

After my visit to the Pasifika Youth Court, I was imbued with a renewed sense of hope that meaningful justice and community harmony are possible for our region when we put our people and their cultural identity at the centre of the process.

So instead of continuing down a road that’s marked by fear, cynicism and violence, let us choose hope – founded on what is already working.