Abstract

The COVID-19 global pandemic has so far not resulted in apocalyptic deaths in Sierra Leone or other countries in the subregion, despite an exponential rise in positive cases. Western views of massive COVID-19-related deaths in Africa have largely come from colonialism and the long-held Western narratives of Africa as the continent of poverty, disease, backwardness, weak health-care infrastructure, and dependent bodies in need of foreign aid and “white” saviors. Sierra Leone was among the last of the African countries to record the COVID-19 disease, and along with Liberia and Guinea have a powerful Ebola experience that few countries in the world enjoyed. Yet, the COVID-19 pandemic has exposed serious weaknesses in its epidemic preparedness, health-care infrastructure, public health system, and the overall political economy. Why then have Sierra Leone and the Mano River Union (MRU) countries with Ebola experience not displayed global leadership in the face of the global pandemic? This article argues that the ineffective response to the COVID-19 epidemic in Sierra Leone, despite the country’s huge Ebola experience, may be linked to an entanglement among social, economic, and political factors within the political economy and deep, dense structural distal factors of slavery, colonialism, neocolonialism, and economic and cultural dependencies. These distal factors have largely dictated the approach and modelling of COVID-19 in Sierra Leone and other MRU countries.

Résumé

La pandémie mondiale du COVID-19 n’a jusqu’à présent pas entraîné de décès apocalyptiques en Sierra Leone ou dans d’autres pays de la sous-région, malgré une augmentation exponentielle des cas positifs. Les opinions occidentales sur les décès massifs liés au COVID-19 en Afrique proviennent en grande partie du colonialisme et des récits occidentaux de longue date peignant l’Afrique comme continent de la pauvreté, de la maladie, du retard, de la faiblesse des infrastructures de soins de santé et des corps dépendants qui ont besoin d’aide étrangère et des sauveurs « blancs ». La Sierra Leone a été parmi les derniers pays africains à ětre touché par COVID-19 et, avec le Libéria et la Guinée, a une grande expérience du virus Ebola que peu de pays dans le monde possèdent. Pourtant, la pandémie COVID-19 a révélé de graves faiblesses dans sa préparation à l’épidémie, ses infrastructures de soins de santé, son système de santé publique et son économie politique en général. Pourquoi la Sierra Leone et les pays de l’Union du fleuve Mano (MRU) ayant l’expérience d’Ebola n’ont-ils pas fait preuve de leadership mondial face à la pandémie mondiale? Cet article soutient que la réponse inefficace à l’épidémie de COVID-19 en Sierra Leone, malgré sa grande expérience du virus Ebola, peut ětre liée à un enchevětrement entre des facteurs sociaux, économiques et politiques au sein de l’économie politique et à des facteurs distaux structurels profonds et denses de l’esclavage, du colonialisme, du néocolonialisme et des dépendances économiques et culturelles. Ces facteurs distaux ont largement dicté l’approche et la modélisation du COVID-19 en Sierra Leone et dans d’autres pays MRU.

The text of this article is only available as a PDF.

Notes

1. Marguerite Massinga Loembé, Akhona Tshangela, Stephanie J. Salyer, Jay K. Varma, Ahmed E. Ogwell Ouma, and John N. Nkengasong, “COVID-19 in Africa: The Spread and Response,” Nature Medicine 26 (July 2020): 996-1008.
2. Caleb Okereke and Kelsey Nielsen, “The Problem with Predicting Coronavirus Apocalypse in Africa,” Al-Jazeera, May 7, 2020.
3. Florence Bernault, “Some Lessons from the History of Epidemics in Africa,” African Arguments, June 5, 2020.
4. D. R. Headrick, “Sleeping Sickness Epidemics and Colonial Responses in East and Central Africa, 1900-1940,” PLOS Neglected Tropical Diseases 8, no. 4 (2014); Helen Tilley, “Medicine, Empires, and Ethics in Colonial Africa,” AMA Journal of Ethics 18, no. 7 (July 2016): 743-53.
5. Tamba E. M’bayo, “Ebola, Poverty, Economic Inequity and Social Injustice in Sierra Leone,” Journal of West African History 4, no. 1 (Spring 2018): 99-128.
6. Paul Richards, Ebola: How a People’s Science Helped End an Epidemic (London: Zed Books, 2016), 7; Paul Richards, “Epidemics and Social Observation: Why Africa Needs a Different Approach to COVID-19,” African Arguments, June 1, 2020.
7. Steven Friedman, “South Africa is Failing on COVID-19 Because Its Leaders Want to Emulate the First World,” The Conversation, July 16, 2020.
8. Richards, Ebola, 7.
9. Sandra M. Tomkins, “Colonial Administration in British Africa during the Influenza Epidemic of 1918-19,” Canadian Journal of African Studies/Revue Canadienne des Études Africaines 28, no. 1 (1994): 60-83, https://www.jstor.org/stable/485825.
10. M’bayo, “Ebola”; Eugene T. Richardson, Mohamed Bailor Barrie, J. Daniel Kelly, Yusupha Dibba, Songor Koedoyoma, and Paul E. Farmer, “Biosocial Approaches to the 2013-2016 Ebola Pandemic,” Health and Human Rights Journal 18, no. 1 (2016): 115-28; Franklin Obeng-Odoom and Matthew Marke Beckhio Bockarie, “The Political Economy of the Ebola Virus Disease,” Social Change 48, no. 1: 18-35.
11. Adia Benton, and Kim Dionne, “International Political Economy and the 2014 West African Ebola Outbreak,” African Studies Review 58 (2015): 223-36.
12. Robtel Neajai Pailey, “Liberia, Ebola and the Pitfalls of State-Building: Reimagining Domestic and Diasporic Public Authority,” African Affairs 116, no. 465 (2017): 648-70.
13 Friedman, “South Africa is Failing on COVID-19.”
14. “Africa: COVID-19 Exposes Healthcare Shortfalls,” Human Rights Watch, June 8, 2020; Asad Naveed, “Sierra Leone Has Only One Ventilator,” Sierra Leone Telegraph Report, March 2019.
15. Richards, Ebola, 7.
16. Richardson et al., “Biosocial Approaches”; Benton and Dionne, “International Political Economy”; Maria Berghs, “Neoliberal Policy, Chronic Corruption and Disablement: Biosecurity, Biosocial Risks and the Creation of ‘Ebola survivors?,’” Disability and Society 31, no. 2 (2016): 275-79; Lydia Kapiriri and Alison Ross, “The Politics of Disease Epidemics: A Comparative Analysis of the SARS, Zika, and Ebola Outbreaks,” Global Social Welfare 7 (2020): 33-45. https://doi.org/10.1007/s40609-018-0123-y.
17. Benton and Dionne, “International Political Economy.”
18. “Sierra Leone Integrated Household Survey (SLIHS) Report,” Statistics Sierra Leone, 2018, https://www.statistics.sl/index.php/sierra-leone-integrated-household-survey-slihs.html.
19. Ibid.
20. Rafael Gómez-Jordana Moya, “The current COVID-19 Pandemic in Africa: Economic Effects of the Pandemic on the Continent. Actions to Be Taken,” Atalayar, April 6, 2020; Chris Macoloo, “The Cultural and Social Challenges to Slowing the Pandemic in Africa,” Stanford Social Innovation Review, May 8, 2020; Ndidi Okonkwo Nwuneli, “Ensuring that Hunger Does Not Kill More People than COVID-19 in Africa,” Nutrition Connect, March 30, 2020.
21. M’bayo, Ebola; Richardson et al., “Biosocial Approaches”; Obeng-Odoom and Bockarie, “The Political Economy of the Ebola Virus Disease”; Morenike Oluwatoyin, Folayan, Aminu Yakubu, Bridget Haire, and Kristin Peterson, “Ebola Vaccine Development Plan: Ethics, Concerns and Proposed Measures,” BMC Medical Ethics 17 (2016):10; Joao Nunes, “Ebola and the Production of Neglect in Global Health,” Third World Quarterly 37, no. 3 (2016): 542-56; Katherine Hirschfeld, “Rethinking Structural Violence,” Society 54 (2017): 156-162.
22. “United Nations Global Human Development Report 2019,” United Nations Development Programme, 2019.
23. Benton and Dionne, “International Political Economy.”
24. Walter Rodney, How Europe Underdeveloped Africa (Washington, DC: Howard University Press, 1981).
25. Adrian Flint and Vernon Hewitt, “Colonial Tropes and HIV/AIDS in Africa: Sex, Disease and Race,” Commonwealth and Comparative Politics 53, no. 3 (2015): 294-314.
26. Chinua Achebe, Things Fall Apart (New York: Anchor, 1994).
27. Frantz Fanon, A Dying Colonialism (New York: Grove Press, 1967).
28. Bernault, “Some Lessons from the History of Epidemics”; P. Wenzel Geissler and Noémi Tousignant, “Beyond Realism: Africa’s Medical Dreams,” special issue, Journal of the International African Institute 90, no. 1 (2020): 1-17; Nana Kofi Quakyi, “Ghana’s Much Praised COVID-19 Strategy Has Gone Awry. Here Is Why,” The Conversation, July 26, 2020; Shannon Smith, “Managing Health and Economic Priorities as the COVID-19 Pandemic Spreads in Africa,” Africa Center for Strategic Studies, March 30, 2020.
29. Hani Kim, Uros Novakovic, Carles Muntaner, and Michael T. Hawkes, “A Critical Assessment of the Ideological Underpinnings of Current Practice in Global Health and Their Historical Origins,” Global Health Action 12, no. 1 (2019).
30. Obeng-Odoom and Bockarie, “The Political Economy of the Ebola Virus Disease.”
31. Annie Wilkinson and James Fairhead, “Comparison of Social Resistance to Ebola Response in Sierra Leone and Guinea Suggests Explanations Lie in Political Configurations Not Culture,” Critical Public Health 27, no. 1 (2017): 14-27.
32. Richards, Ebola.
33. Morenike Oluwatoyin, Folayan, Aminu Yakubu, Bridget Haire, and Kristin Peterson, “Ebola Vaccine Development Plan: Ethics, Concerns and Proposed Measures,” BMC Medical Ethics 17 (2016): 10.
34. Ronald Elly, “COVID-19 and Agricology: Echoes of Indigenous Knowledge Systems in Africa,” African Arguments, June 10, 2020.
35. M’bayo, “Ebola.”
36. N. G. Iloka, “Indigenous Knowledge for Disaster Risk Reduction: An African Perspective,” Jamba: Journal of Disaster Risk Studies 8, no. 1 (2016); Y. Giulia Piccolino and Sabine Franklin, “Reducing Risk for Whom? Neocolonial Patterns in Western Academia,” African Arguments, June 1, 2020; Ali A. Mazrui and Fouad Kalouche, “Universalism, Global Apartheid, and Justice: Ali A. Mazrui in Dialogue with Fouad Kalouche,” Polylog, https://them.polylog.org/4/dma-en.htm; Ali A. Mazrui, “The African University as a Multinational Corporation: Problems of Penetration and Dependency,” Harvard Educational Review 45, no. 2 (1975): 191-210; Ali Mazrui, “The African Condition, Lecture 3: A Clash of Cultures,” Reith Lectures, November 21, 1979. Radio broadcast; N’Dri Assié-Lumumba, Ali A. Mazrui, and Martial Dembéle, “Critical Perspectives on Haifa Century of Post-Colonial Education for Development in Africa,” African and Asian Studies 12 (2013).
37. Mazrui, in Dialogue with Fouad Kalouche.
38. Friedman, “South Africa is Failing on COVID-19.”
39. Elly, “COVID-19 and Agricology”; E. T. Richardson, “Pandemicity: COVID-19 and the Limits of Public Health ‘Science,’” BMJ Global Health 5 (2020): e002571.
40. Human Rights Watch, “COVID-19 Exposes Healthcare Shortfalls”; “African Adaptations to the COVID-19 Response,” Africa Center for Strategic Studies, April 15, 2020; Marcelle Bessa, “Africa’s Disproportionate COVID-19 Pandemic,” E-International Relations, June 2, 2020, https://www.e-ir.info/2020/06/02/africas-disproportionate-covid-19-pandemic/.
41. Madikay Senghore, Merveille K. Savi, Bénédicte Gnangnon, William P. Hanage, and Iruka N. Okeke, “Leveraging Africa’s Preparedness towards the Next Phase of the COVID-19 Pandemic,” Lancet Global Health, May 14, 2020, online publication; Elizabeth Deane Ferguson, “Decolonizing Epidemics: Power Structures that Define, Name, and Frame Medical Disasters,” (Doctoral diss.) George Mason University, Fairfax, VA; Nathaniel Umukoro, “African Solutions to African Problems and the Ebola Virus Disease in Nigeria,” Development in Practice 26, no. 2 (2016): 149-57; Abraar Karan, “It’s Time to End the Colonial Mindset in Global Health,” Goats and Soda [BLOG], December 30, 2019. Washington, DC: National Public Radio; Shabir Ahmad Lone and Aijaz Ahmad, “COVID-19 Pandemic: An African Perspective,” Emerging Microbes and Infections 9, no. 1 (2020): 1300-1308; Lioba A. Hirsch, “In the Wake: Interpreting Care and Global Health through Black Geographies,” Area 52, no. 2 (2020): 314-21; Cheryl Lans, “Nature’s Laboratory Should Be Included in the Fight against Ebola,” GeoJournal 81, no. 1 (2016): 1-3, http://www.jstor.com/stable/44076346.
42. Mazrui, “The African University as a Multinational Corporation.”
43. Godfrey B. Tangwa, “Giving Voice to African Thought in Medical Research Ethics,” Theoretical Medicine and Bioethics 38 (2017): 101-10.