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Indicators, security and sovereignty during COVID-19 in the Global South

Published online by Cambridge University Press:  10 June 2021

John Harrington*
Affiliation:
Professor of Global Health Law, Cardiff University, UK
*
*Corresponding author. E-mail: HarringtonJ3@cardiff.ac.uk

Abstract

The spread of COVID-19 has seen a contest over health governance and sovereignty in Global South states, with a focus on two radically distinct modes: (1) indicators and metrics and (2) securitisation. Indicators have been a vehicle for the government of states through the external imposition and internal self-application of standards and benchmarks. Securitisation refers to the calling-into-being of emergencies in the face of existential threats to the nation. This paper contextualises both historically with reference to the trajectory of Global South states in the decades after decolonisation, which saw the rise and decline of Third-World solidarity and its replacement by neoliberalism and global governance mechanisms in health, as in other sectors. The interaction between these modes and their relative prominence during COVID-19 is studied through a brief case-study of developments in Kenya during the early months of the pandemic. The paper closes with suggestions for further research and a reflection on parallel trends within Global North states.

Type
Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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References

Abbey, E et al. (2020) The Global Health Security Index is not predictive of coronavirus pandemic responses among Organization for Economic Cooperation and Development countries. PLoS ONE, 7 October.CrossRefGoogle Scholar
Adams, V (2016) Metrics of the global sovereign: numbers and stories in global health. In Adams, V (ed.), Metrics: What Counts in Global Health. Durham: Duke University Press, pp. 1956.CrossRefGoogle Scholar
Agutu, N (2020) Kenyans are indisciplined, difficult in fight against Coronavirus – Kagwe. The Star, 24 March.Google Scholar
Anon (2020a) COVID-19: Kenya bans travel in and out of Nairobi, other areas’. Al Jazeera, 6 April. Available at https://www.aljazeera.com/news/2020/04/covid-19-kenya-bans-travel-nairobi-areas-200406163601579.html (accessed 1 February 2021).Google Scholar
Anon (2020b) Kenya bans public events after first case of coronavirus. Al Jazeera, 13 March. Available at https://www.aljazeera.com/news/2020/03/kenya-bans-public-events-case-coronavirus-200313101019200.html (accessed 1 February 2021).Google Scholar
Atieno-Odhiambo, ES (1987) Democracy and the ideology of order in Kenya. In Schatzberg, M (ed.), The Political Economy of Kenya. Westport: Praeger, pp. 177201.Google Scholar
Austin, JL (2005) How To Do Things with Words. Cambridge: Harvard University Press.Google Scholar
Balzacq, T (2005) The three faces of securitization: political agency, audience and context. European Journal of International Relations 11, 171201.CrossRefGoogle Scholar
Biegon, E (2020) China will prioritize Kenya, Africa in COVID-19 vaccine roll-out. KBC, 12 November. Available at https://www.kbc.co.ke/china-will-prioritize-kenya-africa-in-covid-19-vaccine-roll-out/ (accessed 1 February 2021).Google Scholar
Bitzer, L (1968) The rhetorical situation. Philosophy and Rhetoric 1, 114.Google Scholar
Boltanski, L and Chiapello, E (1999) Le nouvel esprit du capitalisme. Paris: Gallimard.Google Scholar
Boyd, M, Wilson, N and Nelson, C (2020), Validation analysis of Global Health Security Index (GHSI) scores 2019. BMJ Global Health 5e, 110.Google Scholar
Buzan, B, Waever, O and de Wilde, J (1998) Security: A New Framework for Analysis. London: Lynne Reiner.Google Scholar
Chagema, A (2020) Pandemic has exposed leaders’ shortcomings. The Standard, 19 March.Google Scholar
Chorev, N (2012) The World Health Organization between North and South. Ithaca: Cornell University Press.Google Scholar
Choto, K (2020) Kenyans, a great nation is built by disciplined citizens. Capital News, 1 April. Available at https://www.capitalfm.co.ke/news/2020/04/kenyans-a-great-nation-is-built-by-disciplined-citizens/ (accessed 1 February 2021).Google Scholar
Curley, M and Herington, J (2017) The securitisation of avian influenza: international discourses and domestic politics in Asia. Review of International Studies 37, 141166.CrossRefGoogle Scholar
Davis, K, Kingsbury, B and Merry, SE (2012) Indicators as a technology of governance. Law and Society Review 46, 71104.CrossRefGoogle Scholar
Erikson, S (2016) Metrics and market logics of global health. In Adams, V (ed.), Metrics: What Counts in Global Health. Durham: Duke University Press, pp. 147162.CrossRefGoogle Scholar
Escobar, A (1995) Encountering Development: The Making and Unmaking of the Third World. Princeton: Princeton University Press.Google Scholar
Fidler, D (2003) SARS: political pathology of the first post-Westphalian pathogen. Journal of Law, Medicine and Ethics 31, 485505.CrossRefGoogle ScholarPubMed
Fidler, D (2020) The World Health Organization and pandemic politics: the good, the bad, and an ugly future for global health, Council on Foreign Relations Blog, 10 April. Available at https://www.thinkglobalhealth.org/article/world-health-organization-and-pandemic-politics (accessed 1 February 2021).Google Scholar
Fidler, D and Gostin, L (2006) The new International Health Regulations: an historic development for international law and public health. Journal of Law, Medicine and Ethics 93, 8594.CrossRefGoogle Scholar
Fisher, A and Fukuda-Parr, S (2019) Introduction – data, knowledge, politics and localising the SDGs. Journal of Human Development and Capabilities 20, 375385.CrossRefGoogle Scholar
Freymann, E and Stebbing, J (2020) China is winning the vaccine race. How Beijing positioned itself as the savior of the developing world. Foreign Affairs Blog, 5 November. Available at https://www.foreignaffairs.com/article/united-states/2020-11-05/china-winning-vaccine-race (accessed 6 May 2021).Google Scholar
Gathara, P (2020) Kenya needs to stop panicking and start preparing for coronavirus. Al Jazeera, 2 March. Available at https://www.aljazeera.com/indepth/opinion/kenya-stop-panicking-start-preparing-coronavirus-200302110915576.html (accessed 1 February 2021).Google Scholar
Geissler, PW (2015) Introduction: a life science in its African para-state. In Geissler, PW (ed.), Para-states and Medical Science. Making African Global Health. Durham, NC: Duke University Press, pp. 125.CrossRefGoogle ScholarPubMed
Gilbert, M and Pullano, G (2020) Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study. The Lancet 395, 871877.CrossRefGoogle ScholarPubMed
Goodwin, M (2017) The poverty of numbers: reflections on the legitimacy of global development indicator. International Journal of Law in Context 13, 485497.CrossRefGoogle Scholar
Gostin, L (2014) Global Health Law. Cambridge: Harvard University Press.CrossRefGoogle Scholar
Gostin, L et al. (2020) Reimagining global health governance in the age of COVID-19. American Journal of Public Health 110, 16101615.CrossRefGoogle ScholarPubMed
Hameiri, S (2014) Avian influenza, ‘viral sovereignty’, and the politics of health security in Indonesia. Pacific Review 27, 333356.CrossRefGoogle Scholar
Hardt, M and Negri, A (2000) Empire. Cambridge: Harvard University Press.Google Scholar
Harman, S and Wenham, C (2018) Governing Ebola: between global health and medical humanitarianism. Globalizations 15, 362376.CrossRefGoogle Scholar
Harrington, J (2020a) #weareone: blood donation, terrorism and dreams of inclusion in Kenya. Africa 90, 112135.CrossRefGoogle Scholar
Harrington, J (2020b) Locating the state in global health law: a nodal governance analysis. In Kirkland, A and Jacob, M-A (eds), Research Handbook on Law, Medicine and Society. Cheltenham: Elgar, pp. 190206.Google Scholar
Harrington, J (2021) ‘Choking the national demos’: research partnerships and the material constitution of global health. International Journal of Law in Context 17 (forthcoming).CrossRefGoogle Scholar
Harrington, J and Manji, A (2015) Restoring Leviathan? The Kenyan Supreme Court, constitutional transformation, and the presidential election of 2013. Journal of Eastern African Studies 9, 175192.CrossRefGoogle Scholar
Hirsch, A (2020) Why are Africa's Coronavirus successes being overlooked? The Guardian, 21 May.Google Scholar
Human Rights Watch (2020) Kenya: quarantine conditions undermine rights. Human Rights Watch, 28 May 2020. Available at https://www.hrw.org/news/2020/05/28/kenya-quarantine-conditions-undermine-rights (accessed 1 February 2021).Google Scholar
Humphreys, A (2020) Health officials brace for spread to Africa as modelling study reveals most vulnerable countries. National Post, 19 February.Google Scholar
Kabira, N and Kibugi, R (2020) Saving the soul of an African constitution: learning from Kenya's experience with constitutionalism during COVID-19. African Human Rights Law Journal 20, 436461.CrossRefGoogle Scholar
Kagwe, M (2020) Report of National Emergency Committee on Coronavirus. Kenyan Ministry of Health, 21 April. Available at https://www.health.go.ke/wp-content/uploads/2020/04/CamScanner-04-21-2020-16.10.55.pdf (accessed 1 February 2021).Google Scholar
Kahura, D (2020) Harsh economic times, political uncertainty … and now Corona. The Elephant, 3 April. Available at https://www.theelephant.info/features/2020/04/03/harsh-economic-times-political-uncertaintyand-now-corona/ (accessed 1 February 2021).Google Scholar
Kamau, J and Achuka, V (2020) Coronavirus scare: Nairobi ranked sixth amongst Africa's riskiest cities. Daily Nation, 28 February.Google Scholar
Kenyatta, U (2020a) Presidential address on enhanced measures in response to the Covid-19 pandemic. Kenyan Ministry of Foreign Affairs, 6 April. Available at http://www.mfa.go.ke/wp-content/uploads/2020/04/presidential-address-enhanced-measures-in-response-to-the-COVID-19-pandemic-6th-April-2020.pdf (accessed 1 February 2021).Google Scholar
Kenyatta, U (2020b) Uhuru's speech in full as more Covid-19 measures announced. Daily Nation, 27 March.Google Scholar
KOT (2020) A recent Lancet report on preparedness and vulnerability of African countries against importations of coronavirus shows that Kenya, Nigeria, Ethiopia, Sudan, Ghana and Tanzania are ill-prepared to detect imported cases of the virus. Tweet as ‘KOT_Loyals’, 26 February 2020, 5:06am. Available at https://twitter.com/KOT_Loyals/status/1232532275214069760 (accessed 1 February 2021).Google Scholar
Lakoff, A (2012) Toward a genealogy of global health security. In Magnusson, B and Zalloua, Z (eds), Contagion: Health, Fear and Sovereignty. Seattle: University of Washington Press, pp. 4470.Google Scholar
Mabonga, M (2020) Study by The Lancet has ranked Kenya among African countries least prepared to handle coronavirus outbreak. Tweet as ‘MasoloMabonga’, 29 February 2020, 6:31am. Available at https://twitter.com/MasoloMabonga/status/1233640955934334979 (accessed 1 February 2021).Google Scholar
Mbembe, J-A (2000) De La Postcolonie, essai sur l'imagination politique dans l'Afrique contemporaine. Paris: Karthala.Google Scholar
McInnes, C and Rushton, S (2012) HIV/AIDS and securitization theory. European Journal of International Relations 19, 115138.CrossRefGoogle Scholar
Merab, E (2020) Kenya confirms first Coronavirus case. Daily Nation, 24 March. Available at https://www.nation.co.ke/news/Kenya-confirms-first-coronavirus-case/1056-5489268-28tqll/index.html (accessed 1 February 2021).Google Scholar
Merry, S (2006) Human Rights and Gender Violence. Chicago: University of Chicago Press.Google Scholar
Merry, S (2016) The Seductions of Quantification: Measuring Human Rights, Gender Violence, and Sex Trafficking. Chicago: University of Chicago Press, pp. 920.CrossRefGoogle Scholar
Ministry of Health (2020) Kenya Coronavirus cases rise to four. Kenyan Ministry of Health, 17 March. Available at https://www.health.go.ke/kenya-coronavirus-cases-rise-to-four-cs-health/ (accessed 1 February 2021).Google Scholar
Murphy, T and Whitty, N (2009) Is human rights prepared? Risks, rights and public health emergencies. Medical Law Review 17, 219244.CrossRefGoogle Scholar
Musila, GA (2015) A Tale Retold in Truth and Rumour: Kenya, Britain and the Julie Ward Murder. London: James Currey.CrossRefGoogle Scholar
Mutua, M (2008) Kenya's Quest for Democracy: Taming Leviathan. Nairobi: Foundation Publishers.Google Scholar
Mwangi, O (2019) The ‘Somalinisation’ of terrorism and counterterrorism in Kenya: the case of refoulement. Critical Studies on Terrorism 12, 298316.CrossRefGoogle Scholar
Nanyingi, M (2020) Predicting COVID-19: what applying a model in Kenya would look like. The Conversation, 30 March.Google Scholar
Newey, S (2020) Warning for African countries as Coronavirus cases mount worldwide. Daily Telegraph, 19 February.Google Scholar
Nkengasong, J and Mankoula, W (2020) Looming threat of COVID-19 infection in Africa: act collectively, and fast. The Lancet 395, 841842.CrossRefGoogle Scholar
Noe, N (2020) Vaccine diplomacy – the best first move for the Biden administration to reset relationships. EUI Ideas, 20 November. Available at EUIdeas | Vaccine diplomacy – the best first move for the Biden administration to reset relationships (accessed 1 February 2021).Google Scholar
Nuzzo, J, Bell, J and Cameron, E (2020) Suboptimal US response to COVID-19 despite robust capabilities and resources. Journal of the American Medical Association 324, 13911392.CrossRefGoogle ScholarPubMed
Okioma, E (2020) Lancet report ranks Kenya among African countries with the lowest capacity to handle corona virus. Tweet as ‘erickokioma’, 29 February 2020, 11:35am. Available at https://twitter.com/erickokioma/status/1233717495699300354 (accessed 1 February 2021).Google Scholar
Ongwae, P (2020) A study published on Lancet on vulnerability of African countries against importation of COVID19 indicates that Kenya is at moderate risk based on travel statistics having a variable capacity and true high vulnerability. Kenya needs to take advantage to set up response centers. Tweet as ‘DrOngwae’, 27 February 2020, 12:04pm. Available at https://twitter.com/DrOngwae/status/1232999982569074688 (accessed 1 February 2021).Google Scholar
Oni-Orisan, A (2016) The obligation to count: the politics of monitoring maternal mortality in Nigeria. In Adams, V (ed.), Metrics: What Counts in Global Health. Durham: Duke University Press, pp. 82104.Google Scholar
Perelman, C (2000) L'empire rhetorique: rhétorique et argumentation. Paris: Librairie Philosophique J. Vrin.Google Scholar
Roberts, A (2020) The pandemic exposes an ailing US governance model. Current History 119, 310316.CrossRefGoogle Scholar
Rushton, S (2010) AIDS and international security in the United Nations system. Health Policy and Planning 25, 495504.CrossRefGoogle ScholarPubMed
Siems, M and Nelken, D (2017) Global social indicators and the concept of legitimacy. International Journal of Law in Context 13, 436444.CrossRefGoogle Scholar
Simpson, AWB (2004) Human Rights and the End of Empire: Britain and the Genesis of the European Convention. Oxford: Oxford University Press.CrossRefGoogle Scholar
Stern, J (2002) Dreaded risks and the control of biological weapons. International Security 27, 89123.CrossRefGoogle Scholar
Tan, C (2011) Governance through Development: Poverty Reduction Strategies, International Law and the Disciplining of World States. London: Routledge.CrossRefGoogle Scholar
Tanui, C (2020) Kenya bans all international passenger flights as coronavirus cases rise to 15. Capital News, 22 March. Available at https://www.capitalfm.co.ke/news/2020/03/kenya-bans-all-international-passenger-flights-as-corona-cases-rise-to-15/ (accessed 1 February 2021).Google Scholar
Vuori, J (2008) Illocutionary logic and strands of securitization: applying the theory of securitization to the study of non-democratic political orders. European Journal of International Relations 14, 6599.CrossRefGoogle Scholar
Wambui, M (2020) Family distraught after teenager allegedly shot by police dies. Daily Nation, 13 May.Google Scholar
Wenham, C (2015) GPHIN, GOARN, GONE? The role of the World Health Organization in global disease surveillance and response. In Davies, S and Youde, J. (eds), Global Health: The Politics of Surveillance and Response to Disease Outbreaks. Guilford: Ashgate, pp. 107120.Google Scholar
Wenham, C (2019) The oversecuritization of global health: changing the terms of debate. International Affairs 95, 10931110.CrossRefGoogle Scholar
Wenham, C (2020) What is the future of UK leadership in global health security post Covid-19? IPPR Progressive Review, 28 August. Available at https://doi.org/10.1111/newe.12201 (accessed 1 February 2021).CrossRefGoogle Scholar
Wilkinson, C (2007) The Copenhagen School on tour in Kyrgyzstan: is securitization theory useable outside Europe? Security Dialogue 38, 525.CrossRefGoogle Scholar
Williams, M (2003) Words, images, enemies: securitization and international politics. International Studies Quarterly 47, 511553.CrossRefGoogle Scholar
World Health Organisation (WHO) (2020) Coronavirus Disease (COVID-19) Situation Report 133. World Health Organization, 1 June. Available at https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200601-covid-19-sitrep-133.pdf?sfvrsn=9a56f2ac_4 (accessed 1 February 2021).Google Scholar