The Washington Post - USA (2020-08-01)

(Antfer) #1

SATURDAY,AUGUST 1 , 2020 .THEWASHINGTONPOST EZ SU A


BYNIHAMASIH

newdelhi—KiranDighavkar,a
Mumbaiofficial,realizedthecor-
onaviruscouldprovedevastating
for the city’ssprawling slum of
Dharaviwhen he spent three
hourstryingtofindavacantICU
bedforaresident.Bythetimehe
found one, the patient had died.
ThatwasinApril.
In July,Dharavidrewpraise
fromtheWorldHealthOrganiza-
tion for its “aggressiveaction”in
containingthepandemic.
“There are manyexamples
from aroundthe world thathave
shownthateveniftheoutbreakis
veryintense, it can still be
brought back under control,”
WHO Director General Tedros
AdhanomGhebreyesus said at a
news conference July 10, citing
Dharavi’ssuccess along with ef-
forts by countries includingItaly
andSouthKorea.
India is third behind the Unit-
edStatesandBrazilinconfirmed
coronavirus infections, but its
newcases areclimbingat the
fastestrateinthe world, accord-
ingtoBloombergNews.ForDhar-
avitoturnacornerinthemidstof
thiscrisisisanoteworthystoryof
customizedsolutions, communi-
tyinvolvementandperseverance.
Theslum’s turnaroundoffers
bothlessonsandpromiseforoth-
erdenseneighborhoods,particu-
larly in parts of the developing
world battling the pandemic.In
mid-July,morethan1millioncas-
es were reported globallyin just
fourdays,indicatingitsaccelerat-
ingspread.
Theoddswerestackedagainst
Dharavi, one of Asia’slargest
slums. Mumbai had emerged as
thecountry’scoronavirusepicen-
ter.Hospitalswereoverwhelmed,
and in mid-June, 99 percentof
thecity’sintensivecarebedswere
occupied.
About 1million people are
packed into Dharavi’sone-
square-mile area. Most residents
depend on communitytoilets
used by thousandseveryday.In-
dia’sstrictlockdown, firstim-
posed in late March, left tens of
thousandsof the slum’s daily-

wageresidentson the vergeof
destitution.The situation made
conventional solutionssuch as
social distancing and contact
tracingimpossibletoenforce.
“Dharaviwas aticking time
bomb,”said Shivkumar Utture, a
doctor advisingthe citygovern-
ment on coronavirus measures.
“There was stigma and fear
amongthepeople.”
Cityofficialsled by Dighavkar,
the assistant municipalcommis-
sionerinchargeofDharavi,chart-
edtheirowncourse.Afteridentify-
ing five areas reporting the most
cases, theyfocused on screening
everyhouse for people with fever
orlowoxygenlevels.Localdoctors
wereenlistedtoinspireconfidence
amongresidents.
Within 10 days, 47,000 people
had been screened, and 400
symptomatic people were tested
for the virus, with 20 percent
turningout to be positive.An
additional 4,000 people,includ-
ing contacts and those with co-
morbidities,wereplacedininsti-
tutionalquarantine.
Health-carecampsweresetup
in prominentlocationsinthe
slumwherepeoplecouldwalkin
and getafreevirus test. Officials
urgeddozensofprivateclinicsin
the area to remainopen so more
cases could be detected. In turn,

the governmentprovidedthem
with protective gear and daily
sanitization.
Thewhole exercise was a“big
challenge,”saidAvaniWalke,one
oftheprivatedoctorswhovolun-
teered.Eachmorning,shewould
setoutat8a.m.,wearingpersonal
protectiveequipmentintheswel-
tering heat, to find coronavirus
cases. Forthe next five hours,
therewouldbenofoodorwater.
Intheafternoon,Walkewould
beather clinic seeing asteady
streamofpatients,manyofthem
worriedtheyhad contracted the
virus. Details of suspected cases
weresharedwiththecivicagency
for follow-upaction. Nearly five
dozen positivecases were identi-
fiedthroughherclinicalone.
“I was totally drained. By the
endofday,Ihadnostrengthtodo
anything,” said the 47-year-old
motheroftwoteenagers.
Theother critical challenge
wasbuildinghealthinfrastruc-
ture from scratch. Thegovern-
ment-run health-care facilities
inside the slum had no beds or
intensive care equipment.
Dighavkarandhisteamtookover
asports complex, apark, amar-
riagehallandprivatehospitalsto
house quarantine and treatment
facilities. On avacant lot, they
builta200-bedhospitalwithoxy-

genbeds.
Hundredsof communitytoi-
lets were sanitizedthree times a
day. Soap and water supply was
regularized.
Theefforts paid off. Thenum-
berofnewcasesinJulywasafifth
thatofMay.The recoveryrateis
over 80percent,and the number
ofactivecasesisunder100.
“Wechasedthe virus,”
Dighavkar said, “instead of wait-
ingforpeopletoreportit.”
But fightingthe virus wasn’t
the only testfacing Dharavi. A
burgeoningproblemwasitsresi-
dents’struggleforsurvivalasthe
lockdown snatched away liveli-
hoodsovernight.
Nearly 150,000workers went
back to their villages, whichre-
duced the population somewhat.
But the gap between govern-
ment’sreliefeffortsandresidents’
need remainedvast. Closing it
was afeatthe administration
could not accomplishalone. The
slum’sfame—theOscar-winning
movie“SlumdogMillionaire”was
shotinDharavi—helped.Private
donorsandnongovernmentalor-
ganizationssteppedintohelp.
LaxmiRamchandraKamble,a
reliefworkerwiththe Acorn
Foundation, said her group
helped1,500householdswithra-
tion kits through the lockdown
months.Astheeconomyreopens
and virus numbersstabilizein
Dharavi, the demandfor aid has
diminished.
“Factories and shops are grad-
ually opening,and now we are
distributing rations to only 15
personsaday,” she said. “Things
areslowlygettingbetterhere.”
WhileDharaviheavesasighof
relief, for now,fresh dangers
loom.Theongoingmonsoonsea-
son means spikes in malariaand
denguecases. Then there is the
possibilityofasecondwaveofthe
virus. Migrant workers who had
leftwillbegintoreturn.
“The situation is dynamic,”
Dighavkarsaid.“Weareontopof
things now but not letting our
guarddown.”
[email protected]

TaniaDuttacontributedto thisreport.

Packed Mumbai slum beats back virus


As casesin Indiasoar,Dharavi’soutbreakis in checkthanksto community-tailoredmeasures


THEWASHINGTONPOST

Note:Dharavi populationestimatedat 1millionresidents.

Reported casesappearto declinein Dharaviwhile
risinginIndiaoverall
Newdailycovid-19casesper 100 ,000residentsin Dharavi comparedwith
Indiaasawhole

0

2

4

6

8per 100,
residents

April 1 July

Sources: PopulationestimatesfromtheWorldBankandtheWorldEconomicForum.Case
countsfromJohnsHopkinsUniversityandMunicipalCorporationof GreaterMumbai.

Dharavi

India

1 per
100k

3.6per
100k

INDRANILMUKHERJEE/AGENCEFRANCE-PRESSE/GETTYIMAGES

People whohave recovered fromthecoronaviruswaittodonatebloodplasmaat aschoolin Mumbai’s DharavionJuly23.Thecrowded
slum, hometo about1million people,tookaggressive stepsincludingsendingdoctorsdoor-to-doortoscreen residentsforthe virus.


BYHAQNAWAZKHAN
ANDSUSANNAHGEORGE

peshawar, pakistan — The
brazen killingof an American
standingtrial for blasphemyin
Pakistan has sparked renewed
pressureon Islamabadto reform
controversiallaws thathuman
rights groupssaytarget minori-
ties.
Tahir Naseem, 57,ofIllinois
was on trial in the Pakistani city
of Peshawar for claimingto be a
prophet.EarlyWednesday, aman
walkedintothecity’sbusycentral
courtroomandshotNaseemmul-
tipletimesatcloserange.
Video of the killing,widely
circulated on social media,
showed police restraining the
gunmanas Naseem layinapool
of blood on the floor justafew
feetaway. Theman could be
heard saying thatthe prophet
Muhammadtold him to kill Na-
seeminadream.
“Heisthe enemyofIslam ...
the enemyofPakistan,”the gun-
mansaid.
InamUllahYousafzai,alawyer
who was in the courtroom, said
thatafter killing Naseem, the
gunmanplaced his pistol on a
table and surrenderedto police.
Anotherlawyer present at the
courtremarkedonhowdifficultit
would be to bring aweapon into
the building.The courthouse is
heavily guarded,with multiple
securitysearches and check-
points thatanyone who wants to
entermustpassthrough.
Thesuspectwas broughtbe-
fore acourttoface possibleter-
rorism and murder charges
Thursday.
ThePakistaniForeignMinistry
said in astatement that“the
alleged killer has been arrested
andaspecialteamconstitutedto
investigate the case.”Itpledged
that“thematterwillbedealtwith
in accordancewith the law” and
that constitutional rights and
protections would be “fully en-
forcedandimplemented.”
Apolice reportidentified the
suspectonlyasFaisal, son of
Abdullah,andaresidentofPesha-
war’s Gulabadneighborhood.
TheU.S.StateDepartmentsaid
Naseem was aU.S.citizen and
called in atweetfor “immediate
action”inresponsetohiskilling.
Cale Brown,aState Depart-
mentspokesman,saidtheUnited
StateshadworkedwithNaseem’s
familysincehisdetentionin
and alerted senior Pakistani offi-
cials to his case “toprevent the
type of shameful tragedy that

eventuallyoccurred,”according
to astatement. Brown said Paki-
stan’s blasphemylawsare often
abusedand demandedthatthey
bereformed.
Pakistan’s blasphemylaws
havelongbeenthetargetoffierce
criticismfrom international hu-
man rights groups,which have
demandedtheir repeal.Human
Rights Watch has reported that
the laws “provideapretext for
violenceagainstreligiousminori-
ties, as well as arbitraryarrests
andprosecution.”
Anyone found guiltyofinsult-
ing Islam can be sentencedto
death,andallegationsofblasphe-
my have triggered violentriots.
Blasphemyallegationshaveledto
extrajudicial murders, rights
groupssay. Butwhile manyin-
mates are on death row for blas-
phemyinPakistan, the country
has never carriedout adeath
sentenceinthosecases.
Most of thoseaccused of blas-
phemy,likeNaseem,belongtothe
Ahmadiaminoritygroup,which
is viewed by manyMuslims in
Pakistanasheretical.
Hours after the news of Na-
seem’s killingwas reported by
local media, ahashtag began
trendingonsocialmediapraising
the gunmanas ahero. Many of
those promotingthe hashtagde-
scribedthemselvesasTaliban
sympathizers.
Arelative of Naseem’s ex-wife
inPakistansaidthatwhenhewas
living outsidePeshawar,hesur-
vived multipleTaliban assassina-
tionattempts.
Therelative, Amjad Ali, said
Naseem’s beliefs quicklybecame
controversialin the small village
helivedinbeforehemovedtothe
United States. Naseem’s wifedi-
vorced him in 2008 shortly after
theirmarriage,andNaseem’s rel-
atives began receiving death
threats, ultimately forcingthem
toselltheirpossessionsandleave,
accordingtoAli.
“Now he has no one in the
village,”Alisaid.
In oneofPakistan’s mostre-
cent high-profile blasphemycas-
es,anilliteratewoman,AsiaBibi,
was charged and imprisonedon
death row for eight years before
shewasacquittedandeventually
sought asylum in Canada last
year.Her release sparked violent
riots, and she continuedto re-
ceive death threats from Islamist
extremists even after fleeingto
Canada.
[email protected]

GeorgereportedfromKabul.

Killing of American


in Pakistan prompts


fresh criticism of laws


BILAWALARBAB/EPA-EFE/SHUTTERSTOCK
Anambulancetransports thebodyofU.S.citizen TahirNaseem
afterhe wasshot deadin acourtroominPeshawar,Pakistan.
Naseemhadbeenontrialfor claimingtobeaprophet.

BYKATECHAPPELL

kingston, jamaica—Jamaica’s
high court ruled Fridaythata
school was within its rights to
demandthatagirlcutherdread-
lockstoattend classes, asurprise
decisionthattouchedonissuesof
identityand one the most recog-
nizable symbols of the island’s
Rastafarianculture.
Theruling by the Supreme
CourtofJamaicacappedatwo-
year battle after the girl —then
yearsold—wastoldshemustcut
herdreadlocks for “hygiene”rea-
sons to study at Kensington Pri-
marySchoolinaKingstonsuburb.
Arights group, Jamaicans for
Justice, had initiallylent support
tothefamily,sayingtheorderfor
the girl to cuther dreadlocks
amountedadenialofherfreedom


ofexpression and her access to
education.
Others viewed the courtbattle
as astand against rules seen as
discrimination againstpeople
who wear“natural”hair,includ-
ingRastafarians whosedread-
locksare part of their religious
tradition.
Thegirl and her parents, Dale
andSherineVirgo,whobothwear
dreadlocks, plan to appeal, said
theirlawyer,IsatBuchanan.
“Iwillnotbecuttingmydaugh-
ter’s hair,” Sherine Virgosaid im-
mediatelyaftertheruling.“Ifthey
give me thatultimatum again, I
willbemovingher.”
Virgo’sdaughter—now7years
oldandidentifiedincourtpapers
onlyasZbecausesheisaminor—
wasattendingclassesattheschool
after the courts deliveredanin-

junction against the Ministryof
Education,allowing hertogoto
schoolwithherdreadlocksintact.
When the school closed this
springbecauseofthecoronavirus
pandemic, the girl was home-
schooled.
“Iammorethansurprised.Itis
mostunfortunate,”Buchanan
said.“Itisamostunfortunateday
forBlackpeopleandforRastafari-
anpeopleinJamaica.”
Thegirl’s father called the rul-
inganothersignof“systemicrac-
ism.”
“A childwasrefusedbecauseof
her Black hair,you know?” said
DaleVirgo.“It’ssoweirdthatright
now in the current climate of the
world,in2020,wearehavingpro-
tests,andBlackpeoplearefedup.
“This is an opportunitythe Ja-
maicangovernmentandthelegal

systemhad to rightthese wrongs
and lead the world and makea
change,” he continued. “But they
have decided to keep the same
system.”
Thejudgmentwasdeliveredin
asmall courtroom populated
mainly by lawyers and the girl’s
parents.
Theministerofeducation,Karl
Samuda,declinedtocommenton
theruling,whichcameontheeve
of EmancipationDay,celebrated
inJamaicaandelsewheretomark
the end of slaveryinthe British
Empire.
“I’mverycautiousaboutwhere
Itread,” he said, “especially on a
sensitive enough subjectlike
that.”
Verene Shepherd, director of
the Center for Reparation Re-
search at theUniversityofthe

West Indies, saidthe Ministryof
Education is debating issuesof
student clothing and hairstyles,
includingdreadlocks.
TheVirgossaytheydonotiden-
tifyasRastafarian, but theysay
thatwearing dreadlocks is an ex-
pressionoftheiridentity.AllVirgo
familymemberswearthatnatural
hairstyle, as do manyJamaicans
whoidentifyasRastafarian.
Though Rastafarians account
foronlyabout2percentofJamai-
ca’spopulation, the movement
hasanoutsize influenceinthe
culture.Madepopularbyperhaps
theworld’smostfamousRastafar-
ian,BobMarley,itisapoliticaland
religious movement thatwas
foundedin the 1930s, drawing
from African, Revivalistand
Christiantraditions.
Despiteits popularity, Rasta-

farians,andpeoplewhowearnat-
uralhair,stillfacediscrimination
inJamaica.
Some schools, including Kens-
ington Primary, explicitlystate
thatdreadlocksare not allowed,
and other schools have banned
studentswho refuse to cutthem.
In thewakeofthe challenge, the
MinistryofEducation issued
guidelines for hairstyles, includ-
ing adirective thatifchildren
wear dreadlocks, theymustbe
“neat.”
“Ingeneral, Ithink thatdis-
crimination on the grounds of
hairstyle is wrong,” Shepherd
said. “I do not think our children
who are Rastafari andwho ex-
presstheir culturethrough their
hair should be discriminated
against.”
[email protected]

School can ban dreadlocks, Jamaica’s high court rules


WashingtonPost newsletters
delivermoreof whatyou’re lookingfor.
Discover and subscribefor free at
washingtonpost.com/newsletters
S01146X 1

heal h& welln ss?

Free download pdf