Cambodia’s Victim Zero: Global and National Responses to Highly Pathogenic Avian Influenza

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    Cambodias Vict im Zero: Global and National

    Responses to Highly Pathogenic Avian

    Influenza Sophal Ear, PhD

    Ass istant Professo r

    Naval Postgraduate School

    26 February 2009

    Brighton, United Kingdom

    Table of Contents

    I. Introduction

    II. TimelineMoments

    III. Policy Narratives

    IV. Understanding thePolitical Economy

    of the PolicyProcess

    V. Conclusion

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    I. Intro: Cambodias response to

    global public health crisis

    Intro: Global responses affect on

    Cambodia

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    Awash in donor money, Cambodia

    played its role on a global policy stage

    Goal: reduce pandemic potential that

    could strike donor countries themselves

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    A Few Words on Methodology

    Qualitative research methodology

    40+ one-on-one semi-structured interviews

    across govt, private sector, & NGOs

    Web survey launched on 27 May 2008

    44 visits

    17 responses

    II. TimelineContext Political Structure and Modern History

    Aid Dependence and Tourism

    The Livestock Sector and Poultry in

    Particular

    Human Pandemic Flu Timeline

    Spanish (H1N1) HK flu H3N2 HPAI H5N1 H7N2 H7N3 H10N7

    Asian flu H2N2 Russian H1N1 H9N2 H5N1

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    TimelineMoments

    Start: SARS (2002), A Wake-up Call;

    Enter HPAI (2004)

    Middle: HPAI Control Activities; From

    Animal to Human Health

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    Emerging or Reemerging Disease

    Threat Since 1990

    Enter Super Moan &

    Pandemic Preparedness

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    TimelineMoments: Last Act

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    III. Policy Narratives

    Narrative 1: Cull without Compensation

    Narrative 2: Its Health Now!

    Narrative 3: What about Poverty and

    Livelihoods?

    Cull without Compensation

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    Its Health Now!

    Poverty and Livelihoods

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    Actors, Networks, and Interests

    Adapted from data originating from Avian Influenza and Pandemic Preparedness Funding Matrix Cambodia 2008-2009, see Table 1.5 in Annex 1.

    6

    5

    4

    3

    2

    1

    Network diagram on the relationship

    between donors and the government

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    With respect to Avian Influenza, the Royal Government

    of Cambodia has intervened effectively and

    appropriately, given resource allocations.

    500001

    83%0%0%0%0%17%(e) Other

    202272

    13%0%13%13%47%13%(d) Pandemic preparation:

    302331

    25%0%17%25%25%8%(c) Protecting livelihoods:

    100671

    7%0%0%40%47%7%(b) Among animals:

    201481

    13%0%6%25%50%6%(a) Among humans:

    N/AStrongly

    Disagree

    DisagreeNeutralAgreeStrongly

    Agree

    With respect to Avian Influenza, Donors (including all

    non-Royal Government of Cambodia entities whether

    local or international) have intervened effectively andappropriately, given resource allocations.

    000000

    0%0%0%0%0%0%(e) Other

    301451

    21%0%7%29%36%7%(d) Pandemic p reparation:

    202450

    15%0%15%31%38%0%(c) Protecting livelihoods:

    000591

    0%0%0%33%60%7%(b) Among animals:

    2002103

    12%0%0%12%59%18%(a) Among humans:

    N/AStrongly

    Disagree

    DisagreeNeutralAgreeStrongly

    Agree

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    IV. Understanding the Political

    Economy of the Policy Process Donors and NGOs

    Beyond Aid: Other Sources of Revenue

    and the Importance of Tourism

    Bureaucratic Politics and Patronage

    Media Spin

    Cambodias AI & Pandemic

    Preparedness Pie (2008-2009)

    $8,944,457 , (40%)

    $6,198,512 , (28%)

    $5,031,076 , (23%)

    $2,077,861 , (9%)

    Animal health

    Human health

    Information,education,

    communication(IEC)

    Pandemicpreparedness

    Source: Avian Influenza and Pandemic Preparedness Funding MatrixCambodia 2008-2009, see Table 1.5 in Annex 1.

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    http://www.youtube.com/watch?v=YeL3pM8L8DA

    16 minute video

    Available in two parts on

    YouTube under the title:

    Cambodia: THE BIRD FLU

    "PANDEMIC" HOAX!

    V. Conclusion: Key challenges,

    obstacles and opportunities

    Dont Forget Livelihoods!

    Government and Donors motivated by other

    concerns

    Revisiting Compensation

    Tremendous confusion about its use and

    effectiveness elsewhere

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    Conclusion (contd)

    Increase credibility of MAFF as partner by

    building its technical capacity & financial

    management

    Ultimate responsibility for success or

    failure of policies must rest with those in

    chargeauthorities themselves