“2022 Monkeypox Outbreak: Situational Awareness” with Syra Madad [Zoom]

[from Harvard Kennedy School’s Belfer Center, part of Harvard University]

Thursday, July 21, 2:30-4:00 PM EDT

RSVP (Required)

The 2022 Monkeypox outbreak continues to expand with case counts mounting in many countries. This seminar will cover where we are in the global fight against monkeypox, where we may be headed as a nation, and what we need to do right now to mitigate the growing threat of monkeypox. Join Belfer Fellow Dr. Syra Madad in conversation with Kai Kupferschmidt, Dr. Krutika Kuppalli, Dr. Anne Rimoin, Dr. Boghuma Kabisen Titanji, and Dr. Jay K. Varma.

About the Speakers

Dr. Anne Rimoin is a Professor of Epidemiology at the UCLA Fielding School of Public Health. She is the Gordon-Levin Endowed Chair in Infectious Diseases and Public Health. Dr. Rimoin is the director of the Center for Global and Immigrant Health and is an internationally recognized expert on emerging infections, global health, surveillance systems, and vaccination.

Rimoin has been working in the DRC since 2002, where she founded the UCLA-DRC Health Research and Training Program to train U.S. and Congolese epidemiologists to conduct high-impact infectious disease research in low-resource, logistically-complex settings.

Dr. Rimoin’s research focuses on emerging and vaccine-preventable diseases. It has led to fundamental understandings of the epidemiology of human monkeypox in post-eradication of smallpox, long-term immunity to Ebola virus in survivors and durability of immune response to Ebola virus vaccine in health workers in DRC. Her current research portfolio includes studies of COVID-19, Ebola, Marburg, Monkeypox and vaccine-preventable diseases of childhood.

Boghuma Kabisen Titanji (MD, MSc., DTM&H, PhD) is a Cameroonian born physician-scientist and Assistant Professor of Medicine at Emory University in Atlanta. She obtained her MD from the University of Yaoundé I in Cameroon and worked for two years after graduation as a medical officer, before pursuing post-graduate research training in London, United Kingdom. As an awardee of the prestigious Commonwealth Scholarship program, she obtained a Masters Degree in Tropical Medicine and International Health from the London School of Hygiene and Tropical Medicine, a diploma in Tropical Medicine and Hygiene from the Royal College of Physicians and a Ph.D. in Virology from University College London. Dr. Titanji joined Emory University School of Medicine in 2016 where she completed a residency in Internal Medicine, on the ABIM research pathway and a fellowship Infectious Diseases. She has three parallel career interests: translational and clinical research in HIV and emerging virus infections, science communication, and global health. Her clinical focus is general infectious diseases and people with HIV. Her current research focuses on chronic inflammation as a mediator of cardiovascular disease in people with HIV. She is passionate about leveraging translational research to improve the care of people with HIV, global health equity and using science to influence health policy through science communication and advocacy.

Jay K. Varma, MD is a Professor of Population Health Sciences and Director of the Cornell Center for Pandemic Prevention and Response at Weill Cornell Medicine. Dr. Varma is an expert on the prevention and control of diseases, having led epidemic responses, developed global and national policies, and led large-scale programs that have saved hundreds of thousands of lives in China, Southeast Asia, Africa, and the United States. After graduating magna cum laude with highest honors from Harvard, Dr. Varma completed medical school, internal medicine residency, and chief residency at the University of California, San Diego School of Medicine. From 2001-2021, he worked for the U.S. Centers for Disease Control and Prevention with postings in Atlanta, Thailand, China, Ethiopia, and New York City. From April 2020 – May 2021, he served as the principal scientific spokesperson and lead for New York City’s COVID-19 response. Dr. Varma has authored 143 scientific manuscripts, 13 essays, and one book.

Kai Kupferschmidt is a science journalist based in Berlin, Germany. He is a contributing correspondent for Science where he often covers infectious diseases. Kai received a diploma in molecular biomedicine from the University of Bonn, Germany and later visited the Berlin Journalism School. He has won several awards for his work, including the Journalism Prize of the German AIDS Foundation. Together with two colleagues he runs a podcast on global health called Pandemia [German]. He has also written two books, one about infectious diseases and one about the science of the color blue.

Krutika Kuppalli, MD, FIDSA is a Medical Officer for Emerging Zoonotic Diseases and Clinical Management in the Health Emergencies Program at the World Health Organization where she currently supports activities for the Monkeypox outbreak and COVID-19 pandemic. She completed her Internal Medicine residency and Infectious Diseases fellowship at Emory University, a Post-Doctoral Fellowship in Global Public Health at the University of California, San Diego and the Emerging Leader in Biosecurity Fellowship at the Johns Hopkins Center for Health Security. Dr. Kuppalli currently serves on the American Society of Tropical Medicine and Hygiene (ASTMH) Trainee Committee and is the Chair of the Infectious Diseases Society of America (IDSA) Global Health Committee.

Dr. Kuppalli was previously awarded the NIH Fogarty International Clinical Research Fellowship and conducted research in Southern India to understand barriers to care and how emerging infections impacted persons living with HIV/AIDS. She was the medical director of a large Ebola Treatment Unit in Sierra Leone during the 2014 West Africa Ebola outbreak, helped lead the development and implementation of pandemic response preparedness activities in resource limited settings, and has consulted on the development of therapeutics for emerging pathogens. Her clinical and research interests focus on health systems strengthening in resource limited settings, research and clinical care for emerging infections, outbreak preparedness and response, and policy. She has worked in numerous countries including Ethiopia, India, Sierra Leone, Uganda, and Haiti.

During the COVID-19 pandemic Dr. Kuppalli served as a consultant for the San Francisco Department of Health and helped develop and operationalize a field hospital. She served as an expert witness to the U.S. Congress, Financial Services Committee Task Force on Artificial Intelligence (AI) about how digital technologies may be leveraged for exposure notification and contact tracing to improve the pandemic response. She also collaborated with the Brennan Center for Justice to develop guidelines to inform “Healthy in-person Voting” in advance of the 2020 U.S. election and testified before the U.S. House Select Subcommittee regarding these recommendations. Prior to her position at WHO, she was the medical lead for COVID-19 vaccine rollout at the Medical University of South Carolina (MUSC) and helped coordinate vaccine education events for the staff and community and oversaw the reporting of adverse vaccine events.

Since joining WHO in August 2021, Dr. Kuppalli has been part of the WHO headquarters incident management team (IMST) for COVID-19, the clinical characterization and management working group for COVID-19, the COVID-19 therapeutics steering committee, and is the technical focal point for the post COVID-19 condition (Long COVID) steering committee. She is a member of the secretariat on the scientific advisory group on the origins of emerging and re-emerging infectious diseases (SAGO) which was convened by the Director General to understand and investigate the origins of SARS-CoV-2 and other novel pathogens. More recently since the development of the multi-country monkeypox outbreak she has been part of the IMST at WHO as one of the clinical management focal points. In this capacity she was part of the WHO core group that helped write the recently published Clinical Management and Infection Prevention and Control guidelines for Monkeypox and advising on the clinical endpoints for the global CORE therapeutics protocol.

Dr. Kuppalli is recognized as a scientific expert in global health, biosecurity and outbreak response. She was recognized by NPR Source of The Week early in the pandemic as an expert to follow and named to Elemental’s 50 Experts to Trust in a Pandemic. She has been a frequent contributor to numerous domestic and international media outlets including The New York Times, NPR, Reuters, The Washington Post, Vox, Stat News, San Francisco Chronicle, Forbes, NBC Bay Area, BBC News.

World-Watching: Chinese Tech Groups Shaping UN Facial Recognition and Surveillance Standards

(from the Financial Times)

Chinese technology companies are shaping new facial recognition and surveillance standards at the UN, according to leaked documents obtained by the Financial Times, as they try to open up new markets in the developing world for their cutting-edge technologies.

Companies such as ZTE, Dahua and China Telecom are among those proposing new international standardsspecifications aimed at creating universally consistent technology — in the UN’s International Telecommunication Union.

Read the full article [archived PDF]

Essay 116: Reports of Rising Police-Society Conflict in China

Interview with Suzanne Scoggins (November 25, 2019)

China is facing a rising tide of conflict between the nation’s police officers and the public. While protest events receive considerable media attention, lower-profile conflicts between police officers and residents also make their way onto the internet, shaping perceptions of the police. The ubiquity of live events streamed on the internet helps illuminate the nature of statesociety conflict in China and the challenges faced by local law enforcement.

Simone McGuinness spoke with Suzanne Scoggins, a fellow with the National Asia Research Program (NARP), about the reports of rising policesociety conflict in China. Dr. Scoggins discusses how the Chinese Communist Party has responded to the upsurge, what channels Chinese citizens are utilizing to express their concerns, and what the implications are for the rest of the world.

What is the current state of police-society relations in China?

Reports of police violence have been on the rise, although this does not necessarily mean that violence is increasing. It does, however, mean that the media is more willing to report violence and that more incidents of violence are appearing on social media.

What we can now study is the nature of that violence—some are big events such as riots or attacks against the police, but there are also smaller events. For example, we see reports of passengers on trains who get into arguments with transit police. They may fight because one of the passengers is not in the right seat or is carrying something prohibited. Rather than complying with the officer, the passenger ends up getting into some sort of violent altercation. This kind of violence is typically being captured by cellphone cameras, and sometimes it makes the news.

The nature of the conflict matters. If somebody is on a train and sitting in a seat that they did not pay for, then it is usually obvious to the people reading about or watching the incident that the civilian is at fault. But if it is chengguan (城管, “city administration”) telling an elderly woman to stop selling her food on the street and the chengguan becomes violent, then public perceptions may be very different. It is that second type of violence that can be threatening to the state. The public’s response to the type of conflict can vary considerably.

What are the implications for China as a whole?

Regarding what this means for China, it’s not good for the regime to sustain this kind of conflict between street-level officers or state agents and the public. It lowers people’s trust in the agents of the government, and people may assume that the police cannot enforce public security. There are many state agents who might be involved in a conflict, such as the chengguan, the xiejing (auxiliary officer), or the official police. The type of agent almost doesn’t matter because the uniforms often look similar.

When information goes up online of state agents behaving poorly, it makes the state a little more vulnerable. Even people who were not at the event might see it on social media or in the news and think, “Oh, this is happening in my community, or in my province, or across the nation.” This violates public expectations about how the police or other state agents should act. People should be able to trust the police and go to them when they have problems.

How has the Chinese government responded to the increase in reporting violence?

There is a twofold approach. The first is through censorship. When negative videos go up online or when the media reports an incident, the government will go in and take it down. We see this over time. Even while collecting my research, some of the videos that were initially available online are no longer accessible simply because they have been censored. The government is removing many different types of content, not only violence. Censors are also interested in removing any sort of misinformation that might spread on social media.

If step one is to take the video or report down, step two is to counteract any negative opinion by using police propaganda. This is also referred to as “public relations,” and the goal is to present a better image of the police. Recently, the Ministry of Public Security put a lot of money and resources into their social media presence. Many police stations have a social media account on WeChat or Weibo (微博, “microblogging”) and aim to present a more positive, friendly image of the police. The ministry also teamed up with CCTV to produce television content. This has been going on for some time, but recently shows have become more sophisticated.

There is one program, for example, called Police Training Camp. It is a reality show where police officers are challenged with various tasks, and the production is very glossy. The ministry also produces other sorts of specials featuring police who are out in the field helping people. It shows the police officers working really long shifts, interacting positively with the public, and really making a difference in people’s lives. In this way, the government is counteracting negative opinions about police violence or misconduct.

In general, I will say that it is difficult for people in any society to get justice with police officers because of the way legal systems are structured and the power police hold in local government politics. In China, one of the things people are doing beyond reaching out to local governments or pursuing mediation is calling an official hotline.

This is a direct channel to the Ministry of Public Security, and all these calls are reviewed. There is not a whole lot that citizens can do about specific corruption claims. But if somebody has a particular goal, then the hotline is slightly more effective because it allows citizens to alert the ministry. However, many people do not know about the hotline, so the ministry is trying to increase awareness and also help staff the call center so that it can more effectively field calls.

As for how much relief people feel when they use these channels, this depends on what their goal is. If the goal is to get somebody fired, then the hotline may not work. But if someone is looking to air their grievances, then it may be helpful.

What are the implications of increased police-society conflict in China for the rest of the world? What can the United States or other countries do to improve the situation?

These are really sticky issues that are difficult to solve. When discussing policesociety conflict, it is important to step back and think about who the police are—the enforcement agents of the state. So by their very nature, there will be conflict between police and society, and that is true in every country. In China, it really depends on where and what type of police climate we are talking about.

Xinjiang, for instance, has a very different police climate than other regions in China. There is a different type of policing and police presence. Chinese leaders certainly do not want any international intervention in Xinjiang. They see this as an internal issue. While some governments in Europe and the United States might want to intervene, that is going to be a nonstarter for China.

As for police problems more generally, I would say that if China is able to reduce some of the policesociety conflict in other areas of the country, then this is good for the international community because it leads to a more stable government. We also know that there is a fair amount of international cooperation between police groups. China has police liaisons that travel and learn about practices and technology in different countries. The police in these groups attend conferences and take delegates abroad.

There are also police delegations from other nations that go to China to learn about and exchange best practices. But that work will not necessarily address the underlying issues that we see in a lot of the stations scattered throughout China outside the big cities like Beijing (北京) or Shanghai (上海). Those are the areas with insufficient training or manpower. Those issues must be addressed internally by the Ministry of Public Security.

How is the Chinese government improving its policing capabilities?

Recently, the ministry has tried to overcome manpower and other ground-level policing problems by using surveillance cameras and artificial intelligence. Networks of cameras are appearing all over the country, and police are using body cameras for recording interactions with the public. This type of surveillance is not just in large cities but also in smaller ones. Of course, it is not enough to just put the cameras up—you also need to train officers to use that technology properly. This process takes time, but it is one way that the ministry hopes to overcome on-the-ground problems such as the low number of police per capita.

How might the Hong Kong protests influence or change policing tactics in China?

The situation in Hong Kong is unlikely to change policing tactics in China, which are generally more aggressive in controlling protests than most of what we have seen thus far in Hong Kong. It is more likely that things will go in the other direction, with mainland tactics being used in Hong Kong, especially if we continue to observe increased pressure to bring the protestors in check.

Suzanne Scoggins is an Assistant Professor of Political Science at Clark University. She is also a 2019 National Asia Research Program (NARP) Fellow. Dr. Scoggins holds a Ph.D. in Political Science from the University of California, Berkeley, and her book manuscript Policing in the Shadow of Protest is forthcoming from Cornell University Press. Her research has appeared in Comparative Politics, The China Quarterly, Asian Survey, PS: Political Science and Politics, and the China Law and Society Review.

This interview was conducted by Simone McGuinness, the Public Affairs Intern at NBR.