Pneumonia: More Fear Mongering

Here is the header from an article that appeared in today's Jakarta Post:

Pneumonia to kill nearly 11 million children by 2030, study warns

The article was taken from NEWS DESK, AGENCE FRANCE-PRESSE Paris, France on Tuesday, November 13th, 2018 at 03:04 am. The article goes on to say that:

Pneumonia will kill nearly 11 million children under five by 2030, experts warned Monday on a global day aimed at raising awareness of the biggest infectious killer of infants worldwide. 

While in the developed world the severe lung infection mainly affects the elderly, in developing nations it is children who bear the brunt, with hundreds of thousands dying each year from the easily preventable disease.

It continues:

A new analysis conducted by Johns Hopkins University and the aid group Save the Children using forecasts based on current trends showed more than 10,800,000 under-fives would succumb to the disease by the end of the next decade.  

Furthermore, a handful of countries are set to carry the highest burdens, with 1.7 million children set to die in Nigeria and India, 700,000 in Pakistan and 635,000 in the Democratic Republic of Congo.
Yet there is some good news.  

The study, published on World Pneumonia Day, found that scaling up existing vaccination coverage, coupled with cheap antibiotics and ensuring good nutrition for children could save a total of 4.1 million lives. 

Of course, the article is intended to grab attention. Save the Children CEO Kevin Watkins, whose group operates health programs in some of the countries worst hit by the disease, called for prices of major existing pneumonia vaccines to be lowered "dramatically". It's unlikely that pharmaceutical companies will be lowering their prices. Instead the hope is that governments in developing countries will subsidise the cost from their health care budgets. Much needed funds are thus diverted from where they could be truly useful such as improving sanitation and nutrition.

In the nineteenth century, measles epidemics killed a great many children in England and other developed countries because families lived in vermin-infested, overcrowded and unventilated dwellings with primitive sanitation. Additionally, children ate poorly and sometimes not at all. When housing conditions and diet were improved, measles ceased to be a significant factor in childhood mortality.

It is the same of course with pneumonia which as the article admits "mainly affects the elderly in developed countries". In these countries, pneumonia does not take a significant toll of children because they are generally well-fed and adequately housed. It's a transparent ploy on the part of NGOs like Save the Children to attract funds but what organisations lie behind these NGOs. Well, the usual villains of course. One of this NGO's global partners is GlaxoSmithKline (GSK), laughingly described on the NGO's website as "a science-led global healthcare company on a mission to help people do more, feel better and live longer".

Ah no, GSK is, according to Wikipedia:

a British pharmaceutical company headquartered in Brentford, London. Established in 2000 by a merger of Glaxo Wellcome and SmithKline Beecham, GSK was the world's sixth largest pharmaceutical company as of 2015, after Pfizer, Novartis, Merck, Hoffmann-La Roche and Sanofi.

Of course, nobody is going to donate money to a pharmaceutical company and so GSK and other Big Pharma companies hide behind NGOs like Save the Children and push a very straight forward agenda: marketing their products. Save the Children and its current CEO have been mired in controversy lately. In July, as reported in this article in The Guardian: "(British) MPs question Kevin Watkins on failing to investigate claims of sexual misconduct by senior charity staff". Specifically:

Pauline Latham MP questioned Watkin’s decision to use £114,000 in charity funds on lawyers “to try and stop reports [of inappropriate behaviour] coming out”, adding that such money was likely to have been taken from funds raised by volunteers in the UK. 

Clearly, when donating money to NGOs like Save the Children, one needs to seriously consider how the money is being spent. However, if one were casually reading the article under discussion in the Jakarta Post or elsewhere, the simple takeaway would be that the pneumonia vaccine can save the lives of millions of children. If only it were that simple.

Vaccines damage the immune systems of children throughout the world but in developing countries, children's immunity is further compromised by overcrowded living conditions, poor sanitation and inadequate diet. These children do not need vaccines and yet limited health care funds are being diverted to this end.