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Bangladesh's gamble with Islamist extremism
In medicine, certain diseases are called self-limiting. They burn out because they consume their own fuel. The pathogen spreads, triggers the body's defenses and is ultimately purged by the very symptoms it provokes. Rotavirus diarrhoea is a textbook example. The virus replicates by destroying intestinal cells, unleashing a deluge of watery stools. But in that process, the body expels the virus en masse. Dehydration is the main danger, not the infection itself. Treatment is rehydration, patience – and restraint. No antibiotics. Just time. Bangladesh's far-right political movements behave much the same way. They surge, intoxicated by their own fury, only to meet resistance that they themselves provoke. And the country's major political parties – especially the Awami League and the Bangladesh Nationalist Party – have long learned to treat this political fever with the clinical patience of a field medic: observe, hydrate, wait. The rise of organised Islamist militancy offers a clear case. Though its first modern stirrings emerged under the Awami League with the 1999 bombing of the cultural group Udichi, it metastasised under the Bangladesh Nationalist Party government after 2001 – amid the global post-9/11 shift and under the pretense of countering leftist extremists. The Bangladesh Nationalist Party dismissed early warnings as exaggerations, even fabrications by the media. This misdiagnosis allowed militancy to flourish. Only when it struck the diplomatic core – wounding British High Commissioner Anwar Choudhury – and then spilled over into coordinated bombings across 63 districts, including attacks on the judiciary, did the ruling coalition respond with anything resembling urgency. By then, the state was teetering. And yet, almost predictably, the very violence of the movement ensured its own undoing. What rose in chaos, collapsed in overreach. This cyclical rise and fall of extremism is endemic. Bangladesh's far-right politics is a self-limiting disorder. It thrives on permissiveness, crests in destruction and invites a crackdown by triggering existential alarms. Both major parties know this. They've come to rely on it. Far from developing proactive strategies, their default mode has become reaction, not prevention. But this is a gamble – assuming that each flare-up will burn out before consuming the state entirely. The Rotavirus comparison only goes so far. In politics, dehydration doesn't just kill individuals. It weakens institutions. And Bangladesh, increasingly, is running dry. An exhausting game The Awami League played this cynical waiting game. When secular bloggers were hacked to death one after another in the early 2010s, the government chose optics over action. The murders were dismissed as isolated incidents, convenient provocations to be milked for political leverage. In some cases, officials even implied the victims brought it upon themselves. No serious investigative machinery was mobilised. No systemic preventive architecture was built. Then came the Holey Artisan attack in 2016 – a massacre so brutal, so high-profile, that denial was no longer an option. Foreign engineers, pregnant women, and elite, Western-educated Bangladeshi youth were slaughtered in Dhaka's diplomatic zone. The illusion of control evaporated. The state responded, as it always does, at the brink of collapse. But what followed wasn't just suppression – it was transformation. The Awami League weaponised the crisis, turning public fear into institutionalised repression. They converted the war on extremism into a self-sustaining enterprise – a 'jongi bebsha', or militancy business. Disappearances, secret detentions, and extrajudicial killings became not just tactics, but features of a new authoritarian order. The government aligned itself with the global trend of Muslim-demonising counterterrorism – offering itself as a regional partner to India's Hindu nationalist government and the broader Western security apparatus. A politics of fear became its primary currency of legitimacy. So when extremist mobs take to the streets again – burning homes, attacking minorities, issuing fatwas – the government watches, waits and measures. Because it understands the choreography. Let the violence swell. Let society panic. Then move in as saviour and surgeon. The logic is tragically consistent. Far-right politics in Bangladesh is allowed to mature into crisis – not despite state interest, but because of it. It is profitable, both politically and geopolitically. And once the chaos peaks, it's contained – violently, if necessary – conveniently validating the very system that allowed it to fester. In medical terms, diarrhoea purges the virus. But in politics, the purge takes human form: students, journalists, dissenters, bystanders. The 'symptom' is blood on the street. Now the question is why do Bangladesh's leaders wait until they collapse? Why must every extremist wave reach a boiling point before the state reacts? Why are lives consistently sacrificed before power intervenes? Uncomfortable truths This is because, first, the expendability of life. In Bangladesh's political economy, human lives are collateral. Disposable. The slow violence of poverty, corruption, and infrastructural decay has already devalued public life. A few dead bloggers? A handful of bomb victims? In the calculus of power, these are not crises – they are costs. Second, opportunism. The ruling parties do not see extremism purely as a threat – they see it as a tool. A problem that can be turned into political capital. Whether it's a licence for surveillance, a justification for repression, or a means to discredit the opposition, the chaos is not only tolerated–it is curated. The body politic, unlike the human body, doesn't heal. It mutates. It builds tolerance not to pathogens, but to violence. In Bangladesh, that virus is studied, harvested and sometimes – terrifyingly – incubated. The deeper tragedy is that it often strikes the match. The Awami League has perfected the art of extracting power from chaos. Just as it once allegedly used rolling blackouts to justify lucrative quick-rental energy deals – some of which critics allege were artificially extended for profit–it has used early extremist violence to normalise disappearances, secret prisons, and the quiet burial of dissent. What began as reactive measures soon became proactive performance: staged arrests, dramatised operations, manufactured enemies. A full-blown playbook of crisis capitalism emerged – never let a good crisis go to waste. But the state alone is not to blame. It acts, in part, because we do not. Bangladesh's civil society – its public intellectuals, its media, its so-called conscious class – has become tragically consistent in its silence. We whisper about the violence. We look away from the disappearances. We tut-tut in drawing rooms after a tragedy, but only once it is too late. Our inaction functions as permission. Our apathy sets the stage. And by the time the extremists are on the streets, or the security forces are kicking down doors, or the constitution is being quietly rewritten, it is already too late. The machinery is in motion. Machiavelli, never shy about statecraft's darker corners, wrote of tuberculosis that 'in its early stages it is easy to cure but hard to diagnose; in its later stages, easy to diagnose but hard to cure'. The same holds true for political disease. Early signs are ambiguous: a blogger killed, a speech silenced, a mosque sermon turned ominous. But when the diagnosis becomes clear to all, the cure demands blood. This is the point at which Bangladesh now stands. We can no longer pretend not to recognise the symptoms. We have seen this cycle repeat, from the streets to the state and back again. We know how it ends: with new laws of surveillance, with bodies disappearing into black vans, with an electorate stripped of agency and a regime cloaked in manufactured consent. So the burden now shifts – to us. If we know how this game is played, and if we continue to watch it unfold in silence, then we are no longer just observers. We are accomplices.
07-05-2025
- Health
Bill Gates meets Indonesian leader to discuss health and sustainable development initiatives
JAKARTA, Indonesia -- JAKARTA, Indonesia (AP) — Bill Gates was in Indonesia on Wednesday to discuss health and sustainable development initiatives with the leader of the world's fourth most populous country. Gates met President Prabowo Subianto at the colonial-style Merdeka palace in Jakarta to discuss global health, nutrition, financial inclusion and public digital infrastructure, Indonesia's presidential office said in a statement ahead of the meeting. The co-founder of Microsoft and Gates Foundation praised Indonesia's adoption of vaccines like Rotavirus for diarrhea and Pneumococcus for pneumonia and the country's efforts in reducing child mortality. He said ten million children under the age of five worldwide died when his foundation launched in 2000, with 90% of the deaths due to diarrhea, pneumonia or malaria. That number has now been cut in half to below five million, Gates said. 'It's been an amazing time period. And there's many new tools coming,' he told the meeting, which was also attended by prominent Indonesian businesspeople and philanthropists. Gates' foundation is currently developing a tuberculosis vaccine that's planned to be tested in Indonesia, Subianto said. 'This is crucial because TB is still a deadly disease in the country,' he said. Gates said that because rich countries don't have tuberculosis, 'it just doesn't get hardly any money for diagnostics or drugs or vaccines.' Gates has granted more than $159 million to Indonesia since 2009. Much of it was allocated to the health sector, especially for vaccine procurement, Subianto said. Thanks to the funds, Subianto said Biofarma, a state-run pharmaceutical company, now can produce two billion doses of its polio vaccine every year, benefiting more than 900 million people in 42 countries. The Gates Foundation is also planning to roll out a micronutrient supplement for pregnant women in Indonesia in coming months. Subianto said that Gates will receive Indonesia's highest honor in New York during the U.N. General Assembly in September for his services to the country. During his first in-person visit to the Indonesian capital, Gates is also scheduled to visit a primary school in eastern Jakarta where more than 500 students were taking part of the program. The United Nations Children's Fund estimates that one in 12 Indonesian children younger than 5 suffers from low weight, while one in five is shorter than normal. Both conditions are caused by malnourishment. Indonesia launched an ambitious project this year to fight malnutrition that aims to feed nearly 90 million children and pregnant women. The program is expected to cost 450 trillion rupiah ($28 billion) through 2029. Critics question whether it is affordable. Investors and analysts have questioned the burden on state finances and the economy, and the project's ties with the interests of industrial lobby groups.
Time of India
07-05-2025
- Health
- Time of India
Bill Gates meets Indonesian leader to discuss health and sustainable development initiatives
Indonesian President Prabowo Subianto, right, greets Microsoft co-founder and former CEO Bill Gates (Photo: AP) JAKARTA: Bill Gates was in Indonesia on Wednesday to discuss health and sustainable development initiatives with the leader of the world's fourth most populous country. Gates met President Prabowo Subianto at the colonial-style Merdeka palace in Jakarta to discuss global health, nutrition, financial inclusion and public digital infrastructure, Indonesia's presidential office said in a statement ahead of the co-founder of Microsoft and Gates Foundation praised Indonesia's adoption of vaccines like Rotavirus for diarrhea and Pneumococcus for pneumonia and the country's efforts in reducing child said 10 million children under the age of five worldwide died when his foundation launched in 2000, with 90% of the deaths due to diarrhea, pneumonia or malaria. That number has now been cut in half to below five million, Gates said."It's been an amazing time period. And there's many new tools coming," he told the meeting, which was also attended by prominent Indonesian businesspeople and foundation is currently developing a tuberculosis vaccine that's planned to be tested in Indonesia, Subianto said."This is crucial because TB is still a deadly disease in the country," he said that because rich countries don't have tuberculosis, "it just doesn't get hardly any money for diagnostics or drugs or vaccines."Gates has granted more than USD 159 million to Indonesia since 2009. Much of it was allocated to the health sector, especially for vaccine procurement, Subianto said. Thanks to the funds, Subianto said Biofarma, a state-run pharmaceutical company, now can produce two billion doses of its polio vaccine every year, benefiting more than 900 million people in 42 Gates Foundation is also planning to roll out a micronutrient supplement for pregnant women in Indonesia in coming said that Gates will receive Indonesia's highest honor in New York during the UN General Assembly in September for his services to the his first in-person visit to the Indonesian capital, Gates is also scheduled to visit a primary school in eastern Jakarta where more than 500 students were taking part of the United Nations Children's Fund estimates that one in 12 Indonesian children younger than 5 suffers from low weight, while one in five is shorter than normal. Both conditions are caused by launched an ambitious project this year to fight malnutrition that aims to feed nearly 90 million children and pregnant women. The program is expected to cost 450 trillion rupiah (USD 28 billion) through question whether it is affordable. Investors and analysts have questioned the burden on state finances and the economy, and the project's ties with the interests of industrial lobby groups.
Hindustan Times
24-04-2025
- Health
- Hindustan Times
Pune doctors save preterm baby diagnosed with Rotavirus-related Encephalitis
In a rare and challenging case, doctors at Ankura Hospital in Aundh have successfully treated a preterm baby diagnosed with Rotavirus-related Encephalitis—a condition that can lead to serious brain complications if not diagnosed early. The baby, born at 35 weeks and weighing just over 2 kg, was one of the twins delivered through invitro fertilisation (IVF). Initially discharged after a brief NICU (neonatal intensive care unit) stay for mild breathing issues, the infant was brought back to the hospital on the ninth day of life with unusual symptoms such as lethargy and poor feeding but no fever, vomiting or diarrhoea—symptoms usually linked with infections like Rotavirus, as per a statement released on Wednesday. Doctors were puzzled. Dr Anusha Rao, consultant neonatologist, said, 'We ruled out common conditions like neonatal sepsis and birth-related oxygen shortage. An MRI of the brain showed subtle white matter changes—areas critical for brain communication—suggesting Encephalitis. However, common viral PCR panels on CSF tested negative.' Dr Umesh Vaidya, head of NICU, said that what made this case more unusual was the absence of typical signs of infection and the presence of bradycardia—slow heart rate—and short pauses in breathing. 'In such delicate cases, even small symptoms can be vital clues,' he said. Dr Vaidya further informed that Rotavirus is commonly known for causing Gastroenteritis and it has been associated with neurological complications such as seizures and Encephalopathy. 'Exact incidence in neonates is not well established. However, primarily because most studies and surveillance systems focus on older infants and children (typically six months to five years' old) where Rotavirus is most prevalent. Neonatal cases are likely underreported, and Encephalopathy may be missed or misattributed to birth-related Hypoxia or metabolic issues,' he said. Dr Siddharth Madabhushi, consultant neonatologist and medical director, said, 'With other viruses ruled out, the team decided to test a stool sample for Rotavirus, a common cause of diarrhoea in infants. The result was positive—confirming Rotavirus as the cause of brain inflammation. In neonates, the virus may not appear in cerebrospinal fluid, so stool testing becomes important,' he explained. Dr Shiji Chalipat, paediatric neurologist, pointed out that Rotavirus Encephalopathy remains under-recognised in clinical practice. 'In neonates, Encephalopathy with or without seizures or fever is commonly attributed to birth-related causes, infection or metabolic causes. This case reminds us that even common viruses like Rotavirus can present in uncommon ways. A high index of suspicion and early imaging are crucial.' The baby's parents have expressed deep gratitude to the doctors and NICU team for their compassionate care. 'They (the team) gave our baby a second chance at life,' the parents said.
