It's cancer, stupid!
Saturday, August 01, 2009
Aziz Akhmad
The other day, I watched a TV clip of a politician whose party is not represented in the current Parliament, addressing a seminar in Islamabad. He posed a question to his audience, stressing every word with hand gestures, like a professor: "If you do not know the disease, how can you treat it?" Obviously, he was referring to the ongoing military operation in Malakand and the Frontier Regions, and went on to repeat his often-stated position that we were fighting America's war, that one does not bomb or kill his own people (even if they are murderers?), and that we should first find out the root cause of the problem, etc. etc.
If I were in the audience, I would have answered without hesitation that the disease had already been diagnosed. It is a deadly cancer! It would not be just a rhetorical answer. There are deep similarities between cancer and this plague that has afflicted Pakistan in the form of violent extremism for the past several years.
I had an opportunity recently to listen to an experienced oncologist (cancer specialist) explain, in very simple, layman's terms, what is cancer, how does it spread in the body, and how it can be treated. Listening to him, I could not help noticing the remarkable parallels between the course cancer takes in the human body and the course that the religious extremism has taken in Pakistan.
As the doctor, a consultant with the famous Sloan-Kettering Cancer Centre in New York, described it, human the body is composed of millions of different types of cells, which are born, multiply, mature, and then die a natural death at different times. The lifespan of different types of human cells varies from days to months. New cells are born to replace the dead cells, and the process continues throughout a person's life.
Unfortunately, it so happens that some of these cells don't follow the normal cycle of their life. Sometimes, they "go astray" and turn into what may be described as "rogue cells." Why? We don't quite know the answer. It is somewhat like students at a school who, instead of progressing from year to year and ultimately graduating, drop out of the school system for some reasons and start forming street gangs and indulging in antisocial and criminal activities.
The "rogue cells," too, multiply and form into "gangs," which in medical terminology are called tumours. (We can feel these tumours as hard lumps or swellings in our body or, when located deep inside, they can be detected by X-rays and CT scans.) Left untreated, cells from these tumours may enter the bloodstream and other body systems, spread out (metastasise, in medical terms) to form more tumours. The tumours grow in size, sometime producing toxic chemicals, often impinging on the functioning of vital organs, and ultimately leading to the death of the patient. It's like street gangs going on a rampage, mugging people, robbing banks and even killing people in the process.
There are three ways to treat a cancer: Removing the tumour(s) by a surgical operation, destroying them through radiation, or killing the "rogue cells" by chemical treatment, called chemotherapy, or simply "chemo." A doctor may use any or a combination of these treatments, depending on the nature and spread of the disease.
Usually, if the cancer is operable and detected early, surgical removal is the quickest treatment. Chemo comes later, which is like "poisoning" the body with certain chemicals to kill the "rogue cells." The problem is, the chemicals used in chemo do not discriminate between the bad cells and the good cells so essential to our health. They kill both.
This action is somewhat similar to a situation where the police, in an attempt to shoot the gangsters, end up killing innocent bystanders with them.
The death of good cells in the body makes the patient feel miserable and also leaves him/her defenceless against infections of all kinds. Chemo treatment can be long, lasting for over several months, and is also very expensive. There may be times when the patient feels so miserable that he/she would rather want to forgo the treatment. But the alternative is certain death.
Causes of cancer are complex and are not quite understood yet. But they are generally believed to include, among others, factors such as genetics, environment, and those related to lifestyle (smoking, diet, exercise, etc.).
Similarly, causes of violent extremism are complex, but some can be easily traced back to the history of mixing religion with politics and of appeasing the fanatics (this could be classified as genetic), and environmental factors such as poverty, absence of justice and the rule of law, lack of good education, etc.
While the search to identify the causes of cancer continues, as it must for the larger good of society, the immediate treatment of an already afflicted patient cannot be put off until the exact causes are identified. That is, if you do not want the patient to die immediately.
In the same way, the ongoing military operation (the chemo) to eliminate the militants in Malakand and FATA must continue, and, simultaneously, the causes of the violent extremism must be determined and addressed, so that this cancer is eliminated permanently.
The writer is a human resources consultant.