Tag Archive for: Island states in the Covid-19 era

Could Covid-19, micro-nationalism and China cause Solomon Islands to split?

Is the Covid-19 pandemic about to tear Solomon Islands apart? The sensible answer is, probably not. But the consequences of the pandemic, including jostling among China, Taiwan and even the US, certainly have the potential to destabilise the country.

Ethnic-based strife led to nearly five years of civil war from 1998 to 2003 that set people from Guadalcanal, the largest island, against Malaita, the most populous island. In a conflict more about national unity than secession, Guadalcanal forces sought to expel Malaitans living in and around Honiara. They were met with a Malaita militia protecting the right of its kinfolk to live securely in a single united country.

The pandemic is now entangling two significant sources of domestic tension: relations with the People’s Republic of China and micro-nationalism. The 2019 decision by Prime Minister Manasseh Sogavare to reassess Solomon Islands’ relationships with Beijing and Taipei has been controversial among those concerned about the geopolitical consequences while stirring up significant domestic push-back.

Malaita’s provincial premier, Daniel Suidani, with the support of the provincial assembly, has railed against the PRC as a threat to his province, the country and global order for many reasons, including China’s communist system, atheism and ‘ambition to dominate the world’, as well as a real fear for the Solomons of debt-trap diplomacy.

Suidani’s stance enjoyed popular support and attracted the backing of the micro-nationalist Malaita for Democracy (M4D) movement, which has linked its support for the premier to a demand for Malaitan independence.

Suidani turned his preference for Taiwan into a local hot-button issue by a carefully orchestrated request for Covid assistance from Taipei, leading to a gift of soap, masks and rice to the province. Taipei argued that it responded legitimately under its global Covid people-to-people program of making aid available to those in need, even in countries without formal ties to Taiwan.

Suidani publicly thanked Taipei for the donation, referring to Taiwan as a state and the disease as the ‘Wuhan virus’, but the PRC embassy characterised the donation as ‘illegitimate, inappropriate and entirely wrong’ and criticised the display of a Taiwan flag. (Displays of the Taiwan flag contributed to fisticuffs between PRC and Taiwanese diplomats at a Taiwanese National Day event in Suva last month.)

Tensions were further heightened when a second Taiwanese donation was seized by the police, who argued that it may have breached the Sedition Act because it was included in a diplomatic pouch sent to a private citizen, Richard Olita. Olita is an adviser to Suidani who has significant ties to the M4D movement and reportedly was one of the anti-Chinese rioters who helped to burn down Honiara’s Chinatown in 2006.

The Malaita government brought legal action to force the national government to give up the donations, arguing that Taiwan hadn’t requested any special immunity for the bag or its contents.

The decision of the national government in September to allow a Chinese charter flight to land in the Solomons has further raised tensions. Unlike previous repatriation flights, this one, paid for by China, included only a few Solomon Islanders and was mostly for Chinese officials and workers.

That led an angry Suidani to renew a call for a referendum on Malaitan independence. The M4D movement protested the flight by posting demands that all Chinese citizens in Auki, the provincial capital, leave for Honiara in 24 hours.

Although quickly defused, the threat was ominously reminiscent of the ethnic riots in 2006, when hundreds of ethnic Chinese were airlifted out of Honiara by the PRC, notwithstanding the absence of diplomatic relations. Beijing has since argued for improved military capacity to effect such evacuations.

Washington has now also entered into the tense situation by presenting a US$25 million aid package to Malaita. This sum is so large (more than 50 times the total assistance to the province from all sources in 2018) that some claimed the US was using Malaita as a surrogate for opposing PRC influence in the Solomons.

The act of throwing an economic lifeline to those in Malaita pursuing a micro-nationalist agenda has worried the Solomon Islands government sufficiently that it has warned that all foreign aid must go through official channels, including approval by cabinet.

Whatever the motivation (and some saw some very sinister linkages), the aid package will help promote economic development, trade and improved natural resource management and thereby boost the sustainability of the long-neglected province.

Concerns for provincial development extend well beyond Malaita. The Western Province has threatened legal action to protect its autonomy as well as lodged complaints elsewhere regarding fairness in aid distribution. The Sogavare government has become so sensitive to such public criticism that it has now proposed banning Facebook, an act Suidani has labelled an attack on free speech.

A quarter of a century of grievances has helped to nurture the idea of Malaitan separatism, but it remained in the background of provincial politics until the switch in diplomatic recognition from Taiwan to China. Suidani, it appears, would have preferred a united Solomons Islands still aligned with Taipei but has been persuaded to link his cause to separatism by the M4D movement.

Nevertheless, the chances of success for the separatist movement seem low. Peter Kenilorea Jr, a Malaitan politician and son of the country’s first prime minister, argues that Suidani’s demand for a Bougainville-style independence referendum could be justified under international law as a right to self-determination but acknowledges that, politically, it would involve a long and complex process.

The experience of neighbouring Bougainville also demonstrates that even a successful independence referendum might not bring full international endorsement and support, especially from regional neighbours.

Neither Taipei nor Washington genuinely wants, or intends, to foment destabilisation in the Solomons. Canberra and Wellington are scarcely in the mood for a repeat of the 13-year intervention under the Regional Assistance Mission to Solomon Islands that ended the civil war and sought to rebuild the country.

But, should the tensions escalate further, the RAMSI experience could point to a way to reduce the risk of conflict. The 2000 Biketawa Declaration, which legitimated the armed RAMSI regional intervention, also provides for conciliatory, good-faith mechanisms to defuse tensions before they reach breaking point.

The Covid crisis has raised domestic tensions by inflicting significant economic hardship on Solomon Islands. It’s been a convenient tool rather than a motivator for Malaitan separatists, who have used it to underscore their rejection of the country’s links with the PRC and to break with Honiara.

This post is part of an ASPI research project on the vulnerability of Indo-Pacific island states in the age of Covid-19 being undertaken with the support of the Embassy of Japan in Australia.

Covid-19 could lead to telehealth revolution in Fiji

Unprecedented events such as pandemics and natural disasters frequently provoke national introspection, leading to innovative plans and policies that adapt to new circumstances and update capacities.

In Fiji, the Covid-19 pandemic has exposed the unpreparedness, uncertainty and lack of government support for the private primary care and family medicine sector, which has contributed to the disruption of continuing assessment and management of patients, particularly those with chronic ailments. Future-proofing Fijian healthcare will require socially innovative changes to better prepare the system for pandemic and epidemic situations.

Like many countries, Fiji struggled to maintain the delivery of routine health services in the face of the Covid-19 outbreak. Access to services was restricted to prevent the spread of the virus and non-Covid patients stayed away, fearful of acquiring the disease while visiting their usual medical centre.

Private medical practitioners especially were impacted by the need to protect their regular patients while not being equipped to test and treat possible Covid victims. Adding to the pressure was an unwillingness to trust patients to be aware of or honest about their possible exposure to the virus.

The unavailability of personal protective equipment in Fiji was a particular problem among private practitioners. This led to the temporary closure of clinics, including my own. The quality of healthcare services was reduced as the pandemic struck and in the longer term. Even the temporary closure of clinics increased the risk of other diseases worsening due to a lack of treatment during the pandemic.

Covid-19 has highlighted the importance of private primary care health facilities in managing the problem of overcrowding at public health centres and the risk that those services would be overwhelmed. This led the government to decentralise Covid testing.

Private practice services have also been recognised as an underused but important means for improving the quality of healthcare in developing states like Fiji.

The pandemic has underscored both the real and the potential importance of making better use of technology, especially telehealth and telemedicine. Telehealth denotes the use of technology to deliver remote healthcare advice, while telemedicine is focused more narrowly on delivering clinical services remotely.

The fact that Covid-19 is the fifth virus epidemic this century shows that an investment in telemedicine infrastructure should be part of Fiji’s new normal for health delivery. The benefits of telemedicine will enhance efficacious, cost-effective and patient-centred care as well as patient satisfaction.

Regional telehealth networks have provided an important mechanism to share information and advice about Covid-19 within the Pacific region and across Fiji despite travel restrictions. Unfortunately, telemedicine capacity lagged far behind the need for it.

To maintain the continuity of care, some private general practitioners attempted a form of telemedicine using telephones, email, social media and online platforms to maintain contact with patients remotely.

For established medical practices, a more formal telemedicine capacity could have allowed management and counselling of patients already on their books, especially those with complex chronic illnesses.

Fiji should embrace telemedicine as a priority both to extend the reach of its limited medical capacity and to future-proof the nation against new challenges. As a developing economy, it will have to address critical challenges in order to introduce the advanced technology required.

The barriers to telemedicine technology in developing states include cultural unreadiness, a lack of confidence in the use of the technology, inadequate resources and low health literacy levels.

In Fiji, key infrastructure works through the internet and widespread use of smartphones. However, the delivery of clinical consultation through this infrastructure is restricted by other needs. Most Fijians lack equipment such as digital blood pressure monitors, thermometers and glucometers.

Issues such as government financial support, equitable distribution of resources, health-provider support and patient autonomy will have to be addressed through transparent top-down leadership, combined with bottom-up implementation strategies.

Leadership will be needed to increase support for information and communication technology infrastructure in a way that engages both the public and private health sectors in an integrated network. Fiji’s government will also have to address medico-legal considerations for patients and providers such as the need to ensure confidentiality and security without which telemedicine consultations could be seriously limited.

Adequate physical infrastructure will then have to be made available either directly to individuals or through community nurses. Basic telemedicine tools and knowledge of their use are essential if medical practitioners are to provide clinical services remotely.

Improved clinical services can actually lead to a disruption to health services if there is not effective coordination between the primary care (both public and private) and secondary care sectors. Ensuring this disruption doesn’t occur will also require national leadership.

A coordinated, bottom-up approach for implementation will involve community education strategies along with professional primary-care-provider training to secure confidence in telemedicine from health providers and prospective patients.

In Fiji, telemedicine will also boost access to health services during non-pandemic times. Healthcare delivery and services such tele-referrals, tele-psychiatry, tele-palliative care and tele-pharmacy could be made available to patients in geographically isolated and disadvantaged areas with low health-provider–patient ratios.

With the development of context-specific telemedicine projects through the provision of flexible, adaptable and reusable hardware, software and communication tools, supervised by an ethico-legal regulatory body, the people of Fiji would have access to comprehensive, high-quality healthcare that would increase overall wellbeing.

This post is part of an ASPI research project on the vulnerability of Indo-Pacific island states in the age of Covid-19 being undertaken with the support of the Embassy of Japan in Australia.

How the US can build cooperation in the Pacific

The United States is in the midst of a major shift in focus to the Indo-Pacific as it competes with China for global influence. This contest will affect key US priorities and require comprehensive policy engagement with Pacific island nations and other partners in the region.

The driver for this change is the Pacific Deterrence Initiative (PDI) established under the 2021 National Defense Authorization Act. When approved, the initiative will require the US Department of Defense to invest in stronger military capabilities across all domains. The PDI is intended to reassure allies and partners across the region of the depth of the US’s commitment. Most importantly, the congressional legislation underpinning a shift in resources compels action by future US administrations.

At the same time, a smaller bipartisan bill called the BLUE Pacific Act, introduced in the House Foreign Affairs Committee with support from the Pacific Islands Congressional Caucus, would appropriate supplementary funding for diplomatic and civilian agencies that would augment the PDI. This funding would help close gaps to address areas not specifically referenced in the larger legislation.

US interests in Asia and the Pacific are secured by US Indo-Pacific Command headquartered in Hawaii. To meet the PDI’s objectives, the US will provide additional resources to help countries overcome vulnerabilities to climate change and global pandemics and enhance economic development and capacity-building. Additional focus should be placed on protection of vulnerable populations consistent with the 2017 Women, Peace and Security Act.

The US must strengthen its relationship with the freely associated states (Micronesia, Marshall Islands and Palau), which are critical to regional stability and security. The compacts of free association now being negotiated will accomplish that task. At the same time, ties with Kiribati need to be strengthened using its separate treaties of friendship and marine conservation as a foundation.

The US also should align its policies in the North Pacific with its approach in the South Pacific. It needs to examine how it will refocus is engagement with Papua New Guinea (including Bougainville), Solomon Islands, Vanuatu, Fiji, Tonga, Samoa and Timor-Leste, along with its allies.

The 2020 AUSMIN statement underscores cooperation between the US and Australia that will help implement the legislative authorisations and appropriations of the PDI. Although the PDI has not yet been passed by Congress, the imperative for increased collaboration between Washington and Canberra has already been prescribed, especially on health security in the Pacific nations. The efforts by the US to staunch HIV and Australia’s ongoing efforts to stem non-communicable diseases would be an effective starting point for regional collaboration on health security.

The Covid-19 pandemic has brought immense challenges to Pacific nations. It has undermined key economic sectors, including labour, tourism and commercial growth, and risks fraying their social fabric. This in turn has made these states susceptible to China’s entanglements in their attempts to address these new vulnerabilities.

The PDI includes a broad definition of civil–military assistance, particularly when such efforts complement the significant requirements for establishing a stronger defence capability. However, Pacific nations need sustainability and continuity in their relationships with the US.

Washington must be mindful that they were disappointed by its response during climate change negotiations as it became clear that there was no inclination to compensate them for sea-level rise attributed to increased carbon emissions.

The US should review the different approaches of its allies and regional partners, particularly Australia, New Zealand and Japan, to determine where any additional funding for civilian agencies would complement acutely needed development assistance and capacity-building. The island nations would benefit from parallel funding of existing bilateral projects. This approach would not duplicate programs funded by the United Nations and the Secretariat of the Pacific Community. However, it would mobilise resources to address conditions and situations exacerbated by the economic dislocations and privations spurred by the pandemic.

Focusing on regional health security as a priority area for coordination and collaboration with the island nations allows them and those providing help to review how existing resources can fund projects without the need to build new programs. It also could create a vehicle for other donor countries as well as Taipei to create sustainable healthcare funding mechanisms for the region. Within the US there would be strong bipartisan support for an initiative that would support Taipei’s inclusion in a regional health security program.

That would complement INDOPACOM’s efforts to strengthen humanitarian assistance and disaster planning with Australia and New Zealand. Strengthening island states’ capacity to prepare for natural disasters and to withstand their impacts should be linked to existing development assistance projects. Helping them build new infrastructure beyond that required under the PDI would be essential to these efforts.

This focus would create strong consideration for full US membership in the Pacific Islands Forum based on the substantial resources to be provided to the region that will be mandated by Congress.

There’s a longstanding record of Congress using legislation to direct foreign policy initiatives that unify the efforts of American civilian agencies and the military. The competition with China and others challenging the US in the Pacific requires a resources-based strategy that underpins US regional commitments. For US allies and partner nations, a coordinated, comprehensive and cohesive approach would become a useful planning tool to meet common objectives.

This post is part of an ASPI research project on the vulnerability of Indo-Pacific island states in the age of Covid-19 being undertaken with the support of the Embassy of Japan in Australia.

Covid-19 and the rise of digital first responders in the South Pacific

Social media is a factor, for better or worse, in dealing with any crisis today. Facebook’s crisis-response hub, for example, relaunched in 2017, has become an important information medium for disaster-struck populations. Unfortunately, social media platforms can also spread rumour and misinformation with equal speed. And there is no bigger crisis in the Pacific today than the Covid-19 pandemic.

The Pacific region began preparing for Covid-19 as early as January 2020. However, the threat became a reality when Fiji reported its first case on 19 March.

Social media mobilised quickly to fill a need for rapid information, but it hasn’t always provided reliable health advice. This remains an ongoing challenge, despite efforts by Pacific governments, the United Nations and the platforms themselves to tackle the problem. However, NGOs have also used social media to help communities with the severe economic impacts of both the virus and government countermeasures.

As fear of Covid-19 spread rapidly and movement restrictions were imposed, social media became a frontline tool for governments and health agencies in disseminating public health messages and educating the public about the virus. Health organisations, NGOs and governments used social media channels to provide Covid-19 updates and information on healthcare, prevention methods and separating facts from myths. Social media’s vital role was evident when regional messaging developed by the World Health Organization was used to support governments’ efforts across the region.

But its use also generated privacy concerns. In Fiji, the names of individuals who came in contact with a positive case were circulated in a bid to locate them for quarantine. The names were shared with more than 3,000 people, which raised legal concerns about privacy. In another case, social media were used to share leaked private documents revealing details of Fiji’s sixth and seventh cases and information identifying their child, a minor.

Pacific governments are also very aware that social media can be a double-edged information tool and have tried to ensure that credible information is transmitted on social networks so as not to cause panic. However, Dr Colin Tukuitonga, who leads a government Pacific health advisory group for the Covid-19 response, has said that an overabundance of misinformation still posed a problem for Pacific communities. The Fijian Broadcasting Corporation reported that Fijians were turning back to traditional media to get verified facts and information, after reports of misleading information on social media and of Fijians being arrested and charged over ‘malicious’ social media comments about Covid 19 began to filter through to the public.

For individual governments, dealing with social media misinformation and disinformation can seem like an impossible task. To help the information clean-up, in May the UN Department of Global Communications launched a citizen-led initiative called ‘Verified’. The campaign called on people around the world, including the Pacific, to sign up to become ‘information volunteers’ or digital first responders to share trusted content to keep their communities safe and connected. To combat fake news, Facebook developed a Covid-19 Information Centre that aimed to help users with useful information and tips. Twitter also banned all ads that sought to take advantage of the pandemic. But it remains to be seen whether these measures will prove effective.

On a more positive note, social media, combined with NGO activity and mainstream media coverage, was helpful in providing economic relief to affected people. Two Fiji residents, Narayan Reddy and Allen Lockington, were moved by the daily newspaper and television news highlighting the plea for assistance from fellow Fijians who had lost their jobs. They started an online drive to help those affected, delivering over $15,000 worth of groceries to people in need.

This led to several charity pages on Facebook, perhaps the most effective of which is ‘Barter for Better Fiji’, or BFBF. Its creator, Marlene Dutta, says the primary reason for the page was to offer solutions to the current economic situation. The page has more than 180,000 members and has had numerous successful barter trades. BFBF has received international recognition with features on BBC World News and Radio New Zealand International and in The Guardian.

BFBF has inspired spin-offs that have driven a resurgence of the barter system in the region. Similar Facebook pages were set up in Tonga, Vanuatu, Papua New Guinea, Solomon Islands, Samoa and even New Zealand. Having a strict no-cash-for-trade policy, these pages have over 100,000 members each. However, not all trades are successful and some publicly posted agreements fall through. A few fake pages have been formed under the BFBF name, which has prompted the team running the page to get feedback on all trades.

In response to the success of these pages, the UN has stepped in with financial assistance. In May, the UN Development Programme awarded nine grants under its COVID-19 Pacific Response: Sustainable Livelihoods Challenge in Fiji and Vanuatu. Six NGOs in Fiji, including BFBF, and four in Vanuatu were awarded grants.

Social media has been an important tool during the pandemic for governments and citizens to reinforce community solidarity. But now there’s clearly a need for policymakers and legislators to delve deeper into the undeniable need to monitor these platforms in times of crisis to ensure dissemination of officially verified information and limit disinformation, while at the same time finding a balance between being too reassuring and causing undue public panic. As these issues play out, it’s clear that one of the transformational effects of the pandemic will be the increasingly central role of social media in future regional crises.

This post is part of an ASPI research project on the vulnerability of Indo-Pacific island states in the age of Covid-19 being undertaken with the support of the Embassy of Japan in Australia.

Australia’s landing ships could help the Pacific islands deal with Covid-19

Australia’s political leaders have spoken strongly about assisting our Pacific ‘family’ through the Covid-19 crisis. But the needs of the island nations go far beyond medical supplies and expertise. The Royal Australian Navy could play an important role in supporting critical infrastructure if the crisis hits the islands hard.

Covid-19 infections in the Pacific are starting to ramp up. Australia is already helping with laboratories, medical equipment, health expertise and public information campaigns. But, in addition to the health impact, the crisis has the potential to overwhelm critical infrastructure in the islands.

The Australian Defence Force, including the navy’s two giant landing ships, could be an important, and highly visible, element of Australia’s response. HMAS Adelaide and its sister ship, HMAS Canberra, are the biggest ships in the Royal Australian Navy and have extraordinary capabilities for disaster response—helicopters, landing craft, medical facilities, engineering workshops, supplies and accommodation for large numbers of people.

Over the past few weeks, attention has been given to the use hospital ships for medical assistance, including by Australia. But using ships for this purpose requires careful consideration and preparation.

For years, the US Navy has been deploying its hospital ships in the Pacific and Indian oceans to provide health services to island communities as part of the Pacific Partnership program. USNS Mercy and USNS Comfort are each the size of a large aircraft carrier, with 12 operating theatres, 1,000 beds and large medical teams comprising US military personnel and volunteers. On 30 March, the Comfort arrived in New York Harbor to provide assistance during the Covid-19 crisis; the Mercy has been moored at the Port of Los Angeles since 27 March.

China, too, understands the importance of using hospital ships to project soft power. In response to criticism over its failure to provide significant assistance to the region after the 2004 tsunami, China  built its own hospital ship, the Daishan Dao, which has sailed throughout the Indian Ocean, and in Pacific, Caribbean and African waters, providing medical services through its eight operating theatres and 300 beds. Beijing says that, over the past decade, the Daishan Dao has visited some 40 countries and provided healthcare services to more than 180,000 people. The ship’s 2018 tour included visits to Papua New Guinea, Vanuatu, Fiji and Tonga.

In theory, Australia’s landing ships could provide medical assistance through their two operating theatres, eight-bed critical care units, and pathology, radiology, dental and pharmacy services. While these impressive facilities have been used to support military personnel on board, and sometimes Australian personnel ashore, they’ve never been used for regional health outreach.

There are sound reasons for exercising caution in deploying large warships for community health, particularly during a pandemic. Covid-19 outbreaks on two aircraft carriers, France’s Charles de Gaulle and America’s Theodore Roosevelt, have effectively disabled those vessels. The Comfort and Mercy are also now both battling onboard outbreaks of their own.

But while medical assistance is an initial focus of Australia’s regional response to the Covid-19 crisis, it’s highly likely that we will soon move to helping the islands maintain their critical infrastructure, including telecommunications, fuel and electricity.

All of these pieces of critical infrastructure will come under increasing strain because of the absence of workers or the breakdown of the long and tenuous supply lines that the islands depend on. An interruption of fuel or diesel supplies, for example, whether due to local or international factors, would impede the transport of people, food and essential good and the supply of electricity, which is generally powered by diesel generators. Such an event would cause significant disruptions and threaten the social order.

These effects would be greatly magnified by a concurrent natural disaster, as when Cyclone Harold  recently hit Vanuatu.

In coming weeks, we could well see ADF engineering teams, based afloat or ashore, helping to maintain critical infrastructure in the region. The Adelaide and the Canberra would be of great value as floating warehouses and bases for engineering services, although their deployment could come with real risks.

Assistance with maintaining infrastructure might be far more significant for vulnerable island nations than medical assistance. Indeed, the French navy recently deployed its landing ship Mistral to the island of Réunion in the Indian Ocean for this purpose.

Australia has been an adept practitioner of defence diplomacy through military training, disaster relief and defence capability programs. We need to help (and, importantly, to be seen to be helping) our Pacific family in this crisis, while also having regard to our own needs. Some of the ADF’s capabilities could be a highly visible component of our response in the region.

Keeping our commitments to our Pacific island family in the shadow of Covid-19

Prime Minister Scott Morrison made a point of emphasising Australia’s commitment to ‘our Pacific island family’ in his remarks at last week’s virtual special G20 summit. In addition to the support already provided for healthcare, information campaigns, medical equipment and laboratories, Morrison assured the G20 leaders that Canberra was reconfiguring development assistance to advance more effective health and economic support to the region.

Being both small and developing, our Pacific neighbours are facing incredible health and economic challenges with the Covid-19 threat. Our capacity to meet the needs of our neighbours will be tested, given the demands the Covid-19 pandemic is making on our financial and physical resources.

One of the more immediate tests is occurring right now here in Australia. Pacific islanders working in Australia under the Seasonal Worker Programme and Pacific Labour Scheme are not eligible under the government’s new ‘JobKeeper’ initiative. This oversight in Australia’s fight against Covid-19 needs to be addressed quickly.

These workers are caught in a double bind. They can’t return home or even move easily around Australia to follow the work here because of internal travel restrictions. Meanwhile, for the same reason, workers across the Pacific will lose income since they won’t be able to take up expected jobs.

The isolation that guest workers in Australia are feeling is intensified by concerns over housing and uncertainty about whether they’ll benefit from Canberra’s economic stimulus packages and even, it seems, whether they’ll be granted visa extensions.

Yet island workers who are here now may have no income to sustain themselves, much less to send home.

Another potentially large effect of Covid-19 on our Pacific family relates to remittances. The earnings of guest workers under labour mobility arrangements—a major feature in Australia’s Pacific step-up policy—have long been an important source of external income in a number of island states. Migrant workers in Australia are now subject to the same straitened economic circumstances as the rest of the country. That means the Pacific island diaspora will have less (if any) disposable income to send back to families in the Pacific for the immediate foreseeable future.

While we should help because we care, we should not try so hard to help that we neglect to listen to our Pacific family. It’s vital that islanders retain ownership of their priorities and feel confident about the solutions while everyone is scrambling for answers. Strengthening the regional architecture should be as a critical part of building this confidence as well as promoting resilience in response to the pandemic.

The Pacific Community (SPC) has had medical cooperation and coordination in its mandate since 1947. It is the regional partner for the World Health Organization for the Pacific Public Health Surveillance Network, which has responsibilities to respond to epidemics.

The SPC’s technical expertise and regional network are particularly important to Australia’s response to Covid-19 in the Pacific. The organisation has enormous credibility with the medical community across the region and has the widest access to this community. Importantly, the SPC also includes France, the UK and the US in its membership.

The breadth of its membership and technical expertise has long made the SPC a significant enabler for local resilience by ensuring the Pacific island states have national confidence in sharing scarce health resources to meet present and future challenges. Projects such as the SPC’s Strengthening Health Interventions in the Pacific, or SHIP, program, in particular, need greater support to develop and strengthen regional epidemiological competencies.

The pandemic has produced the unedifying spectacle (and questionable morality) of the US government and many of the American states competitively combing the globe for life-saving medical supplies. Those actions expose a key vulnerability of the Pacific region. The small Pacific states cannot compete internationally for the critical medical resources that are in such short supply globally.

The worldwide impacts of the pandemic distinguish it from localised natural disasters like tropical cyclones. In the case of Cyclone Winston, which battered Fiji, Vanuatu and other islands in 2016, the shortfall in medical services and supplies locally could be made up from the reserves of larger neighbours like Australia that were able to share their resilience.

As the Covid-19 pandemic demonstrates, even a sophisticated and large economy like the US may not have all the resilience needed to cope with a pandemic, let alone share with others.

In the face of this crisis, the small Pacific states may have no choice but to rely on kindness and some affordable altruism by their traditional friends such as Australia. However, the pandemic throws down the challenge to be creative in our thinking about how to deal better with the inevitable future tests of national resilience.

One possibility is to find a way to allow the Pacific states to pool their purchasing power to be more competitive collectively in international markets. This is not a new idea—it existed through the crown agency service in the colonial period and has been suggested more recently to fund public–private partnerships to purchase resources such as oil in bulk.

While our neighbours are unlikely to want Australia to directly fulfil their needs, a regional service managed by and for the islands and funded by Australia could be acceptable. This might look something like the Office of the Chief Trade Adviser, which was set up to manage the negotiation of the PACER Plus free trade agreement with Australia and New Zealand and was exclusively owned and controlled by its island members.

This proposal wouldn’t fully address the current scarcity and national needs of the larger states, but greater regional purchasing power could improve the priority of access to essential goods. More significantly, it would provide the architecture to promote post-pandemic recovery while also building long-term resilience against natural disasters.

A regional purchasing service would do more than build the region’s medical resilience economically and efficiently; it would help with the economic recovery more broadly. Buying common supplies and services collectively could give the regional governments greater competitive influence in the international marketplace.

As much as Australia is preoccupied by its own challenges, we must not forget our Pacific family. We cannot call our neighbours ‘family’ if they are forgotten or neglected. Clearly, the prime minister does not intend to do this. However, omission can have the same effect as neglect if we lack imagination in dealing with the unimaginable threat posed to our Pacific family by Covid-19 as it also threatens us.