A Shot in the Back

The CIA's fake vaccination program in Abbottabad is an outrage. But what's important to remember is that even Osama bin Laden wanted to vaccinate his kids.

BY ALANNA SHAIKH | JULY 13, 2011

It was bound to come out sooner or later. The CIA/Navy SEAL raid that took out Osama bin Laden was just too good, just too clean. But the news that the CIA created a fake vaccination program in Abbottabad, Pakistan -- an effort to capture DNA from Osama bin Laden's children and plant a recording device in the bin Laden compound -- is an ugly smear on the high-water-mark mission of the U.S. fight against terrorism. To be fair, there's much that is still murky: We don't know for sure whether the CIA actually gathered any DNA, and we don't know whether it managed to plant the listening bug. We do know, however, that it paid a Pakistani doctor to start a fake vaccination program, administered the first dose of hepatitis B vaccine to poor children in Abbottabad, and hired an apparently unsuspecting nurse to enter the bin Laden compound.

Get ready for a lot of outrage over this. Doctors, health-care providers, and medical organizations in general get angry when their ability to care for patients is threatened. And using medicine for non-healing purposes -- in this case for killing -- really rubs them the wrong way. First off, hepatitis B is a real worry in Pakistan, and one dose in a three-dose series will only provide a tiny amount of protection to those children. There's almost no chance now that these kids will even finish the vaccination series -- and many, many thousands more will likely steer clear of future programs of this sort, no matter how legitimate.

Promoting vaccination in the Muslim world is hard enough already. As recently as 2007, visiting health workers in Afghanistan ran the risk of being beaten when they arrived to provide vaccines. Local leaders assumed they were spies; it took a formal letter from Taliban leadership to make vaccination possible. We can assume that kind of diplomacy will come to an end now. And the consequences are real: When Muslim leaders in Nigeria rejected the polio vaccine over fears that it would lead to sterility, it led to a polio outbreak in eight African countries.

There's good reason for the outrage. People's faith in their doctors is critical to the ability to provide health care, and it's unconscionable that the United States would use the single most delicate health issue in the Muslim world as its cover. But we do need to be realistic. It's not the first time health services have been a cover for a security operation, and it won't be the last. The most recent high-profile example was in 2008, when the Colombian military used the Red Cross emblem to disguise an army team engaged in a hostage rescue operation of 15 people held by the Revolutionary Armed Forces of Colombia (FARC).

But there's another narrative to this story, besides the outrage. Medical care gets used as a cover because it works. People persistently trust health-care providers to have their best interests at heart. That trust is broad and often blind. Sometimes stupidly so. In April this year, 86 homeowners in southeastern Turkey obediently swallowed a blood pressure pill given to them by police officers dressed as doctors. The "doctors" hadn't showed any kind of identification, and the pill turned out to be a piece of candy. The purpose of the exercise was apparently to get people to be more careful about checking IDs. Brilliant. (I'm glad I'm not a Turkish taxpayer.)

AAMIR QURESHI/AFP/Getty Images

 

Alanna Shaikh is a global health consultant currently residing in Dushanbe, Tajikistan. The views expressed here are hers alone and not those of any employer.

ELLERVEIRA

10:44 PM ET

July 13, 2011

US morality

We all know that the CIA and the US warmongers are devoid of all morality. The stupidity of the wars and the killing involved are ample evidence for that. So this is not all that surprising. What is a wee bit shocking is how little the US cares about its moral image or lack thereof and how comfortable it seems to be with a reputation around the world more like that of the Nazis than that of the US of old. Most Americans seem to have lost any sense of moral shame or concern about how others see them. Rather like the Nazis, I would say.

 

NSC LOS ANGELES

6:27 PM ET

July 14, 2011

No, Ellerveria...

What's a "wee bit shocking" is the hard-Left's inability to see anything but unicorns shitting rainbows when they look at the Islamic world. Is the US perfect? No, far from it, nor do I expect it to be. But I do feel for the civilians in Iraq and AF who didn't ask to get dragged into this clash of civilizations. Abu Graib, Abeer Qasim Hamza, the Taliban - we have much to answer for but far less than some.

As for your ridiculous hand-wringing about our ever-increasing resemblance to "Nazis," I'd love to hear your thoughts on female genital mutilation, the status of women in sharia law, the Islamic sanction of child marriage, murder within families, the keeping of slaves in Sudan (also sanctioned), the murder of Copts in Egypt, the seige at Beslan, Ilan Halimi, the sacking of Smyrna, the recent beheadings of children in Thailand, Tower Hamlets, and so on, and so on, and so on.

Is the west flawless? Absolutely not. But you and your cohorts need to take the blinders off and see this "culture" for what it really is, then rethink which civilization you'd be more apt to compare to the Third Reich.

 

MARKPEAR22

7:13 PM ET

July 14, 2011

unicorn digestion

How embarrassing... unicorns shit duckies and bunnies, this is common knowledge. While it is true that duckies and bunnies crap rainbows, the confluence of events that would be required to make your assertion even appear to be true (synchronized crappage) is so outlandish that your statement doesn't even withstand casual scrutiny. Do better.

 

NSC LOS ANGELES

7:59 PM ET

July 14, 2011

Maybe that cutesy blather

Maybe that cutesy blather get's you "likes" at Slate but try to button it up when you come here.

 

MCA5022

4:53 AM ET

July 15, 2011

Naive argument

A reputation "like that of the Nazis"...? That is a very naive argument. The Nazis organized one of the largest systematic killings of a race of people in order to create a pure society, while developing a country that was a state within a state. The United States- which I agree has a long list of dirty deeds- is not like that of the Nazi image you project. The CIA has a very dark past, and I would argue that your statement of the USA of "old" is wrong as well. The US and their extended arm of the CIA were very brutal and in-human during the cold war- especially in the middle east, leading coups murdering rulers who sympythized with communist ideals, In Africa killing leaders and implementing pro western dictators--read up on Patrice Lumumba. Plus the Nazis during their rule, always..always tryed to project themselves as humble good guys, never trying to disrupt the large mass of people whom were hijacked under them by false projections. The English and Chamberlin would have gave the Nazis Poland if they would have been able to attain 10 more years in India. Never compare the Nazis to the US, it is a feeble argument by a naive person- the Us has alot to account for I agree with that, and I dont always agree on the tactics..but it is for a policy and a purpose these things are done. And dont be so naive to think that the US is the only one involved in this game, its a dirty buisness but someone has to fight it.

 

RABBLEROUSER

7:31 AM ET

July 15, 2011

Selective outrage

Its funny how no one has mentioned the Palestinians regular use of ambulances to move fighters, weapons, and explosives (sometimes Ambulance VBIEDs) during their Inifadas.

 

NSC LOS ANGELES

12:38 PM ET

July 15, 2011

Thanks!

I've never seen these, they are hilarious! The clip of the nasty old geezer talking about the dangers of female masterbation was particularly cringe-worthy.

 

NSC LOS ANGELES

12:42 PM ET

July 15, 2011

Whoops

The above comment contains a typo and should have been addressed to MarineSniper.

 

SCIPIO146

4:28 PM ET

July 15, 2011

U.S. morality

In our fight against Islamic fanaticism everything and anything is permitted. if they are launching a jihad against us , we are responding with our own jihad. If they pull another 9 / 11 then...well.... their Mecca will be removed from the Arabian desert.

 

SCIPIO146

4:30 PM ET

July 15, 2011

U.S. morality

In our fight against Islamic fanaticism everything and anything is permitted. if they are launching a jihad against us , we are responding with our own jihad. If they pull another 9 / 11 then...well.... their Mecca will be removed from the Arabian desert.

 

SCIPIO146

4:32 PM ET

July 15, 2011

U.S. morality

In our fight against Islamic fanaticism everything and anything is permitted. if they are launching a jihad against us , we are responding with our own jihad. If they pull another 9 / 11 then...well.... their Mecca will be removed from the Arabian desert. This is how we defeated the Nazis by the way.

 

MR.2MUCH

1:24 PM ET

July 16, 2011

Godwin's Law in action

Never fails.
You Lode.

 

ATLEE

12:38 PM ET

July 17, 2011

Say It Again!

I would also like to add to the author, for future reference, Don't use the word "WE" in your articles. I am a Nurse Practitioner and do not feel the same way you do. So leave me out of your articles- full of anti-American retoric- THANK YOU VERY MUCH. Where is your degree from?????????

 

NSC LOS ANGELES

12:08 AM ET

July 18, 2011

US Morality

Scipio, you're no better than "them."

Mr. 2 Much - LOL, true.

 

WILHELM20011

1:30 PM ET

July 20, 2011

USA=Nazi State????

I'm sorry madam, but as the son of a Waffen SS officer I would never accuse the Americans of being Nazis. Nor would I equate the actions of the US government with the feelings of the American people. I generally like the American people, even if their knowledge of history and geography are a little lacking.

Now, as for the government, I'm am surprised that the people haven't risen up in rebellion. The government tends to be almost as heavy-handed at home as it is abroad. So, madam, confine your comments to the government and don't generalize about the people.

 

BLOPES

1:03 AM ET

July 14, 2011

Even evil terrorist masterminds

"Everyone in the world knows how much health-care matters. Seriously, even evil terrorist masterminds know it's important to vaccinate their kids."

I guess that basically negates and exonerates them from all other human welfare liabilities they may have been a party to, right? We are all righteous in our own minds, including in the mind of the author in this article. The world is a complex place of potentially questionable decisions made as a means to an end, but let's not oversimplify this operation. There was a greater good in this operation, one of catharsis. We live in a world where symbols and emotions matter too.

 

ZORRO

6:09 AM ET

July 14, 2011

Symbolism

A government murdering a criminal (without a trial) is indeed a powerful symbol. Maybe not the one you had in mind?

 

SHAUN135

6:39 AM ET

July 14, 2011

Outrage-----RIIIIIGHT!

Hmmmm--outrage from people who think it's OK to cut off people's hands, advocate "honor killing", behead "non-believers" or shoot at foreign troops from inside a mosque.

I was pretty outraged when passenger planes full of innocent people were flown into our skyscrapers and the Pentagon. Where was the outrage from the Arab world on that fateful day?

 

CYBERFOOL

8:54 AM ET

July 14, 2011

outrage

There was plenty of outrage from Muslims that day. And there were Muslims that died in those buildings.

 

MAROCI

7:18 PM ET

July 17, 2011

Mark C

Uh, actually, half-wit, the outrage is coming from medical professionals.

 

CYBERFOOL

8:52 AM ET

July 14, 2011

fake?

I don't sense that this was a "fake" vaccine program. They gave the real vaccines to children that needed it. Nothing fake about that. Would those children have gotten the vaccines w/o this program? No.

I'm not happy about the alterior motives, but giving real vaccines to children that need them is a good thing.

I think the more interesting issue is that we tend to think of lack of vaccinations as something that afflicts the poor in poor & rich countries.

This program could only have had any hope of working if RICH kids in poor countries would NOT otherwise get their vaccines. Think about that.

 

CYBERFOOL

8:56 AM ET

July 14, 2011

the real travisty

The real travisty was that the program was shut down. Why not keep giving the kids the vaccines? They shouldn't ahve terminated the program.

 

MAROCI

7:19 PM ET

July 17, 2011

That's about the level of

That's about the level of reasoning I'd expect from someone who thinks "alterior" is a word.

 

JJCALE

3:35 PM ET

July 14, 2011

Should have completed program then it is okay morally?

Well if this is really true and we cannot be 100% sure yet the US will have to face the music. Morally however if the US had continued the medical program and done all the injections is there a problem? I do not think there is really as no harm done to innocent people (in fact quite a lot of good). Yes of course you should not go around doing intelligence missions in foriegn countries but if that country is housing your No 1 enemy whilst claiming not to what choice do you have? No choice.

Should have finished medical program though.

 

MAROCI

7:26 PM ET

July 17, 2011

Good god, there are some

Good god, there are some seriously dumb people here. Every day around the world, medical and other aid workers from the US work to establish the trust of local populations, sometimes under suspicion that they are spies of some kind. Now it turns out, they are. THAT is the harm.

 

NSC LOS ANGELES

6:14 PM ET

July 14, 2011

I fail to see what's "outrageous" about any of this

Pakistan is hostile to western civilization and to the US in particular. I personally do not care about helping Pakistani civilians, though I would care very much about hurting them. These children were not harmed in any way, in fact they were given some small protection against Hep B that they would not have had otherwise. This seems like a clever if rather awkward attempt to locate Bin Laden.

 

MAROCI

7:27 PM ET

July 17, 2011

You sound like a guy who

You sound like a guy who fails at a lot of things.

 

NSC LOS ANGELES

12:11 AM ET

July 18, 2011

How cuuuute

It's adorable when bleeding heart liberal do-gooders attempt humor. Where do you find the time between bouncing our enemies' children on your knee?

 

DR. SARDONICUS

10:16 PM ET

July 14, 2011

Cannot feel outrage? A question of telling right from wrong.

This Public Health sabotage is not surprising. After all, so-called “Defense” is about inflicting Public unhealth, Public antihealth.

The needs, tactics and goals of peaceful people and those of warmongers are antithetical and mutually exclusive without exception. This historic antinomy has been much more widespread, persistent and powerful that the trivial ones between Left and Right, religious and secular, corporate-enslaved and “developing,” etc., etc. We keep jabbering about this or that conflict of the latter sort without a hope of solving it, since we refuse to put our finger on the underlying conflict that cuts invisibly at right angles across those secondary ones.

The underlying conflict has always been between conscience-driven peace lovers (usually marginalized despite their absolute logic and overwhelming numbers) and sociopathic killing experts (almost always imperial-robed despite their chaos thinking and trivial real strength, terror-based). That primal conflict has cut across every artificial divide of nation, ideology, class, race, religion: you are free to name your favorite and waste your time on it.

Rousseau and Robespierre were wrong. Washington and Bolivar were wrong. Marx and Lenin were wrong. Wrong all the post-colonial revolutionaries of Asia, Africa and Latin America. Look and their results: al that revolutionary dialectic, struggle and sacrifice for nothing.

Every peace-driven revolution in world history has been coopted from within and/or defeated from without by sociopathic weapons experts and twisted back onto the path of weapon development. Human civilization has undergone five thousand years of Darwinian evolution for deadlier and deadlier weapon states. This is why we can kill the entire world population ten times over within a week or two, and simultaneously cannot feed and care adequately for the poorest third of the world population or sustainably for the other two-thirds. Get a clue.

Draw what conclusions and solutions you will. Pick you side of this conflict and make your stand. Good luck.

 

NSC LOS ANGELES

12:28 PM ET

July 15, 2011

Dr. S

An interesting post, I think where we differ is that I do not believe peace is possible on earth and accept that reality. We live on a planet characterized by death competition for resources. "Right and wrong" are completely relative and only an afterthought in conflict. The most "outrageous" thing about this program is what it may have cost the US taxpayer at this particular juncture.

You talk about "peaceful people" vs "warmongers." Exactly who are the peaceful ones here? Pakistanis? Don't make us laugh.

 

THEFOREIGNER

12:13 AM ET

July 15, 2011

How about you go to the place and preach faith?

Cynical in a very stupid way; is all I can say to this article. Instead of praising the Elite team who risked their life to kill the deadliest terrorist leader of the past half century, you keep pointing fingers at the westerners who pay their tax to keep their land and hopefully other's lands safe. Comparing Health care in Pakistan and that of in the United States, is like comparing dust with Silicon Chips.

This article focuses on fictional health care that "Would have" been ideal, if the attack on the compound didnt take place.. How naive is that!

You seem to be supporting people who hate america and the free world, and blood thirsty criminals, who suppress and brainwash people by saying that the "People have beaten up medical workers because of the attack" ... That's because of lack of logical thinking and education in them. Who would not do the same if they have been indoctrinated from Childhood about a barbaric cult and a book written 1300 years ago?

I respect Foreign Policy magazine. Please refrain from hiring authors like this because this article seems to be like an embarrassment to the magazine itself..

 

MAROCI

7:21 PM ET

July 17, 2011

Actually, Einstein, the

Actually, Einstein, the article focuses on healthcare and other aid workers all over the world, who sometimes come under suspicion that their operation is a front for the CIA or the US military. This doesn't exactly help, does it Einstein?

 

LORD NELSON

3:12 AM ET

July 15, 2011

VACCINATION

Me thinks, Marine Sniper would have a better understanding of vaccination if he recalls what his forbears did to the Red Indians. Please leave Muslims alone. By the way where did your ancestors come from to defile this beautiful land. Where they red Indians?

 

NSC LOS ANGELES

12:30 PM ET

July 15, 2011

^You beat me to the punch

Lord Nelson is indeed, a moron.

 

ORUJAM

8:57 PM ET

July 15, 2011

Britain, great no longer; just plain old UK

Marine Sniper, your reply to Lord Nelson is right on the button. I grew up in a British colony. And from the first letter to the last full stop, yours are my sentiments exactly.

 

GREEN IGUANA

11:00 AM ET

July 15, 2011

the stupidity of the CIA

How could they possibly have believed they would catch bin Laden with this program--if you're the world's most wanted person, you don't send your kids to a public vaccination program. You hire a private doctor to administer the vaccines. Although why would the kids need the vaccines if they never left the compound? The idiocy of this operation is beyond belief...and now the former director of the CIA is our Defense Secretary!

 

NSC LOS ANGELES

12:47 PM ET

July 15, 2011

You make a good point

One would think that Bin Laden would be reluctant to have his kids participate in this kind of program.

 
 

BEINGTHERE

5:51 PM ET

July 17, 2011

... And the new CIA Director is General of Two Failed Wars ...

How's that for scary - and absolute mismanagement on Obama's part?

 

NSC LOS ANGELES

8:24 PM ET

July 19, 2011

The Bin Laden villa

Quite true! He was kind of conspicuous for earth's most valuable fugitive.

 

GREEN IGUANA

11:01 AM ET

July 15, 2011

would someone from FP

Remove the garbage comments? They just clog up the page.

 

JOSSEFPERL

2:54 PM ET

July 15, 2011

Why Are Some Other Deceptions Using Medical Staff Missing?

For some reason ALANNA SHAIKH failed to mention the most outrageous examples of using medical staff for military purposes. Both Hamas and Hizbolah are routinely using the Red Crescent ambulances to move troops and equipment on the battle in order to avoid being targeted. Is this omission just an oversight? I doubt it!

 

FSILBER

3:28 PM ET

July 15, 2011

So why should I care?

If the need for medical care provides an incentive for evil people to stop being evil, that's a good thing.

 

BASHY QURAISHY

6:21 PM ET

July 15, 2011

A shot in the back

“A shot in the Back “ by ALANNA SHAIKH is a good proof for all decent people in this world, how far USA would go to infringe the sovereignty of other countries, in this case Pakistan.

Even more shocking is the stupid and ultra-nationalistic knee jerk reaction from many readers of this blog. I did not know that Americans who read FP have such a low level reasoning.

To me and millions of enraged Pakistanis, the whole CIA operation to kill Osama – even if one believes the USA version – smells fishy, but to cheat innocent people in Abbottabad with fake vaccination program goes beyond all civilized manner. Granted that Osama was a nasty person and his organization have killed 3000 Americans, but it is time to remember that he also is guilty of killing far more Muslims in many countries. USA is no better than Osama because USA has killed hundreds of thousands of innocent children, women and men in Korea, Vietnam, Latin America, in many Muslim countries and other developing areas.

Is it then fair that USA has open ended license to kill all over the world and no international court accuses it for crimes against humanity and do not prosecute its leaders? No wonder, west is not trusted and even disliked by the rest of the planet.
Kind regards

 

BEINGTHERE

5:49 PM ET

July 17, 2011

Bashy, I'm American, and I am with you

Aging, white, conservatives think they are patriotic when they defend the U.S. for atrocities, but this shows they live in the past and are genuinely fearful of the future. They prefer to disregard the reality of the U.S.'s recent failures in its military endeavors and those agencies related to it (e.g., CIA). While the U.S. sponsors two wars in the Middle East and the CIA skulks around over there, we are still having suicide bomber attempts here (airplane and Times Square).

 

NSC LOS ANGELES

12:21 AM ET

July 18, 2011

Pakistan, bastion of moral clarity

Bashy, get over yourself, these children were not harmed and were given a vaccination they would not have had otherwise. I love the predictable indignation at US meddling in the sovereignty of your psuedo-nation, where's this indignation when fathers kill their daughters? When children are married to old men? The US has many, many shameful events in its history, but Pakistan represents a civilization that is shameful to the core.

 

THEFOREIGNER

7:30 PM ET

July 15, 2011

How do I perceive this article? Immature or Hypocritical????

Give me a break!!

Remember how many innocent lives were lost when Passenger planes were hijacked and flown into the world trade center? How do you justify that?

The U.S has spared Civilian lives by not destroying every building in sight and is taking the laughs for a "Failed War" .. which in fact shows the greatness of U.S in Respecting Civilian lives.

Whatever the U.S does, has some morality. They could have bombed the entire area instead which would have killed hundreds. Instead, they just took samples and killed the right target.

Give me a break and don't write laughing stock like this!!

P.S - and get your facts right

 

JUSTSAYIT

5:17 AM ET

July 16, 2011

Weaponizing healthcare and journalism

If the United States (with all its resource and leverage) resorts to weaponizing health and journalism, I can just imagine what other countries resort to (to get what they want)

 

MARRIOND

9:25 AM ET

July 16, 2011

Incidents like this cast a

Incidents like this cast a very bad light on the entire healthcare system everywhere and, as pointed out in the article, people stop trusting the medical workers which can lead to catastrophes.
About vaccinations as such people have to be educated. For example, anyone with diabetes will check their a1c levels regularly if they know how it can benefit them. But if they have no trust in a person who is telling them why this is good for them, maybe they won't be doing it.

 

MR.2MUCH

1:35 PM ET

July 16, 2011

Learning to Shutup

Some of you people need to get some perspective. This is not like they injected these kids with a virus. How often do you see a cop show where they sneak they sneak the suspects drinking glass to get a DNA sample? People are killing each other in this struggle. As far as I am concerned it is a non-issue for what they did. What IS an issue for me is whom decided that it was a good idea to tell the world this detail? This creates unnecessary attention on a necessarily messy business. I can't imagine the Pakistani's involved can be too happy? Idiots!

 

BEINGTHERE

5:41 PM ET

July 17, 2011

Wuss-out article; FP, get out of DC-think and into real world

Foreign Policy Editors:

This writer's nearly sanguine assertion about global health care and its progress is unacceptable and idiotic. It's like someone's saying that the overwhelming death and destruction of AIDS, or carnage and tragedy of the Afghan War, or (choose your own horror) are really good things because they've drawn attention to themselves So what?.

Redeem your reputation by riding out the enormous fake story with the CIA at its heart; this is probably only the tip of the iceberg of the Osama kill. The murder was a staged delicately by Barack Obama and his handlers to kick off his reelection campaign. I missed the ceremony of Obama's actually handing his private parts to Gen. Petraeus, but apparently this happened early on in his presidency. The Commander-in-Chief has been commanded by his own general (with help from Gates and Mullen), and the revolting Hollywood-style "Kill Osama" spectacle was simply to make our Leader of the Free World appear more macho. The whole scenario is despicable and low-life, especially for a U.S. President. Fortunately, Obama's poll spike for authorizing the murder was short-lived. Americans were not going to bed thinking about or fearing bin Laden. We have been concerned about livelihoods. People with offices in D.C. wouldn't know anything about the real world, though.

The debt ceiling, Murdoch stories and even the Mid-East uprisings are significant, but they will wane. But the CIA's most recent debacle displays the underbelly of an organization so arrogant and putrid that you must unravel it.

 

DANIEL38

3:24 PM ET

July 18, 2011

Reality Check

6 billion people on the planet and counting. Why again do we want to vaccinate? If we were smart we would welcome disease.

 

COFFEPARTY

1:22 PM ET

August 9, 2011

Pakistan's fault for housing Bin Laden

All this stuff about the US having acted unlawfully for entering Pakistan, having spies and the fake vaccination program is a ludicrous song and dance routine designed to distract. They are of nothing compared to Pakistan's crime of housing America's No 1 enemy for many years. During this time Bin Laden helped plan (or at least inspire) further terrorist attacks. They need to face the music over this.

 

SHANDA HABERSHAM

11:50 PM ET

August 10, 2011

Shot in the back by the Taliban

A seven-year-old girl lacey duvalle was shot in the back during insurgent attacks in Kandahar, Afghanistan yesterday.

The girl is seen crying as she is stretchered into the back of an American medevac helicopter, with her father close by, clutching one of her cuddly toys.

The Taliban unleashed a major assault Saturday on government buildings throughout Kandahar, an attack that cast doubt on how successful the U.S.-
led coalition has been in its nearly yearlong military campaign to establish security and stability in the former Taliban stronghold. They don't see how the shooting could be considered accidental\.