Türkiye Nears Referendum on Erdogan’s Two-Decade Rule

A handout photograph taken and released on April 29, 2023 by the Press Office of the Presidency of Türkiye, shows Turkish President and leader of the Justice and Development (AK) Party, Recep Tayyip Erdogan (C), flanked by his wife Emine Erdogan (R), waving to citizens upon his arrival on stage for an electoral rally at Gundogdu Square in Izmir, on April 29, 2023. (Photo by Handout / Press Office of the Presidency of Türkiye / AFP)
A handout photograph taken and released on April 29, 2023 by the Press Office of the Presidency of Türkiye, shows Turkish President and leader of the Justice and Development (AK) Party, Recep Tayyip Erdogan (C), flanked by his wife Emine Erdogan (R), waving to citizens upon his arrival on stage for an electoral rally at Gundogdu Square in Izmir, on April 29, 2023. (Photo by Handout / Press Office of the Presidency of Türkiye / AFP)
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Türkiye Nears Referendum on Erdogan’s Two-Decade Rule

A handout photograph taken and released on April 29, 2023 by the Press Office of the Presidency of Türkiye, shows Turkish President and leader of the Justice and Development (AK) Party, Recep Tayyip Erdogan (C), flanked by his wife Emine Erdogan (R), waving to citizens upon his arrival on stage for an electoral rally at Gundogdu Square in Izmir, on April 29, 2023. (Photo by Handout / Press Office of the Presidency of Türkiye / AFP)
A handout photograph taken and released on April 29, 2023 by the Press Office of the Presidency of Türkiye, shows Turkish President and leader of the Justice and Development (AK) Party, Recep Tayyip Erdogan (C), flanked by his wife Emine Erdogan (R), waving to citizens upon his arrival on stage for an electoral rally at Gundogdu Square in Izmir, on April 29, 2023. (Photo by Handout / Press Office of the Presidency of Türkiye / AFP)

Turkish President Recep Tayyip Erdogan dives Sunday into the final two-week stretch before a momentous election that has turned into a referendum on his two decades of divisive but transformative rule.

The 69-year-old leader looked fighting fit as he strutted back on stage after a three-day illness and tossed flowers to rapturous crowds at an Istanbul aviation fest on Saturday.

It was the perfect venue for reminding Turks of all they had gained since his Islamic-rooted party ended years of secular rule and launched an era of economic revival and military might.

He was flanked by the president of Azerbaijan and the Ankara-backed premier of Libya -- two countries where drones built by his son-in-law's company helped swing the outcome of wars.

Istanbul itself has become a modern and chaotic megalopolis that has nearly doubled in size since Erdogan came to power in 2003.

But hiding beneath the surface are a more recent economic crisis and fierce social divisions that have given the May 14 parliamentary and presidential polls a powder keg feel.

'Political coup attempt'

The nation of 85 million appears as splintered as ever about whether Erdogan has done more harm than good in the only Muslim-majority country of the NATO defense bloc.

Polls show him running neck-and-neck against secular opposition leader Kemal Kilicdaroglu and his alliance of six disparate parties.

The entry of two minor candidates means that Erdogan and Kilicdaroglu will likely face each other again in a runoff on May 28.

But some of Erdogan's more hawkish ministers are sounding warnings about Washington leading Western efforts to undermine Türkiye’s might through the polls.

Interior Minister Suleyman Soylu referred Friday to US President Joe Biden's 2019 suggestion that Washington should embolden the opposition "to take on and defeat Erdogan".

"July 15 was their actual coup attempt," Soylu said of a failed 2016 military putsch that Erdogan blamed on a US-based Muslim preacher.

"And May 14 is their political coup attempt."

Splintered society

Erdogan continues to be lionized across more conservative swathes of Türkiye for unshackling religious restrictions and bringing modern homes and jobs to millions of people through construction and state investment.

Türkiye is now filled with hospitals and interconnected with airports and highways that stimulate trade and give the vast country a more inclusive feel.

He empowered conservative women by enabling them to stay veiled in school and in civil service -- a right that did not exist in the secular state created from the Ottoman Empire's ashes in 1923.

And he won early support from Türkiye’s long-repressed Kurdish minority by seeking a political solution to their armed struggle for an independent state that has claimed tens of thousands of lives.

But his equally passionate detractors point to a more authoritarian streak that emerged with the violent clampdown on protests in 2013 -- and became even more apparent with sweeping purges he unleashed after the failed 2016 coup attempt.

Erdogan turned against the Kurds and jailed or stripped tens of thousands of people of their state jobs on oblique "terror" charges that sent chills through Turkish society.

His penchant for campaigning and gift for public speaking enabled him to keep winning at the polls.

But the current vote is turning into his toughest because of a huge economic crisis that erupted in late 2021.

Democratic traditions

Erdogan's biggest problems started when he decided to defy the rules of economics by slashing interest rates to fight inflation.

The lira lost more than half its value and inflation hit an eye-popping 85 percent since his experiment began.

Millions lost their savings and fell into deep debt.

Polls show the economy worrying Turks more than any other issue -- a point not lost on Kilicdaroglu.

The 74-year-old former civil servant pledges to restore economic order and bring in vast sums from Western investors who fled the chaos of Erdogan's more recent rule.

Kilicdaroglu's party will send out 300,000 monitors to Türkiye’s 50,000 polling stations to guarantee a fair outcome on election day.

Opposition security pointman Oguz Kaan Salici sounded certain about a smooth transition should Erdogan lose.

"Power will change hands the way it did in 2002," he said of the year Erdogan's party first won.

A Western diplomatic source pointed to Türkiye’s strong tradition of respecting election results.

Erdogan's own supporters turned against him when the Turkish leader tried to annul the opposition's victory in 2019 mayoral elections in Istanbul.

But the source observed a note of worry among Erdogan's rank and file.

"For the first time, (ruling party) deputies are openly evoking the possibility of defeat," the source said.



Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
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Experts: Baby in Gaza Has Strain of Polio Linked to Mistakes in Eradication Campaign

The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed
The mother of Palestinian boy Abdul Rahman Abu Al-Jidyan, who is the first person to contract polio in Gaza in 25 years, gestures as she looks after him in their tent, in Deir Al-Balah, in the central Gaza Strip August 28, 2024. REUTERS/Ramadan Abed

The baby in Gaza who was recently paralyzed by polio was infected with a mutated strain of the virus that vaccinated people shed in their waste, according to scientists who say the case is the result of “an unqualified failure” of public health policy.
The infection, which marked the first detection of polio in the war-torn Palestinian territory in more than 25 years, paralyzed the lower part of one leg in the unvaccinated 10-month-old child. The baby boy was one of hundreds of thousands of children who missed vaccinations because of the fighting between Israel and Hamas.
Scientists who have been monitoring polio outbreaks said the baby's illness showed the failures of a global effort by the World Health Organization and its partners to fix serious problems in their otherwise largely successful eradication campaign, which has nearly wiped out the highly infectious disease. Separately, a draft report by experts deemed the WHO effort a failure and “a severe setback.”
The polio strain in question evolved from a weakened virus that was originally part of an oral vaccine credited with preventing millions of children worldwide from being paralyzed. But that virus was removed from the vaccine in 2016 in hopes of preventing vaccine-derived outbreaks.
Public health authorities knew that decision would leave people unprotected against that particular strain, but they thought they had a plan to ward off and quickly contain any outbreaks. Instead, the move resulted in a surge of thousands of cases, The Associated Press reported.
“It was a really horrible strategy,” said Columbia University virologist Vincent Racaniello, who was not involved with the report or the WHO. “The decision to switch vaccines was based on an incorrect assumption, and the result is now we have more polio and more paralyzed children.”
A draft copy of the report commissioned by the WHO and independent experts said the plan underestimated the amount of the strain in the environment and overestimated how well officials would be able to squash outbreaks.
The plan led to vaccine-linked polio outbreaks in 43 countries that paralyzed more than 3,300 children, the report concluded.
Even before the Gaza case was detected, officials reviewing the initiative to tinker with the vaccine concluded that “the worst-case scenario has materialized,” the report said.
The report has not yet been published, and some changes will likely be made before the final version is released next month, the WHO said.
The strain that infected the baby in Gaza had lingered in the environment and mutated into a version capable of starting outbreaks. It was traced to polio viruses spreading last year in Egypt, according to genetic sequencing, the WHO said.
In 2022, vaccine-linked polio viruses were found to be spreading in Britain, Israel and the US, where an unvaccinated man was paralyzed in upstate New York.
Scientists now worry that the emergence of polio in a war zone with an under-immunized population could fuel further spread.
Racaniello said the failure to track polio carefully and to sufficiently protect children against the strain removed from the vaccine has had devastating consequences.
“Only about 1% of polio cases are symptomatic, so 99% of infections are silently spreading the disease,” he said.
The oral polio vaccine, which contains a weakened live virus, was withdrawn in the US in 2000. Doctors continued to vaccinate children and eventually moved to an injected vaccine, which uses a dead virus and does not come with the risk that polio will be present in human waste. Such waste-borne virus could mutate into a form that triggers outbreaks in unvaccinated people.
The report's authors faulted leaders at the WHO and its partners, saying they were unable or unwilling “to recognize the seriousness of the evolving problem and take corrective action.”
WHO spokesman Oliver Rosenbauer acknowledged that the vaccine strategy “exacerbated” the risk of epidemics linked to the vaccine.
He said in an email that immunization “was not implemented in such a way to rapidly stop outbreaks or to prevent new strains from emerging.” Rosenbauer said not hitting vaccination targets was the biggest risk for allowing vaccine-linked viruses to emerge.
“You need to reach the children with the vaccines ... regardless of which vaccines are used,” he said.
The WHO estimates that 95% of the population needs to be immunized against polio to stop outbreaks. The UN health agency said only about 90% of Gaza’s population was vaccinated earlier this year.
To try to stop polio in Gaza and the wider region, the WHO and its partners plan two rounds of vaccination campaigns later this week and next month, aiming to cover 640,000 children. Authorities will use a newer version of the oral polio vaccine that targets the problematic strain. The weakened live virus in the new vaccine is less likely to cause vaccine-derived outbreaks, but they are still possible.
Racaniello said it was “unethical” that the WHO and its partners were using a vaccine that is unlicensed in rich countries precisely because it can increase the risk of polio in unvaccinated children.
The oral polio vaccine, which has reduced infections globally by more than 99%, is easy to make and distribute. Children require just two drops per dose that can be administered by volunteers. The oral vaccine is better at stopping transmission than the injected version, and it is cheaper and easier to administer.
But as the number of polio cases caused by the wild virus have plummeted in recent years, health officials have been struggling to contain the increasing spread of vaccine-linked cases, which now comprise the majority of polio infections in more than a dozen countries, in addition to Afghanistan and Pakistan, where transmission of the wild virus has never been stopped.
“This is the result of the Faustian bargain we made when we decided to use" the oral polio vaccine, said Dr. Paul Offit, director of the Vaccine Education Center at the University of Philadelphia. “If we really want to eradicate polio, then we need to stop using the vaccine with live (weakened) virus.”