Chinese Leader Xi Meets US National Security Adviser as the Two Powers Try to Avoid Conflict

In this photo released by Xinhua News Agency, Chinese President Xi Jinping, right, meets with White House national security adviser Jake Sullivan at the Great Hall of the People in Beijing, capital of China, Thursday, Aug. 29, 2024. (Li Xueren/Xinhua via AP)
In this photo released by Xinhua News Agency, Chinese President Xi Jinping, right, meets with White House national security adviser Jake Sullivan at the Great Hall of the People in Beijing, capital of China, Thursday, Aug. 29, 2024. (Li Xueren/Xinhua via AP)
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Chinese Leader Xi Meets US National Security Adviser as the Two Powers Try to Avoid Conflict

In this photo released by Xinhua News Agency, Chinese President Xi Jinping, right, meets with White House national security adviser Jake Sullivan at the Great Hall of the People in Beijing, capital of China, Thursday, Aug. 29, 2024. (Li Xueren/Xinhua via AP)
In this photo released by Xinhua News Agency, Chinese President Xi Jinping, right, meets with White House national security adviser Jake Sullivan at the Great Hall of the People in Beijing, capital of China, Thursday, Aug. 29, 2024. (Li Xueren/Xinhua via AP)

Chinese leader Xi Jinping met with US National Security Adviser Jake Sullivan on Thursday as the latter wound up a three-day visit with the stated aim of keeping communications open in a relationship that has become increasingly tense in recent years.
Sullivan, on his first trip to China as the main adviser to President Joe Biden on national security issues, earlier met with Chinese Foreign Minister Wang Yi and a top general from the Central Military Commission, The Associated Press said.
Starting with a trade war that dates back to 2018, China and the United States have grown at odds over a range of issues, from global security, such as China’s claims over the South China Sea, to industrial policy on electric vehicle and solar panel manufacturing. Sullivan’s trip this week is meant to keep the tensions from spiraling into conflict.
“We believe that competition with China does not have to lead to conflict or confrontation. The key is responsible management through diplomacy,” he told reporters at a news conference shortly before leaving Beijing.
Both governments are eager to keep relations on an even keel ahead of a change in the US presidency in January. They said they remain committed to managing the relationship, following up on a meeting between Xi and Biden in San Francisco last November.
“While great changes have taken place in the two countries and in China-US relations, China’s commitment to the goal of a stable, healthy and sustainable China-US relationship remains unchanged,” Xi said.
“President Biden is committed to responsibly managing this consequential relationship to ensure that competition does not veer into conflict or confrontation, and to work together where our interests align,” Sullivan said.
The two countries agreed to work toward a phone call between Xi and Biden in the coming weeks, and Sullivan indicated the two could meet in person at the Asia-Pacific Economic Cooperation or Group of 20 summits later this year.
“The likelihood is they’ll both be there and if they are, it would only be natural for them to have the chance to sit down with one another,” he said.
Xi and Sullivan’s meeting also touched on the issues of American citizens detained in China, on Taiwan and also on the clashes between China and Philippines in the South China Sea.
The two also discussed China’s support for Russia, as a recent US assessment found that the country was exporting technology that Russia uses to manufacture missiles, tanks and other weaponry. They also discussed efforts to end the Ukraine war, but Sullivan said they did not make any progress on that issue.
Sullivan said an agreement to have a call between the military commanders in the Indo-Pacific region was a “very positive outcome” of his meetings and that they hope to deepen military-to-military communication so it can be passed on to whoever succeeds Biden as president.
The decades-old issues surrounding Taiwan have taken renewed prominence as the island’s ties with China become increasingly strained over Beijing's claims that Taiwan is part of China.
Taiwan, a self-governing island that split from communist China in 1949, has rejected Beijing’s demands that it accept unification with the mainland. The US is obligated under a domestic law to provide the island with sufficient hardware and technology to deter invasion.
Danny Russel, a vice president at the Asia Society Policy Institute in New York and who served on the national security council in the Obama administration, said the meeting between Sullivan and Xi was particularly important because Sullivan was seen by the Chinese leadership as “a direct extension” of the US president and that Sullivan’s messaging was viewed as “coming straight from Biden.”
Sullivan also met one of China’s vice chairs of the Central Military Commission, Gen. Zhang Youxia, on Thursday morning — a rare meeting with a visiting US official.
Zhang said that reunification of Taiwan with the mainland is “the mission and responsibility” of the military, according to a statement from China’s Defense Ministry.
“China demands that the United States stop military collusion between the US and Taiwan, stop arming Taiwan and stop spreading false narratives about Taiwan,” the statement said, without elaborating on what the false narratives are.
Sullivan said “it is rare that we have the opportunity to have this kind of exchange” and underscored “the need for us to responsibly manage US-China relations.”
A White House statement said the two had “recognized the progress in sustained, regular military-military communications over the past 10 months” and noted an agreement announced the previous day to hold a telephone call between commanders at the theater-level in the near future. On Taiwan, the US statement said only that Sullivan had raised the importance of cross-Strait peace and stability.
China suspended communication between the two militaries and in a few other fields after a senior US lawmaker, then-House Speaker Nancy Pelosi, visited Taiwan in August 2022. Talks were only gradually resumed more than a year later, after Xi and Biden met outside San Francisco in November.
A theater-level call would be between Adm. Samuel Paparo, who heads the US Indo-Pacific Command in Hawaii, and his Chinese counterpart, said Russel, of the Asia Society Policy Institute.
“This theater command-level dialogue is critical for crisis prevention but something the Chinese military has been resisting,” said Russel, a former assistant US secretary of state for East Asian and Pacific affairs.
Paparo said this week that the US military is open to consultations about escorting Philippine ships in the South China Sea, where they have clashed with Chinese ships trying to block them from small islands and outcroppings that both countries claim.



There Is an Mpox Jab. Why Is It Taking So Long to Reach Africa? 

A Red Cross worker sprays chlorine as other Red Cross personnel raised awareness about mpox and hygiene among internally displaced people in the Don Bosco camps in Goma, Democratic Republic of Congo, 22 August 2024. (EPA)
A Red Cross worker sprays chlorine as other Red Cross personnel raised awareness about mpox and hygiene among internally displaced people in the Don Bosco camps in Goma, Democratic Republic of Congo, 22 August 2024. (EPA)
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There Is an Mpox Jab. Why Is It Taking So Long to Reach Africa? 

A Red Cross worker sprays chlorine as other Red Cross personnel raised awareness about mpox and hygiene among internally displaced people in the Don Bosco camps in Goma, Democratic Republic of Congo, 22 August 2024. (EPA)
A Red Cross worker sprays chlorine as other Red Cross personnel raised awareness about mpox and hygiene among internally displaced people in the Don Bosco camps in Goma, Democratic Republic of Congo, 22 August 2024. (EPA)

Mpox is nothing new to Africa yet there is no vaccine available on the continent, exposing rank inequity in global distribution as tens of richer nations inoculate people facing far less risk.

Experts say that inequality - alongside competing health problems and slow regulation - is putting millions of Africans in jeopardy, after scientists found the virus was now mutating fast, leaping from person to person and stealing over borders.

"The lack in the distribution of mpox vaccines in Africa is due to challenges in supply, funding, and infrastructure, and because the disease is less prevalent compared to other health priorities," Duduzile Ndwandwe, a scientist at the South African Medical Research Council (SAMARA), said in emailed comments.

Mpox had been circulating in the Democratic Republic of Congo since January last year but only became a grave concern this January when scientists spotted the worrying, new mutation.

Two mpox vaccines made by Denmark's Bavarian Nordic and Japan's KM Biologics used to combat a 2022 outbreak have been widely available in at least 70 countries outside Africa - even administered for free in some US and European clinics.

But before Nigeria received 10,000 doses from the United States this week, no mpox vaccine was available - in any country - in Africa, and the variant now circling vulnerable, displaced populations in DRC is even more virulent than previous strains.

'A SERIOUS EPIDEMIC'

Mpox, formerly known as monkey pox, has been a public health problem in parts of Africa since 1970, but received little global attention until an international outbreak in 2022.

It typically causes flu-like symptoms, pus-filled lesions and can kill. Protection costs about $100 a person.

Jimmy Whitworth, professor of epidemiology at the London School of Hygiene and Tropical Medicine, described the new variant, clade 1b pox, as "fairly lethal".

"This appears to be from sexual contact that it's spreading, and this time it is going from person to person," Whitworth said. "There's now a need to raise it to the priority list because this is a serious epidemic."

Since January 2023, there have been more than 27,000 suspected cases and 1,100 deaths in Congo, according to government figures, mainly among children.

The viral infection has spread from DRC to 12 neighboring countries, leading the World Health Organization (WHO) to designate the outbreak a public health emergency.

Many African nations are struggling to meet the challenge.

Whitworth said the $100 needed to distribute a dose of the vaccine is prohibitive for governments who must quash multiple threats - measles, malaria, cholera - with limited budgets.

"It is a huge expense to vaccinate just DRC. If you asked people in DRC last year what the higher priority was, 'was it the measles or mpox vaccine?' They would have said 'measles vaccine'. And so would anybody else in public health because that was a bigger threat then," the epidemiologist said.

National regulations are also a problem.

Despite the severity of the mpox crisis and the risk of it spreading across DRC's borders, local regulators only approved a vaccine in June with no date yet set for distribution.

WHY THE DELAY?

In 2022, two mpox vaccines, along with public health campaigns against risky behavior, effectively controlled an outbreak that had hit 100 countries globally.

But African countries have so far remained underserved, with efforts only now ramping up to bolster their protection.

Africa Centers for Disease Control and Prevention (Africa CDC) said it had been granted 9.34 million euros ($10.43 million) in emergency funding from the Africa Union for its mpox response and it said it would need 10 million doses of vaccines.

Bavarian Nordic said it can make 10 million doses of its vaccine by end-2025 and offered 2 million doses this year.

The WHO gave its partner agencies, including global vaccine organization Gavi and UNICEF, the go-ahead to buy mpox vaccines pre-approval to speed their delivery to Africa.

DRC had expected to receive its first vaccines in the week of Aug. 26 after the United States and Japan both promised deliveries, but has since said it would take longer.

European Union countries have also pledged donations to help Africa fight the current outbreak.

Whitworth said regulators in Rwanda, Burundi, Uganda and Kenya, all countries where cases have been detected, should approve vaccines urgently without waiting for a full outbreak.

"The vaccine isn't even licensed in those countries," said Whitworth. "Those countries ... need to speed up the process."

WEAK HEALTH SYSTEMS

Even pre-mpox, Congo's health system was at breaking point - weighed down by epidemics of measles and Ebola and years of conflict - and campaigners say short-term fixes won't work.

Katharina Schroeder from Save the Children said long-term investment in social welfare and healthcare infrastructure were vital to prevent future outbreaks, with many remote health centers lacking basic testing kits or trained staff.

"The health centers outside the city need to be equipped to triage patients ... because often they're looking for things like gloves and masks," Schroeder said.

Save the Children has been training staff on the disease, but even when diagnoses are successfully sped through, few sick patients can then afford to isolate for the mandated four weeks.

"They understand this is mpox, they understand this is dangerous for their family. But they still don't go into isolation because they live day by day. They don't have enough to eat," Schroeder said.