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Monday, September 27, 2010

Surviving asthma

I’m one of the 12 million Filipinos that suffer from asthma. Although doctors say no one is born with this disease, some of my most vivid recollections of my childhood years in the 1950s were visits to hospitals after suffering from asthma attacks.

I remember having to endure painful injections of I don’t know what medicine to combat the disease. I remember the acrid and nauseating odor of emitted by a smoldering mound of “Dr. Schiffman's Asthmador,” a grayish powder made from a concoction of leaves whose smoke I had to inhale so I could again breathe freely.

I remember my delight when the tablet “Asmasolon”(theophylline) entered my world  in the 1960s. It meant I no longer had to rely almost exclusively on the pungent odor of burning “Asthmador” since this tiny tablet would do its work.

But Asmasolon tasted so bitter I had to swallow it with sugar and with my eyes closed. I remember that some of my most fervent prayers to the Lord were to free me from asthma, Asthmador and Asmasolon.

I also remember how asthma affected my fondness for sports. When I was Grade 5 at the University of Santo Tomas, our physical education was a choice between basketball and baseball.

Our PE instructor had a simple method of determining who would go on to play basketball: anyone who could run crosscourt while dribbling the ball and not pant at the end went on to play.

I remember dribbling that ball but at midcourt began to pant so heavily I had to stop. Baseball became my sport, which was also good since my dad also loved baseball. I still wish baseball were our national sport, however.

I still have the disease but do not suffer as intensely as I did in my youth. Modern medicine has had a lot to do with this.

I bless those scientists and doctors that invented “salbutamol (Ventolin),” the fastest and most effective cure I’ve taken that combats my asthma. The salbutamol inhaler is a life-saver and I never leave home without it.

Salbutamol nebules, however, have done more to increase my life expectancy than any other form of medication. I have a nebulizer at home and my greatest fear is having a severe attack and finding the nebulizer won’t work. That would be lights out for me. For sure.

And one thing that also made it easier for me to cope with asthma, which generally struck  at night, was Mercury Drug having some of its key branches open 24 hours. My dad used to rush off to Mercury's Quiapo branch when attacks found me without, or with insufficient Ventolin.

I did the same for my mother, an asthmatic like myself, and remember hurrying off to Quiapo after midnight one stormy night to buy nebules for my mother.

Defined by asthma
It seems my childhood years were defined by my battle against asthma. Doctors say it’s a battle I can’t win since there is no cure for asthma. Asthma will most likely kill me one of these days. At least, that’s what the statistics indicate.

I don’t fancy an asthma attack so severe it causes a massive heart attack that does me in. The painful fight for every life-giving breath will reach so terrible a stage in a severe attack that the body’s final defense is to give in and die.

I guess death is the only real cure for asthma, and I guess this is where I’m headed somewhere along the short road ahead.

But I don’t dwell on the inevitable. Patients with fourth stage cancer are forced to treasure every dawn that dawns.

Asthmatics are compelled to see life in the same light, but not with the same dreadful urgency. I do treasure each day and praise my Lord with each wonderful dawn.

My asthma is nocturnal and is caused by dirty linen (pillow cases, blankets and bed sheets). I used to think dirty meant dirty, as in dirty caused by dust and dirt.

Now, I know that dirty really means linen infested by dust mites and their feces carrying allergens that trigger asthma. So, I have to sleep in clean beds.

In my bachelor days, this meant I had to be very picky about where I (and my partner) slept. That usually meant going to first class digs known for their first class linen.

I guess few things are more embarrassing than having an asthma attack in the middle of you know what. Thanks goodness this never happened, although the fear remained at the back of my mind during those treasured moments.

Pollution and asthma
Now, in my middle age I find my asthma attacks are no longer purely nocturnal. I’ve had an increasing number of attacks while walking in a place far from the safety of my home and nebulizer.

I know air pollution from vehicle exhausts is the new allergen that triggers most of these away-from-home-attacks. But I have to travel to Makati City to do work for my clients, so my salbutamol inhaler becomes a life-saving device that always goes with me.

It’s also somewhat disconcerting to realize that some doctors view asthma as a “polygenic condition,” that is, a disease carried by genes and that can be inherited and passed on, and can be complicated by environmental factors such as pollution.

It’s also worrisome to learn that asthma and other allergic diseases have been on a significant rise for the last 50 years.

The Global Initiative for Asthma (GINA) project that disseminates information on asthma care and the results of scientific investigations said several studies indicate that multiple genes may be involved in the pathogenesis of asthma.

It also said asthma became more complex in the presence of environmental triggers such as pollution that cause an asthma attack.

A Filipino pediatric geneticist believes asthma afflicts 155 million persons worldwide and that asthma cases are increasing in the Philippines.

It is comforting to note that nobody is born with asthma. One, however, can be born with the gene (or “genotype”) that causes asthma. It is this genotype triggered by environmental factors that causes asthma.

In 2003, the Asthma Genetics Group from the University of Oxford in the United Kingdom reported an asthma susceptibility gene, PHF 11, which comes from chromosome 13. The gene appears to regulate the blood B cells that produce immunoglobulin E, the allergic antibody.

The study said there are some 10 genes that have a significant effect on a person's susceptibility to asthma.

What worries me about these findings is that they confirm asthma is an inherited disease. The last thing I wanted was for any of my six children to inherit the disease.

Unfortunately, one has inherited my asthma but the average interval in her attacks, thankfully, is measured in years, not days. Thankfully, our nebulizer stands ready to serve us when the need arises.

I can’t say with confidence that my asthma helped make me a better writer since it took much of any physical activity out of my life. But I can’t also say that I wouldn’t have stayed at home as much and read as much if I were a more physically fit man.

If I were a lot more physical, I’d probably have learned to love baseball; studied “kendo” and played NFL football with like-minded Pinoys (Are there any out there?). I’d also have probably run a marathon, which is a great ambition I realize I shall never accomplish. Especially now.

But I've learned to live with asthma. Life's still a beautiful work-in-progress, and I thank God profusely for every days that dawns.

Thursday, August 26, 2010

Your “hidden hairs” and what to do about them

"Hidden hairs” tend to get a short shrift in polite Pinoy conversation. That’s understandable since “hidden hairs” are “secrets” best kept hidden, both literally and figuratively speaking.

But it’s as unwise to let your “hidden hairs”—your nose hair and ear hair—grow wild and free as it is to totally get rid of them. Hidden hairs do serve a healthful purpose, as do all the other kinds of hair on your body.

To start with, the problem with hidden hairs seems to be they’re embarrassing. Nose hairs are a problem that literally “lie hidden beneath your nose” until someone notices what look like spider legs crawling out of your nostrils. Ear hair, on the other hand, seems proof of the adage that “What you don’t know won’t hurt you,” meaning in this case that you can’t be unhappy with something you can’t see.

That is, until someone (hopefully, not the hot babe you’re dating) calls your attention to a garden of black shrubs sprouting out of your “tragus” (that rounded projection covering your ear canal). So, hidden hairs often become a real-world problem following a painful bout of public humiliation. Now what?

Don’t reach for the tweezers just yet. It pays to know something about the “enemy” you plan to eliminate. The first thing you’ve got to know is that hidden hairs are not your enemy. They might be embarrassing and might seem to have as useful a purpose as your appendix (a totally useless body part until it becomes infected), but they “Serve and Protect” like the upright policemen they really are. In sum, short hairs (like good cops) protect you from the dangers of the outside world.

The nose hair or olfactory cilia in the anterior nasal passage of each nostril is one of your body's first lines of defense against harmful environmental pathogens (germs, fungus and spores), and pollutants (dust, soot and particulate matter from exhaust fumes) that populate the dirty air we breathe nowadays.

When you inhale air through your nostrils, you also suck in whatever solid particles or pollution floats around in that air. Nasal hairs act as fibrous filters that help the nasal cavities and their mucus membranes (which secrete nasal mucus, a sticky substance) trap and prevent dangerous airborne particles from entering your respiratory system and making you sick. A lack of nasal hair could invite the transport of potentially harmful particles into the respiratory system.

"Air-conditioner"
Your can also consider your nose as an “air conditioner” and nose hair the filters in this air conditioner. This “air conditioning” is created both by the larger or macroscopic nose hair and by microscopic cellular strands or “nasal cilia” that line the interior of the nose. As inhaled air moves through the nasal passages, it is humidified by mucus and nose hair. Humidity is important because it prevents the respiratory system and nasal passage from drying up.

The nasal cilia also draw foreign particles and mucus up toward the oropharynx (the cavity formed by the pharynx at the back of the mouth) via a coordinated back-and-forth motion. At the oropharynx, these foreign particles and mucus are either swallowed or coughed out.

Filtered air continues towards the larynx and lungs. Nose hairs and cilia are, therefore, key defense mechanisms against harmful pathogens and solid particulate matter present in the air. This process, called inertial filtration, means the air we inhale into our lungs is very well cleaned.

That’s why some doctors discourage people from completely removing their nose hair either through plucking or cutting. Lightly trimming your nose hair using either a special scissors with rounded ends or rotary nose hair trimmers (manually operated or motorized) is the wisest choice, according to accepted wisdom.

On the other hand, some experts believe that although long nose hairs look unsightly, it would be best to allow their growth. A photo of Microsoft founder Bill Gates with blonde hairs sticking out of his nostril seems to vouch for this belief. Walking around in public with visible nose hairs, however, calls for superhuman courage in our perception-oriented society.

Frequent and constant nose hair plucking and cutting could weaken the respiratory system’s defenses and can cause breathing discomfort, according to some medical sources. Persons who choose to remove almost all their nose hair could also find themselves quite susceptible to allergy attacks, sinusitis and respiratory infections. Older people should minimize nose hair trimming because it often takes longer for the trimmed hairs to re-grow. Hence, the preference for light trimming.

An Adult Problem
While there’s a dearth of in-depth medical studies about nose hair, what’s out there suggests this problem occurs mainly among men beginning in their 30s and continues as they grow older. No one is quite sure what triggers this sudden growth, but one theory is that as men age, the hair follicles in their noses become more sensitive to the male hormone DHT (dihydrotestosterone) that stimulates unwanted hair growth. The exact relationship of DHT to nose (and ear) hair growth remains unclear, however.

And when is it time to trim nose hair? Before it becomes visible is the generally accepted answer. More specifically, it’s time to trim when nose hair falls below the line of the nostrils. Always avoid aggressive trimming inside the nasal cavities and don’t pluck out your nasal hair using your fingers or tweezers. This might lead to lesions that could result in a serious nose infection. And it’s a myth that nose hair (and ear hair) will grow back faster or thicker once you trim it.

What happens to the larger particles trapped in the nose by both the nose hairs and cilia? These wind up as “kulangot” (“snot,” “booger” or “bogey” in English). We expel boogers by nose picking (preferably in private) or by sneezing. Old dry mucus normally loosens on its own and causes a person to sneeze.

Sneezing forces out the old dry mucus through the nose. Once this is accomplished, new moist sticky mucus is forced to spread all over the nostril and nose hair, restoring the body’s first line of defense against air pollution.

Ear Hair: Not Your Crowning Glory
An American medical doctor described hidden hairs as “God’s little practical joke. . . He takes the hair from your head and puts it on your ears and nose.” Another pundit says the growth of nose and ear hair is the result of what he called “The Law of Conservation of Hair.” This “law” claims the loss of a man’s sexual energy as he ages is inversely proportional to the rate of growth of his nose and ear hair. That is, the less sexually active he is, the hairier are his nose and ears.

Kidding aside, it seems harder making a sound case for the benefits one derives from ear hair. The case for ear hair is similar to that for nose hair, however: ear hair filters out unwanted airborne particles from entering the human body, in this case the ears.

There is, however, no conclusive medical proof that men’s ears become hairier as they age. There is also no conclusive medical proof that having hairy ears makes one more susceptible to a heart attack. What is known is that some Asian ethnic groups (not Filipinos) seem more prone to having hairier ears.

Ear hair normally grows at two sites: the tragus (or the entrance of the ear) and the “pinna,” (or auricle) which is another term for the outer ear. Ear hair is more common in men than among women, for reasons that have yet to be fully explained. Some say this is another offshoot of DHT, the male hormone.

Plucking seems the best method of getting rid of unwanted ear hair regularly. Since you can’t do this efficiently by yourself, someone in your family or who loves you should do this for you. But the day when the average Pinay proves her love for her Pinoy boyfriend by plucking out his ear hairs is the day when the “uwak” turns into you know what color. It’s just not going to happen.

Monday, June 28, 2010

A bitter price Koreans must pay

(Published in the Philippine Daily Inquirer, June 1, 2010)

There will be no renewed fighting in the Korean War—halted by an Armistice since July 27, 1953—despite rapid preparations for war by both sides following the sinking of a South Korean warship by North Korea last March. North and South Korea never signed a formal peace treaty ending the Korean War (1950-1953). They remain technically at war, the world’s longest conventional war of the 20th century that has extended into the next.

It is ominous war clouds seem to be hovering over the peninsula as the world approaches the 60th anniversary of the start of the Korean War on June 25. Although military and political experts say war remains improbable, this latest escalation of tensions by Stalinist North Korea means similar provocations will recur in the future, probably in the Yellow Sea where the border separating both countries remains contested.

It seems almost certain one of these incidents could re-ignite a war that will re-shape Asia and the world in the first half of the 21st century. It is a war that might well weaken the economies of the U.S. and China (the world’s two largest) to such an extent a new and more horrible Great Depression will ravage the world unchecked.

Despite its overstretched armed forces fighting in Iraq and Afghanistan, the U.S.’ military leadership believes victory is possible in Korea given the U.S.’ immense superiority in military technology (especially those deployed by the U.S. Navy and Air Force). This reliance on sophisticated technology seems reasonable given that only 29,000 U.S. and 520,000 South Korean soldiers stand in the way of North Korea’s 1.2 million man mechanized army.

The world will definitely commemorate the 60th anniversary of the start of the Korean War on June 25. Further activities in September will mark the 60th anniversary of the landing of the first Filipino Battalion Combat Team (BCT) at Busan on September 19, 1950. Five BCTs mustering 7,500 officers and men from the Philippine Army served in Korea from 1950-55 as PEFTOK, the Philippine Expeditionary Force to Korea.

Delegations of our aging Korean War veterans are preparing to travel to a country where over 100 of their fellow soldiers died defending South Korea from aggression by communist China and North Korea. Some 400 Filipino soldiers were wounded in combat while 17 others remain missing-in-action to this day.

That Filipino veterans will march in celebrations honoring their noble sacrifice and that of the U.S., South Korea and 19 other countries that served under the United Nations Command is, however, sad proof only military power can guarantee peace in the Korean peninsula.

The unyielding aim of North Korea is to merge both Koreas under communism in a war of unification, the same aim it had in 1950. The goal of South Korea and the U.S. is to defeat this war of unification, thereby uniting Korea in the process.

But as the price of unification is renewed war, and since both foes are unwilling to risk that war, Korea must remain a divided country to maintain world peace. It is a bitter price the Korean people have to continue to pay. I sympathize greatly with the heroic Korean people.

Friday, April 30, 2010

The sons of great men


(Published in the Philippine Daily Inquirer, May 5, 2010)

THE ONLY CHILD (a son) of General of the Army Douglas MacArthur, arguably the greatest American general of the 20th century, was born in Manila on Feb. 21, 1938.

Arthur MacArthur IV
and 
his mother, Jean.
The life of Arthur MacArthur IV, however, remains a mystery to this day. His mother shielded Arthur from the public eye during his childhood, and Arthur developed a disdain for publicity in his later life. The elder MacArthur was apparently a doting father to Arthur: his love for Arthur was described as “relentless.”

In his twilight years, the elder MacArthur said he wanted his family to remember him more as a father than a soldier. “By profession I am a soldier and take pride in that fact. But I am prouder—infinitely prouder—to be a father. . . It is my hope that my son, when I am gone, will remember me not from the battle but in the home repeating with him our simple daily prayer, 'Our Father who art in heaven’.” Douglas MacArthur died in 1964.

The world, however, knows precious little about the only son of one of the greatest men of the 20th century. The world doesn’t even know if Arthur MacArthur remains alive today.

The younger MacArthur’s obscurity is intentional: he petitioned to have his family name changed. That petition was granted, so Arthur MacArthur now lives under a different name.

Many speculate about the real reason for Arthur rejecting his legacy of greatness. Some say he fled from the immense burden of living up to his father’s renown. Others say he wanted to be his own man.

Described as a “sensitive” child, the young MacArthur is thought to have become a musician, artist or writer. Some say he still lives in New York City, which is where his family lived in his younger years.

The son of a great man only has two choices: that of Arthur MacArthur’s or that of his father, Douglas, whose own father was a hero of the Civil War and recipient of the U.S. Congressional Medal of Honor. Douglas MacArthur chose to outshine his great father, Arthur, and he did.

The sons of great fathers--or great parents--carry a name that can either be a terrible curse or a goad to new greatness. And they must make a choice for which they will forever be faulted.

In choosing to follow a great father’s footsteps, a son is always held up to comparison by his father’s peers. Sadly, he will always be found wanting despite great personal success, and some will say he would not have succeeded were it not for his father’s fame.

In choosing to disregard the greatness of his father, however, a son is readily branded a failure. It is the most terrible of all epithets because it means a son is forever his father’s shadow and is thus inferior.

And it is painful being introduced time and again to strangers as, “Ang anak ni _________” ("This is _______'s son), instead of by one’s first name.

The son of a great man can do no more than light his own fire within his father’s giant shadow. And by stoking those embers into a brilliant light within that comforting darkness, proclaim his existence to a cynical world.

Sons of great men.




Saturday, April 10, 2010

Fight indoor air pollution

Home is both a haven and a personal heaven for many of us.

In today’s urban environment, however, the presence of harmful chemicals, noxious gases and disease-carrying vermin can inadvertently transform our “Home Sweet Home” into a “black hole” that actually traps various forms of pollution and endangers unwary families.

Our homes can sustain toxic mold spores and volatile organic compounds emitted by paint, endangering our health. It can also shut in life-threatening dioxins released by a variety of sources such as cigarette smoke and some plastics.

Just how serious is the problem of indoor air pollution that many urban Filipino families seem to take for granted?

The government estimates that urban indoor and outdoor air pollution accounts for some five percent of all reported disease cases and four percent of all reported deaths in the Philippines.

In the USA, the American Medical Association reported that one-third of the national health bill sprang from causes directly attributable to indoor air pollution. In addition, the U.S. Environmental Protection Agency has consistently ranked indoor air pollution among the top five environmental risks to public health.

The invisible enemy
Indoor air pollution is probably the Filipino family’s most insidious—and least known—enemy.

The causes of indoor air pollution in urban residential homes are either natural (house dust mites, for example) or “anthropogenic” or man-made (e.g. cigarette smoke). While natural causes appear more ubiquitous, it’s the man-made causes that pose the greater threat to a family’s health and well-being.

“Dust mites are the main cause of urban indoor air pollution in the Philippines—but only if no one in the house smokes,” said Dr. Wency Kiat, a toxicologist and pediatrician at the St. Luke’s Medical Center in Quezon City.

Dr. Kiat is the only toxicologist at St. Luke’s and one of only 20 toxicologists in this country. As a toxicologist, his job is to study the harmful interactions among chemical, physical or biological agents and biological systems. He also studies the nature and effects of poisons and their treatment.

Dust mites are microscopic and almost invisible insects that exist everywhere inside our homes. They feed on minute particles of organic matter such as human dander (or dead skin flakes), the main component of house dust.

Up to 90 percent of all house dust is actually human dander. Scientists estimate the entire outer layer of our skin is shed everyday or two at a rate of seven million skin flakes per minute

Dust mites excrete enzymes to digest dander, their favorite food. They expel these enzymes in their feces, which become part of house dust. Dust mites abound in pillow cases, blankets, bed sheets, beds, furniture and carpets.

Poisonous cigarettes
In homes with cigarette smokers, however, the danger from secondhand smoke outweighs that from dust mites.

Dr. Kiat described cigarette smoke as “poisonous” since it also contains “dioxins” among its 4,000 chemicals, 40 of which are known carcinogens.  Long-term exposure to dioxins, a probable carcinogen, can lead to an increased risk of cancerous tumors.

“Cigarette smoke is one of the most dangerous sources of indoor pollutants, especially for children,” he noted. “Children are the most vulnerable to secondhand or environmental tobacco smoke.”

As for dust mites, the problem they pose for Filipino families is their omnipresence and massive numbers that reach into the millions. Dust mites, more specifically their feces, are allergens known to trigger asthma and other allergic reactions when inhaled.

House dust heavily contaminated with dust mite feces is one of the most potent allergenic substances found indoors. Some 80 percent of asthma attacks are caused by dust mites. Dust mites can also cause eczema, hay fever and other allergic ailments.

“It’s all about the bed,” said Dr. Kiat referring to the dust mites’ favorite home.

He said that while dust mites may infest pillow cases and bed sheets, it’s the mattress that’s the main source of the asthmatic attacks and allergic reactions resulting from exposure to dust mites and their droppings. Scientists estimate that a mattress can harbor up to 10 million dust mites.

Dr. Kiat recommends cleaning mattresses every three to four months to curtail the spread of dust mites. Mattresses should be also be inverted every three to four months for the same reason.

Constant cleaning always
Constant cleaning is the best defense against dust mites and other pests such as roaches, Dr. Kiat believes.

He urges families to practice the “constant cleaning method,” that is, clean often, very often.

“Constant cleaning is hard at the start, but in the long-run it’s okay,” he pointed out.

When constant cleaning, you can either use water or water mixed with small amounts of bleach instead of disinfectants. Bleach evaporates much faster than disinfectants, which remain potent (and thus poisonous) for longer periods of time.

“Water is still the safest cleaner,” said Dr. Kiat.. “Avoid using chemicals, including disinfectants, when cleaning.”

He admitted it might be difficult for families accustomed to using strong bleaches and disinfectants to rely on water.

If there is a need to use a bleach in cleaning, however, follow the manufacturer's instructions to safely dilute the bleach in water.

But for Dr. Kiat, constant cleaning with water is to be preferred.

“If you have a clean home, why do you need to disinfect?”

Dangerous LPG
One of the most dangerous yet often overlooked sources of indoor air pollution is the kitchen, Dr. Kiat noted.

He singled out homes using liquefied petroleum gas (LPG) as particularly vulnerable to carbon monoxide poisoning. He urges LPG users to be constantly alert when using their LPG stoves or ranges.

The worst danger comes from the incomplete combustion of LPG. This inefficiency releases more carbon monoxide into the home. Carbon monoxide is the most lethal gas found in homes today.

“If the tip of the flame is persistently yellow, the flame liberates more carbon monoxide,” Dr. Kiat explained. “The flame should be bluish in color.”

Dr. Kiat warns that carbon monoxide is a colorless, odorless and tasteless poison that can kill quickly in closed (air conditioned) or improperly ventilated kitchens. He recommends opening the kitchen windows when burning LPG.

Tips for a safer indoors
Dr. Kiat gave these useful tips to make your indoor air healthier—and safer:

Practice constant cleaning to contain the health threat posed by dust mites and other household pests such as roaches, ants and rats.

When feasible, prefer natural air to air conditioned air.

Get rid of stuff you don’t need. A lot of clutter means a lot more insects, especially roaches. Unwanted stuff also traps a lot of indoor dust, which is mainly human dander that dust mites feed on.

If you must use an insecticide spray to get rid of mosquitoes or roaches, spray downwards towards the floor and not upwards towards the center of the room. This will limit the toxic danger present in any insecticide. Mosquitoes and roaches hide in dark places close to, or on the floor. Also, wear plastic gloves, goggles and a protective mask when spraying.

Sunday, February 14, 2010

-- Saints long dead --



ON WHAT SHOULD have been another pointless day, he found himself consumed by an intense surge of joy that bent the noonday light into a magical sphere enclosing them as they walked.

Inside this sphere that shut out the world, he heard nothing save the wondrous echo of her voice as it sang in his mind. They talked the mundane chatter of careless college students: the exam they hated; the Carpenters and Smokey Robinson; their graduation just months away.

Even the impending sadness of parting from her--perhaps forever, if he let it--seemed a pointless fear at this singular moment as she walked with him, seemingly his shadow.

He knew he could now tell her. He could, if he could keep his madly pounding heart from battering his brain senseless, making him an idiot powerless to speak those beloved words he had always wanted to say to her this past year.

He knew this was the last chance. He knew . . . he knew Fate would abandon him completely unless he bravely seized this singular moment.

The realization frightened him no end and, on this bright and magical day, made him more aware of the unworthy monster he knew he was.

She was the brightest girl in class and, to his spellbound eyes, the loveliest. He drowned happily in joy again and again as he stared at her so close beside him.

She turned that lovely face to him, saying words that shattered in the air before reaching his ears. He smiled modestly and saw nothing else on what should have been another pointless day save her delicate face whose cheeks were a bloom of pink; her lips an inviting crimson line.

Inside the university museum, their talk turned to the dank and musty surroundings. He stayed close beside her, wanting to hold her hand but afraid she would take offense and run away.

She paused before the cabinets housing stamps from centuries past, and asked him in a tone both surprised and hurt, why he disapproved of the way she dressed.

The shock of this unexpected remark struck a deathblow to his already senseless brain. He stood mute and bewildered, groping for words that would not forever destroy this singular moment.

She saw his confusion, turned her back to him and walked ahead towards the statues of saints centuries old, half hidden in the shadows. He followed like a wounded dog, commanding his numbed brain to compose a reply that would not add to his humiliation.


She turned that lovely face to him and asked if he would make the honors list this year.

No, he replied. He'd still be a few points shy, but he knew she would. Congratulations, he said.

She smiled modestly and suggested that perhaps their adviser could help his grades further along. She would talk to her if he wanted her to; she was her favorite.

"You shouldn't do these things for me," he pleaded. "I don't have the right to ask anything of you . . .

"You look marvelous in a mini, except that . . . other boys keep ogling you . . . and that hurts," he stuttered.

She gazed at him, surprised by his chaotic replies. But she at last knew that he did feel strongly for her. And that this confusion was another of his muted ways of conveying the similar emotion she had long felt for him but which she had kept in check.

She drew closer to him and let her right hand touch his glistening forehead. She ran her warm fingers slowly along the side of his face and over his scarred cheek.

He flinched, ashamed, and fought off the consuming urge to lift her hand away from his face.

"I understand," she gently told him. "And I don't care."

He embraced her tightly, suppressing his tears.

She parted her lips and they kissed passionately in the faint light--amid statues of saints long dead staring grimly at them.


Friday, February 12, 2010

The Silence of the Weak

On March 14, 1988, 20 months before the fall of the Berlin Wall signaled the death knell of communism in Europe, two of Asia’s four communist states decided to fight a naval battle over crude oil.

Communist China and Communist Vietnam sent their navies to the waters off our Kalayaan Municipality (part of the Spratly Archipelago) to seize what were apparently insignificant lumps of coral jutting out of the South China Sea.

But it wasn’t these calcified remains of billions of sea creatures China and Vietnam were after. It was what they believed lay buried tens of kilometers beneath these marine skeletons: the world’s fourth largest untapped reserves of crude oil and natural gas.

China calculates the Spratly’s oil and gas reserves at 18 billion tons compared to the 13 billion tons held by Kuwait, which constitute a tenth of the world's proven crude oil reserves. China also estimates the South China Sea holds combined fishing and oil and gas resources worth over $1 trillion.

And there’s also the Spratly’s strategic value to world trade: one fourth of the world’s crude oil transits the South China Sea on which it sits. More than 60% of China’s oil exports are transported by sea, most through the South China Sea.

It’s hardly surprising China fought a short but mutually damaging naval battle against her “fraternal neighbor” Vietnam in 1988. China and Vietnam claim the entire Spratly Archipelago, and have garrisoned some of those coral lumps to reinforce their territorial claims.

On March, 14, 1988, 10 Vietnamese soldiers planted their national flag on Johnson South Reef, a coral rock the Chinese claimed as their own. The 40 responding Chinese troops tried to haul down the Vietnamese flag.

Vietnamese soldiers resisted the desecration of their flag. A fistfight broke out followed by a firefight in which Chinese and Vietnamese soldiers were killed. Their warships soon joined the fray.

Since three missile-armed Chinese frigates were engaged against three almost defenseless Vietnamese troop transport ships and three lightly armed patrol boats, the result of the naval battle was never in doubt. The Vietnamese lost three transports sunk and suffered 60 dead. The Chinese lost six men but no ships.

What lessons?
What is disturbing about this sea battle, variously called “The Spratly Islands Naval Battle of 1988” or the “Johnson South Reef Skirmish,” is that it occurred inside Philippine territory.

So where was the Philippine Navy, protector of our waters and territorial integrity?

It’s a question still asked to this day. But since naval combat in 1988 was a game of numbers (the side with more firepower usually won), there was probably nothing our outgunned navy could have done to prevent this clash. And why prevent it at all since the antagonists—two communist states—were not on our side?

The lessons we should have learned from this incident have remained lessons because, 21 years on, the Philippines has not found the financial and material resources necessary to make the Navy a credible deterrent against a stronger power.

Yes, our navy does have an ongoing modernization program. But this means replacing old ships by 2017, so that by 2020 the Navy can boast of itself as a strong and credible navy the Philippines can be proud of.

The new ships that will join the Philippine Fleet will strengthen the Navy’s amphibious landing capability. The Navy’s key mission today is the rapid transport of Marines and Philippine Army troops to military hot spots in Mindanao and Sulu, or wherever desired.

In May 2009, the Navy took delivery of three new multi-purpose vessels that transport troops, combat equipment and light vehicles. These ships, however, will be used in counterinsurgency and to protect strategic marine assets like offshore oil fields.

These ships (or are they boats?) will be armed with machine guns, according to the media, and are thus useless for surface combat.

These new ships and others on the order book are apparently not designed for either sea control or force projection in distant waters like our Kalayaan Islands.

And they will certainly not be suitable for warfighting, especially against the People’s Liberation Army Navy (PLAN), or the navies of any of the four other claimants to the Spratlys (Vietnam, Taiwan, Malaysia and Brunei).

But, the Navy doesn’t have to outgun the PLAN. It only has to make the PLAN realize any naval engagement will be mutually damaging and not one sided in PLAN’s favor. It’s about credibility.

Littoral combat ships
In today’s modern navies, the word “littoral” has become associated with the high technology navy of the future. Littoral combat ships (LCS) are all the rage.

These small ships, built specifically to control littoral waters (or those close to shore), combine stealth technology with catamaran or trimaran hull forms that allow them to stay afloat in as little as four meters of water.

The PLAN has embraced the LCS as an essential part of its force structure. It has Asia’s most numerous LCS fleet: over 40 of its latest model, the Type 022 (Houbei-class) guided-missile fast attack craft (FAC), have been built and more are building. China has some 130 missile boats in total.

The mission of the fast, trimaran-hulled Type 022 missile boats can be compared to that of jet fighters: their sole reason for being is to destroy the enemy.

For this single-minded task, the Type 022’s main armament is a twin-launcher for anti-ship, land attack or surface-to-air missiles. It can carry up to eight missiles.

Its bow carries a turreted, six-barreled 30mm Gatling autocannon for suppressing enemy shore fire or engaging small enemy aircraft such as helicopters.

These 220-ton boats have a top speed of some 40 knots. The first Houbei FAC was launched in 2004 and some 40 are said to be operational today. Each boat carries a 12-man crew.

The Type 022’s mission is the active defense of China's near seas or littoral areas. They represent China’s attempts to gain greater sea control further from its coast, which can be taken to include our Kalayaan Islands.

The Type 022 is more heavily armed than any Philippine Navy fighting ship. None of our Navy’s ships are missile-armed, including its largest ship, the BRP Rajah Humabon, a frigate.

The main armament of the Rajah Humabon (launched in 1943) and the Navy’s 13 corvettes are medium caliber guns better suited to the fighting in World War 2. The Rajah Humabon’s main armament consists of three 3 inch guns.

As for the Navy’s 40 patrol boats, their weapons (heavy machine guns and light cannon) are worthless in surface combat.

The Philippine Navy has nothing like the Type 022—and apparently nothing remotely similar on order under its modernization plan.

The silence of the weak
China’s present economic success has led it to develop an insatiable hunger for resources such as crude oil and strategic metals. Despite the global financial crisis that crippled the U.S. and Europe, China’s economy is expected to grow by eight percent this year thanks to government stimulus packages.

China is widely expected to become the world’s largest economy by the next decade, displacing the U.S. Its GDP is again expected to grow near the 10% mark starting 2010. Its appetite for resources such as crude oil will, therefore, remain unchecked. Only the inevitable collapse of communism in China in the decade beginning 2010 can prevent China's continued military growth and territorial expansion into the Spratlys.

It is inevitable this powerful hunger for resources will again lead China to our door as it did in 1995 when she seized Mischief Reef from us without a fight. China might soon seek to impose its sovereignty on more islands in our Kalayaan Municipality, and that will mean confronting this country on the high seas.

What shall our brave Philippine Navy have on hand to counter PLAN battle fleets consisting of modern missile-armed destroyers and frigates, nimble Houbei-class FACs and virtually undetectable attack submarines when push comes to shove in the next 10 years?

Well . . . ?

Your silence speaks volumes.