Why is a third COVID-19 vaccine dose important for people who are immunocompromised?

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Emily Edwards, Monash University and Kylie Quinn, RMIT UniversityA number of countries including the United States and the United Kingdom are moving to make a third dose of COVID-19 vaccine available to people who are immunocompromised.

But why are people with weaker immune systems at the front of the queue for a third dose?

As we continue to roll out COVID-19 vaccines around the world, emerging data is showing those who are immunocompromised aren’t necessarily as well protected by the first two doses.

So for these people, a third dose, sooner rather than later, could be particularly beneficial.

First, who is ‘immunocompromised’?

People who are immunocompromised have conditions called immunodeficiencies, where part of their immune system is missing or not functioning as well as it should.

Around 2.8% of adults in the US are immunocompromised. We expect the rate is similar in Australia.

Immunodeficiencies are broadly divided into two categories:

• primary immunodeficiencies are very rare, often inherited conditions caused by mutations in our DNA
• secondary immunodeficiencies are more common and are acquired after birth. Factors that can cause secondary immunodeficiency include malnutrition, certain infections, cancer, and some drug treatments.

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Immunodeficiencies vary in severity, depending on what part of the immune system is missing or the degree of function lost.

The moderate to severe end of the spectrum includes serious forms of primary immunodeficiencies, untreated human immunodeficiency virus (HIV) infection, organ or bone marrow transplant recipients, and people treated with chemotherapy or high doses of immunosuppressive drugs.

We know severely immunocompromised people are susceptible to more severe and prolonged illness with COVID-19.

A person undergoing cancer treatment could be immunocompromised.
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How well do COVID-19 vaccines work in immunocompromised people?

A preprint (a study yet to undergo peer review) from the UK shows the Pfizer and AstraZeneca vaccines are 73% and 74.6% effective in preventing symptomatic COVID-19 in immunocompromised people respectively.

However, several published and emerging studies are reporting that people who are severely immunocompromised have very high rates of “breakthrough” infections (where people become infected despite being fully vaccinated). This clearly signals COVID-19 vaccines aren’t working optimally in this group.

Some people with primary immunodeficiencies can generate immune responses to COVID-19 vaccines, but these responses tend to be lower than what we’re seeing in healthy people. This decreased immunity could lead to increased breakthrough infections.

Normally, after one dose of the Pfizer vaccine, nearly 100% of healthy people will make detectable levels of antibodies against the virus.

But in a trial with organ transplant recipients, only 4% of people generated a detectable immune response after one dose, increasing to 40% after two doses and 68% after three doses.

So a third dose is likely to provide significant benefit to severely immunocompromised patients.

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Read more:
We don’t yet know how effective COVID vaccines are for people with immune deficiencies. But we know they’re safe — and worthwhile

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Notably, immunocompromised people are already given additional doses of some vaccines.

For example, it’s recommended people who have received a bone marrow transplant receive two doses of the influenza vaccine in the first year after the transplant, instead of the usual single dose.

What about third doses in other people?

In addition to classic immunodeficiencies, ageing can lead to a modest immune deficit. In turn, older people are more susceptible to some infections, including COVID-19.

Studies with the Pfizer vaccine show immune responses are lower in older people compared to younger people. Pfizer has shared early data showing a third dose of their vaccine can increase immunity in 65 to 85-year-olds.

Some countries are starting to offer third doses to older people. For example, Israel started delivering third doses to people over 60 in late July (before opening boosters up to younger age groups during August).

However, double and even single doses of the Pfizer or AstraZeneca vaccines very effectively protect against severe disease with COVID-19 among older people. So it’s still unclear whether this is urgently needed.

A third dose for all ages could ultimately be used to generate optimal immunity against COVID-19. Some preprint studies suggest immunity can modestly decline by about three months after the second dose.

Pfizer has shared preliminary data showing a third dose can boost immunity in healthy people.

But the rollout of third doses to a broader range of people in higher-income countries has implications for vaccine equity. The World Health Organization Director General, Tedros Adhanom Ghebreyesus, has led calls to pause third doses until more people in lower and middle income countries are able to access vaccines.

However, he specified immunocompromised people should have access to a third dose.

When might third doses be offered in Australia?

In Australia, a third dose of a vaccine may be offered to immunocompromised people, and possibly eventually to everyone. Some media reports have suggested this may be months away. Health Minister Greg Hunt has indicated current vaccine agreements have factored in the possibility of boosting.

A shift to third doses would need approval from the Australian regulatory and vaccine advisory bodies, and would probably focus on immunocompromised and other high-risk people initially.

A third dose of a variant-specific vaccine could also be an option in the future. These vaccines can deliver an updated version of the virus “antigen” — the target our immune system learns to recognise on the surface of the virus — to refocus our immune system on new strains like Delta.

This approach would be similar to our yearly update of the flu vaccine. Pfizer, Moderna and other vaccine manufacturers have variant-specific COVID-19 vaccines in clinical testing.

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Read more:
Immunocompromised people make up nearly half of COVID-19 breakthrough hospitalizations – an extra vaccine dose may help

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Even with a third dose, other measures will continue to be important in protecting immunocompromised people from COVID-19. These include “shielding” (staying at home and minimising face-to-face contact with others), immunoglobulin replacement treatment (which replaces antibodies needed to fight disease), and high vaccine uptake among the rest of the community.

But it’s clear a third dose would be uniquely beneficial for this group.

Emily Edwards, Research fellow, Allergy and Clinical Immunology Laboratory, Monash University and Kylie Quinn, Vice-Chancellor’s Research Fellow, School of Health and Biomedical Sciences, RMIT University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Chinese Christians Blocked from Attending Lausanne Congress

Police threaten or detain some 200 house church members who planned to attend.

DUBLIN, October 15 (CDN) — As organizers prepared for the opening of the Third Lausanne International Congress on World Evangelization tomorrow in Cape Town, South Africa, Chinese police threatened or detained some 200 delegates who had hoped to attend.

After receiving an invitation to attend the event, house church groups in China formed a selection committee and raised significant funds to pay the expenses of their chosen delegates, a source told Compass. Many delegates, however, were “interviewed” by authorities after they applied to attend the Congress, the source said.

When house church member Abraham Liu Guan and four other delegates attempted to leave China via Beijing airport on Sunday (Oct. 10), authorities refused to allow them through customs, reported the Chinese-language Ming Pao News. Officials detained one delegate and confiscated the passports of the other four until Oct. 25, the closing date of the conference.

China’s State Administration for Religious Affairs and the Ministry of Public Security had notified border control staff that the participation of Chinese Christians in the conference threatened state security and ordered them not to allow delegates to leave, Liu told U.S.-based National Public Radio (NPR).

Officials also prevented two house church Christians from Baotou City, Inner Mongolia, from leaving the country, and on Oct. 9 placed one of them in a 15-day detention, the China Aid Association (CAA) reported.

When Fan Yafeng, leader of the Chinese Christian Legal Defense Association and winner of the 2009 John Leland Religious Liberty Award, discussed the harassment with NPR on Tuesday (Oct. 12), officials assigned some 20 police officers to keep him under house arrest.

On Wednesday (Oct. 13), approximately 1,000 police officers were stationed at Beijing International Airport to restrain an estimated 100 house church members who planned to leave for the Congress via Beijing, according to CAA.

CAA also said authorities over the past few months had contacted every delegate, from Han Christians in Beijing to Uyghur Christians in Xinjiang, for questioning, and threatened some family members.

Normal church operations were also affected. The Rev. Xing Jingfu from Changsha in Hunan province told NPR that authorities cited the Lausanne Congress when they recently ordered his church to close.

China’s Foreign Ministry spokesman, Ma Zhaoxu, in a statement issued to NPR, accused the Lausanne Committee for World Evangelization of communicating secretively with members of illegal congregations and not issuing an official invitation to China’s state-controlled church.

According to the Ming Pao report, the Lausanne committee said members of the Three-Self Protestant Movement had asked if they could attend. Delegates, however, were required to sign a document expressing their commitment to evangelism, which members of official churches could not do due to regulations such as an upper limit on the number of people in each church, state certification for preachers, and the confinement of preaching to designated churches in designated areas. House church Christians faced no such limitations.

The first such conference was held in Lausanne, Switzerland in 1974, which produced the influential Lausanne Covenant. The second conference was held in 1989 in Manila. Some 4,000 delegates from 200 countries are expected to attend the third conference in Cape Town.

 

Progress or Repression?

China watchers said there has been a slight easing of restrictions in recent months, accompanied by a call on Sept. 28 from senior Chinese political advisor Du Qinglin for the government to allow the independent development of the official church. Du made the remarks at the 60th anniversary celebrations of the Three-Self Patriotic Movement, according to the government-allied Xinhua news agency.

The BBC in August produced a glowing series on the growth of Christianity in China after Chinese authorities gave it unprecedented access to state-sanctioned churches and religious institutions. Religious rights monitor Elizabeth Kendal, however, described this access as part of a propaganda campaign by the Chinese government to reduce criticism of religious freedom policies.

NPR also produced a five-part series on Chinese religions in July. The series attributed the growth of religious adherence to the “collapse of Communist ideology” and pointed out that growth continued despite the fact that evangelism was “still illegal in China today.”

The claims of progress were challenged by an open letter from Pastor Zhang Mingxuan, president of the Chinese Christian House Church Alliance, to Chinese President Hu Jintao on Oct. 1, China’s National Day.

In the letter, published by CAA on Oct. 5, Zhang claimed that Chinese house church Christians respected the law and were “model citizens,” and yet they had become “the target of a group of government bandits … [who] often arrest and beat innocent Christians and wronged citizens.” Further, he added, “House church Christians have been ill-treated simply because they are petitioners to crimes of the government.”

Zhang then listed several recent incidents in which Christians were arrested and sent to labor camps, detained and fined without cause, beaten, interrogated and otherwise abused. He also described the closure or demolition of house churches and the confiscation of personal and church property.

He closed with a mention of Uyghur Christian Alimjan Yimit, “who was sentenced to 15 years in prison because he evangelized among Uyghurs – his very own people.”

Report from Compass Direct News

Hung Parliament Likely in Australian Federal Election

Greens and Independents to Hold Balance of Power in Both Houses

It would seem that the likely outcome of the 2010 federal election in Australia is that of a hung parliament, with government going to the party that gains the support of one or two possible Greens members of parliament in the lower house, and three other independent members of parliament in the lower house. It seems likely that the Greens will hold the balance of power in the Senate.

The Greens have now clearly become the third major political party behind the Australian Labor Party (ALP) and the Liberal Party (Lib) – National Party (Nat) coalition. They have now gained a representative in the lower house with the seat of Melbourne in Victoria falling to Adam Bandt. It is possible that the seat of Grayndler in New South wales (NSW) could also fall to the Greens, with ALP member Anthony Albanese in a close fight with Sam Byrne of the Greens.

The three other certain independents, all former National Party members, are Bob Katter (Kennedy – Queensland, Tony Windsor (New England – NSW) and Rob Oakeshott (Lyne – NSW)

The ALP has also lost large numbers of seats in Queensland ( QLD – Flynn, Leichhardt, Forde, Bonner, Dickson, Herbert, Longman, Brisbane and Dawson) and seats in NSW (Bennelong, Macarthur, Macquarie and Gilmore), one in the Northern Territory (Solomon), one in Western Australia (Hasluck) and possibly one in Tasmania (Denison) to independent Andrew Wilkie. It would seem that a total of 18 or 19 seats have been lost by the ALP. They have gained two in Victoria, winning La Trobe and McEwan.

The ALP’s greatest hope would seem to be the seat of Boothby in South Australia, which still appears too close too call. At this stage Denison in Tasmania remains an ALP seat, but it also remains too close to call.

It seems to me that there will be 73 seats to the ALP (possibly 72 if Grayndler falls to the Greens in NSW), 73 seats to the Coalition, one seat to the Greens (possibly 2 if they pick up Grayndler in NSW – who would lean to the ALP) and 3 to the Independents (all formerly National Party members who would likely lean to the Coalition). If these predictions prove to be true, it would seem that the Coalition will be able to form a minority government with the support of the Independents.

After the promise of the ALP in the previous election and the result that occured, the ALP should have held office for at least two terms. However, the ALP has failed to deliver and instead gave Australia a very lazy, poor and mediocre government. Under Kevin Rudd the ALP successfully steered Australia through the financial crisis, for which Australians should be very thankful. However, there has also been poor management of ecomomic stimulus projects, environmental issues and other projects, which have left many Australians disillusioned with the government. This of course led to the downfall of Kevin Rudd prior to the election and the elevation of Julia Gillard to the Prime Ministership of the country. This was too little too late to save the ALP from electoral disaster and the Australian people have delivered swift punishment for their failure to deliver what we had hoped for under the Kevin Rudd led ALP government.

Perhaps the experience of a hung parliament and a minority government, from whichever side of politics, will result in someone or some party standing up with a real commitment to governance and leadership in Australia. At the moment there seems little of both and the Australian people are largely disillusioned with both major parties. The ALP should prepare itself for major defeats in state elections over the next couple of years, especially in New South Wales and Queensland, where voters are fed up with poor government – not that the alternatives are much better.

Morocco Continues to Purge Nation of Foreign Christians

New wave of deportations raises concerns for foreigners married to Moroccans.

ISTANBUL, July 1 (CDN) — Moroccan authorities expelled eight more foreign Christians from the country last weekend, bringing the total of deported Christians since March to 128.

Two foreign women married to Moroccan Christians were included in this third wave of deportations since March, raising concerns that local authorities intend to harass the country’s small but growing Protestant community.

“They are all in fear,” a source told Compass, “because this happened to people who are married.”

One of the women, a Lebanese national married to a Moroccan, was diagnosed with cancer last month and is the mother of a 6-year old girl whom she was forced to leave behind.

A Spanish national, Sara Domene, 31, was also deported on Monday (June 28), according to news sources. Domene was working as a language teacher in the Western Sahara, a territory under Moroccan sovereignty.

Authorities called the foreigners to police stations across Morocco on Friday (June 25) and told them they had 48 hours to leave the country on grounds of “threatening public order.”

Other nationals who were forced to leave the country over the weekend came from France, Egypt, Lebanon, Switzerland, Nigeria and Spain.

A source explained that Moroccan authorities are essentially deporting Christians for “proselytism,” which is illegal in Morocco, but in order to justify the deportations they have claimed that the foreigners pose a threat to the state.

In April nearly 7,000 Muslim religious leaders backed the deportations by signing a document describing the work of Christians within Morocco as “moral rape” and “religious terrorism.” The statement from the religious leaders came amid a nationwide mudslinging campaign geared to vilify Christians in Morocco for “proselytism” – widely perceived as bribing people to change their faith.

There are an estimated 1,000 Moroccan Christian converts in the country. They are not recognized by the government. About 99 percent of Morocco’s population of more than 33 million is Muslim.

 

Congressional Hearings

On June 17, the Tom Lantos Human Rights Commission held a U.S. congressional hearing on the ongoing deportations of U.S. citizens and other foreigners from Morocco.

Morocco has expelled about 58 U.S. citizens in the last four months. On Thursday (June 24) authorities informed about 10 U.S. citizens that they had 48 hours to leave the country, but within 24 hours the deportation orders were rescinded.

In a statement after the June 17 hearing, Rep. Frank Wolf (R-Va.), who co-chairs the Lantos commission, said he would lobby for the U.S. government to withhold funds it has pledged to Morocco if he did not see improvements in the treatment of Christians there.

“I will continue to stay with this issue until a resolution has been reached,” he said. “Should this matter remain unresolved, it is possible that I may offer amendments in the Appropriations committee and on the House floor to restrict U.S. foreign aid from going to Morocco.”

In a letter addressed to the Tom Lantos Human Rights Commission on June 17, Ambassador of Morocco to the United States Aziz Mekouar claimed that the deportations “solely and exclusively targeted proselytism activities, which are clearly and categorically forbidden by the laws of Morocco and the precepts of Islam.”

The ambassador said the Moroccan Penal Code imposes fines and prison sentences for those who “use means of seduction in the aim of undermining a Muslim’s faith or of converting him/her to another religion, either by exploiting his weaknesses or needs, or through the use, to this end, of health or educational establishments, as well as shelters or orphanages.”

Moroccan authorities have failed to provide foreign Christians whom they expelled with documented proof or official charges of their alleged proselytism activities. In his letter, the ambassador said the deportations were preferable to the “difficult ordeal” of incarceration and a trial as part of a criminal procedure against the Christians.

Wolf noted that that among those who were deported or denied reentry were businessmen, educators and humanitarian and social workers, “many of whom had resided in Morocco for over a decade in full compliance with the law. Additionally, those deported were forced to leave the country within two hours of being questioned by authorities, leaving everything behind.”

Christian foreigners who were able to obtain official deportation documents have appealed their cases in the Moroccan courts. The hearings for those cases started in May and are continuing.

Report from Compass Direct News

‘Pinpricks’ of Truth Making Way into North Korea

Citizens increasingly enlightened about world’s worst violator of religious freedom.

DUBLIN, April 26 (CDN) — As refugees from North Korea and activists from Non-Governmental Organizations (NGOs) gather in Seoul, South Korea this week to highlight human rights violations in the hermit kingdom, there are signs that North Korean citizens are accessing more truth than was previously thought.

A recent survey by the Peterson Institute found that a startling 60 percent of North Koreans now have access to information outside of government propaganda.

“North Koreans are increasingly finding out that their misery is a direct result of the Kim Jong-Il regime, not South Korea and America as we were brainwashed from birth to believe,” Kim Seung Min of Free North Korea Radio said in a press statement. The radio station is a partner in the North Korea Freedom Coalition (NKFC), which is holding its annual North Korea Freedom Week (NKFW) in Seoul rather than Washington, D.C. for the first time in the seven-year history of the event.

“We set out to double the radio listenership of 8 or 9 percent, and we’ve seen a dramatic increase in the number of people who have access to information,” said NKFC Co-Chair Suzanne Scholte. She described the flow of information as “pinpricks in a dark veil over North Korea. Now those pinpricks are becoming huge holes.”

The radio station now air-drops radios into North Korea and broadcasts into the country for five hours a day, adding to information gleaned by refugees and merchants who cross the border regularly to buy Chinese goods.

In recent years the government has been forced to allow a limited market economy, but trade has brought with it illegal technology such as VCR machines, televisions, radios and cell phones that can detect signals from across the border. Previously all televisions and radios available in North Korea could only receive official frequencies. 

“The government hasn’t been able to stamp out the markets, so they begrudgingly allow them to continue,” Scholte confirmed. “This means North Koreans aren’t relying solely on the regime anymore.”

Holding the annual event in Seoul this year sends a significant message, Scholte told Compass.

“This is a spiritual conflict as well as a physical one – some people didn’t want us to call it freedom week,” she said. “But we’re making a statement … God gives us freedom by the very nature of being human and North Koreans are entitled to that too.”

All people say they would never allow the World War II holocaust to be repeated, Scholte said, “but this is a holocaust, a genocide. I firmly believe we will be judged if we fail to intervene.”

The coalition hopes this week’s event will empower the 17,000 strong North Korean defectors in South Korea, awaken the consciousness of the world about human rights conditions in North Korea, and inform all who are suffering in North Korea that others will “work together until the day their freedom, human rights and dignity are realized,” Scholte said in the press statement.

As part of the week’s activities, the coalition will send leaflets into North Korea via balloon stating in part, “In the same year the Universal Declaration of Human Rights was passed, Kim Il-Sung was ensuring that you wouldn’t have any of those rights.”

Religious freedom in particular is almost non-existent. The only accepted belief is Juche – an ideology that strictly enforces worship of the country’s leaders.

“The regime is a perversion of Christianity,” Scholte told Compass. Juche has a holy trinity just as Christianity does, with Father Kim Il-Sung, son Kim Jong-Il, and the spirit of Juche said to give strength to the people.

“Kim Il-Sung is God; a real God can’t replace him,” a former North Korean security agent confirmed in David Hawke’s 2005 report, “A Prison Without Bars.”

While four churches exist in the capital, Pyongyang, experts believe these are largely showpieces for foreign visitors.

The government has allowed token visits from high-profile foreign Christians such as Franklin Graham, president of the Billy Graham Evangelistic Association, who preached at Bongsu Protestant church in Pyongyang in August 2008; and two U.S. Christian bands, Casting Crowns and Annie Moses, attended and won awards at the Spring Friendship Arts Festival in April 2009.

Worship outside limited official venues is simply not tolerated, giving North Korea first place on Christian support organization Open Doors’ 2010 World Watch List for persecution of Christians.

Ordinary citizens caught with a Bible or in a clandestine prayer meeting are immediately labeled members of the hostile class and either executed or placed in prison labor camps, along with three generations of their immediate family. Every North Korean belongs to either the “hostile,” “wavering” or “core” class, affecting privileges from food and housing to education and physical freedom, according to Hawke’s report.

There are no churches outside the capital, but the regime in 2001 estimated there were 12,000 Protestants and 800 Catholics in North Korea. In July 2002 the government also reported the existence of 500 vaguely-defined “family worship centers” catering to a population of approximately 22.7 million, according to a September 2009 International Religious Freedom report issued by the U.S. State Department.

By contrast, South Korea’s Dong-A Ilbo newspaper in July 2009 put the estimate at 30,000 Christians, some NGOs and academics estimate there may be up to several hundred thousand underground Christians.

Uncertain Future

As North Korea celebrated the birthday of Kim Jong-Il on Feb. 16, rumors spread that the elderly leader, currently battling heart problems, had chosen third son Kim Jong-Eun as his successor.

Documents extolling the virtues of Kim Jong-Eun began circulating as early as November, according to the Daily NK online news agency. An official “education” campaign for elite officials began in January and was extended to lesser officials in March. One document obtained by the agency described the “Youth Captain” as being “the embodiment of Kim Il-Sung’s appearance and ideology.”

“Kim picked this son because he’s ruthless and evil,” Scholte said, “but I don’t think they’re quite ready to hand over to him yet. There is an uncertainty, a vulnerability.”

Scholte believes this is the ideal time to “reach out, get information in there and push every possible way.”

“There are many double-thinkers among the elite,” she explained. “They know the regime is wrong, but they have the Mercedes, the education for their kids and so on, so they have no incentive to leave.”

The coalition is trying to persuade South Korea to establish a criminal tribunal, she said.

“North Koreans are actually citizens of South Korea by law,” she said. “We have to let these guys know there’s going to be a reckoning, to create a good reason for them not to cooperate [with authorities].”

Those in other countries have an obligation too, Scholte concluded. “When people walk out of the camps, it will haunt us. They’ll want to know, ‘What were you doing?’ We will be held accountable.”

Article 26 of North Korea’s constitution declares that the people have freedom of religion. The organizers of this year’s freedom week fervently hope that this declaration will soon become a reality.

SIDEBAR

The Cross at the Border: China’s Complicity in Refugees’ Suffering

Non-Governmental Organizations (NGOs) estimate anywhere from 30,000 to 250,000 refugees from North Korea are living in China, either in border areas or deeper inland. Few are Christians when they emerge from North Korea, but the whispered advice among refugees is to “head for a cross,” signaling a Chinese church that may assist them, according to a February 2009 National Geographic report.

Since China will not allow the United Nations High Commissioner for Refugees access to border areas, Chinese Christians work with Christian NGOs to provide an “underground railroad” moving refugees via several routes to safety, most often in South Korea.

Chun Ki-Won, director of Christian NGO Durihana, admits that some of the refugees adopt Christianity to win favor with their rescuers, but others retain and strengthen their faith on arrival in South Korea.

China insists that the refugees are economic migrants and pays police a bounty to arrest and return them to North Korea. On arrival, North Korean officials pointedly question the refugees about contact with Chinese Christians or Christian NGOs. If any contact is admitted, execution or imprisonment is likely, according to David Hawke’s 2005 report, “A Prison Without Bars.”

As one refugee told Hawke, “Having faith in God is an act of espionage.”

Still others choose to return to North Korea with Bibles and other Christian resources at great risk to themselves. For example, officials in June 2009 publicly executed Ri Hyon-Ok, caught distributing Bibles in Ryongchon, a city near the Chinese border, South Korean activists reported.

China remains impervious to the refugees’ plight.

“China fears being flooded by refugees if they show compassion,” said Suzanne Scholte, co-chair of the North Korea Freedom Coalition. “But refugee flows aren’t going to collapse the [North Korean] regime. If that was going to happen, it would have happened already during the famine, so their argument doesn’t hold water.”

She added that North Koreans don’t want to leave. “They leave because of Kim Jong-Il,” she said. “Those [North Korean refugees] in South Korea want to go back and take freedom with them.”

Two U.S. Christians entered North Korea in recent months with the same goal in mind. Robert Park, an evangelical Christian missionary, crossed the border on Dec. 25 with a letter calling for Kim Jong-Il to resign.

Officials immediately arrested Park, according to the regime’s Korean Central News Agency. He was later sentenced to eight years of hard labor but released in late February after making what many experts believe was a forced confession.

Fellow activist Aijalon Mahli Gomes entered North Korea on Jan. 25, the same news agency reported. Officials sentenced Gomes to nine years of hard labor and fined him 70 million new Won (US$518,520). At press time Gomes remained in detention.

Report from Compass Direct News 

Anti-Christian Sentiment Marks Journey for Bhutan’s Exiles

Forced from Buddhist homeland, dangers arise in Hindu-majority Nepal.

KATHMANDU, Nepal, February 23 (CDN) — Thrust from their homes in Bhutan after Buddhist rulers embarked on an ethnic and religious purge, Christian refugees in Nepal face hostilities from Hindus and others.

In Sunsari district in southeastern Nepal, a country that is more than 80 percent Hindu, residents from the uneducated segments of society are especially apt to attack Christians, said Purna Kumal, district coordinator for Awana Clubs International, which runs 41 clubs in refugee camps to educate girls about the Bible.

“In Itahari, Christians face serious trouble during burials,” Kumal told Compass. “Last month, a burial party was attacked by locals who dug up the grave and desecrated it.”

Earlier this month, he added, a family in the area expelled one of its members from their home because he became a Christian.

Bhutan began expelling almost one-eighth of its citizens for being of Nepali origin or practicing faiths other than Buddhism in the 1980s. The purge lasted into the 1990s.

“Christians, like Hindus and others, were told to leave either their faith or the country,” said Gopi Chandra Silwal, who pastors a tiny church for Bhutanese refugees in a refugee camp in Sanischare, a small village in eastern Nepal’s Morang district. “Many chose to leave their homeland.”

Persecution in Bhutan led to the spread of Christianity in refugee camps in Nepal. Though exact figures are not available, refugee Simon Gazmer estimates there are about 7,000-8,000 Christians in the camps – out of a total refugee population of about 85,000 – with many others having left for other countries. There are 18 churches of various faiths in the camps, he said.

“Faith-healing was an important factor in the spread of Christianity in the camps,” said Gazmer, who belongs to Believers’ Church and is awaiting his turn to follow five members of his family to Queensland, Australia. “A second reason is the high density in the camps.”

Each refugee family lives in a single-room hut, with one outdoor toilet for every two families. The Nepalese government forbids them to work for fear it will create unemployment for local residents.

Life was even harder for them before 2006, when Nepal was a Hindu kingdom where conversions were a punishable offence.

“When I began preaching in 2000, I had to do it secretly,” said Pastor Silwal of Morang district. “We could meet only surreptitiously in small groups. I used my hut as a make-shift church while many other groups were forced to rent out rooms outside the camp.”

A fact-finding mission in 2004 by Brussels-based Human Rights Without Frontiers found that police pulled down a church structure built by Pentecostal Christians in the Beldangi camp by orders of Nepal’s home ministry. The rights group also reported that Hindu refugees ostracized the Christians, who had proceeded to rent a room outside the camp to meet three times a week for worship services and Bible study.

When the Jesus Loves Gospel Ministries (JLGM) organization sent officials from India to the Pathri camp in Morang in 2006, they found that local residents resentful of the refugees had taken note of a baptism service at a pond in a nearby jungle.

“In August, we were planning another baptism program,” JLGM director Robert Singh reported. “But the villagers put deadly poisonous chemicals in the water … Some of the young people went to take a bath ahead of our next baptism program. They found some fish floating on the water and, being very hungry – the refugees only get a very small ration, barely enough to survive on – they took some of the fish and ate them. Three of them died instantly.”

Singh also stated that poisoned sweets were left on the premises of the refugee school in the camp. They were discovered in time to avert another tragedy.

Life for Christian refugees improved after Nepal saw a pro-democracy movement in 2006 that caused the army-backed government of Hindu king Gyanendra Bir Bikram Shah to collapse. The king was forced to reinstate parliament, and lawmakers sought to curb his powers by declaring Nepal a secular state.

Though Christian refugees are now allowed to run churches openly in the camps, ill will toward them has yet to end. When Pastor Silwal asked camp authorities to allow him to open a church in 2006, Hindu neighbors protested, saying it would cause disturbances. Camp authorities allowed him to open a tiny church in a separate room on the condition that its activities would not disturb neighbors.

Earlier in his life in Bhutan, said the 40-year-old Pastor Silwal, he had been a stern Hindu who rebuked his two sisters mercilessly for becoming Christians. He forbade them to visit their church, which gathered in secret due to the ban on non-Buddhist religions in place at the time. They were also forbidden to bring the Bible inside their house in Geylegphug, a district in southern Bhutan close to the Indian border.

“I became a believer in 1988 after a near-death experience,” Pastor Silwal told Compass. “I contracted malaria and was on the verge of death since no one could diagnose it. All the priests and shamans consulted by my Hindu family failed to cure me. One day, when I thought I was going to die I had a vision.”

The pastor said he saw a white-robed figure holding a Bible in one hand and beckoning to him with the other. “Have faith in me,” the figure told him. “I will cure you.”

When he woke from his trance, Silwal asked his sisters to fetch him a copy of the Bible. They were alarmed at first, thinking he was going to beat them. But at his insistence, they nervously fetched the book from the thatched roof of the cow shed where they had kept it hidden. Pastor Silwal said he tried to read the Bible but was blinded by his fever and lost consciousness.

When he awoke, to his amazement and joy, the fever that had racked him for nearly five months was gone.

Pastor Silwal lost his home in 1990 to the ethnic and religious purge that forced him to flee along with thousands of others. It wasn’t until 1998, he said, that he and his family formally converted to Christianity after seven years of grueling hardship in the refugee camp, where he saw “people dying like flies due to illness, lack of food and the cold.”

“My little son too fell ill and I thought he would die,” Silwal said. “But he was cured; we decided to embrace Christianity formally.”

Homeless

In 2001, Bhutan4Christ reported the number of Bhutanese Christians to be around 19,000, with the bulk of them – more than 10,500 – living in Nepal.

When persecution by the Bhutanese government began, frightened families raced towards towns in India across the border. Alarmed by the influx of Bhutanese refugees, Indian security forces packed them into trucks and dumped them in southern Nepal.

Later, when the homesick refugees tried to return home, Indian security forces blocked the way. There were several rounds of scuffles, resulting in police killing at least three refugees.

Simon Gazmer was seven when his family landed at the bank of the Mai river in Jhapa district in southeastern Nepal. Now 24, he still remembers the desolation that reigned in the barren land, where mists and chilly winds rose from the river, affecting the morale and health of the refugees. They lived in bamboo shacks with thin plastic sheets serving as roofs; they had little food or medicine.

“My uncle Padam Bahadur had tuberculosis, and we thought he would die,” said Gazmer, who lives in Beldangi II, the largest of seven refugee camps. “His recovery made us realize the grace of God, and our family became Christians.”

The plight of the refugees improved after the U.N. High Commissioner for Refugees (UNHCR) stepped in, receiving permission from the government of Nepal to run the refugee camps. According to the UNHCR, there were 111,631 registered refugees in seven camps run in the two districts of Jhapa and Morang.

Though Nepal held 15 rounds of bilateral talks with Bhutan for the repatriation of the refugees, the Buddhist government dragged its feet, eventually breaking off talks. Meantime, international donors assisting the refugee camps began to grow weary, resulting in the slashing of aid and food. Finally, seven western governments – Canada, Norway, Denmark, New Zealand, Australia, the United States and the Netherlands – persuaded Nepal to allow the refugees to resettle in third countries.

The exodus of the refugees started in 2007. Today, according to the UNHCR, more than 26,000 have left for other countries, mostly the United States. A substantial number of the nearly 85,000 people left in the camps are ready to follow suit.

Although they now have a new life to look forward to, many of Bhutan’s Christian refugees are saddened by the knowledge that their homeland still remains barred to them. So some are looking at the next best thing: a return to Nepal, now that it is secular, where they will feel more at home than in the West.

“I don’t have grand dreams,” said Pastor Silwal. “In Australia I want to enroll in a Bible college and become a qualified preacher. Then I want to return to Nepal to spread the word of God.”  

Report from Compass Direct News 

Baseless Case Against Turkish Christians Further Prolonged

Justice Ministry receives international inquiry about progress of trial.

SILIVRI, Turkey, February 15 (CDN) — Barely five minutes into the latest hearing of a more than three-year-old case against two Christians accused of “insulting Turkishness and Islam,” the session was over.

The prosecution had failed to produce their three final witnesses to testify against Hakan Tastan and Turan Topal for alleged crimes committed under Article 301 of the Turkish penal code. The same three witnesses had failed to heed a previous court summons to testify at the last hearing, held on Oct. 15, 2009.

This time, at the Jan. 28 hearing, one witness employed in Istanbul’s security police headquarters sent word to inform the court that she was recovering from surgery and unable to attend. Of the other two witnesses, both identified as “armed forces” personnel, one was found to be registered at an address 675 miles away, in the city of Iskenderun, and the other’s whereabouts had not yet been confirmed.

So the court issued instructions for the female witness to be summoned a third time, to testify at the next hearing, set for May 25. The court ordered the witness in Iskenderun to submit his “eyewitness” testimony in writing to the Iskenderun criminal court, to be forwarded to the Silivri court. No further action was taken to summon the third witness.

International Inquiry

Judge Hayrettin Sevim, who has presided over the last five hearings on the case, informed the plaintiff and defense lawyers that recently his court had been requested to supply the Justice Ministry with a copy of relevant documents and details from the case file.

An inquiry outside Turkey about the progress of the case, he said, prompted the request.

Seven different state prosecutors have been assigned to the case since Prosecutor Ahmet Demirhuyuk declared at the fourth hearing in July 2007 that “not a single concrete, credible piece of evidence” had been produced to support the accusations against the Protestant defendants. After Demihuyuk recommended that the charges be dropped and the two Christians acquitted, he was removed from the case.

Originally filed in October 2006, the controversial Article 301 case accused Tastan and Topal, both former Muslims who converted to Christianity, of slandering the Turkish nation and Muslim religion while involved in evangelistic activities in Silivri, an hour’s drive west of Istanbul in northwestern Turkey.

After Turkey enacted cosmetic changes in the wording of Article 301 in May 2008, all cases filed under this law require formal permission from the justice minister himself to go on to trial.

According to the Turkish Justice Ministry, only eight of more than 900 Article 301 cases sent for review since the law’s revision have been approved for prosecution. On Friday (Feb. 12) the Justice Ministry declined in writing a Compass request last month for a list of the eight cases in question.

Despite the lack of any legally credible evidence against Tastan and Topal, the Silivri case is one of those eight cases personally approved by the Justice Minister.

According to a CNNTURK report dated Dec. 8, 2009, U.S. President Barack Obama raised the Article 301 issue with Turkish Prime Minister Recep Tayyip Erdogan during their last face-to-face meeting in Washington, D.C.

“I think those asking about this don’t know what Article 301 is,” Erdogan reportedly said. “Until now it has only happened to eight persons.”

This month the Organization for Security and Cooperation in Europe criticized Turkey’s revision of Article 301, declaring that the government should simply abolish the law.

The Parliamentary Assembly of the Council of Europe (PACE) in Strasbourg also warned earlier this month that Turkey is violating Article 10 of the European Convention on Human Rights to the extent that the European Court of Human Rights may impose sanctions on Turkey over Article 301.

Noting that the Assembly welcomed previous amendments to the law, the most recent PACE report declares it “deplores the fact that Turkey has not abolished Article 301.”

Report from Compass Direct News 

Repressive Religion Law and new punishments enter force

Azerbaijan’s repressive new Religion Law slid in under the radar, reports MNN.

Joel Griffith with Slavic Gospel Association says it’s been modified since the last time they saw it. “It appears that this is a little bit worse than what we thought it was going to be. Just looking at parts of this legislation, now in force as of May 31, it seems like there have been some new offenses that have been added to it as well as some new penalties.”

Some of the changes include severe censorship and harsher punishments. These were introduced for religious activities and agencies the government does not like.

Griffith went on to say that all registered religious organizations must re-register by 1 January 2010, the third time re-registration has been demanded in less than twenty years. Earlier re-registration rounds saw many churches and ministries fail to regain their legal status.

He agrees with the assessment of Forum 18, that the wording implies unregistered organizations are illegal.

As it is, under the existing rules, Griffith says they’ve already felt the heat. “We’ve had several evangelical pastors jailed because of their ministry. So it seems, at least within Azerbaijan, that there is an intent to try to crack down on evangelical churches.”

However, there are some unexpected allies. According to Forum 18, Parliamentary Deputy Fazil Gazanfarolgu Mustafaev said, “the new Religion Law will limitpeople’s rights to freedom of conscience – that is clear.”

Gazanfarolgu added that public pressure may force parliamentary deputies to take another look at the Religion Law, given public unhappiness over the way religion is controlled.

Griffith adds that while it looks bad, it’s too early to know how much evangelistic work could be at risk. “How this new law is going to be enforced, only time will tell. As I say, we have seen at least some in Parliament who are wanting to believe that there will be some public pressure brought to bear to have this re-examined, so I think this needs to be our chief hope and prayer.”

Report from the Christian Telegraph

INDIA: STAKES HIGH FOR CHRISTIANS IN ELECTIONS

Beleaguered minority has much to lose, gain in polls.

NEW DELHI, May 1 (Compass Direct News) – With elections underway in India, its 2.3 percent Christian minority – which faced a deadly spate of attacks in the eastern state of Orissa last year – is praying for a secular party to come to power.

Along with the Muslim community, Christians fear that if the Hindu nationalist Bharatiya Janata Party (BJP) and its allies form the next government or an ideologically loose coalition comes to the helm, their already compromised welfare may further deteriorate.

Dr. John Dayal, secretary general of the All India Christian Council, said that the end of the Congress Party’s monopoly on power in the 1990s led to the rise of several major individual groups, including the BJP, political wing of the Hindu extremist Rashtriya Swayamsevak Sangh (RSS) conglomerate.

“The rise of regional and linguistic or caste-based parties spells a danger for pan-national minorities, as parties with a narrow and localized outlook will have neither the strength nor the political need to come to their defense,” Dayal told Compass. “What is at stake now, as never before, is the stability and consistency of India’s constitutional institutions in their response to critical situations, their zeal to correct wrongs and their commitment to the welfare of the weakest and the lowest.”

Religious minorities, Dayal said, were hoping for a strong showing by a secular party, “possibly the Congress [Party],” supported by regional groups of a secular character.

“Personally, I would even welcome a Third Front [a grouping of anti-Congress Party and anti-BJP parties led by the Communist Party of India-Marxist] government supported by the Congress Party,” he added. “Certainly, a BJP-led government is the least desirable, as we fear major erosion and even regression in issues of freedom of faith, Dalit liberation and affirmative action for the poor.”

With the BJP in power, directly or as part of the ruling alliance, in 10 states – Madhya Pradesh, Himachal Pradesh, Uttarakhand, and Punjab in the north; Chhattisgarh and Bihar in the east; Gujarat in the west; Nagaland and Meghalaya in the northeast; and Karnataka in the south – he said Christians believe it is important that a strong, secular government comes into power at the federal level.

The federal government can issue warnings and ultimately dismiss state legislatures and state executives if they fail to protect the lives of their people or major unrest erupts. The federal government can also make laws applicable across the nation.

The BJP-ruled states have become “absolutely inhospitable” and “hostile” to Christians thanks to the “inaction of the federal government,” said Sajan K. George, national president of the Global Council of Indian Christians (GCIC).

 

Orissa, Andhra Pradesh

The eyes of Christians are also on state assembly elections in Orissa state.

Orissa is ruled by the Biju Janata Dal (BJD), which on March 7 broke its 11-year-old alliance with the BJP over the latter’s involvement in Kandhamal district violence. Elections in Orissa, held on April 16 and 23, are particularly important given that the results will either embolden Hindu nationalists to launch more attacks to polarize voters along religious lines or compel them to abstain from violence.

In December 2007, a series of brutal attacks began in Kandhamal. The violence that lasted for around 10 days killed at least four Christians and burned 730 houses and 95 churches under the pretext of avenging an alleged attack on Swami Laxmanananda Saraswati, a leader of the Vishwa Hindu Parishad (World Hindu Council).

Violence re-erupted in the district following the killing of Saraswati on August 23, 2008. A Maoist group took responsibility for the murder, but BJP supporters claimed that Christians were behind the assassination.

The BJP has made the killing of Saraswati its main election plank. The party’s two candidates from Kandhamal – Manoj Pradhan for the G. Udaygiri assembly seat and Ashok Sahu for the Kandhamal parliamentary constituency – contested the elections from jail. Pradhan, a primary suspect in the August-September 2008 violence, has been in jail for the last few months. Sahu, a former senior police official, was arrested on April 14 for delivering a hate speech against Christians in the run-up to elections. He was released on bail on April 17.

In its election campaign, the BJD promised to provide protection to the Christian community in Kandhamal and elsewhere in the state, putting the blame of the Kandhamal violence entirely on the BJP.

“It was important to break up with the BJP because I don’t consider them healthy any longer for my state after Kandhamal – which I think is very apparent to everyone,” Orissa Chief Minister Naveen Patnaik told CNN-IBN on April 19. “Before Kandhamal, we were lucky in the early years of the state government not to have a serious communal problem at all. But Kandhamal was very tragic and serious.”

According to the CNN-IBN private news channel, the Congress Party could benefit from the divorce of the BJD and the BJP. Nevertheless, the BJD is expected to form the next state government in Orissa.

The Congress Party, on the other hand, blamed both the BJD and the BJP for last year’s violence.

Elections in Kandhamal took place despite the fact that over 3,000 Christians were still in relief camps and hundreds of others had fled to others parts of the state fearing more tensions. Father Ajay Kumar Singh of the Catholic Archdiocese of Cuttack-Bhubaneswar reached Kandhamal from the neighboring Gajapati district early on April 16, election day.

“Along the way, we came across numerous felled trees blocking the road in at least six places,” Fr. Singh told Compass. “The roads were deserted, and my colleagues and I were scared. But we somehow managed to reach Kandhamal.”

He added that in Dharampur in Raikia Block and in Kattingia near Tiangia in G. Udaygiri Block – where eight Christians were killed during last year’s violence – Christians were threatened if they did not vote for the BJP.

In Nilungia village, seven kilometers (four miles) from G. Udaygiri, where a Christian was killed, at least 40 Christians did not cast their votes out of fear of a backlash, Fr. Singh said.

“They feared tensions if they returned to their village and stayed out of the district,” he said.

The Catholic Church in Orissa had urged the Election Commission of India to postpone elections in Kandhamal, but polls were held as scheduled.

According to the district administration, the poll turnout on April 16 in Kandhamal was around 55 percent.

The violence following Saraswati’s murder lasted for over a month, killing more than 127 people and destroying 315 villages, 4,640 houses, 252 churches and 13 educational institutions, besides rendering more than 50,000 homeless.

The incidence of Christian persecution is high in Andhra Pradesh, too. Analysts anticipate a neck-to-neck competition between the ruling Congress Party and the regional Telugu Desam Party (TDP), which recently allied with Left parties in the Third Front. The BJP is also in the fray but doesn’t appear strong enough to stake claim to power in the state.

 

Obscure Prognosis

With election results not due until May 16, the outlook at this point is murky.

“About all that can be said with certainty in the resulting alphabet soup of political parties is that the BJP won’t be aligning with Congress, or with the Left. Beyond that it’s a numbers game,” The Times of India noted in an editorial today. “Most observers agree that alignments determining who will form the next government will be decided only after the elections.”

The national daily added, “As India’s long, hot election summer grinds on, with the third phase held yesterday and the fifth and final phase not scheduled before the 13th of this month, it’s regrettable that no overarching themes have emerged even at this late stage, which can define the election.”

With 714 million eligible voters of the more than 1 billion people in the country, the five-phase elections for the 15th Lok Sabha (Lower House of Parliament) and for the state assemblies of Orissa, Andhra Pradesh and the north-eastern state of Sikkim began on April 16.

The three main parties are the left-of-center Congress Party (officially known as the Indian National Congress), which leads the governing United Progressive Alliance (UPA); the Hindu nationalist BJP, a leading party of the opposition National Democratic Alliance (NDA); and the Third Front.

A party and its allies need 272 members to rule in the 545-member Lok Sabha.

 

Expediency over Ideology

The regional and caste parties involved include the Bahujan Samaj Party (BSP), headed by Dalit (formerly “untouchable”) woman Mayawati, chief minister of Uttar Pradesh state in the north; and the Samajwadi Party (SP), also a powerful party in that state.

Other significant parties are the Janata Dal-United (JD-U) party and the Rashtriya Janata Dal (RJD) party in the eastern state of Bihar; the BJD in Orissa; the Trinamool Congress party in the eastern state of West Bengal; the Nationalist Congress Party (NCP) and the Shiv Sena party in the western state of Maharashtra; the All India Anna Dravida Munnetra Kazhagam (AIADMK) party and the Dravida Munnetra Kazhagam (DMK) party in the southern state of Tamil Nadu; the TDP and Telangana Rashtriya Samiti (TRS) party in the southern state of Andhra Pradesh, and the Janata Dal-Secular (JD-S) party in the southern state of Karnataka.

The Congress Party is hoping that it will be supported by the SP, the RJD, the Trinamool Congress party, the NCP, the DMK, and the TRS in case it emerges as the single-largest party post-elections. The JD-U, the Shiv Sena and the AIADMK, on the other hand, are likely to extend their support to the BJP-led NDA. The BSP, the BJD, the TDP, and the JD-S are expected to join the Third Front.

Most of these smaller parties, however, are keeping their options open and will formally declare their allegiances only after the results are announced on May 16.

 

Decade of Persecution

The concern of Indian Christians can be understood against the backdrop of the decade since 1998, when the BJP, under the aegis of the NDA, came into power at the federal level, marking the beginning of systematic persecution of Christians.

In January 1999, an Australian missionary, Graham Staines, and his two young sons were burned alive in Orissa’s Keonjhar district. From 2000 to 2004, around 200 anti-Christian attacks were reported each year from various parts of the nations. In March 2004, India’s second massive spate of anti-Christian attacks took place in the Jhabua district of the central state of Madhya Pradesh.

The incidence of persecution remained high despite the change of the federal government in mid-2004 – after the Congress Party-led UPA defeated the BJP-led NDA.

At least 165 anti-Christian attacks were reported in 2005, and over 130 in 2006. Including the Orissa attacks, the total number of violent anti-Christian incidents rose to over 1,000 in 2007. And 2008 turned out to be the worst year for the Christians as violence returned in Kandhamal.

“The results of the elections on May 16 will show whether the ideology of Mohandas Karamchand Gandhi, the father of the nation who promoted communal harmony, will prevail in India, or that of his killer Nathuram Godse, allegedly a member of the RSS,” said George of the GCIC.

Report from Compass Direct News

LORD’S SUPPER SERIES: 3. THE RIGHT APPROACH – 1 Corinthians 11:27-29

This is the third sermon in the series on the Lord’s Supper from 1 Corinthians 11. The first 2 sermons were posted:

The Institution of the Lord’s Supper – 1 Corinthians 11:23-26. It was posted on this Blog on the 18^th September 2008. It can also be found at: http://particularbaptist.com/sermons/sermonscor1.html.

The Lord’s Supper with Attitude – 1 Corinthians 11:17-22. It was posted on this Blog on the 30^th September 2008. It can also be found at: http://particularbaptist.com/sermons/sermonscor2.html.

This third sermon can be found at:

http://particularbaptist.com/sermons/sermonscor3.html.