Sedentist Epidemiology: COVID-19 Policies and Pastoral Mobility in Turkana County, Kenya

Abstract

Authorities have often seen pastoralist mobility as a challenge for public health and veterinary disease control. While the movement of humans and animals can influence disease transmission, authorities often overlook the complexity of these epidemiological relations and ignore the ecological and economic trade-offs of restricting pastoral mobility. This study reviews the Covid-19 response at the border between Turkana County (Kenya) and Moroto District (Uganda), with particular focus on the Kenyan side. Drawing on interviews with Kenyan public health officials, NGOs' practitioners and pastoral households, we examine the treatment of pastoralist mobility in the Covid-19 response. Our findings suggest that, while there is special attention to and investment in extending health services to pastoralists, most of the thinking focuses on their rural location and household dispersal, rather than their mobility. In fact, pastoral transhumance was at times treated as a threat to disease control and national public health while other forms of cross-border mobility continued. We apply the concept of 'sedentist bias' to suggest that this understanding of pastoral mobility has become entrenched in the technics of public health planning.