The UK must do more to stand up for democracy in Egypt

All existing British and EU aid and support for Egypt should be placed under urgent review.

The world has watched the rising death toll in Egypt this week with horror and foreboding. The UN Security Council has already met and EU foreign ministers are due to meet next week but the question remains what practical steps the international community can take to help stop the killing and secure stability and democracy.

In my view, it is vital that the international community does more to demonstrate to the Egyptian generals that they cannot act with impunity.
Although it is true that the UK's influence on the situation is limited, the fact that we can't do everything does not mean we shouldn't do anything.

First, the UK government must review all existing arms export licenses that have been issued to Egypt. The UK Consolidated Criteria prevent the UK from granting licenses in cases where goods exported could be used for internal repression. Given recent developments in Cairo, in particular in the last 72 hours, the UK government now has a responsibility to make clear that all export licences previously granted continue to meet this criteria and review existing licences with this standard in mind.

Second, all existing British and EU aid and support for Egypt must be placed under urgent review. This week I urged the UK government to seek an immediate meeting of EU foreign ministers and I welcome the decision to hold such a meeting next Monday. I hope foreign ministers gathered there will agree to review all existing support provided directly to the Egyptian authorities. European co-operation with Egypt should not continue as normal when civilians are being killed and basic rights are being undermined.

Third, the UK government must - of course - keep travel advice for Egypt under constant review given the dangerous and deadly scenes in Cairo. I have seen for myself, when I was an FCO Minister, the skill and care with which the department's officials conduct such reviews and that system needs to be fully operational in light of the potential risks for British citizens in the country in the coming days.

The US administration remains a key player in the region. Earlier this week I made clear my view that the time has now come for the UK government to encourage the US administration to suspend its $1.3bn military aid package to Egypt as the US government's review of its relationship with Egypt continues. So I welcome the news that President Obama has now announced that the US will cancel the joint military exercise with Egypt "Operation Bright Star".

The primary responsibility for restoring calm and stability within Egypt rests, however, with the interim Egyptian government. The UK government should continue to urge them to suspend the State of Emergency and commit now to a fixed timetable for holding new elections.

For a better future - not just for Egypt but for the whole Middle East - it is vital that those people who want to express their political support for Islamic parties continue to believe there is a viable democratic path open to them. That democratic path rejects the hateful ideology of Al-Qaeda that claims only violence can achieve change. So the stakes are high. The risks remain real. And the responsibility on the international community to speak up for stability and democracy is clear.

Egyptian military armored vehicles stand guard at a checkpoint on the edge of Tahrir Square by the Egyptian Museum on August 16, 2013 in Cairo. Photograph: Getty Images.
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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear