“Most risk in African cities is not catastrophic. It’s not even episodic, but it is every day,” said Mark Pelling, a professor at King’s College, London, at a recent event on urban risk and resilience in sub-Saharan Africa. With rates of rural-to-urban migration reaching record highs, more than half of the urban residents in sub-Saharan Africa live in informal settlements, where they lack basic infrastructure and access to critical resources. Integrated projects like Pelling’s Urban ARK seek to build more resilient communities in cities and informal settlements. “African cities are dynamic and are growing,” said Pelling—but so is the vulnerability of their residents to environmental change, natural disasters, and conflict.

“We cannot achieve our goals of ending maternal and child deaths without addressing critical health system barriers around the world,” said Grace Chee of the U.S. Agency for International Development (USAID)’s flagship Maternal and Child Survival Program at a recent Wilson Center event. To improve the lives of mothers and children, health workers must address the underlying causes of poor health outcomes, including systemic weaknesses in health care governance, financing, and human resources.

“The demand for water will not be linear,” said Vice Admiral Lee Gunn (USN-Ret,), currently vice chairman of the CNA Military Advisory Board, at a recent Wilson Center event on water and security. As people’s quality of life improves, “the demand for water will increase as well. And so the stresses that we already see around the world—the arguments over basin rights for water, the depletion of water in major cities around the world—we think will aggravate problems that already are beginning to manifest themselves,” he said.

“Conflicts are 35 percent more likely to be resolved and remain peaceful for 15 years if women are involved,” said Carla Koppell, vice president of the Center for Applied Conflict Transformation at the United States Institute of Peace, at a recent Wilson Center event on the role of women in war, security, and peace.

“There is no healthcare delivery system for non-pregnant 15- to 24-year olds,” said the U.S. Global AIDS Coordinator, Ambassador Deborah Birx, at a recent Wilson Center event on efforts to reduce the prevalence of HIV/AIDS among adolescent girls in sub-Saharan Africa. In 2014, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) established the DREAMS program, which aims to create “a health care system where young people interact in a proactive and positive way,” said Birx.

As senior military officers, we see water stress—the lack of adequate fresh water—as a growing factor in the world’s hotspots and conflict areas, many of vital interest to the United States. Our earlier reports have identified a nexus among climate, water, energy, and U.S. national security. We have previously shown how emerging resource scarcity across this nexus can be a threat multiplier and an accelerant of instability. With escalating global population and the impact of a changing climate, we see the challenges of water stress rising with time. It is in this context that we now seek to provide a better understanding of the mechanisms through which water factors into violence and conflict.

“Water security and management represent the cornerstone of global conflict prevention,” said President Danilo Türk, chair of the Global High-Level Panel on Water and Peace and former president of Slovenia, at a recent Wilson Center event on water and peace. “The only alternative to water is water, and therefore, the matter of water is a matter of survival,” said Sundeep Waslekar, president of Strategic Foresight Group.

Climate change is “unfolding as we speak,” said John Agard, professor of Tropical Island Ecology at the University of the West Indies (UWI) at a recent public forum on island nations hosted in Trinidad by UWI’s Institute of International Relations. The “close coupling of terrestrial, coastal, and marine systems” in islands “results in fast-spreading impacts across systems,” said Roger-Mark De Souza¹, formerly the director of population, environmental security, and resilience for the Wilson Center, which partnered with UWI and American University’s Center for Latin American and Latino Studies to organize the event.