“Public health and public health infrastructure and systems in developed and developing countries must be seen as strategic and security issues that deserve international public health resource monitoring attention from disaster managers, urban planners, the global humanitarian community, World Health Organization authorities, and participating parties to war and conflict,” argue Frederick Burkle and P. Gregg Greenough of the Harvard Humanitarian Initiative in a new article in Disaster Medicine and Public Health Preparedness. Burkle, who is currently a public policy scholar at the Wilson Center, will discuss public health management after natural disasters at the Center on June 17th.

In their article, “Impact of Public Health Emergencies on Modern Disaster Taxonomy, Planning, and Response,” Burkle and Greenough discuss the public health consequences of disasters, which they classify as natural; failures of human or technological systems; or conflict-based. The authors contend that disasters’ indirect effects are often overlooked, despite the fact that they continue months and even years after the event. Disaster severity is typically measured by direct morbidity and mortality; however, Burkle and Greenough highlight the need to account for the indirect deaths and illnesses caused by the devastation of public health and other infrastructure, poor and overcrowded living conditions, displacement, food insecurity, and disrupted livelihoods. Furthermore, as acute deaths decrease, humanitarian aid wanes—at a time when it is desperately needed to rebuild public health infrastructure.

In the case of conflict-based disasters,“health care and other essential services . . . may not return to baseline for more than a decade.” The authors note that in 2004, the Iraqi Ministry of Health announced that more lives had been lost to insufficient health services than to violence. Yet the former fails to garner the same attention and condemnation as the latter.

The devastation wrought by Hurricane Katrina demonstrated that the safety, health, and infrastructure of even the wealthiest nations are at risk. No nation can afford to overlook the challenges highlighted by Burkle and Greenough.

An article in today’s Washington Post explores the interconnected problems of poverty and rapid population growth in the Philippines. Many factors contribute to the country’s high poverty rate, including corruption and traditional land ownership laws, but a birth rate that is among the highest in Asia is also significant. Eighty percent of the Filipino population is Catholic, and both the influential Catholic Church and the current government—in power for the last five years—oppose modern family planning methods. Filipinos are permitted to buy contraception, but no national government funds may be used to purchase contraception for the millions who want it but cannot afford it.

The situation may be poised to worsen, notes the Post: “Distribution of donated contraceptives in the government’s nationwide network of clinics ends this year, as does a contraception-commodities program paid for by the U.S. Agency for International Development. For years it has supplied most of the condoms, pills and intrauterine devices used by poor Filipinos.”

Yet the story is not entirely gloomy. A recent brief by Joan Castro and Leona D’Agnes of PATH Foundation Philippines, Inc. describes IPOPCORM, a development program that has successfully delivered family planning services to impoverished Filipino communities while simultaneously promoting environmental conservation and overall human health. Based on this success, some municipal governments in IPOPCORM’s service areas have set aside money in their budgets to purchase family planning commodities directly. A major conference in 2008 (building on an earlier conference in 2006) addressed population, health, and environment connections in the Philippines; featured speakers included former Congressman Nereus Acosta and Joan Castro.

The theme of this year’s World Health Day, observed on April 7, was “Protecting Health From Climate Change.” This World Health Organization report outlines many of the links between climate change and human health.

Kenya’s post-election strife has decimated its once-thriving nature tourism industry, reports Reuters. The displacement of hundreds of thousands of people has driven up demand for bush meat, and in the absence of tourism revenues, reserves can no longer afford to pay rangers to protect the wildlife.

Per capita water availability in the Middle East and North Africa will be halved by 2050, estimates the World Bank, so it is critical for governments to address growing water scarcity now, including making agriculture—which accounts for 85 percent of total water use in the region—more water-efficient.

The Population Reference Bureau recently published several new resources on global family planning, including a data sheet on worldwide family planning and an article by James Gribble examining trends and patterns in family planning in West Africa. Gribble also recently co-authored an article on the successes and failures of Peru’s family planning policy, particularly among the poor.

An article published in Human Dimensions of Wildlife (subscription required) found that crop destruction by wildlife in three villages in northeastern Tanzania significantly reduced both food security and household income. The article recommends implementing several incentives—including microcredit for non-agricultural activities—for conservation.

A report from the Center for International and Strategic Studies’ Global Strategy Institute examines the future of water and energy in an increasingly urbanized Asia, with a particular focus on China.

The International Institute for Sustainable Development released a summary of the proceedings at the first African Water Week, which took place March 26-28, 2008.

A senior wildlife official with the Congolese Institute for the Conservation of Nature (ICCN) was arrested this week amid charges that he organized the executions of up to 10 endangered mountain gorillas in Virunga National Park last year. The official is also accused of cutting down protected trees to convert them into charcoal. WildlifeDirect, a wildlife conservation NGO that works in the park, suggested that Mashagiro had orchestrated the killings of the gorillas to distract rangers from the charcoal production, which was destroying the gorillas’ habitat, and to discourage the rangers from protecting the gorillas.

Last month, the New Security Beat reported on a new agreement between the Democratic Republic of the Congo (DRC), Uganda, and Rwanda to protect the mountain gorillas’ rapidly diminishing habitat. The initiative was one of the few promising developments for the gorillas over the past several months.

In early March, rebels who had taken control of the park’s Gorilla Sector—home to half of the world’s approximately 720 gorillas—threatened to kill any park ranger who attempted to enter it. According to local officials, the rebels have set up a parallel gorilla administration in the sector, charging tourist groups to view the gorillas. The park rangers had hoped they would be permitted to enter the Gorilla Sector following a January 2008 peace agreement between the Congolese government and the rebel groups, but the rebels have continued to forbid them from returning to the area.

Rwanda, Uganda, and the Democratic Republic of the Congo (DRC) announced an unprecedented joint effort to save the critically endangered mountain gorilla on February 20, 2008. As part of the 10-year Transboundary Strategic Plan, the countries will develop and adhere to a consistent set of conservation policies and laws in Virunga National Park, which overlaps the three countries and is home to more than half of the world’s 700 remaining mountain gorillas.

Today’s Los Angeles Times reports that Colombia’s Macarena National Park is being deforested and polluted by illegal coca farms. After being driven from farmland by U.S.-sponsored aerial fumigation, coca growers have invaded Macarena and other national parks, where fumigation is illegal. In August 2006, six workers manually clearing coca in Macarena were killed by a bomb detonated by the Revolutionary Armed Forces of Colombia, or FARC. Recently, Colombia has begun to shift away from aerial fumigation toward manual eradication, which is more effective but poses significant risks to the workers and the security personnel guarding them.

Coca farming gives rise to a wide range of negative environmental effects, including “chemical dumping, deforestation, soil erosion, water pollution, a shift to mono-agriculture, bio-diversity loss, and a potential loss of cultural eco-knowledge,” according to American University’s Trade and Environment Database.

A New York Times article from 1989 demonstrates that, sadly, coca trafficking has been causing violence and environmental destruction across South America for decades.

Last month, the Brazilian government announced it would step up measures to combat illegal logging in the Amazon rainforest, including deploying Brazilian soldiers and police officers to regions that have recently suffered heavy deforestation. Last week, it made good on that promise, as Brazilian police confiscated 353,000 cubic feet of lumber from eight illegal sawmills in the state of Para—one of the biggest loads ever seized.