Mark Jenkins explores the July 2007 murders of the Virunga mountain gorillas in a piece in National Geographic. The piece is accompanied by a stunning photo slideshow by photographer Brent Stirton.

The Toronto Star takes a look at female feticide and infanticide in India, and how young women are now being trafficked from rural areas to serve as brides in areas where the gender gap is widest.

Climate change is responsible for an upswing in malaria in Kenya’s highlands, reports IPS News. “There is a clear correlation between climatic variations and malaria epidemics,” said Dr. Willis Akhwale, head of Kenya’s National Malaria Control Programme.

A New York Times article explores the causes of low birthrates in Europe—and particularly low ones in southern Europe.

The World Health Organization has released Safer water, better health, the first report to provide country-level estimates of the burden of disease caused by unsafe water and inadequate sanitation and hygiene.

The days of dire avian flu pandemic forecasts may one day be behind us. “The situation is really improving…it doesn’t mean that we can say that the situation globally is completely under control—we have the situation in countries where it is still quite entrenched—but it does mean that in the rest of the world there is a great deal of vigilance and action under way,” said UN System Influenza Coordinator David Nabarrom recently.

He noted that government and private sector actors—particularly in the UK, South Korea, the United States, and Australia—have taken aggressive steps to prepare for an outbreak and have reduced the risk factors that lead to the spread of the disease. Also, he was pleased that Sanofi Pasteur, a pharmaceutical company, has donated 60 million H5N1 vaccines to a growing global stockpile.

Despite this progress, concerns remain. Vietnam, Bangladesh, India, Egypt, and Indonesia have the highest incidence rates of the virus, with the prevalence of the disease in Indonesia particularly startling. In March, UN Food and Agriculture Organization Chief Veterinary Officer Joseph Domenech said, “I am deeply concerned that the high level of virus circulation in birds in the country could create conditions for the virus to mutate and to finally cause a human influenza pandemic.”

Nabarrom credited international vigilance for the success we’ve had thus far. Although avian influenza has largely faded from the front page headlines, that vigilance must continue, as birds and people continue to die from avian flu. Hold the champagne bottles: There is still work to be done.

PlusNews recently reported on the harmful impact of rising food prices on HIV-positive Ethiopians. According to the nation’s Central Statistical Agency, the price of food has increased 40 percent since last year. The situation has been particularly devastating for those with HIV, as poor nutrition weakens the immune system and “hastens the development of HIV into AIDS.” For those on antiretrovirals, malnutrition reduces the treatment’s effectiveness and increases its toxicity to the body. As Gideon Cohen of the UN World Food Programme (WFP) explained, antiretroviral treatment “can’t work if people aren’t eating enough.”

The consequences extend far beyond HIV-positive individuals themselves, however. For infected mothers who have been advised against breastfeeding, purchasing milk or formula drastically increases household expenses and is often unaffordable. In addition, HIV augments adults’ energy requirements by 10-30 percent. Without sufficient nutrition, it becomes difficult for these individuals—who constitute almost eight percent of Ethiopia’s urban population—to work and provide for their families, undermining food security even further. So as the current food crisis threatens the lives and livelihoods of the HIV-positive in Ethiopia, it also increases the rest of the population’s susceptibility to the virus and other illnesses.

Unfortunately, this problem is not a new one. At a 2006 Wilson Center event, Jordan Dey, director of the U.S. Relations Office at WFP, said, “Hunger weakens immune systems, increases vulnerability to disease, and creates a platform for disability.” A Wilson Center On the Hill event today from 12:00 noon to 1:15 p.m. in the Rayburn House Office Building will examine what the United States can do to relieve the global food crisis.

According to PlusNews, WFP’s HIV/AIDS feeding programme in Ethiopia has exceeded its budget by 44 percent, and has had to borrow funds from other UN programmes. This alarming situation illustrates the severity of the situation in Ethiopia and calls not only for increased humanitarian aid, but also for mechanisms to ensure long-term food security. Nations will not be healthy, prosperous, and peaceful until their people are properly nourished and given the chance to develop to their full capacity.

“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.

New Day, New Way: U.S. Foreign Assistance for the 21st Century, a report from the Modernizing Foreign Assistance Network, was unveiled at a packed House Foreign Affairs Committee event this week.

The Economist continues to brush off those who worry that there are too many people consuming too many resources on Earth: “If global growth and development continue, worries about overpopulation may, in hindsight, seem a uniquely 20th century phenomenon.”

“Countries that stagnate are less able and sometimes less willing to help address transnational issues, many of which originate within their borders, including illegal migration; trafficking in narcotics, weapons, and persons; health threats such as HIV/AIDS and avian flu; and environmental concerns such as loss of biodiversity,” says USAID’s economic growth strategy.

“We know that the cruel indignities of life without clean water, adequate sanitation, sustainable livelihood, or democratic governance can deny us our basic freedoms as surely as any despotic regime,” says Condoleezza Rice, quoted in USAID’s report Expanding the Impact of Foreign Assistance Through Public-Private Alliances.

The Commission on HIV/AIDS and Governance in Africa, headed by Wilson Center collaborator K. Y. Amoako, presented its report Securing Our Future to UN Secretary-General Ban Ki-moon earlier this week.

Carl Ganter is a journalist with a mission. We tend to think journalists are supposed to be impartial observers, but much good reporting is done by journalists who are passionate about their subjects. And Carl is that—passionate about water, in its many forms, locations, and roles. Water and human health. Water and politics. Water and conflict. Water and food. Water and girls’ education. Water and ecosystems. Water and…

The National Library of Medicine’s newest exhibit, “Against the Odds: Making a Difference in Global Health,” examines the “revolution in global health” that has transformed communities over the past several decades. In addition to acknowledging the vast achievements in health and science, the exhibit also aims to raise public awareness of the various factors that cause illness, from economic and social inequality to conflict.

The exhibit is divided into six sections: Community Health, Food for Life, Action on AIDS, The Legacy of War, Preventing Disease, and Global Collaboration. Each section reveals how doctors and nurses, advocates, and communities have joined forces to overcome public health challenges. For instance, “The Legacy of War” highlights the Nobel Peace Prize-winning work of International Physicians for the Prevention of Nuclear War, which worked to inform policymakers and citizens of the consequences of nuclear war, and the International Campaign to Ban Landmines, which advocated successfully for the passage of the 1997 Mine Ban Treaty. The exhibit’s website features compelling photographs, guest columns by leading public health experts, and a range of interactive features.

The authors of “Reassessing HIV Prevention,” an article in the most recent issue of Science, question the assumptions behind current HIV prevention interventions in Africa. The authors challenge the commonly accepted belief that poverty and political instability increase a population’s vulnerability to HIV infection, arguing that it is not supported by the evidence. They point to data demonstrating that “African regions suffering from conflict, genocide, and rape, such as Rwanda, Congo, and Angola, are much less affected by AIDS than peaceful, wealthier, and more literate countries such as Botswana or Swaziland, which have the world’s highest HIV prevalence.”

Studies have shown that civil war and the breakdown of health service delivery result in an increase in preventable deaths—such as those due to malnutrition, diarrhea, and malaria—but perhaps HIV follows a different pattern. Clearly, there is a need for research that compares the spread of HIV/AIDS in politically stable, wealthier African countries with those torn by conflict.

At a 2007 ECSP event on the human cost of war, Dr. Frederick Burkle of the Harvard Humanitarian Initiative—who will discuss public health management after natural disasters on June 17—admitted that the direct impact of poverty, inequality, and cultural incompatibilities on the spread of infectious diseases and mortality during complex emergencies is “difficult, if not impossible,” to measure.