Showing posts from category global health.
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Weekly Reading
›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. -
World Water Day To Highlight Importance of Sanitation
›March 21, 2008 // By Rachel WeisshaarYesterday, in a post on his Dot Earth blog, New York Times science reporter Andrew Revkin called attention to the fact that 2.6 billion people lack access to sanitation facilities—and that includes pit latrines, not just flush toilets. The World Health Organization estimates that inadequate water, sanitation, and hygiene are responsible for 4 percent of all deaths worldwide and 5.7 percent of the total global disease burden (including premature death and years lost to disability caused by disease). Children are the most acutely affected by poor sanitation: 1.5 million children die each year from diseases—primarily diarrhea—caused by inadequate sanitation.
Tomorrow is World Water Day, and in honor of 2008 being the International Year of Sanitation, the United Nations and other organizations will strive to raise people’s awareness of sanitation, combat the taboos against discussing it, and galvanize efforts to halve the number of people without access to sanitation by 2015—a Millennium Development Goal.
The Environmental Change and Security Program’s (ECSP) Navigating Peace Initiative seeks to call attention to the importance of water and sanitation issues. ECSP’s Water Stories Flash website includes a multimedia presentation on dry sanitation in Mexico, while “Low-Cost Sanitation: An Overview of Available Methods,” an article by Alicia Hope Herron in ECSP’s recent report Water Stories: Expanding Opportunities in Small-Scale Water and Sanitation, analyzes the pros and cons of the numerous inexpensive, innovative sanitation technologies currently available. -
China’s Environmental Health Problems Spurring Popular Protests
›February 6, 2008 // By Linden Ellis2007 was a significant year for China’s environment. An estimated 750,000 people in China died from respiratory illnesses related to air pollution, while approximately 60,000 died from waterborne diseases. China’s food processing and production sectors made headlines around the globe. Growing desertification in north and northwest China due to excessive water use and land mismanagement created more intense and frequent sand storms that affected the economy and health in China and Northeast Asia. In addition, China most likely surpassed the United States as the leading emitter of greenhouse gasses—and while the central government set laudable energy efficiency goals, it recently admitted that China had not met them.
These events have led to growing numbers of environmental health-related protests in China: 51,000 in 2005 and more than 60,000 in 2006. In June 2007, thousands of Xiamen residents protested the construction of a planned chemical plant. And last month, middle class residents of Shanghai took to the streets to oppose potential harm from an extension of China’s magnetic levitation train. As the Chinese government becomes increasingly concerned with the country’s stability, it is beginning to place greater emphasis on mitigating the effects of environmental degradation on its people. Read more about China’s environmental health problems—and what local and international NGOs, governments, and agencies are doing to address them—in China Environment Series 9, the flagship publication of the Wilson Center’s China Environment Forum.
By CEF Program Assistant Linden Ellis. -
Desertification Threatening China’s Human, Economic Health
›January 28, 2008 // By Linden EllisChina has begun to reverse the high rates of desertification that have plagued it for decades, reported China Daily on January 24. Thanks to the efforts of communities, NGOs, and local governments, China’s deserts are now shrinking by 7,585 kilometers a year, in contrast to their annual growth rate of 10,400 square kilometers in the late 1990s. Yet 400 million Chinese remain affected by desertification: Erosion—particularly due to wind—can cause violent sand storms, forcing people from their homes and threatening the economies of major Asian cities including Beijing, Seoul, and Tokyo. Human health effects include respiratory and eye infections. For more on the health effects of desertification, see “Desertification and Environmental Health Trends in China,” a research brief by the Wilson Center’s China Environment Forum (CEF).
In August 2007, CEF and water NGO Circle of Blue assembled a group of desertification experts and photographers to take a five-day car ride from Beijing into eastern Inner Mongolia in northeast China, one of the regions that has suffered most from desertification. On their drive into the ocean of sand, the team gathered stories, photos, and video to put a human face on China’s desertification crisis. The result of their trip is a multimedia report, “Reign of Sand,” which explains that the primary causes of China’s increasingly frequent and severe sand storms—most of which originate in Inner Mongolia, home to the largest grasslands on earth—are the ecological mismanagement of this region and deepening drought in northern China.
By CEF Program Assistant Linden Ellis. -
Reading Radar– A Weekly Roundup
›January 25, 2008 // By Wilson Center StaffReplacing 10-20 percent of mangroves in coastal areas of Thailand with shrimp farms does not seriously damage the mangroves’ ability to protect against tsunamis, says an article published recently in Science. According to the authors, “reconciling competing demands on coastal habitats should not always result in stark preservation-versus-conversion choices.”
Chimpanzees and other endangered species are being threatened by a thriving bushmeat trade in Tanzanian refugee camps, says a report by the NGO Traffic. “The scale of wild meat consumption in East African refugee camps has helped conceal the failure of the international community to meet basic refugee needs,” said report lead author George Jambiya.
“Health professionals have a vital contributory role in preventing and reducing the health effects of global environmental change,” argue A. J. McMichael and colleagues in an article in the British Medical Journal (subscription required to access full text).
Muslim countries around the world should follow the example of some of Indonesia’s pesantren (religious schools) and incorporate environmental conservation into the teaching and practice of Islam, argues MIT professor and frequent Wilson Center speaker Saleem Ali, who edited Peace Parks: Conservation and Conflict Resolution.The rising price of oil is making food more expensive and threatening the food security of the poor, reports The New York Times. “According to the F.A.O., food riots have erupted in recent months in Guinea, Mauritania, Mexico, Morocco, Senegal, Uzbekistan and Yemen.”
“The surge in the copper price has stirred up an emotional debate in Zambia about the obligations of the government—and investors—regarding the exploitation of minerals for the long-term benefit of countries. For a country built on the back of a previous copper heyday, but which has experienced massive poverty and underdevelopment for decades, this is unsurprising,” writes Diana Games for Resource Investor.
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Maternal and Child Nutrition Key to International Security, Prosperity, Say Global Leaders
›January 18, 2008 // By Kai CarterEarlier this week, public health practitioners, scientists, economists, and policymakers gathered at the Wilson Center in Washington, D.C., to launch The Lancet‘s new series on maternal and child undernutrition. The series aims to bring attention to the burden of undernutrition and raise support for evidence-based interventions that are implemented to scale. The speakers—including Joy Phumaphi, vice president for Human Development at the World Bank; Kent Hill, assistant administrator for global health at the U.S. Agency for International Development; and Tadataka Yamada, president of the Bill & Melinda Gates Foundation’s Global Health Program—emphasized the linkages between undernutrition and national productivity and prosperity. “Improved health for the world’s poor is not only a moral imperative, but also a pragmatic investment for peace, security, and worldwide economic growth,” said Hill. It is not surprising that the Japanese government recently gave $300,000 to fund a maternal and child health and nutrition program in
Robert Black of Johns Hopkins Bloomberg School of Public Policy, the lead author of the series, emphasized that many national plans to improve nutrition have yet to be effectively implemented or have failed to achieve high coverage. He stressed the need to incorporate nutrition priorities into non-health programs and policies such as those addressing poverty, trade, and agriculture. Boldly, Black characterized the international nutrition system as fragmented and dysfunctional and called for reforms that included greater funding, capacity strengthening, and accountability.
According to The Lancet, “3.5 million mothers and children under five die unnecessarily each year due to the underlying cause of undernutrition, and millions more are permanently disabled by the physical and mental effects of a poor dietary intake in the earliest months of life.” It is time national governments and the international community acknowledge the negative impact of undernutrition on health, education, productivity, and human 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. For more information on this event, visit the Global Health Initiative’s website. -
From the Director’s Chair
›December 17, 2007 // By Gib ClarkeECSP Director Geoff Dabelko and I recently attended “Population, Health, and Environment: Integrated Development for East Africa,” a conference held in November in Addis Ababa, Ethiopia. The conference was attended by more than 200 development practitioners from around the world, including many from Rwanda, Uganda, Tanzania, Kenya, and Ethiopia.
Throughout the conference, organizers, presenters, and participants all professed the many benefits of integrating population, health, and environment (PHE) initiatives. President Girma Wolde-Giorgis and Ethiopia’s ministers of health, environment, and agriculture and rural development opened the conference by praising the comprehensive basket of services that PHE offers. All that said, perhaps the best evidence that this conference was a success, and that PHE’s integrated approach is both necessary and valued in countries like Ethiopia, came in comments from Glenn Anders, the U.S. Agency for International Development (USAID) Ethiopia Mission Director, during the closing ceremony:
As I wrote in my previous post, it is rare that a conference galvanizes such momentum and captures the imagination of so many people from so many countries. It’s good to know that policymakers are listening.
I myself have been in development for over 25 years. I know first-hand the challenges that arise from addressing a development issue as one problem with one cause and one solution. Sometimes it might seem like a more simple approach, but we know that development—and life—is much more multi-faceted and complex. The only way to find a common ground, common solution, and common funding is to recognize the interconnectedness between people and their surrounding environment.
Integrated programs touch more lives, improve program efficiency, and strengthen cross-sectoral collaboration. We see better, measurable results from an integrated approach, and that is something we certainly all want …
Let me share with you how USAID in Ethiopia is utilizing this holistic approach. We support the government of Ethiopia’s community health extension workers, who work on the ground in communities addressing much more than just health. There have been over 18,000 workers deployed to date across the country. All of the community health workers are women and they are empowered to educate their neighbors. The workers are immunizing children and providing family planning services in the community. The program is also improving water and sanitation, introducing clean water and hygiene practices. The community health extension workers in Ethiopia are combining development solutions to address environment, health, population, and gender issues. We applaud Ethiopia’s vision to prioritize this program, and we will continue to support its implementation. -
Public Health Bonanza
›November 7, 2007 // By Gib ClarkeLast month, George Washington University’s School of Public Health hosted its annual “Mini-University”, a day-long conference showcasing novel approaches to improving global health.
The conference featured seventy presentations on topics including child marriage, monitoring and evaluation, fistula, urban health (with Wilson Center Global Health Initiative Senior Advisor Vic Barbiero), contraceptive security, male circumcision, XDR TB, nutrition, water and sanitation, gender, and the effects of the brain drain.
A few of the presentations looked at the relationships between conflict and health. One notable presentation (see #12) looked at the transition from relief to development in post-conflict states, examining best practices for strengthening health systems in these settings. Drawing on examples from Liberia, Afghanistan, and Sudan, the presenters discussed what the health priorities should be, how to execute them, and acknowledged the difficulty in accomplishing these tasks in such difficult environments.
The population, health, and environment (PHE) field was on display as well. Along with Johns Hopkins Ph.D. student Yung-Ting Kung, I (ECSP Program Associate Gib Clarke) presented “Is the whole better than the sum of its parts? Operations research design and initial evidence from integrated population and environment projects.” I offered background on integrated PHE programs, as well as a PHE case-study from the Philippines, I-POPCoRM. Kung’s presentation reported findings from statistical analysis of the Madagascar Environmental Health Project, with the goal of determining whether family planning and conservation outcomes are significantly better when services are delivered in an integrated PHE program than when they are delivered in isolation.
Though the conference sought to inform graduate students of the variety of new approaches being developed, the number of seasoned professionals present indicated that many members of the public health field recognize the importance of innovation. That monitoring and evaluation was emphasized throughout the day, and that many time-tested programs were on display as well, however, showed that in many cases new energy and commitment—not new technology or strategies—is what is needed.
