“Everyone in the community knew that I was the next [to get pregnant], but I was so determined that until I achieve my dream of becoming an accountant, I will not drop out of school, and I will not get pregnant,” said Rebecca Acio, a 19-year-old Ambassador for the Strengthening School-Community Accountability for Girls’ Education (SAGE) DREAMS Project, Uganda. She spoke at a recent Wilson Center event on emerging lessons from the DREAMS Innovation Challenge. As a peer educator at her school in Lira, Uganda, and a temporary dropout herself, Acio “knew what it cost to be a dropout” and worked to identify other at-risk girls to encourage them to stay in school.

In Alaska’s arctic communities, Inuit contemplating the need to relocate have reported that the loss of sea ice would make them feel like they are lost or going crazy.  Zika and other vector-borne diseases have been a concern primarily for people in the southeastern United States. Recent research on the long-range internal migration of people from the coasts to the interior suggests a broader national concern regarding “climate augmentation” of disease. These are just two examples of the many public health effects we can expect as climate change forces people to uproot themselves.  

“Adolescence is a time to support young peoples’ access to information, to education, to skills and to services that can result in a healthy and safe transition into adulthood,” said Sarah Barnes, Project Director of the Maternal Health Initiative, at a recent Wilson Center event on engaging youth and protecting their sexual and reproductive health and rights. “It’s time to make adolescents a priority,” said Barnes.

It is imperative that countries adopt a human security approach to achieve “freedom from hazard impacts”—nationally through a scientific disaster risk reduction strategy and internationally through climate diplomacy.

This summer, Iraqi citizens in Basra demonstrated in the streets to protest a serious public health crisis caused by polluted water. The condition of their water infrastructure was deplorable after years of devastating wars, corruption, and droughts and regional hydropolitics. More than 100,000 people have reportedly been poisoned by polluted water, while recent estimates warn that some 277,000 children are at risk of diseases, such as cholera due to rundown water and sanitation facilities at schools.

Environmental activists in Brazil are under attack. Last year—the worst year on record—57 of them were assassinated in Brazil, the most dangerous country for environmental activists in the world. The last few years have seen a dramatic uptick in killings of people who take a stand against companies and other actors that commit environmental crimes.

Poor quality care is now a bigger barrier to reducing mortality than insufficient access to healthcare, said Dr. Margaret Kruk, Chair of The Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goal Era. She spoke at a recent Wilson Center event on strategies to improve and sustain high-quality reproductive, maternal, and newborn care at scale. “We estimate that 8.6 million lives are lost every year due to lack of access to high quality care, and of that 8.6 million, five million lives are lost by people who have already reached out to the health system.”