As an inhabitant of the Himalayan region of Nepal, where 8 of the 10 highest peaks of the world are situated, I am experiencing first hand several environmental stresses and insecurities. Many of the high mountains I can see from my village, once covered in snow, are turning black. Neighboring areas are experiencing massive out-migration and demographic changes. Consequently, agriculture in the region is facing an unprecedented crisis.

Droughts, irregular rainfall and erratic floods, landslides and mudslides, forest fires, pollution of our land and water, and energy insecurity are frequently observed in Nepal. River systems born out of the Himalayas are shrinking. Erratic climate behavior is heavily affecting the flora and fauna and contributing to biodiversity loss.

Since the dawn of the Industrial Revolution, humans have so vastly altered Earth’s systems that we’re now in the midst of what many are calling the Anthropocene Epoch. Human activity has become the dominant influence on climate and the environment, inflicting changes that may persist for millennia.

We are razing the planet’s last intact wild lands, degrading, deforesting, carving up, and destroying huge swathes of habitat. We’re overfishing and poisoning our rivers and oceans. We continue to pump greenhouse gases into the atmosphere, raising CO2 levels and hastening climatic changes that are already affecting all life on Earth.

“Midwifery is a fix, it is not an add-on,” said Franka Cadée, President of the International Confederation of Midwives (ICM) at the Nairobi Summit on ICPD25. The World Health Organization designated 2020 the Year of the Nurse and the Midwife in recognition of the invaluable contributions of these two professions.  To meet the Sustainable Development Goals by 2030, midwives and nurses must be valued and utilized as essential members of the health workforce.  Increased utilization of skilled midwives will also help countries achieve universal health coverage and improve access to sexual and reproductive health services, two key actions from the 1994 International Conference on Population and Development (ICPD).

In the quarter century the Wilson Center’s Environmental Change and Security Program has been pondering the issues for which it’s named, the world’s demographic future has been wobbling. A key concern of analysts: How many people will farmers need to feed in 2050? Mainstream projections have teetered between 8.9 billion and 9.8 billion, amounting to an increase of between 13 and 21 percent over today’s 7.7 billion. This significant variation in projections is rarely acknowledged by prognosticators. Many simply round up today’s latest guess and state confidently that there will be 10 billion people in 2050—though just a few years ago, the number most confidently stated was 9 billion.