Showing posts from category global health.
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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. -
‘Lancet’ Series Takes on Energy, Health
›October 16, 2007 // By Karen Bencala“Energy is a critical, yet hugely neglected, determinant of human health. Health is an important enough aspect of energy policy to deserve a much greater influence on decisions about our future personal, national, and global energy strategies….Energy is as important as any vaccine or medicine. 2 billion people currently lack access to clean energy: they live in energy poverty and insecurity. International institutions, such as the World Bank and WHO, have repeatedly failed to make the connection between energy and health in their country work,” writes Lancet editor Richard Horton in the journal’s September 15, 2007 issue.
A six-article series in The Lancet examines how energy use—or the lack thereof—affects human health. Providing needed data on the health and economic impacts of both energy use and energy scarcity, the series explores one of the many links between environment and human security. The series is available on The Lancet’s website (subscription required). -
PODCAST – PEPFAR Reauthorization and the Global AIDS Response
›September 26, 2007 // By Julie DohertyThe President’s Emergency Plan for AIDS Relief (PEPFAR), a $15 billion commitment, is set to expire at the end of fiscal year 2008. This critical boost in U.S. AIDS funding has helped millions of individuals infected with HIV, and in so doing, has improved developing nations’ health and education systems and decreased violence against women. In an original podcast by the Environmental Change and Security Program and the Global Health Initiative, UNAIDS Executive Director Dr. Peter Piot discusses how reauthorizing PEPFAR at increased levels of funding, expanding AIDS prevention programs, and coordinating global efforts to combat HIV/AIDS under U.S. leadership could amplify the effectiveness and sustainability of the global AIDS response.
Click here for the Wilson Center, “PEPFAR Reauthorization and the Global AIDS Response” event summary. -
Frist Returns to the Health Fray
›September 13, 2007 // By Gib ClarkeFormer Senate Majority Leader Bill Frist, who was a practicing surgeon before his political career, announced last week that he would return to medicine—in a big way. The New York Times reports that Frist will lead Save the Children’s new “Survive to Five” initiative. This program aims to reduce the number of children—estimated at nearly 10 million annually worldwide—who die before they turn five years old. Save’s website describes five solutions to the five biggest contributing factors to child mortality. By applying these solutions—all of them proven, and most of them very inexpensive—they hope to save as many as 6 million children every year.
The Times mentions that other American politicians, such as Jimmy Carter and Bill Clinton, have dedicated much of their post-political lives to global health, with excellent results. Perhaps even more encouraging is that some current world leaders are addressing these issues as well. Last month, British Prime Minister Gordon Brown and German Chancellor Angela Merkel vowed “urgent action” on health issues in developing countries. Their International Health Partnership, which began on September 5, will address child mortality, as well as maternal mortality and HIV/AIDS prevention and education.
The Times notes that Frist is playing a key role in a similar campaign with the Bill and Melinda Gates Foundation, along with former rival Senator Tom Daschle—although it doesn’t mention that while majority leader, Frist broke with political tradition by campaigning against his counterpart. It is encouraging that they have put political differences behind them and are working together on a new campaign that could save and improve the lives of millions of children around the world. Hopefully, they will be successful in persuading Americans and their elected officials that child mortality is not only unacceptable and preventable, but that reducing it is a worthy use of taxpayer dollars.
This effort may seem daunting, given that less than one-half of one percent of the U.S. budget goes to international assistance. Frist was successful in ushering through the President’s Emergency Plan for AIDS Relief (PEPFAR), which dedicated $15 billion over five years to fighting AIDS, principally in Africa. This was a major victory for global health, but there is room in the budget and the priorities of American leaders for more global health programs—especially if PEPFAR is doubled, as is now being considered, to $30 billion over the next 5 years. Campaigns to reduce childhood mortality do not face the political scrutiny of HIV/AIDS programs such as PEPFAR, but it will still be important that Frist and others involved allow science-based medicine to dictate funding priorities; one of PEPFAR’s main failings is that it has caved to ideology in placing an unadvisedly large emphasis on abstinence education.
Frist and his colleagues certainly have a difficult battle against child mortality ahead of them. But Frist—a surgeon, politician, and businessman—has an impressive range of skills and an equally enviable Rolodex of supporters to call upon. -
Poisonous Emissions Envelop Russian Town
›August 1, 2007 // By Julie DohertyAs reported in Russia Today, a toxic cloud from a metallurgical plant in the northwestern Russian town ofLocal prosecutors have launched an inquiry into the case, but the factory has already accepted full responsibility and has promised to install new equipment to lower emissions. However, the equipment will take several years to install, and local residents do not want the plant to be closed in the interim, as it is the main source of employment in the area.
As objectionable as Nikel’s pollution and health problems seem, this is not the first time we’ve heard about them. In 1992, Wilson Center Senior Scholar Murray Feshbach and co-author Alfred Friendly wrote about this same issue in their book Ecocide in the USSR: Health and Nature Under Siege.
