Showing posts from category UN.
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Congressional Hearing: Clean Water Access Is a Global Crisis, Human Right, and National Security Issue
›March 17, 2011 // By Hannah MarquseeUnsafe drinking water causes nearly 1.8 million deaths each year from diarrhea, “a number that dwarfs the casualties associated with violent conflict,” said U.S. Representative James McGovern at a congressional human rights commission hearing earlier this month on water as a basic right. Nearly all of these deaths are children under the age of five, he said. “This is a war against families, children, and women on an ongoing basis,” said Representative Earl Blumenauer, also speaking at the hearing, titled “Realizing the Right to Safe Water and Sanitation.”
There are currently 884 million people in the world without access to safe drinking water, according to UNICEF, and 2.6 billion without improved sanitation. As population growth and climate change place added stress on fresh-water systems, by 2025, two thirds of the world’s population will live in water-stressed conditions, according to the Food and Agriculture Organization. “This is a severe global crisis,” said McGovern.
“A Human Right”
With 2011 World Water Day only weeks away, the hearing harkened back to Secretary Clinton’s widely quoted statement from World Water Day 2010, marking a commitment by the Obama administration to address global water issues:It’s not every day you find an issue where effective diplomacy and development will allow you to save millions of lives, feed the hungry, empower women, advance our national security interests, protect the environment, and demonstrate to billions of people that the United States cares. Water is that issue.
Four months after that statement, the UN passed a resolution to make access to water and sanitation a human right, not just a development priority. Said Catarina de Albuquerque, a UN independent expert who testified at this month’s congressional hearing, the resolution stipulates that water must be “available, accessible, affordable, acceptable and safe.” A “right to water” is an important “sign of political will,” that will place increased obligations on governments to improve access to water and sanitation, she said. But in the meantime, for the millions without access to safe water, “there is no change.”
According to the UN, the world is on track to meet the Millennium Development Goal target of halving the number of people without access to an improved water source by 2015. But de Albuquerque noted that the reality is not quite so optimistic. On a UN fact-finding mission, she encountered at least one family who by UN definitions had access to an “improved drinking water source,” yet their tap water was literally black. “Water quality is not being monitored” and for many of the people who do have access, it is simply “undrinkable,” she said.
In developed countries as well, there are significant barriers to access, especially for marginalized communities. On a recent mission to the United States, de Albuquerque found that America’s “voiceless” – people of color, Native Americans, and the homeless – face significant discrimination in access to water. “Society closes its eyes to them,” she said. Thirteen percent of Native Americans lack access to safe water, in comparison to 0.6 percent of non-native Americans, she said in a statement to the press releasing her findings. And in Boston, “for every one percent increase in the city ward’s percentage of people of color, the number of threatened cut-offs increases by four percent.” To make the necessary improvements to fill these gaps in America’s aging water infrastructure would cost $4 to $6 billion annually, she said.
A National Security Issue
Water “is a security issue as well as a human development issue,” said Blumenauer. Since, according to UNEP, 40 percent of the world relies on river basins that share two or more political boundaries, water management has enormous potential for both conflict and cooperation. Echoing Clinton’s World Water Day statement, McGovern championed the cross-cutting nature of water:The right to water is inextricably linked with other basic rights…including the right to food, the right to health, and the right to education.
The burden of collecting water in underdeveloped countries often creates a gender gap and exposes women and girls to violence and rape, he said. And it “has been the basis for many territorial and violent disputes between various peoples and even nations.”
Last month, a staff report by the Senate Foreign Relations Committee expressed a similar sentiment with the publication of their report, Avoiding Water Wars: Water Scarcity and Central Asia’s Growing Importance for Stability in Afghanistan and Pakistan. The report commends the Obama administration for recognizing the importance of water: “For the first time, senior government officials are recognizing the critical role that sound water management must play in achieving our foreign policy goals and in protecting our national security.” However, by exclusively focusing on Pakistan and Afghanistan’s water issues and “neglecting the interconnectivity of water issues between Central and South Asia, the U.S. approach could exacerbate regional tensions,” the report says.
To be more strategic about water assistance, the report recommends the United States: (1) provide technical support in data collection to better manage water; (2) help increase water efficiency and reduce demand for water; (3) recognize the transboundary nature of water issues and “provide holistic solutions;” and (4) “safeguard institutions against shocks to water supply and demand.”
Moving Forward
The Obama administration’s commitment to water issues, the UN’s recognition of water as a human right, and the 2005 Water for the Poor Act have all been important steps towards fulfilling the pledge of making access to safe water a human right. “We’ve come a long way,” Blumenauer (who authored the Water for the Poor Act) said at the hearing, but there is still significant work ahead.
“We’re going to have to be more strategic moving forward” in order to meet global water shortages, said Aaron Salzberg, special coordinator for water resources for the U.S. Department of State who testified at the hearing. Salzberg recommended that the U.S. government take steps to integrate water management with the food and health sectors; build political will; mobilize financial support; promote science and technology; and form partnerships with other governments and aid organizations. The United States must also “be smarter” about allocating funds based on the dual criteria of “need” and “opportunity.” Balancing efforts with partners to find out which countries have the greatest need and the least resources will allow limited U.S. funds to make the deepest impact, he said.
John Oldfield, managing director of the WASH Advocacy Initiative, urged Congress to increase funding for foreign assistance, continue appropriations for the Water for the Poor Act, and improve the effectiveness of existing water, sanitation, and hygiene (WASH) assistance. “Each dollar invested in water and sanitation leads to an 8:1 return from reduced healthcare costs and time savings,” he said. “The world does not need to bury millions more of its children in the coming years when we know how to prevent waterborne disease today.”
Sources: FAO, UNEP, UNICEF, United Nations, WHO.
Image Credit: Adapted from “School girl drinks water from new handpump,” courtesy of flickr user waterdotorg. -
Carrying Capacity: Should We Be Aiming to Survive or Flourish?
›“In the eyes of many governments, population has, as we all know, been a rather uncomfortable topic for a number of years,” said Nobel Laureate Sir John Sulston, FRS, chair of the Institute for Science, Ethics, and Innovation at the University of Manchester and chair of the Royal Society’s People and the Planet working group. At an event at the Wilson Center on February 22, Sulston and his co-panelists, Martha Campbell, president of Venture Strategies for Health and Development, and Professor Parfait Eloundou-Enyegue of Cornell University, encouraged active debate on a range of population dynamics and their connections to economic, environmental, and political futures. [Video Below]
The Nexus of Population and Consumption
The dialogue between population and environmental communities has been pushed aside for many years but has lately been climbing its way back onto national agendas, said Sulston. However, the debate remains polarized. Scientists need to “sort out the facts as best we can” to help bring the communities together, he said. The Royal Society’s People and the Planet study, which will be completed by early 2012, will “provide policy guidance to decision-makers as far as possible” and “play our part in engendering constructive dialogue,” he said.
“What we should be aiming to do is to ensure that every individual on the planet can come to enjoy the same high quality of life whilst living within the Earth’s natural limits,” said Sulston. Instead of talking about the maximum number of people the Earth can hold, we should also focus on “the quality of life of those people,” he said. People are happier, healthier, and wealthier than ever before, according to human development indexes. But, Sulston said, 200 million women worldwide have an unmet need for family planning, ecosystems are degraded, biodiversity has decreased, and there are widespread shortages of food and water.
For centuries humanity has pursued a policy of “competitive growth,” both in population and consumption. But in preparation for the UN “Rio+20” summit on sustainable development in 2012, policymakers should be discussing “pathways to sustainability within the context of population,” said Sulston.
“Humanity needs to learn to act collectively and constructively in the face of these long-term and therefore rather elusive threats, just as we do rather well when we’re faced with immediate and tangible ones,” Sulston said. “So we need the best technology, but we need it in the context of a thoughtful society, and then we can both survive and happily flourish.”
A Demographic Crossroads
“No longer is population growth or population size the only issue of the day,” said Parfait Eloundou-Enyegue. “You have to worry about both population growth and population decline, you have to worry about immigration, you have to worry about aging, you have to worry about HIV and adult mortality, et cetera.”
Some people, Eloundou-Enyegue said, take this diversity of demographic issues as “grounds for complacency” by thinking they do not share in others’ problems. Yet, he said, population and ecology are areas where the risks are shared by all.
These challenges demand a “more comprehensive framework” that details the interactions between population, affluence, environment, technology, and inequality, said Eloundou-Enyegue. Tensions persist between these different areas, and breaking them will require “call[ing] on other qualities of the human spirit,” he said. The world is, Eloundou-Enyegue concluded, at a “demographic crossroads.”
The Timing of Declining Fertility
The key to ending the sensitivity to the issue of population growth is to “understand that this is about options: options for women and options for families,” said Martha Campbell. Strong attention and funding support can meet needs and lead to declining birth rates, as in the case of Kenya before the mid-1990s. But with the broader emphasis on reproductive health and concerns about coercion that followed the 1994 United Nations International Conference on Population and Development (ICPD) in Cairo, funding for family planning declined. As a result, Kenya’s fertility rates leveled off instead of continuing to decline, said Campbell, contributing to an upward revision of global population projections.Campbell illustrated the impact of delays in achieving replacement-level fertility on the overall population size of individual states. In the case of Pakistan, for example, analysis by Venture Strategies for Health and Development and the African Institute for Development Policy projects that the country will have a total population of 350 million if replacement-level fertility is reached by 2020, and a population of almost 600 million if that same mark is reached by 2060.
Looking ahead to the “Rio+20” summit in 2012, Campbell emphasized the need for continued discussion about population growth and family planning. The silence on these issues after Cairo in 1994 and the subsequent global impact should serve as a warning for future generations, she said: “It is important for this next generation and the current generation to understand what happened so that it will never, ever happen again. The silence on population must not occur.”
Photo Credit: “Rush hour,” courtesy of flickr user Jekkone, and Pakistan fertility chart, courtesy of Martha Campbell and Venture Strategies. -
Can Women Help Make Peace Agreements Sustainable?
›The role of women in civil society and their involvement in peace negotiations has been notable, though women have often been overlooked as mediators in peace talks.
On January 20, the Wilson Center’s Middle East Program and the Institute for Inclusive Security (IIS) hosted a meeting titled “Can Women Help Make Peace Agreements Sustainable?” with Luz Mendez, member of the Advisory Council of the Global Fund for Women, Guatemala; Jacques Paul Klein, former United Nations Secretary General’s special representative and coordinator of United Nations operations, Liberia; Alice Nderitu, National Cohesion and Integration Commission, Kenya; and Suaad Allami, director, Sadr City Women’s Center and Legal Clinic, Iraq. Carla Koppell, director of the Institute for Inclusive Security, moderated the event.
Mendez recounted her experiences at the negotiating table during the peace process that ended a 36-year war in Guatemala. She described the shift in that process when the United Nations went from observer to mediator once participants realized the original format was not producing results. Mendez emphasized the challenges she faced when trying to address women’s rights concerns in talks, being the only woman present for four years of the five-year process. She also described the satisfaction she felt when the UN moderator consulted her on the inclusion of particular women’s rights provisions. Mendez also highlighted the ongoing challenges in Guatemala, such as weak implementation mechanisms for the accords, the ubiquity of femicide, and the persistence of socioeconomic grievances.
Klein, who served the UN aiding victims in Bosnia-Herzegovina and Liberia, denounced the violence and hatred that often erupts when a state is too weak to implement rule of law and is unable to turn its human capital into a source of strength. He described the prevalence of human trafficking witnessed throughout his career and the programs implemented to rescue kidnapped and exploited women. He concluded by emphasizing the responsibility and ability that each individual has to foster tolerance and take action against violence and repression.
Nderitu reviewed the origins of ethnic tensions in Kenya, which erupted into violence following elections in 2007-2008, as well as the role of women in the subsequent peace negotiations. She referred to the Kenya National Dialogue and Reconciliation agreements mediated by Kofi Annan, which involved women throughout the peace process. These agreements focused on ending violence and the humanitarian crises while also addressing longstanding issues such as poverty, inequality, and unemployment.
Allami described the rise of the conservative movement in Iraq since the fall of Saddam Hussein, which has effectively limited women’s rights and freedoms codified in the existing Iraqi personal status law. She stated that coalition forces in Iraq helped to limit this trend, but the situation was still contentious because Iraqi leadership tends to not work with women’s groups even though women are mandated to comprise no less than 25 percent of parliament. Allami indicated that female leadership is ultimately weakened if the general female population’s rights are repressed. She also discussed the commitment the international community and the United States have made to Iraqi women.
Koppell concluded by discussing how there are plenty of models throughout the world where women in civil society have been brought into negotiations and peacemaking; policymakers can no longer justify the exclusion of women by claiming there are no proven strategies of inclusion.
Sara Girgis is an intern with the Middle East Program at the Wilson Center.
Photo Credit: “070905-A-5406P-024,” courtesy of flickr user The U.S. Army. Sgt. Yasser Ahmed, a soldier from the Iraqi Army’s 3rd Battalion, 1st Brigade, 11th Infantry Division, talks with a local woman during a patrol in the Graya’at area of Baghdad’s Adhamiyah District Sep. 5. -
Portraits of Women From Afghanistan to the DRC
A Conversation on Art and Social Change
›“At the core of human rights and artistic behavior is respect for human dignity. It is this that unites art and justice,” said Jane M. Saks, executive director of the Institute for the Study of Women and Gender in the Arts and Media, speaking at an event cosponsored by the Environmental Change and Security Program and the Africa Program at the Woodrow Wilson Center. Lynsey Addario, MacArthur-winning photographer and former Institute fellow, joined Saks to share striking photographs highlighting the effects of conflict on women and girls around the world. [Video Below]
The Power of Art
“Art is inherently political because it has the power to really engage in social justice,” Saks said. The Institute that she helped found promotes art that pushes boundaries and creates conversations about peace and war, so as to “add to the accepted canon of understanding of conflict.” As part of this effort, the Institute created the exhibition, “Congo Women: Portraits of War,” composed of photographs by Addario and others about violence against women in the eastern Democratic Republic of Congo (DRC).
Saks hopes that these “photographs saturated with human dignity” will create awareness and, ultimately, influence policy about the conflict in the DRC. The exhibition has traveled to more than 20 locations since its opening. In May 2009 it was installed at the Senate Rotunda during the Senate Foreign Relations Committee hearings on violence against women in conflict.
Addario, who said her work is drive by a desire to “give the people a voice,” has spent 15 years traveling deep into conflict zones all over the world, including Iraq, Sudan, and Afghanistan.
Women and Childbirth
Addario’s images reveal the often shocking conditions in which women around the world give birth. In Sierra Leone, she documented 18-year old Mamma Seesay, “one of thousands of women who die in childbirth.” Due to a shortage of doctors, lack of transportation, and high rates of child marriage, one in eight women in Sierra Leone die in childbirth. Afghanistan has the second highest rate of maternal mortality in the world, partly because “an Afghan woman will be pregnant up to 15 times in her life,” she said. “When you watch someone who in most other developed nations would survive without question, it’s just not fair.”
Throughout a decade of covering women in Afghanistan, Addario has sought to provide a “balanced picture” of their lives to American audiences. Her photographs show the milestones women have achieved since the fall of the Taliban: graduating college; driving cars; becoming actors, producers, or police officers; getting married; and giving birth.But her coverage of Afghanistan also contains stories like that of Fariba, an 11-year-old girl who doused herself with petrol and set herself on fire after being abused by her parents. The burn ward at the hospital in Kabul is full of such women who commit self-immolation “to escape their lives,” said Addario. An Afghan woman’s life “is worse than a donkey…there is no release for these women.”
“Give Us Your Guns”
In 2009, she went to the tribal areas of Pakistan to meet the Taliban. “Wrapped up like a cigar,” she posed as the wife of former New York Times correspondent Dexter Filkins and went into a room of 30 Taliban fighters “armed to the teeth.” The two spent the day with the Taliban and “by the end, they loved us,” she said. “The whole time they just laughed at us: ‘You Americans, you give money to the Pakistani government and they give it to us!”
While covering the conflict in Darfur, Addario had to convince UN peacekeepers to drive into a Janjaweed-occupied village so that she could verify how many people had been killed. “Every time we would go towards the village, the Janjaweed would shoot at us and so [the peacekeepers] would turn the cars around and go,” Addario said. To convince the peacekeepers to go in anyway, she said to the commander: “Just give us your guns. We’re gonna go in ourselves if you don’t.” When they finally drove towards the village, “the Janjaweed set it on fire right in front of us, and we just kept driving, and when we got there they had left,” she said.
Addario has spent years as a single woman traveling around the world and throughout conflict zones. “Women in Afghanistan think I’m insane,” she said. “They think I have a lonely, miserable life.” But she believes that as a woman working in conflict zones, she has a unique ability to access places that a man could not and a mission to tell the stories that she hears. “For me it’s about showing the greater American public what’s happening.”
Sources: Institute for the Study of Women and Gender in the Arts and Media, National Geographic, The New York Times, Public Radio International, Slate, UNICEF, and the U.S. Senate Committee on Foreign Relations.
Photo Credit: Woman in labor with her mother on the way to the hospital in Afghanistan and a U.S. Marine in Afghanistan, used with permission courtesy of Lynsey Addario and the VII Network. -
Andrew Morton, UNEP
Haiti 2011: Looking One Year Back and Twenty Years Forward
›January 14, 2011 // By Wilson Center StaffThis piece first appeared on the website of the Haiti Regeneration Initiative – a new collaborative venture between the UN, the government of Haiti, the Earth Institute at Columbia University, Catholic Relief Services, and a wide range of other implementing partners.
In 2010, Haiti endured a year like no other. The country was struck by a devastating earthquake, a cholera epidemic, floods, violence, and political uncertainty. At the same time, Haiti witnessed heroic rescue and relief efforts and an enormous demonstration of international goodwill. Today, recovery and reconstruction are taking place, albeit at a frustratingly slow pace and not currently at the scale of existing needs.
Just as importantly, 2010 brought a renewed awareness of the need for lasting solutions and improvements in the design and delivery of international aid. During the next few days, we will look back on the tragic events of January 12th, 2010, while at the same time, we must look forward, not just one year, but 20.
A Failed Recovery in a Fragile State
Already before the earthquake, Haiti was a fragile state trapped in a slow but vicious negative spiral. A tightly interconnected trio of chronic environmental, political, and socio-economic crises has gradually ensured that Haiti has had the lowest human development indicators in the Western Hemisphere, with life-long poverty, chronic hunger, and violence. Catastrophic events, such as natural disasters, epidemics, and political violence, have simply steepened the descent. Moreover, disaster recovery efforts to date have systematically failed to bring the country back to pre-disaster levels.
In spite of this depressing analysis and forecast, we should not resign ourselves to failure. The situation can be turned around but only with great effort and by foregoing “business as usual.”
The first step towards change is full recognition of the situation. In the case of Haiti, this means recognizing the marked failure of foreign recovery and development assistance to date. It is pointless to blame any particular institution or individual for this: The current state of Haiti is the culmination of generations of efforts and decisions, good and bad, combined with rapid population growth and an inherent vulnerability to natural hazards. (Editor’s note: according to the UN, Haiti’s fertility rate tripled in the immediate aftermath of the earthquake last year.)
The second step is planning. While relatively solid recovery plans have been developed by the government of Haiti with international assistance, their implementation has not so far met with success, due to four interlinked problems.
First, the humanitarian imperative for urgent and chronic relief is overrunning all good intentions for recovery and development – it is politically impossible, inhumane, and simply unwise to ignore the basic resource needs of a cholera epidemic and a million people living in tents.
Second, nothing suppresses development investments like political violence and uncertainty: Few donors, and even fewer companies, will invest while riots and political uncertainty paralyze the country and destroy its reputation.
Third, the planning process is necessarily democratic and participatory; as a result, however, virtually all of the country’s needs are listed with no reliable process of thematic or geographic prioritization.
Finally – and perhaps most importantly – although the plans are official and uncontested, they generally lack broad credibility and commitment. Weary aid workers, government officials, donors and the general public look back at the fate of previous plans and, not surprisingly, expect these latest efforts to fail just as others have before.
Regenerating Haiti
Unlike virtually all other aid organizations I have met in Haiti, the team behind the Haiti Regeneration Initiative (HRI) has fortunately been given the vital time and seed funding to reflect on these issues and try something really different. After two years of preparation, on January 4, 2010, we launched a long-term rural sustainable development initiative for the southwestern tip of Haiti. The Côte Sud Initiative aims to transform the lives and the degraded environment of 200,000 people living in one of the poorest yet most beautiful parts of Haiti.
This specific initiative will only directly assist two percent of the population of Haiti, but just as importantly, we aim to demonstrate that sustainable development is truly possible in this country. Because national-scale issues require national-scale efforts, we also aim to promote change through dialogue and assisting the government of Haiti to develop and deliver on sustainable development plans that work. This is the primary mission of the HRI.
We must arrest the long-term decline as soon as possible. This includes, but is not limited to, basic recovery from the earthquake. At the same time, we need to establish the foundations for the long-term radical changes that are an absolute prerequisite to achieving sustainable development in Haiti. We must prepare to turn the vicious circles into virtuous ones.
So what are the short- to medium-term priorities?
The first is political stabilization, as vital foreign aid and direct foreign investment will simply not arrive in the face of such negative news and uncertainty.
Second, a massive aid investment in potable water and sanitation is required to suppress cholera in the longer term. No country can develop in the midst of recurrent major epidemics. This investment needs to be designed for sustainability; in other words, infrastructure needs to be accompanied by realistic, locally financed mechanisms for maintenance. Otherwise it will become useless within weeks of installation.
Third, persistence is needed on the current debris clearance and rebuilding efforts; we know from many other countries that such efforts can take years to be completed.
Finally, development aid should move out of Port-au-Prince and into the regions. In 2010, the massive influx of earthquake relief and reconstruction aid actually increased the economic pull of the capital and exacerbated existing urban problems.
What to do to prepare for the long term? Implementing radical change requires political support and even cultural reform, so in addition to good ideas, the HRI partnership will work hard to develop a sense of national ownership of the solutions as well as the problems.
Many of the ideas are not new: mildly decentralized development, diversified and value-added agriculture, niche tourism, improved aid coordination, public-private partnerships, etc.
Many, however, are radical, including a proposed paradigm change on migration and remittances, education, food security and import policies, widespread privatization, harsh revisions and rebuttals of traditional development models and assumptions, and adaptation to the new types of religious NGOs. These are just a few of the concepts and opportunities we have identified and will work to make a reality in Haiti.
Over the next few years, the HRI hopes to foster an intelligent and useful dialogue on sustainable development in Haiti. We look forward to having all of those who are concerned about and interested in helping Haiti join us in the debate.
Andrew Morton is the Haiti Regeneration coordinator and a senior staff member at UNEP. For more information on the Haiti Regeneration Initiative please see www.haitiregeneration.org.
Sources: BBC, Haiti Regeneration Initiative, United Nations Development Programme.
Image Credit: “Rebuilding as a community,” courtesy of flickr user Save the Children. -
Civil-Military Interface Still Lacks Operational Clarity
›The Quadrennial Diplomacy and Development Review (QDDR) is an important first step in redefining civilian roles and capacities in crises, conflict, and instability. After the expensive failures of both the military and USAID in Vietnam during the 1960s and 70s, Congress set new guidelines governing military interventions and assistance to foreign governments. Foreign assistance staff was cut from 15,000 to 2,000 people. When modern-day conflicts arose and USAID found itself understaffed and under-funded, the military was called upon to fill a gap and became overnight, in essence, our primary development agency.
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Environmental Security at the UN
UNEP/PCDMB Progress Report From Brussels
›January 11, 2011 // By Lauren Herzer RisiAt a November Environmental Security Assessments conference on methodologies and practices, held jointly by ENVSEC and IES outside of Brussels, I had the opportunity to catch up with David Jensen, a policy and planning coordinator in the UN Environment Programme’s (UNEP) Post Conflict and Disaster Management Branch (PCDMB).
Jensen pointed to several upcoming reports coming from UNEP and expressed some relief that the concept of environmental security was finally getting some recognition without having to constantly be “banging on doors.”
PCDMB is a branch of UNEP created to provide five core services to UN member states: post-crisis environmental assessments; post-crisis environmental recovery; environmental cooperation for peacebuilding; disaster risk reduction; and, most recently, humanitarian action and early recovery.
There has been a steady stream of activity flowing from PCDMB and a lot to look forward to this spring:
Finally, it sounds like PCDMB is getting some recognition from within the upper echelons of the UN. Jensen has been asked to brief senior peacebuilding officials, and the Secretary-General’s political advisor called him in to talk about peacekeeping and natural resource management and conflict prevention.- The guidance notes on conflict prevention and natural resources, recently published on the PCDMB website, are draft notes that will be revised following pilot programs in four countries (Jensen particularly noted that there is much work to be done on them still). Ultimately, they hope to identify funding for 100 experts to deploy to countries (at the country’s request) to apply the guidance notes in the field.
- PCDMB has a project of 150 case studies coming out in six volumes in February 2011 on natural resources and peacebuilding.
- The culmination of a three-year UNEP project in Nigeria, which includes a full analysis and remediation plan of 300 oil-contaminated sites in the Ogoniland region of the Niger Delta, is expected to be released in the second quarter of 2011. (Editor’s note: though not finished, the report caught flack last summer over concerns that it will largely exonerate Shell.)
- PCDMB is also partnering with UN’s Department of Peacekeeping Operations and the Department of Field Support to assess options for resource-efficient technologies and practices in peacekeeping camps (the so-called “green helmets“). They will be issuing a policy report on best practices in May 2011.
In an interview with ECSP last fall, Jensen predicted the UN was finally approaching a fundamental tipping point for inclusion of natural resource issues in the broader peacebuilding process, and the kind of interest noted above appears to be proving him right.
In a report this summer, Secretary-General Ban Ki-moon noted the need for inclusion of environmental security in peacekeeping operations and highlighted the particular work of PCDMB in places like Afghanistan, Timor-Leste, and the Sudan.
It’s no surprise then that when Jensen briefed the full Secretariat, he said he was greeted by a packed house.
Image Credit: Arranged from “UNEP and Disasters and Conflicts at a Glance,” courtesy of UNEP. -
The Cholera Quandary
›The original version of this article first appeared in the Stimson Center Spotlight series, November 19, 2010.
Cholera is usually seen as one of the most devastating infections of the 19th century. Trade routes carried cholera from India to the great cities of Europe and the United States. Disease, fear, and political unrest spread in great waves that cost millions of lives. After much destruction, it was only with science and resources that certain populations were able to curb the epidemic.One of the most celebrated lessons in the history of public health involves a cholera outbreak in London in 1854 and efforts by John Snow – celebrated as the father of epidemiology – to control it. At the time, it was not clear that cholera was a waterborne bacterial infection that caused severe diarrhea and vomiting, and sometimes fatal dehydration. Snow proved that the outbreaks decimating communities spread from contaminated water. Water and sanitation services had virtually eliminated cholera epidemics in the developed world by the early 1900s.
Today, cholera has been nearly eradicated in the developed world, but continues to be endemic in poorer countries. Risks seem to be rising as larger populations are crowded into unsanitary conditions. The World Health Organization (WHO) estimates three to five million illnesses and 100,000-200,000 deaths from cholera each year. If caught early, infections are treatable with inexpensive oral rehydration solutions. For much of the world, these options are unavailable or underused – the mere presence of cholera serves as an indicator of a country’s socioeconomic status and health system capabilities.
The cholera epidemics that are currently menacing countries on three different continents – Asia, Africa, and North America – raise tough questions about what is required to protect the world’s vulnerable populations. We know how to predict the crisis of cholera, prevent outbreaks, and contain them when they occur. To control cholera, what is needed is not cutting-edge technologies, but will, transparency, and resources – and where cholera appears, at least one of these three factors has failed.
Currently, cholera outbreaks in Pakistan, Haiti, and Nigeria are piling misery upon misery. Cholera in post-flood Pakistan comes as no surprise. When floodwaters left millions homeless and without access to clean drinking water in a region where cholera remains endemic, health officials could have reasonably assumed infected human waste would seep into water supplies and spread disease. The inability of health networks on the ground to prevent and then detect cholera demonstrates cracks in the country’s health system. What is apparent here is a lack of will and resources. Disease surveillance is especially vital in a post-disaster scenario where steps can be taken, such as treating water with chlorine, to prevent an outbreak.
Haiti had been free of cholera for at least 50 years, but the disease struck and spread rapidly 10 months after the devastating January 2010 earthquake. It reached Haiti’s capital and spread to its neighbor, the Dominican Republic. Since October, more than 114,000 people have become ill and more than 2,500 have died (Editor’s note: updated since original publication).
Haiti lacked resources for basic infrastructure even prior to the earthquake; the cholera crisis is not only costing lives, but also diverting aid from “building back better.” But regardless of the source of the cholera strain, if basic infrastructure and resources to protect Haiti’s vulnerable populations had been in place, cholera’s re-emergence would have been far less devastating.
This particular outbreak draws attention to the practical and political challenges of identifying health risks in humanitarian workers and peacekeepers, many of whom come from developing countries themselves. Evidence suggests that peacekeepers from Nepal, housed at a UN base, may have been the source of the outbreak clustered around the Artibonite River. Cholera outbreaks frequently exacerbate frictions between communities and aid workers – suspicions that have led to riots and murder more than once in recent years. At least two people were killed in Haiti in riots with peacekeepers during November.The delayed decision by the UN to investigate whether the outbreak originated with peacekeepers may have conserved resources for the race to stave off more cases, but did little to build trust between communities and foreign workers. Further violence and protests surrounding the recent disputed presidential election in Haiti do little to ease the devastation and in fact, threaten the relief effort. There has been discussion in Congress of cutting direct aid and suspending visas for Haitian officials until the dispute as been resolved. The Organization of American States is now reviewing the results.
In Africa, Nigeria is experiencing its worst cholera outbreak since 1991, and the disease is crossing borders. An onslaught of cases raised the 2010 death toll to more than 1,500 fatalities out of 40,000 cases. This mortality rate is three times higher than the seasonal cholera outbreaks of 2009, and seven times higher than 2008. Despite Nigeria’s oil wealth, most of the population is impoverished. Two-thirds of rural Nigerians lack access to safe drinking water and fewer than 40 percent of people in cholera-affected areas have access to toilet facilities, according to the Nigerian Health Ministry. A combined lack of will, transparency, and resources mean that cholera epidemics occur annually, and in clusters throughout sub-Saharan Africa.
A century and a half after John Snow’s discovery, we know how to control cholera. Globally, the resources exist, but the question of a collective will remains. For those who lack clean water to drink, to wash, or even proper toilets, the gap between knowing and doing is not easily closed. The international community has shown repeatedly that it can confront cholera outbreaks like those in Haiti, Pakistan, and Nigeria in the midst of crisis. The question remains as to how those efforts can eliminate the conditions that fostered outbreaks in the first place. The answer is not as riveting as the causes that often receive funding: basic infrastructure and resources. Roads, wells, clean water, toilets, education, and the willingness to recognize that if the foundation is not sound, nothing will be able to stand. Sometimes the simplest problems are the most difficult to solve.
Sarah Kornblet is a research fellow at the Global Health Security Program at the Stimson Center. Her research focuses on the International Health Regulations, health systems strengthening, global health diplomacy, the intersection of public health and security, and the potential for innovative and dynamic health policy solutions in developing countries.
Sources: Agence France-Presse, BBC, Washington Post, World Health Organization.
Photo Credit: “UN Peacekeepers Provide Security During Port-au-Prince Food Distribution,” courtesy of flickr user United Nations Photo.
