Showing posts from category water.
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Elizabeth Malone on Climate Change and Glacial Melt in High Asia
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“There’s nothing more iconic, I think, about the climate change issue than glaciers,” says Elizabeth Malone, senior research scientist at the Joint Global Change Research Institute and Pacific Northwest National Laboratory. Malone served as the technical lead on “Changing Glaciers and Hydrology in Asia: Addressing Vulnerability to Glacier Melt Impacts,” a USAID report released in late 2010 that explores the linkages between climate change, demographic change, and glacier melt in the Himalayas and other nearby mountain systems.
Describing glaciers as “transboundary in the largest sense,” Malone points out that meltwater from High Asian glaciers feeds many of the region’s largest rivers, including the Indus, Ganges, Tsangpo-Brahmaputra, and Mekong. While glacial melt does not necessarily constitute a large percentage of those rivers’ downstream flow volume, concern persists that continued rapid glacial melt induced by climate change could eventually impact water availability and food security in densely populated areas of South and East Asia.
Rapid demographic change has potentially factored into accelerated glacial melt, even though the connection may not be a direct one, Malone adds.
Atmospheric pollution generated by growing populations contributes to global warming, while black carbon emissions from cooking and home heating can eventually settle on glacial ice fields, accelerating melt rates. Given such cause-and-effect relationships, Malone says that rapid population growth and the continued retreat of High Asian glaciers are “two problems that seem distant,” yet “are indeed very related.”
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How Population Growth Is Straining the World’s Most Vital Resource
Turning Up the Water Pressure [Part Two]
›January 19, 2011 // By Russell SticklorThis article by Russell Sticklor appeared originally in the Fall 2010 issue of the Izaak Walton League’s Outdoor America magazine. Read part one here.
As concerns over water resources have grown around the globe, so too have proposed solutions, which range from common sense to absurd. Towing icebergs into the Persian Gulf or floating giant bags of fresh water across oceans to water-scarce countries are among the non-starters. But more moderate versions of those ideas are already being put into practice. These solutions showcase the power of human ingenuity — and reveal just how desperate some nations have become to secure water.
For example, India is doing business with a company out of tiny Sitka, Alaska, laying the framework for a water-export deal that could see huge volumes of water shipped via supertankers from the water-rich state of Alaska to a depot south of Mumbai. Depending on the success of this arrangement, moving bulk water via ship could theoretically become as commonplace as transoceanic oil shipments are today.
There is far greater potential, however, in harnessing the water supply of the world’s oceans. Perhaps more than any other technological breakthrough, desalination offers the best chance to ease our population-driven water crunch, because it can bolster supply. Although current desalination technology is not perfect, Eric Hoke, an associate professor of environmental engineering at the University of California-Los Angeles, told me via email, it is already capable of converting practically any water source into water that is acceptable for use in households, agriculture, or industrial production. Distances between supply and demand would be relatively short, considering that 40 percent of the world’s population — some 2.7 billion people — live within 60 miles of a coastline.
The Lure of Desalination
Although desalination plants are already up and running from Florida to Australia, the jury is still out on the role desalination can play in mitigating the world’s fresh water crisis. Concerns persist over the environmental impact seawater-intake pipes have on marine life and delicate coastal ecosystems. Another question is cost: Desalination plants consume enormous amounts of electricity, which makes them prohibitively expensive in most parts of the world. Desalination technology may not be able to produce water in sufficient scale — or cheaply enough — to accommodate the growing need for agricultural water. “Desalination is more and more effective [in producing] large quantities of water,” notes Laval University Professor Frédéric Lasserre in an interview. “But the capital needed is huge, and the water cost, now about 75 cents per cubic meter, is far too expensive for agriculture.” Although desalination might be “a good solution for cities and industries that can afford such water,” Lasserre predicts it “will never be a solution for agricultural uses.”
Nevertheless, desalination’s promise of easing future water crunches in populous coastal regions gives the technology game-changing potential at the global level. “Desalination technology,” Columbia University’s Upmanu Lall told said in an email, “will improve to the point that [water scarcity] will not be an issue for coastal areas.”
A Glass Half Full
With world population projected to grow by at least 2 billion during the next 40 years, water will likely remain a chief source of global anxiety deep into the 21st century. Because water plays such a fundamental role in everyday life across every society on earth, its shared stewardship may become an absolute necessity.
Take India and Pakistan’s landmark Indus Waters Treaty of 1960, which is still in effect today. The agreement — signed by two countries that otherwise can’t stand each other — shows that when crafted appropriately and with enough patience, international water-sharing pacts can help defuse tensions over water access before those tensions escalate into violence. Similar collaboration on managing shared waters in other areas of the world — a process that can be a bit bumpy at times — has proven successful to date.
Meanwhile, more widespread distribution of reliable family planning tools and services across Latin America, sub-Saharan Africa, and Asia will also be needed if the international community hopes to meaningfully address water scarcity concerns. Better access to healthcare and family planning tools would empower women to take greater control over their reproductive health and potentially elevate living standards in crowded parts of the developing world. Smaller family sizes would help decelerate population growth over time, easing the burden on water and soil resources in many areas. The key is ensuring such efforts have adequate funding. The United States recently pledged $63 billion over the next six years through its Global Health Initiative to help partner countries improve health outcomes through strengthened health systems, with a particular focus on improving the health of women and children.
Putting a dent in the global population growth rate will be important, but it must be accompanied by a sustained push for conservation — nowhere more so than in agriculture. Investing in the repair of a leaky irrigation infrastructure could help save water that might otherwise literally slip through the cracks. Attention to maintaining healthy soil quality — by practicing regular crop rotation, for example — could also help boost the efficiency of irrigation water.
Setting a Fair Price
The most enduring changes to current water-use practices may have to come in the form of pricing. In most parts of the world, including parts of the United States, groundwater removal is conducted with virtually zero oversight, allowing farmers to withdraw water as if sitting atop a bottomless resource. But as groundwater tables approach exhaustion, the equation changes; as Ben Franklin famously pointed out, “when the well’s dry, we know the worth of water.”
The key, then, is to establish the worth of water before this comes to pass. Smart pricing could encourage conservation by making it less economical to grow water-intensive crops, particularly those ill-suited to a particular climate. “Some crops being grown should not be grown . . . once the true cost of water is factored in,” Nirvikar Singh, a University of California-Santa Cruz economics professor who focuses on water issues, told me via email. Pricing would also provide a revenue stream for modernizing irrigation infrastructures and maintaining sewage systems and water treatment centers, further bolstering water efficiency and quality both in the United States and around the globe.
To be sure, implementing a pricing scheme for water resources — which have been essentially free throughout history — will be unpopular in many parts of the world. It’s natural to expect some pushback from the public as water managers and governments take steps to address the 21st century water crunch. But given the resource’s undeniable and universal value on an ever-more crowded planet, few options exist aside from using the power of the purse to push for more efficient water use.
In the end, however, water pricing must be combined with greater public value on water conservation — we must not flush water down our drains before using it to its full potential. Whether that involves improving the water transportation infrastructure, recycling wastewater, taking shorter showers, or turning to less water-intensive plants and crops, steps big and small need to be taken to better conserve and more equitably divide the world’s water to irrigate our farms, grow our economies, and sustain future generations.
Sources: Columbia Water Center, National Geographic, Population Reference Bureau, White House.
Photo Credits: “Juhu Beach Crowded,” courtesy of flickr user la_imagen, and “Irrigation (China),” courtesy of flickr user spavaai. -
How Population Growth Is Straining the World’s Most Vital Resource
Turning Up the Water Pressure [Part One]
›January 18, 2011 // By Russell SticklorThis article by Russell Sticklor appeared originally in the Fall 2010 issue of the Izaak Walton League’s Outdoor America magazine.
For many Americans, India — home to more than 1.1 billion people — seems like a world away. Its staggering population growth in recent years might earn an occasional newspaper headline, but otherwise, the massive demographic shift taking place on our planet is out of sight, out of mind. Yet within 20 years, India is expected to eclipse China as the world’s most populous nation; by mid-century, it may be home to 1.6 billion people.
So what?
In a world that is increasingly connected by the forces of cultural, economic, and environmental globalization, the future of the United States is intertwined with that of India. Much of this shared fate stems from global resource scarcity. New population-driven demands for food and energy production will increase pressure on the world’s power-generating and agricultural capabilities. But for a crowded India, domestic scarcity of one key resource could destabilize the country in the decades to come: clean, fresh water.
Stepping Into a Water-Stressed Future
From Africa’s Nile Basin and the deserts of the Middle East to the arid reaches of northern China, water resources are being burdened as never before in human history. There may be more or less the same amount of water held in the earth’s atmosphere, oceans, surface waters, soils, and ice caps as there was 50 — or even 50 million — years ago, but demand on that finite supply is soaring.
Consider that since 1900, the world population has skyrocketed from one billion to the cusp of seven billion today, with mid-range projections placing the global total at roughly 9.5 billion by mid-century. And it only took 12 years to add the last billion.
Unlike the United States — which is a water-abundant country by global standards — India is growing weaker with each passing year in its ability to withstand drought or other water-related climate shocks. India’s water outlook is cause for alarm not just because of population growth but also because of climate change-induced shifts in the region’s water supply. Depletion of groundwater stocks in the country’s key agricultural breadbaskets has raised water worries even further. Water scarcity is not some abstract threat in India. As Ashok Jaitly, director of the water resources division at New Delhi’s Energy and Resources Institute, told me this past spring, “we are already in a crisis.”
How the country manages its water scarcity challenges over the coming decades will have repercussions on food prices, energy supplies, and security the world over — impacts that will be felt here in the United States. And India is not the only country wrestling with the intertwined challenges of population growth and water scarcity.
Transboundary Tensions
Several of the world’s most strategically important aquifers and river systems cross one or more major international boundaries. Disputes over dwindling surface- and groundwater supplies have remained local and have rarely boiled over into physical conflict thus far. But given the challenges faced by countries like India, small-scale water disputes may move beyond national borders before the end of this century.
Looming global water shortages, warns a recent World Economic Forum report, will “tear into various parts of the global economic system” and “start to emerge as a headline geopolitical issue” in the coming decades.
This has become a national security issue for the United States. Any country that cannot meet population-linked water demands runs the risk of becoming a failed state and potentially providing fertile ground for international terrorist networks. For that reason, the United States is keeping close track of how water relations evolve in countries like Yemen, Syria, Somalia, Pakistan, and Afghanistan. It is also one of the reasons water security is a key goal of U.S. development initiatives overseas. For instance, between 2007 and 2008, the U.S. Agency for International Development (USAID) invested nearly $500 million across more than 70 countries to boost water efficiency, improve water treatment, and promote more sustainable water management.
More Mouths to Feed, Limited Land to Farm
Water is a critical component of industrial processes the world over — from manufacturing and mining to generating energy — and shapes the everyday lives of the people who rely on it for drinking, cooking, and cleaning. But the aspect of modern society most affected by decreasing water availability is food production. According to the United Nations, agriculture accounts for roughly 70 percent of total worldwide water usage.Global population growth translates into tens of millions of new mouths to feed with each passing year, straining the world’s ability to meet basic food needs. Given the finite amount of land on which crops can be productively and reliably grown and the constant pressure on farms to meet the needs of a growing population, the 20th and early 21st centuries have been marked by periodic regional food crises that were often induced by drought, poor stewardship of soil resources, or a combination of the two. As demographic change continues to rapidly unfold throughout much of Asia and sub-Saharan Africa, the ability of farmers and agribusinesses to keep pace with surging food demands will be continually challenged. Food shortages could very well emerge as a staple of 21st century life, particularly in the developing world.
Mirroring the growing burden on farmland will be a growing demand for water resources for agricultural use — and the outlook is not promising. According to a report from the International Water Management Institute in Sri Lanka, “Current estimates indicate that we will not have enough water to feed ourselves in 25 years’ time.”
As one of the world’s largest agricultural producers, the United States will be affected by this food crisis in multiple ways. Decreased food security abroad will increase demand for food products originating from American breadbaskets in California and the Midwest, possibly resulting in more intensive (and less sustainable) use of U.S. farmland. It may also drive up prices at the grocery store. Booming populations in east and south Asia could affect patterns of global food production, particularly if severe droughts spark downturns in food production in key Chinese or Indian agricultural centers. Such an outcome would push those countries to import huge quantities of grain and other food staples to avert widespread hunger — a move that would drive up food prices on the global market, possibly with little advance warning. Running out of arable land in the developing world could produce a similar outcome, Upmanu Lall, director of the Columbia Water Center at Columbia University, said via email.
Changing Tastes of the Developing World
Economic modernization and population growth in the developing world could affect global food production in other ways. In many developing countries, rising living standards are prompting changes in dietary preferences: More people are moving from traditional rice- and wheat-based diets to diets heavier in meat. Accommodating this shift at the global level results in greater demand on “virtual water” — the amount of water required to bring an agricultural or livestock product to market. According to the World Water Council, 264 gallons of water are needed to produce 2.2 pounds of wheat (370 gallons for 2.2 pounds rice), while producing an equivalent amount of beef requires a whopping 3,434 gallons of water.
In that way, the growing appeal of Western-style, meat-intensive diets for the developing world’s emerging middle classes may further strain global water resources. Frédéric Lasserre, a professor at Quebec’s Laval University who specializes in water issues, said in an interview about his book Eaux et Territories, that at the end of the day, it simply takes far more water to produce the food an average Westerner eats than it does to produce the traditional food staples of much of Africa or Asia.
Continue reading part two of “Turning Up the Water Pressure” here.
Sources: Columbia Water Center, ExploringGeopolitics.org, International Water Management Institute (Sri Lanka), Population Reference Bureau, The Energy and Resources Institute (India), United Nations, USAID, World Economic Forum, World Water Council.
Photo Credits: “Ganges By Nightfall,” courtesy of flickr user brianholsclaw, and “Traditional Harvest,” courtesy of flickr user psychogeographer. -
Peter Gleick on Peak Water
›“The purpose of the whole debate about peak water is to help raise awareness about the nature of the world’s water problems and to help drive toward solutions,” says the Pacific Institute’s Peter Gleick. But Gleick asserts that in the same way certain countries have been contending with “peak oil” concerns in recent years, they may soon also have to deal with “peak water” as well.
Unlike oil, water is largely a renewable resource, but countries in Asia, the Middle East, and elsewhere are pumping groundwater faster than aquifers can replenish naturally. Gleick explains “there will be a peak of production in many of those places and eventually the food that we grow with that water or the widgets that we make from the factories that use that water will be nonsustainable and production will have to drop.”
The world’s surface and groundwater resources can be used sustainably even in the face of continued global population growth, says Gleick, but only “if we are careful about the ecological consequences and the efficiency with which we use it.” However, to date, he says, “those issues have not adequately been brought into the discussion about water policy.”
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Water as a Strategic Resource in the Middle East
‘Clear Gold’ Report From CSIS
›“The real wild-card for political and social unrest in the Middle East over the next 20 years is not war, terrorism, or revolution – it is water,” begins the CSIS Middle East Program’s latest report, Clear Gold: Water as a Strategic Resource in the Middle East, by Jon B. Alterman and Michael Dziuban.
The authors contend that with growing populations, groundwater depletion, not the more traditional questions about transboundary river governance, poses a “more immediate and strategically consequential challenge,” particularly because many Middle Eastern governments have deflated the true cost of water to help spur growth and garner popularity.
In the accompanying video feature above, much-troubled Yemen is outlined as one of the most at-risk countries for water-induced instability. The narrator notes that “with Yemen’s population growing fast and almost half of agricultural water going towards the narcotic leaf qat instead of food, experts think that Sanaa [the capital] could run out of water in seven years or less and the rest of the country may not be far behind.”
In an interview with Reuters in 2008, Yemeni Water and Environment Minister Abdul-Rahman al-Iryani said the country’s burgeoning water crisis is “almost inevitable because of the geography and climate of Yemen, coupled with uncontrolled population growth and very low capacity for managing resources.”
Yemen is a particularly abject example because water availability is only one contributor in a long list of domestic problems, including a large youth population, gender inequity, immigration from the Horn of Africa, corruption, ethnic tensions, and terrorism.
The narrator concludes that “Yemen is the most worrisome example but clearly not the only one.” Alterman and Dziuban also point to Jordan and Saudi Arabia as states vulnerable to groundwater depletion.
For more on the Middle East’s current and future environmental security issues, be sure to check out The New Security Beat’s “Crossroads” series, with features on Iraq, Israel, Jordan, Lebanon, Syria, and Yemen.
Video Credit: “Clear Gold: Water as a Strategic Resource in the Middle East,” courtesy of CSIS. -
A Crucial Connection: India’s Natural Security
›January 5, 2011 // By Michael KugelmanExcerpted from the original op-ed, “A Crucial Connection,” by Michael Kugelman in The Times of India:
With India’s soaring growth and rising global clout hogging media headlines, it is easy to forget the nation is beset by security challenges. Naxalite insurgency rages across more than two-thirds of India’s states, while long-simmering tensions in Jammu and Kashmir exploded once again this summer. Meanwhile, two years post-Mumbai, Pakistan remains unwilling or unable to dismantle the anti-India militant groups on its soil. Finally, China’s military rise continues unabated. As Beijing increases its activities across the Himalayan and Indian Ocean regions, fears about Chinese encirclement are rife.
It is even easier to forget that these challenges are intertwined with natural resource issues. Policy makers in New Delhi often fail to make this connection, at their own peril. Twenty-five per cent of Indians lack access to clean drinking water; about 40 per cent have no electricity. These constraints intensify security problems.
India’s immense energy needs – household and commercial – have deepened its dependence on coal, its most heavily consumed energy source. But India’s main coal reserves are located in Naxalite bastions. With energy security at stake, New Delhi has a powerful incentive to flush out insurgents. It has done so with heavy-handed shows of force that often trigger civilian casualties. Additionally, intensive coal mining has displaced locals and created toxic living conditions for those who remain. All these outcomes boost support for the insurgency.
Meanwhile, the fruits of this heavy resource extraction elude local communities, fuelling grievances that Naxalites exploit. A similar dynamic plays out in Jammu and Kashmir, where electricity-deficient residents decry the paltry proportion of power they receive from central government-owned hydroelectric companies. In both cases, resource inequities are a spark for violent anti-government fervor.
Continue reading on The Times of India.
For more on India’s Naxalite rebellion and its natural resource drivers, see The New Security Beat’s “India’s Maoists: South Asia’s ‘Other’ Insurgency.”
Michael Kugelman is program associate with the Asia Program at the Woodrow Wilson International Center for Scholars.
Photo Credit: “Mysore Coal Man,” courtesy of flickr user AdamCohn. -
Minister Izabella Teixeira at the Wilson Center
A Review of Brazil’s Environmental Policies and Challenges Ahead
›Stressing the need for concrete, tangible institutional policies, Izabella Teixeira, Brazil’s Minister of the Environment, discussed the challenges and goals of her ministry at the Wilson Center on October 20. Sustainable development, not just conservation, must be the focus, and that requires bringing lots of different players to the table, taking into account not only environmental but also social and economic agendas. To do this, she argued, one must take the rather ephemeral and hypothetical notions of environmental stewardship and put them into the realm of a practicable, institutionalized framework, built on a social pact that engages all sectors of society.The foundation of sustainable development and environmental policy must be biodiversity, according to Teixeira. Central concerns, such as food and energy security and combating climate change, all rely on a diverse array of natural resources. These need to be conserved, but they must also be developed in a responsible, sustainable way. A legal international framework toward this end, covering access to biodiversity and genetic resources, has yet to be implemented. Developing and developed countries need to find a middle ground on allocating the benefits that accrue from the use of genetic resources found in areas such as the Amazon, and this agreement must then be linked into existing political institutions.
Teixeira noted the strides Brazil has made toward protecting its environment – including having set aside the equivalent of 70 percent of all protected areas in the world in 2009 and the establishment of the Amazon Fund. Nevertheless, Brazil must continue to protect and maintain these nature preserves, not just establish them. Creating a program that pragmatically implements international goals in a national context is an ongoing process, and countries like Brazil now need to focus on the “how” of implementing these goals, rather than just the “what.”
Teixeira also highlighted the complexity of formulating environmental policy that integrates all the various points of view that must be taken into consideration. At recent meetings to discuss transitioning to a low-carbon economy, 17 different cabinet ministers had to be present to coordinate government positions and policies. The complexity is due in part to the need to create alternatives, not just to prevent certain activities. For example, one must not only use legal enforcement to stop illicit deforestation, but also create paths to legal, sustainable logging. Once again, attempting to balance environmental, social, and economic concerns is difficult, to say the least, but crucial for long-term effectiveness.
Also a unique challenge for Brazil is the natural diversity that exists within such a large country. While much of the attention paid to the environment goes (rightly so) to the Amazon, there are many other biomes and local environments that must be taken into consideration, Teixeira observed.
The cerrado, Brazil’s enormous savanna, requires a different strategy than the Amazon, which is different than the coastal Atlantic forest. Furthermore, urban areas need their own environmental policies that can take into account issues of human development and population density.
To illustrate the need for an inclusive, well-thought-out policy, Teixeira discussed–rather frankly–the controversy surrounding the recent proposed amendments to the Forest Code. She argued that the proposal makes blanket changes that do not take into consideration differences in biomes, differences between large agribusinesses and family farms, and between historic, settled communities and recent developments. The implications of this proposal, according to the minister, could have enormous social costs. Teixeira said she believes that it would be virtually impossible to enforce the amended Forest Code if it was approved by Congress. She used this example to underscore her role in offering legislative alternatives that seek to provide a more nuanced, and ultimately more effective, institutional framework that can use Brazil’s many natural resources to help its population to the greatest extent possible.
J.C. Hodges is an intern with the Brazil Institute at the Wilson Center; Paulo Sotero is the director of the Brazil Institute.
Photo Credit: “Rio Jurua, Brazil (NASA, International Space Station Science, 05/29/07),” courtesy of flickr user NASA’s Marshall Space Flight Center, and David Hawxhurst/Wilson Center. -
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.
