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NewSecurityBeat

The blog of the Wilson Center's Environmental Change and Security Program
Showing posts from category youth.
  • Whither the Demographic Arc of Instability?

    ›
    December 14, 2010  //  By Richard Cincotta

    The original version of this article appeared in the Stimson Center Spotlight series, November 24, 2010.

    After the Berlin Wall came down in 1989, the demand for geostrategic mapping went up. Pentagon geographers revised maps almost monthly in order to keep pace with the rapid sequence of events – the toppling of Eastern Europe’s communist regimes, the rise of pro-Western liberal democracies in their place, and the reunification of Germany. Then came more borders, and even more maps: the breakup of the Soviet Union and the withdrawal of forces from former Warsaw-Pact states, the splintering of Yugoslavia and Czechoslovakia, and requests for accession to NATO. When, in the late 1990s, it became apparent that the end of the Cold War would have little effect on the emergence of civil and ethnic conflicts in Africa, Asia, and Latin America, and that a network of militant Islamist organizations had coalesced across Muslim Asia and Africa, strategic mapmaking shifted focus to identifying conditions in the Global South.

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  • Hans Rosling Double Feature: ‘The Joy of Stats’ on BBC and Population Growth at TED

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    Eye On  //  December 7, 2010  //  By Schuyler Null

    Hans Rosling, creator of Gapminder and professor of international health at Sweden’s Karolinska Institute, hosts a new documentary on the BBC called The Joy of Stats that takes a look at the breadth and depth of data available today to analysts and private citizens alike.


    In the clip above, Rosling demonstrates his primary interest in world health, tracking life expectancy and income over the last 200 years to show both the remarkable progress that has been made but also the tremendous gap that remains between those at the top (the very rich and healthy) and those at the bottom (the very poor and sick).

    Rosling has been a vocal (and visual) advocate for expanding people’s knowledge of the world by presenting statistics in innovative ways. “Statistics should be the intellectual sidewalks of a society, and people should be able to build businesses and operate on the side of them,” he said at a discussion at the Wilson Center in May 2009.

    In particular, Rosling’s focus has been on health, poverty, and the developing world, where he’s advocated for increased focus on child and maternal health and education. “The role of the old West in the new world is to become the foundation of the modern world – nothing more, nothing less,” he said during a TED talk on population growth (see below) where he broke from his more flashy visuals and went analog – using IKEA boxes to illustrate population and consumption growth. “But it’s a very important role. Do it well and get used to it.”

    Rosling’s Gapminder software has been incorporated into Google’s Public Data Explorer, where many development indicators from the World Bank, World Health Organization, and others can now be easily tracked by anyone. For more on Google Data and to see an example set of indicators (agriculture as a percentage of GDP vs. fertility rates over the last 50 years), check out this previous Eye On, on The New Security Beat.

    Video Credit: “Hans Rosling’s 200 Countries, 200 Years, 4 Minutes – The Joy of Stats – BBC Four,” courtesy of BBC, via YouTube, and “Hans Rosling on global population growth,” courtesy of TED.
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  • Empowering Women in the Muslim World

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    December 2, 2010  //  By Wilson Center Staff
    Originally featured in the Wilson Center’s Centerpoint, November 2010.

    For decades, women in the Middle East have actively struggled for equal status before the laws of their respective countries. They have strived to attain equal participation in politics and society, and progressive justice throughout the region. While they have made progress in some parts of the region, many challenges remain. The Wilson Center’s Middle East Program recently held three meetings to discuss challenges as well as progress to empowering women across the Muslim world.

    A Modern Narrative

    The American Islamic Congress (AIC) recently published a report, “A Modern Narrative for Muslim Women in the Middle East: Forging a New Future,” that highlights past and present triumphs and difficulties – economic, legal, political, religious, and social –for women’s rights throughout the region. On September 30, the Middle East Program co-sponsored a meeting with the AIC to review the status of women in Saudi Arabia and Jordan, based on findings in the AIC’s report.

    Fawziah Al-Hani, manager of the Gherass Center for Social Education in Saudi Arabia, expressed frustration about the progress women have made in her native Saudi Arabia. She said women there are perceived as second-class citizens by the country’s legal, economic, political, religious, and social institutions. Women’s issues are rarely discussed in Saudi political and social spheres, and women are not represented in government or the business sector. She said if women are allowed to be active outside the home, they are mostly restricted to educational and health activities.

    While she is frustrated about these restrictive Saudi policies toward women, Al-Hani said she maintains hope, as changes take place within the society and government through new initiatives and movements.

    Rana Husseini, a human rights activist, author, and journalist, detailed the changes to the status of women in Jordan over the past 20 years. Husseini, whose human rights activities over the past two decades in Jordan have focused on honor crimes and other women’s issues, said Jordan has made substantial progress on women’s rights as a result of intense media and civil society activism. While there is room for improvement, she said women are now participating in government and significant reforms have been made to the judicial system.

    Though the effectiveness of quotas for women in government may be debated, Husseini noted that quotas facilitate women’s participation in elections and government service. In fact, she said, there are some 50 women judges in Jordan. She noted that honor killings, except in extreme cases, are becoming rarer, and harsher sentences are being imposed for honor crimes.

    With constant pressure on the government and society, reforms will continue, said Husseini, who is optimistic about the future for women rights in Jordan and in the Middle East as a whole.

    Demographic Realities

    Why do many Middle Eastern women not enjoy the same economic opportunities as women of other regions? Can they be empowered to participate at a greater level? Nadereh Chamlou, a senior adviser at the World Bank, attributed the gender inequality to restrictive social norms. She said the region’s women must be empowered to participate in a more significant way if their countries are to effectively exploit, instead of squander, the current economic “window of opportunity.”

    At a September 13 discussion, Chamlou said the good demographic news is that there are high numbers of working-age people and thus the potential for rapid economic growth. However, Middle Eastern countries have the highest dependency rates in the world, a fact that Chamlou attributed to the low economic participation of Middle Eastern women relative to female citizens’ participation in other parts of the world. This reality means the Middle East’s demographic composition will not be exploited to its full potential.

    Increasing economic opportunities for women will require changing social norms, said Chamlou. She cited a study conducted by the World Bank in three Middle Eastern capitals – Amman, Jordan; Cairo, Egypt; and Sana’a, Yemen – that revealed the biggest reason for the poor representation of women in the workforce is the negative male attitude regarding women working outside the home. Notably, social norms and such negative male attitudes proved to restrict women’s participation far more than the need to attend to child-rearing duties. Despite the successful efforts of most Middle Eastern states to improve education opportunities, conservative social norms still pose a barrier to female empowerment.

    Some simple changes could have a substantial impact. Chamlou recommended focusing on educated, middle-class women, undertaking more efforts to bring married women into the workforce, and emphasizing changing attitudes – particularly among conservative younger men – toward women working outside the home.

    Lessons from Tunisia

    In Tunisia, the progress of women’s empowerment can serve as a model for the region, noted women’s rights advocate Nabiha Gueddana, president and director-general of the National Agency for Family and Population in Tunisia.

    Speaking at a September 8 meeting, Gueddana said the Arab world can learn much from her native Tunisia regarding the positive effects of empowering women. Gueddana, also a candidate for undersecretary-general of UN Women at the United Nations, described how Tunisian women have been empowered politically, economically, and socially, and how this empowerment has benefited Tunisian society.

    Tunisia has undergone substantial changes since achieving independence from France in 1956. Tunisian women had second-class status in the years prior, a time Gueddana described as one that relegated them to a life of constant child-rearing, illiteracy, and economic dependence.

    Yet Tunisia has become a beacon for other Muslim societies: the country’s labor code allows full female participation in the economy and education is open equally to boys and girls. Family planning programs and important strides in health have considerably lowered the birth rate and lengthened the life expectancy of the average woman. Gueddana also noted that Tunisia’s economic growth is now five times greater than the growth rate of its population.

    Measures to empower women in Tunisia have benefited not only women but Tunisian society as a whole, with significant shifts in men’s attitudes regarding women’s rights and roles in society. Gueddana indicated that her efforts extend beyond Tunisia, as she strives to help empower women throughout the world. She said such efforts will persist so long as women anywhere find themselves disadvantaged, dependent, and living as second-class citizens.

    Women’s empowerment in society rests increasingly not in the political but in the economic and business domains (Editor’s note: one could add that women’s empowerment has the potential to considerably impact the environmental domain as well). While women have made considerable progress in the political arena, economic power is still male-dominated throughout the region.

    Gueddana said the discussion of women’s rights should take place within the broader context of human rights. Violence against women, particularly sexual violence, is a widespread phenomenon across all societies and, unfortunately, often considered taboo for discussion. She said all citizens benefit when all have equal rights and can use them to expand their opportunities and achievements to enhance their societies.

    Dana Steinberg is the editor of the Wilson Center’s Centerpoint.

    Photo courtesy of
    Centerpoint.
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  • World AIDS Day 2010: Not Yet in a Position to Say “Mission Accomplished”

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    December 1, 2010  //  By Schuyler Null

    Today is World AIDS day. More than 33 million people are currently living with HIV around the world, according to the UN, and the vast majority of them (22 million) are located in sub-Saharan Africa.

    “We have halted and begun to reverse the epidemic. Fewer people are becoming infected with HIV and fewer people are dying from AIDS,” said Executive Director Michel Sidibé in the 2010 edition of UNAIDS’ annual report.
    “However we are not yet in a position to say ‘mission accomplished.’ Growth in investment for the AIDS response has flattened for the first time in 2009. Demand is outstripping supply. Stigma, discrimination, and bad laws continue to place roadblocks for people living with HIV and people on the margins.”

    Particularly in sub-Saharan Africa, “people on the margins” often means women and children. As a result, there has been more and more integration of HIV/AIDS programs with gender and maternal health. The environmental community has also worked closely with HIV/AIDS interventions in places where the destruction of natural resources makes certain populations more vulnerable than others and valuable conservation efforts are threatened.

    As development efforts become more cross-sectoral, it’s important to keep in mind and maximize these connections between community, economic, and environmental health.

    Check out The New Security Beat’s coverage of HIV/AIDS integration with other health and environment programs including coverage from the Global Health Initiative’s “Integrating HIV/AIDS and Maternal Health Services” event last year, a sit-down interview on the challenges facing HIV-positive adolescents with Harriet Birungi of the Population Council in Kenya, and an examination of how gender-based violence contributes to women’s vulnerability to HIV.

    Sources: Population Reference Bureau, UN, World Wildlife Federation.

    Map Credit: World AIDS Campaign.
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  • Nigeria’s Future Clouded by Oil, Climate Change, and Scarcity [Part One, The Delta]

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    November 18, 2010  //  By Schuyler Null
    Nigeria holds nearly a fifth of the entire population of sub-Saharan Africa. By 2050, it’s expected to pass Indonesia, Brazil, and Bangladesh and take its place among the top five most populous countries in the world, according to UN estimates. But a litany of outstanding and new development, security, and environmental issues – both in the long-troubled Niger Delta in the south and the newly inflamed north – present a real threat to one of West Africa’s most critical countries.

    A 400-Year Curse

    Nigeria collected $46 billion in oil revenue during FY 2009, trailing only Saudi Arabia, Iran, and the United Arab Emirates. Despite their country’s mineral wealth, however, roughly 70 percent of Nigerians live below the poverty line, with the oil-producing south facing particularly abject deficiencies.

    “I have never worked in an area as bereft as the Niger Delta – it is shockingly undeveloped,” said former Wilson Center fellow Deirdre Lapin, in a phone interview with ECSP (listen to the audio embedded above for the full interview). Lapin worked in community development for Shell in Nigeria from 1997-2003 and also spent time at USAID and UNICEF. “Compared to everywhere else I have been, it is without question the most neglected and the least advanced in terms of general development and welfare for the ordinary person,” she said.

    According to the UN, the Niger Delta accounts for upwards of 80 percent of Nigeria’s foreign exchange earnings and about 70 percent of total government revenues. Instead of benefiting from its mineral wealth, the delta has suffered tremendous environmental damage that has spurred a grassroots anti-oil (and later anti-government) insurgency. During the oil companies’ drilling drive in the 1970s, it was not uncommon to see large amounts of tar collected on the roots of mangroves and the sides of creeks, and oil slicks were frequent, Lapin said.

    The environmental situation in the delta improved as production plateaued, but due to oil theft, poor maintenance, and derelict equipment and pipelines scattered across the delta, spills continue. According to The New York Times, by some estimates, the delta has endured the equivalent of an Exxon Valdez spill every year, for the last 50 years. But there has never been an impartial, empirically based environmental study of the impact of the oil and gas industry on the delta, Lapin said, which would be an important step forward. (A UNEP study is currently underway but has already been criticized for alleged inaccuracy.)

    Southern Nigeria’s infamous duality – miserable lack of infrastructure, services, and security in the midst of abundant natural resources – helped give rise to the term “resource curse” among development specialists, a term which has since been applied to similar situations in the Democratic Republic of Congo, Sierra Leone, and even Afghanistan. Lapin pointed out that in the eastern part of the delta, the resource curse actually goes back 400 years, to the slave trade and palm oil.

    “Blood Oil” and Scarcity in the Delta

    The sophisticated insurgency in the delta began as a response to the oil and gas industry, but has in many ways become dependent on it. Groups of armed “boys” – some of whom are remnants of political-intimidation efforts during the 2003 elections – have become notorious in the delta and abroad, often putting on shows for the media. Some of these groups are loosely organized under the moniker MEND (Movement for the Emancipation of the Niger Delta), with the stated intent of driving the oil companies out of the delta in response to environmental destruction and lack of revenue sharing, but others simply profit through extortion, racketeering, and oil theft (also known as “bunkering”). At the peak of their activities, insurgent activity has cut oil production between 25 and 35 percent, Lapin said, prompting oil companies to move further and further off-shore in recent years.

    With unemployment in the delta at 90 percent by some estimates, militancy has become a viable way of life for many. Bunkering can net up to $60 million a day, according to a BBC report. The practice, which former president Umaru Yar’Adua called Nigeria’s “blood oil,” costs the government up to $5 billion annually, and many gangs are rumored to have political connections that protect them in exchange for their services.

    Contributing to the delta’s propensity for conflict is the region’s demography.

    “There are probably 120 mutually unintelligible languages and dialects that are spoken [in the Niger Delta] and 40 major identifiable ethnic groups,” Lapin said. Because of the number of creeks and lack of infrastructure, the region’s 20 million inhabitants are fractured into many small communities – roughly 80 percent are under 1,500 people, according to Lapin. In addition to its splintered social structure, population growth and years of conflict have left a mass of unemployed delta residents who have adopted a “siege mentality,” as a UN report puts it (a feeling especially prevalent among the young). With three percent population growth and local fish and agriculture sectors on the decline, it is likely the Niger Delta will face increased scarcity in the coming years, further fueling discontent.

    “What is truly needed in order to put Nigeria on a solid footing for the future is a government with very clear objectives for the economic and social development of the country, putting those forward as the priorities, changing the style in which governance is taking place today,” Lapin said. “And that will require something of a revolution, a major sea-change.”

    Part two on Nigeria’s future – The Sahel – addresses conflict, scarcity, and demographics in the northern part of the country and concludes with recommendations for the future.

    Sources: BBC, CIA, Energy Information Agency, The Guardian, The New York Times, Population Reference Bureau, Reuters, UN.

    Photo Credit: “Niger Delta oil disaster,” courtesy of flickr user Sosialistisk Ungdom – SU, and a NASA Space Shuttle Overflight photo of the Niger Delta, courtesy of NASA.
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  • Where Have All the Malthusians Gone?

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    Guest Contributor  //  On the Beat  //  November 9, 2010  //  By Jennifer Dabbs Sciubba
    Forget youth bulges and population bombs; lately, the population story has been all about the baby bust. The cover of this month’s Foreign Policy features “Old World: The graying of the planet – and how it will change everything,” by Phillip Longman, and author Ted Fishman recently appeared in The New York Times and on NPR to talk about his book, Shock of Gray: The Aging of the World’s Population and How It Pits Young Against Old, Child Against Parent, Worker Against Boss, Company Against Rival and Nation Against Nation. Nicholas Eberstadt covered similar issues in Foreign Affairs with his article, “The Demographic Future: What Population Growth – and Decline – Means for the Global Economy.”

    To the extent that policymakers take away a sense of urgency to reform retirement institutions and potentially reevaluate military strategy, the recent spate of publications about aging is useful. But policymakers should not be misled into thinking that the population tide has turned and resources for education, development, and family planning are no longer necessary. While global population growth is slowing, it has not stopped, and the political and economic consequences of continued growth and youthful age structures across most of the Global South will be dire.

    A Population Bomb…of Old People

    Eberstadt, Fishman, and Longman argue for the need to prepare for a future where there are large proportions of elderly dependents and relatively few workers to support them, and they chronicle the many challenges that may result, including political resistance. The October protests in France against raising the pensionable age from 60 to 62 — which, despite the hullabaloo, fall far short of the levels needed to improve France’s long-term economic position — are but one example of the reform resistance they warn about.

    The concern is that while the Global North – Europe and Japan in particular – scramble to meet the needs of their older citizens and preserve the health of their economies, their powerful positions in the international system are at risk. As Fishman states, “It now looks as if global power rests on how willing a country is to neglect its older citizens.” China, a country on the cusp of aging, has thus far chosen neglect over meaningful investment, stoking more fear that the Global North may fall behind.

    Though a focus on economic health is useful, other aspects of their arguments do a disservice, particularly those that start from the premise that the days of Malthusian angst over the planet’s ability to support a rapidly growing population are long gone.

    Echoing Fred Pearce in his The Coming Population Crash and Our Planet’s Surprising Future, Longman argues without reservation that dangerous population growth is a thing of the past, and instead, the world faces a “population bomb…of old people.” He even goes so far as to claim that “having too many people on the planet is no longer demographers’ chief worry; now, having too few is.”

    I have to ask: what demographers did he talk to? Articles published over the last year in the field’s top journals — Demography, Population and Development Review, and Population Studies — certainly explore low fertility, but they also cover a range of youth- and growth-related issues and topics such as mortality, teen parenthood, and immigration. And within the field of political demography in particular there is still quite a lot of attention being paid to the implications of population growth and youth bulges on civil conflict and human security. Even Foreign Policy, in which Longman’s article appears, publishes an annual Failed States Index that argues there is an important relationship between demographic pressure and state collapse.

    As studies like the Failed States Index and the National Intelligence Council’s Global Trends project show, contrary to Pearce et al., carrying capacity arguments are not completely outmoded. Regardless of how extreme the impact of an aging population will be on developed nations in the near future (although the United States will almost certainly be less affected than others), in many parts of Africa, South Asia, and the Middle East, population growth is straining local water and land resources and creating instability — issues that will likely be exacerbated by climate change.

    Geographic Bias

    If there really is more attention being paid among demographers to low fertility it may well be due to institutional and geographic bias. After all, most of the funding for demography comes from Western nations concerned with their own decline. Likewise, all the top journals are American or European.

    Though it is correct that most advanced industrial states are aging because of low fertility, for a large part of the world, population growth is still the number one issue. Declining fertility in most countries of the world means that populations are getting older, but this is not the same as saying they have a problem with aging. Between 1980 and 2010, the median age of the less developed countries, excluding China, rose from 19 to almost 25 and the world’s least developed countries saw a rise from 17 to 20 years. Median age in more developed countries, however, went from 32 to 40 — a level twice that of the least developed countries.

    Many of the low-fertility countries Longman cites — Iran and Cuba, in particular — are exceptions among developing countries, rather than the rule. The UN Population Division estimates that sub-Saharan Africa will gain 966 million people by 2050 – more than the current population of all of Europe – and, as Richard Cincotta and I have both argued on this blog previously, the total fertility rate (TFR) projections used in those estimations are likely low. Rapid population growth in sub-Saharan Africa has already exacerbated many countries’ abilities to meet the growing needs of their populations, causing civil conflict and instability, and will continue to do so in the future.

    Why is it Important to Get it Right?

    Alarmism is useful when it grabs the attention of policymakers and a public that is overloaded with information, but it is also risky. Both Pearce and Longman take jabs at Paul Ehrlich because his “population bomb” never exploded. What they fail to note is that Ehrlich’s predictions could have proven right, except that he was successful at scaring a generation of policymakers into action. Funding towards population programs increased greatly in the wake of such research. If those of us who write about the dangers of aging are successful, perhaps we will be so lucky to look as foolish as Ehrlich one day.

    If these warnings fall on deaf ears and policymakers do not act to reduce the burden of entitlements, certainly budgets will be strained beyond capacity and the dire future predicted by Fishman, Pearce, and Longman may well become a reality. On the other hand, if policymakers similarly disregard carrying capacity issues in the developing world, conflict and misery are sure to continue in these places and may well worsen.

    Jennifer Dabbs Sciubba is the Mellon Environmental Fellow in the Department of International Studies at Rhodes College. She is also the author of a forthcoming book, The Future Faces of War: Population and National Security. Follow her on Twitter at @profsciubba for more on population-related issues.

    Sources: Foreign Affairs, Foreign Policy, NPR, National Intelligence Council, The New York Times, Population Reference Bureau, Reuters, UN.

    Photo Credit: Adapted from “Protest/Manifestation,” courtesy of flickr user lilicomanche.
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  • Demography and Women’s Empowerment: Urgency for Action?

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    From the Wilson Center  //  November 5, 2010  //  By Luke Hagberg
    Why do Middle Eastern women participate in economic life at a rate lower than that of female citizens of other regions? According to Nadereh Chamlou, a senior advisor at the World Bank, restrictive social norms are to blame. At the Middle East and Environmental Change and Security Programs’ “Demography and Women’s Empowerment: Urgency for Action?” event, Chamlou argued that the region’s women must be empowered to participate in a more significant way if their countries are to effectively exploit, instead of squander, the current economic “window of opportunity.”

    According to Chamlou, the region is facing a “demographic window of opportunity” where its relatively high numbers of working-age people create the potential for rapid economic growth. However, Middle Eastern countries also have the highest dependency rates in the world. Without opening more economic opportunities for women, the region’s demographic window of opportunity will not be exploited to its full advantage.

    Chamlou disputed the commonly held assumptions regarding the historic lack of female participation in the Middle East’s economic sphere, such as the belief that women abstain from joining the workforce because they do not possess the necessary education and skills. She cited statistics showing that the region’s women are represented at a near-equal level as men in secondary school, and to an even greater degree at the university level. They are also studying in marketable fields, disproving the theory that they are not acquiring employable skills.

    A survey conducted by the World Bank in three Middle Eastern capital cities — Amman, Jordan; Cairo, Egypt; and Sana’a, Yemen — showed that negative male attitudes regarding women working outside the home were the most significant reason for poor female representation in the workforce. Notably, negative male attitudes restricted women’s participation far more than child-rearing duties. Despite the successful efforts of most Middle Eastern states to improve female education, conservative social norms that pose a barrier to female empowerment remain in place.

    Chamlou concluded her remarks with three policy recommendations: 1) Focus on medium-educated, middle-class women; 2) Undertake more efforts to bring married women into the workforce; and 3) Place a greater emphasis on changing attitudes, particularly among conservative younger men, towards women working outside the home. Such changes could more effectively utilize the Middle East’s demographic window of opportunity.

    Luke Hagberg is an intern and Haleh Esfandiari is director of the Middle East Program at the Wilson Center.

    Sources: Population Reference Bureau.

    Photo Credit: Adapted from “Obey Stikman,” courtesy of flickr user sabeth718.
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  • Meeting the Health Challenges of the Urban Poor

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    November 2, 2010  //  By Joshua Nickell
    Fifty percent of the world’s population now lives in cities, a figure that is predicted to rise to 60 percent by 2030, and 70 percent by mid-century, according to UN figures. The majority of this growth will occur in the Global South, where most of the world’s slums are found.

    Why the rampant urban migration? Prospects for better health care, education, and employment are drawing the world’s poor out of rural areas into cities. But as the number of impoverished city-dwellers and slums grows, it is becoming increasingly important for society to consider how it will address the problems associated with this unprecedented degree of global urbanization.

    At a recent event, “Meeting the Health Challenge of Urban Poverty and Slums,” co-hosted by the Wilson Center on the Hill program and the Comparative Urban Studies Project, Jacob Kumaresan, director of WHO Center for Health Development in Kobe, Japan, and Richard B. Lamporte, director of new program development, Jhpiego, discussed poverty and health challenges in rapidly growing urban slums.

    The chances that the world’s rapidly growing number of city-dwellers will live a healthy and prosperous life depend on the services and opportunities cities can offer. As Kumaresan pointed out, there is currently no shortage of problems. Among other ills, he stated that 170 million urban residents currently do not have access to a latrine, while more than 1.2 million people will die from urban air pollution this year alone. As more individuals migrate to cities, these problems will be compounded.

    Kumaresan also noted that cities have the “worst and the most unimaginable disparities when it comes to health.” While urban centers have more hospitals and attract many of the best doctors, the hospitals are often not managed or governed well. As a result, many poor urbanites suffer worse health care than their rural neighbors.

    For instance, Kumaresan noted that tuberculosis rates in rural parts of India are half those of urban settings. Kumaresan also emphasized that these disparities are certainly not limited to the Global South: developed cities like New York and Los Angeles contend with similar inequities.

    To address these issues, Kumaresan encouraged policymakers to examine the unique circumstances and conditions of their cities. “You’ve got to do analytical work to see what the problems are in each city, and to look not at the averages, but to unmask the differentials,” he said.

    In Osaka, Japan, tuberculosis rates are 12 times higher than the rest of the country, said Kumaresan, primarily because of high affliction rates among its homeless population. As such, it is important for Osaka’s policymakers to address its tuberculosis problem by considering related socio-economic factors and following through with concrete policy actions.

    Lamporte emphasized the importance of giving aid and development organizations flexible funding in order to allow them to better address unique local urban problems and inequities. He advised international donors to devote a certain percentage of their funding to integrated initiatives. “Certainly the goalposts could be set, but having some element of complementary funding … would be extremely useful,” he said.

    As both Lamporte and Kumaresan pointed out, the future of the city is increasingly becoming the future of the world. As such, it is crucial to have “an urban optic going into the future,” according to Lamporte. If not, he argued, it will be at our own peril, as disease and unrest find increasingly sturdy footholds in urban slums. As the transformation from a rural to an urban planet continues, it will be essential for emerging and growing cities must use successful urban development techniques from both the Global North and the South.

    Joshua Nickell is an intern with the Program on America and the Global Economy.

    Sources: IRIN, Osaka University Graduate School of Medicine, UN, World Health Organization.

    Photo Credit: “kibera_photoshow08,” courtesy of flickr user newbeatphoto.
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