In the third installment of its series of reports addressing national security issues (see New Security Beat coverage of the first and second reports), the Center for American Progress offers a blistering critique of America’s foreign assistance approach, arguing that American foreign policy during the second half of the 20th century helped create some of today’s security concerns. For instance, the authors maintain that if the United States had used more foresight while dispensing $24 billion in aid to Pakistan over the last 25 years, “[w]e might not be talking today about the extremism taught in many madrassas, or debating the best course of action for defeating the Taliban.” The United States leads the world in humanitarian assistance, write authors Natalie Ondiak and Andrew Sweet, and they argue that the United States need not contribute more, only more wisely.

According to Ondiak and Sweet, one of the major problems is that the United States spends “more on treating the symptoms of a crisis…than on the development programs that support crisis prevention.” This failure to prevent crises has resulted in dramatically higher long-term costs for the United States, they say. Pakistan and Afghanistan provide particularly striking examples of the shortcomings in America’s foreign aid strategy.

U.S. assistance to Pakistan has run hot and cold over the past 40 years, spiking early in the Cold War, during the Soviet occupation of Afghanistan, and rising to its highest level immediately following September 11, 2001. Ondiak and Sweet characterize the relationship as “consistently inconsistent.” Since 2001, Pakistan has been the recipient of $10.5 billion in assistance (excluding covert funds), but just 2 percent of this has been dedicated to development assistance. As a result, half of the population remains illiterate, job growth cannot keep pace with population growth, and extremist groups operating in the country’s Federally Administered Tribal Areas have become increasingly attractive to the one-third of Pakistanis still living in poverty.

In a major foreign policy speech attended by several New Security Beat contributors, Senator Barack Obama noted that he is sponsoring a bill, along with Senators Joe Biden and Richard Lugar, to triple non-military aid to Pakistan for 10 years. “We must move beyond a purely military alliance built on convenience,” he said.

Closely linked with the fortunes of Pakistan is Afghanistan, a country Ondiak and Sweet describe as “a good illustration of what happens when our ‘aid reaction’ is driven by geopolitical interests shaped by the ebb and flow of foreign policy priorities.” U.S. assistance to Afghanistan dropped off sharply following its conflict with Russia during the 1980s, leaving the country struggling to rebuild itself after fully one-third of its citizens had left the country as refugees. This disengagement cost us “the opportunity to consolidate the gains borne of the end of occupation,” argue the authors, instead allowing Afghanistan to lapse into state failure. Today, Afghanistan is the poorest country outside of sub-Saharan Africa. Half of its citizens live in absolute poverty, 70 percent are illiterate, and life expectancy is 43 years.

Ondiak and Sweet call it a “tragic irony” that the lack of public support for peacetime capacity-building assistance leads to a much greater need for emergency aid down the road. “Turning the aid spigot on and off,” they write, “rarely yields long-term, sustainable results.” Their recommendation is simple: The United States must prioritize development and crisis prevention and provide long-term aid packages. This will only be possible if the mindsets of politicians, policymakers, and the public shift to recognize that “what is true in our own lives is true on the international stage—an ounce of prevention is worth a pound of cure.”

“[O]ver the last three decades, approximately 75% of new emerging human infectious diseases have been zoonotic”—transmitted between humans and animals. So states the final report of the One Health Initiative Task Force, warning that “[o]ur increasing interdependence with animals and their products may well be the single most critical risk factor to our health and well-being with regard to infectious diseases.” The One Health Initiative was established by the American Veterinary Medical Association (AVMA) in 2006, and the task force was assembled in early 2007 to articulate its goals and vision. Released last month, the report stresses that “[b]y working together, more can be accomplished to improve health worldwide, and the veterinary medical profession has the responsibility to assume a major leadership role in that effort.”

In our interconnected world, human, animal, and environmental health are linked in numerous and complex ways. One organization tackling these connections is the Ugandan NGO Conservation Through Public Health (CTPH). Founded and directed by Gladys Kalema-Zikusoka, CTPH works to bolster human and animal health in Uganda’s Bwindi Impenetrable National Park (BINP), home to half of the world’s remaining mountain gorilla population. Zoonotic disease transmission is especially prevalent in remote areas like BINP, where people frequently live in close proximity to animals, and is exacerbated by the fact that these remote areas are often woefully underserved by government services like health care. “They’re the last people the government thinks about,” said Kalema-Zikusoka in a presentation at the Wilson Center on May 8, 2008.

The One Health Initiative demonstrates that people are starting to think seriously about the intersections between human, animal, and environmental health. “We are standing at the precipice of a health care transformation,” said Task Force Chair Lonnie King. “[D]isease prevention and health promotion in people, animals and our environment have become a critical strategic need.”

Speaking at the Wilson Center in November 2005, King expressed a desire for a program like the One Health Initiative. “We have to build infrastructures in health systems in developing countries,” he said, “not just human health, but animal health, too.” At the same event, William Karesh, director of the Wildlife Conservation Society’s Field Veterinary Program, said, “[t]he concept we have is ‘one world, one health.’ There is the division of human health and wildlife health. But really, there’s only one health.” The idea of integrated health finally seems to be catching on.

“The term ‘climate refugees’ implies a mono-causality rarely found in human reality,” argue the authors of a report on climate change and forced migration released by the Norwegian Refugee Council. The report’s authors urge additional research on the links between climate change, migration, and conflict, and strongly emphasize the importance of helping developing countries adapt to climate change’s impacts.

According to a report released by the Internal Displacement Monitoring Centre of the Norwegian Refugee Council, the number of internally displaced persons (IDPs) reached 26 million in 2007, despite an overall decline in the number of violent conflicts around the world.

The Philippine government reached a deal with a Muslim rebel group that will expand an autonomous region in the southern Philippines. “The proposed homeland will be entitled to a large share of the resources in the area,” reports the BBC.

The Senate’s FY 2009 foreign assistance bill cites the stresses “caused by high rates of population growth, which contribute to competition for limited resources, environmental degradation, malnutrition, poverty and conflict” in its recommendation for funding family planning. The $520 million in funding is $15 million above the FY08 level and $219 million above President Bush’s request. This noteworthy new language cements the re-emergence of population issues in Congress, following the record $600 million in reproductive health funding recently approved by the House (also nearly double Bush’s request).

According to an email from Tod Preston of Population Action International, “it is the first time in several years (at least) that population language like this has been included in the foreign assistance bill, and it will almost certainly remain as is.” The impact of rapid population growth on critical issues “referenced in the report (i.e., malnutrition, environmental degradation, poverty and conflict) is getting back on the ‘radar screen’ of policymakers and the media,” which “should help increase support for programs such as voluntary family planning and girls’ education, which we know help reduce population growth rates,” he said.

“The health of our planet is inextricably linked to the health of people,” says Judy Oglethorpe, director of World Wildlife Federation’s Community Conservation program in “The Human Face of Conservation” (WWF Focus, July/August, 2008). While the links between population, health, and environmental degradation are fairly well understood, environmental groups have largely neglected to incorporate family planning or health programs in their conservation efforts.

Several WWF initiatives are breaking this trend, spreading awareness of ecological issues by integrating health or livelihood strategies. In Mozambique, illegal industrial fishing was leading to conflict with local fishermen, who were left with smaller catches of smaller fish. The WWF program helped authorities crack down on illegal fishing and set aside “replenishment zones” for fish to spawn and grow. As a result, local fishermen “have seen dramatic increases in the size of individual fish and in their overall catch outside these zones – and in their earnings,” allowing them to feed their families.

WWF is also diversifying its focus by partnering with other organizations to bring family planning services to poor communities, including in the Khata corridor of Nepal. “It’s really difficult for women living in remote regions to have access to modern family planning and basic healthcare,” said Population, Health, and Environment senior program officer Cara Honzak. By providing basic family planning services, women in these communities are able to control the growth of their families. With this opportunity, it is easier for communities to support and manage themselves, and reduced population pressures on the environment help maintain their local forest ecosystems.

Programs such as these are popular and effective, because by considering both human and natural needs, both sides can be winners. Said the manager of an initiative in Namibia, “When communities can earn as much – or more – by conserving wild land as they can by burning and planting it, potential conflicts can be turned into win-win situations for both people and wildlife.”

“If you want fast money and are willing to take the risk, that’s the only way to get it,” says Abdullah Dieng, a fisherman in Bissau, Guinea, in a new IRIN article, “Fishermen turn to trafficking as fish profits drop.” Fishermen in Guinea have a problem: No one is buying their fish. “The lack of decent roads into the interior of the country, combined with prohibitive fuel prices, makes it too difficult for fish-sellers to transport fish any further than Bissau, creating a saturated market,” reports IRIN. As an alternative, the fishermen are turning to illegal trade in drugs and humans. By smuggling, they can earn much more money.

“The UN Office on Drugs and Crime estimates several hundred kilograms of cocaine go through the country each week, while according to 2004 figures from the International Office of Migration, one million West and Central Africans head clandestinely to Europe every year,” reports IRIN.

Fisheries are collapsing all over the world, but especially in Africa. The New York Times article “Europe Takes Africa’s Fish, and Boatloads of Migrants Follow” reports that there is almost no regulation of Bissau’s fishery, like most fisheries along the African coast. “Creating the Enabling Environment for Effective Fisheries Enforcement,” an event in the Environmental Change and Security Program’s fisheries series, explored some of the challenges associated with fisheries management. One of the most basic problems is a lack of information. Vladimir Kacyznski, a marine scientist with the University of Washington, told the Times that “no one has comprehensively studied the nation’s coastal waters for at least 20 years.” As a result, both local and European fishers have mostly stripped the area of its fish.

The lack of oversight is largely due to a lack of attention, and thus a lack of money. IRIN reports that “The fishing ministry receives just 5 percent of the government’s paltry annual budget, despite fishing bringing in 40 percent of the country’s annual revenues, and most of this money can only cover staff salaries.” Without increased funding and attention, it is unlikely that a solution will emerge to the environmental and economic problems that force fishermen to turn to illegal and dangerous activities. As the source of their livelihoods disappears, they have fewer and fewer options. Said one consultant quoted in the Times story, “The sea is being emptied.”

Women “are the most likely to bear the heaviest burdens when natural disasters strike,” says a new report from the Women’s Environment and Development Organization (WEDO), “Gender, Climate Change and Human Security: Lessons from Bangladesh, Ghana and Senegal.” The report also encourages governments to allow women to play larger roles as agents of preparedness, mitigation, and adaptation.

Climate change, the report says, “forms a major threat to human security at national and livelihood levels.” Because 70 percent of people living below the poverty line are women, their livelihoods are threatened most acutely by climate change and the natural disasters it is likely to make increasingly frequent and severe. In addition, women are often responsible for “tasks such as food collection and energy supply for the household as well as many care-giving tasks, such as caring for the children, sick, elderly, the home and assets.” In the wake of a natural disaster, these activities can become nearly impossible, and being responsible for them can prevent women from migrating from disaster zones, despite the burden of living where disaster has struck. This migration, the authors write, has significant impacts on those who stay as well as those who leave, as “the relocation of people has severe impacts on social support networks and family ties—mechanisms that have a crucial value for women.”

Losing over half a million citizens to natural disasters between 1970 and 2005 has given Bangladesh the highest disaster mortality rate in the world, and gender-neutral data collection makes it difficult to determine gender-specific outcomes. From the data that does exist, the report notes that following the cyclone and flood disasters of 1991, for example, the death rate among adult women (20-44 years of age) was 71 per 1000, almost five times higher than the rate of 15 per 1000 for adult men.

There is consensus that South Asia is among the regions most affected by climate change, the report says, and that Bangladesh is the most vulnerable country in the region. For the 80 percent of Bangladeshi women who live in rural areas and are solely responsible for water and firewood collection, food preparation, and family health care, the future appears increasingly imperiled.

A study published last year in the Annals of the Association of American Geographers confirmed that natural disasters decrease the life expectancy of women much more dramatically than men; that the more intense the disaster, the stronger this effect; and that the wealthier the women, the less they are affected by this phenomenon.

Even as women suffer disproportionately from climate change and natural disasters, the report says, “women are more often overlooked as potential contributors to climate change solutions,” and their ability to contribute to preparation, mitigation, and rehabilitation efforts is undervalued. The report recommends that countries develop National Adaptation Programmes of Action (NAPAs) that involve women as contributors to adaptation processes and work toward “improving human security in the context of climate change from a gender perspective.”

The land of Niger’s Tuareg Bedouin tribes—and thus the Tuareg way of life—is drying up. The steadily advancing Sahara desert is swallowing northern Niger at a rate of six kilometers per year, part of a centuries-old process recently accelerated by climate change and groundwater withdrawals by the nation’s booming uranium mining industry.