Tag: Humanitarian Emergencies

International Inertia Follows Israeli Assault on Jenin in the West Bank — Global Issues

Shu’fat refugee camp is home to 120,000 Palestinian refugees on the outskirts of East Jerusalem in the occupied West Bank. Photo credit: Jawad Al Malhi
  • by Catherine Wilson (sydney)
  • Inter Press Service

SYDNEY, Jul 28 (IPS) – The likelihood of further confrontations remains high following a major Israeli military assault on an impoverished camp of more than 23,500 Palestinian refugees in Jenin in the north of the occupied West Bank earlier this month. The landlocked Palestinian territory, located between Israel to the west and Jordan to the east, has been illegally occupied, according to international law, following the invasion by Israel 56 years ago.

“The destruction I saw was shocking. Some houses were completely burned down; cars had been crushed against walls …I saw the trauma in the eyes of camp residents who had witnessed the violence. I heard them speak about their exhaustion and fear,” Leni Stenseth, Deputy Commissioner-General of the United Nations Relief and Works Agency for Palestinian Refugees in the near East (UNRWA), stated after visiting Jenin on 9 July.

There have been numerous Israeli incursions into Jenin this year, and authorities claim the air and ground invasion on 3-5 July was to target Palestinian militant groups believed responsible for attacks on Israelis. Twelve Palestinians and one Israeli were killed, 900 homes damaged or destroyed, services decimated, and thousands displaced.

The military raid followed the death of four Israeli settlers by an armed Palestinian in the region in June. “Over the past hours, our security forces have been operating against terror hotspots in the city of Jenin,” Israeli Defence Minister Yoav Gallant said on 3 July. Palestinian resistance groups have since strengthened their rhetoric. Israel intended “to kill any resistance, and they have failed in that 100 percent”, a Jenin Brigades spokesperson told the international media. Both Israelis and Palestinians claim the West Bank as part of their homelands.

Palestinian armed resistance groups have grown in the region in response to Israel’s harsh military occupation. Most Palestinians in the West Bank are refugees living with chronic poverty, unemployment, human rights abuses, deprivation of civil liberties and statelessness. All of this is especially acute for youth in long-term displacement camps.

“I am not surprised at what happened in Jenin. After 30 years , there is no plan for them , no development and no political agreement. They are losing the future and losing hope,” Jawad Al Malhi, a Palestinian living in the West Bank, said in an interview with IPS.

The overcrowded Jenin camp, established in 1953, is home to three generations of Palestinians who were evicted from their home villages during the ‘Nakba’ of 1948. The ‘Nakba’ refers to the widespread dispossession of Palestinians of their traditional lands and villages during the formation of the Israeli state. It has a population density of 56,000 people per square kilometre.

Shu'fat refugee camp is home to 120,000 Palestinian refugees on the outskirts of East Jerusalem in the occupied West Bank. Credit: Jawad Al Malhi
Shu’fat refugee camp is home to 120,000 Palestinian refugees on the outskirts of East Jerusalem in the occupied West Bank. Credit: Jawad Al Malhi

In June, a United Nations special committee on Palestinian human rights in occupied territories reported that Palestinian fatalities at the hands of Israeli authorities in the West Bank in the first five months of this year had skyrocketed by 124 percent compared to the same period last year.

The Israel-Palestine conflict, in its 75th year, is one of the world’s longest. But the West Bank, which was governed by Jordan, became a battleground when Israel seized it and annexed East Jerusalem during the Six Day War in 1967. Successive Israeli governments have ignored condemnation of its occupation by the international community.

In further defiance, Israeli settlers have been encouraged to build permanent homes in the West Bank. And settler attacks on neighbouring Palestinian communities, involving physical assault and desecration of homes and property, have occurred with impunity for years. From 2020-2022, Israeli settler violence against Palestinians rose by 137 percent, reports the UN. The trend is unlikely to reverse following the election last year of a new hardline Israeli Government led by Prime Minister Benjamin Netanyahu, which has pledged to harden its hold on the West Bank.

The erosion of Palestinian rights and hope of the West Bank becoming the site of their future state has deepened the loss felt by those living in its many refugee camps. One of these is Shu’fat, a sprawling warren of congested buildings that are being built higher as each generation tries to live within its boundaries on the outskirts of Jerusalem. It was established as a refugee camp in 1965 and is now flanked on one side by the Israeli separation or ‘apartheid’ wall.

Jawad Al Malhi was born in Shu’fat after his family, who were evicted from their village, moved there in 1966. His home is a few hundred metres from the narrow checkpoint, manned by armed Israeli soldiers, which he and other residents are forced to negotiate daily to go to the shops, the hospital and access public services and schools for their children.

The challenges of life have only intensified with the rapid growth of Shu’fat’s population. “In the 1980s, there were about 10,000 people living in Shu’fat, but now there are 120,000 people here. So, you no longer see the light; you don’t see the sun because of the higher buildings. There is no space, and it is difficult to walk anywhere. There are no places for cars and no places for people,” Al Malhi described, adding that life in the camp “has definitely got a lot worse over the last decade.”

The video, ‘Gas Station’ (2009), created by Jawad Al Malhi, portrays the reality of young Palestinian lives within the confines of Shu’fat camp. Credit: Jawad Al Malhi

Now in his fifties, Jawad has spent most of his life making art about life in the camp and the human experience of occupation. And he has been a dedicated art teacher to children in the camp. He described a video he made in Shu’fat, called the ‘Gas Station’, which gave an insight into the lives of Palestinian youth today. The video records the lives of young men working in a small gas station on the camp’s margins. As the hours pass and the day turns to night, their interactions around a pre-fabricated cabin and petrol tank unfold in an endless cycle of waiting. Time changes, but crucially nothing else does.

“Among the younger generation, there is now more distrust and suspicion . Young people have a dream to leave the camp, but they can’t leave. It is very difficult for youths to build healthy social lives and relationships,” Al Malhi said. Unemployment among Palestinian youth is estimated at 30 percent.

Haneen Kinani of the Palestine Institute for Public Diplomacy in Brussels told IPS that most of the younger generation “have never seen life without siege, raids and a brutal Israeli military regime that dehumanises them.”

Evidence of growing discontent among younger Palestinians is fuelled by numerous factors, including the failure of the 1993 Oslo Peace Accords, the absence of any tangible peace process and the ineffectiveness of the Palestinian Authority, responsible for administering Palestinian-held areas of the West Bank, to address Israel’s actions.

“At present, there are no prospects of a political solution. The Israeli Government has no willingness to engage and has no policy beyond possible formal annexation of parts of the West Bank. At the same time, the Palestinian Authority is too weak to be able to negotiate anything,” John Strawson, a Law Professor at the University of East London, told IPS.

Some nations, such as the United Kingdom, Canada and Australia, have called for Israel to cease its aggressive settlement building, seen as a spur to violence. But commentators point to the unwavering support Israel receives from the United States as a major factor in its ongoing impunity.

Nasser Mashni, President of the Australia Palestine Advocacy Network, said it was time for this to change. “The UN and individual countries should be taking immediate and decisive action, as it has shown is possible with the Russian invasion of Ukraine. Israel must be subject to UN and international sanctions until it abides by and meets its obligations under international law,” he told IPS.

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

The Humanitarian & Strategic Risks of US Cluster Munitions Transfers to Ukraine — Global Issues

  • Opinion by Elias Yousif, Rachel Stohl (washington dc)
  • Inter Press Service

WASHINGTON DC, Jul 28 (IPS) – The Biden administration’s decision to provide Ukraine with cluster munitions, a weapon widely banned for the inherent dangers they pose to non-combatants, is risky.

In addition to the immediate and long-term humanitarian consequences, the transfer of clusters jeopardizes the domestic and international political consensus around support for Ukraine which will be instrumental in ensuring military assistance can be sustained for the long haul.

Just a day before triumphantly announcing the final destruction of the remaining U.S. chemical weapons arsenal, the Biden administration revealed it was approving the export of another internationally banned weapon – cluster munitions to Ukraine.

The decision comes in spite of strong opposition from lawmakers, human rights defenders, and even U.S. allies involved in the military aid effort to Ukraine. The controversy reflects the globally recognized risk cluster munitions – projectiles that break apart and disperse dozens of smaller munitions – pose to civilians.

Though some have argued the provision of these intentionally condemned munitions may provide some battlefield advantage to Ukraine, they also pose serious humanitarian and strategic dangers that could jeopardize both civilian protection imperatives as well as the long-term sustainability of Ukraine’s international military aid enterprise.

Cluster munitions are a category of ordinance that breaks apart in mid-air, dispersing smaller sub-munitions over a large area, sometimes as wide as several football fields. Beyond the inherently imprecise nature of these weapons, many of the bomblets they scatter fail to detonate, leaving behind a large blanketing of unexploded ordnance that presents an enduring threat to civilians, especially curious children.

Accordingly, non-combatants make up the vast majority of those killed by cluster munition duds, with tens of thousands of civilian casualties since the 1960’s, including many that occur years after conflict has subsided.

More than 100 countries, including most of the United States’ closest allies, have signed on to an international convention banning their use or transfer and U.S. law prohibits the export of cluster munitions with a dud rate of over 1%, lower than even the most generous estimates of the ordnance being sent to Ukraine.

Additionally, the cluster munitions the United States is sending to Ukraine, known as Dual-Purpose Improved Cluster Munitions (DPICMS), are from old stockpiles with older fuses that have few safety features. DPICM duds are especially dangerous.

The legal and normative taboo, growing international consensus, and U.S. prohibitions surrounding cluster munitions place the Biden administration’s decision to proceed with their transfer to Kyiv in an especially harsh light.

Both Kyiv and Washington have argued that these weapons are essential for Ukraine’s efforts to dislodge occupying Russian forces, especially amidst a Ukrainian offensive that has been proceeding more slowly than its backers had hoped.

Some analysts have argued that these weapons provide a unique battlefield capability for Ukrainian forces, especially in terms of addressing Russia’s extensive networks of defensive trenches.

However, the U.S. government has explained that a major factor in their decision to provide cluster munitions rests on a broader effort to shore up dwindling Ukrainian and Western stockpiles of munitions, allowing the United States to draw from an alternative source without further depleting its own supplies of conventional artillery.

In other words, these munitions are meant to extend the time available to Ukraine to conduct its summer offensive by alleviating a supply crunch in shells made more acute by a slow-moving effort dependent on attrition of enemy defenses.

Despite these military-based rationales, the risks the provision of these weapons pose are both immediate and long-term, with consequences that extend beyond the summer offensive and beyond the war in Ukraine. In the first place, the inherently indiscriminate nature of cluster munitions adds to the civilian protection risks for Ukrainian civilians.

Indeed, cluster munitions used in Ukraine, overwhelmingly by Russian forces but also by Ukrainian troops, have already resulted in numerous civilian casualties. Moreover, the use of cluster munitions will increase the risks to Ukrainian troops by adding especially sensitive unexploded ordnance to already dangerous terrain they will have to traverse as they press forward with their offensive.

It is why, in addition to their humanitarian concerns, many veterans, including Retired Lt. General Mark Hartling, have voiced their own reservations about the transfer decision.

And while it has been suggested that these munitions will be used overwhelmingly in the open countryside and in areas already heavily mined by Russian forces, once these munitions are transferred it will be difficult for the United States to influence how they are employed.

Should fighting move to more densely populated areas, the temptation to continue to use all available weapons will be strong and could result in scenes reminiscent of Moscow’s widely condemned and ongoing use of cluster munitions in urban centers, especially during the early stages of the war.

The Biden administration insists it has assurances from Kyiv that these weapons will be used under strict conditions meant to limit civilian harm. But while Ukraine has taken great pains to limit civilian casualties, its fidelity to past commitments around the use of U.S.-origin weapons has beenimperfect, adding to concerns around the efficacy of the risk mitigation measures the Biden team has put in place.

Secondly, using these cluster munitions will complicate and exacerbate what is already going to be a daunting demining enterprise.

Compared to their unitary munition counterparts, cluster munitions scatter far more dud weapons, not only adding to the volume of ordnance that will eventually need to be cleared but also to the challenge of finding them.

Cluster munitions have notoriously high dud rates, with even the most generous assessments placing the figure at between 2-14%. But even those numbers are thought to be undercounts, with significant variation in testing and real-world application, and without any meaningful transparency into how the U.S. government has conducted its assessments.

The administration says that it is transferring munitions with a dud rate of 2.5% – a figure that is both difficult to verify and in violation of U.S. law. Some analysis suggests that the failure rate of the weapons being transferred to Kyiv is far higher, with the potential to litter the region with hundreds of thousands of additional pieces of unexploded ordnance.

Additionally, a rapid expenditure of the supposedly lower dud rate munitions in Ukraine could lead the administration to start drawing down from even higher dud rate stocks, raising the risks of civilian harm and long-term humanitarian dilemmas.

Strategically, the transfer of these controversial weapons systems risks creating fissures in Kyiv’s alliance of international supporters which has been critical to Ukraine’s defense. Consensus among Ukraine’s backers has both enabled a more robust military assistance enterprise and denied from Moscow the opportunity to prey upon political divisions in the West to deter security assistance efforts.

Accordingly, electing to transfer weapons systems banned by most NATO members offers a compelling point of contention among governments aiding Kyiv’s defense, as well as polarizes even further domestic support for backing Ukraine. This is especially true in Europe, where public support for Ukraine remains sizable but divisive.

With no end to this conflict in sight, and with most analysts agreeing Ukraine will depend on international support for the long term, the provision of cluster munitions risks eroding the enduring political support necessary to sustain military assistance to Ukraine for the long haul.

Beyond Ukraine, the transfer of clusters sends a dangerous signal about the United States’ commitment to civilian protection and international norms. Whatever conditions the United States may say it is placing on its package to Ukraine, other governments across the world will feel their justifications for using, stockpiling, or selling cluster munitions are made far stronger.

Undermining the global taboo around these weapons risks making cluster munitions use more likely, including by governments with far less discerning human rights practices.

The Biden administration is well justified in providing Kyiv the means to defend itself against Russia’s illegal war of conquest. Moscow’s irredentism has wrought unimaginable damage to the country and people of Ukraine and shattered global norms around sovereignty, security, and civilian protection.

But beyond creating a lasting, life-threatening hazard for Ukrainian civilians, providing cluster munitions to Ukraine risks eroding the moral authority of the cause, and narrows the reputational gap that has both distinguished Kyiv’s defense from Moscow’s invasion and sustained its lifeline of international military support.

Arguments in favor of providing cluster munitions are narrow in scope and should not outweigh international law, norms, and the long-term interests of Ukraine’s people and its military aid enterprise.

Elias Yousif is a Research Analyst with the Stimson Center’s Conventional Defense Program. His research focuses on the global arms trade and arms control, issues related to remote warfare and use of force, and international security cooperation and child soldiers’ prevention.

Rachel Stohl is a Vice President of Research Programs at the Stimson Center and Director of the Conventional Defense Program. Prior to joining Stimson, Stohl was an Associate Fellow at Chatham House, the Royal Institute of International Affairs, from 2009-2011. She was a Senior Analyst at the Center for Defense Information in Washington, D.C. from 1998-2009.

Source: Stimson Center, Washington DC

IPS UN Bureau

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service

Check out our Latest News and Follow us at Facebook

Original Source

A Shot in the Arm Can Prevent Cervical Cancer — Global Issues

Afshan Bhurgri, a cancer survivor, advises women to listen to their bodies and be aware of the symptoms of cervical cancer. Credit: Zofeen Ebrahim/IPS
  • by Zofeen Ebrahim (karachi)
  • Inter Press Service

KARACHI, Jul 26 (IPS) – “Listen to your body, and if there is anything strange happening, do not ignore it,” is the advice of 57-year-old Afshan Bhurgri, a cancer survivor.

Eight years ago, she was diagnosed with cervical cancer at a time when she was “in a good place” in life. Her kids were grown up, and she had more time to herself. A fitness freak, the schoolteacher’s daily routine included going to the gym daily. “I joined a creative writing class as I loved penning my thoughts!” she reminisced.

But then everything changed when she found out she had cancer.

Cancer of the cervix uteri is the fourth most common cancer among women worldwide, with an estimated 604,127 new cases and causing the death of 341,831 in 2020.

In Pakistan, an estimated 73.8 million women over the age of 15 are at risk of developing cervical cancer caused by the human papillomavirus (HPV).

Cervical cancer in Pakistan.

In the absence of complete data, it is estimated that of the 5,000 women diagnosed with this cancer in Pakistan, some 3,000 lose their lives every year due to lack of access to prevention, screening and treatment, thus making it the third leading cause of cancer-related deaths in women of the reproductive age group in the country, after breast and ovarian cancers. Up to 88 percent of cervical cancer cases are due to human papillomavirus (HPV) serotypes 16 and 18, as reported by the International Agency for Research on Cancer.

“We are short on authentic data on the prevalence of the disease burden,” said Dr Arshad Chandio, who works at Jhpiego Pakistan as an immunisation lead. His organisation, which has supported HPV vaccine introduction in seven countries with Gavi support, is partnering with the federal and provincial governments, along with WHO, UNICEF, and USAID, to implement a roadmap for cervical cancer prevention and introduction of HPV vaccine in Pakistan. Cervical cancer is the only cancer that is preventable by a vaccine.

Cervical cancer worldwide.

“Without authentic data, our plan to eradicate this disease will not be watertight,” admitted Dr Irshad Memon, the director general of the Expanded Programme on Immunisation in Sindh.

Dr Shahid Pervez, senior consultant histopathologist at the Aga Khan University Hospital (AKUH), co-chair of the country’s newly established National Cancer Registry, recommends legislation to make reporting of cancer mandatory. “This will be one way of collecting basic data, at one place, which is expected by international agencies to roll out an effective cancer control programme in Pakistan,” he added.

Although Bhurgri had knowledge about cancer of the cervix and went for regular health checkups and screenings, her doctors did not carry out full examinations, which led to the infection turning cancerous. It all started in 2009, five years prior to being diagnosed with cancer when she started noticing a “foul smell emanating from my vagina” after her period became “heavier” than usual.

Cervical cancer warning signs.

“Let alone screening and testing for the cancer, many healthcare professionals do not even know of the disease, or how women get infected,” pointed out Chandio.

“I am an educated person, I could afford to get the best medical help, and I went to three of the city’s top gynaecologists, got pap smears done on their requests over the years, and I was only sent for HPV test when it was too late,” rued Bhurgri. In 2014, a doctor suggested an ultrasound which gave a true picture. A biopsy confirmed she had cervical cancer.

After her biopsy, Bhurgri started reading up on cervical cancer, and one of the indications was the foul vaginal smell.

“It could have been nipped in the bud if only the doctors had carried out a thorough examination,” said gynaecologist and obstetrician Dr Azra Ahsan, president of the Association for Mothers and Newborns, blaming “sheer negligence” on the part of her fraternity.

“A gynaecological consultation must not only be limited to a conversation across the table,” said Ahsan, but should include an “examination on the couch including a proper internal examination, ideally a pap smear and visual inspection,” especially if, like Bhurgri, a patient was complaining of heavy bleeding and a foul smell.

Bhurgri’s journey towards wellness was tough. A radical hysterectomy was recommended, and her cervix, her uterus and her ovaries were removed. Twenty-eight radiations and five chemos later, over a five-month period, she was given a clean chit by her oncologist. The cost of treatment, back in 2014 at a private hospital, was a whopping Rs30,000,000 (USD 1,097) back then.

Screening can save lives

Although Bhurgri’s cancer may have remained under the radar despite regular screening via pap smears, doctors say HPV and pap smear tests are the best way to screen a woman for cervical cancer. They can identify patients who are at high risk of developing pre-cancerous changes on the cervix as well as pick up those who have already developed these changes.

These precancerous lesions can be treated before they turn into cancer. Sadly, in Pakistan, the uptake of pap smears is negligible and estimated to be as low as 2 percent.

According to Dr Uzma Chishti, assistant professor and consultant gynecologic oncologist, Department of Obstetrics and Gynecology, AKUH, Pakistan’s health system is so financially stretched that it cannot afford to provide screening of women by these expensive tests. Instead, she recommends WHO’s recommendations of performing a visual inspection of the cervix by acetic acid (VIA) to screen women to help reduce the incidence of cervical cancer. “VIA is an alternative screening test for low-and-middle-income countries like ours,” she said.

Vaccinations the Best Option

The WHO triple intervention recommendation to eliminate cervical cancer in countries like Pakistan includes scaling up HPV vaccination to 90 percent for girls aged between 9 to 14, twice-lifetime cervical screening to 70 percent and treatment of pre-invasive lesions and invasive cancer to 90 percent by 2030. “All three are essential if we want to eliminate cervical cancer completely,” emphasised said Ahsan.

HPV vaccinations to prevent cervical cancer are the way forward as it provides primary prevention, said Chishti, in the absence of VIA, screenings and pap smear tests. Almost 60 per cent of cervical cancer cases occur in countries that have not yet introduced HPV vaccination. Pakistan is one of them.

Once up and about, the first thing Bhurgri did was get her 14-year-old daughter vaccinated for human papillomavirus (HPV) vaccine. “My older daughter remains unvaccinated as she was 21 then and studying abroad. She needed three shots and could not make it to that timeline,” she said.

In Pakistan, two globally licensed HPV vaccines are available in the market – a quadrivalent vaccine and a bivalent vaccine Cervarix. Gardasil is protective against the HPV serotypes 6, 11, 16, and 18, providing protection against both cervical cancer and genital warts. Cervarix is effective against serotypes 16 and 18, thereby protecting only against cervical cancer.

In 2021, medical students at the AKUH interviewed 384 women attending outpatient clinics between the ages of 15 to 50 to find out their knowledge about cervical cancer. They found that of the 61.2 percent of women who had heard about cervical cancer, 47.0 percent knew about pap smear tests, and among them, 73 percent had gotten a pap test. A total of 25.5 percent of women, out of the 61.2 percent, knew that a vaccine existed for prevention, but only 9.8 percent had been vaccinated against human papillomavirus. The study concluded that a majority of the women interviewed for the study belonged to a higher socioeconomic class and were mostly educated, yet their knowledge regarding the prevention and screening of cervical cancer was poor. “This reflects that the knowledge levels as a whole would be considerably lower in the city’s general population,” the study concluded.

Shamsi highlighted the challenges of discussing HPV in a conservative society where sexual health topics are hardly discussed due to the embarrassment and taboo associated with sexually transmitted infections (STIs). This communication conundrum has resulted in a general lack of information about the disease. “There is a total lack of information about HPV, cervical cancer, and its prevention among the masses,” she said.

But this may change if Pakistan introduces the HPV vaccine at a national level, utilising routine effective and established immunisation delivery strategies. According to Dr Uzma Shamsi, a cancer epidemiologist at the AKUH, implementing the HPV vaccine at a national level in Pakistan could save hundreds of thousands of lives annually.

The benefits are enormous, and hundreds of thousands of lives could be saved each year, she emphasised.

Pakistan is in talks with Gavi the vaccine alliance, to support the country in including the single-dose HPV (two covers four strains) vaccine in its routine immunisation programme. “It will probably take another two years and USD 16 million before we can roll out the vaccine, but when it happens, it will be a country-wide campaign,” confirmed Memon.

Shamsi predicted some tribulation because the primary target group for vaccination is pre-adolescent girls. “A new vaccine for a new target age group comes with its own set of challenges in a society where conspiracy theories about vaccination programmes, stigma and misinformation about cancer and sexual health persist,” she said. And so before the actual rollout,  Shamsi emphasised, it was important to increase awareness about the HPV virus, cervical cancer causes, and vaccine’s safety and usage among the general public, patients, and healthcare professionals while actively dispelling misinformation.

Memon agreed that “conversation around the vaccine must begin”. For its part, the Sindh government set aside Rs 100 million ($365,884) for advocacy of HPV vaccine uptake in its current budget. “We will initiate a dissemination campaign once we know when the HPV vaccination programme is to begin,” he said. The Sindh province was also the first to initiate the typhoid conjugate virus vaccine after an extensively drug-resistant virus was found in the province. He was hopeful there would be less resistance to the HPV vaccine after the successful administration of measles and rubella and the pediatric Covid-19 vaccines earlier.

However, said Memon, “We will need more women vaccinators this time as young girls are shy of rolling their shirt sleeves up for male vaccinators.” With up to 125,000 female health workers across Pakistan, who were earlier trained by Gavi for MR immunisation, which is a much more difficult vaccine to administer (being subcutaneous) as opposed to the HPV one (which is muscular), he said, this workforce can be engaged to get trained for this vaccination campaign too.

In the end, however, according to Chandio, “without a strong political will and leadership, a national HPV vaccination programme cannot become a reality in Pakistan to eliminate this largely preventable cancer among women”.

Fighting her cancer has changed Bhurgri in more ways than one. Her message to women is to “not put yourself aside; make yourself a priority.” While she continues to lead a healthy life – going to the gym, eating healthy, resting, she said, “You cannot go on and pick up where you left off”.

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

Pharma Giant’s TB Drug Decision Welcomed, But Not All Developing Countries Benefit — Global Issues

Dr Abhijit Bhattacharya, MS, Central Hospital Kalla, Eastern Coalfields Ltd., assesses an x-ray of a TB patient. Credit: ILO
  • by Ed Holt (bratislava)
  • Inter Press Service

BRATISLAVA, Jul 21 (IPS) – In a surprise move, pharma giant Johnson and Johnson (J&J) has agreed not to enforce some of its patents on a lifesaving TB drug, making generic versions available in many low- and middle-income countries (LMICs).

Although on the WHO’s list of essential medicines and a cornerstone of much TB treatment, bedaquiline had not been available in many countries in part because of its high cost.

A deal agreed between J&J and the Stop TB Partnership will allow the latter to procure and supply generic bedaquiline to 44 low- and middle-income countries through its Global Drug Facility (GDF). It is expected the price at which these countries will then be able to buy the drug under the deal will be significantly lower than currently, and some experts have suggested it may also reduce the price of the drug for those countries not covered in the deal.

But patient advocacy groups say that while it is good news that many countries will now get the drug more cheaply, there remain some serious problems with the new deal as countries with some of the highest TB burdens in the world
are excluded. They are also unhappy that it does not address the enforcement of secondary patents the company has on altered formulations of the drug, which are in place in scores of LMICs until 2027.

Critics have called on J&J to declare it will not enforce any secondary patents on bedaquiline in any country with a high burden of TB and withdraw and abandon all pending secondary patent applications for this lifesaving drug.

“We hope this deal will help drive down the price of this drug for all countries. But it doesn’t go far enough. What would have been best would have been for J&J to abandon and withdraw all the secondary patents it holds or has applied for everywhere,” Lindsay McKenna, TB Project Co-Director at the Treatment Action Group (TAG), told IPS.

Advocacy organisations have for years been pressing J&J to reduce the price of bedaquiline.

First approved in 2012, it was the first new TB drug in over 40 years and was hailed as revolutionary in the fight against drug-resistant TB, cutting out the need to use often very toxic, intravenously administered drugs. Its use in patient regimens also produced vastly improved treatment outcomes.

But its high cost – initially USD900 per course even in low-income countries – meant that it was available to relatively few people in many low- and middle-income countries, which have some of the highest TB burdens in the world.

Its price has now come down but remains too high in the eyes of many experts.

According to global health charity Medicins Sans Frontieres (MSF), J&J currently prices the drug at USD1.50/day for an adult treatment (USD272/six months). But with scale-up and unrestricted generic competition, it says the price of bedaquiline could get closer to USD0.50 per day.

This would make a huge difference to cash-strapped TB programmes in poorer countries.

“Any penny that can be saved and which can be spent on something else related to TB, such as case identification, is of massive importance, especially in countries with high TB burdens,” Christophe Perrin, TB advocacy pharmacist at MSF, told IPS.

But even if the deal does bring the price down to that level, some of the countries which would benefit from purchasing the drug at a lower price will not be able to as they have been excluded from it.

Nine countries in the Eastern European and Central Asian region, which have some of the highest TB burdens in the world, are not covered by the deal because of an exclusive supply agreement J&J has with a Russian pharma firm.

“This deal is beneficial for those countries which can access it, but why are some countries excluded? Those that are excluded have some of the highest TB burdens in the world. It’s a real worry,” said Perrin.

The exclusion has infuriated senior health officials in some of the excluded countries. In a rare instance of its kind, the national tuberculosis (TB) programme (NTP) of Belarus sent an open letter to J&J demanding urgent action to improve equitable access to bedaquiline in Belarus, and all other countries with a high burden of TB.

“It is completely unfair that we will be excluded from this deal,” Dr Alena Skrahina, Deputy National TB Programme Manager, Belarus, told IPS.

Another high-burden country that will not be able to take advantage is South Africa. The country’s national procurement rules mean that it obtains bedaquiline directly from J&J.

Doctors and patient activists involved in the country’s fight against TB say South Africa’s inclusion in the deal would have been a huge boon to its efforts against the disease.

“Any money that can be saved could be used to expand diagnosis, public awareness, and use shorter TB treatment regimens, which is what we are looking to do here. Almost 95% of our patients are receiving bedaquiline, so a reduction in the price could have a massive effect. It would definitely benefit South Africa if it was included in this deal,” Dr Priashni Subrayen, TB technical director at the Johannesburg-based healthcare organisation Aurum Institute, told IPS.

Brenda Waning, head of the GDF, told IPS the deal was a good one for LMICs, but could also theoretically benefit countries not covered by it. It is widely expected that the competitive tenders in the deal will push the global price of the drug down as well.

“The deal is special in that usually when a company like J&J gives out licences it does so to a supplier, but this deal allows for multiple competitive buyers. We are expecting the price of bedaquiline to go down, although we won’t know by how much until the tenders happen. But a lower price is not the only benefit for countries. It will also mean more suppliers – the last thing you want to be doing is relying on a single supplier for a drug so there will be greater supply security – and whenever you have a price decrease, that frees up money which can be used for other things ,” she said.

“We think the access price may come down through these tenders, so these countries could, theoretically, get it at a lower price than previously,” she added.

But even if that does happen, it will not be enough for critics who say J&J must abandon secondary patents it holds, or has applied for, in any country.

Unlike primary patents, which protect a completely new chemical entity, secondary patents cover modifications of, medical uses, and dose regimes of the new compound, among others. Critics argue they form part of a practice of “evergreening” which extends companies’ monopolies on existing products and, crucially, makes it difficult for generic manufacturers to enter the market with a generic drug after the original patent has expired

J&J has secondary patents for bedaquiline in 44 countries which are not due to expire until 2027, but under the new deal with StopTB, those countries will now be able to obtain a generic version of the drug.

But they remain in place in those states – “if J&J were to suddenly pull out of this deal, these countries would be back to square one,” noted Perrin – and the company continues to actively pursue their implementation elsewhere.

Phumeza Tisile, a South African TB survivor who lost her hearing because of side effects of treatment with older generation TB drugs, said J&J, and other pharma companies, should immediately withdraw secondary patents and commit to not applying for them anywhere in future.

“This provides affordable medicine to people who need the drug helps people get generic versions of the relevant medicine at a very low cost,” she told IPS.

Pharmaceutical firms often argue that secondary patents are necessary to recoup the often very high costs associated with bringing a novel drug to the market and invest in the production of other new medicines.

J&J did not respond when contacted by IPS, but in a statement made as news of the deal broker last week, the company denied its patents had prevented people from accessing its drug and that the most significant barrier to treatment access for patients was the millions of undiagnosed TB cases every year.

Tisile, who works for advocacy group TB Proof, dismissed such claims, saying secondary patents may be denying people the drugs which they need to stop them dying.

“It’s greed,” she said. “Pharma companies make medicines to help people, but it never made sense to me that they make this medication so out of reach to people who actually need the medication the most, for them, it’s only profits. “This then can be very dangerous to millions of people who need the medication to survive. In this case, it should be patients before profits,” she said.

Others pointed out that the development of many new drugs is often funded by taxpayers – one study found that public investment into bedaquiline’s development was as much as five times that of J&J.

“It’s not a good faith argument to say that secondary patents are needed for a company to benefit from its investment in a drug. You could flip that round and say that the public needs to benefit from the investment they made into a drug,” said McKenna.

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

New Machine Learning-Based Model Boosting Africa’s Preparedness and Response to Climate Change — Global Issues

  • by Aimable Twahirwa (kigali)
  • Inter Press Service

KIGALI, Jul 20 (IPS) – Scientists have recently unveiled a first-ever weather forecasting model using artificial intelligence (AI) and machine learning solutions to help vulnerable African countries build resilience to climate impacts.

Researchers from the Kigali-based African Institute of Mathematical Sciences (AIMS) are working on a new AI algorithm that allows various end users of weather predictions to make data-driven decisions.

According to climate experts, these efforts focus on building an intelligent weather forecasting system that is multi-dimensional and updated in real-time with a long-range and is a technology capable of simulating long-term predictions much more quickly than traditional weather models.

“Key to these interventions is to improve the accuracy of weather forecasting and help African governments better prepare for and respond to weather emergencies,” Dr Sylla Mouhamadou Bamba told IPS.

Bamba is the lead author of the Intergovernmental Panel on Climate Change (IPCC) Assessment Report 6 (AR6) for the Working Group 1 contribution: The Physical Science Basis and African Institute of Mathematical Sciences (AIMS) – Canada Research Chair in Climate Change Science based in Kigali, Rwanda.

The AI model currently being tested by researchers from the Kigali-based Centre of Excellence focuses on analyzing huge data sets from past weather patterns to predict future events more efficiently and accurately than traditional methods commonly used by national meteorological agencies in Africa.

The first-ever machine learning model, which researchers are currently testing, focuses on analyzing huge data sets from past weather patterns to predict future events more efficiently and accurately than traditional methods to boost climate resilience in Sub-Saharan Africa. Credit: Aimable Twahirwa/IPS

Rather than working out what the weather will generally be like in a given region or area to get forecasts, Bamba points out that developing modern statistical models using a machine learning approach to forecast sunlight, temperature, wind speed, and rainfall has the potential to predict climate change with efficient use of learning algorithms, and sensing device.

Although most national meteorological agencies in Africa have tried to enhance the accuracy of their weather forecasts, scientists say that although current technologies can forecast weather over the next few days, they cannot predict the climate over the next few years.

“Many African countries are still struggling to take measures in preventing major climate-related disaster risks in an effective manner because of lack of long-term adaptation plans,” Dr Bamba says.

The latest findings by the United Nations Economic Commission for Africa (UNECA) show that as the global climate further warms, the long-term adverse effects and extreme weather events brought about by climate change will pose an increasingly serious threat to Africa’s economic development.

The limited resilience of African countries against the negative impacts of today’s climate is already resulting in lower growth and development, highlighting the consequences of an adaptation deficit, it said.

Indicative findings by economic experts show lower GDP growth per capita ranging, on average, from 10 to 13 per cent (with a 50 per cent confidence interval), with the poorest countries in Africa displaying the highest adaptation deficit.

While projections show that climate change is likely to exacerbate the high vulnerability, the limited adaptive capacity of the majority of African countries, particularly the poorest, will potentially roll back development efforts in the most-affected nations, Dr Andre Kamga, the Director General of the African Centre of Meteorological Applications for Development (ACMAD). This highlighted the need to build high-resolution models.

Apart from exploiting processes to achieve early warning for all in the current climate value chain Dr Kamga stresses the pressing need to move to impact-based forecasts to enhance the quality of information given to users and to expect more efficient preparedness and response.

While Africa has contributed negligibly to the changing climate, with just about two to three percent of global emissions, the continent still stands out disproportionately as the most vulnerable region globally.

The latest report by the United Nations Environment Programme (UNEP)  indicates that most of these vulnerable countries lack the resources to afford goods and services to buffer themselves and recover from the worst of the changing climate effects.

While AI and machine learning remain key solutions for researchers to overcome these challenges, Prof. Sam Yala, Centre President at the African Institute for Mathematical Sciences (AIMS) in Rwanda, is convinced that these modern weather forecasting models are important to help manage challenging issues related to improving adaptation and resilience in most African countries.

Frank Rutabingwa, Senior Regional Advisor, UN Economic Commission for Africa (UNECA) and the Coordinator Weather and Climate Information Services for Africa Programme (WISER), acknowledges that for African countries to prevent and control major climate-related disaster risks effectively, it is important to improve their forecasting and information interpretation capacities.

Latest estimates by researchers show that the skill of numerical weather prediction over Africa is still low, and there remains a widespread lack of provision of nowcasting across the continent and virtually no use of automated systems or tools.

Scientists from AIMS are convinced that this situation has significantly affected the ability of national meteorological services to issue warnings and, therefore, potentially prevent the loss of life and significant financial losses in many countries across the continent.

In Africa, a study by Dr Sylla projected an extension of torrid climate throughout West Africa by the end of the 21st century. However, other African regions, such as North Africa, East Africa, Central Africa, and Southern Africa, lack this information.

“Artificial intelligence and machine learning can play a critical role by filling these data gaps on the reliability of weather forecasts that undermine understanding of the climate on the continent,” he said.

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

Financing Biggest Hurdle to Providing Children with Quality Education in Crisis Situations ECW — Global Issues

ECW’s Yasmine Sherif and Graham Lang walk with UNHCR partners through Borota, where thousands of new refugees, most of them women, and children, have arrived after fleeing the conflict in Sudan. Credit: ECW
  • by Naureen Hossain (united nations)
  • Inter Press Service

UNITED NATIONS, Jul 20 (IPS) – If you want lasting peace, the best investment you can make is in education, said Education Cannot Wait’s Executive Director Yasmine Sherif in an exclusive interview with IPS.

“(This will) make children and adolescents literate, learn critical thinking, address trauma and psycho-social challenges from being victims of a conflict or crisis, develop their potential, and become financially independent,” Sherif said, adding that these were critical skills to participate in good governance of their countries in the future.

She was speaking to IPS ahead of her participation in the ECOSOC High-Level Political Forum side event “Ensuring Education Continuity: The Roles of Education in Emergencies, Protracted Crises and Building Peace” at the UN Headquarters in New York.

Education is the answer to breaking the vicious circle of violence, conflict, and crisis – while this often is associated with war and conflict, the same applies to climate change.

“If the next generation that is today suffering from climate-induced disasters are not educated, do not understand or have an awareness of how to treat mother earth, and do not have the knowledge or skills to mitigate or prevent risks in the future, the negative impact of climate-induced disasters will only escalate.”

Unfortunately, conflicts and climate risks increasingly combine to multiply vulnerability, she said – and instead of declining, the number of children who need urgent support is increasing.

“Today, 224 million crisis-affected children do not receive a quality, continuous education. More than half of these children – 127 million – may have access to something that resembles a classroom, but they are not learning anything. They are not achieving the minimum proficiencies outlined in the Sustainable Development Goals (SDG4).”

Sherif stressed the crucial linkage between education and protection for children in crisis-affected countries and explained how protection is a core component of the holistic package of education ECW is supporting together with its partners.

“On the legal side, we advocate for the respect of the international humanitarian law, national human rights law, and the National Refugee Law, and for an end to impunity for those who violate these,” said Sherif. “We also call for additional countries to adopt the Safe Schools Declaration, and actively support its implementation at the national level.”

To prevent violence around and in schools, practical measures are included to ensure the children are safe.

“It’s important to ensure safe transport to and from the school. And that would, of course, bring a sense of safety to the parents, who may not be willing to send the girls to school because of that. You ensure the infrastructure of the school provides protection. You may need wards around the school so that nobody can walk into the school and abduct a girl.”

ECW funding also includes protections to prevent sexual and psychological violence.

“All the funding that we invest requires giving protection a priority. And that is essential wherever you operate or invest funding in a country of affected by armed conflict; you need to ensure protection is prioritized.”

Sherif said that in countries like Afghanistan, where the Taliban have banned girls from attending secondary school and upwards, ECW works with local partners to support non-formal education.

“There is a lot of work at the community level, with local authorities allowing ECW’s investments in civil society and UN agencies to continue to operate. So community-based schooling is pretty much (being) run now, where we are investing at the community level,” she said, and while it may not be ideal, it does work.

Likewise, non-formal learning centers have been set up in Cox’s Bazar, where the Rohingya refugees live after fleeing violence, discrimination, and persecution in Myanmar.

“Our aim is for every child to be able to access national education systems, but sometimes it is not possible politically or physically due to the dangers of the conflict. So we also support our partners to establish non-formal learning centers until another more sustainable solution can be found.”

During the Covid-19 pandemic, ECW’s partners were innovative in ensuring education continued – with remote learning programmes such as radio and TV-based education, where IT connections were available through phones and WhatsApp with learning kits and tools.

“Home-based, going from door-to-door, that was how it was done during COVID. There was some creativity and innovation. It is possible. It is not ideal, but it is possible.”

Sherif said ECW had developed a proven model to bring quality education to every child – even in the most challenging crisis-affected contexts of war and conflicts – but that the biggest hindrance is the financing.

“If we had the financing, we could reach the 224 million (children) immediately. So financing is the big hindrance today. While peace is the number one (solution), if peace is not possible, education cannot wait.”

“If financing for education is provided in crisis and climate disasters, ECW can reach 20 million children and adolescents in the coming four years. And that requires about another USD700 million for Education Cannot Wait between today and 2026. Just USD 700 million is a small amount when you consider the return on investment you get when you invest in human potential.”

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

Mandela Day Reminder to Stand Witness to Human Rights Defenders — Global Issues

  • by Joyce Chimbi (nairobi)
  • Inter Press Service

NAIROBI, Jul 18 (IPS) – As human rights increasingly deteriorate, rights defenders are being violently suppressed. Abducted, detained, tortured, and humiliated, many now live one day at a time. They have been told, in no uncertain times, that anything could happen. They are now asking the global community to stand as a witness.

“Like Nelson Mandela was, hundreds of human rights defenders around the world are in prison for their human rights activities. Just like him, they are unjustly treated, fictitious charges levelled against them and handed the most serious sentences that are often used against criminals. One of our priorities is to work with human rights defenders to advocate for their release,” says David Kode from CIVICUS, a global alliance of civil society with a presence in 188 countries around the world.

Inspired by the life story of the late iconic South African President Nelson Mandela, the Stand As My Witness Campaign was launched on Nelson Mandela Day in 2020 by CIVICUS, its members and partners.

In commemoration of the third anniversary of the Stand As My Witness campaign, CIVICUS and its partners, including human rights defenders, hosted a public event titled, ‘Celebrating Human Rights Defenders through Collaborative Advocacy Efforts’, to celebrate the brave contributions of human rights defenders and raise awareness about those who are still in detention.

David Kobe said that CIVICUS had profiled at least 25 human rights defenders since the Stand As My Witness Campaign started three years ago. Credit: Joyce Chimbi/IPS

“Over the last three years, we have profiled more than 25 human rights defenders collectively because some human rights defenders are profiled as individuals and others, such as those in Burundi, are profiled as a group because they were arrested as a group. More than 18 human rights defenders have been released over the last three years. As we celebrate, we must recognize that the journey has just started, it is quite long, and the battle is far from over,” Kode said.

The event brought together families and colleagues of detained human rights defenders, previously detained human rights defenders, representatives from the Office of the High Commissioner for Human Rights (OHCHR) and other human rights mechanisms and civil society organisations.

Lysa John, the Secretary General of CIVICUS, spoke about how special Mandela Day is, for it is the one day of the year when the spirit of solidarity is celebrated in his memory. It is also a day to look back at what has been achieved and how much more could be achieved in solidarity.

She further addressed issues of civic space restrictions, closure of civic space and how these restrictions impact societies and individuals. John stressed that the event was held in the context of the 25th anniversary of the adoption of the UN Declaration on Human Rights Defenders and the 75th anniversary of the UNDHR or Human Rights 75 to promote their objectives.

“One-third of the population of the world live in contexts which are closed. Where attacks on people who speak out or exercise their civic freedoms are attacked or arrested without any accountability. More and more people in the world, in fact, the largest section of the world, estimated at 44 percent live in countries where civic space and civic freedoms are restricted. In this regard, civic society is more than ever reinventing itself, and there is increased support for them,” she said.

Birgit Kainz from OHCHR spoke about the importance of bringing to life the UN Declaration on Human Rights Defenders for its adoption was a consensus that human dignity is at the core of everything.

She spoke about the need to be deliberate in the defence of civic space as it enables people to shape their future and that of their children. Kainz said that protection and security are two sides of the same coin and urged participants to network and connect to improve civic space and to also play a complementary role. Further emphasizing the need to maintain data, especially about who is in detention and where in line with SDGs.

Maximilienne Ngo Mbe from Cameroon is one of the most prolific human rights defenders in Africa. She spoke about the need to create safe spaces for women rights defenders. Credit: Joyce Chimbi/IPS

Maximilienne Ngo Mbe spoke about the life and times of human rights defenders today. She is one of the most prolific human rights defenders in Africa and continues to receive a lot of restrictions for her fearless human rights activities that often have her fleeing from Cameroon to other countries for safety.

“We need a network for women rights defenders because of the special challenges they face as girls, wives, mothers and vulnerable people. Women are engaging less and less because of these challenges and the multiple roles they play in society,” she said.

The event was an opportunity for released human rights defenders such as Maria Esperanza Sanchez from Nicaragua to speak about resilience in the face of brutal regimes. She spoke about how armed men often came to her house to threaten and intimidate her. Of her arrest, humiliation and torture in 2020, being sentenced to 10 years in prison and her eventual release.

It was also an opportunity to speak on behalf of those who cannot. They include Khurram Parvez, a prolific human rights defender in India. At the time of his arrest for human rights activities, he was leading two critical organizations at the national and regional levels.

Parvez is being charged as a terrorist. His story aligns with that of Kenia Hernandez, a 32-year-old indigenous Amuzga woman, mother of two, lawyer and an advocate for human rights who is currently detained in a maximum-security prison in Mexico and has been sentenced to 21 years. Her story is illustrative of the high-risk female rights defenders and people from marginalized groups face.

Ruben Hasbun from Global Citizen spoke about how to effectively advocate for the release of human rights defenders, sharing lessons from Stand As My Witness campaigners.  The event further opened up space to address the role of the private sector.

Christopher Davis from Body Shop, a brand that continues to be at the forefront of supporting human rights and rights defenders, fighting social and environmental injustice.

At the end of the session, participants were invited to sign a petition to have the United Arab Emirates immediately and unconditionally release all those detained solely for the exercise of their human rights and end all abuse and harassment of detained critics, human rights defenders, political opposition members, and their families.

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

Seizing the Moment for a More Resilient Asia & the Pacific — Global Issues

  • Opinion by Armida Salsiah Alisjahbana (bangkok, thailand)
  • Inter Press Service

BANGKOK, Thailand, Jul 18 (IPS) – The world faces a disaster emergency, yet nowhere is the threat more immediate than in Asia and the Pacific. Ours is a region where climate change-induced disasters are becoming more frequent and intense. Since 1970, two million people have lost their lives to disasters.

Tragically, but all too predictably, the poorest in the least developed countries (LDCs) are worst affected. They will find themselves in the eye of the storm as temperatures rise, new disaster hotspots appear and existing risks increase.

Unless we fundamentally change our approach to building resilience to disaster risk, temperature rises of 1.5°C or 2°C will make adaptation to the threat of disasters unfeasible. Disaster risk could soon outpace resilience in Asia and the Pacific.

It is worth pondering what this would mean. The grim tally of disaster-related deaths would inevitably rise, as would the annual cost of disaster-related losses, forecast to increase to almost $1 trillion, or 3 per cent of regional GDP, under 2°C warming ¬ up from $924 billion today, or 2.9 per cent of regional GDP.

The deadly combination of disasters and extreme weather would undermine productivity and imperil sustainable development. In the poorest parts of our region, such as the Pacific small island developing States, disasters would become a major driver of inequality.

Losses would be particularly devasting in the agriculture and energy sectors, disrupting food systems and undermining food security as well as jeopardizing energy supply and production. Environmental degradation and biodiversity loss would be remorseless, leading to climate change-driven extinctions and further increasing disaster risk.

To avoid this exponential growth of disaster risk, there is a narrow window of opportunity to increase resilience and protect hard-won development gains. To seize it, bold decisions are needed to deliver transformative adaption. They can no longer be postponed.

Next week, countries meeting during our Committee on Disaster Risk Reduction will consider key questions such as prioritizing greater investment in early warning systems. Expanding coverage in least developed countries is the most effective way to reduce the number of people killed.

Early warning systems can shield people living in multi-hazard hotspots and reduce disaster losses everywhere by up to 60 per cent. They provide a tenfold return on investment. To protect food systems and reduce the exposure of the energy infrastructure – the backbone of our economies – sector-specific coverage is needed.

Investments at the local level to improve communities’ response to early warning alerts, delivered through expanded global satellite data use and embedded in comprehensive risk management policies, must all be part of our approach.

Nature-based solutions should be at the heart of adaptation strategies. They support the sustainable management, protection and restoration of degraded environments while reducing disaster risk. The evidence is unequivocal: preserving functional ecosystems in good ecological condition strengthens disaster risk reduction.

This means preserving wetlands, flood plains and forests to guard against natural hazards, and mangroves and coral reefs to reduce coastal flooding. Forest restoration and sustainable agriculture are essential. In our urban centers, nature-based solutions can mitigate urban flooding and contribute to future urban resilience, including by reducing heat island effects.

Beyond these priorities, only transformative adaption can deliver the systemic change needed to leave no one behind in multi-hazard risk hotspots. Such change will cut across policy areas. It means aligning social protection and climate change interventions to enable poor and climate-vulnerable households to adapt and protect their assets and livelihoods.

Disaster risk reduction and climate change adaptation must become complementary to make food and energy systems more resilient, particularly in disaster-prone arid areas and coastlines. Technologies, such as the Internet of Things and artificial intelligence, can improve the accuracy of real-time weather predictions and how disaster warnings are communicated.

Yet to make this happen, disaster risk financing needs to be dramatically increased and financing mechanisms scaled up. In a constrained fiscal context, we must remember that investments made upstream are far more cost-effective than spending after a disaster.

The current level of adaptation finance falls well short of the $144.74 billion needed for transformative adaptation. We must tap innovative financing mechanisms to close the gap. Thematic bonds, debt for adaptation and ecosystem adaptation finance can help attract private investment, reduce risk and create new markets.

These instruments should complement official development assistance (ODA) , while digital technologies improve the efficiency, transparency and accessibility of adaptation financing.

Now is the time to work together, to build on innovation and scientific breakthroughs to accelerate transformative adaptation across the region. A regional strategy that supports early warnings for all is needed to strengthen cooperation through the well-established United Nations mechanisms and in partnership with subregional intergovernmental organizations.

At ESCAP, we stand ready to support this process every step of the way because sharing best practices and pooling resources can improve our region’s collective resilience and response to climate-related hazards. The 2030 Agenda for Sustainable Development can only be achieved if we ensure disaster resilience is never outpaced by disaster risk. Let us seize the moment and protect our future in Asia and the Pacific.

Armida Salsiah Alisjahbana is Under-Secretary-General of the UN and Executive Secretary of the Economic and Social Commission for Asia and the Pacific (ESCAP)

IPS UN Bureau


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

‘Spending Money on Education is Investing in Humanity’ — Global Issues

ECW director Yasmine Sherif and other delegates at the “Ensuring Education Continuity: The Roles of Education in Emergencies, Protracted Crises and Building Peace” conference at the UN. Credit: Abigail Van Neely/IPS
  • by Abigail Van Neely (united nations)
  • Inter Press Service

UNITED NATIONS, Jul 14 (IPS) – As the 2030 deadline for achieving the Sustainable Development Goals (SDGs) looms, Education Cannot Wait’s director Yasmine Sherif warned, “We are failing the promises we made on everything in the sustainable development goals, but especially on education because, without education, we cannot achieve any of the other sustainable development goals.”

Sherif was speaking at the “Ensuring Education Continuity: The Roles of Education in Emergencies, Protracted Crises and Building Peace” conference at the United Nations headquarters – where speaker after speaker called for an immediate increase in funding for education in crisis zones.

The conference was co-organized by the Permanent Missions of Japan, Italy, and Switzerland, UNICEF,  ECW, Global Partnership for Education (GPE), UNESCO, Save the Children, Japan International Cooperation Agency (JICA) and Japan NGO Network for Education. The event was created with the goal of addressing the “crucial role of education as a life-saving and life-sustaining intervention in an emergency.”

It took place as a side event during this week’s High-Level Political Forum aimed to address the “crucial role of education as a life-saving and life-sustaining intervention in an emergency.”

This discussion came at a critical time. Earlier this week, the 2023 Sustainable Development Goals Report painted a grave picture of progress towards achieving the quality education goal proposed for 2030. Four out of every five countries studied experienced learning losses following the COVID-19 pandemic.

At the end of 2022, there were 34.6 million refugees, the highest global number ever recorded, of which 41%  were children. According to ECW, 224 million crisis-affected children need education. Over half of these children – 127 million – are not achieving the minimum proficiencies in literacy or numeracy.

“It is critically important during this that we emphasize that education is a fundamental human right,” Ambassador Kimihiro Ishikane, Permanent Representative of Japan to the UN, said.

Noting that seven years remain before the SDG deadline, Stefania Giannini, Assistant Director-General for Education at UNESCO, urged Member States to commit to the Safe Schools Declaration, an inter-governmental agreement to protect education in times of armed conflict.

Speakers emphasized the importance of consistent education even during times of crisis.

During protracted emergencies in areas that have been disrupted by man-made conflicts or natural disasters, education continuity provides children and communities with a “sense of normalcy”, as Awut Deng Acuil, Minister of Education in South Sudan, remarked. “ fosters social and emotional wellbeing of learners affected by crises.

Two weeks ago, ECW launched a program in South Sudan to support a recent influx of refugees. Acuil highlighted that education is more than just knowledge gained in the classroom. She explained that it involves essential social-emotional learning, supports country development, builds resilience, promotes conflict resolution, and can even assist with economic recovery.

“Continuity of education for millions of children affected by crises remains at stake. Though we all know that one, education is a fundamental right for all children, and education continuation in high emergency situations remains a high priority for many communities,” Acuil said.

“Education is more than service delivery. It is a means of socialization and identity development through the transmission of knowledge, skills, values and attitudes across generations. It is, therefore, an important tool for the sustenance of peace, for without education, we cannot have peace,” said Asaju Bola, Minister from the Permanent Mission of Nigeria to the UN.

Somaya Faruqi, an engineering student and captain of the Afghan Girls Robotic Team, spoke about the power of academic achievement as a means to inspire gender equity. After her robotics team’s success in international competitions, more Afghan girls were given permission to join.

“The key to all these processes was education. Accessible education for girls and for boys equally,” Faruqi said.

Now, following the Taliban’s return to power in Afghanistan, Faruqi describes her home country as “a prison for girls” she had to flee.

ECW director Yasmine Sherif and other delegates at the “Ensuring Education Continuity: The Roles of Education in Emergencies, Protracted Crises and Building Peace” conference at the UN. Credit: Abigail Van Neely/IPS

The event showcased the measures that UN agencies have been taking to ensure education continuity. The UNESCO Qualifications Passport initiative provides refugees with a means for their qualifications to be certified and recognized in their host countries. UNESCO and UNICEF jointly launched the Gateways to Public Digital Learning, a global initiative for schools, learners, and teachers to have access to quality digital learning tools.

Digital learning and alternate forms of education provision were noted as significant tools to invest in, especially for students located in remote areas or in those communities who are unable to attend traditional public schooling. Ultimately, as Frank van Cappelle, Senior Advisor of Education, UNICEF, noted, “a holistic approach is needed; a flexible approach is needed… The human element is key.”

However, despite some gains, funding remains a barrier to the success of these programs. According to Charles North, the CEO of the Global Partnership for Education, the number of children impacted by crises is rising, but funding is not.

Rotimy Djossaya, Executive Director for Policy, Advocacy, and Campaigns at Save the Children, called for “timely debt relief for countries whose debt burdens are threatening their ability to invest in education.” He cited statistics that four out of fourteen low and middle-income countries spent more on servicing external debt than they did on education in 2020.

The event showcased a continuous, pressing need for education to be made a priority on the national and global levels. As  Sherif noted, education is the foundation of a “more prosperous world.”

“Spend money on education, invest in humanity.”

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

Marginalising Key Populations Impacting Efforts to End HIV/AIDS Epidemic — Global Issues

A transgender person participates in health services provided by the Khmer HIV/AIDS NGO Alliance (KHANA) in Phnom Penh, Cambodia, December 2019. Credit: UNAIDS
  • by Ed Holt (bratislava)
  • Inter Press Service

BRATISLAVA, Jul 14 (IPS) – A report released this week has highlighted how continuing criminalisation and marginalisation of key populations are stymying efforts to end the global HIV/AIDS epidemic.

The report from UNAIDS, entitled ‘The Path that Ends AIDS’, says that ending AIDS is a political and financial choice, and that in countries where HIV responses have been backed up by strong policies and leadership on the issue, “extraordinary results” have been achieved.

It points to African states that have already achieved key targets aimed at stopping the spread of HIV and getting treatment to people with the virus. It also points out that a further 16 other countries, eight of them in sub-Saharan Africa which accounts for 65% of all people living with HIV, are close to doing so.

But the report also focuses on the devastating impact HIV/AIDS continues to have and how alarming rises in new infections in some places are being driven largely by a lack of HIV prevention services for marginalised and key populations and the barriers posed by punitive laws and social discrimination.

“Countries that put people and communities first in their policies and programmes are already leading the world on the journey to end AIDS by 2030,” said Winnie Byanyima, Executive Director of UNAIDS.

Estimated adults and children living with HIV. Credit: UNAIDS

Experts and groups working with key populations have long warned of the effect that the stigmatisation, persecution and criminalisation of certain groups has on the AIDS epidemic.

They point to how punitive laws can stop many people from accessing vital HIV services.

Groups working with people with HIV in Uganda, which earlier this year passed anti-LGBTQI legislation widely considered to be some of the harshest of its kind ever implemented (it includes the death penalty for some offences), say service uptake has fallen dramatically.

“The law has had a very negative effect in terms of health,” a worker at the Ugandan LGBTQI community health service and advocacy organisation Icebreakers told IPS.

“Community members are threatened by violence and abuse by the public; many are afraid to go out. HIV service access points are now seen by LGBTQI community members as places where they will be arrested or attacked,” he said.

Speaking on condition of anonymity, the worker added: “This is going to affect adherence to treatment and will be bad for the spread of HIV. Some people are being turned away at service centres, including places where people go for ARV refills, because although the president has declared that treatment will continue for members of the community, there are individuals at some centres who say the law has been passed, and so they don’t need to give treatment to members of the community.”

Estimated number of adults and children newly infected with HIV. Credit: UNAIDS

Groups working with people with HIV in other countries where strict anti-LGBTQI laws have been introduced have also warned that criminalisation of the minority will only worsen problems with the disease.

In Russia, which has one of the world’s worst HIV/AIDS epidemics, anti-LGBTQI legislation brought in last year has effectively made outreach work illegal, potentially severely impacting HIV prevention and treatment. Widespread antipathy to the community also forces many LGBTQI people living with HIV to lie to doctors about how they acquired the disease, meaning the epidemic is not being properly treated.

A worker at one Moscow-based NGO helping people with HIV told IPS: “What this means is that the right groups in society are not being targeted , and so the epidemic in Russia is what it is today.”

Harsh legislation, conservative policies and state-tolerated stigmatisation also impact another key population – drug users.

Countries in regions where drug use is the primary or a significant driver of the epidemic, such as Eastern Europe and Central Asia and Asia and the Pacific, drug users often struggle to access harm reduction and HIV prevention services. They fear arrest at needle exchange points, attacks from a general public which often views them negatively, and prejudice and stigmatisation from workers within the healthcare system.

At the same time, in states with harsh laws targeting the LGBTQI community, drug users, sex workers or other vulnerable groups, civil society organisations helping those populations are also affected by the legislation, meaning that vital HIV prevention and treatment services they provide are hampered or halted completely.

And these problems are not confined to a handful of states. The UNAIDS report states that laws that criminalize people from key populations or their behaviours remain on statute books across much of the world. The vast majority of countries (145) still criminalize the use or possession of small amounts of drugs; 168 countries criminalize some aspect of sex work; 67 countries criminalize consensual same-sex intercourse; 20 countries criminalize transgender people; and 143 countries criminalize or otherwise prosecute HIV exposure, non-disclosure or transmission.

Consequently, the HIV pandemic continues to impact key populations more than the general population. In 2022, compared with adults in the general population (aged 15-49 years), HIV prevalence was 11 times higher among gay men and other men who have sex with men, four times higher among sex workers, seven times higher among people who inject drugs, and 14 times higher among transgender people.

Ann Fordham, Executive Director at the International Drug Policy Consortium, told IPS there was an “urgent need to end the criminalisation of key populations”.

“Data shows HIV prevalence among people who use drugs is seven times higher than in the general population, and this can be directly attributed to punitive drug laws which drive stigma and increase vulnerability to HIV. It is devastating that despite evidence that these policies are deeply harmful, the majority of countries still criminalise drug use or the possession of small quantities of drugs,” she said.

But it is not just minorities which are disproportionately affected by HIV.

Globally, 4,000 young women and girls became infected with HIV every week in 2022, according to the report.

The problem is particularly acute in the sub-Saharan Africa region, where there is a lack of dedicated HIV prevention programmes for adolescent girls and young women and where across six high-burden countries, women exposed to physical or sexual intimate partner violence in the previous year were 3.2 times more likely to have acquired HIV recently than those who had not experienced such violence.

Research has suggested that biological, socio-economic, religious, and cultural factors are behind this disproportionately high risk of acquiring HIV. Many girls and young women in the region are economically marginalized and therefore struggle to negotiate condom use and monogamy. Meanwhile, a predominantly patriarchal culture exacerbates sexual inequalities.

“For girls and women in Africa, it is general inequalities which are driving this pandemic. It is social norms which don’t equate men and women, girls and boys, it is norms which tolerate sexual violence, where a girl is forced to have unprotected sex, and that is then dealt with quietly rather than tackling the abuser,” Byanyima said at the launch of the report.

UNAIDS officials say that promoting gender equality and confronting sexual and gender-based violence will make a difference in combatting the spread of the disease, but add that specific measures aimed at young women and girls, and not just in sub-Saharan Africa, are also important.

“ services are not designed for young women in many parts of the world – for instance, girls cannot access HIV testing or treatment without parental consent up to a certain age in some countries,” Keith Sabin, UNAIDS Senior Advisor on Epidemiology, told IPS.

“A lack of comprehensive sexual education is a tremendous barrier in many places. It would go a long way to improving the potential for good health among girls,” he added.

But while the report highlights the barriers faced by key populations, it also shows how removing them can significantly improve HIV responses.

It cites examples from countries from Africa to Asia to Latin America where evidence-based policies, scaled-up responses and focused prevention programmes have reduced new HIV infections and AIDS-related deaths, while some governments have integrated addressing stigma and discrimination into national HIV responses.

It also noted that progress in the global HIV response has been strengthened by ensuring that legal and policy frameworks enable and protect human rights, highlighting several countries’ removal of harmful laws in 2022 and 2023, including some which decriminalized same-sex sexual relations.

“Studies strongly suggest a better uptake of services among men who have sex with men (MSM) in countries where homosexuality has been decriminalised or is less criminalised. A certain policy environment can improve uptake and outcomes,” said Sabin.

The UNAIDS report calls on political leaders across the globe to seize the opportunity to end AIDS by investing in a sustainable response to HIV, including effectively tackling the barriers to prevention and services faced by key populations.

Experts agree this will be crucial to ending the global epidemic.

“We have long known that we will not end AIDS without removing these repressive laws and policies that impact key populations. Today, UNAIDS is once again sounding the alarm and calling on governments to strengthen the political will, follow the evidence and commit to removing the structural and social barriers that hamper the HIV response,” said Fordham.

IPS UN Bureau Report


Follow IPS News UN Bureau on Instagram

© Inter Press Service (2023) — All Rights ReservedOriginal source: Inter Press Service



Check out our Latest News and Follow us at Facebook

Original Source

Exit mobile version