Tag: Humanitarian Emergencies

Supporting Conflict Prevention & Social Cohesion in Mauritania — Global Issues

Women play a critical role in conflict management and peacebuilding efforts in Mauritania. Credit: IOM Mauritania
  • Opinion by Lila Pieters Yahia (nouakchott, mauritania)
  • Inter Press Service

NOUAKCHOTT, Mauritania, Jul 12 (IPS) – Deep in the heart of Southeastern Mauritania lies the district and town of Bassikounou, nestled on the border with neighboring Mali, over 1,200 kilometers from the capital city of Nouakchott.

The border between the two countries is barely visible, but the communities on either side remain tightly knit through their shared family ties, trading relationships and religious traditions.

The vast grasslands of Bassikounou have long provided nourishment for herds of livestock, yet in recent years, the region has experienced a decline in rainfall and pasture which has made life more challenging for communities and their animals.

In addition to the strains caused by a changing climate, in 2022, Mauritania experienced an influx of new refugees, including Mauritanian returnees from Mali due to the deteriorating security situation.

By the end of last year, almost 83 000 refugees resided in the Mbera camp in Bassikounou and over 8,000 in small villages outside the camp.

This influx of refugees with their livestock increased pressure on the pastures and water sources; and led to greater conflict and competition between communities for access to water and grazing fields.

On top of this, returning pastoralist herds of livestock are estimated at 800,000; further exacerbating the scarcity of resources, and raising concerns about tensions with the host population over water access.

Cohesion and economic empowerment

As part of my new role as Resident Coordinator in Mauritania, I visited Bassikounou district in January 2023 to see how the UN country team on the ground was utilizing the Secretary-General’s Peacebuilding Fund (PBF) to foster conflict prevention, promote social cohesion and tackle the devastating effects of climate change among the host communities, Internally Displaced Persons (IDPs) and refugees.

The PBF’s investment in Mauritania date back to 2018 when FAO, UNDP, UNICEF and OHCHR collaborated to implement a pioneering project aimed at managing scarce natural resources, enhancing economic development, and supporting village committees to resolving conflicts.

Although the project has ended, lasting effects can still be observed. For example, the local radio station which was set up with the support of the PBF is now managed by the local and has become a vital tool in promoting social harmony between host communities and refugees.

As the head of the coordination cell of the Hodh El Charugui told me during the visit, “the radio is a jewel, through its broadcasting and radio talk shows, it allowed to reinforce social cohesion and peaceful coexistence between refugees and host communities” including young people and women.

During my visit, I also had the privilege of meeting inspiring women and young girls who shared their journeys towards greater economic empowerment. The Bassikounou women’s network, which was supported by PBF’s first project in the region, consists of 49 gender focal points, village committees and 20 women’s associations. The network is now fully institutionalized with legal status.

The women spoke about the transformational change they brought to their communities through this network by implementing simple rules to lift structural barriers regarding women’s participation and rights.

One such rule is to ensure that each time a man speaks, a women should have the opportunity to voice her opinion. Today, the Bassikounou network is the technical branch of the newly created Observatoire National des Droits de la Femme et de la Fille (ONDFF), making it a powerful force for gender equality in Mauritania.

Women play a critical role in conflict management and peacebuilding efforts in Mauritania. Credit: IOM Mauritania

Whilst in Bassikounnou I also had the honor of meeting with the Mourchidates, a group of fifty Mauritanian women religious guides, who are working to deconstruct radical rhetoric arguments used by extremist groups in Néma, and prevent violent extremism.

Through an innovative pilot initiative supported by PBF and implemented by UNOSSC and UNESCO, these women received training on how to spot warning signs of radicalization in individuals and communities and how to intervene early to prevent violence from erupting.

Building resilience to climate shocks

Investing in adaptation measures and building greater resilience to the effects of climate change is another key priority for host communities, IDPs and refugees in Bassikounou district.

Mauritania’s mostly desert territory is highly susceptible to deforestation and drought, with temperatures regularly exceeding 40°c during the dry season from September to July; which means that bushfires have become an increasingly frequent occurrence threatening refugees and host communities, their herds and livelihoods.

With thanks to support from the UN country team and investments from the PBF, communities are coming together to manage and mitigate risks of such bushfires.

During my visit to the district, I saw first-hand the achievements of the Mbera fire brigade volunteers. Founded by refugees, this all-volunteer firefighting group has extinguished over 100 bushfires since 2019 and planted thousands of trees to preserve the lives, livelihoods of the host communities and refugees and the local environment.

These interactions between refugees and host populations has led to a more inclusive, equitable and sustainable management of natural resources in Mbera. The Fire Brigade’s courage and tenacity in safeguarding lives, livelihoods and the environment has earned them the title of the Africa Regional Winner of the 2022 Nansen Refugee Award.

Elsewhere during our visit to Mbera camp and surrounding villages, we saw inspiring youth and women-led initiatives to strengthen community resilience to climate change and promote social cohesion, specifically through the regeneration of vegetation cover.

Through the planting of 20,000 seedlings cultivated on five reforestation sites, women are now able to sell vegetables produced in community fields to sustain their families, invest in small businesses, and save for joint initiatives. In addition, a youth-led start-up is piloting biogas production in Bassikounou by employing youth to provide natural gas for vulnerable families.

Towards peace and prevention

Beyond Bassikounou, the Fund has invested in cross-border initiatives to address fragility risks, including in Mauritania due to its porous borders and security threats such as trafficking and terrorism.

Between Mali and Mauritania, with PBF’s support, FAO and IOM are strengthening the conflict prevention and management capacities of cross-border communities by setting up, training and equipping 24 village committees located on the Mauritano-Malian border zone.

In a world that is often plagued by conflict and strife, the need for peacebuilding initiatives has never been greater. The Secretary-General’s Peacebuilding Fund is a unique tool that can effectively prevent conflicts from escalating and support ongoing peacebuilding efforts.

My visit to Bassikounou allowed me to see firsthand the changes and transformation on the ground supported by the PBF and jointly implemented by the UN country team and national partners and refugees communities.

From strengthening social cohesion to empowering more women and young people in conflict and natural resource management, the impact of these initiatives continues to grow.

I am more convinced than ever that we must continue to support such initiatives and invest in peacebuilding – only then can we hope to create a better future for all.

Lila Pieters Yahia is UN Resident Coordinator in Mauritania. This article was written with support from the UN Department of Political and Peacebuilding Affairs (DPPA) and the Peacebuilding Support Office (PBSO).

Source: UN Development Coordination Office (UNDCO), New York.

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Venezuela’s Educational System Heading Towards State of Total Collapse — Global Issues

The shortages of days in the classroom and teachers, and the poverty of their schools and living conditions, provide for a very poor education for Venezuela’s children and augur a significant lag for their performance in adult life and for the country’s development. CREDIT: El Ucabista
  • by Humberto Marquez (caracas)
  • Inter Press Service

CARACAS, Jul 10 (IPS) – Hundreds of thousands of children and young people, and thousands of their teachers, drop out of regular schooling in Venezuela year after year, and most of those who remain go to the classroom only two or three days a week, highlighting the abysmal backwardness of education in the country.

“Why continue studying, to graduate unemployed and earn a pittance? We prefer to get into a trade, make money, help our parents; there are a lot of needs at home,” Edgar, 19, who with his brother Ernesto, 18, has been gardening in homes in southeastern Caracas for three years, told IPS.

A study this year by the non-governmental organization Con la Escuela (With the School), in seven of Venezuela’s 24 states -including the five most populated- found that 22 percent of students skip classes to help their parents, and in the 15-17 age group this is the case for 45 percent of girls.

In the school where teacher Rita Castillo worked, in La Pomona, a shantytown in the torrid western city of Maracaibo, “for many days in a row there is no running water, there are blackouts, and it’s impossible to use the fans to cool off the classrooms,” she told IPS.

The classes in the school are divided into 17 to 25 children each: the first three grades of primary school attend on Mondays and Tuesdays, the next three grades on Wednesdays and Thursdays, and Fridays make up for whoever missed class the previous days. That is in the mornings; secondary school students attend during the hot afternoons.

These are the first steps towards the definitive dropout of students: 1.2 million in the three years prior to 2021 and another 190,000 in the 2021-2022 school year, with 2022-2023 still to be estimated, with no signs of a reversal in the trend.

“The dropout rate is also high in secondary schools in Caracas, and the students who remain often pass from one year to the next without having received, for example, a single physics or chemistry class, due to the shortage of teachers,” Lucila Zambrano, a math teacher in public schools in the populous western part of the capital, told IPS.

Authorities in the education districts are increasingly calling on retired teachers to return to work, “but who is going to return to earn for 25, 20 or less dollars a month?” Isabel Labrador, a retired teacher from Colón, a small town in the southwestern state of Táchira, told IPS.

Currently, the monthly food basket costs 526 dollars, according to the Documentation and Analysis Center of the Venezuelan Federation of Teachers.

The infrastructure and equipment of many schools is seriously affected in different areas of Venezuela, and its recovery is essential as a space not only for students to obtain knowledge but also for the socialization and coexistence of students, teachers and representatives. CREDIT: E. Carvajal / CPV

Teachers held colorful street protests in the first few months of 2023, demanding decent salaries and other benefits acquired by their collective bargaining agreement, and these demands remain unheeded as the school year ends this July.

Teachers earning ridiculously small salaries, high school dropout rates, rundown infrastructure, lack of services, loss of quality and a marked lag in the education of children and young people are the predominant characteristics of Venezuelan public education today.

But “the education crisis did not begin in March 2020 with the COVID-19 pandemic. These are problems that form part of the complex humanitarian emergency that Venezuela has been experiencing for many years,” Luisa Pernalete, a trainer and researcher at the Fe y Alegría educational institution for decades, told IPS.

Numbers in red

In the current school year, enrollment in kindergarten, primary and secondary education totaled 7.7 million, said Education Minister Yelitze Santaella, in this country which according to the National Institute of Statistics has 33.7 million inhabitants, but only 28.7 million according to university studies.

The difference in the numbers may be due to the migration of more than seven million Venezuelans in the last decade, according to United Nations agencies – a figure that the government of President Nicolás Maduro considers exaggerated, although it has not provided an alternative number.

The attraction or the need to migrate, in the face of the complex humanitarian emergency – whose material basis begins with the loss of four-fifths of GDP in the period 2013-2021 – also mark the desertion of students and teachers.

In the three-year period ending in 2021 alone, 166,000 teachers (25 percent of the total) and 1.2 million students (15 percent of the number enrolled at the time), dropped out, according to a study by the private Andrés Bello Catholic University (Ucab) in Caracas, ranked as the top higher education center in the country.

Con la Escuela estimates that at least 40 percent of the teachers who have quit have already emigrated to other countries.

Educational coverage among the population aged three to 17 years continues to decline: 1.5 million children and adolescents between those ages were left out of the education system in the 2021-2022 period. The hardest hit group is children between three and five years of age, where coverage amounts to just 56 percent.

Public school teachers, whose basic salary barely exceeds 20 dollars per month, have held massive protests in Caracas and other cities in the country demanding a living wage and compliance with the provisions of their collective bargaining agreement. CREDIT: M. Chourio / Efecto Cocuyo

According to official figures, there are 29,400 educational institutions in the country, of which 24,400 are public, with 6.4 million students and 542,000 teachers; and 5,000 are private, with 1.2 million students and 121,000 teachers.

They cover three years of early education, six years of primary school and five years of secondary school. It was decreed 153 years ago that primary education should be free and compulsory.

According to Ucab and Con la Escuela, 85 percent of public schools do not have internet, 69 percent have acute shortages of electricity and 45 percent do not have running water. There are also deficiencies in health services (93 percent), laboratories (79 percent) and theater or music rooms (85 percent).

Surveying 79 public schools in seven states, Con la Escuela found that 52 percent of the bathrooms are in poor condition, 35 percent of the schools do not have enough bathrooms, and two percent have no bathrooms.

In 19 percent of the schools classes have been suspended due to the damage to the toilets, and 34 percent do not have sewage pipes.

“Water is the service that generates the most suspension of classes in Venezuela,” Pernalete said. “Classes can be held without electricity in the school, but you can’t do without water, and if the service fails in the community or in the whole town, then it’s hard for teachers to go to work or the families don’t send their children to school.”

The backpack decorated with the tricolor Venezuelan flag, which is given to primary school students in the country’s public schools, is often carried by immigrants, such as these walking along a Colombian highway, as many students and teachers, in addition to dropping out of school, go abroad. CREDIT: JRS

Con la Escuela also found that 36 percent of the classrooms are insufficient for the number of youngsters enrolled, 44 percent of the schools have classrooms in poor condition and 50 percent reported desks in poor condition.

Moreover, the Ucab investigation found “ghost schools”, which appear in the Education Ministry figures but are actually only empty shells.

“We have gone to the field with the list of these schools and we have found that they no longer exist. There are just four walls standing,” said Eduardo Cantera, director of Ucab’s Center for Educational Innovation.

From precariousness to backwardness

If the salary of a new teacher in a public school is 20 dollars a month, those who are five levels higher in the ranks do not earn much more, just 30 or 35 dollars, although they do receive some bonuses that are not part of the salary.

In Caracas, private schools – which serve from kindergarten to the end of high school – a teacher earns about 100, maybe 200 or more dollars, depending on seniority, hours of work, and the families’ ability to pay.

The drop in wages cuts across the entire labor spectrum. The basic minimum is around five dollars a month, although there are food bonuses, and the average salary of formal sector workers is around 100 dollars.

It is a difficult figure to reach for many of those who work in the informal sector of the economy – 60 percent of the country’s workers according to the Survey of Living Conditions that Ucab carried out in 2022 among 2,300 households across the country.

A view of the María Auxiliadora school in a middle and upper-middle class area of Caracas. In private education, families must make extraordinary contributions to improve teachers’ salaries and thus hold onto them. CREDIT: Oema

It is a consequence of the gigantic setback of the Venezuelan economy – GDP shrank by four-fifths between 2013 and 2021 – compounded by almost three years of hyperinflation between 2017 and 2020, and depreciation that liquefied the value of the local currency, the bolivar, and led to a costly de facto dollarization.

Although public education is formally free, parents must contribute a few dollars each month to help maintain the schools. In private schools, prices are raised under the guise of extraordinary fees – the only way to obtain funds that make it possible for them to hold onto their teachers.

Pernalete says that in the interior of the country many teachers have to walk up to an hour to get to school -there is no public transportation or they can’t afford to take it-, not to mention the lack of water or electricity in their homes, or the absence of or the poor quality of internet connection, if they can afford it, or the lack of other technological resources.

And if they do have internet, that’s not always the case for their students.

Damelis, a domestic worker who lives in a poor neighborhood in Los Teques, a city neighboring Caracas, has three children in school. Some teachers, she told IPS, assign homework through a WhatsApp group, but in her home no one has a computer, internet or smartphone.

What is the result? The initial reading assessment test that Ucab recently administered to 1,028 third grade students nationwide showed high oral and reading comprehension (82 and 85 percent, respectively), but low reading aloud and decoding skills (43 and 53 percent).

More than 40 percent of the students only read 64 words per minute or less, when they should read 85 or more. Con la Escuela applied the test to 364 students in Caracas and the neighboring state of Miranda, and the children only read 48 words per minute.

There is also discouragement among teachers. The main public teaching university in the country has almost no applicants. In the School of Education at Ucab, the first two years have been closed due to a lack of students, despite the fact that the university offers scholarships to those who want to train as teachers.

What can be done? “The physical recovery of schools should be one of the first steps to guarantee their fundamental function: to serve as a center for socialization and meeting of teachers, students and representatives around the teaching-learning process,” said Cantera.

“Otherwise, the consequences will be very serious for the country’s development,” he said.

Labrador said she observes “a gradual privatization of education, it is no longer truly free,” and the disparity between public and private education is increasing inequality in a country where in the second half of the 20th century public education stood out as the most powerful lever for social ascent.

Pernalete said it is a matter of complying with the 1999 Constitution, which stipulates that workers’ salaries must be sufficient to live on and establishes the government’s commitment to the right to education, as it states that education and work are the means for the realization of the government’s goals.

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

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UN Weather Agency calls for Robust Early Warning Systems as Latin America and the Caribbean Brace for More Extreme Weather Events — Global Issues

Aerial view of the town of Soufriere in the south of Saint Lucia. Sea level rise is threatening coastal areas of small island developing states (SIDS) in the Caribbean. Credit: Alison Kentish/IPS
  • by Alison Kentish (soufriere, saint lucia)
  • Inter Press Service

SOUFRIERE, SAINT LUCIA, Jul 07 (IPS) – The World Meteorological Organization launched its State of the Climate in Latin America and the Caribbean report this week. Amid above average sea-level rise, drought and global warming, the new publication is calling for ramped up adaptation action to save lives and livelihoods.The World Meteorological Organization says adaptation efforts and the switch to renewable energy must increase for regions like Latin America and the Caribbean to face the challenges of a changing climate.

The United Nations Weather Agency released its State of the Climate in Latin America and the Caribbean 2022 report this week.

It states that storms, rainfall and flooding in some areas, along with severe drought in others, resulted in hundreds of billions of dollars in economic losses and placed a ‘significant’ burden on human lives and wellbeing throughout the reporting period.

It adds that North and South Atlantic sea levels rose at a higher rate than the global average – threatening coastal areas of several Latin American countries and small island developing states (SIDS) in the Caribbean.

While the 2022 Atlantic hurricane season recorded 14 named storms, a near-average number, nine of those cyclones affected land areas, with Fiona and Ian becoming major hurricanes. Hurricane Fiona led to 22 deaths and caused an estimated US$2.5 billion in damage across Puerto Rico, making it the third costliest hurricane on record there. Hurricane Ian drenched Jamaica with 1,500 mm of rainfall that impacted local communities before striking Cuba as a category 3 storm which destroyed over 20,000 hectares of land for food production.

According to the report, temperatures have increased by an average of 0.2 degrees Celsius per decade over the past 30 years, which represents the highest spike since records began.

“Many of the extreme events were influenced by the long-running La Niña but also bore the hallmark of human-induced climate change. The newly arrived El Niño will turn up the heat and bring with it more extreme weather,” said WMO Secretary-General Petteri Taalas.

The second most disaster-prone region in the world, Latin America and the Caribbean must now bolster climate change adaptation and mitigation measures, particularly in agriculture, food security and energy. This is also where Early Warning Systems (EWS) come in.

“There are major gaps in the weather and climate observing networks, especially in the least developed countries (LDCs) and small island developing States (SIDS); these gaps represent an obstacle to effective climate monitoring, especially at the regional and national scales, and to the provision of early warnings and adequate climate services. Early warnings are fundamental for anticipating and reducing the impacts of extreme events,” Taalas said in the foreword to the 2022 report.

The WMO is leading the United Nations Early Warnings for All initiative and its Executive Action Plan launched by United Nations Secretary-General António Guterres during the World Leaders Summit at the 2022 Climate Change Conference, COP27. The Action Plan aims to protect everyone on earth with early warning systems within five years.

“Only half of our members have proper early warning services in place,” said Taalas. “In order to more efficiently adapt to the consequences of climate change and the resulting increase in the intensity and frequency of many extreme weather and climate events, the Latin American and Caribbean population must be made more aware of climate-related risks, and early warning systems in the region must employ improved multidisciplinary mechanisms.”

According to the report, multi-hazard early warning systems (MHEWS) with the ability to warn of one or more hazards increase the efficiency and consistency of warnings through coordinated and compatible mechanisms. It adds that the Latin America and Caribbean Region experiences considerable early warning challenges. For example, in South America, only 60% of people are covered by these systems.

Over 15 research organizations and 60 scientists contributed to the 2022 report. They are calling for widespread education campaigns on the deadly risks of climate-related disasters and to reinforce public perceptions of the need to react to natural hazard alerts and warnings issued by national institutions.

“The ultimate goal is to ensure that responsibilities, roles and behaviours are well described and made known to everyone involved in the identification and analysis of risks related to weather, water and climate extremes and the early warning providers and recipients.”

This is the WMO’s third annual report, and its release coincided with the hottest day on earth.

With the confirmation that extreme weather and climate shocks are becoming more acute in Latin America and the Caribbean, coupled with global warming and sea level rise, the organization says multi-hazard early warning systems are needed to improve anticipatory action.

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Vaccination Is the Best Bet Against Drug-Resistant Superbugs Experts — Global Issues

Experts encourage parents to vaccinate their children against typhoid to ensure that the child has access to clean drinking water. Credit: Zofeen Ebrahim/IPS
  • by Zofeen Ebrahim (karachi)
  • Inter Press Service

KARACHI, Jul 06 (IPS) – Childhood vaccination, complemented with clean drinking water and improved hygiene practices, are the key to eradication of typhoid XDR, not indiscriminate use of antibiotics, say Pakistan health experts.The first thing you notice about eight-month-old Manahil Zeeshan is how tiny she looks on the adult-size hospital bed at the government-run Sindh Institute of Child Health and Neonatology (SICHN) in Korangi, a neighbourhood in Karachi.

Her right foot is taped with a cannula, and she whimpers incessantly. “I have been in and out of the hospital for the last seven days,” said Uzma Mohammad, Zeeshan’s mom, with worry lines on her forehead. “High fever that refused to come down, severe cough for days and breathlessness,” were some of the symptoms Mohammad described. She was convinced someone had “put a spell” on her daughter.

The doctors, however, suspected she had typhoid.

Salmonella Typhi bacteria cause typhoid fever, and Salmonella Paratyphi bacteria cause paratyphoid fever. According to the US-based public health agency, Centers for Disease Control and Prevention, along with a fever that can be as high as 103 to 104°F (39 to 40°C), the sick person can have weakness, stomach pain, headache, diarrhoea or constipation, cough, and loss of appetite. Some people have a rash of flat, rose-coloured spots.  Internal bleeding and death can occur but are rare. It affects between 11 and 20 million people each year, leading to 128,000 to 161,000 deaths, according to the World Health Organization (WHO). The highest fatality rates are reported in children under four years of age.

While Zeeshan’s blood culture report had yet to come to ascertain the cause of her sickness, she needed urgent medical care, said Dr Shabita Bai, who had admitted her.

“We could not wait for five days for the blood culture report as she was not doing well. And because she had already been given an antibiotic (a medicine used to kill bacteria) from outside, our chances of finding if the baby had typhoid for sure were slim, and we had to rely on the history,” justified Bai.

Decisions had to be made. Based on her condition, symptoms, and clinical diagnosis, the baby was given Ceftriaxone, an intravenous antibiotic, but she showed no improvement. The doctors then administered the stronger Meropeneme intravenously, a last-resort antibiotic.

Manahil Zeeshan’s foot has a drip in an effort to bring her temperature down and fight suspected typhoid. Credit: Zofeen Ebrahim/IPS

Battling the Superbug

But even if she had typhoid, the bacteria in her body had taken on the form of a superbug — the extensively drug-resistant (XDR) typhoid and the current antimicrobials had become ineffective, said paediatrician Dr Jamal Raza, the executive director of the SICHN.

According to a Lancet study published in 2022, multidrug-resistant (MDR) typhoid has been seen in Pakistan, while typhoid bacteria resistant to the widely-used antibiotic azithromycin have been found in Bangladesh, Nepal and India. “Our analysis revealed a declining trend of MDR typhoid in south Asia, except for Pakistan, where XDR S Typhi emerged in 2016 and rapidly replaced less-resistant strains,” stated the study, which researchers claim is the largest ever examination of the S.Typhi bacterium.

The reason why antibiotics are losing their punch against some types of bacteria, said Raza, was the “indiscriminate use of antibiotics” that health practitioners prescribe to provide immediate relief. Another big problem was self-medication by people. “I know people often use an old prescription by a doctor to get the same medicine if they feel they have the same symptoms, thinking they do not need to visit the doctor.”

But he pointed out viruses, which are also small germs like bacteria, are causing bacteria-like infections, like a cold or the flu.

“Taking an antibiotic for the latter does not treat the disease; it only leads to antibiotic resistance,” said Raza.

A study conducted by researchers from three medical institutions, namely, the Aga Khan University (AKU) in Karachi, the Armed Forces Institute of Pathology (AFIP) in Rawalpindi, and the Shaukat Khanum Memorial Cancer Hospital & Research Center (SKH) in Lahore in 2018, found indiscriminate use of antibiotics to be causing new drug-resistant “superbugs.”

It found a high prevalence of multidrug and fluoroquinolone resistance for both S.Typhi and S. Paratyphi strains of typhoid bacteria. From 20% in 1992, the resistance was found to have increased to around 50% in 2015. The stubborn bacteria were resistant to antibiotics like ampicillin, chloramphenicol (and co-trimoxazole), as well as fluoroquinolone (ciprofloxacin and/or ofloxacin).

“The situation is quite grim,” said Dr Mashal Khan, chairperson of the government-run paediatric medicine department at Karachi’s National Institute of Child Health, referring to the increase in the number of children developing resistance to typhoid drugs. His worry is not that the bacteria has spread; his concern is the bacteria has mutated and become resistant to the drug.

“We’re running out of new antibiotics to treat bacterial infections; Meropeneme is the last one, and a very expensive one too,” he said resignedly, adding: “Although the development of newer antibiotics is the need of the day, I must emphasise the rational use of the ones being used is more urgent.”

Developing new drugs is challenging, and antibiotics more so, as the science is tricky.

“Antibiotics are not the most lucrative drugs to develop for pharmaceuticals as their utility is limited in the future due to the bacteria developing the ability to resist them,” said Infectious Diseases specialist and epidemiologist Dr Faisal Mahmood at the Aga Khan University Hospital in Karachi. “A lot of money goes into developing new drugs, and since most of the funding is from the global north, they prefer to work on infections which concern them directly. Typhoid is unfortunately endemic in the low and middle-income countries in the South, which have poorer water quality and have warmer, more humid climates.”

And that is why the only sure-shot way of reducing the disease burden of typhoid is to vaccinate the children.

In 2019, Pakistan became the first country to get the World Health Organization (WHO)-recommended single-dose typhoid conjugate vaccine (TCV) injected intramuscularly, added to its routine immunisation (RI) regime. This is given to babies at nine months, alongside measles-rubella vaccinations, without impacting either vaccine.

“Childhood vaccination complemented with clean drinking water and improved hygiene practices is the much more cost-effective way of eradicating typhoid than pumping antibiotics in a child,” said Raza. Meropenem costs as much as Rs. 30,000 (USD 105) for a 10-day course, and if hospitalisation is included, it can go up to Rs 100,000 ($349), said the doctor. Being in a government hospital, Zeeshan is treated free of cost.

Eight-month-old Manahil Zeeshan is treated for typhoid at the government-run Sindh Institute of Child Health and Neonatology (SICHN) in Korangi, a neighbourhood in Karachi. Credit: Zofeen Ebrahim/IPS

Typhoid Vaccine Launch Hits a Snag as Covid-19 Surfaces

The 2019 TCV campaign was first launched in the two cities of Sindh – Karachi and Hyderabad (children up to 15 years of age were also given a shot), which reported the highest number of typhoid cases among children. There was a pause when Covid-19 hit the world. But by 2022, TCV had been launched across Pakistan, and 35.5 million children were vaccinated, after which it was added to the government-run Expanded Programme on Immunisation (EPI) programme.

“Many parents do not know that the TCV is a more effective vaccine but only available at government vaccination centres, and not at private clinics and hospitals as Gavi has only given it to the government of Pakistan,” said paediatrician Dr D.S. Akram.

“There is another typhoid vaccine available in the private sector (typhoid polysaccharide vaccine), but it can only be given to children over two years of age, and it needs boosters every three years. My advice to parents is to vaccinate their kids against typhoid bacteria at nine months,” she said.

But it is still a drop in the ocean, and the fight against typhoid and other childhood diseases continues. The WHO places Pakistan among the ten countries that account for almost two-thirds of the world’s unimmunised children.

When Covid-19 hit the country’s already crumbling health system, it also brought the country’s immunisation programme to a halt too. An estimated 1.5 million children across Pakistan missed out on basic vaccines from March to May 2020, according to Gavi.

For Pakistan, which already has low immunisation coverage (the percentage of fully immunised children aged 12-23 months is just 66%), it meant a further dip in coverage which led to an unprecedented rise in the number of zero-dose children (those that have not received any routine vaccine). Add to these were the almost 19,000 new births every day. But when the lockdown eased and vaccinators returned to work, there was less demand for vaccination, having been replaced by fear of the new virus.

While Pakistan has yet to reach the optimal immunisation coverage of 90%, during Covid-19, Pakistan’s EPI received plaudits internationally for taking both vaccine coverage and the number of zero-dose children close to pre-pandemic levels in 2021. “What Pakistan achieved needs to be celebrated. In fact, Pakistan and Chad are used as examples internationally of how to get it right in an emergency,” said Huma Khawar, an immunisation and child health advocate working closely with EPI.

“Despite a year’s delay due to Covid-19, which was unforeseen, I think it is the best thing that the government has done for its country’s children,” said Khawar. She credited the RI programme that bounced back to the pre-pandemic level in 2021.

Clean water, Good Hygiene Key to Preventing typhoid

While immunisation can protect children from getting infected, clean drinking water and improved hygiene practices can reduce the risk of catching the disease to a great extent.

“Vaccines provide immunity when there is exposure to the bacteria,” agreed Dr Jai Das, assistant director at the Institute for Global Health and Development at the Aga Khan University and one of the co-authors of the 2018 report on typhoid, but emphasised the need for improved water and sanitation, a situation that continues to remain dismal and compromised in Pakistan.

The same study not only found a strong correlation between water and sanitation but to literacy levels as well. In addition, it stressed improving the country’s food safety protocols and implementing regulations.

While Mohammad believes that her daughter is under a curse, one reason could be that the unpasteurised cow’s milk she gives her daughter may not be properly boiled at home. “I was unable to breastfeed her,” she said. Further, she confessed to diluting it with unboiled tap water to make it last longer.

Doctors say giving Pakistani babies a lease of life is simple and costs nothing. “Exclusive breastfeeding up to at least six months of age (right now it is only 43%), attaining 90% coverage of RI across Pakistan and improving water and sanitation quality,” according to Dr Akram.

Bacteria Don’t Respect Geographic Borders

The XDR typhoid bacteria propagating in Pakistan has crossed borders and reached as far as the UK, Canada and the US. Earlier this year, a team of Pakistani and US researchers published their findings in the American Journal of Tropical Medicine and Hygiene, stating that with numerous typhoid bacteria variants circulating in Pakistan have also been identified in Southeast Asia and Eastern and Southern Africa and have been introduced into the United Kingdom, Canada, and the United States by travellers.

The Lancet study said strains from South Asia had spread 200 times to other countries since 1990. When these superbugs grow and spread, they can cause infections that are hard to treat. Sometimes they can even spread the resistance to other bacteria they meet.

The future looks frightening. While the need for improving water and sanitation cannot be overemphasised, along with the need for vaccinating children, newer and stronger antibiotics need to be developed and fast as typhoid may surface in deadlier ways than now since very few antibiotics remain effective against the bacteria.

Note: This story was supported by the Sabin Vaccine Institute and Internews

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A Disease of the Poor Begs For Rich Funding — Global Issues

A public awareness banner about tuberculosis on a fence in the Hope Fountain area, Bulawayo, Zimbabwe. Credit: Busani Bafana/IPS
  • by Busani Bafana (bulawayo)
  • Inter Press Service

BULAWAYO, Jul 03 (IPS) – The United Nations General Assembly is convening a high-level meeting on Tuberculosis (TB) to get a political commitment for increased funding for programmes and research to end an old disease that today kills more people than AIDS and COVID.

TB, an infectious disease caused by Mycobacterium tuberculosis, kills 1.5 million people annually, according to the World Health Organization (WHO). Despite being curable at a relatively low cost, TB has remained a health burden, especially in developing countries, because of a combination of poor diagnosis and treatment and inadequate funding for research in developing new vaccines.

A coalition of TB organizations is calling on political leaders to raise their commitments to funding and ending TB. They call for a TB research and development funding boost to USD5 billion annually and ensure all national TB responses are equitable, inclusive, gender-sensitive, rights-based and people-centred.

In 2018, at the UN high-level meeting on TB, nations pledged to invest USD2 billion for TB research and USD13 billion annually for TB diagnostics, treatment and care by 2022. However, these commitments have not been met five years on.

Stronger political commitment to end TB is key, says Mel Spigelman, CEO of the TB Alliance, a nonprofit organization dedicated to finding faster-acting and affordable drug regimens to fight TB.

Excerpts:

IPS: While the world has swiftly responded to global crises such as AIDS and, recently, the COVID pandemic, TB has remained sidelined. Shouldn’t it trigger political action?

Mel SpigeIman: One of the major issues with TB is it is very heavily a disease of the poor, and that is just the reality in terms of political will. Governments have become complacent about TB, which has been around for so long and kills more people than any other infectious disease.

IPS: What needs to be done to bring TB to global attention? Should we have a TB pandemic in America and Europe to take action?

MS: We need to continue what we have been doing in terms of raising awareness at the United Nations, for instance, with the preparations for a high-level meeting on TB. We need to ensure we bring TB to the front and centre of attention of the political forces and powers.

IPS: The issue of a stronger commitment to ending TB, where do we start?

MS: We need to start obviously on a global level raising the prominence and feasibility of ending TB and highlighting the difficulties that exist around the world with TB. We need to engage with high-income countries in what they can do in terms of financial resources and with low- and middle-income countries in terms of access to care in the healthcare system and participation in research and trials. Clinical trials are all done in relatively poor countries where we need to ensure that we are not only getting the commitment from a small number of countries around the world, which is really the situation now but from all the countries around the world. TB affects every single country in the world.

IPS: When we talk about high-level commitment, there is a question of putting money into programmes and research. Is this happening?

MS: Commitment means bringing in the money but also the issue of the status of the programmes within countries. We at TB Alliance, for example, have introduced a new regimen for Drug Resistance TB. It is a three-drug regimen called BPaL. This treatment has brought down the time it takes to cure drug-resistant TB from 18 months to 6 months while, at the same time, it has increased the cure rate up to 90 percent on all oral drugs. The treatment was first approved in the U.S. back in 2019 and in Europe in 2020. It is only this year that we are beginning to see significantly more uptake in the countries that have a problem.

IPS: Why has it taken so long for global uptake of the lifesaving drugs for TB?

MS: It is because we live in a world where innovations like this are uncommon and in countries where there are really a lot of intermediary steps which could be shortened considerably with the proper attention. This is where even the poorest countries could also play a major role by looking at the regulatory systems and health care structure on adopting new innovative treatments. It is the same with diagnostics. There are new diagnostics brought into the field that have not been taken up.

IPS: What kind of financial gap are we talking about for TB programmes and research?

MS: If we work at numbers that are coming out of the STOP TB Partnership and the World Health Organization and others, we are looking at a USD2.5 to USD3 billion a year shortfall.

IPS: The high-level Meeting on TB is coming up in September. Will you garner the political will and greater commitment towards funding for TB at this meeting?

MS: Am I convinced? No. Is it worth it? Yes, because it is certainly possible that it brings about what we are hoping for. Watching the number of people working tirelessly to increase the chances of this meeting raising the commitments (needed) indicates it will be successful.

IPS: Many developing countries are also high TB burden spots where costs for diagnosis and treatment are high. Will the high-level meeting unlock funds, especially for Africa?

MS: The Global Fund plays a major role in ensuring that countries do not need to pay, and so there are other commitments to the Global Fund that are made by the wealthier countries, and that commitment then pays for LMIC countries’ adoption and use of drugs. Clearly, any innovation has to be affordable, and that is of great importance to us.

The new treatment we developed for DR-TB is cheaper than the old one. The new treatment and diagnostics do not necessarily have to be more expensive; they can actually save money. That is the reason why we need – on a global level – to invest in innovation because innovation, in the end, actually saves money.
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Land Beneficiaries Lament Worsening Poverty in Resettled Areas — Global Issues

People relocated to the Nakadanga Trust in Machinga District, Malawi, bemoan the lack of opportunities and schooling in the area they were relocated to live in.
Credit: Charles Mpaka/IPS
  • by Charles Mpaka (blantyre)
  • Inter Press Service

BLANTYRE, Jun 30 (IPS) – Located between two heavily-deforested mountains, Nakadanga Trust in Machinga District in southern Malawi looks lifeless.

It is isolated away from all other original communities. Here, the houses are made of mud bricks and they are grass thatched. There is no source of potable water in the area. There is no school nearby, no health centre and no shops for groceries.

When the members of the trust gathered to speak with IPS last month, one of the outstanding features among them was that there were more babies and children than could be expected.

“Early marriages are rampant here,” said one of the women, Merika Kapachika.

“There is nowhere our children can learn about the dangers of early marriages and early pregnancies. In the homes, there is nothing much to do.”

Kapachika is among the people that relocated to the area in 2006 under a government land resettlement programme.

Between 2004 and 2011, the Ministry of Lands implemented the Community-Based Rural Land Development Project with financial support from the World Bank.

The project involved moving what it described as “poor, land-poor and food insecure families” from the tea-growing districts of Thyolo and Mulanje in the south to Mangochi, Machinga, Balaka and Ntcheu districts in the eastern region.

There, people were resettled on land which the government had acquired from estate owners. The beneficiaries were organised into settlement communities called trusts.

At the time the project ended in 2011, over 15,000 families had been moved.

The World Bank’s Implementation Completion and Results Report Project, dated March 30, 2012, says the programme “fully” achieved its development objectives.

It says the programme succeeded in increasing both incomes and agricultural productivity of the rural families that moved.

According to the report, the incomes of the relocated families had multiplied by six; yields for maize and tobacco reached an average level of 50 to 60 percent higher as compared to communities in the surrounding areas; average maize and tobacco yields multiplied by 4 and 2.6 respectively as compared to the previous situation of the relocated households.

“Based on the promising results of this pilot experience of land acquisition and redistribution for smallholders, the Government of Malawi is willing to scale up the approach to the entire country with an objective of resettling at least 100,000 households,” reads the report in part.

However, alternative assessments expose the social and economic hardships the beneficiaries have suffered.

For example, a study of the project published in the South African Journal of Agriculture Extension in 2015 found that the relocated communities faced greater difficulties to access agricultural inputs, credit, markets and extension services to support their agricultural production and access to social services.

“As a consequence, household food and income security deteriorated after phase out of the project in 2011,” the study says.

In the six trusts which IPS visited in Machinga and Mangochi districts, where 90 percent of the 15,000 families were resettled, stories of regret are prevalent.

Mary Yalale moved from Mulanje District in 2007 and resettled in Mangochi. Initially, it looked promising. The people finally had enough land on which to grow crops. They realised a good harvest in the first few years.

“However, we did not have markets to sell part of our produce for money for us to meet other needs. Vendors took advantage. They would invade the area, buy our produce at exploitative prices, knowing that we were unable to take it to proper markets ourselves where we could earn better prices,” said Yalale of Kuma Trust.

Today, she said, they are poor such that some of them survive on piecework in the homes of the original communities.

“Our land has degraded because we are now turning to forests to produce charcoal and firewood, which our husbands take to town to make money.

“Up to now, we still do not have good relations with the original communities. They say we grabbed the land that should have gone to them. We are outcasts. The government does not give us cheap fertiliser like it does with the others. It makes us feel foolish that we agreed to come,” she said.

In Bweya Trust in Machinga District, there stands a relatively new primary school block.

Chairperson of the trust, Sowani Saidi, who is also chairperson of all the trusts of relocated people in the two districts, said it was not by the design of the government that they have a school in the area.

“We moved here in 2007. It has taken us more than 10 years of fighting with the district council for us to have this school here. We moulded bricks and collected sand for our children to have a school,” he said.

They may have the school now, but they are struggling to have the government build teachers’ houses. To date, there are no teachers’ houses at the school.

Many teachers for the school are based at the trading centre about 10 kilometres away.

“So most of them don’t come most of the time. They can’t walk, or they spend a lot hiring motorbikes to report for duties. When it’s the rainy season, there are no classes on many days because teachers don’t come. We have been asking the government to build the houses; nothing is happening,” he said.

IPS reached out to the Ministry of Lands, which implemented the programme, for its comment on these concerns. Its spokesperson, Enock Chingoni, did not respond.

However, senior officials at Mangochi and Machinga district councils, speaking on condition of anonymity as they are not authorised to speak on behalf of the government on the project, said the project did not have any integrated social and economic development activities.

The design was that once people resettled, another government programme, the Malawi Social Action Fund (Masaf), which was also financed by the World Bank, would bring public services.

“However, Masaf failed to deliver,” said one official who was part of the implementation of the programme in 2010 in Mangochi District.

Masaf, a product of the Malawi Poverty Reduction Strategy, was meant to ensure poverty reduction through activities implemented by local councils under the decentralisation policy. But decentralisation itself is generally considered as failed thus far.

“Up to now, the central government still controls much of the work of the government. We are on the receiving end of most of its decisions,” he said.

Asked if the council has any specific interventions in the resettled communities, he said there is none.

“Yes, we have development plans as a council; but we treat those people like anyone else. There is not going to be any development specific to them. At least not from the government,” said the official.

Gift Trapence, the chairperson of the Human Right Defenders Coalition (HRDC), a local organisation, faulted the project for not considering social services as a core component in its implementation.

“Such projects should not be breeding grounds for poverty. Rather they should empower citizens socially and economically,” Trapence said.

He urged the government to assess the settlements and come up with an actionable plan to address the public service access challenges they are facing.

For Kapachika of Nakadanga Trust they are no longer interested in such interventions.

“We have been here for more than 10 years now. All along, the government has known that we are suffering; it has done nothing.

“What we want now is it should take us back to where it uprooted us. There we had health centres. We had good roads and markets. We did not have to wait for our children to reach 8 years for them to start primary school. We were delivering our babies in hospitals, not in the bush. Government should take us back to our villages,” she said.

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Food Beyond the Reach for Millions in Horn of Africa — Global Issues

Ayan (25) with her daughter Mushtaq (15 months) in the waiting area of the WFP funded Kabasa MAM Health Center. Credit: WFP/Samantha Reinders.
  • by Paul Virgo (rome)
  • Inter Press Service

ROME, Jun 28 (IPS) – Four months pregnant, Ayan was close to dying of starvation when she arrived at the Kabasa camp in Dolow, on the border between Somalia and Ethiopia.

Her 18-month-old daughter, Mushtaq, was so severely malnourished that she weighed just 6.7 kilos.

Drought had forced the family to flee their home in Somalia.

Ayan’s husband died shortly after their arrival.

“We came here as we heard we would get some help,” Ayan said at a health centre funded by the United Nations World Food Programme (WFP).

“We left our home because there was no water and our livestock had died.”

Thanks to nutritional therapy and fortified cereals provided by the WFP, Ayan and Mushtaq are still alive.

Many others do not make it.

Three years of drought have left more than 23 million people across parts of Ethiopia, Kenya and Somalia facing severe hunger, the WFP says.

When the region’s long-awaited rains finally arrived in March, instead of bringing relief, the downpours were so extreme they caused flash floods that inundated homes and farmland and washed away livestock.

Consecutive failed harvests and high transport costs have pushed food prices far beyond the reach of millions in the region, the WFP says, with a food basket in Eastern Africa costing40% more in March 2023 than it did 12 months previously

The limited humanitarian resources are being further stretched by the conflict in Sudan, which has sent over 250,000 people fleeing into neighbouring countries such as Ethiopia and South Sudan, where food insecurity is already desperately high.

“Conflict and drought are devastating millions of Somalis. Children are paying the highest price of all,” said WFP Executive Director Cindy McCain during a visit to Somalia in May. “Nearly 500,000 children are at risk of dying”.

The Horn of Africa is on the front line of the climate crisis.

A study released in April by World Weather Attribution (WWA) said that the drought in the Horn of Africa would probably not have happened without human-caused climate change.

“Climate change has made events like the current drought much stronger and more likely,” WWA said.

“A conservative estimate is that such droughts have become about 100 times more likely”.

The tragedy is also a massive injustice as poor countries like these are responsible for only a tiny part of the global emissions that have caused the climate crisis.

But they are feeling its effects most severely.

The UN Food and Agriculture Organization (FAO) has said the region is facing an “unprecedented disaster”.

“Many farming households have experienced several consecutive poor harvests and up to 100% losses, especially in the arid and semi-arid areas,” said Cyril Ferrand, the FAO’s Resilience Team Leader for East Africa.

“Some agropastoral communities lost all sources of food and income.

“In addition, 2.3 million people have been displaced across the region in search of basic services, water and food.

“And we know very well that when people are on the move, it is also an issue of security, violence, and gender-based violence, in particular.

“In short, the drought triggered a livelihood crisis that has grown into a multifaceted humanitarian disaster including displacement, health issues, malnutrition and security crisis that has long-term effects on people’s lives and livelihoods”

Ferrand said that pastoralists across the region lost over 13 million livestock between late 2020 and the end of 2022 due to lack of water and feed.

This is important because livestock are not only the main source of income for pastoralist households, but they are also a source of milk, which is vital for healthy diets, especially for children under five.

The loss of animals and the related deficit in milk production, therefore, is a big factor in the region’s high rate of malnutrition.

The WFP, meanwhile, says that it urgently needs US 810 million dollars over the next six months to fill a funding shortfall in order to keep life-saving assistance going and invest in long-term resilience in the Horn of Africa.

The UN agency was distributing food assistance to a record 4.7 million people a month in Somalia at the end of 2022.

But it was forced to reduce this to three million people in April and may have to further reduce the emergency food assistance caseload in Somalia to just 1.8 million by July.

This means almost three million people in need will not receive support.

“WFP’s rapid expansion of life-saving assistance helped prevent famine in Somalia in 2022,” said Michael Dunford, the WFP Regional Director for Eastern Africa.

“But despite the emergency being far from over, funding shortfalls are already forcing us to reduce assistance to those who still desperately need it.

“Without sustainable funding for both emergency and climate adaptation solutions, the next climate crisis could bring the region back to the brink of famine.”

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Rohingya Camps Become Dengue Hotspots in Bangladesh — Global Issues

With the monsoon refugees in the cramped camps in Cox’s Bazar are expected to be impacted by an increase of dengue, which last year accounted for 1,283 cases in the Rohingya camps. Credit: Rafiqul Islam/IPS
  • by Rafiqul Islam (dhaka)
  • Inter Press Service

DHAKA, Jun 27 (IPS) – With the monsoon in Bangladesh, Rohingya refugee camps in Cox’s Bazar have emerged as a dengue hotspot, with the mosquito-borne disease continuing to spread among the stateless refugees.

“A total of 1,066 dengue cases were reported in highly cramped refugee camps in Cox’s Bazar up to May 23 this year, while the case tally was only 426 among the local community there,” Dr Nazmul Islam, Director of Disease Control and Line of the Directorate General of Health Services (DGHS), said.

However, the latest data of the DGHS revealed that 1,283 people were infected with and 26 people died of dengue in the Rohingya camps and surrounding host community in Ukhiya and Teknaf upazilas of Cox’s Bazar from January 1 to June 6, 2023.

Nazmul said the dengue infection rate is highest in the Rohingya camps.

“Rohingya camps in Cox’s Bazar have the highest number of dengue patients. Last year, over 17,000 dengue patients were identified there. The number of dengue patients is so high this year, too,” he said.

Official data showed that dengue cases increased significantly in 2022 when the monsoon started. Experts fear the dengue situation will be more acute in the Rohingya camps during the monsoon this year.

Bangladesh witnessed its largest influx of Rohingya refugees in 2017 following a military crackdown in the Rakhine State of Myanmar. According to UNHCR, about 7,73,972 Rohingya people entered the country as refugees, totaling nearly 10 million with the previous influxes.

The forcibly displaced Rohingyas took shelter in overcrowded makeshift camps where they lacked access to civic amenities, including education, food, clean water, and proper sanitation, and also face natural disasters and infectious disease transmission.

“Most refugees have no adequate access to clean water, sanitary facilities, or healthcare. The monsoon season also poses a huge threat to thousands of Rohingya families living in makeshift shelters as dengue outbreak emerges in camps during the period,” said Ro Arfat, a Rohingya refugee.

Nazmul said Rohingya refugees live in a limited space in the camps where there is not enough scope to runoff rainwater, so stagnant water creates an enabling environment for the breeding Aedes mosquito, carrier of the dengue virus.

He said the risk of dengue infections climbs in densely populated areas. With the monsoon, the dengue situation could turn dangerous in the refugee camps.

Dr Iqbal Kabir, Professor and Director at the Climate Change and Health Promotion Unit, the Ministry of Health, Bangladesh, said in recent years, environmental changes have been markedly observed throughout the globe, and there is no exception in Bangladesh.

“The nature of the Aedes mosquito is that it must bite five humans to suck blood as per its demand, and an Aedes mosquito lays more than 200 eggs a time. Once they get suitable humidity and temperature, mosquito breeding occurs,” Kabir said.

He observed that dengue spreads very fast, but the authorities have not controlled dengue infections in the highly-crowded refugee camps in Cox’s Bazar.

During the monsoon, Bangladesh experiences spikes in dengue outbreaks. In 2022, 17 refugees died from dengue infections in Rohingya camps.

Despite having a high dengue infection rate in the camps, lack of awareness about the virus and the absence of prompt diagnosis of the disease make the Rohingya refugees more vulnerable.

“An Aedes mosquito can infect many within seconds, and keeping densely populated refugee camps safe from mosquitoes is really difficult. So there is a high possibility of a severe outbreak in the refugee camps,” said Mahbubur Rahman, Civil Surgeon, and Chief Health Officer for Cox’s Bazar.

Urgent Action Needed

The burden of dengue is related to the changes in rainfall patterns. The rainfall pattern has been changed. Pre-monsoon erratic rainfall is linked with the increase of vectors.

Unusual rainfall occurred in Cox’s Bazar area earlier this year, triggering dengue outbreaks in the camps.

Kabir said the dengue national guideline should be revisited to check dengue outbreaks across the country, including Rohingya camps.

He suggested launching a crash programme to prevent dengue infections in Rohingya camps; if clustering could be ensured, it would be easy to deal with the dengue situation there.

Golam Rabbani, head of BRAC’s Climate Bridge Fund, said the Bangladesh government should initiate research and increase the authorities’ capacity to tackle any future outbreak of dengue in the country.

He says the Department of Public Health and the DGHS should identify dengue as one of the most climate-sensitive diseases and improve their disease profile, suggesting the government initiate investment and policy interventions to address the dengue in Bangladesh.

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South Sudan President, Education Cannot Wait Jointly Announce Extended Multi-Year Education Response for Crises-Impacted Sudanese Children

ECW Executive Director Yasmine Sherif launches the Multi-Year Resilience Programme in Yirol, South Sudan. The three-year programme, delivered by Save the Children, the Norwegian Refugee Council and Finn Church Aid, in close conjunction with the Ministry of General Education and Instruction and other partners, will reach at least 135,000 crisis-affected children and youth. Credit: ECW/Jiménez
  • by Joyce Chimbi (nairobi)
  • Inter Press Service

NAIROBI, Jun 24 (IPS) – South Sudan is experiencing one of the most severe crises in the world today, causing fragility, instability, and economic stagnation. While a peace agreement was reached in 2018, sporadic intercommunal violence and climate-induced disasters continue to spur displacement. More than 2.2 million people are internally displaced. Another 2.3 million have fled to neighboring countries as refugees.

“South Sudan ranks the lowest on the human development index. It is the poorest country in the world and will need to catch up across all sustainable development goals and especially in areas such as eliminating extreme poverty, improving the education system, and gender equality. Yet, before COVID-19, 2.8 million children, and adolescents, or 70 percent of school-aged children, were not attending school. The number is now closer to 3 million,” ECW’s Executive Director Yasmine Sherif told IPS.

Sherif was on a field mission to South Sudan, where she met the President of South Sudan, Salva Kiir Mayardit, and Awut Deng Acuil, South Sudan’s Minister of General Education and Instruction, to assist immediate solutions to the education crisis in a country where only 13 percent of children transition to secondary school. For them, education and conflict are two sides of the same coin. Their joint mission is to ensure no child is left behind, especially in hard-to-reach areas such as Pibor and Abyei.

“Years of conflict and forced displacement, compounded by climate-induced disasters, have taken a heavy toll on South Sudan’s next generation. Now is the time to turn the tide and provide the most vulnerable girls and boys with the protection and hope that only a quality education offers. By working together with the Government, donors, civil society, and across the United Nations, this is the single best investment we can make for the future of this young country and the entire region,” said Sherif when she met with Ministry officials in Lakes State.

At least 135,000 children will benefit from the ECW’s Multi-Year Resilience Programme in South Sudan. Credit: ECW/Jiménez

ECW is the United Nations global fund for education in emergencies and protracted crises and has supported South Sudan with multi-year investment since 2020. To address these interconnected crises through the transformative power of education, President Kiir and Sherif announced USD 40 million in catalytic grant funding in a function attended by key stakeholders, including the governor of Lakes State, education officials, parents, and children.

From the Lakes State, the fund has launched its second and the largest ever multi-year investment amounting to USD 75 million and has secured two-thirds of that amount, which is USD 50 million. Of this, ECW contributed USD 40 million. The Global Partnership for Education provided another USD 10 million for Education. In addition to the new multi-year investment, ECW also announced a half-a-million dollar First Emergency Response grant to support the immediate education response to the arrivals of refugees and returnees fleeing Sudan.

“We appeal to government donors and the private sector to close the remaining gap of one-third, equivalent to USD 25 million, to fully fund a multi-year investment education program. We say five for five to fully fund the multi-year investment. If five strategic donor partners and private sector (partners) offered five million dollars each, we would have a fully funded multi-year resilience program in the education sector,” she says.

ECW funding in South Sudan now tops USD 72 million, up from the fund’s USD 32 million invested to date – reaching close to 140,000 children, built or rehabilitated over 160 classrooms and temporary learning spaces, and provided learning materials to 50,000 children thus far.

With the extended response multi-year response, children will continue to enjoy a quality, safe, inclusive education. Sherif says there is a special focus on children with disability, especially those with cognitive disabilities, an invisible problem that often goes unrecognized among children in developing countries.

Further stressing that the President and education ministries are fully committed to bringing girls back to school through progressive messaging to the community, policy, and law. The push to keep girls in school and out of reach of child marriages and early child pregnancies is unrelenting.

“The Government of South Sudan is fully committed to ensuring that all children are able to obtain a quality education. Education Cannot Wait’s top-up investment will provide life-saving educational opportunities for tens of thousands of crisis-affected girls and boys across the country,” said President Salva Kiir Mayardit.

“To advance this work, we are calling on world leaders to step up funding for ECW and its in-country partners. This is a critical investment in sustainable development, peace, and prosperity for the people of South Sudan and crisis-impacted children worldwide.”

Closer home, the current conflict in Sudan is fuelling additional needs in South Sudan. More than 100,000 people have crossed the border in recent weeks. Cornered by unrelenting multiple challenges, options for a better future shrink with every new challenge. Unmitigated, an entire generation of children could miss out on lifelong learning and earning opportunities.

“In light of the unfolding Sudan crisis, we will allocate and make an announcement of half a million dollars to support the Government of South Sudan to provide education to arrivals and returnees fleeing the Sudan conflict. Children and adolescents who were already going to school will continue to do so uninterrupted, have school meals, and psychosocial and mental health support,” Sherif said.

The new funding will extend ECW’s Multi-Year Resilience Programme in South Sudan for another three years. The three-year programme will be delivered by Save the Children, the Norwegian Refugee Council, and Finn Church Aid, in conjunction with the Ministry of General Education and Instruction and other partners.

It will reach at least 135,000 crisis-affected children and youth – including refugees, returnees, and host-community children – with holistic education supports that improve access to school, ensure quality learning, enhance inclusivity for girls and children with disabilities, and build resilience to future shocks.

Importantly, the new multi-year programme will improve responsiveness and resilience through improved evidence-based decision-making, strengthen coordination and meaningful engagement with local actors, and scale-up resource mobilization.

As the United Nations global fund for education in emergencies and protracted crises, ECW collaborates closely with governments, public and private donors, UN agencies, civil society organizations, and other humanitarian and development aid actors to increase efficiencies and end siloed responses.

ECW and its strategic partners are assessing the impacts of the civil war in Sudan on neighboring countries, including the Central African Republic, Chad, Ethiopia, and South Sudan, to provide agile and responsive investments that return crisis-impacted girls and boys to the safety and protection of quality learning environments. The fund urgently appeals to public and private sector donors for expanded support to reach more vulnerable children and youth.

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Environmental Crisis Compounds Humanitarian Disaster Following Dam Destruction — Global Issues

The Destruction of the Nova Kakhovka dam in Ukraine has left thousands displaced and disastrous impacts on the environment. Credit: Ukraine Red Cross/Twitter
  • by Ed Holt (bratislava)
  • Inter Press Service

BRATISLAVA, Jun 23 (IPS) – As well as creating a humanitarian crisis, the destruction of the Nova Kakhovka dam in Ukraine has wrought enormous environmental damage which may never be undone, ecologists have said.

The collapse of the dam in the Kherson region on June 6 put more than 40,000 people in immediate danger from flooding and left hundreds of thousands without access to drinking water, according to Ukrainian officials.

The reservoir at the dam, which continued to drain days after the dam’s destruction, held 18 cubic kilometres (4.3 cubic miles) of water – a volume roughly equal to the Great Salt Lake in Utah – and was the source of fresh water for large parts of the south of the country.

The disaster – which Kyiv says was the result of Russian sabotage –  flooded scores of villages, towns and cities along the Dnieper River. Entire settlements were destroyed, with houses washed away or almost completely submerged by the floodwaters.

Although those waters have begun to recede in many places now, and the immediate risk from drowning has largely abated, other grave dangers remain, with Ukraine’s health ministry warning of the threat of water and food-borne diseases as dead bodies, chemicals, landfills, and waste from toilets could contaminate floodwaters and wells.

President Volodymyr Zelensky also highlighted a potential danger from anthrax as floodwaters may have disturbed animal burial sites, and Health Ministry officials told IPS that they were especially concerned about the risk of cholera in the weeks to come.

The death toll was at least 52, with Russia giving 35 in its territory and Ukraine saying 17.

And those who have been evacuated are unlikely to be able to return to their homes for some time, if at all, adding tens of thousands of already vulnerable people to the country’s ongoing crisis of internal displacement.

“There are already 5 million people internally displaced in Ukraine. This will put more strain on already stretched services,” Olivia Headon, spokesperson for the International Organisation for Migration, which is helping with rescue efforts in affected areas, told IPS.

But while the human toll of the disaster is becoming increasingly apparent, so too is its massive environmental impact.

Ukrainian Deputy Foreign Minister Andrij Melnyk has called the destruction of the dam “the worst environmental catastrophe in Europe since the Chernobyl disaster”, and many local experts believe the ecological effects will be felt for decades to come.

“Some ecosystems could recover within a dozen years from the flooding itself the drop in groundwater level upstream of the dam is permanent – unless the dam is rebuilt – so ecosystems will never recover,” Natalia Gozak, Wildlife Rescue Field Officer in Ukraine for the International Fund for Animal Welfare (IFAW), told IPS.

The area downstream from the dam – which includes three national parks – is rich in wildlife, some of it very rare.

Local environmental groups estimate that hundreds of thousands of animals have been affected by the dam’s destruction and that tens of thousands have been killed.

They fear a loss of endemic endangered species – areas home to nearly all known locations of the rare ant species Liometopum microcephalum, as well as 70% of the world population of Nordmann’s birch mouse (Sicista loriger), have been flooded.

Meanwhile, ecosystems which were already endangered are now having to deal with either too much or too little water and could disappear.

Ecologists are also worried about a massive loss of bird life while the draining of the reservoir at the dam will also result in major freshwater fish stocks in Ukraine being lost.

The loss of water from the dam reservoir and the major canals it served also spells an end to water supplies for land used to grow crops and other produce which feeds not only Ukrainians but many millions in developing countries too. Forty percent of the World Food Programme’s wheat supplies come from Ukraine.

“In future years, the greatest impact will be seen in southern agricultural areas, which are now left without water supplies. These areas will already have changed next summer depending on what adaptation measures are possible and what action is taken,” said Gozak.

She added that in areas where irrigation channels are no longer being filled from the reservoir, agriculture will stop. “It is possible there will be desertification ,” she said.

The IFAW says this drying of land will subsequently affect local microclimates and cause temperature shifts, while wind erosion will blow sand and soil all over neighbouring areas, impacting both people and nature.

Meanwhile, there are other long-term environmental threats.

Pollution is one as floodwaters have washed an estimated 150 tons of machine oil has been washed as far down as the Black Sea, according to Ukrainian officials. Huge oil slicks have also been seen on the waters in Kherson city’s port and industrial facilities.

And there have been warnings that parts of the river and surrounding lands may now be full of mines.

Some areas of Ukraine have been heavily mined since the start of Russia’s full-scale invasion last year, and it is believed the floodwaters dislodged many of them.

While there have been reports of some exploding as they hit debris on their way downstream, many are likely to have remained unexploded and covered in silt and mud or buried under other debris.

International rescue groups say that finding where they are and then demining them would be a very slow process, even without the ongoing war.

“We’re mapping the likelihood of where the mines were and where they might end up. The area around the dam was heavily mined to stop an amphibious assault, and we don’t know precisely how many mines there are. There could be thousands of mines involved, but we hope not tens of thousands,” Andrew Duncan, a weapon contamination coordinator for the International Committee of the Red Cross (ICRC), told IPS.

“If the fighting stopped and we were able to get into the area, it would be a case of all reasonable effort being made to locate the mines. But this is a very slow process. Any affected land will be out of commission for years,” he added.

But that is not all.

About 150 kilometres upstream from Nova Kakhovka is the Zaporizhzhia Nuclear Power Plant which draws its cooling water from the dam’s reservoir. The reactors at the plant, which had been under the control of Russian forces since early on in the war, had been shut down prior to the disaster, but they still needed water to cool them and prevent a nuclear catastrophe.

While officials at the International Atomic Energy Agency (IAEA) have said that alternative sources, including a large pond next to the plant, can provide cooling water for a number of months, the disaster has highlighted the potential for an even greater catastrophe at the site, others say.

Ukrainian nuclear scientist Mariana Budjeryn, Senior Research Associate at the Project on Managing the Atom, Harvard Kennedy School, told international media: “If the Russians would do this with Kakhovka, there’s no guarantee they won’t blow up the reactor units at the Zaporizhzhia plant that are also reportedly mined – three of the six. It wouldn’t cause a Chernobyl, but massive disruption, local contamination and long-term damage to Ukraine.”

Regardless of what may or may not come to pass at the nuclear plant, the effects of the dam’s destruction will be felt by both people and nature for a long time to come.

Olena Kozachenko (NOT REAL NAME), an office worker from the Korabel district in the Kherson region, told IPS: “We’re all going to have to live with the dangers, such as dislodged mines, for a long time after the flooding.”

Gozak added: “The human toll of the disaster is probably greater than the environmental toll it will take years and years for ecosystems and habitats to get back to how they were if it can happen at all.”

IPS UN Bureau Report


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



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