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ASRI’s Integrated Health and Conservation Programming in Borneo
›If you have a fever in the town of Sukadana in Indonesian Borneo, the locals might suggest you go to the ASRI clinic. It’s in a little house whose front yard is crowded with bicycles and motorbikes. In the waiting room, you examine a whiteboard that explains your payment options. ASRI accepts cash. But it looks like you can also pay with labor in the clinic’s organic garden or its reforestation site. If you own a goat, you can bring in its manure and pay with that. You can even pay with durian tree seeds!
Doctoring both humans and the environment is the raison d’etre of Alam Sehat Lestari (“healthy life everlasting” in Bahasa Indonesia, or ASRI for short), an NGO dedicated to the idea that human health is so intertwined with that of the environment that trying to fix one must include trying to fix the other. Located beside Indonesia’s Gunung Palung National Park, ASRI aims to protect the park’s irreplaceable rainforests by offering health care incentives to local people to stop illegal logging. We’re supported by our sister NGO in the United States, Health in Harmony.
For both people and the forest, the task is urgent. The island of Borneo was once famously covered by rainforest. But now only half of that canopy exists, and less than one-third will remain by 2020. Beginning in the mid-20th century, loggers, palm-oil plantation companies, and farmers logged, burned, and clear-cut their way through the island. Horrifyingly, much of this destruction has taken place in “protected” areas like national parks. The relentless loss of forest has devastated biodiversity in Borneo and severely reduced habitats for many organisms, including one of humanity’s closest relatives, the orangutan – as of 2005, there were about 55,000 left, a tenth of which live in Gunung Palung. Some experts predict the orangutan will be extinct within a few decades. Despite their protected status, Gunung Palung’s forests are continually threatened by illegal logging for valuable hardwood, poor implementation of management practices, and forest fires, many of which are started to clear land for new uses. Over 50,000 hectares of the 90,000-hectare national park’s forest cover are damaged or gone.
Contributing is the fact that Borneo’s economy is based largely on extractive industries; there simply aren’t many other job options. An ASRI survey found that in the Gunung Palung area the average cost of an emergency visit to the district or regional hospital was $460 – more than the average annual income. In fact, one-third of interviewees had faced a choice between health care and food. Financial pressures like that are what drive people to illegal logging. A four-meter board can go for R110,000, or about $10 – a little less than the average villager’s monthly income of $13. Working in a rice field, by contrast, pays about a dollar a day.
Sukadana, located so close to Gunung Palung, is a boom town for these industries. It was recently made a seat of the local regency. We watch new buildings go up every week – most of them built using illegal wood chopped straight out of the national park – and workers and money are flowing in.
As forest is converted to plantations, however, pesticides and fertilizers enter the watershed, which damage water and soil quality as well as human health. Watershed destruction from logging and land conversion leads to flooding which makes it harder to raise rice and can increase rates of flood-related diseases. Logging itself is dangerous work, and there are few or no worker protections. As well, seasonal, man-made forest fires, which this ecosystem is not adapted to and which can last for months, devastate both the natural habitat and respiratory health.
Enter ASRI: Our Sukadana clinic offers high-quality, low-cost medical care to all comers, with discounts for people living in villages that do not contribute to illegal logging (which the National Park office determines using air and ground patrols). This incentive system was devised in consultation with local leaders and is intended to take advantage of powerful social ties in this rural area. But given the complexity of the connections between poverty, health, and the environmental degradation here, ASRI also attacks these problems from other angles.
For one, patients and families can pay by eco-friendly, non-cash means – some of which actually end up providing further benefit to the patients. Many choose to do a stint of labor for ASRI in our organic garden. There they learn techniques that they can apply to their own crops. Some farmers have reported making a considerable profit selling their own organic produce with the skills they learned at ASRI, and some have sworn off traditional slash-and-burn agriculture, because as organic farmers they earn more money for less work. Others decide to work at ASRI’s reforestation site, which aims to restore several hectares of burned-over, degraded grassland to its original forested state. Patients can also bring in compost or manure; rainforest seeds and seedlings; or handmade grass mats, which are snapped up by clinic staff and volunteers.
ASRI’s other programs include Goats for Widows, in which impoverished widows receive a goat and give back its organic manure and one kid. Clinic staff teach townspeople and villagers about the links between the environment and health and include information about diseases like tuberculosis during “movie nights,” when they set up a projection screen and show educational videos. Crucially, ASRI also engages in capacity-building through its trained medical volunteers, who serve as consultants for Indonesian staff doctors who are fresh out of medical school.
On the horizon is a new eco-friendly “super-clinic” that will allow us to perform major surgery and house many more inpatients. We hope that as it goes up, people will learn ways to build with less wood, and that by offering even better health care to people living around the national park, we will gain enough leverage to slow or even stop illegal logging. For the community – everyone from the next generation of Sukadanans to the gibbons and durian trees – that would be a healthy change for all.
Jenny Blair, M.D., is a physician, writer, and long-term volunteer at ASRI, along with her husband, Roberto Cipriano, a LEED-accredited professional and architect who is helping to design ASRI’s newest clinic.
Sources: Center for International Forestry Research, Food and Agriculture Organization, Gunung Palung Orangutan Conservation Program, Mongabay.com, Rainforest Action Network, Tropics, World Rainforest Movement, World Wildlife Foundation
Video and Image Credit: “Conservation – Part 1,” courtesy of AlamSehatLestari, and “Ibu Nurdiah,” used with permission, courtesy of Roberto Cipriano. -
Elizabeth Malone on Climate Change and Glacial Melt in High Asia
›“There’s nothing more iconic, I think, about the climate change issue than glaciers,” says Elizabeth Malone, senior research scientist at the Joint Global Change Research Institute and Pacific Northwest National Laboratory. Malone served as the technical lead on “Changing Glaciers and Hydrology in Asia: Addressing Vulnerability to Glacier Melt Impacts,” a USAID report released in late 2010 that explores the linkages between climate change, demographic change, and glacier melt in the Himalayas and other nearby mountain systems.
Describing glaciers as “transboundary in the largest sense,” Malone points out that meltwater from High Asian glaciers feeds many of the region’s largest rivers, including the Indus, Ganges, Tsangpo-Brahmaputra, and Mekong. While glacial melt does not necessarily constitute a large percentage of those rivers’ downstream flow volume, concern persists that continued rapid glacial melt induced by climate change could eventually impact water availability and food security in densely populated areas of South and East Asia.
Rapid demographic change has potentially factored into accelerated glacial melt, even though the connection may not be a direct one, Malone adds.
Atmospheric pollution generated by growing populations contributes to global warming, while black carbon emissions from cooking and home heating can eventually settle on glacial ice fields, accelerating melt rates. Given such cause-and-effect relationships, Malone says that rapid population growth and the continued retreat of High Asian glaciers are “two problems that seem distant,” yet “are indeed very related.”
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Developing a Blueprint for Addressing Glacier Melt in the Region
Changing Glaciers and Hydrology in Asia
›“Glacier melt is part of larger hydrologic and climate systems, so effective programs will be cross-sectoral and yield co-benefits,” said Elizabeth L. Malone, senior research scientist at the Joint Global Change Research Institute and Pacific Northwest National Laboratory, speaking at the Wilson Center on November 16. “Looking more closely at glacier melt, we come to understand that upstream actions and choices have a potentially huge effect on downstream communities,” added Kristina Yarrow, health advisor at the U.S. Agency for International Development’s Asia and Middle East Bureaus.
Malone and Yarrow were joined by Mary Melnyk, senior advisor for natural resource management at USAID’s Asia and Middle East Bureaus, to discuss the agency’s new report, “Changing Glaciers and Hydrology in Asia: Addressing Vulnerabilities to Glacier Melt Impacts,” prepared by Malone in collaboration with CDM International and TRG. “This report is a move towards mainstreaming climate change across the development portfolio to ensure enduring success of our investments,” Melnyk said.
Mainstreaming Climate Change
Providing information about the science, vulnerabilities, and current efforts to respond to environmental change and glacier melt in Asia, the new report also features a number of practical, cross-sectoral approaches to addressing glacial retreat in Asia that, if implemented well, could produce multiple benefits. The report highlights the complexity of the issues surrounding glacier melt in the region, and the critical need to prepare today for future environmental changes.
“Climate change in general, and glacier melt specifically, can potentially impact all sectors: economic growth, governance, and health,” Melnyk said. Because there is a lack of scientific knowledge on glacial retreat in Asia and limited financial and human resources to address these issues, it is critical to maximize results through programs that will provide environmental, health, and development co-benefits.
“The challenge is that, in practice, addressing issues of climate change and other environmental security issues still are not a part of the day-to-day business across sectors,” Melnyk said. This report is a first step in the right direction to raise awareness and action on these issues and “although there is uncertainty, we need to move forward – the time to act is now,” she concluded.
Multiple Sectors, Multiple Benefits
“Cross-sector collaboration and programs, when done correctly, can have a much greater impact than when doing a vertical program within a specific sector,” Yarrow said, stressing the importance of multidisciplinary approaches to address environment, health, and development issues. Understanding the health impacts of climate-related environmental change now can help prepare us to address these specific impacts in the future.
“On a global scale, there is indeed a relationship between population growth, environmental change, and development,” Yarrow said. In Asia, stress on water resources due to climate change and rapid population growth will likely exacerbate health problems caused by lack of clean water. Proactively expanding and improving programs that address the causes and effects of diarrheal disease and under-nutrition can help address these vulnerabilities and make communities more resilient.
“Finding innovative ways to improve access to and integrate family planning messages and services into climate adaptation programs will also yield some important co-benefits,” Yarrow said. Family planning can slow population growth, which could help reduce projected demand for water supplies, as well as potentially reduce the amount of water pollution.
Yarrow also added that “population growth affects glacier melt indirectly through the consumption of resources that exacerbate black carbon.” Black carbon, which is produced by cooking and heating with biomass fuels, contributes to regional climate change and severe health problems, including respiratory illness and pneumonia. Accompanied by efforts to promote alternative fuels, family planning could reduce black-carbon emissions, significantly improve health, and strengthen community resilience to climate change.
“Though challenging, integrating across sectors is absolutely essential – we’re not experts yet, but we’re definitely getting better,” Yarrow said. “Understanding and addressing the multiple issues like climate change, poor health, poverty, dependence on natural resources, and governance challenges that these communities are dealing with in a comprehensive and holistic fashion will improve results.”
Responding to Glacier Melt
“We simply do not have the kind of broad-scale knowledge that we would like to have,” Malone said. Current data on glacier melt is scarce and very few direct measurements of glacier volume exist, making calculations of glacier retreat difficult. Moving forward, it is critical to respond to this lack of information by improving regional scientific cooperation on glaciers, snowpack, and water resources in High Asia, and strengthening climate and water monitoring capacity.
“Even the smallest amounts of glacier-melt contribution correspond to the regions of the highest population, so any change in water supply has large implications,” Malone said. Glaciers may not be disappearing as fast as had been previously thought, but “climate change is happening in the Himalayas and is having an effect.”
“If systems – both human and ecological – are already stressed, they are less able to be resilient in the face of changes. But the good news is that we can take actions now that will be crucially important to how societies can respond in the future,” Malone said.
Implementing cross-sector projects can help to target places where environmental, economic, health, and even security issues overlap. Focusing on water resource management, ecosystems, and the needs of high-mountain communities, as well as mitigating climate change by reducing emissions of black carbon, can help reduce both direct and indirect vulnerabilities and improve resilience to future changes.
“The results of this report allow USAID and others to grasp the complexity of these issues, understand the critical gaps, and to respond to the changes in the glaciers to come,” Melnyk said. The next step is applying the knowledge gathered in the report to practitioners in the field and in policy discussions.
“A crucial role USAID can play is to link partners in the government and private sectors to build capacity and spark synergies among new initiatives to really integrate new initiatives with concerns about glacier melt,” Malone concluded.
Photo Credit: “Nepal Sagamartha Trek,” courtesy of flickr user mckaysavage. -
Food and Environmental Insecurity a Factor in North Korean Shelling?
›November 24, 2010 // By Schuyler NullJust two days before dozens of North Korean artillery shells fell on the island of Yeonpyeong off the west coast of Korea, a UN study reported that the DPRK was facing acute food shortages heading into the winter.
In a New York Times report, Choi Jin-wook, of the Korea Institute for National Unification in Seoul, called food “the number one issue.” While Choi just last month praised the resumption of food aid from the South to the North as a “starting point of a new chapter in inter-Korean relations,” she told the Times Wednesday that the North is “in a desperate situation, and they want food immediately, not next year.”
North Korea’s motives are notoriously indecipherable and this latest incident is no exception, but the regime has in the past sought to distract from domestic problems by inciting the international community (the sinking of the Cheonan being the other latest prominent example).
Infrastructure has always been primitive in the North under the DPRK regime, but the country’s tenuous food security situation was made worse this last year by an unusually long and severe winter followed by heavy flooding in the summer. Flooding was so bad during August and September, that the normally silent regime publically announced details of rescue operations around the northern city of Sinuiju. The joint FAO/WFP report put out by the UN does not predicate production will significantly recover in the next year and estimates an uncovered food deficit of 542,000 tons for 2010/11.
“A small shock in the future could trigger a severe negative impact and will be difficult to contain if these chronic deficits are not effectively managed,” Joyce Luma of the World Food Program told The New York Times.
For more on the severe weather events of this summer, including the flooding that impacted the DPRK and pushed the Three Gorge Dam to its stress limits in China, the impact of scarcity and climate change on the potential for conflict, and the intersection of food security and conflict elsewhere, see our previous coverage on The New Security Beat.
Sources: Christian Science Monitor, Food and Agriculture Organization, Los Angeles Times, The New York Times, UN, Washington Post, World Food Program.
Image Credit: Google Maps. -
Jon Barnett on Climate Change, Small Island States, and Migration
›Contrary to the iconic image of lapping waves submerging low-lying countries, few Pacific islanders are emigrating from their homes due to climate change, according to Australian geographer Jon Barnett of the University of Melbourne.
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Pakistan After the Floods: A Continuing Disaster
›September 29, 2010 // By Hannah MarquseeA month after Pakistan’s worst flood in 80 years, millions remain without access to food, clean water, or health care.
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Historic Floods Plague Pakistan
›August 19, 2010 // By Shawna Cuan“Staggered by the scale of destruction from this summer’s catastrophic floods, Pakistani officials have begun to acknowledge that the country’s security could be gravely affected,” reports the Washington Post. The Pakistani government – already cash-strapped between fighting “the war on terror” and trying to prevent an economic collapse – now faces recovering from the worst flooding in over 80 years.
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Floods, Fire, Landslides, and Drought: The Guardian’s “Weather Crisis 2010”
›From the Guardian’s DataBlog comes an excellent overview of some of the extreme weather affecting the globe this summer, from the devastating floods in Pakistan which have inflicted “huge losses” to crops and exacerbated an already tenuous security situation, to the wildfires in Russia which have smothered the capital in dangerous smog and crippled domestic wheat supplies.
“Global temperatures in the first half of the year were the hottest since records began more than a century ago,” writes author and graphic artist Mark McCormick.
The orange areas of the map represent high pressure systems and the blue, low pressure systems, which as explained by Peter Stott of the Met Office, are important indicators of the rare climatic conditions that caused this summer’s abnormal conditions across Eurasia.
The flooding in Pakistan has garnered the most international attention, having now affected more people than the 2004 tsunami, 2010 Haiti earthquake, and 2005 Kashmir earthquake combined. Other highlighted areas of the map include flooding in Poland and Germany, drought in England, mudslides in Latin and South America, record-breaking drought and hunger in West Africa, and flooding and landslides in China, which recently pushed the world’s largest hydroelectric dam to its limit and have now been blamed for more than 1,000 deaths.
Although it does a good job highlighting the frequency and severity of extreme weather events this summer, it’s important to note that the map only covers events in July and August. That leaves out the “1000-year” floods in Tennessee this May as well as the heavy snowfall seen in the Northeast United States and the winter of “white death” in Mongolia earlier this year, which also severely disrupted local and national infrastructure as well as a great many people’s livelihoods.
Sources: Agence France-Presse, BBC, Guardian, National Oceanic and Atmospheric Administration, New York Times, Telegraph, UN Dispatch.
Image Credit: “Weather Crisis 2010” by Mark McCormick, courtesy of Scribd user smfrogers and The Guardian.
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