Showing posts from category Guest Contributor.
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The Contradictions That Define China
›As a China follower who has visited the country numerous times over the past 40 years, I have an enduring love affair with the “old” China, which prided itself on balancing the harmony of nature with its decision-making. It is tragically ironic that despite this impressive historical and cultural backdrop, current choices have pushed the country’s harmony with nature beyond the tipping point.
The atmosphere in Chengdu, the capital of Sichuan Province in central China, tells a cautionary tale of China’s current emphasis on economic growth at the expense of its citizens’ health. With lower annual sunshine totals than London, Chengdu’s perpetually grey, cloudy horizon graphically illustrates the massive industrial waste and coal-fired pollution that plague this booming city.
In April, global health experts convened in Chengdu at the 5th International Academic Conference on Environmental and Occupational Medicine, which was co-sponsored by the U.S. Centers for Disease Control and Prevention and Chinese CDC offices, to report on the impact of climate change on public health.
Because of its geography, the mountain-encircled basin in which Chengdu sits is the natural point of release for daily deposits of air pollutants and dust blown in from India and other countries to the west. A rapid series of satellite views presented by John Petterson, director of the Sequoia Foundation, brought gasps from conference attendees, as these accumulated industrial wastes were shown concentrating against the massive southern Tibetan mountain range, then turning grey and black as they moved east, before being deposited on Sichuan’s vulnerable (and already heavily polluted) basin.
Environmental risk factors, especially air and water pollution, are a major–and worsening–source of death and illness in China. Air quality in China’s cities is among the worst in the world, and industrial water pollution is a widespread health hazard.
And although air pollution is clearly a complex global problem, individual nation-states continue to approach this dilemma as though it lies between its borders alone.
Luckily, this conference was prefaced by a number of timely scientific articles on China in the Lancet. The predominantly Chinese authors clearly take the critical risks that we expect from the Lancet, which is a defender of accountability and transparency in global health. This issue brings shame to other publications who still consider their “place” to be protecting the conventional politico-economic emphasis on decision-making inherent to most industrialized countries.
At the conference, public health and climate experts openly voiced their frustration at the blatant privileging of economic priorities over the health of unknowing populations. China–the fastest growing economy in world history, with unprecedented growth driven by external “demand” and precipitous acceleration of domestic consumption–has become the poster-child for global ignorance. However, the West is an equal and essential partner, having moved their manufacturing to China for cheap labor, lax environmental regulations, and higher profits.
Dr. Mark Keim, senior advisor for the CDC’s National Center for Environmental Health, presented irrefutable evidence that root structure erosion from advancing saltwater has led to starvation in Polynesia, the first recorded evidence-based outcome measure of climate change’s public health effects.
At Mark’s request, I presented evidence on the worsening health impacts of rapid urbanization, specifically within urban enclaves that expand due to dense population growth before protective public health infrastructures and systems are in place (forthcoming in Prehospital and Disaster Medicine). Currently, the megacities in Asia and Africa–where sanitation is ignored and infectious disease is prevalent–now have the highest infant and under-age five mortality rates in the world.
Today, we face the largest gap in health indices between the haves and have-nots since the alarming days before the Alma-Ata Declaration. This new health data was an uncomfortable surprise to many conference attendees, most of whom were experts in the physical and environmental sciences.
We have become too “vertical” in our research over the past 50 years, and thus we fail to recognize that solutions to problems facing the global community must be trans-disciplinary and multi-sectoral, and serve multiple ministries and decision-makers.
If not undone by human decisions, global climate change and climate-warming greenhouse gases will rapidly intensify. This effort requires the best collaboration between science and the humanities, as well as the harmonious lessons of the “old” China.
Frederick M. Burkle, Jr., MD, MPH, DTM, is a senior public policy scholar at the Woodrow Wilson Center and a senior fellow of the Harvard Humanitarian Initiative at the Harvard School of Public Health.
Photo Credit: Chengdu skyline in smog, courtesy Flickr user lonely radio. -
Look Beyond Islamabad To Solve Pakistan’s “Other” Threats
›After years of largely being ignored in Washington policy debates, Pakistan’s “other” threats – energy and water shortages, dismal education and healthcare systems, and rampant food insecurity – have finally moved to the front burner.
For several years, the Woodrow Wilson Center’s Asia Program has sought to bring these problems to the attention of the international donor community. Washington’s new determination to engage with Pakistan on its development challenges – as evidenced by President Obama’s signing of the Kerry-Lugar bill and USAID administrator Raj Shah’s comments on aid to Pakistan – are welcome, but long overdue.
The crux of the current debate on aid to Pakistan is how to maximize its effectiveness – that is, how to ensure that the aid gets to its intended recipients and is used for its intended purposes. Washington will not soon forget former Pakistani president Pervez Musharraf’s admission last year that $10 billion in American aid provided to fight the Taliban and al-Qaeda was instead diverted to strengthen Pakistani defenses against archrival India.
What Pakistani institutions will Washington use to channel its aid monies? In recent months, the U.S. government has considered both Pakistani NGOs and government agencies. It is now clear that Washington prefers to work with the latter, concluding that public institutions in Pakistan are better equipped to manage large infusions of capital and are more sustainable than those in civil society.
This conclusion is flawed. Simply putting all its aid eggs in the Pakistani government basket will not improve U.S. aid delivery to Pakistan, as Islamabad is seriously governance-challenged.
Granted, Islamabad is not hopelessly corrupt. It was not in the bottom 20 percent of Transparency International’s 2009 Corruption Perceptions Index (Pakistan ranked 139 out of 180), and enjoyed the highest ranking of any South Asian country in the World Bank’s 2010 Doing Business report.
At the same time, the Pakistani state repeatedly fails to provide basic services to its population – not just in the tribal areas, but also in cities like Karachi, where 30,000 people die each year from consuming unsafe water.
Where basic services are provided, Islamabad favors wealthy, landed, and politically connected interests over those of the most needy – the very people with the most desperate need for international aid. Last year, government authorities established a computerized lottery that was supposed to award thousands of free tractors to randomly selected small farmers across Pakistan. However, among the “winners” were large landowners – including family members of a Pakistani parliamentarian.
Working through Islamabad on aid provision is essential. However, the United States also needs to diversify its aid partners in Pakistan.
For starters, Washington should look within civil society. This rich and vibrant sector is greatly underappreciated in Washington. The Hisaar Foundation, for example, is one of the only organizations in Pakistan focusing on water, food, and livelihood security.
The country’s Islamic charities also play a crucial role. Much of the aid rendered to health facilities and schools in Pakistan comes from Muslim welfare associations. Perhaps the most well-known such charity in Pakistan – the Edhi Foundation – receives tens of millions of dollars each year in unsolicited funds.
Washington should also be targeting venture capital groups. The Acumen Fund is a nonprofit venture fund that seeks to create markets for essential goods and services where they do not exist. The fund has launched an initiative with a Pakistani nonprofit organization to bring water-conserving drip irrigation to 20,000-30,000 Pakistani small farmers in the parched province of Sindh.
Such collaborative investment is a far cry from the opaque, exploitative foreign private investment cropping up in Pakistan these days – particularly in the context of agricultural financing – and deserves a closer look.
With all the talk in Washington about developing a strategic dialogue with Islamabad and ensuring the latter plays a central part in U.S. aid provision to Pakistan, it is easy to forget that Pakistan’s 175 million people have much to offer as well. These ample human resources – and their institutions in civil society – should be embraced and be better integrated into international aid programs.
While Pakistan’s rapidly growing population may be impoverished, it is also tremendously youthful. If the masses can be properly educated and successfully integrated into the labor force, Pakistan could experience a “demographic dividend,” allowing it to defuse what many describe as the country’s population time bomb.
A demographic dividend in Pakistan, the subject of an upcoming Wilson Center conference, has the potential to reduce all of Pakistan’s threats – and to enable the country to move away from its deep, but very necessary, dependence on international aid.
Michael Kugelman is program associate with the Asia Program at the Woodrow Wilson International Center for Scholars.
Photo Credit: Water pipes feeding into trash infected waterway in Karachi, courtesy Flickr user NB77. -
High Altitude Turbulence: Challenges to the Cordillera del Cóndor of Peru
›In 1998, Peru and Ecuador settled a long-running border dispute in the Cordillera del Cóndor mountain range that had killed and wounded dozens on both sides in 1995. In addition to pledging renewed cooperation on deciding the final placement of the border, the agreement, the Acta Presidencial de Brasilia, committed both sides to establishing extensive ecological protection reserves on both sides of the border: A peace park of sorts was born.
But now, indigenous groups fear that extractive industries in the area could threaten both the biodiversity and the ecological integrity of the forests and streams that they rely upon for their survival. They detail these charges in a new report, Peru: A Chronicle of Deception, and in a new video documentary, “Amazonia for Sale.”
Located on the eastern slopes of the Equatorial Andes, the area is a recognized global biodiversity hotspot with large areas of pristine montane habitat. In 1993-4, Conservation International led a biodiversity assessment trip to the area and identified dozens of species new to science. Their report, The Cordillera del Cóndor Region of Ecuador and Peru: A Biological Assessment, noted the “spectacular” biodiversity of the area, and its key role in the hydrological cycle linking the Andes with the Amazon.
Recognizing the region’s importance, the Acta Presidencial de Brasilia stipulated the need to create and update mechanisms to “lead to economic and social development and strengthen the cultural identity of native populations, as well as aid the conservation of biological biodiversity and the sustainable use of the ecosystems of the common border,” wrote Martin Alcade et al. in the ECSP Report.
Indigenous communities in Peru are accusing the Peruvian government of reneging on those promises by allowing extractive industries extensive access to the region. They charge that the government gave in to gold mining interests who want to reduce the size of the protected area in the Cordillera del Cóndor. They also claim that the Peruvian government is violating promises made to include indigenous peoples in the governance and management of the area.
Carefully managing extractive activities was a key priority for Peru and Ecuador when they negotiated an end to their border dispute. A management plan for the area with strong protection for key biodiversity areas was supposed to ensure everyone’s interests.
However, Peru’s current president, Alan Garcia, has been aggressive in promoting extractive industries in Peru,to the point of inciting significant popular opposition among many indigenous peoples. Less than a year ago, protests over oil exploration in Amazonian lowlands city of Bagua killed and wounded dozens of Peruvians. This violence followed years of social conflict over mining development in a number of communities in Peru’s Andean highlands.
Earlier this decade, Peru made some progress in resolving extractive disputes. But Garcia’s strong promotion of the extractive sector in the face of indigenous opposition, like we currently see in the Cordillera del Cóndor region, suggests years of confrontations to come.
Tom Deligiannis is adjunct faculty member at the UN-mandated University for Peace in Costa Rica, and an associate fellow of the Institute for Environmental Security in The Hague.
Photo Credit: “El vuelo del condor, acechando a su presa,” courtesy of flickr user Martintoy. -
Shape of Things to Come: Uganda’s Demographic Barriers to Democracy
›In March, Uganda’s cultural landmark, the Kasubi Tombs, were destroyed in a suspicious fire. Tensions spilled over when Ugandan President Yoweri Museveni paid a visit to the Bugandan site and found his entrance blocked by an angry crowd. According to an independent newspaper, soldiers accompanying the president opened fire, killing three civilians.
With ethnic-tinged unrest and student protests in Kampala, as well as cross-border conflicts in the north and east, Museveni, who has led Uganda since 1986, is facing a potentially serious test as elections approach early next year. The country’s demographic profile, and in particular the lack of opportunities for growing numbers of young people, will add to the country’s challenges, as I argue in a new case study of Uganda’s demography.
Uganda has the youngest population in the world, with 77 percent of its people younger than age 30. Women in Uganda have an average of 6.7 children each and 41 percent of married women have an unmet need for family planning. The population of Uganda is currently growing by about one million people per year, and given the force of its demographic momentum, Uganda’s population is likely to almost double by 2025 even if fertility declines.
Population Action International has found that countries with age structures like Uganda’s are the most likely to experience internal strife and autocratic governance. Between 1970 and 2007, 80 percent of outbreaks of civil conflict occurred in countries in which 60 percent or more of the population was younger than age 30.During that same period, 90 percent of countries with an age structure like Uganda’s had autocratic or only partially democratic governments.
Demography alone does not cause conflict. Most governments, even those with youthful populations, do not become entrenched in internal violence and upheaval. But age structure affects a country’s vulnerability to conflict, due to the demands a government faces in providing for its growing numbers.
In Uganda, young people face diminishing prospects in agriculture, the primary industry, as plot sizes shrink with each successive generation. At projected population growth rates, land density may increase 350 percent by 2050, from 122 inhabitants per km2 to a possible 551 inhabitants per km.
Only one-quarter of students who enroll in primary school reach the final grade, and even those with university degrees find few jobs. A reported youth unemployment rate of 22 percent is even higher in urban areas.
After 25 years in power, President Museveni will stand for a fourth official term in 2011. Despite growing dissent among his constituents, he appears confident of keeping his seat. Regardless of what happens next year,Uganda’s leaders must firmly commit to addressing their country’s demographic issues.
Age structure can become a window of opportunity if youth are engaged in society and couples can choose the number of children they can support. But in Uganda, that window remains far out of reach.
Three new case studies from Population Action International on Haiti, Yemen and Uganda examine the challenges specific to countries with very young age structures and recommend policy solutions.
Elizabeth Leahy Madsen is a senior research associate at Population Action International (PAI). She is the primary author of the 2007 PAI report The Shape of Things to Come: Why Age Structure Matters to a Safer, More Equitable World.
Photo Credits: “Atanga.pater.uganda,” courtesy of flickr user Kcarls. -
Shape of Things to Come: A Demographic Perspective of Haiti’s Reconstruction
›Last month, the International Donors’ Conference Towards a New Future for Haiti sought to lay the groundwork for Haiti’s long-term recovery by pledging an impressive $9.9 billion over the next decade. A large portion of the money will fund health, education, and employment efforts that are crucial to meeting the needs of Haiti’s people—particularly its youth. In a new case study of Haiti’s demography and development, Population Action International (PAI) argues that the country’s age structure should play a central role in any reconstruction strategy.
In Haiti, almost 70 percent of the population is under the age of 30, and this very youthful population affects every aspect of the country’s development prospects, from economic opportunities to security issues, political stability, gender equality, and climate change adaptation.
Haiti is at a demographic crossroads. If sound policies are in place, youthful age structures can translate into an economic asset for the country. The combination of decreasing fertility levels and a growing working-age population may open a window of opportunity for economic growth. To seize it, large-scale education and employment policies and programs should seek to raise employment rates for both male and female youth.
For Haiti to reap the benefits of this “demographic dividend,” access to reproductive health services is equally important. According to the most recent Demographic and Health Survey (2005-2006), if all unintended births were avoided, the average fertility level in the country would be 2.4 children instead of four.
But if instead, Haiti ignores the needs of its youth, the country will remain vulnerable to a variety of political and economic challenges. Youth unemployment is twice that of the rest of the population, which could have a negative impact on the country’s political stability and security situation.
The PAI report The Shape of Things to Come shows that countries with very young age structures are less likely than others to sustain democratic regimes and that age structure impacts political stability. To be an effective partner in its reconstruction, the Haitian government needs stable governance. By prioritizing education, health, and employment for young people, Haiti may reduce the risk of urban violence, help attract private investors, and speed its recovery.
Addressing demographic factors will also help Haiti achieve broader development goals. Decades of high population growth and the use of charcoal as the main source of energy have deforested 97 percent of the country, increasing Haiti’s inherent vulnerability to environmental disasters and climate change. Denuded landscapes contribute to devastating floods, especially in urban coastal zones. The lack of tree cover reduces the country’s ability to absorb carbon and causes wide variations in temperature. Due to soil erosion, Haiti’s agricultural industry is one of the least productive in the world, leading to widespread poverty and food insecurity.
The integration of demographic factors into development strategies constitutes one of the most compelling ways for Haiti to facilitate not only its reconstruction, but also address the challenges of climate change and make its population more resilient and prosperous.
Three new case studies from Population Action International on Haiti, Yemen and Uganda examine the challenges specific to countries with very young age structures and recommend policy solutions.
Béatrice Daumerie is a research fellow at Population Action International (PAI).
Photo: Haitian youth. Courtesy Flickr user NewsHour -
Demobilized Soldiers Developing Water Projects – and Peace
›Can demobilized ex-combatants help improve water resources in post-conflict countries? Last fall, the Global Water Institute (GWI) held a symposium in Brussels to find out.
Seventy representatives from the African Union, the United Nations, civil society, research institutes, and EU water policy advisors discussed ways in which former soldiers could be employed in the water sector to create peace dividends, bridge divided societies, and improve water security in countries recovering from conflict.
GWI, which is headquartered in Brussels and led by Valerie Ndaruzaniye, formerly of the Institute of Multi-Track Diplomacy’s Global Water Program, hopes to use the water sector development to meet multiple objectives in post-conflict reconstruction, such as:- increasing environmental security,
- reducing the likelihood of future conflict over water,
- enhancing security and stability, and
- employing demobilized ex-combatants to create peace dividends.
While disarmament, demobilization, and reintegration (DDR), is a fairly new process in post-conflict settings (the first program took place only 15 years ago), it has progressed rapidly in recent years, moving from a primarily military exercise to one focused on reintegration. Reintegration has also shifted from its exclusive focus on the ex-combatants, which often caused resentment in conflict-affected communities, to include women, children, youth, and the elderly and disabled, as well as the affected communities.
Reintegration is still the most difficult stage of any DDR program, not only for budgetary and political reasons, but also due to the processes of transitional justice and reconciliation. Through experience in the field, practitioners have realized that such programs are not simply technical exercises and must be better linked to wider recovery efforts and development programs for more sustainable results.
By supporting sustainable development in the water sector, and simultaneously contributing to reconciliation and peace dividends by involving ex-combatants in community development work, GWI can offer a substantial contribution to the reintegration process.
“Making the link between water management and DDR is a novel idea. GWI is a good example of integration of policy areas in order to build peace in some countries,” said Catherine Woolard, the director of the European Peacebuilding Liaison office.
Adrienne Stork is currently working on natural resource management and disarmament, demobilization, and reintegration programs jointly with the UNDP Bureau for Crisis Prevention and Recovery and the UNEP Disasters and Conflicts Unit in Geneva, Switzerland.
Photo Credits: Flickr User ISAFMEDIA, 080816-N-8726C-019 -
To Invest in a Sustainable Future, Fund Voluntary Family Planning
›President Obama’s proposed federal budget for FY2011 includes $715.7 million for international family planning and reproductive health assistance—10 percent ($67 million) more than what was included in the FY2010 budget that Congress approved last December. If approved, the FY2011 allocation would be 54 percent more than the FY2008 budget, which was equivalent to the amount allotted in 1974 when adjusted for inflation. The recent increases mark the end of more than 30 years of stagnation in U.S. funding for voluntary family planning—and herald a new investment in a sustainable future.
Over the last 20 years, the number of women of reproductive age in the developing world has increased by 465 million. Today, the Guttmacher Institute estimates that 201 million women in developing countries want but lack access to modern contraceptives. “Satisfying the unmet need for contraceptive services in developing countries would avert 52 million unintended pregnancies annually, which, in turn, would save more than 1.5 million lives and prevent 505,000 children from losing their mothers,” the Institute reports.
Rapid population growth in some of the world’s most economically disadvantaged countries poses a significant threat to their natural resources and the environment. Currently, more than 1 billion people live in ecological hotspots—areas that are both rich in plant and animal diversity and highly threatened by human activity. Although these areas comprise just 12 percent of the Earth’s land surface, they hold nearly 20 percent of the global population and possess a population growth rate nearly 40 percent greater than the world average. The cumulative impact of a growing global population, which demands more natural resources and exacerbates already unsustainable patterns of consumption, degrades the most basic foundations of life—air, water, croplands, forests, and fisheries—and contributes to climate change.
Improving access to voluntary family planning not only contributes to smaller, healthier families, but also eases the strain on natural resources. By giving couples the information and supplies to plan the number and timing of their children, U.S.-funded population and reproductive health programs have helped countries slow population growth and reduce population pressures on finite natural resources, including local habitats and wildlife. In addition, the success of USAID’s population, health, and environment programs also offers important lessons for climate change adaptation and building resilience in local communities.
In our interconnected environment, the impacts of natural resources use, management, and protection around the world are felt here in the United States. Despite the difficult budgetary and economic environment our country faces, the president’s request for approximately $716 million in international family planning and reproductive health assistance funding is a wise long-term investment. These resources are an important step toward the broader goal of investing $1 billion in these critical programs to create a healthier, more sustainable future for our world.
Rebecca Wadler Lase is the program associate for the Sustainability Education Program at the Izaak Walton League of America.
Map: “Poverty-Biodiversity Mapping Applications.” Courtesy UNEP/Grid Arendal. -
On the Air With Arab Demographics
›A recent radio interview on the “Demographics of the Arab World” should be a must listen for those in the World Bank, where discussions of the Arab youth bulge are largely off the table.
The interview with Magda Abu-Fadil of the American University of Beirut and Bernard Haykel of Princeton University suggests that scholars of the Arab world are not so timid, as also evidenced by UNDP’s 2009 Arab Human Development Report.
However, during the interview with Abu-Fadil and Haykel, Worldfocus’ Martin Savidge falls victim to two significant misconceptions that are worth mentioning for their pervasiveness among political science and economics communities:- Savidge believes that countries tend to risk political violence when their percentage of young adults is above 35 percent. This is close, but not quite correct. It’s the proportion of young adults in the adult population – i.e., the working-age population, as opposed to the population in general – that indicates a risk of fractious politics. Children (those below the age of 14) should not be counted in this indicator, yet in much of the literature they mistakenly are.
- Savidge believes that large numbers of youth are an economic “good deal.” Here, Abu-Fadil and Haykel set him straight, noting that a bulge among the young adult population produces a demographic bonus only when fertility has significantly declined; the childhood cohorts are small and the subject of increased investment; and the youth moving into adulthood are educated.
Big changes could occur along the edges of the Arab world in the coming decade. Fertility decline, more recently, has made its way to the Gulf Cooperation Council (GCC) states, although they still need a champion for women’s rights. Turkey had Ataturk, Iran had Reza Shah, and Tunisia had Habib Bourguiba. It’s no accident that these countries were the first to experience fertility decline and age structural changes—their leaders laid the groundwork decades ago.
Can a leader, however, with that amount of political guts and conviction emerge from the Saudi royal family? I’m doubtful.
Richard Cincotta is demographer-in-residence at the H.L. Stimson Center in Washington, DC.
Photo: Yemeni children courtesy Flickr user kebnekaise.
