Each day, almost 800 women die from preventable causes related to pregnancy and childbirth. A maternal death occurs every two minutes. Maternal mortality is defined as the death of a woman from complications of pregnancy or childbirth that occur during the pregnancy or within 6 weeks after the pregnancy ends.*

A window into what we’re reading at the Wilson Center’s Environmental Change and Security Program

Fukushima Nuclear Clean-up Begins (The Diplomat) 

It has been over 13 years since a massive 9.0 earthquake near the coastline of Japan in 2011 triggered a tsunami that irreversibly damaged the Fukushima Daiichi nuclear plant. Failing cooling systems within the plant led to the melting of its radioactive core reactor, which dripped toxic fallout across the plant and in the larger ecosystem. Since that catastrophe, Japan has been devising ways to responsibly clean the waste in Fukushima—and it might be getting closer to a final answer. 

Two years ago, the World Health Organization (WHO) declared a public health emergency after a multi-country outbreak of mpox (formerly known as monkeypox). Now, in the summer of 2024, mpox is on the rise again. On August 14, The WHO declared a new public health emergency due to a recent outbreak in the Democratic Republic of the Congo (DRC) and other African countries.

World Food Program Faces Scrutiny Over Fraud in Sudan (Reuters) 

As Sudan suffers an immense humanitarian crisis due to an ongoing internal conflict between the Army Forces and the paramilitary Rapid Support Forces (RSF), the U.N. World Food Program (WFP) has provided crucial aid to people displaced by the conflict. Yet its ability to continue this crucial work is now under threat because of allegations of illicit activities made against its top officials in that country. These developments have drawn the attention of humanitarian practitioners and diplomats—who also have concerns regarding WFP’s mismanagement and how it might have contributed to the failure to deliver enough aid in Sudan.  

We’re often told that we’re living during a population crisis, a time of simultaneous concerns born of too many people to sustain necessary resources for a healthy planet, and too few working-age people to support a healthy economy. Population dynamics and trends are key to national and international security and contribute to the overall wellbeing of a society. Fertility, along with mortality and migration, is central to population and its importance to demographers, policymakers, economists, and a country’s development is without question. But focusing on population trends without considering the experiences of the billions of individuals who make up those trends—each with a unique life course, personal aspirations, and individual potential—establishes an unhealthy and dangerous tension that can strip women of their rights and leave them socially disenfranchised.

A window into what we are reading at the Wilson Center’s Environmental Change and Security Program

Worsening Health Conditions in War-Torn Gaza (BBC) 

Water infrastructure in Gaza was already weak before the beginning of the war in 2023, but intensified conflict and siege of critical infrastructure the damage wreaked by Israel’s military forces on critical infrastructure (including water, energy, and food), has left 70% of the people in Gaza exposed to salinated and contaminated water. Traces of polio have been found in wastewater flowing both between displacement camp tents and in inhabited areas, and experts suggest that this water might be circulating. 

Ongoing fighting in Sudan has led to a devastating humanitarian crisis that United Nations Humanitarian and Emergency Relief Chief Martin Griffiths calls “one of the worst humanitarian nightmares in recent history.”  

Among the millions of people harmed by the fighting are countless pregnant people and new mothers, who face direct and indirect threats to their health and lives in the country’s renewed conflict. Sudan was already suffering from a maternal mortality crisis prior to the onset of its latest civil war. Before the most recent round of bloodshed, Sudan’s maternal mortality rate stood at 270 deaths per 100,000 live births in 2020 – higher than the global average of 223 deaths. And as this crisis worsens, it is imperative to call attention to what is occurring there.  

Last month, the biopharmaceutical company Gilead shared groundbreaking results from a recent clinical trial (PURPOSE1) for long-acting injectable HIV prevention. The twice-yearly injectable drug, lenacapavir, provided total protection from HIV for a test group of 2,134 women in Uganda and South Africa. While lenacapavir has been used to treat multi-drug resistant HIV since 2022, this trial marks the first usage as pre-exposure prophylaxis (PrEP). PrEP is one tool to prevent the virus, and refers to anti-retroviral medication taken by people who do not have HIV to reduce the risk of contracting it through sexual transmission or injection drug use. These new findings offer immense promise for the future of PrEP as a global tactic to protect young women from contracting HIV.