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. 

“There is a really important need in talking about knowledge equity around what is actually happening with the climate crisis, and what happens to maternal [and] neo-natal health as a result of it,” said Neha Mankani, Midwifery Association Capacity Assessment Strengthening Lead at the International Confederation of Midwives, at a recent Wilson Center event titled “Midwives Are Key to Climate Resilience.”

In 2024, the world marks the thirtieth anniversary of the 1994 International Conference on Population and Development (ICPD) in Cairo. At this pivotal meeting, 179 countries produced a watershed Program of Action (PoA) that put people at the center of development to better realize health, rights and choices for all. This PoA prioritized human rights, the empowerment of women and girls, and addressed existing inequalities. It also put forth a new strategy that emphasized vital linkages between population and development that moved away from a focus on demographic targets, like fertility rates, and shifted the focus to the needs of individual women and men.

A new report by the US Intelligence Community highlights what the world stands to lose if it fails to cooperate on global health. The National Intelligence Estimate (NIE) “Dynamics Shaping Global Health Security In the Next Decade” outlines the dire effects of climate change, changing demographics, and the erosion of trust in institutions on global health security. The NIE on Global Health Security was made publicly available in April 2024, on the heels of the Biden-Harris Administration’s launch of a new Global Health Security Strategy.

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

2024 World Migration Report Highlights Climate-Food-Mobility Nexus (International Organization for Migration)

The International Organization for Migration’s flagship World Migration Report 2024 highlights a wide variety of factors contributing to global migration, including conflict, economic or political insecurity, and climate change. Between 2020 and 2022 the number of asylum seekers increased more than 30% to 5.4 million people. The report centers climate change’s impact on food security as a core driver of migration. In 2022, 275 million people faced acute food insecurity, which represents a 146% increase since 2016.