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The Cholera Quandary
›The original version of this article first appeared in the Stimson Center Spotlight series, November 19, 2010.
Cholera is usually seen as one of the most devastating infections of the 19th century. Trade routes carried cholera from India to the great cities of Europe and the United States. Disease, fear, and political unrest spread in great waves that cost millions of lives. After much destruction, it was only with science and resources that certain populations were able to curb the epidemic.One of the most celebrated lessons in the history of public health involves a cholera outbreak in London in 1854 and efforts by John Snow – celebrated as the father of epidemiology – to control it. At the time, it was not clear that cholera was a waterborne bacterial infection that caused severe diarrhea and vomiting, and sometimes fatal dehydration. Snow proved that the outbreaks decimating communities spread from contaminated water. Water and sanitation services had virtually eliminated cholera epidemics in the developed world by the early 1900s.
Today, cholera has been nearly eradicated in the developed world, but continues to be endemic in poorer countries. Risks seem to be rising as larger populations are crowded into unsanitary conditions. The World Health Organization (WHO) estimates three to five million illnesses and 100,000-200,000 deaths from cholera each year. If caught early, infections are treatable with inexpensive oral rehydration solutions. For much of the world, these options are unavailable or underused – the mere presence of cholera serves as an indicator of a country’s socioeconomic status and health system capabilities.
The cholera epidemics that are currently menacing countries on three different continents – Asia, Africa, and North America – raise tough questions about what is required to protect the world’s vulnerable populations. We know how to predict the crisis of cholera, prevent outbreaks, and contain them when they occur. To control cholera, what is needed is not cutting-edge technologies, but will, transparency, and resources – and where cholera appears, at least one of these three factors has failed.
Currently, cholera outbreaks in Pakistan, Haiti, and Nigeria are piling misery upon misery. Cholera in post-flood Pakistan comes as no surprise. When floodwaters left millions homeless and without access to clean drinking water in a region where cholera remains endemic, health officials could have reasonably assumed infected human waste would seep into water supplies and spread disease. The inability of health networks on the ground to prevent and then detect cholera demonstrates cracks in the country’s health system. What is apparent here is a lack of will and resources. Disease surveillance is especially vital in a post-disaster scenario where steps can be taken, such as treating water with chlorine, to prevent an outbreak.
Haiti had been free of cholera for at least 50 years, but the disease struck and spread rapidly 10 months after the devastating January 2010 earthquake. It reached Haiti’s capital and spread to its neighbor, the Dominican Republic. Since October, more than 114,000 people have become ill and more than 2,500 have died (Editor’s note: updated since original publication).
Haiti lacked resources for basic infrastructure even prior to the earthquake; the cholera crisis is not only costing lives, but also diverting aid from “building back better.” But regardless of the source of the cholera strain, if basic infrastructure and resources to protect Haiti’s vulnerable populations had been in place, cholera’s re-emergence would have been far less devastating.
This particular outbreak draws attention to the practical and political challenges of identifying health risks in humanitarian workers and peacekeepers, many of whom come from developing countries themselves. Evidence suggests that peacekeepers from Nepal, housed at a UN base, may have been the source of the outbreak clustered around the Artibonite River. Cholera outbreaks frequently exacerbate frictions between communities and aid workers – suspicions that have led to riots and murder more than once in recent years. At least two people were killed in Haiti in riots with peacekeepers during November.The delayed decision by the UN to investigate whether the outbreak originated with peacekeepers may have conserved resources for the race to stave off more cases, but did little to build trust between communities and foreign workers. Further violence and protests surrounding the recent disputed presidential election in Haiti do little to ease the devastation and in fact, threaten the relief effort. There has been discussion in Congress of cutting direct aid and suspending visas for Haitian officials until the dispute as been resolved. The Organization of American States is now reviewing the results.
In Africa, Nigeria is experiencing its worst cholera outbreak since 1991, and the disease is crossing borders. An onslaught of cases raised the 2010 death toll to more than 1,500 fatalities out of 40,000 cases. This mortality rate is three times higher than the seasonal cholera outbreaks of 2009, and seven times higher than 2008. Despite Nigeria’s oil wealth, most of the population is impoverished. Two-thirds of rural Nigerians lack access to safe drinking water and fewer than 40 percent of people in cholera-affected areas have access to toilet facilities, according to the Nigerian Health Ministry. A combined lack of will, transparency, and resources mean that cholera epidemics occur annually, and in clusters throughout sub-Saharan Africa.
A century and a half after John Snow’s discovery, we know how to control cholera. Globally, the resources exist, but the question of a collective will remains. For those who lack clean water to drink, to wash, or even proper toilets, the gap between knowing and doing is not easily closed. The international community has shown repeatedly that it can confront cholera outbreaks like those in Haiti, Pakistan, and Nigeria in the midst of crisis. The question remains as to how those efforts can eliminate the conditions that fostered outbreaks in the first place. The answer is not as riveting as the causes that often receive funding: basic infrastructure and resources. Roads, wells, clean water, toilets, education, and the willingness to recognize that if the foundation is not sound, nothing will be able to stand. Sometimes the simplest problems are the most difficult to solve.
Sarah Kornblet is a research fellow at the Global Health Security Program at the Stimson Center. Her research focuses on the International Health Regulations, health systems strengthening, global health diplomacy, the intersection of public health and security, and the potential for innovative and dynamic health policy solutions in developing countries.
Sources: Agence France-Presse, BBC, Washington Post, World Health Organization.
Photo Credit: “UN Peacekeepers Provide Security During Port-au-Prince Food Distribution,” courtesy of flickr user United Nations Photo. -
The Role of Population Dynamics in Climate Adaptation
›December 21, 2010 // By Wilson Center StaffThis post is a synthesis of a panel discussion at the UNFPA Population Dynamics and Climate Change conference in Mexico City with Marcia Castro, of the Harvard School of Public Health; Heather D’Agnes, of USAID; and Lori Hunter, of the University of Colorado at Boulder.
It is well-known that environmental change — including climate change — has important impacts on human health. However, it is less well understood how health systems shape the responses of individuals and households to environmental change. Population dynamics — such as fertility, migration, and mortality and morbidity — influence community health and greatly affect community resilience in the face of environmental changes, including the capacity to adapt to climate change.
Mortality and Morbidity
Morbidity and mortality dramatically shape a household’s ability to adapt its livelihood strategies to a changing climate. For example, in areas of high HIV prevalence, such as sub-Saharan Africa, adult mortality seriously undermines livelihood options. In the face of such loss, the household’s reliance on local natural resources intensifies. If environmental change reduces the amount of available resources, the household has fewer options for energy and sustenance.
Morbidity also affects adaptive capacity, and morbidity itself can be shaped by environmental change. For example, environmental scarcity can increase poverty, which can lead to an increase in risky transactional sex, further fueling the HIV pandemic. Malnutrition resulting from drought and environmental shocks can suppress the immune systems of HIV-positive people, making them more vulnerable to illness and less able to adapt to other external changes.
Fertility and Family Planning
Healthier households are more resilient households, so increasing access to health services, including reproductive health services, is essential for building adaptive capacity. High fertility poses challenges to a family’s livelihood and has negative health effects on women and children. Providing reproductive health services is an effective way to improve the capacity of these vulnerable groups to adapt to climate change. For example, a recent study argues that lowering fertility rates in the Himalayan region could increase community resilience to the predicted fluctuations in water quantity.
However, there is a high level of unmet demand for contraception across the globe. How can community adaptation programs help meet this need? Importantly, research from the Philippines suggests that integrating population, health, and environment programs in a package approach to community development is more effective than single-sector interventions. Including family planning and reproductive health services in community-based climate adaptation programs could not only more effectively meet the community’s needs, but could also improve its adaptive capacity better than health or climate programs alone.
Migration
Another population process, migration, can both impact health and affect the capacity for adaptation. For example, internal migration in the Brazilian Amazon appears associated with the spread of malaria, which negatively impacts the adaptive capacity of households. To mitigate climate change’s health impacts, states should more effectively plan settlements and health systems, including health impact assessments for infrastructure and development projects. (Editor’s Note – northern Nigeria and Niger present another example of similar climate-related migratory patterns that significantly impact health and economic resilience.)
In summary, the scientific evidence is clear that population dynamics — such as mortality, fertility, and migration — and environmental trends are linked. Projects intended to improve a community’s ability to adapt to a changing climate should consider and address these linkages in their design and implementation.
Sources: Foundation for Environmental Conservation, UNFPA, USAID.
Photo Credit: “Toureg family in Niger,” courtesy of flickr user ILRI. -
From Cancun: Getting a Climate Green Fund
›Over 9,000 negotiators from 184 countries have gathered for the 16th Conference of the Parties of the UN Framework Convention on Climate Change (UNFCCC), known as COP-16, in Cancun, Mexico. No one expects a binding emissions reduction agreement, but a successful outcome on a set of decisions here – the so-called “balanced package” – will help build trust among countries and make progress towards a final emissions agreement next year.
One of the most important parts of the package is agreement on the creation of a green climate fund – an international fund designed to help developing countries adapt to and mitigate the effects of climate change.
If the negotiations are as successful, as expected, the fund will be part of a package that also includes the architecture for an adaptation body, technology transfer, REDD-plus, and progress towards a binding international mitigation agreement that negotiators hope to conclude at COP-17 in Durban, South Africa.
An event Monday morning co-hosted by Oxfam and the Global Campaign for Climate Action, featured a variety of developed and developing country perspectives about what a new fund for mitigation and adaptation programs should look like.
The event was galvanized by a letter, currently being circulated here at the talks, signed by 215 civil society organizations and calling for “the establishment of a fair global climate fund at COP-16 that will meet the needs and interests and protect the rights of the most vulnerable communities and people around the world.” In opening comments and a question-and-answer session, panelists articulated some of the most contentious points that negotiators are currently discussing, some of the reasons why a green fund is so important, and the implications for global equity, sustainable development, and international security.
A main point under discussion right now is how the fund will be governed. The United States and other developed countries argue that the fund should work under the supervision of the UNFCCC but international financial institutions, like the World Bank, should also assist in creating the fund.
Judith McGregor, the UK ambassador to Mexico, argued in her opening statement that for the United Kingdom, “climate finance… is a clear, clear priority” at the COP, but that the World Bank would lend the fund legitimacy and make donors more confident in the fund’s ability to deliver. Tim Gore from Oxfam expressed the opinion held by many civil society organizations and delegates from developing countries, that the fund must “act under the authority of the UNFCCC… independent from institutions such as the World Bank,” because a new climate fund should have an equitable governance structure that includes the voices of developing countries, civil society members, indigenous peoples, women, and other stakeholders – not a majority share by the developed countries like at the World Bank.
Another stumbling block is how climate finance will be divided between adaptation and mitigation programs. Gore argued that adaptation and mitigation finance must be balanced 50-50, whereas currently “there is a huge adaptation gap… less than 10 percent of current climate finance is going to adaptation.” Evans Njewa, the lead finance negotiator representing the group of Least Developed Countries (LDCs), noted in his statement that “adaptation is the priority for the LDCs [in Cancun].”
The source of these funds is also a contentious issue that divides developed and developing countries. Under the Copenhagen Accord, most of the COP country parties agreed that developed countries would mobilize $30 billion in fast start finance by 2012 and $100 billion per year by 2020 in climate finance from public, private, and other “innovative sources,” such as a carbon tax or cap-and-trade systems. Developed countries like the United States are mobilizing public funds for climate finance but argue that the majority of the $100 billion figure should be provided by private investments and that loans provided by development institutions as well as grants should also count.
Climate finance for adaptation will help make poor, rural communities in particular more resilient to the effects of climate change, including drought, floods and tropical storms, and therefore help the international community to achieve several related development milestones such as the Millennium Development Goals, according to Alzinda Abrea, finance minister of Mozambique.
Cate Owen of the Women’s Environment and Development Organization (WEDO) explained that investing in climate adaptation now “makes good sense” because “investing now in responding to climate change will lessen the long-term costs” to developed country donors.
The message that climate adaptation measures are becoming essential to sustainable development was perhaps delivered most forcefully by Florina Lopez, an indigenous person from Panama, who described the impacts that her people are already suffering as a result of climate change. Since her community survives by fishing, hunting and growing crops, severe flooding is disrupting indigenous ways of life and floods bring assaults on community health, like diarrhea, skin disease, and malnutrition. Community activities that contribute to development such as education and healthcare are also paralyzed by these impacts. Adaptation funding will be essential for her community to survive and to avoid disruptive displacement.
Still, perhaps the most compelling political reason for American taxpayers to invest in climate change adaptation in the developing world is the national security implications of the effects of climate change. A report issued this week by the Center for American Progress and the Alliance for Climate Protection explains why the United States must have a global climate investment strategy, despite adverse economic and political conditions domestically. Adaptation funding will “reduce risks of climate-related national security threats, including from severe floods or droughts in Pakistan and the Middle East” and strengthen our relationships with developing country recipients, including strategically important partners like India, Indonesia, and Brazil, write the authors. Finally, by managing displacement, migration, and violent conflict driven by the effects of climate change, such as water scarcity, climate change adaptation can help bolster international security and stability.
The establishment of a climate green fund here in Cancun is essential for an equitable and balanced international climate deal. A fund is first and foremost the moral imperative of developed countries, known as the Annex-I parties under the UNFCCC, who are historically responsible for greenhouse gas emissions. However, developed countries need not rely on the moral argument to convince policymakers and taxpayers that climate adaptation for the poorest and most vulnerable countries and people is a good investment.
Within the UN process itself, a robust, well-run, equitable green fund would help rebuild the trust lost between developed and developing countries at Copenhagen last year. In Gore’s words, Oxfam is “cautiously optimistic that we can get an agreement here in Cancun that rebuilds trust between rich and poor countries.”
Alex Stark is a program assistant at the Friends Committee on National Legislation, working on the Peaceful Prevention of Deadly Conflict Program. She is attending the Cancun negotiations as part of the Adopt a Negotiator team.
Sources: Alliance for Climate Protection, British Foreign and Commonwealth Office, Center for American Progress, Global Campaign for Climate, Mozambique Ministry of Planning and Finance, Oxfam, UN Framework Convention on Climate Change, Women’s Environment and Development Organization.
Photo Credit: “Will you back a climate fund?,” courtesy of flickr user Oxfam International. -
Nigeria’s Future Clouded by Oil, Climate Change, and Scarcity [Part Two, The Sahel]
›November 19, 2010 // By Schuyler NullIf southern Nigeria’s demographic and environmental problems have helped fuel today’s conflicts, it’s the north’s issues that may feed the conflicts of tomorrow.
Nigeria’s lack of development and poor governance is not exclusive to the delta region, only more well-known because its oil reserves. The north of the country, which is predominately Muslim and accounts for more than half of Nigeria’s population, faces many of the same problems of environmental degradation, lack of jobs, and inadequate infrastructure. Northern Nigeria is also growing much faster than the south, with a total fertility rate of 6.6 children per woman, compared to 4.6 in the southern states. The median age of first-time mothers in northern Nigeria is only 18 years old.Nigeria holds nearly a fifth of the entire population of sub-Saharan Africa. By 2050, it’s expected to pass Indonesia, Brazil, and Bangladesh and take its place among the top five most populous countries in the world, according to UN estimates. But a litany of outstanding and new development, security, and environmental issues – both in the long-troubled Niger delta in the south and the newly inflamed north – present a real threat to one West Africa’s most critical countries.
If southern Nigeria’s demographic and environmental problems have helped fuel today’s conflicts, it’s the north’s issues that may feed the conflicts of tomorrow.
Nigeria’s lack of development and poor governance is not exclusive to the delta region, only more well-known because its oil reserves. The north of the country, which is predominately Muslim and accounts for more than half of Nigeria’s population, faces many of the same problems of environmental degradation, lack of jobs, and inadequate infrastructure. Northern Nigeria is also growing much faster than the south, with a total fertility rate of 6.6 children per woman, compared to 4.6 in the southern states. The median age of first-time mothers in northern Nigeria is only 18 years old.
Climate, Culture, and Discontent in the North
Last summer, in an offensive that stretched across four northern states, a hardline Islamist group called Boko Haram emerged suddenly to challenge the government, attacking police stations, barracks, and churches in escalating violence that claimed more than 700 lives, according to The Guardian. The government responded with a brutal crackdown, but recent targeted killings and a prison break seem to indicate the group is back.
Perhaps most distressingly, Boko Haram appears to have won some local support. Said one local cloth trader to The New York Times in an interview this October, “It’s the government’s fault. Our representatives and our government, they are not sincere. What one person acquires is enough to care for a massive amount of people.”
As in the south, mismanagement of natural resources has also played a role in creating a dangerous atmosphere of distrust in the government. After gold was discovered this spring in northwestern Nigeria, many under- and unemployed flocked to the region to try their luck, but they also unwittingly contaminated local water with high levels of lead. Although the state health officials say they have now identified more than 180 villages thought to be affected, the epidemic was only discovered after a French NGO stumbled upon it while testing for meningitis in June. More than 400 infant deaths have been connected to the mining, according to Reuters.
Contributing to natural resource-related misery in the north are climatic changes. Declining rainfall in the West African Sahel over the last century has pushed rain belts successively south, driving pastoralists into areas often already occupied. According to Anthony Nyong’s work, presented in ECSP Report 12, these changes have elevated competition over natural resources to the single most common cause of conflict in northern Nigeria in recent years.
In addition to the long-term trend of declining rainfall, an acute drought in 2009 and another this year in neighboring Niger and Chad have created the worst food security crisis in 30 years. The droughts have also driven a great deal of cross-border migration into Nigeria, which itself saw lower than usual rainfall in the north, especially the northeast, around the ever-disappearing Lake Chad (see map above for resulting migration patterns).
What rain did fall in the border areas fell suddenly and torrentially, causing rampant flooding that affected two million people. The floods not only caused physical damage but also came just before harvest season, destroying many crops and further reducing food security. Made more vulnerable by the number of displaced people and flooding, the area was then hit with its worst cholera outbreak in years, which has killed 1,500 people so far and spread south.
Cholera is not the only preventable disease to flourish in northern Nigeria in recent years. In 2003, cleric-driven fear of a U.S. plot to reduce fertility in Muslim women caused the widespread boycott of a UN-led polio vaccination drive. The fast-spreading disease then emerged in six of Nigeria’s neighbors where the disease had previously been eradicated. The northern states today remain the only consistently polio-endemic area in Africa, according to the Global Polio Eradication Initiative.
“A Stable Nigeria Is a Stable Africa”
Nigeria’s size and its wealth of natural resources make it a strategically important country for the future of the region. “A stable Nigeria is a stable Africa,” said Wilson Center scholar and former NEITI officer Uche Igwe in an interview. “Nigeria is 150 million people and the minute Nigeria becomes unstable, the West Africa sub-region will be engulfed.”
While there have been some strides in recent years in reducing corruption and addressing infrastructure needs (for example, NEITI’s work to promote revenue transparency), the development, health, environmental security, and human security situations remain dire in many parts of the country. With one of the fastest growing populations in the world and severe environmental problems in both the north and the south, scarcity will almost certainly be a challenge that Nigeria will have to face in the coming years. How the government responds to these challenges moving forward is therefore critical.
In 2008, in response to high oil prices, British Prime Minister Gordon Brown announced his intentions to send military aid to help combat Niger Delta militants. The statement was met with dismay from humanitarian organizations and caused the collapse of a ceasefire (which was then resumed for a time and now seems to be falling apart again). Brown was forced to backtrack into simply offering training support to Nigerian security forces.
In terms of U.S. assistance, USAID requested $560 million for Nigeria in FY 2010 – 75 percent of which is allocated towards HIV/AIDS – and the U.S. military has engaged in joint exercises with Nigerian forces. But so far, little has been done to integrate U.S. aid in a cohesive manner. Given the breadth of these issues, such integration is crucial.
“We need partners, like the United States and Europe, who have a stake in stability – in Nigeria, the Niger Delta, the Gulf of Guinea, and the world,” Igwe said. It remains to be seen what the Nigerian reaction would be to an offer of aid from the West that addresses not only the country’s security issues but also its myriad other problems, in a substantial and integrated fashion.
Part one on Nigeria’s future – The Delta – addresses oil, insurgency, and the environment in the south.
Sources: AFP, AFRICOM, AP, BBC, Global Polio Eradication Initiative, The Guardian, Independent, The New York Times, ReliefWeb, Reuters, SaharaReporters, USAID.
Photo Credit: “The Ranch,” courtesy of flickr user Gareth-Davies, and “Niger and Nigeria: Food security drives population movement,” courtesy of the U.S. State Department. -
Yale Environment 360: ‘When The Water Ends: Africa’s Climate Conflicts’
›November 10, 2010 // By Wilson Center StaffOriginally posted on Yale Environment 360:
For thousands of years, nomadic herdsmen have roamed the harsh, semi-arid lowlands that stretch across 80 percent of Kenya and 60 percent of Ethiopia. Descendants of the oldest tribal societies in the world, they survive thanks to the animals they raise and the crops they grow, their travels determined by the search for water and grazing lands.These herdsmen have long been accustomed to adapting to a changing environment. But in recent years, they have faced challenges unlike any in living memory: As temperatures in the region have risen and water supplies have dwindled, the pastoralists have had to range more widely in search of suitable water and land. That search has brought tribal groups in Ethiopia and Kenya in increasing conflict, as pastoral communities kill each other over water and grass.
When the Water Ends, a 16-minute video produced by Yale Environment 360 in collaboration with MediaStorm, tells the story of this conflict and of the increasingly dire drought conditions facing parts of East Africa. To report this video, Evan Abramson, a 32-year-old photographer and videographer, spent two months in the region early this year, living among the herding communities. He returned with a tale that many climate scientists say will be increasingly common in the 21st century and beyond — how worsening drought in parts of Africa, the Middle East, and elsewhere will pit group against group, nation against nation. As one UN official told Abramson, the clashes between Kenyan and Ethiopian pastoralists represent “some of the world’s first climate-change conflicts.”
But the story recounted in When the Water Ends is not only about climate change. It’s also about how deforestation and land degradation — due in large part to population pressures — are exacting a toll on impoverished farmers and nomads as the earth grows ever more barren.
The video focuses on four groups of pastoralists — the Turkana of Kenya and the Dassanech, Nyangatom, and Mursi of Ethiopia — who are among the more than two dozen tribes whose lives and culture depend on the waters of the Omo River and the body of water into which it flows, Lake Turkana. For the past 40 years at least, Lake Turkana has steadily shrunk because of increased evaporation from higher temperatures and a steady reduction in the flow of the Omo due to less rainfall, increased diversion of water for irrigation, and upstream dam projects. As the lake has diminished, it has disappeared altogether from Ethiopian territory and retreated south into Kenya. The Dassanech people have followed the water, and in doing so have come into direct conflict with the Turkana of Kenya.
The result has been cross-border raids in which members of both groups kill each other, raid livestock, and torch huts. Many people in both tribes have been left without their traditional livelihoods and survive thanks to food aid from nonprofit organizations and the UN.
The future for the tribes of the Omo-Turkana basin looks bleak. Temperatures in the region have risen by about 2 degrees F since 1960. Droughts are occurring with a frequency and intensity not seen in recent memory. Areas once prone to drought every ten or eleven years are now experiencing a drought every two or three. Scientists say temperatures could well rise an additional 2 to 5 degrees F by 2060, which will almost certainly lead to even drier conditions in large parts of East Africa.
In addition, the Ethiopian government is building a dam on the upper Omo River — the largest hydropower project in sub-Saharan Africa — that will hold back water and prevent the river’s annual flood cycles, upon which more than 500,000 tribesmen in Ethiopia and 300,000 in Kenya depend for cultivation, grazing, and fishing.
The herdsmen who speak in this video are caught up in forces over which they have no real control. Although they have done almost nothing to generate the greenhouse gas emissions that cause global warming, they may already be among its first casualties. “I am really beaten by hunger,” says one elderly, rail-thin Nyangatom tribesman. “There is famine — people are dying here. This happened since the Turkana and the Kenyans started fighting with us. We fight over grazing lands. There is no peace at all.”
Watch When the Water Ends: Africa’s Climate Conflicts on Yale Environment 360.
For more on integrated PHE development and the Horn of Africa, see “The Beat on the Ground: Video: Population, Health, and Environment in Ethiopia” and “As Somalia Sinks, Neighbors Face a Fight to Stay Afloat,” on The New Security Beat. -
Meeting the Needs of Latin America’s Rural and Urban Populations
›October 14, 2010 // By Kayly OberThere are two Latin Americas according to demographers. In one of the most urbanized regions of the world, the population of some countries remains highly rural. While countries like Chile, Argentina, and Uruguay are close to 90 percent urbanized, much of Central America, as well as Ecuador, Paraguay, and Bolivia, are only about 50-60 percent urban.
Across the continent, Latin America’s total fertility rate has fallen from almost six children per woman in the 1960s to 2.2 children in 2005. Population growth rates are projected to continue to decline from 1.5 percent in 2010 to roughly 0.75 percent by 2020. But less-urbanized countries continue to experience high population growth in their rural areas, particularly among their large indigenous populations, who are not experiencing the same shifts from high to low fertility.
For example, since 1990, communities surrounding Guatemala’s Sierra de Lacandon National Park have grown by 10 percent each year, with birthrates averaging eight children per woman. These larger communities and households have led to agricultural expansion into the park, which has lost 10 percent of its forest canopy since 1990.
Rural-to-rural migration is also a key, but often overlooked, dynamic as migrants move to other rural areas in search of new land to farm. Between 1961 and 2001, Central America’s rural population increased by 59 percent. This increased population was accompanied by a 15 percent increase in deforestation, totaling some 13 million hectares.
Although many rural areas of Latin America have high fertility rates and expanding populations, they also have a high unmet demand for contraception. Indigenous populations are particularly underserved by health providers for many reasons, including cultural barriers, language, and accessibility. According to the Population Reference Bureau, an estimated 50 percent of indigenous women in the Ecuadorian Amazon do not want another child, yet 98 percent of them do not have access to a modern contraceptive method.
While reaching historically disadvantaged populations in rural communities is not easy, some programs have had considerable success—and saved money—by combining environmental and health efforts. For example, the Guatemalan NGO ProPeten trained more than 80 midwives and health promoters and developed a radio soap opera in both Spanish and Q’eqchi’ to deliver health services and environmental education to the communities living near the Maya Biosphere Reserve.
Given links between rural population growth and agricultural expansion, expanding access to family planning may not only be a cost-effective way to help women reach their desired family size, but also a smart investment in forest conservation and climate mitigation—and perhaps a down-payment on a more secure future for all. -
The Tenth Parallel: Dispatches From the Fault Line Between Christianity and Islam
›The latitudinal tenth parallel — located 700 miles above the equator — constitutes a “faith-based fault line” between Islam and Christianity, said Eliza Griswold at the launch of her latest book, The Tenth Parallel: Dispatches from the Fault Line Between Christianity and Islam at the Wilson Center on September 16, 2010. The former Wilson Center public policy scholar traveled more than 9,000 miles to six countries along the line. One quarter of the world’s Muslim population lives north of the line, while one-fourth of the world’s Christian population lives south of it.
Religious Conflict and Environmental Peacemaking
The tenth parallel is vulnerable to intense religious conflicts, exacerbated by the imposition of colonial-era national borders. Griswold collected stories from tribal leaders, presidents, and missionaries that reveal subtle linkages between religious conflict, politics, and environmental change. “Every single religious conflict I saw had a worldly trigger, whether land, oil, or water,” she said, because these groups tend to self-identify along lines of religion, “even over any kind of ethnicity.”
In the town of Abiay, Sudan, Griswold described a fight “over who’s going to get that oil, and how they’re going to divide themselves. Religion comes in as an overlay, because the north pushes the people of the south farther south by saying, ‘Guess what? We need that land, and why? Because our Muslim people need that land for their cattle,’ but underneath that land runs a river of oil.”
But in these origins of conflict Griswold finds an avenue to peace: “Environmental challenges seem to work well in areas of religious conflict” as a neutral meeting ground, she said.
For example, in the Nigerian city Kaduna, where Christians and Muslims have clashed violently, two former mortal enemies and self-avowed fundamentalists work together to deprogram the youth they trained to protect their faith through violence. At the Interfaith Reconciliation Center, Pastor James (who lost an arm to a group of Muslims) and Imam Muhammed Nurayn Ashafa use practical aspects of living to encourage interfaith dialogue. During Griswold’s visit, it was fuel-efficient cookstoves, “because that’s one of the things Christians and Muslims fight about…whether land, water, oil.”
Such concrete examples of environmental peacemaking offer future policy options for mitigating conflicts in other areas. “The tenth parallel is one of the most sensitive environmental zones in the world…so do I think it’s replicable? Absolutely,” said Griswold.
The Changing Demographics of Religion
Today, “four out of five of the world’s one billion Muslims don’t live in the Middle East; they live in Africa and they live in Asia. More than half of them live along the tenth parallel, and about half of the world’s two billion Christians also live along the tenth parallel,” sais Griswold.
She explained that the migration of Islam to Africa stopped along the tenth parallel because of the tsetse flies and the devastating sleeping sickness they carried.
Later, colonial-era European missionaries arrived, many with “the express purpose of stopping Islam from winning Africa, from spreading south of the tenth parallel,” she said. For example, Britain’s division of Sudan restricted Muslims to the north and Christians to the south, where missionaries developed and constructed the southern Sudanese state.
“Many of these places are failed states…and religion has come in largely to fill the gaps,” said Griswold. “The world is breaking down on tribal lines and religion is the largest tribe there is, more so than ethnicity, more so than other global markers.”
Based on population projections, Griswold pointed out that “the center of Christianity, in 2050 will be on the tenth parallel…in Muslim Nigeria.”
Historical Echoes
Historically, aid and development work along the tenth parallel “was not a secular enterprise,” Griswold said, since most of the aid workers were Christian missionaries. “So there is a very long history and a very strong association between the West and Christianity in many, many places,” she pointed out.
This history has long affected American foreign policy and perceptions of the United States abroad. According to Griswold, “foreign policy [has] come to reflect the interests of selective groups of Americans.” For that reason, “we really need to call for caution in how we allow ourselves to be represented and in the diversity of voices that get out there,” she advised.
For example, the evangelical preacher Franklin Graham met with Bashir in 2003 to ask for the right to proselytize in northern Sudan. In exchange, Bashir hoped to avoid being added to “the American ‘hit list’ after Afghanistan and Iraq,” reported Griswold. Graham told her that in response he took out a George W. Bush re-election pin and said, “Mr. President, I understand you’ll be talking to my president later today. Why don’t you tell him you’re his first voter here in the Sudan?”
In the same vein, Griswold cautioned against perpetuating American ignorance of Muslim culture:We, especially in America, are extremely aware of this fight over who speaks for God. Because I think, when we see what’s happening on the steps of the Lincoln Memorial or at Ground Zero, we’re looking at a struggle inside of a broader Christian context between Franklin Graham and Barack Obama over who a true Christian is. And Islam becomes the easiest bogeyman. The quickest way to whip up fear in followers is to create a shared enemy.
“The single most important finding of the book,” Griswold concluded, “was that the clashes within religions, the clashes between Christians and Christians, Muslims and Muslims, over who has the right to speak for God, are the most important and most overlooked religious conflicts going on today.”
Shawna Cuan is an intern with the Environmental Change and Security Program. Edited by Meaghan Parker.
Photo Credit: “Farmer Harvests Sorghum Seeds in Sudan,” courtesy of flickr user United Nations Photo. -
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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