Urbanization is changing the face of poverty and marginalization, and the maternal and newborn health field needs to change too, said a panel of experts at the Wilson Center on January 24.

In 2004 I was honored to be interviewed for The Lancet medical journal’s “Lifeline” series. I had just come away from a disastrous short tenure as the interim minister of health in Iraq following the 2003 war. I had support from former Secretary of State Colin Powell to rapidly mitigate and recover the war-related destruction of essential public health infrastructure and protections required as occupiers under Articles 55 and 56 of the Geneva Conventions that follow every war.

Do you experience information overload? Feel like there’s always another crisis to worry about? Sense a kind of chaos? Well, you may be a citizen of the early 21^st century.

Where violent conflict displaces people and disrupts societies, maternal and child health suffers, and such instability is widespread today. According to the UN Refugee Agency, there are 65.3 million forcibly displaced people, 21.3 million refugees, and 10 million stateless people over the world. In addition, more than 65 million people who are not displaced are affected by conflict.

As global climate change affects livelihoods across the world, migration patterns are also changing. In a recent study published in Global Environmental Change, Clark Gray, Valerie Mueller, and I found that since the 1970s, climatic variations have been increasing internal migration across many South American countries, with few exceptions. And many people are headed to cities.

The 2015 edition of the annual Vienna Yearbook of Population Research is a special issue on differential demographic vulnerability to climate-related disasters. Many of the 16 articles are worth reading, but here are 2 of particular interest.

“By 2050 the world urban population is expected to nearly double, making urbanization one of the 21st century’s most transformative trends.” -Draft “Quito Declaration on Sustainable Cities and Human Settlements for All,” September 2016

Featured side by side at the top of The New York Times home page recently were two stories: one on the United States and China, the world’s largest producers of carbon emissions, committing to a global climate agreement, another on how rising seas are already affecting coastal communities in the United States.