In Bangdong Village, Yunnan, Matthew Chitwood wanted to do his part to keep the stunning mountainous area clean during his two-year residency as a China fellow at the Institute of Current World Affairs. One day he took his empty beer bottles to a local convenience shop for recycling, but the owners would not accept them. He was told to dump them over the embankment. Looking down the slope at the accumulated piles of broken furniture, soggy socks, food waste, and crushed soda cans entangled with plastic bags, Matt refused. Later, Matt’s friends flung his bottles into the gully. He related his frustrating recycling attempt to Mao Da, the founder of China Zero Waste Alliance, who told Matt that “rural trash management itself is a misnomer… It’s really just trash relocation.”

Each year, 700 women in the United States die as a result of pregnancy-related complications. In fact, the United States has the highest maternal mortality ratio of all high-income countries—16.7 maternal deaths per 100,000 live births. For Indigenous/Alaskan Native women, that number is even higher: Indigenous/Alaska Natives are 2.3 times more likely to die from pregnancy-related complications than their white counterparts. While recent years have seen growing national attention to the U.S. maternal mortality crisis, research and advocacy for Indigenous peoples’ maternal health in the United States has been limited. This research gap includes the Alaskan Native peoples—Iñupiat, Yupik, Aleut, Eyak, Tlingit, Haida, Tsimshian, and multiple Diné tribes.

The polar regions of Antarctica and the Arctic have long captured the world’s imagination as seas and continents covered in unending ice. But the reality of the two regions is quickly shifting, with cascading consequences for the globe.

“We need more Indigenous midwives,” said Claire Dion Fletcher, an Indigenous Potawatomi-Lenape Registered Midwife and co-chair of the National Aboriginal Council of Midwives (NACM), at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the International Confederation of Midwives about Indigenous midwifery. Globally, Indigenous women experience worse maternal health outcomes than non-Indigenous women. In the United States, risk of maternal death is twice as high for Native women than white women, while in Australia the risk is four and a half times higher.

Simply put, without water there is no food. Global food and nutritional security require resilient agricultural systems, which, in turn, depend on reliable and sustainable supplies of freshwater, whether from rainfall or irrigation. It is an often-neglected dependency, and one that threatens to undermine our ability to meet our future food needs and maintain the ecosystems upon which all life depends.