A Plea for a UN Summit on the Global Food Crisis

Civil Society, Featured, Food and Agriculture, Global, Headlines, IPS UN: Inside the Glasshouse, Poverty & SDGs, Sustainable Development Goals, TerraViva United Nations

UNITED NATIONS, Aug 25 2023 (IPS) – A coalition of civil society organizations, (CSOs), including climate activists, anti-poverty campaigners and celebrity chefs, are among those calling for an emergency meeting of world leaders on the global food crisis during the UN General Assembly (UNGA) sessions in New York next month.


With 735 million people going hungry, 122 million more than before the COVID-19 pandemic, the organizers of the ‘Elephant in the Room’ campaign say the food crisis is being overlooked by world leaders, with devastating consequences.

An open letter to world leaders, signed by supporters, including climate activist Vanessa Nakate, award-winning farming advocate Wangari Kuria, musician and philanthropist Octopizzo, SDG Advocate Richard Curtis, and US celebrity chef Andrew Zimmern, says the food crisis is being ignored – “a victim of siloed approaches as it’s so multidimensional”.

The letter calls for a massive joined-up response at the highest levels of government. “You know there is a global food crisis. You are ignoring it in your budgets. You do not address it enough with the media. It is not high on your agenda for the G20, UNGA or COP28. And so, it remains an elephant in the room.” (an obvious problem that people do not want to talk about.)

“As leaders, you have allowed this emergency to unfold. The solutions to end the food crisis exist. It is your responsibility to lead the world out of disasters, not compound them.”

Launched by Hungry for Action, the campaign is supported by over 40 organizations including Save the Children, the ONE Campaign and Global Citizen and is coordinated by the SDG2 Advocacy Hub.

https://sdg2advocacyhub.org/index.php/actions/elephant-room-0

The plea for a summit of world leaders on the global food crisis coincides with three unprecedented high-level political meetings in September: the Sustainable Development Goals (SDG) Summit on September 18-19; a high-level dialogue on Financing for Development (FfD) on September 20; and a Summit of the Future on September 21.

Danielle Nierenberg, President and Founder, Food Tank told IPS the world is facing multiple emergencies–the climate crisis, the public health crisis, the biodiversity loss crisis, and the hunger crisis.

To address these challenges, she said, “we need urgent action–not by 2030–but today. I am thankful for the efforts of activists and advocates who are pushing for change.”

“But we need policymakers to treat these crises like the emergency they are and push for positive transformation of how we produce and consume food at UNGA. We can’t wait any longer.”

Joseph Chamie, a former director of the UN Population Division, and an independent consulting demographer, told IPS there is no question about an increasing and worrisome global food crisis.

“About one billion people, or nearly 12 percent of the world’s population, face severe levels of food insecurity with 735 million people going hungry,” he said.

There is plenty of food in the world. While the world’s population has doubled from 4 to 8 billion over the past fifty years, global food production has more than tripled, said Chamie, who served as the Deputy Secretary-General for the 1994 International Conference on population and development and has worked in various regions of the world.

There is a consensus on the causes of the global food crisis, he argued.

Among the major causes of the global food crisis, he singled out “armed conflict and violence; climate change with extreme weather events and emergencies; poverty and economic shocks with soaring prices for fertilizer”.

He pointed out that there is much that can be done to address the global food crisis.

“World leaders need to adopt policies, provide additional funds and take action to address the major factors creating the global food crisis. The major media outlets need to do more to inform the world community about the global food crisis”.

There are no reasons, he said, for delays in addressing the global food crisis. “It is necessary and appropriate to convene an emergency meeting of world leaders on the global food crisis at the UN General Assembly in New York next month.”

Countries, international agencies and responsible others need to act today to address the global food crisis, not in some distant future.

“Hungry people, especially children, can’t eat excuses, they need food today,” said Chamie, the author of numerous publications on population issues, including his recent book, “Population Levels, Trends, and Differentials“.

Meanwhile, the Hungry for Action campaign says the global food crisis is caused by a combination of conflict, climate change, rising food prices and the punishing debt burdens faced by many poorer countries, 21 of which now face catastrophic levels of debt distress and food insecurity.

“Admitting the scope of the problem is the first step towards solving it,” said Rev. Eugene Cho, president and CEO of the U.S.-based Christian anti-hunger organization Bread for the World.

“Several countries, including the U.S., have acknowledged there is a problem and taken steps to address it. That is a good start. But it is not enough to get us out of the crisis. The global food and malnutrition crisis is a climate crisis, a conflict crisis, and a rising costs crisis: it demands a powerful and unified global response.”

This year’s UN appeals for emergency assistance are only just over a quarter funded, much lower than for the last global food crisis in 2008, and yet there are twice as many additional people going hungry compared to 2008 levels.

“There is nothing inevitable about children dying because they don’t have enough to eat, just as there is nothing inevitable about families in rich countries queuing for food banks,” said climate activist, Vanessa Nakate.

“There is nothing inevitable about a food system that cannot withstand shocks from climate change or conflict. There is enough food in the world for everyone.”

“During the last major global food crisis, following the 2008 economic crash, we saw world leaders coming together at the G8 summit in L’Aquila, Italy, to make bold commitments,” said David McNair, Executive Director for Policy at the One Campaign

“This year, as we live through a so-called ‘polycrisis’, the food crisis seems to be getting lost, a victim of a siloed approach to tackling the world’s problems.”

According to the campaign, action to tackle the global food crisis should focus on three key elements: saving lives, building resilience of affected communities to withstand climate and food price shocks, and securing the future by reform of the global food system to make it more sustainable and equitable.

Solutions world leaders should progress at an emergency meeting include:

    • Fully funding the UN’s $55bn humanitarian appeals and doubling climate adaptation funding for lower income countries, while also cancelling their debts and reforming the multilateral financial system to unlock vital funds.
    • Investing in the smallholder farmers, health workers and communities on the frontlines of the food crisis, including through social protection programmes.
    • Fixing the broken global food system by supporting more sustainable farming, diversifying crops, improving nutrition and access to a healthy diet, and reducing food waste.

These measures would break the cycle of crisis and could save the world billions at the same time, campaigners said.

IPS UN Bureau

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Empowering Women in Assam: Livestock Farming Brings Economic Relief Post-COVID

Aid, Asia-Pacific, Civil Society, Development & Aid, Editors’ Choice, Featured, Food and Agriculture, Food Security and Nutrition, Food Sustainability, Headlines, Humanitarian Emergencies, Poverty & SDGs, Sustainable Development Goals, TerraViva United Nations

Food and Agriculture

Goat rearing is contributing to economic independence and improved livelihoods of women thanks to a post-COVID-19 empowerment project. CREDIT: Umar Manzoor Shah/IPS

Goat rearing is contributing to economic independence and improved livelihoods of women thanks to a post-COVID-19 empowerment project. CREDIT: Umar Manzoor Shah/IPS

MILONPUR, INDIA, Aug 8 2023 (IPS) – Seema Devi is a 39-year-old woman hailing from India’s northeastern state of Assam. She lives in a village called Milonpur, a small hamlet with no more than 1 000 inhabitants. While most men from the village, including Devi’s husband, move to cities and towns in search of work, women are left behind to take care of the house and kids.


Devi says that after the COVID-19 lockdown in India in the year 2020, the family income drastically plummeted. As most of the factories were shut for months, the workers, including Devi’s husband, were jobless. Even after the lockdown ended and workers were called back to the factories, the wages dipped.

“Earlier my husband would earn no less than Rs 10 000 a month (125 USD), and after the lockdown, it wasn’t more than a mere 6 000 rupees (70 USD). My children and I would suffer for the want of basic needs like medicine and clothing, but at the same time, I was considerate of the situation and helplessness of my husband,” Devi told IPS.

However, there were few alternatives available at home that could have mitigated Devi’s predicament. With the small area of ancestral land used for cultivation, the change in weather patterns caused her family and several households in the village to reap losses.

However, in 2021, a non-government organization visited the hamlet to assess the situation in the post-COVID scenario. The villagers told the team about how most of the men in the village go out to cities and towns in search of livelihood and work as labourers in factories and that their wages have come down due to economic distress in the country.

After hectic deliberations, about ten self-help groups of women were created. They trained in livestock farming and how this venture could be turned into a profitable business.

The women were initially reluctant because they were unaware of how to make livestock farming profitable. They would ask the members of the charitable organisation questions like, “What if it fails to yield desired results? What if some terrible disease affects the animals, and what if the livestock wouldn’t generate any income for them?”

Wilson Kandulna, who was the senior member of the team, told IPS that experts were called in to train the women about cattle rearing and how timely vaccinations, proper feed, and care could make livestock farming profitable and mitigate their basic living costs. “At first, we provided ten goat kids to each women’s group and made them aware of the dos and don’ts of this kind of farming. They were quick to learn and grasped easily whatever was taught to them,” Wilson said.

He added that these women were living in economic distress due to the limited income of their husbands and were desperately anxious about the scarcity of proper education for children and other daily needs.

Devi says that as soon as she got the goat kids, she acquired basic training in feeding them properly and taking them for vaccinations to the nearby government veterinary hospital.

“Two years have passed, and now we have hundreds of goats as they reproduce quickly, and we are now able to earn a good income. During the first few months, there were issues like feeding problems, proper shelter during monsoons and summers, and how and when we should take them out for grazing. As time passed and we learned the skills, we have become very trained goat rearers,” Devi said.

Renuka, another woman in the self-help group, told IPS that for the past year, they have been continuously getting demands for goat milk from the main towns. “People know about the health benefits of goat milk. They know it is organic without any preservatives, and that is the reason we have a very high demand for it. We sell it at a good price, and at times, demand surpasses the supply,” Renuka said.

For Devi, livestock farming has been no less than a blessing. She says she earns more than five thousand rupees a month (about 60 USD) and has been able to cover daily household expenses all by herself. “I no longer rely on my husband for household expenses. I take care of it all by myself. My husband, too, is relieved, and things are getting back on track,” Devi said, smiling.

Kalpana, a 32-year-old member of the group, says the goats have increased in number, and last year, several of them were sold in the market at a good price.

“The profits were shared by the group members. Earlier, women in this village were entirely dependent on their husbands for covering their basic expenses. Now, they are economically self-reliant. They take good care of the house and of themselves,” Kalpana told IPS News.

Note: Names of some of the women have been changed on their request.

IPS UN Bureau Report

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Biodigesters Light Up Clean Energy Stoves in Rural El Salvador

Marisol and Misael Menjívar pose next to the biodigester installed in March in the backyard of their home in El Corozal, a rural settlement located near Suchitoto in central El Salvador. With a biotoilet and stove, the couple produces biogas for cooking from feces, which saves them money. The biotoilet can be seen in the background. CREDIT: Edgardo Ayala / IPS

Marisol and Misael Menjívar pose next to the biodigester installed in March in the backyard of their home in El Corozal, a rural settlement located near Suchitoto in central El Salvador. With a biotoilet and stove, the couple produces biogas for cooking from feces, which saves them money. The biotoilet can be seen in the background. CREDIT: Edgardo Ayala / IPS

By Edgardo Ayala
SUCHITOTO, El Salvador , Jul 25 2023 (IPS)

A new technology that has arrived in rural villages in El Salvador makes it possible for small farming families to generate biogas with their feces and use it for cooking – something that at first sounded to them like science fiction and also a bit smelly.


In the countryside, composting latrines, which separate urine from feces to produce organic fertilizer, are very popular. But can they really produce gas for cooking?

“It seemed incredible to me,” Marisol Menjívar told IPS as she explained how her biodigester, which is part of a system that includes a toilet and a stove, was installed in the backyard of her house in the village of El Corozal, near Suchitoto, a municipality in the central Salvadoran department of Cuscatlán.”When the first ones were installed here, I was excited to see that they had stoves hooked up, and I asked if I could have one too.” — Marisol Menjívar

“When the first ones were installed here, I was excited to see that they had stoves hooked up, and I asked if I could have one too,” added Marisol, 48. Hers was installed in March.

El Corozal, population 200, is one of eight rural settlements that make up the Laura López Rural Water and Sanitation Association (Arall), a community organization responsible for providing water to 465 local families.

The families in the small villages, who are dedicated to the cultivation of corn and beans, had to flee the region during the country’s 1980-1992 civil war, due to the fighting.

After the armed conflict, they returned to rebuild their lives and work collectively to provide basic services, especially drinking water, as have many other community organizations, in the absence of government coverage.

In this Central American country of 6.7 million inhabitants, 78.4 percent of rural households have access to piped water, while 10.8 percent are supplied by wells and 10.7 percent by other means.

With small stoves like this one, a score of families in El Corozal in central El Salvador cook their food with biogas they produce themselves, thanks to a government program that has brought clean energy technology to these remote rural villages. CREDIT: Edgardo Ayala / IPS

With small stoves like this one, a score of families in El Corozal in central El Salvador cook their food with biogas they produce themselves, thanks to a government program that has brought clean energy technology to these remote rural villages. CREDIT: Edgardo Ayala / IPS

Simple green technology

The biodigester program in rural areas is being promoted by the Salvadoran Water Authority (Asa).

Since November 2022, the government agency has installed around 500 of these systems free of charge in several villages around the country.

The aim is to enable small farmers to produce sustainable energy, biogas at no cost, which boosts their income and living standards, while at the same time improving the environment.

The program provides each family with a kit that includes a biodigester, a biotoilet, and a small one-burner stove.

In El Corozal, five of these kits were installed by Asa in November 2022, to see if people would accept them or not. To date, 21 have been delivered, and there is a waiting list for more.

In El Corozal, a rural settlement in the municipality of Suchitoto in central El Salvador, the technology of family biodigesters arrived at the end of last year, and some families are now producing biogas to light up their stoves and cook their food at no cost. CREDIT: Edgardo Ayala / IPS

In El Corozal, a rural settlement in the municipality of Suchitoto in central El Salvador, the technology of family biodigesters arrived at the end of last year, and some families are now producing biogas to light up their stoves and cook their food at no cost. CREDIT: Edgardo Ayala / IPS

“With the first ones were set up, the idea was for people to see how they worked, because there was a lot of ignorance and even fear,” Arall’s president, Enrique Menjívar, told IPS.

In El Corozal there are many families with the surname Menjívar, because of the tradition of close relatives putting down roots in the same place.

“Here we’re almost all related,” Enrique added.

The biodigester is a hermetically sealed polyethylene bag, 2.10 meters long, 1.15 meters wide and 1.30 meters high, inside which bacteria decompose feces or other organic materials.

This process generates biogas, clean energy that is used to fuel the stoves.

The toilets are mounted on a one-meter-high cement slab in latrines in the backyard. They are made of porcelain and have a handle on one side that opens and closes the stool inlet hole.

 One of the main advantages that family biodigesters have brought to the inhabitants of El Corozal, a small village in the Salvadoran department of Cuscatlán, is that the whole process begins with clean, hygienic toilets, like this one set up in Marleni Menjívar's backyard, as opposed to the older dry composting latrines, which drew flies and cockroaches. To the left of the toilet is the small handle used to pump water to flush the feces into the biodigester. CREDIT: Edgardo Ayala / IPS

One of the main advantages that family biodigesters have brought to the inhabitants of El Corozal, a small village in the Salvadoran department of Cuscatlán, is that the whole process begins with clean, hygienic toilets, like this one set up in Marleni Menjívar’s backyard, as opposed to the older dry composting latrines, which drew flies and cockroaches. To the left of the toilet is the small handle used to pump water to flush the feces into the biodigester. CREDIT: Edgardo Ayala / IPS

They also have a small hand pump, similar to the ones used to inflate bicycle tires, and when the handle is pushed, water is pumped from a bucket to flush the waste down the pipe.

The underground pipe carries the biomass by gravity to the biodigester, located about five meters away.

The system can also be fed with organic waste, by means of a tube with a hole at one end, which must be opened and closed.

Once it has been produced, the biogas is piped through a metal tube to the small stove mounted inside the house.

“I don’t even use matches, I just turn the knob and it lights up,” said Marisol, a homemaker and caregiver. Her husband Manuel Menjívar is a subsistence farmer, and they have a young daughter.

In El Corozal, biodigesters have been installed for families of four or five members, and the equipment generates 300 liters of biogas during the night, enough to use for two hours a day, according to the technical specifications of Coenergy, the company that imports and markets the devices.

But there are also kits that are used by two related families who live next to each other and share the equipment, which includes, in addition to the toilet, a larger biodigester and a two-burner stove.

With more sophisticated equipment, electricity could be generated from biogas produced from landfill waste or farm manure, although this is not yet being done in El Salvador.

 Marleni Menjivar gets ready to heat water on her ecological stove, watched closely by her four-year-old daughter, in El Corozal in central El Salvador, where an innovative government program to produce biogas has arrived. With this technology, people save money by buying less liquefied gas while benefiting the environment. CREDIT: Edgardo Ayala / IPS

Marleni Menjivar gets ready to heat water on her ecological stove, watched closely by her four-year-old daughter, in El Corozal in central El Salvador, where an innovative government program to produce biogas has arrived. With this technology, people save money by buying less liquefied gas while benefiting the environment. CREDIT: Edgardo Ayala / IPS

Saving money while caring for the environment

The families of El Corozal who have the new latrines and stoves are happy with the results.

What they value the most is saving money by cooking with gas produced by themselves, at no cost.

They used to cook on wood-burning stoves, in the case of food that took longer to make, or on liquefied gas stoves, at a cost of 13 dollars per gas cylinder.

Marleni Menjívar, for example, used two cylinders a month, mainly because of the high level of consumption demanded by the family business of making artisanal cheeses, including a very popular local kind of cottage cheese.

Every day she has to cook 23 liters of whey, the liquid left after milk has been curdled. This consumes the biogas produced overnight.

For meals during the day Marleni still uses the liquefied gas stove, but now she only buys one cylinder a month instead of two, a savings of about 13 dollars per month.

“These savings are important for families here in the countryside,” said Marleni, 28, the mother of a four-year-old girl. The rest of her family is made up of her brother and grandfather.

“We also save water,” she added.

The biotoilet requires only 1.2 liters of water per flush, less than conventional toilets.

In addition, the soils are protected from contamination by septic tank latrines, which are widely used in rural areas, but are leaky and unhygienic.

The new technology avoids these problems.

The liquids resulting from the decomposition process flow through an underground pipe into a pit that functions as a filter, with several layers of gravel and sand. This prevents pollution of the soil and aquifers.

Also, as a by-product of the decomposition process, organic liquid fertilizer is produced for use on crops.

Most families in the rural community of El Corozal have benefited from one-burner stoves that run on biogas produced in family biodigesters. Larger two-burner stoves are also shared by two related families, where they cook on a griddle one of the favorite dishes of Salvadorans: pupusas, corn flour tortillas filled with beans, cheese and pork, among other ingredients. CREDIT: Coenergy El Salvador

Most families in the rural community of El Corozal have benefited from one-burner stoves that run on biogas produced in family biodigesters. Larger two-burner stoves are also shared by two related families, where they cook on a griddle one of the favorite dishes of Salvadorans: pupusas, corn flour tortillas filled with beans, cheese and pork, among other ingredients. CREDIT: Coenergy El Salvador

Checking on site: zero stench

Due to a lack of information, people were initially concerned that if the biogas used in the stoves came from the decomposition of the family’s feces, it would probably stink.

And, worst of all, perhaps the food would also smell.

But little by little these doubts and fears faded away as families saw how the first devices worked.

“That was the first thing they asked, if the gas smelled bad, or if what we were cooking smelled bad,” said Marleni, remembering how the neighbors came to her house to check for themselves when she got the latrine and stove installed in December 2022.

“That was because of the little information that was available, but then we found that this was not the case, our doubts were cleared up and we saw there were no odors,” she added.

She said that, like almost everyone in the village, her family used to have a dry composting toilet, but it stank and generated cockroaches and flies.

“All that has been eliminated, the bathrooms are completely hygienic and clean, and we even had them tiled to make them look nicer,” Marleni said.

She remarked that hygiene is important to her, as her little girl can now go to the bathroom by herself, without worrying about cockroaches and flies.

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Vaccination Is the Best Bet Against Drug-Resistant Superbugs — Experts

Experts encourage parents to vaccinate their children against typhoid to ensure that the child has access to clean drinking water. Credit: Zofeen Ebrahim/IPS

Experts encourage parents to vaccinate their children against typhoid to ensure that the child has access to clean drinking water. Credit: Zofeen Ebrahim/IPS

By Zofeen Ebrahim
KARACHI, Jul 6 2023 (IPS)

The first thing you notice about eight-month-old Manahil Zeeshan is how tiny she looks on the adult-size hospital bed at the government-run Sindh Institute of Child Health and Neonatology (SICHN) in Korangi, a neighbourhood in Karachi.


Her right foot is taped with a cannula, and she whimpers incessantly. “I have been in and out of the hospital for the last seven days,” said Uzma Mohammad, Zeeshan’s mom, with worry lines on her forehead. “High fever that refused to come down, severe cough for days and breathlessness,” were some of the symptoms Mohammad described. She was convinced someone had “put a spell” on her daughter.

The doctors, however, suspected she had typhoid.

Salmonella Typhi bacteria cause typhoid fever, and Salmonella Paratyphi bacteria cause paratyphoid fever. According to the US-based public health agency, Centers for Disease Control and Prevention, along with a fever that can be as high as 103 to 104°F (39 to 40°C), the sick person can have weakness, stomach pain, headache, diarrhoea or constipation, cough, and loss of appetite. Some people have a rash of flat, rose-coloured spots.  Internal bleeding and death can occur but are rare. It affects between 11 and 20 million people each year, leading to 128,000 to 161,000 deaths, according to the World Health Organization (WHO). The highest fatality rates are reported in children under four years of age.

While Zeeshan’s blood culture report had yet to come to ascertain the cause of her sickness, she needed urgent medical care, said Dr Shabita Bai, who had admitted her.

“We could not wait for five days for the blood culture report as she was not doing well. And because she had already been given an antibiotic (a medicine used to kill bacteria) from outside, our chances of finding if the baby had typhoid for sure were slim, and we had to rely on the history,” justified Bai.

Decisions had to be made. Based on her condition, symptoms, and clinical diagnosis, the baby was given Ceftriaxone, an intravenous antibiotic, but she showed no improvement. The doctors then administered the stronger Meropeneme intravenously, a last-resort antibiotic.

Manahil Zeeshan's foot has a drip in an effort to bring her temperature down and fight suspected typhoid. Credit: Zofeen Ebrahim/IPS

Manahil Zeeshan’s foot has a drip in an effort to bring her temperature down and fight suspected typhoid. Credit: Zofeen Ebrahim/IPS

Battling the Superbug

But even if she had typhoid, the bacteria in her body had taken on the form of a superbug — the extensively drug-resistant (XDR) typhoid and the current antimicrobials had become ineffective, said paediatrician Dr Jamal Raza, the executive director of the SICHN.

According to a Lancet study published in 2022, multidrug-resistant (MDR) typhoid has been seen in Pakistan, while typhoid bacteria resistant to the widely-used antibiotic azithromycin have been found in Bangladesh, Nepal and India. “Our analysis revealed a declining trend of MDR typhoid in south Asia, except for Pakistan, where XDR S Typhi emerged in 2016 and rapidly replaced less-resistant strains,” stated the study, which researchers claim is the largest ever examination of the S.Typhi bacterium.

The reason why antibiotics are losing their punch against some types of bacteria, said Raza, was the “indiscriminate use of antibiotics” that health practitioners prescribe to provide immediate relief. Another big problem was self-medication by people. “I know people often use an old prescription by a doctor to get the same medicine if they feel they have the same symptoms, thinking they do not need to visit the doctor.”

But he pointed out viruses, which are also small germs like bacteria, are causing bacteria-like infections, like a cold or the flu.

“Taking an antibiotic for the latter does not treat the disease; it only leads to antibiotic resistance,” said Raza.

A study conducted by researchers from three medical institutions, namely, the Aga Khan University (AKU) in Karachi, the Armed Forces Institute of Pathology (AFIP) in Rawalpindi, and the Shaukat Khanum Memorial Cancer Hospital & Research Center (SKH) in Lahore in 2018, found indiscriminate use of antibiotics to be causing new drug-resistant “superbugs.”

It found a high prevalence of multidrug and fluoroquinolone resistance for both S.Typhi and S. Paratyphi strains of typhoid bacteria. From 20% in 1992, the resistance was found to have increased to around 50% in 2015. The stubborn bacteria were resistant to antibiotics like ampicillin, chloramphenicol (and co-trimoxazole), as well as fluoroquinolone (ciprofloxacin and/or ofloxacin).

“The situation is quite grim,” said Dr Mashal Khan, chairperson of the government-run paediatric medicine department at Karachi’s National Institute of Child Health, referring to the increase in the number of children developing resistance to typhoid drugs. His worry is not that the bacteria has spread; his concern is the bacteria has mutated and become resistant to the drug.

“We’re running out of new antibiotics to treat bacterial infections; Meropeneme is the last one, and a very expensive one too,” he said resignedly, adding: “Although the development of newer antibiotics is the need of the day, I must emphasise the rational use of the ones being used is more urgent.”

Developing new drugs is challenging, and antibiotics more so, as the science is tricky.

“Antibiotics are not the most lucrative drugs to develop for pharmaceuticals as their utility is limited in the future due to the bacteria developing the ability to resist them,” said Infectious Diseases specialist and epidemiologist Dr Faisal Mahmood at the Aga Khan University Hospital in Karachi. “A lot of money goes into developing new drugs, and since most of the funding is from the global north, they prefer to work on infections which concern them directly. Typhoid is unfortunately endemic in the low and middle-income countries in the South, which have poorer water quality and have warmer, more humid climates.”

And that is why the only sure-shot way of reducing the disease burden of typhoid is to vaccinate the children.

In 2019, Pakistan became the first country to get the World Health Organization (WHO)-recommended single-dose typhoid conjugate vaccine (TCV) injected intramuscularly, added to its routine immunisation (RI) regime. This is given to babies at nine months, alongside measles-rubella vaccinations, without impacting either vaccine.

“Childhood vaccination complemented with clean drinking water and improved hygiene practices is the much more cost-effective way of eradicating typhoid than pumping antibiotics in a child,” said Raza. Meropenem costs as much as Rs. 30,000 (USD 105) for a 10-day course, and if hospitalisation is included, it can go up to Rs 100,000 ($349), said the doctor. Being in a government hospital, Zeeshan is treated free of cost.

Eight-month-old Manahil Zeeshan is treated for typhoid at the government-run Sindh Institute of Child Health and Neonatology (SICHN) in Korangi, a neighbourhood in Karachi. Credit: Zofeen Ebrahim/IPS

Eight-month-old Manahil Zeeshan is treated for typhoid at the government-run Sindh Institute of Child Health and Neonatology (SICHN) in Korangi, a neighbourhood in Karachi. Credit: Zofeen Ebrahim/IPS

Typhoid Vaccine Launch Hits a Snag as Covid-19 Surfaces

The 2019 TCV campaign was first launched in the two cities of Sindh – Karachi and Hyderabad (children up to 15 years of age were also given a shot), which reported the highest number of typhoid cases among children. There was a pause when Covid-19 hit the world. But by 2022, TCV had been launched across Pakistan, and 35.5 million children were vaccinated, after which it was added to the government-run Expanded Programme on Immunisation (EPI) programme.

“Many parents do not know that the TCV is a more effective vaccine but only available at government vaccination centres, and not at private clinics and hospitals as Gavi has only given it to the government of Pakistan,” said paediatrician Dr D.S. Akram.

“There is another typhoid vaccine available in the private sector (typhoid polysaccharide vaccine), but it can only be given to children over two years of age, and it needs boosters every three years. My advice to parents is to vaccinate their kids against typhoid bacteria at nine months,” she said.

But it is still a drop in the ocean, and the fight against typhoid and other childhood diseases continues. The WHO places Pakistan among the ten countries that account for almost two-thirds of the world’s unimmunised children.

When Covid-19 hit the country’s already crumbling health system, it also brought the country’s immunisation programme to a halt too. An estimated 1.5 million children across Pakistan missed out on basic vaccines from March to May 2020, according to Gavi.

For Pakistan, which already has low immunisation coverage (the percentage of fully immunised children aged 12-23 months is just 66%), it meant a further dip in coverage which led to an unprecedented rise in the number of zero-dose children (those that have not received any routine vaccine). Add to these were the almost 19,000 new births every day. But when the lockdown eased and vaccinators returned to work, there was less demand for vaccination, having been replaced by fear of the new virus.

While Pakistan has yet to reach the optimal immunisation coverage of 90%, during Covid-19, Pakistan’s EPI received plaudits internationally for taking both vaccine coverage and the number of zero-dose children close to pre-pandemic levels in 2021. “What Pakistan achieved needs to be celebrated. In fact, Pakistan and Chad are used as examples internationally of how to get it right in an emergency,” said Huma Khawar, an immunisation and child health advocate working closely with EPI.

“Despite a year’s delay due to Covid-19, which was unforeseen, I think it is the best thing that the government has done for its country’s children,” said Khawar. She credited the RI programme that bounced back to the pre-pandemic level in 2021.

Clean water, Good Hygiene Key to Preventing typhoid

While immunisation can protect children from getting infected, clean drinking water and improved hygiene practices can reduce the risk of catching the disease to a great extent.

“Vaccines provide immunity when there is exposure to the bacteria,” agreed Dr Jai Das, assistant director at the Institute for Global Health and Development at the Aga Khan University and one of the co-authors of the 2018 report on typhoid, but emphasised the need for improved water and sanitation, a situation that continues to remain dismal and compromised in Pakistan.

The same study not only found a strong correlation between water and sanitation but to literacy levels as well. In addition, it stressed improving the country’s food safety protocols and implementing regulations.

While Mohammad believes that her daughter is under a curse, one reason could be that the unpasteurised cow’s milk she gives her daughter may not be properly boiled at home. “I was unable to breastfeed her,” she said. Further, she confessed to diluting it with unboiled tap water to make it last longer.

Doctors say giving Pakistani babies a lease of life is simple and costs nothing. “Exclusive breastfeeding up to at least six months of age (right now it is only 43%), attaining 90% coverage of RI across Pakistan and improving water and sanitation quality,” according to Dr Akram.

Bacteria Don’t Respect Geographic Borders

The XDR typhoid bacteria propagating in Pakistan has crossed borders and reached as far as the UK, Canada and the US. Earlier this year, a team of Pakistani and US researchers published their findings in the American Journal of Tropical Medicine and Hygiene, stating that with numerous typhoid bacteria variants circulating in Pakistan have also been identified in Southeast Asia and Eastern and Southern Africa and have been introduced into the United Kingdom, Canada, and the United States by travellers.

The Lancet study said strains from South Asia had spread 200 times to other countries since 1990. When these superbugs grow and spread, they can cause infections that are hard to treat. Sometimes they can even spread the resistance to other bacteria they meet.

The future looks frightening. While the need for improving water and sanitation cannot be overemphasised, along with the need for vaccinating children, newer and stronger antibiotics need to be developed and fast as typhoid may surface in deadlier ways than now since very few antibiotics remain effective against the bacteria.

Note: This story was supported by the Sabin Vaccine Institute and Internews

IPS UN Bureau Report

 


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Excerpt:

Childhood vaccination, complemented with clean drinking water and improved hygiene practices, are the key to eradication of typhoid XDR, not indiscriminate use of antibiotics, say Pakistan health experts. Source

Parliamentarians Ask G7 Hiroshima Summit to Support Human Security and Vulnerable Communities

Parliamentarians attending the Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit. Credit: APDA

Parliamentarians attending the Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit. Credit: APDA

By Cecilia Russell
JOHANNESBURG, May 9 2023 (IPS)

Parliamentarians from more than 30 countries agreed to send a strong message to the G7 Hiroshima Summit in Japan later this year, focusing on human security and support of vulnerable communities, including women, girls, youth, aging people, migrants, and indigenous people, among others.


The wide-ranging declaration also called on governments to support active political and economic participation for women and girls, enhancing and implementing legislation that addresses gender-based violence (GBV) and eradicating harmful practices like child, early, and forced marriages. During discussions and in the declaration, a clear message emerged that budgetary requirements for Universal Health Care (UHC) should be prioritized and the exceptional work done by health workers during the pandemic be recognized.

In his keynote address, Japan’s Prime Minister Kishida Fumio reminded delegates that Covid-19 had exposed the “fragility of the global health architecture and underscored the need for UHC.”

Kishida said that the central vision of the G7 Hiroshima Summit was to emphasize the importance of addressing human security – through building global health architecture, including the “governance for prevention, preparedness, and response to public health crises, including finance. We believe it is important for the G7 to actively and constructively contribute to efforts to improve international governance, secure sustainable financing and strengthen international norms.”

Apart from contributing to resilient, equitable, and sustainable UHC, health innovation was needed to promote a “more effective global ecosystem to enable rapid research and development and equitable access to infectious disease crisis medicines … and to support aging society,” Kishida said.

Former Prime Minister of Japan Fukuda Yasuo, Chair of APDA, and Honorary Chair of JPFP said this conference and its declaration would follow in a tradition of delivering strong messages to the G7 that improving reproductive health was crucial to the development and the future of a planet which now had 8 million people living on it.

“International Community is becoming increasingly confrontational and divided, and there is the emergence of a national leader who is threatening the use of nuclear weapons. No nuclear weapons have been used in the nearly 80 years since Hiroshima and Nagasaki. We must work together to prevent the use of nuclear weapons, which can take many precious lives and people’s daily lives. In this instance, I would like you to search for the path toward appeasement and not division. We must keep all channels of dialogue open so as to ease tension,” Fukuda asked of the conference.

While calling on parliamentarians to work together to address challenges, Fukuda also expressed concern about the widening inequities caused by Covid-19 and climate change and noted: “This network of parliamentarians on population and development has been a vital resource for parliamentarians who share the same concern for not only their own countries but for the entire planet and future generations.”

Kamikawa Yoko, MP Japan, Chair of JPFP, said that with a world population of 8 billion, it was essential to “realize a society where no one is left behind … and Japan would share its experiences of being on the frontlines of an aging society with declining birth rates. “We are living in an aging society … and given these challenges in Japan, we will try to share with you our experience and lessons through our diplomacy while trying to deepen our discussions and exchanges to seek solutions.”

Japan’s Foreign Affairs Minister Hayashi Yoshimasa said it was essential for all to cooperate during the “Anthropocene era, when human activities have promised to have a major impact on the global environment, global issues that transcend national borders, such as climate change, and the spread of infectious diseases, including Covid-19 are becoming more and more prevalent.”

He reminded the delegates that at the center of Japan’s economic growth post World War II was mainly through health promotion and employment policies.

Delegates of the Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit agreed to send a strong message on human security to the Summit. Credit: APDA

Delegates of the Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit agreed to send a strong message on human security to the Summit. Credit: APDA

Director of the Division for Communications and Strategic Partnerships of UNFPA, Ian McFarlane, said it was not about the “numbers of people but the rights of the people that matter. It’s not about whether we are too many or too few, but whether women and girls can decide if, when, and how many children to have.”

A recent UNFPA report indicated that nearly half of the women across the globe could not exercise their rights and choices, their bodily autonomy, and expressed hope that policies in the future continue to focus on humanity and universal human rights.

Despite being close to the 30th anniversary of the International Conference on Population and Development (ICPD), the conference heard that much still needed to be done regarding women’s rights.

New Zealand MP and co-chair of AFPPD Standing Committee on Gender Equality and Women Empowerment, Angela Warren-Clark, reminded the audience that women still only held 26 percent of parliamentarian seats globally. While women make up 70 percent of the workforce in the health sector, only 25 percent have senior leadership positions.

“It is women in this pandemic who bore the increased burden of unpaid work at home as schools were closed, and it is girls and the poorest families who were taken out of school and forced into early marriages … We believe that if women had an equal say in decision-making during the pandemic, some of these mistakes would have been avoided.”

Baroness Elizabeth Barker, MP from the United Kingdom, told parliamentarians their role was to ensure that “no person on earth, from the head of G7 country to a poor person in a village, can say that they do not know what gender equality is. And they do not know what gender violence is.”

Barker suggested they use international standards, like the Istanbul Convention on Violence Against Women, to compare countries. “And you know that if your country doesn’t come out very well, they really don’t like it.”

She pointed to two successes in the UK, including stopping virginity testing and tackling the practice of forced marriages. She also warned the delegates that there was a right-wing campaign aimed at destroying human rights gained, and they chose different battlegrounds. The overturning of abortion rights in the United States in the Roe vs. Wade case was an example, as was the anti-LGBTQ legislation in Uganda.

Hassan Omar, MP from Djibouti, gave a host of achievements in his country, including ensuring that women occupy 25 percent roles in politics and the state administration and the growing literacy of women numbers in his country.

Risa Hontiveros, MP Philippines, painted a bleak picture of the impact of Covid in her country.

Hontiveros said GBV increased during Covid and extended to the digital space.

“The Internet has become a breeding ground for predators and cyber criminals to prey on children, especially young women, and girls. The online sexual abuse and exploitation of children … has become so prevalent in the Philippines that we have been tagged as the global hotspot.”

In a desperate attempt to provide for their families, even parents produced “exploitative material of their own children and sold them online to pedophiles abroad.”

To address these, she filed a gender-responsive and inclusive Emergency Management Act bill, which seeks to address the gender-differentiated needs of women and girls, because they were “disproportionately affected in times of emergencies.”

Former MP from Afghanistan Khadija Elham’s testimony united many in the conference and even resulted in proposals from the floor to include a condemnation of the Taliban’s women’s policies.

Elham said GBV had increased since the Taliban took over – women were forced to wear a burqa in public, they were not allowed to work, and those who wish to “learn science or (get an) education are forced to continue their studies and hidden places like basements.”

If their secret schools are exposed, they face torture and imprisonment. During the last two months, 260 people, including 50 women, were publicly whipped – a clear violation of their human rights. Women’s representation in political life has been banned, and women are no longer allowed to work in NGOs – and it has been “550 days since women could attend high schools and universities.”

She called on the international community, the United Nations, to pressure the Taliban to restore women’s work and education rights.

Nakayama Maho, Director of the Peacebuilding Program at the Sasakawa Peace Foundation, announced new research on factors contributing to men’s propensity to GBV. The research found that the higher a man’s educational attainment, the lower the level of violence. There were also lower levels of violence with “positive” masculinity – such as a man being employed, married, and capable of protecting his family. Men who experienced violence during times of conflict tended to support violence to instill discipline, or protect women and communities.

Dr Roopa Dhatt, Executive Director of Women in Global Health, summed up this critical session by saying, “Equal leadership for women in all fields is a game changer, particularly in politics and health.”

Japan’s Health, Labour and Welfare Minister, Kato Katsunobu, noted during his closing address that the G7 countries “share the recognition that investment in people is not an expense, but an investment… and as you invest in people you can create a virtuous cycle between workers well-being and social and economic activities.”

He said Japan had a lot to offer concerning aging populations.

“Japan has been promoting the establishment of a comprehensive community-based care system so that people can continue to live in their own way in their own neighborhood until the end of their lives and is in the position to provide knowledge to the G7 countries and other countries who will be facing (an aging population) in the future.”

Dr Alvaro Bermejo, Director-General of IPPF, commended the conference and said he was “thankful” that the conference declaration would tell G7 governments to set an example. “Marginalized and excluded populations are at the heart of human security and can only be achieved in solidarity, and that message from this conference is clear.”

Professor Takemi Keizo, MP Japan, Chair of AFPPD, summed up the proceeding by saying that parliamentarians as representatives of the electorate were vital to creating a “positive momentum in this global community and overcoming so many difficult issues.”

Takemi elaborated on some issues facing the world now, including climate change and military conflicts, but as parliamentarians, there was the opportunity to “build up the new basis of the global governance, which can be very beneficial.”

NOTE: Global Conference of Parliamentarians on Population and Development Toward the 2023 G7 Hiroshima Summit was organized by the Asian Population and Development Association (APDA), the Asian Forum of Parliamentarians on Population and Development (AFPPD), and the Japan Parliamentarians Federation for Population (JPFP).

It was supported by the Ministry of Foreign Affairs of Japan (MOFA), United Nations Population Fund (UNFPA), Japan Trust Fund (JTF), and Keidanren-Japan Business Federation in cooperation with the International Planned Parenthood Federation (IPPF).

IPS UN Bureau Report

 


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Three Ways to End Gender-based Violence

Civil Society, Featured, Gender, Gender Violence, Global, Headlines, Health, IPS UN: Inside the Glasshouse, Poverty & SDGs, TerraViva United Nations, Women’s Health

Opinion

Testing new approaches for preventing gender-based violence to galvanize more and new partners and resources. Credit: UN Women

UNITED NATIONS, Nov 30 2022 (IPS) – How are the multiple shocks and crises the world is facing changing how we respond to gender-based violence? Almost three years after the COVID-19 pandemic triggered high levels of violence against women and girls, the recent Sexual Violence Research Initiative Forum 2022 (SVRI) shed some light on the best ways forward.


Bringing together over 1,000 researchers, practitioners, policymakers and activists in Cancún, Mexico, the forum highlighted new research on what works to stop and address one of the most widespread violations of human rights.

While some participants candidly – and bravely – shared that their initiatives did not have the intended impact, many discussed efforts that transformed lives, in big and small ways.

After 5 days of the forum one thing was clear; a lack of evidence is not what is standing in the way of achieving a better future. It is a lack of opportunities and the will to apply that evidence.

Among the many shared findings, UNDP presented its own evidence.

Since 2018, the global project on Ending Gender-based Violence and Achieving the Sustainable Development Goals (SDGs), a partnership between UNDP and the Republic of Korea, and in collaboration with United Nations University International Institute for Global Health, has tested new approaches for preventing and addressing gender-based violence, to galvanize more and new partners, resources, and support to move from rhetoric to action.

Three key strategies have emerged.

1. We need to integrate

Gender-based violence (GBV) intersects with all areas of sustainable development. That means that every development initiative provides a chance to address the causes of violence and to transform harmful social norms that not only put women disproportionately at risk for violence, but also limit progress.

Bringing together diverse partners to jointly incorporate efforts to end GBV into “non-GBV” programmes has been central to the Ending GBV and Achieving the SDGs project. Pilots in Indonesia, Peru and the Republic of Moldova integrated a GBV lens into local development planning.

The results were local action plans that focused on needs and solutions identified by the communities themselves, including evidence-based GBV prevention programming such as the Common Elements Treatment Approach, which has been proven to reduce violence along with risk factors such as alcohol abuse. This approach is growing, opening up new and more spaces for this work.

2. We need to elevate

While evidence is crucial to creating change, the work doesn’t stop there. We also need to elevate this evidence to policy makers and to support them in putting the findings into action. In our global project, we went about this in different ways.

In Peru women’s rights advocates and the local government worked together to draft a local action plan to address drivers of violence in the community of Villa El Salvador (VES). By working collaboratively and building trust between key players, the project was able to take a more holistic approach and to create stronger alliances to boost its sustainability and impacts.

In particular, the local action plan was informed by cost analysis research that showed that this approach would pay for itself if it prevented violence for only 0.6 percent of the 80,000-plus women in VES who are at risk for violence every year.

Since the pilot’s launch, more than 15 other local governments have expressed interest in the model, and it has already been replicated in three.

3. We need to finance

Less than 1 percent of bilateral official development assistance (ODA) and philanthropic funding is given to prevent and address GBV, despite the fact that roughly a third of women have experienced physical or sexual violence.

The “Imperative to Invest” study, funded by the EU-UN Spotlight Initiative and presented at the SVRI Forum, shows just what can be achieved with a US$500 million investment. The study highlights that Spotlight’s efforts will have prevented 21 million women and girls from experiencing violence by 2025.

The Ending GBV and Achieving the SDGs project also finds positive results when financing local plans. Through pilot initiatives in Peru, Moldova and Indonesia, it was possible to mobilize funds when different municipal governments take ownership of participatory planning processes at an early stage.

The local level is a key, yet an often overlooked, entry point to identifying community needs and, through participatory, multi-sectoral partnerships, to translate them into funded solutions.

In Moldova the regional government of Gagauzia assigned funds to create the region’s first safe space, with the support of the community.

The SVRI Forum was living proof that a better future is possible. It offered profound moments for thoughtful exchange, learning with partners and peers, and deepened our own reflections on the outcomes and next steps for this global project.

As we approach the final countdown to meeting the SDGs, including SDG5.2 on eliminating violence against women and girls, it has never been more urgent to take all this evidence and turn it into action against gender-based violence. Let’s act today.

Jacqui Stevenson is Research Consultant UNU International Institute for Global Health, Jessica Zimerman is Project Specialist, Gender-based Violence, UNDP, and Diego Antoni is Policy Specialist Gender, Governance and Recovery, UNDP.

Source: UNDP

IPS UN Bureau

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