Tackling Inequality: A Focus on Cities can Improve Upward Economic Mobility

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Opinion

Tarik Gooptu is in his second and final year of the master’s of philosophy in economics at the University of Oxford. Originally from Washington, DC, he received his bachelor’s degree from the University of Michigan in economics and political science*.

OXFORD, UK, Jul 31 2019 (IPS) – Tackling inequality in the 21st century requires us to understand and address barriers to upward mobility that segments of people face within countries. In a world with high and increasing levels of urbanization, the conversation on challenges to mobility must start with cities.


By addressing the drivers of inequality in cities, policymakers can alleviate conditions that perpetuate within-country inequality. Efficiently planning public transportation investments to target metropolitan communities with low connectivity is a crucial step to reducing disparities in upward mobility.

Doing this provides low-income residents with improved access to jobs, schools, hospitals, and other benefits of living in an urban area. A smart urban planning framework, enabled by effective partnership between the public and private sector, would enable citizens to enjoy a more level playing field.

As a result, cities can transform into drivers of global economic convergence in living standards.

In the past three decades, the world has experienced a global convergence between countries, mainly due to increased international trade, advancements in technology, and economic integration.

However, these same factors have led to a relatively new phase of inequality seen in the 21st century. Works by Atkinson, Piketty, and Saez (2011) and Lakner and Milanovic (2016) have depicted a world suffering from inequality within countries, characterized by disparities between “gainers” and “losers” in the globalized economy.

People have proposed multiple explanations for this, including skill-biased technological change, increased automation, and outsourcing of jobs to regions with cheaper labor—to name a few. Perhaps somewhat overlooked are the large disparities between people living within the cities themselves.

Why cities? Rapid urbanization and severe intracity inequality are the two primary reasons policymakers should focus on cities when thinking about how to tackle the broader issue of inequality.

According to the World Urbanization Report, 55 percent of the global population resides in urban areas—an increase from 30 percent in 1950. The global urbanized population is projected to increase even further, to 68 percent, by 2050 (UN 2018).

In addition, the UN Population Division reports that “urbanization has been faster in some less developed regions compared to historical trends in the more developed regions” (UN DESA 2018. The convergence in the growth of urbanization, between developing and advanced economies, also suggests that the problems of cities increasingly affect countries at all income levels.

In addition to rapid urbanization, cities have become a locus of the most severe inequality we see today. A 2014 article by Kristian Behrens summarizes the issue of inequality within cities.

Behrens shows that within-country Gini indexes are highest as population densities increase and that under current conditions, cities tend to disproportionately reward people in the top income percentiles (Behrens 2014). In addition, cities draw people primarily from the top and bottom of the income distribution.

The global economic restructuring, outlined above, is expected to create more polarized income distribution within countries. This, combined with Behrens’s evidence, suggests that inequality within cities is expected to worsen, under current conditions.

The countries of the world are simultaneously experiencing unprecedented urbanization and severe inequality. While cities are currently the nexus of the worst inequality, there are opportunities to convert them into means for economic convergence.

The concept of “agglomeration economies” is summarized well by Edward Glaeser as the benefits realized from people and firms locating close to one another, in cities and industrial clusters, which are primarily gained through reduced transportation costs (Glaeser 2010).

But some areas in cities are not as well connected as others. This drives disparities between people in metropolitan localities. In order to address this, policymakers must address inequality of access to jobs and services between communities of different income status.

Underinvestment in roads, buses, train lines, and subways can cut off districts within large cities from jobs, education, and services. Higher mobility costs, in the form of longer commute times and lack of affordable transportation, are barriers to the upward mobility of lower-income people in cities.

Local governments and the private sector can work together to improve access to jobs and services by building a better public transportation infrastructure within cities. However, misallocation of both land and public resources worsens conditions for marginalized communities, contributing to intracity inequality.

The 2016 Rio Olympics, which have been heavily criticized for putting the city in an adverse fiscal situation, is as an example of how misallocation of public resources can actually perpetuate inequality in a city. Rio de Janeiro’s bus rapid transit (BRT) system is a designated-lane integrated bus system planned and funded via a public-private partnership.

City officials said that Rio’s BRT was needed to help transport Olympic spectators and will provide long-term rapid and affordable travel for city residents. While Rio’s BRT successfully reduced average transportation costs, its routes served to aggravate inequality between high- and low-income citizens.

An urban planning study conducted by the Fluminese Federal University shows how Rio’s major daily traffic flows run from lower-income neighborhoods (in the north and west) to downtown Rio (South Zone and part of the North Zone), where 60 percent of Rio’s formal employment is concentrated (Johnson 2014).

But, instead of providing lower-income residents access to the city center, the BRT allocates routes to an upper-income residential area. Jobs here are predominantly in the informal sector: not registered with the government, with lower salaries, and without health or other benefits.

Furthermore, the city government cut spending on health and police as a result of going over budget on Olympics expenditures, which worsened the health and safety of the poor.

Rio’s BRT system exemplifies how public infrastructure can be misallocated, without proper planning and an understanding of citizens’ demand for jobs and services. However, when policymakers implement well-planned public infrastructure, it can combat inequality within cities.

Curitiba’s BRT is a well-known example of effective urban planning yielding positive outcomes for city expansion. Planning of the bus line construction was orchestrated by the Institute for Research and Urban Planning of Curitiba in the 1970s.

Funding and implementation were conducted via a public-private-partnership between the Urban Development Agency of Curitiba, and private bus companies that operate the routes. The partnership model allows policymakers to develop creative ways to ease the cost burden of providing public infrastructure.

The result of Curitiba’s plan was a low-cost, fast, and efficient means of transportation, running on green energy, that has operated successfully for 35 years. A diagram from a 2010 World Resources Institute report shows that the integrated transit system provides a means for citizens in all areas of the expanding city to access all parts of it.

However, despite its initial success, even Curitiba’s sustainable transit system faces difficulties. A 2012 CityLab article says that in recent years, the city has failed to integrate its growing suburbs into its BRT system (Halais 2012).

As a result, low-income residents are cut off while upper-income residents switch to cars—an inconvenience for everyone that harms the poor more severely. Curitiba’s example shows that policymakers require a constant and proactive awareness of cities’ changing needs.

With available economic data and the implementation of origin-destination surveys, we can better understand where populations need to be connected and their demands for particular services.

An efficient way to tackle inequality is to address lack of mobility in cities, which drives unequal access to jobs, education, and services. Improving access to public infrastructure allows people of all income levels to benefit from the agglomeration effects of living in an urban area.

Well-planned public transportation systems bring cities closer to this goal through better access for low-income populations to jobs, schools, and hospitals in the city center. Thus, growing cities can serve as sources of economic convergence rather than divergence.

Public transportation not only helps lower inequality, it also helps reduce cities’ carbon footprint. As many megacities begin to suffer the ill effects of heavy pollution, policy that addresses both inequality and sustainability would be welcome.

*Following a global essay competition for graduate students on how best to tackle inequality, Tarik Gooptu’s submission was selected as the runner-up. To learn of future Finance & Development ( F&D) essay competitions, sign up for the newsletter here. F&D is a publication of the International Monetary Fund (IMF).

 

Power is a Privilege & a Responsibility: Q&A with Justin Trudeau, Prime Minister of Canada

Civil Society, Development & Aid, Editors’ Choice, Featured, Gender, Global, Global Governance, Headlines, Human Rights, IPS UN: Inside the Glasshouse, TerraViva United Nations

Opinion

In a special conversation, Katja Iversen, President/CEO of Women Deliver speaks with Justin Trudeau, Prime Minister of Canada, about Canada’s role in taking action for gender equality at home and abroad and our collective and individual responsibility to share power to build a gender equal world.

NEW YORK, Jul 29 2019 (IPS) – It’s on all of us to make gender equality a reality – which means harnessing our collective power to build a gender equal world.

By empowering girls and women, realizing sexual and reproductive health and rights, tackling gender-based violence, and confronting the combinations of sexism, misogyny, racism, and colonialism, we can take steps towards true gender equality.


Coming off the heels of the Women Deliver 2019 Conference in Vancouver, we both explore the need to use – and share – power to deliver transformative change for girls and women.

Katja Iversen: At the Women Deliver 2019 Conference we focused on power, and how it can drive – or hinder – progress and change for girls and women, and therefore for all. How will you use your power?

Justin Trudeau: Power is a privilege and a responsibility. Ultimately, the best thing you can do with power is share it. As we saw at Women Deliver, grassroots advocates and activists are creating change on the ground. Young people, like Natasha Wang Mwansa, are not just the leaders of tomorrow, but the leaders of today.

We need to amplify the work they’re doing, pass them the microphone, and make sure there’s a seat at the table for people of diverse identities and perspectives.

Katja Iversen: In the lead up to and during the Women Deliver 2019 Conference, we have seen unprecedented energy and enthusiasm for advancing gender equality. How do we take that energy and commitment and turn it into action? From world leaders and business leaders to advocates and influencers, what is your call to action to keep up the momentum?

Justin Trudeau: At Women Deliver, we announced new steps forward on everything from funding for women’s health and women’s organizations, to support for women entrepreneurs and housing commitments that will benefit women.

We announced that Canada will increase our investment to $1.4 billion to support women and girls’ health globally, positioning us as a leading donor worldwide on comprehensive sexual and reproductive health rights. $700 million of this annual investment is dedicated to sexual and reproductive health rights.

We’re focusing on the most neglected areas of this field. This is a game changer. We welcome other leaders to join us.

Globally, and here at home, we are seeing attacks on women’s rights, whether it’s undermining a woman’s fundamental right to choose, or violence against Indigenous women and girls. We can’t take our foot off the pedal, not even for a moment.

There’s simply too much at stake. We all need to work together to move forward, and to build more sustainable, more inclusive movements. It’s on all of us to make gender equality a reality.

Katja Iversen: Over the last several years we have heard more world leaders and private sector executives make public statements about the importance of gender equality. This is certainly critical, commendable, and encouraging! But we also need to see these leaders “walk the talk” and move toward action.

This is something you have emphasized throughout your administration from appointing a gender equal cabinet to developing gender-responsive federal budgets – both of which are crucial for moving policies and programs to actual impact. What impact have these actions had in Canada and around the world and what will you do next to move the needle for girls and women?

Justin Trudeau: Our government has put gender equality at the heart of everything we do. This means grappling with interlocking issues like sexism and misogyny, racism and colonialism. These challenges are complex and layered.

We won’t always get it right, but we will always keep trying. We know that it’s time to put an end to violence against all women and transgender, non-binary, and two spirit people, which is why we launched the first ever national strategy on gender-based violence.

We know that advancing gender equality hinges on economic equality, too. We will continue to demand that women and men receive equal pay for work of equal value, that everyone has a safe place to live, and that parents can share equally in both the joys and the responsibilities of raising children.

That’s why we introduced historic proactive pay equity legislation, and created more flexible parental leave options. And it’s why we launched a housing strategy where a minimum of 25% specifically supports women, girls, and their families.

There is much more work to do, and Canada is in it for the long haul. We will keep fighting for gender equality and concrete change – not just when it is popular, but always.

Katja Iversen: From driving Canada’s first Feminist International Assistance Policy to establishing the first Gender Equality Advisory Council to a G7 Presidency, you have led the way for political leadership toward gender equality – with an emphasis on improving girls’ and women’s sexual and reproductive health and rights.

Why should world leaders like you prioritize gender equality and women’s right to decide on their own bodies on international agendas and what more do you plan to do? Please provide 1-2 specific examples.

Justin Trudeau: Women don’t have to imagine not being able to access healthcare when they need it. They don’t have to imagine being denied the right to choose what’s best for their health and their future. For far too many people, that’s their reality. And that’s unacceptable.

Governments need to stand with those on the frontlines as partners and as allies. Leaders should prioritize gender equality and women’s right over their own bodies because it makes our countries, our communities, our workplaces, our governments, and our families stronger.

When women are healthy, free to make decisions about their lives, and can equally participate in our economies, we all benefit.

Katja Iversen: From the hallways of power to the main stage of global convenings, what argument have you found to be most effective in converting more people – especially decision makers – to join you as gender equality champions?
Justin Trudeau: Gender equality is not only the right thing to do, but it is also the smart thing to do. It powers our economies, and changes our communities for the better. Everyone should be able to get behind that.

Katja Iversen: You have spoken about raising your sons with an awareness of power dynamics and to act as allies of girls and women. Part of this involves a shift in mindset, from the idea that boys and men are losing power to the idea that power is shared with girls and women, to the benefit of all.

Why is it so important to you and your wife – Mme Sophie Grégoire Trudeau, a Deliver for Good Influencer – to raise your sons as young feminists, and how have you encouraged them to be effective and supportive allies for gender equality?

Justin Trudeau: Sophie and I want to help our kids grow up to be strong allies and empathetic adults, who walk through the world with openness, compassion, and a commitment to justice. That’s why raising our kids as feminists is such a priority for us.

We want our daughter, Ella-Grace, to have the same opportunities as her brothers, Hadrien and Xavier. And we want our sons to escape the pressure to be ‘a particular kind of masculine’ that can be damaging to men and to the people around them.

We want all three of them to be confident in being themselves, to stand up for what is right, and to do so with pride. We try to instill in our children the notion that everyone should be treated equally, and that there’s work left to do so that everyone shares the same rights and freedoms. We hope our children learn that they have a responsibility – and the power – to shape our world for the better.

 

Prejudice and Discrimination, the Uncured Ills of Leprosy

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Health

Nippon Foundation President Yohei Sasakawa and Socorro Gross, Pan American Health Organisation representative in Brazil, hold a press conference in Brasilia at the end of a 10-day visit to this country by the Japanese activist who is also World Health Organisation Goodwill Ambassador for Leprosy Elimination. Credit: Mario Osava/IPS

Nippon Foundation President Yohei Sasakawa and Socorro Gross, Pan American Health Organisation representative in Brazil, hold a press conference in Brasilia at the end of a 10-day visit to this country by the Japanese activist who is also World Health Organisation Goodwill Ambassador for Leprosy Elimination. Credit: Mario Osava/IPS

BRASILIA, Jul 11 2019 (IPS) – “The ambulance team refused to take my sick friend to the hospital because he had had Hanseniasis years before,” said Yohei Sasakawa, president of the Nippon Foundation, at one of the meetings held during his Jul. 1-10 visit to Brazil.


His friend was completely cured and had no visible effects of the disease, but in a small town everyone knows everything about their neighbours, he said.

This didn’t happen in a poor country, but in the U.S. state of Texas, only about 20 years ago, Sasakawa pointed out to underline the damage caused by the discrimination suffered by people affected by Hansen’s Disease, better known as leprosy, as well as those who have already been cured, and their families.

“The disease is curable, its social damage is not,” he said during a meeting with lawmaker Helder Salomão, chair of the Human Rights Commission in Brazil’s lower house of Congress, to ask for support in the fight against Hanseniasis, the official medical name for the disease in Brazil, where the use of the term leprosy has been banned because of the stereotypes and stigma surrounding it.

The highlight of the mission of Sasakawa, who is also a World Health Organisation (WHO) Goodwill Ambassador for Leprosy Elimination, was a meeting on Monday Jul. 8 with President Jair Bolsonaro, who posted a message on Facebook during the meeting, which had nearly 700,000 hits as of Thursday Jul. 11.

In the 13-and-a-half minute video, Bolsonaro, Sasakawa, Health Minister Luiz Mandetta and Women, Family and Human Rights Minister Damares Alves issued a call to the authorities, organisations and society as a whole to work together to eradicate the disease caused by the Mycobacterium Leprae bacillus.

A preliminary agreement emerged from the dialogues held by the Japanese activist with members of the different branches of power in Brasilia, to hold a national meeting in 2020 to step up the fight against Hanseniasis and the discrimination and stigma faced by those affected by it and their families.

The idea is a conference with a political dimension, with the participation of national authorities, state governors and mayors, as well as a technical dimension, said Carmelita Ribeiro Coriolano, coordinator of the Health Ministry’s Hanseniasis Programme. The Tokyo-based Nippon Foundation will sponsor the event.

Brazil has the second highest incidence of Hansen’s Disease in the world, with 27,875 new cases in 2017, accounting for 12.75 percent of the world total, according to WHO. Only India has more new cases.

The government established a National Strategy to Combat Hanseniasis, for the period 2019-2022, in line with the global strategy outlined by the WHO in 2016.

Brazilian Minister of Women, Family and Human Rights Damares Alves receives a gift from Yohei Sasakawa, president of the Nippon Foundation, at the beginning of a meeting in Brasilia, in which the minister promised to strengthen assistance to those affected by Hansen's Disease, including the payment of compensation to patients who were isolated in leprosariums or leper colonies in the past. Credit: Mario Osava/IPS

Brazilian Minister of Women, Family and Human Rights Damares Alves (L) receives a gift from Yohei Sasakawa, president of the Nippon Foundation, at the beginning of a meeting in Brasilia, in which the minister promised to strengthen assistance to those affected by Hansen’s Disease, including the payment of compensation to patients who were isolated in leprosariums or leper colonies in the past. Credit: Mario Osava/IPS

Extensive training of the different actors involved in the treatment of the disease and plans at the state and municipal levels, tailored to local conditions, guide the efforts against Hansen’s Disease, focusing particularly on reducing cases that cause serious physical damage to children and on eliminating stigma and discrimination.

Before his visit to Brasilia, Sasakawa, who has already come to Brazil more than 10 times as part of his mission against Hansen’s Disease, toured the states of Pará and Maranhão to discuss with regional and municipal authorities the obstacles and the advances made, in two of the regions with the highest prevalence rate.

“In Brazil there is no lack of courses and training; the health professionals are sensitive and give special attention to Hanseniasis,” said Faustino Pinto, national coordinator of the Movement for the Reintegration of People Affected by Hanseniasis (MORHAN), who accompanied the Nippon Foundation delegation in Brasilia.

“Promoting early diagnosis, to avoid serious physical damage, and providing better information to the public and physical rehabilitation to ensure a better working life for patients” are the most necessary measures, he told IPS.

Pinto’s case illustrates the shortcomings in the health services. He was not diagnosed as being affected with Hansen’s Disease until the age of 18, nine years after he felt the first symptoms. It took five years of treatment to cure him, and he has serious damage to his hands and joints.

His personal plight and the defence of the rights of the ill, former patients and their families were outlined in his Jun. 27 presentation in Geneva, during a special meeting on the disease, parallel to the 41st session of the Human Rights Council, the highest organ of the Office of the United Nations High Commissioner for Human Rights.

Pinto is an eloquent advocate of the use of Hanseniasis or Hansen’s Disease, rather than leprosy, a term historically burdened with religious prejudice and stigma, which aggravates the suffering of patients and their families, but continues to be used by WHO, for example.

Yohei Sasakawa (2nd-L), president of the Nippon Foundation, accompanied by two members of his delegation, took part in a meeting with Congressman Helder Salomão (C), chair of the Human Rights Commission of the Brazilian Chamber of Deputies, who pledged to support initiatives to eliminate leprosy in his country. Faustino Pinto (2nd-R), national coordinator of the Movement for the Reintegration of Persons Affected by Hanseniasis (MORHAN), also participated. Credit: Mario Osava/IPS

Yohei Sasakawa (2nd-L), president of the Nippon Foundation, accompanied by two members of his delegation, took part in a meeting with Congressman Helder Salomão (C), chair of the Human Rights Commission of the Brazilian Chamber of Deputies, who pledged to support initiatives to eliminate leprosy in his country. Faustino Pinto (2nd-R), national coordinator of the Movement for the Reintegration of Persons Affected by Hanseniasis (MORHAN), also participated. Credit: Mario Osava/IPS

Discrimination against people with the disease dates back to biblical times, when it was seen as a punishment from God, said Sasakawa during his meeting with Minister Damares Alves, a Baptist preacher who describes herself as “extremely Christian”.

In India there are 114 laws that discriminate against current or former Hansen’s Disease patients, banning them from public transport or public places, among other “absurdities”, he said.

In India, they argue that these are laws that are no longer applied, which justifies even less that they remain formally in force, he maintained during his meetings in Brasilia to which IPS had access.

Prejudice and misinformation not only subject those affected by the disease to exclusion and unnecessary suffering, but also make it difficult to eradicate the disease by keeping patients from seeking medical care, activists warn.

His over 40-year battle against Hansen’s Disease has led Sasakawa to the conclusion that it is crucial to fight against the stigma which is still rife in society.

He pressed the United Nations General Assembly to adopt in 2010 the Resolution for the Elimination of Discrimination against Persons Affected by Leprosy and their Families.

He said these attitudes and beliefs no longer make sense in the light of science, but persist nonetheless.

Treatment making isolation for patients unnecessary in order to avoid contagion has been available since the 1940s, but forced isolation in leprosariums and leper colonies officially continued in a number of countries for decades.

In Brazil, forced segregation officially lasted until 1976 and in practice until the following decade.

With multi-drug treatment or polychemotherapy, introduced in Brazil in 1982, the cure became faster and more effective.

Information is key to overcoming the problems surrounding this disease, according to Socorro Gross, the Pan American Health Organisation (PAHO) representative in Brazil who also held meetings with the Nippon Foundation delegation.

“Communication is essential, the media has a decisive role to play” to ward off atavistic fears and to clarify that there is a sure cure for Hansen’s Disease, that it is not very contagious and that it ceases to be so shortly after a patient begins to receive treatment, Gross, a Costa Rican doctor with more than 30 years of experience with PAHO in several Latin American countries, told IPS.

 

A Lifelong Battle Against the “Disease of Silence”

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Health

Mario Osava interviews YOHEI SASAKAWA, president of the Nippon Foundation

Yohei Sasakawa, president of the Nippon Foundation, is interviewed by IPS in the Brazilian capital, where he concluded a tour of the country aimed at promoting the elimination of Hansen's Disease, better known as leprosy, and also the stigma that make it the "disease of silence.” Credit: Mario Osava/IPS

Yohei Sasakawa, president of the Nippon Foundation, is interviewed by IPS in the Brazilian capital, where he concluded a tour of the country aimed at promoting the elimination of Hansen’s Disease, better known as leprosy, and also the stigma that make it the “disease of silence.” Credit: Mario Osava/IPS

BRASILIA, Jul 10 2019 (IPS) – Yohei Sasakawa has dedicated half of his 80 years of life to combating the “disease of silence” and is still fighting the battle, as president of the Nippon Foundation and World Health Organisation (WHO) goodwill ambassador for elimination of leprosy, formally known as Hansen’s Disease.


His current emphasis is on combating the discrimination, prejudice and stigma that aggravate the suffering of people with leprosy, their families and even those who have already been cured. They also stand in the way of treatment, because people with the disease keep silent out of fear of hostility, he told IPS in an interview in the Brazilian capital.

“I travel around the world and speak out against the discrimination that marginalises those affected by the disease. But these are prejudices that have existed for 2,000 years; they cannot be overcome in two or three years. Many share my viewpoint and accompany me in the struggle. One day the discrimination will end. It is more difficult to cure the disease that plagues society than the illness itself. My effort is to hold a dialogue with presidents and ministers, people in positions of leadership, so that my message acquires political strength and can lead to a solution.”

Sasakawa visited Brazil Jul. 1 to 10, as part of his activism aimed at reducing the prevalence and social impacts of a disease stigmatised since biblical times. In Brasilia, he mobilised President Jair Bolsonaro, legislators and health and human rights officials to promote more intense efforts against the disease.

The idea of holding a national conference on Hansen’s Disease emerged from the meetings, with the political objective of disseminating knowledge and bolstering the disposition to eradicate prejudice, and the technical goal of improving strategies and efforts against the disease.

Brazil is second only to India with respect to the number of new infections diagnosed each year. The country implemented a National Strategy to Combat Hanseniasis from 2019 to 2022, with plans also at the level of municipalities and states, tailored to the specific local conditions.

The Tokyo-based Nippon Foundation is funding several projects and is preparing to support new initiatives in Brazil.

Brazil and Japan abolished the word leprosy from their medical terminology, due to the stigma surrounding it, and adopted the term Hanseniasis to refer to the disease caused by the Mycobacterium leprae bacillus. Sasakawa used this name during his interview with IPS, even though the WHO continues to employ the term leprosy.

IPS: Why did you choose as your mission the fight against Hansen’s Disease and the different kinds of harm it causes to patients and their families?

YOHEI SASAKAWA: It started with my father, the founder of the Nippon Foundation, who as a young man fell in love with a young woman who suddenly disappeared when she was taken far away and put in isolation. My father was appalled by the cruelty and, driven by a spirit of seeking justice, he started this movement. No one discussed the reason she was taken away, but I sincerely believe it was because she had Hanseniasis.

Later my father built hospitals in different places, including one in South Korea, where I accompanied him to the inauguration. On that occasion I noticed that my father touched the hands and legs of the patients, even though they had pus. He hugged them. That impressed me.

I was surprised for two reasons. It frightened me that my father so easily embraced people in those conditions. Besides, I wasn’t familiar with the disease yet. I saw people with a sick, unhealthy pallor. They were dead people who were still alive, the living dead, abandoned by their families.

I was filled with admiration for my father’s work and immediately decided that I should continue it.

IPS: What are the main difficulties in eradicating Hanseniasis?

YS: In general, when faced with a problem specialists and intellectuals come up with 10 reasons why it’s impossible to solve. I have the strong conviction that it is possible, and that’s why I address the problem in such a way that I can identify it and at the same time find a solution.

The people who find it difficult generally work in air-conditioned offices pushing around papers, studying the data. The most important thing is to have the firm conviction that the problem can be solved and then begin to take action.

The president of the Nippon Foundation, Yohei Sasakawa (C) is seen meeting with the president of Brazil, Jair Bolsonaro (L), in an IPS screen capture from the video that the president broadcast on Facebook to raise public awareness about the importance of eliminating Hansen's Disease, better known as leprosy, and eradicating the prejudice faced by patients and their families. Credit: IPS

The president of the Nippon Foundation, Yohei Sasakawa (C) is seen meeting with the president of Brazil, Jair Bolsonaro (L), in an IPS screen capture from the video that the president broadcast on Facebook to raise public awareness about the importance of eliminating Hansen’s Disease, better known as leprosy, and eradicating the prejudice faced by patients and their families. Credit: IPS

Since the 1980s more than 16 million people have been cured of Hansen’s Disease. Today, 200,000 patients a year are cured around the world.

IPS: What role do prejudice, stigma and discrimination play in the fight against this disease?

YS: That is a good question. After working for many years with the WHO, focusing mainly on curing the disease, I realised that many people who had already been cured could neither find work nor get married; they were still suffering the same conditions they faced when they were sick.

I concluded that Hanseniasis was like a two-wheeled motorcycle – the front one is the disease that can be cured and the back one is the prejudice, discrimination and stigma that surround it. If you don’t cure both wheels, no healing is possible.

In 2003, I submitted to the United Nations Commission on Human Rights a proposal to eliminate discrimination against Hanseniasis. After seven years of paperwork and procedures, the 193-member General Assembly unanimously approved a resolution to eradicate this problem that affects the carrier of the disease as well as those who have been cured, and their families.

But this does not mean that the problem has been solved, because prejudice and discrimination are the disease plaguing society.

People believe that Hanseniasis is a punishment from God, a curse, a hereditary evil. It’s hard to eradicate this judgment embedded in people’s minds. Even today there are many patients who have recovered and are totally healed, who cannot find a job or get married. In spite of the new laws, their conditions do not improve, because of the prejudice in people’s hearts.

In Japan, several generations of the family of someone who had the disease were unable to marry. This is no longer the case today.

That’s why I travel the world and speak out against the discrimination that marginalises those affected by the disease. But these are prejudices that have existed for 2,000 years; they cannot be overcome in two or three years.

Many share my viewpoint and accompany me in the struggle. One day the discrimination will end. It is more difficult to cure the disease that plagues society than the illness itself.

My effort is to hold a dialogue with presidents and ministers, people in positions of leadership, so that my message acquires political strength and can lead to a solution.

IPS: How did Japan manage to eradicate Hansen’s Disease?

YS: One way was the collective action of people who had the disease. Long-term media campaigns were conducted to spread knowledge about the disease. Movies, books and plays were also produced.

In Japan, Hanseniasis ceased to be the ‘disease of silence’. The nation apologised for the discrimination and compensated those affected. But in other countries, people affected by the disease have not yet come together to fight. Brazil, however, does have a very active movement.

IPS: As an example of what can be done, you cite Brazil’s Movement for the Reintegration of People Affected by Hanseniasis, MORHAN. Are there similar initiatives in other countries?

YS: Morhan really stands out as a model. Organisations have been formed by patients in India and Ethiopia, but they still have limited political influence. The Nippon Foundation encourages such movements.

IPS: You’ve visited Brazil more than 10 times. Have you seen any progress on this tour of the states of Pará and Maranhão, in the north, and in Brasilia?

YS: On that trip we couldn’t visit patients’ homes and talk to them, but we did see that the national, regional and local governments are motivated. We will be able to expand our activities here. In any country, if the highest-level leaders, such as presidents and prime ministers, take the initiative, solutions can be accelerated.

We agreed to organise a national meeting, promoted by the Health Ministry and sponsored by the Nippon Foundation, if possible with the participation of President Jair Bolsonaro, to bolster action against Hanseniasis.

We believe that this would generate a strong current to reduce the prevalence of Hanseniasis to zero and also to eliminate discrimination and prejudice. If this happens, my visit could be considered very successful.

IPS: What would you emphasise about the results of your visit?

YS: The message that President Bolsonaro spread directly to the population through Facebook during our meeting, with his view addressed to all politicians, to his team and and to all government officials on the need to eliminate the disease. I feel as if I have obtained the support of a million people who will work with us.

 

Chilean Schools Recycle Greywater to Combat Drought

Active Citizens, Civil Society, Climate Change, Combating Desertification and Drought, Development & Aid, Editors’ Choice, Education, Environment, Featured, Headlines, Integration and Development Brazilian-style, Latin America & the Caribbean, Population, Poverty & SDGs, Projects, Regional Categories, Special Report, Water & Sanitation

Water & Sanitation

The principal of the Samo Alto rural school, Omar Santander, shows organic tomatoes in the greenhouse built by teachers, students and their families, who raise the crops irrigated with rainwater or recycled water in Coquimbo, a region of northern Chile where rainfall is scarce. Credit: Orlando Milesi/IPS

The principal of the Samo Alto rural school, Omar Santander, shows organic tomatoes in the greenhouse built by teachers, students and their families, who raise the crops irrigated with rainwater or recycled water in Coquimbo, a region of northern Chile where rainfall is scarce. Credit: Orlando Milesi/IPS

OVALLE, Chile, Jul 4 2019 (IPS) – Children from the neighboring municipalities of Ovalle and Río Hurtado in northern Chile are harvesting rain and recycling greywater in their schools to irrigate fruit trees and vegetable gardens, in an initiative aimed at combating the shortage of water in this semi-arid region.


And other youngsters who are completing their education at a local polytechnic high school built a filter that will optimise the reuse and harvesting of water.

“The care of water has to start with the children,” Alejandra Rodríguez, who has a son who attends the school in Samo Alto, a rural village on the slopes of the Andes Mountains in Río Hurtado, a small municipality of about 4,000 inhabitants in the Coquimbo region, told IPS.

“My son brought me a tomato he harvested, to use the seeds. For them, the harvest is the prize. He planted his garden next to the house and it was very exciting,” said Maritza Vega, a teacher at the school, which has 77 students ranging in age from four to 15.

The principal of the school, Omar Santander, told IPS during a tour of rural schools in the area involved in the project that “the Hurtado River (which gives the municipality its name) was traditionally generous, but today it only has enough water for us to alternate the crops that are irrigated, every few days. People fight over watering rights.”

The Samo Alto school collects rainwater and recycles water after different uses. “The water is then sent to a double filter,” he explained, pointing out that they have a pond that holds 5,000 liters.

The monthly water bill is much lower, but Santander believes that the most important thing “is the awareness it has generated in the children.”

“There used to be water here, and the adults’ habits come from back then. The students help raise awareness in their families. We want the environmental dimension to be a tool for life,” he said.

For Admalén Flores, a 13-year-old student, “the tomatoes you harvest are tastier and better,” while Alexandra Honores, also 13, said “my grandfather now reuses water.”

El Guindo primary school, located 10 kilometers from the city of Ovalle, the municipal seat, in a town known as a hotspot for drug sales, performed poorly in tests until three years ago.

At that time, the principal, Patricio Bórquez, and the science teacher, Gisela Jaime, launched a process of greywater recovery. They also planted trees and native species of plants to adapt to the dry environment of the municipality of 111,000 inhabitants, located about 400 kilometers north of Santiago.

Four students, ages 13 and 14, talk to IPS about how the water reuse project has made them aware of the importance of taking care of water in the semi-arid territory where they live, in a classroom at the rural school of El Guindo, in the municipality of Ovalle, Chile. Credit: Orlando Milesi/IPS

Four students, ages 13 and 14, talk to IPS about how the water reuse project has made them aware of the importance of taking care of water in the semi-arid territory where they live, in a classroom at the rural school of El Guindo, in the municipality of Ovalle, Chile. Credit: Orlando Milesi/IPS

“The project was born because there was no vegetation,” said the teacher. Today they recover 8,000 litres of water a month. “Teaching care for the environment provides a life skill,” said Bórquez.

“Our school had the stigma of being in a place rife with drug addiction. Today in Ovalle we are known as the school with the most programs. We placed third in science,” she said.

Jaime described the experience as “gratifying” because it has offered “tools to grow and create awareness among children and the entire community about the importance of caring for water and other resources.”

Geographer Nicolás Schneider, founder of the “Un Alto en el Desierto” Foundation, told IPS that his non-governmental organisation estimates that one million litres of greywater have been recovered after eight years of work with rural schools in Ovalle.

In this arid municipality with variable rainfall, “only 37.6 mm of rainwater fell in 2018 – well below the normal average for the 1981-2010 period of 105.9 mm,” Catalina Cortés, an expert with Chile’s meteorology institute, told IPS from Santiago.

Schneider describes the water situation as critical in the Coquimbo region, which is on the southern border of the Atacama Desert and where 90 percent of the territory is eroded and degraded.

“Due to climate change, it is raining less and less and when it does, the rainfall is very concentrated. Both the lack of rain and the concentration of rainfall cause serious damage to the local population,” she said.

Innovative recycling filter

With guidance from their teachers, students at the Ovalle polytechnic high school built a filtration system devised by Eduardo Leiva, a professor of chemistry and pharmacy at the Catholic University. The filter seeks to raise the technical standard with which greywater is purified.

Duan Urqueta, 17, a fourth-year electronics student at the Ovalle polytechnic high school, describes the award-winning greywater filter he helped to build. Initially, units will be installed in eight rural schools in this municipality in northern Chile. Credit: Orlando Milesi/IPS

Duan Urqueta, 17, a fourth-year electronics student at the Ovalle polytechnic high school, describes the award-winning greywater filter he helped to build. Initially, units will be installed in eight rural schools in this municipality in northern Chile. Credit: Orlando Milesi/IPS

The prototype recycles the greywater from the bathrooms used by the 1,200 students at the polytechnic high school. This water is used to irrigate three areas with 48 different species of trees. Similar filters will be installed in eight rural schools in Ovalle.

The quality of the recovered water will improve due to the filter built thanks to a project by the Innovation Fund for Competitiveness of the regional government of Coquimbo, with the participation of the Catholic University, the “Un Alto en el Desierto” Foundation, and the Ovalle polytechnic high school.

The prototype was built by 18 students and eight teachers of mechanics, industrial assembly, electronics, electricity and technical drawing, and includes two 1,000-litre ponds.

The primary pond holds water piped from the bathroom sinks by gravity which is then pumped to a filter consisting of three columns measuring 0.35 meters high and 0.40 meters in diameter.

“The filter material in each column…can be activated charcoal, sand or gravel,” said Hernán Toro, the head teacher of industrial assembly.

Toro told IPS that “the prototype has a column with zeolite and two columns of activated charcoal. The columns are mounted on a metal structure 2.60 meters high.”

View of the water cleaning filter designed at the Ovalle polytechnic high school and built by a group of teachers and students with funding from the government of the region of Coquimbo, in northern Chile. Each unit costs 2,170 dollars and it will promote water recycling in the schools in the semi-arid municipality. Credit: Orlando Milesi/IPS

View of the water cleaning filter designed at the Ovalle polytechnic high school and built by a group of teachers and students with funding from the government of the region of Coquimbo, in northern Chile. Each unit costs 2,170 dollars and it will promote water recycling in the schools in the semi-arid municipality. Credit: Orlando Milesi/IPS

The water is pumped from the pond to the filter’s highest column, passes through the filter material and by gravity runs sequentially through the other columns. Finally, the water is piped into the secondary pond and by means of another electric pump it reaches the irrigation system.

Duan Urqueta, a 17-year-old electronics student, told IPS that they took soil and water samples in seven towns in Ovalle and “we used the worst water to test the filter that is made here at the high school with recyclable materials.”

In 2018, “we won first place with the filter at the Science Fair in La Serena, the capital of the region of Coquimbo,” he said proudly.

Pablo Cortés, a 17-year-old student of industrial assembly, said the project “changed me as a person.”

Toro said the experience “has been enriching and has had a strong social impact. We are sowing the seeds of ecological awareness in the students.”

“It’s a programme that offers learning, service, and assistance to the community. Everyone learns. We have seen people moved to the point of tears in their local communities,” the teacher said.

Now they are going to include solar panels in the project, which will cut energy costs, while they already have an automation system to discharge water, which legally can only be stored for a short time.

Eight schools, including the ones in Samo Alto and El Guindo, are waiting for the new filters, which cost 2,170 dollars per unit.

Schneider believes, however, that at the macro level “water recycling is insufficient” to combat the lack of water in this semi-arid zone. And he goes further, saying “there is an absence of instruments for territorial planning or management of watersheds.”

“Under the current water regulatory framework, the export agribusiness, mainly of fruit, has taken over the valleys, concentrating water use…and the government turns a blind eye,” he complained.

 

There’s No Continent, No Country Not Impacted by Land Degradation

Biodiversity, Climate Change, Combating Desertification and Drought, Conferences, Editors’ Choice, Featured, Global, Headlines, Regional Categories, Sustainability, TerraViva United Nations

Combating Desertification and Drought

On all continents you have the issue of land degradation, and it requires governments, land users and all different communities in a country to be part of the solution. Credit: Albert Oppong-Ansah /IPS

ANKARA, Jun 17 2019 (IPS) – The coming decades will be crucial in shaping and implementing a transformative land agenda, according to a scientist at the United Nations Convention to Combat Desertification (UNCCD) framework for Land Degradation Neutrality (LDN).


UNCCD-Science Policy Interface co-chair Dr. Mariam Akhtar-Schuster, who spoke with IPS ahead of the start of activities to mark World Day to Combat Desertification (WDCD) on Monday, Jun. 17, said this was one of the key messages emerging for policy- and other decision-makers.

This comes after the dire warnings in recent publications on desertification, land degradation and drought of the Global Land OutlookIntergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES) Assessment Report on Land Degradation and Restoration, World Atlas of Desertification, and IPBES Global Assessment on Biodiversity and Ecosystem Services.

“The main message is: things are not improving. The issue of desertification is becoming clearer to different communities, but we now have to start implementing the knowledge that we already have to combat desertification,” Akhtar-Schuster told IPS.

“It’s not only technology that we have to implement, it is the policy level that has to develop a governance structure which supports sustainable land management practices.”

IPBES Science and Policy for People and Nature found that the biosphere and atmosphere, upon which humanity as a whole depends, have been deeply reconfigured by people.

The report shows that 75 percent of the land area is very significantly altered, 66 percent of the ocean area is experiencing increasing cumulative impacts, and 85 percent of the wetland area has been lost.

“There are of course areas which are harder hit; these are areas which are experiencing extreme drought which makes it even more difficult to sustainably use land resources,” Akhtar-Schuster said.

“On all continents you have the issue of land degradation, so there’s no continent, there’s no country which can just lean back and say this is not our issue. Everybody has to do something.”

Akhtar-Schuster said there is sufficient knowledge out there which already can support evidence-based implementation of technology so that at least land degradation does not continue.

While the information is available, Akhtar-Schuster said it requires governments, land users and all different communities in a country to be part of the solution.

“There is no top-down approach. You need the people on the ground, you need the people who generate knowledge and you need the policy makers to implement that knowledge. You need everybody,” the UNCCD-SPI co-chair said.

“Nobody in a community, in a social environment, can say this has nothing to do with me. We are all consumers of products which are generated from land. So, we in our daily lives – the way we eat, the way we dress ourselves – whatever we do has something to do with land, and we can take decisions which are more friendly to land than what we’re doing at the moment.”

UNCCD-Science Policy Interface co-chair Dr. Mariam Akhtar-Schuster says things are not improving and that the issue of desertification is becoming clearer to different communities. Credit: Desmond Brown/IPS

UNCCD Lead Scientist Dr. Barron Joseph Orr said it’s important to note that while the four major assessments were all done for different reasons, using different methodologies, they are all converging on very similar messages.

He said while in the past land degradation was seen as a problem in a place where there is overgrazing or poor management practices on agricultural lands, the reality is, that’s not influencing the change in land.

“What’s very different from the past is the rate of land transformation. The pace of that change is considerable, both in terms of conversion to farm land and conversion to built-up areas,” Orr told IPS.

“We’ve got a situation where 75 percent of the land surface of the earth has been transformed, and the demand for food is only going to go up between now and 2050 with the population growth expected to increase one to two billion people.”

That’s a significant jump. Our demand for energy that’s drawn from land, bio energy, or the need for land for solar and wind energy is only going to increase but these studies are making it clear that we are not optimising our use,” Orr added.

Like Akhtar-Schuster, Orr said it’s now public knowledge what tools are necessary to sustainably manage agricultural land, and to restore or rehabilitate land that has been degraded.

“We need better incentives for our farmers and ranchers to do the right thing on the landscape, we have to have stronger safeguards for tenures so that future generations can continue that stewardship of the land,” he added.

The international community adopted the Convention to Combat Desertification in Paris on Jun. 17, 1994.

On the occasion of the 25th anniversary of the Convention and the World Day to Combat Desertification in 2019 (#2019WDCD), UNCCD will look back and celebrate the 25 years of progress made by countries on sustainable land management.

At the same time, they will look at the broad picture of the next 25 years where they will achieve land degradation neutrality.

The anniversary campaign runs under the slogan “Let’s grow the future together,” with the global observance of WDCD and the 25th anniversary of the Convention on Jun. 17, hosted by the government of Turkey.