Abusive Governments Set to Win Seats in Human Rights Council

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Opinion

NEW YORK, Oct 10 2025 (IPS) – Egypt and Vietnam are on track to secure seats on the United Nations Human Rights Council despite being woefully unfit for membership. The UN General Assembly will elect members to the UN’s premier rights body in a noncompetitive vote on October 14, 2025.

These 2 countries are among 14 member states seeking three-year terms on the 47-nation Human Right Council starting in January 2026. Vietnam, currently a Council member, is seeking re-election.

“Noncompetitive UN votes permit abusive governments like Egypt and Vietnam to become Human Rights Council members, threatening to make a mockery of the Council,” said Louis Charbonneau, UN director at Human Rights Watch. “UN member states should stop handing Council seats on a silver platter to serial rights violators.”

Egypt, along with Angola, Mauritius, and South Africa are running for four African seats. India, Iraq, and Pakistan are joining Vietnam for the four Asian seats. For Latin America and the Caribbean, Chile, and Ecuador are unopposed for two seats.

In the Western group, Italy and the United Kingdom are running for two available seats, while Estonia and Slovenia are candidates for two seats for Central and Eastern Europe.

General Assembly Resolution 60/251, which created the Human Rights Council in 2006, urges states voting for members to “take into account the contribution of candidates to the promotion and protection of human rights.” Council members are required to “uphold the highest standards in the promotion and protection of human rights” at home and abroad and to “fully cooperate with the Council.”

Candidates only need a simple majority in the secret-ballot vote in the 193-nation General Assembly to secure a seat on the Human Rights Council. That makes it highly unlikely that any of the candidates will not be elected. Nevertheless, UN member states should not cast votes for abusive governments that are demonstrably unqualified for Council membership.

Egyptian President Abdel Fattah al-Sisi’s government has continued wholesale repression, systematically detaining and punishing peaceful critics and activists, and effectively criminalizing peaceful dissent. Government security forces have committed serious human rights abuses with near-absolute impunity. These include killing hundreds of largely peaceful protesters and widespread, systematic torture of detainees, which most likely amount to crimes against humanity.

The government also tries to prevent its own citizens from engaging with the Geneva-based Human Rights Council, and punishes those who engage with brutal reprisals. It ignores UN experts’ requests to visit the country.

The ruling Communist Party of Vietnam maintains a monopoly on political power and allows no challenge to its leadership. Basic rights are severely restricted, including freedoms of expression, peaceful assembly, association, and religion. Rights activists and bloggers face police intimidation, harassment, restricted movement, and arbitrary arrest and detention.

Mauritius and the UK, among the countries running. signed a treaty that recognizes Mauritius’ sovereignty over the Chagos islands but fails to address the ongoing crimes against humanity against Chagossians and their right of return to all the islands.

The UK forcibly displaced the Chagossian people between 1965 and 1973 to allow the US to build a military base. Mauritius and the UK should comply with their international rights obligations, including Chagossians’ right of return and should provide an effective remedy and reparations.

Angolan President João Lourenço has pledged to protect human rights, though Angolan security forces have used excessive force against political activists and peaceful protesters. South Africa has taken strong stances for accountability on Palestine and other issues. It should be similarly robust with rights violations by Russia and China.

The Bharatiya Janata Party government in India led by Prime Minister Narendra Modi has refused access to UN experts. Modi’s party leaders and supporters repeatedly vilify and attack Muslims and Christians with impunity, while the authorities often punish those who protest this campaign of Hindu majoritarianism.

Pakistan should cease the use of draconian counterterrorism and sedition laws to intimidate peaceful critics, and repeal its blasphemy laws. The government should prosecute those responsible for incitement and attacks on minorities and marginalized communities.

In 2024, Iraq passed a law criminalizing same-sex relations and transgender expression. Violence and discrimination against LGBT people are rampant, for which no one is held to account. Iraqi authorities have increasingly repressed activists and journalists.

In Ecuador, the government has attacked judicial independence and security forces have committed serious human rights violations since President Daniel Noboa declared an “internal armed conflict” in January 2024.

In Chile, President Gabriel Boric’s administration has played a leading role in speaking out on human rights violations around the world. Human rights challenges, including racism and abuses against migrants, remain a problem in the country, however.

In the UK, the authorities should end their crackdown on freedom of assembly. Many peaceful protesters in support of Palestinians or action on climate change have been arrested and some imprisoned after demonstrating.

Italy should stop criminalizing and obstructing sea rescues and enabling Libyan forces to intercept migrants and refugees and take them back to Libya, where they face arbitrary detention and grave abuses. Italy also failed to comply with a 2025 International Criminal Court arrest warrant by sending a wanted suspect back to Libya instead of to The Hague.

The Human Rights Council has played a crucial role in investigating abuses in Syria, Myanmar, North Korea, Russia, Ukraine, Israel/Palestine, and elsewhere. It recently established an investigation into serious crimes in Afghanistan by all parties—past and present —and extended its fact-finding mission for Sudan. Other countries and situations need scrutiny.

Council members should press for investigations of abuses by major powers, such as China’s crimes against humanity against Uyghurs and others in Xinjiang, and take up extrajudicial killings by the US of alleged narcotics traffickers on sea vessels.

For Council investigations to be credible, it needs financing. It is critical for countries to pay their assessed UN dues while boosting voluntary contributions. This will ensure that independent human rights investigations do not become casualties of the UN’s financial crisis resulting from the Trump administration halting virtually all payments to the UN and China and others paying late.

“The Human Rights Council has been able to save countless lives by carrying out numerous human rights investigations that deter governments and armed groups from committing abuses,” Charbonneau said. “All governments should recognize that it’s in their interests to promptly pay their UN dues so the rights Council can do its job.”

IPS UN Bureau

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New Report Investigates Violence Against Women and Girls Through Surrogacy, Sparks Global Dialogue

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United Nations Special Rapporteur Reem Alsalem recently released her report on violence against women and girls with a focus on surrogacy, one of the most controversial topics in the medical field.

United Nations Special Rapporteur Reem Alsalem. Credit: UN Photo/Loey Felipe

United Nations Special Rapporteur Reem Alsalem. Credit: UN Photo/Loey Felipe

UNITED NATIONS, Sep 19 2025 (IPS) – A United Nations report calling for the global abolition of surrogacy has sparked intense debate among experts, with critics arguing that blanket bans could harm the very women the policy aims to protect.

Reem Alsalem, the United Nations Special Rapporteur on violence against women and girls, issued a report on violence against women and girls with a specific focus on surrogacy as a form of exploitation. The report, officially titled “The different manifestations of violence against women and girls in the context of surrogacy,” was published on July 14, 2025, and is slated for discussion at the upcoming UN General Assembly session in October.

The report calls surrogacy “direct and exploitative use of a woman’s bodily and reproductive functions for the benefit of others, often resulting in long-lasting harm and in exploitative circumstances.”

It further delves into the danger of surrogacy business models, in particular, which embrace the ambiguity of international law to churn a profit, often at the expense of both the surrogate and the prospective family. Alsalem recommends the abolition of surrogacy and asks member states to “work towards adopting an international legally binding instrument prohibiting all forms of surrogacy.”

One of the largest problems with surrogacy today, according to Senior Lecturer at Swinburne University Jutharat Attawet, is a lack of comprehensive education and legal standards around the practice. This results in social alienation and false conceptions, which worsen exploitation of people who participate in surrogacy—they are not provided adequate resources

Attawet, who specializes in surrogacy healthcare and domestic policy, considers surrogacy itself a beneficial tool for nontraditional family building. However, she acknowledges the steps it has to take to ensure autonomy and respect for surrogates.

Attawet’s research, cited in Alsalem’s report, shows that approximately 1 percent of babies born in Australia are from surrogates, so although the number has doubled over the past decade, doctors are not familiar with the process. Furthermore, legislation is primarily top-down rather than region- or area-specific. Since doctors in places like Australia are “intimidated by the language” surrounding surrogacy due to minimal education, they are less willing to openly engage with the procedures. This pushes families to seek surrogates elsewhere, where laws are less stringent and doctors more comfortable with the procedures.

Another incentive for overseas surrogacy, Attawet says, is lack of national support for surrogacy. Since it does not fulfill the criteria of most healthcare insurance plans, prospective parents often seek a more affordable surrogacy birth internationally. This further contributes to the exploitation both she and Alsalem note in their respective research—international surrogacy is much more difficult to regulate between different countries’ laws and often primarily harms the surrogate and the child, who is less likely to know their birth mother from an international surrogacy.

Alsalem criticized the practice of international surrogacy as an exploitative technique to perpetuate wealth inequality between different countries, but many experts argue that the job is one of the few accessible, well-paying jobs for child-bearing people who need to care for their family full-time. Polina Vlasenko, a researcher whose work was also cited in Alsalem’s report, explained to IPS that international surrogacy in Ukraine and the Republic of Georgia “is the type of job you can combine with having a kid and being a full-time caretaker of your kid… it still benefits women.”

Vlasenko elaborated, saying that most workers in the surrogacy industry, including intermediaries and clinicians, were women who had some sort of pre-existing connection to the process—often being former surrogates. To ban surrogacy entirely, Vlasenko argues, would merely harm women in all facets of the industry rather than resolving wealth gaps. She said, “this inequality is much deeper than services of surrogacy.”

Social worker and professor at Ohio State University Sharvari Karandikar similarly opposes the Special Rapporteur’s recommendation of abolition. In an interview with IPS, Karandikar explained that “in countries like India, it’s really hard to implement policies in a uniform way, and I think that one needs to have proper oversight of medical professionals and how they’re engaging in surrogate arrangements and medical tourism. Blanket bans do not work.”

She emphasized the dangers of surrogacy without regulation, saying it would only do more harm.

Instead, Karandikar advocates for “the safety, the better communication, more education, more informed choice and decision, more safeguards, better treatment options, and long-term health coverage for women who engage in surrogacy” as “a wonderful way to speak about women’s choices, decisions and their health instead of penalizing anyone.”

However, in order for the global conversation surrounding surrogacy to center around female agency, experts like Vlasenko say the perception of surrogates needs to change. She said, “sex work is not seen as violence or exploitation when it’s done for free… it’s the same with childbirth… surrogate mothers are taking the only work that, in their situation, allows them to fulfill certain responsibilities like childcare and income generation. They think that they’re agents in this process, but society sees them as victims.”

Ultimately, the surrogacy debate reflects broader questions about women’s autonomy, economic inequality and reproductive rights. As Vlasenko noted, addressing the “much deeper inequality” that pushes women to surrogacy may prove more effective than focusing solely on limiting the practice itself.

IPS UN Bureau Report

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UN Independent Commission Finds That Israeli Forces Have Committed Genocide in Gaza

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Gazan children standing in the rubble of their demolished home in Rafah. Credit: UNICEF/Eyad El Baba

UNITED NATIONS, Sep 17 2025 (IPS) – On September 16, the Israeli military began its ground offensive in Gaza City, accompanied by intensified bombardment of residential areas and a surge in civilian displacement. Concurrently, the United Nations Independent International Commission of Inquiry on the Occupied Palestinian Territory, including East Jerusalem and Israel, issued a report in which it found that Israel is responsible for committing genocide in Gaza, citing deliberate efforts to destroy Palestinian life, carried out with near-total impunity.

“The responsibility for these atrocity crimes lies with Israeli authorities at the highest echelons who have orchestrated a genocidal campaign for almost two years now with the specific intent to destroy the Palestinian group in Gaza,” said Navi Pillay, Chair of the Commission. “The Commission also finds that Israel has failed to prevent and punish the commission of genocide through failure to investigate genocidal acts and to prosecute alleged perpetrators.”

The Commission found that Israeli forces have repeatedly disregarded orders from the International Court of Justice (ICJ) as well as warnings from UN Member States, human rights groups and civil society organizations. Israeli officials have dismissed the Commission’s findings, accusing it of bias and refusing to cooperate with its investigations.

In response to the Commission, Israeli President Isaac Herzog told journalists, “While Israel defends its people and seeks the return of hostages, this morally bankrupt Commission obsesses over blaming the Jewish state, whitewashing Hamas’s atrocities, and turning victims of one of the worst massacres of modern times into the accused.”

The Commission described its report as the “strongest and most authoritative UN finding to date”, while noting that it operates independently from the UN and does not speak on its behalf. Currently, the UN does not categorize Israel’s actions in Gaza as a genocide, but has been under increasing pressure from its agencies to do so. Back in August, over 500 staff from the Office of the High Commissioner for Human Rights (OHCHR) urged UN Human Rights Chief Volker Türk to explicitly recognize the situation as a genocide. “OHCHR has a strong legal and moral responsibility to denounce acts of genocide,” said the letter signed by the UNHCR Staff Committee in Geneva. “Failing to denounce an unfolding genocide undermines the credibility of the U.N. and the human rights system itself.”

Humanitarian experts project that ongoing bombardments will result in an immense loss of human life and eliminate the remaining prospects of survival for those still in the enclave. The UN Human Rights Council (HCR) noted that controlled detonations in Gaza City have leveled entire neighborhoods and are in the process of wiping out “the last viable element of civilian infrastructure’ essential for survival.

The Commission reports that since October 7, 2023, Israel has repeatedly bombarded densely populated residential areas, often relying on explosive weapons with wide-area impacts. One spokesperson for the Israeli security forces told the Commission that they were “focused on what causes maximum damage”. The Commission has documented numerous instances of Israeli forces targeting high-rise buildings and residential apartment blocks, leading to the destruction of entire neighborhoods and the deaths of almost all civilians involved.

Additionally, the Commission observed that the number of bombs used by Israel in the past two years is unprecedented in comparison to other world conflicts, noting that Israel drops in less than a week the number of bombs the United States used in Afghanistan over an entire year —concentrated in a much smaller and more densely populated area.

Airstrikes and shellings on critical civilian infrastructures have disrupted nearly all aspects of life for Palestinians in Gaza. According to the report, damage to agricultural lands across the entire enclave poses significant long-term risks to food production and accelerated food insecurity, leading to famine.

As of February 2025, 403 school buildings in Gaza have been damaged by Israeli bombardment, including eighty-five that have been completely destroyed and seventy-three left only partly functional. The Commission warns that the strikes have effectively collapsed Gaza’s education system, disrupting schooling for over 658,000 children. Without urgent intervention, thousands are expected to suffer long-term psychological harm and stunted cognitive development due to the loss of education and psychosocial support services.

Furthermore, the widespread destruction of hospitals and the immense number of traumatic injuries from Israeli attacks have overwhelmed hospitals and healthcare centers across Gaza, leading to the collapse of the healthcare system. The siege has led to severe shortages in fuel and electricity, while also causing the looting and damaging of life-saving medical supplies and medications. As a result, patients with chronic illnesses and infections from diseases have been deprioritized, leading to a sharp increase in the number of preventable deaths and complications. Medical experts told the Commission that the targeting of healthcare facilities has severely restricted access to care for thousands of Palestinians, with children being among the most affected.

According to the report, between October 2023 and July 2025, approximately 53,000 Palestinians in Gaza were killed as a direct result of Israeli military operations. The Commission reports that Palestinians in Gaza were also attacked in their homes, in hospitals, as well as shelters, such as schools and religious sites. Israeli forces also repeatedly targeted journalists, healthcare personnel, humanitarian workers, and other protected individuals, sometimes even during ceasefire periods and without warning.

The report also documents Israeli forces targeting Palestinians in evacuation routes and designated safe zones, finding that women and children were most often directly targeted and killed, often while alone and in areas not experiencing active hostilities. In every case reviewed, the Commission found that Israeli forces were aware of civilians’ presence but opened fire regardless. Many of the victims were children carrying makeshift white flags , including toddlers who were reportedly shot in the head by snipers.

Furthermore, the report underscores that the Gaza Humanitarian Foundation (GHF) was largely ineffective in providing direct relief to struggling Palestinians and has been linked to a surge in civilian deaths. As of July 31, at least 1,373 Palestinians had been killed while trying to access food, with 859 killed near GHF sites and 514 along convoy routes—with most fatalities attributed to the Israeli military.

Furthermore, Israeli forces have effectively hindered humanitarian operations through routine bombardments and shellings. From October 2023 to July 2025, the Commission recorded at least 48 staff and volunteers from the Palestine Red Crescent Society (PRCS) that were killed. Additionally, medical personnel also informed the Commission that Israeli forces deliberately shelled ambulances, with many workers stating that they believed that they had been intentionally targeted.

The Commission also found that Israel weaponised the withholding of life-sustaining necessities, such as food, water, fuel, and humanitarian aid, leading to a sharp increase in preventable civilian deaths. According to the report, families in Gaza have less than one liter of water per person per day for drinking, cooking, and hygiene, which is far below international minimum standards for daily water consumption.

Moreover, water shortages have led to a deterioration of the sanitation system, which is particularly pronounced in displacement camps, where nearly 400,000 kilograms of waste piles up each day. This has led to the rampant spread of infectious diseases such as Hepatitis A.

Additionally, more than ninety percent of the population in Gaza has faced acute food insecurity since October 2023, with the most severe cases being concentrated in northern Gaza. According to figures from the Integrated Food Security Phase Classification (IPC), as of July 2025, food consumption has fallen far below the famine threshold in most areas of the enclave and malnutrition has reached the famine threshold in Gaza City.

The report found that Israeli forces were responsible for deliberately starving and depriving civilians in Gaza of resources that are paramount for human survival, with PRCS stating that Gaza is “unable to sustain life in its current state as civilians find their basic needs unmet”.

The Commission warns that the near-total impunity that Israeli forces and officials have emboldened the continuation of atrocities in Gaza, with global pressure mounting from the international community which urgently calls for an immediate de-escalation of hostilities, unimpeded humanitarian access, and credible mechanisms to hold perpetrators accountable.

“The international community cannot stay silent on the genocidal campaign launched by Israel against the Palestinian people in Gaza. When clear signs and evidence of genocide emerge, the absence of action to stop it amounts to complicity,” said Pillay. “Every day of inaction costs lives and erodes the credibility of the international community. All States are under a legal obligation to use all means that are reasonably available to them to stop the genocide in Gaza,” she added.

Following the report’s release, the leaders of twenty aid agencies working in Gaza, including Oxfam International, CARE and Médecins Sans Frontières (MSF), issued a joint statement also urging member states to take action to “prevent the evisceration of life in the Gaza Strip”.

“All parties must disavow violence against civilians, adhere to international humanitarian law and pursue peace. States must use every available political, economic, and legal tool at their disposal to intervene. Rhetoric and half measures are not enough. This moment demands decisive action,” the statement reads.

“The UN enshrined international law as the cornerstone of global peace and security. If Member States continue to treat these legal obligations as optional, they are not only complicit but are setting a dangerous precedent for the future. History will undoubtedly judge this moment as a test of humanity. And we are failing. Failing the people of Gaza, failing the hostages, and failing our own collective moral imperative.”

IPS UN Bureau Report

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Struggle For Water Continues Following Israeli Attacks on Lebanon

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Water & Sanitation

Damage to the water tank at the Maisat water pumping station. Credit: WaSH Sector Lebanon

Damage to the water tank at the Maisat water pumping station.
Credit: WaSH Sector Lebanon

BRATISLAVA, Sep 17 2025 (IPS) – Just under a year into a fragile ceasefire, 150,000 people in southern Lebanon continue to deal with the potentially lethal aftermath of Israeli bombing, highlighting the devastating long-term effects of conflict.

A report published late last month (AUG) by Action Against Hunger, Insecurity Insight, and Oxfam said that at least 150,000 people remain without running water across the south of Lebanon after Israeli attacks had damaged and destroyed swathes of water sanitation and hygiene (WASH) facilities since the beginning of the conflict in Lebanon.

The report, When Bombs Turn the Taps Off: The Impact of Conflict on Water Infrastructure in Lebanon, laid bare both the immediate and long-term effects of repeated attacks on Lebanese water infrastructure between October 2023 and April 2025.

It said that more than 30 villages were without any connection to running water, leading to long-term disruption to supplies of fresh water, fueling dependence on water trucking that many people cannot afford and, according to the World Bank, losses estimated at USD171 million across the water, wastewater and irrigation sectors.

A severe rainfall shortage in recent months has exacerbated the problem, increasing risks of outbreaks of waterborne diseases as  vulnerable communities are forced to resort to utilizing unsafe or contaminated water sources for their daily needs.

But groups behind the report warn that without mitigating action, the situation could become even worse.

“We can see there is the potential for some severe long-term repercussions of these attacks. There are 150,000 people without running water at the moment, but that number could rise in the future,” Suzanne Takkenberg, Action Against Hunger’s country director, told IPS.

Among the groups’ biggest concerns is the effect of the destruction on local agriculture.

In villages near the southern Lebanese border, farmers’ irrigation networks have been destroyed, cutting off vital water supplies to farms. Trucked-in water supplies have not been sufficient to replace this and allow them to irrigate land or give drinking water to their livestock, farmers say.

Meanwhile, farmers have also been unable to access their land due to security concerns—a November ceasefire between Israel and Hezbollah has held only partly, with violations reported regularly—compounding problems with food production.

“One of our major worries is the mid- to long-term effects of the difficulties for farmers to irrigate their land,” explained Takkenberg.

“They have been struggling to irrigate their land since October 2023, due to security concerns hindering access to their land, as well as water problems. We have seen as a consequence of these attacks that food prices have increased and food productivity has decreased.”

Another concern is the growing reliance on trucked-in water for communities.

“Worryingly, people are becoming dependent on using water that is trucked in. This is sometimes ten times more expensive than using water from a public network, and the checks on that water are not the same as those carried out on public water supply networks,” said Takkenberg.

“Water quality after any kind of conflict is a concern and we are definitely worried about it in southern Lebanon after these attacks,” she added.

Illness and disease related to water quality and shortages are major concerns.

Destroyed water pumping station in Tyre following an airstrike in November 2024.Credit: Insecurity Insight

A destroyed water pumping station in Tyre, Lebanon, following an airstrike in November 2024.
Credit: Insecurity Insight

While the report states that waterborne and water-related illnesses were not reported by people interviewed, some highlighted the limited resources available for testing water quality and possible contamination. There are also worries that water may have been contaminated by white phosphorus, the use of these munitions in Lebanon having been verified by Human Rights Watch.

Meanwhile, there are further concerns that residents may resort to using unsafe water sources due to limited supplies, a situation exacerbated by low rainfall and water shortages at critical reservoirs.

Local officials interviewed for the report also highlighted damage to sewerage networks in some areas. This, combined with the known large-scale damage to water infrastructure and the possibility that damaged sewerage infrastructure has contaminated water sources, ramps up the potential of negative long-term effects on health if the water supply crisis is not adequately addressed, the report states.

It also points to evidence from Ethiopia, Ukraine and the Middle East, demonstrating clear links between damage to water and sanitation infrastructure during conflict and adverse public health outcomes.

“People are cutting back on their water use, which can have an effect on health and hygiene and raises disease risk—cholera is already epidemic in Lebanon and this situation could exacerbate that. Other diseases could also be spread. We have already seen cases of watery diarrhea, which is bad not just in itself, but also because in children it can cause problems with malnutrition as their bodies struggle to absorb nutrients,” Takkenberg said.

But while the potential long-term impact of the damage and destruction to water infrastructure is severe, early action could mitigate the worst possible outcomes, experts say.

“There is an urgent need to repair systems and while this is ongoing, to track water into the area. The consequences of water system destruction are rarely immediate. Most often, the impacts accumulate over time. It is the combination of destroyed infrastructure with the failure to repair it, insufficient water trucking, or lack of access to trucked-in water that eventually produces devastating outcomes for individuals and communities,” Christina Wille, Director of Insecurity Insight, told IPS.

“This is why the destruction of infrastructure demands close attention: if not effectively mitigated, cascading consequences are inevitable. People may be forced to leave, adding to the numbers of displaced populations, or they may fall ill. Yet there is also an opportunity—by addressing damaged infrastructure early—to prevent the worst outcomes of displacement and disease and to save lives,” she added.

But while repairing and rebuilding water infrastructure is essential to preventing the most severe long-term impacts on local communities, implementing it is a different matter.

Authorities have managed to carry out some limited repairs to some networks, but issues around the continued presence of Israeli forces and concerns about ongoing conflict violence have prevented wider-scale or more extensive reconstruction. Finances for repairs are also under strain amid the socio-economic crisis the country has faced since 2019.

“Disease outbreaks are very predictable and the cost of not dealing with them is much worse than dealing with them now. The health ministry has been good in warning [of potential health risks] but there is a limit to what the government can do with the resources that are available after years of economic crisis. It is a very difficult situation,” said Takkenberg.

The report ends with a call for, among others, all parties to the conflict to strictly comply with the ceasefire agreement and adhere to international humanitarian law (IHL) and ensure the protection of civilians, health workers, and essential infrastructure.

It urges humanitarian programmers and donors to support the rehabilitation and operationalization of conflict-affected water infrastructure and ensure temporary access to safe water and basic sanitation services through the provision of water trucking, emergency water points, and safe wastewater discharge.

The report also says UN member states should push for the establishment of independent, impartial, and transparent investigations into all allegations of IHL violations.

Satellite imagery shown in the report indicates that in at least several incidents the damaged or destroyed facilities were located in large open areas without clearly identifiable military targets, suggesting that in some cases they may have been specifically and deliberately targeted.

The authors of the report point out that under IHL, parties to a conflict must always distinguish between lawful military targets and civilians and civilian objects and that deliberately targeting civilians and civilian objects is prohibited and amounts to a war crime. The various kinds of water infrastructure are protected as civilian objects under IHL and must never be attacked.

“Determining whether each incident deliberately targeted water infrastructure would require access to confidential military decisions, which is not available, as well as information on whether any military objectives were present at the time of the attacks. Our data is limited to the observable effects on the ground following the attacks. Nevertheless, the scale and nature of the observed damage raise serious questions regarding compliance with international humanitarian law, which governs the conduct of hostilities,” said Wille.

While it may not be possible to determine whether the attacks were deliberate, their impact is clear and highlights the need to look at not just the direct but also indirect effects of conflict, said Wille.

“Conflict deaths are not only direct (caused by weapons) but also indirect, when the destruction of systems produces cumulative and deadly consequences. The more complex and interconnected our societies become, particularly in securing food and water, the more vulnerable they are to such systemic shocks. At the same time, it becomes harder to trace devastating outcomes back to a single act of destruction.

“This is why we must learn to examine conflicts through the lens of systems and interconnectivity and to apply this knowledge to our legal analysis of the conduct of warfare,” she said.

“The public needs to ask more direct questions about the conduct of warfare and how the principles of distinction, proportionality, and precaution are being applied. We need a broader debate on how these principles should be interpreted in today’s conflicts. Modern societies rely on highly interconnected and complex infrastructure to secure basic needs such as food and water, while warfare is increasingly conducted remotely through advanced technologies. In this context, what counts as proportional? And what kinds of precautions are necessary in today’s world?” she added.

IPS UN Bureau Report

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Hypertension and Diabetes Grows Among India’s Poor Communities

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Health

A patient being checked for BP at Mann PHC. Credit: Rina Mukherji/IPS

A patient being checked for BP at Mann PHC. Credit: Rina Mukherji/IPS

MANN, India, Aug 26 2025 (IPS) – Generally thought to be diseases of the wealthier classes, non-communicable diseases (NCDs) like hypertension and diabetes are on the rise among India’s underprivileged working classes in semi-urban and rural sprawls.

Take the case of Mohan Ahire. A middle-aged gardener in Pune, Mohan never realized that the heaviness in his head was a symptom of hypertension. Last summer, a mid-morning visit to the market saw him fall unconscious on return. Upon regaining consciousness, his wife and sons discovered the paralysis on the right side of his body, leading doctors to diagnose it as a stroke.

Bahinabai Gaekwad, a 56-year-old sweeper in Mann village, was at work when she suddenly collapsed and died. Doctors from the Primary Health Centre (PHC) next door found that she had been suffering from undiagnosed hypertension for a long time. The ailment ultimately led to a fatal cardiac arrest.

The worst problem is that most patients from underprivileged sections are not aware of their health condition.

Praful Mahato, a migrant laborer from Balasore in Odisha, who is currently employed in a dhaba (roadside eatery) in Mann, a fast-industrializing rural outpost of Pune city, had been suffering from heaviness and dizzy spells for some time. But he attributed his symptons to long hours at work and resulting fatigue. A chance visit to a medical camp confirmed high blood pressure and diabetes. Since the last four months, medication has controlled his blood pressure and brought down his sugar level.

Jagdish Mondol, in his 50s, did not realize he had hypertension and diabetes until he needed to undergo a hernia operation at a government hospital in Bhadrak, Odisha. This was despite blurred vision and difficulty in walking. Thankfully, the operation got him to wake up to his health condition. Regular medication has now improved his blood pressure and sugar level.

Fortunately, some patients may seek help on their own. Lalita Parshuram Jadhav, a 40-year-old migrant construction worker from Yavatmal, is one such. “Since the last two years, I have been experiencing pain in my legs; it became quite acute over the past year,” she tells IPS. A medical check-up confirmed hypertension and high sugar levels.

India’s Hypertension and Diabetes Epidemic

The cases cited above exemplify the rising burden of India’s non-communicable disease (NCD) of Hypertension and Diabetes. Ranked among the top ten NCDs responsible for untimely deaths worldwide, these two diseases are interlinked. This means those with hypertension are also vulnerable to developing prediabetes and diabetes.

According to the World Health Organization (WHO), an estimated 1.28 billion adults in the 30-79 age group suffer from hypertension, with two-thirds of them living in low- and middle-income countries. Yet, only 21 percent of those affected have their hypertension under control, while around 46 percent of these remain unaware of their condition and remain undiagnosed and untreated.

Diabetes, notably, can be of two varieties. Type 1 Diabetes is a congenital condition, while Type 2 diabetes is a lifestyle disease that develops later in life. South Asians, Pacific Islanders, and Native Americans have a significantly higher risk of developing the disorder.

The International Diabetes Federation (IDF) recorded a dramatic increase in the number of people affected by Type 2 Diabetes globally since the 1990s, and since 2000, the rise has been dramatic. In India, there are an estimated 77 million people above the age of 18 years suffering from diabetes (type 2), while nearly 25 million are prediabetic (at a higher risk of developing diabetes in the future). Yet, more than 50 percent of these are unaware of their diabetic status.

In India, the prevalence of Diabetes rose from 7.1 percent in 2009 to 8.9 percent in 2019. Meanwhile, 25.2 million adults are estimated to have Impaired Glucose Tolerance (IGT), a prediabetic condition that is estimated to increase to 35.7 million in the year 2045. It is also estimated that approximately 43.9 million people suffering from diabetes remain undiagnosed and untreated in India, posing a major public health risk.

It is a matter of concern that most deaths from these diseases occur in the 30- to 70-year-old age group, posing a major economic loss.

In Mann, doctors at primary health centers (PHCs) are battling this scourge, with hypertension affecting around 28 percent of the population and 12 percent being diabetic. The scenario is similar to that at Mullaheera, in rural Haryana, located just outside the national capital region of Delhi.

Dr. Sona Deshmukh, from the People-to-People Foundation, which is collaborating with the Government of India on its Viksit Bharat @2047 initiative and the in-charge for the Pranaa Project, tells me, “Diabetes is common among the older population, but hypertension is rising among the youth.”

Dangers Posed by Hypertension and Diabetes

The problem with both Hypertension and Diabetes is socio-cultural, with most people viewing these diseases as benign. Yet, ignoring them can lead to paralytic strokes and ultimately, death.

Characterized by headaches, blurred vision, nosebleeds, buzzing in the ears, and chest pain,  uncontrolled and untreated hypertension can lead to—

  • chest pain (also termed angina);
  • heart attack, which occurs when the blood supply to the heart is blocked and heart muscle cells die from lack of oxygen.
  • heart failure, which occurs when the heart cannot pump enough blood and oxygen to other vital body organs; and
  • sudden death due to irregular heartbeat.

This is because excessive blood pressure can harden arteries, decreasing the flow of blood and oxygen to the heart. This elevated pressure and reduced blood flow can result in the complications listed above, besides bursting or blocking arteries that supply blood and oxygen to the brain, causing a stroke. It can also cause kidney damage, resulting in kidney failure.

In the case of Diabetes, the body is unable to either produce or use insulin effectively. While individuals with Type I diabetes have a congenital condition wherein the insulin-producing cells in the pancreas are attacked and destroyed, patients with Type II diabetes—which is a preventable lifestyle-related disease—either do not produce enough insulin or are unable to use insulin effectively for the body’s needs. Uncontrolled diabetes can lead to blindness and organ failures that affect the kidneys, heart, and nerves, ultimately leading to diabetic strokes and death.

Reasons Behind the Spurt

So, what are the reasons behind the spurt? Government Medical Officers Dr. Mayadevi Gujar and Dr. Vaishali Patil say, “The transition of many rural outposts into semi-urban industrialized zones has brought in lifestyle changes. Locals, who once partook of healthy home-cooked millets or cereals, now eat cheap, oily snacks from wayside kiosks cooked in reused palm oil. With more disposable income, workers lean towards sugary soft drinks and fast food, making them prone to diabetes. Addictions like tobacco and alcohol are on the rise. Tobacco-chewing remains common to both men and women in rural India.”

Additionally, with climate change affecting agricultural incomes in rural India, the younger generation is stressed with employment issues. These make a potent recipe for hypertension and diabetes.

Dr. Sundeep Salvi, a noted specialist in cardiovascular diseases, who heads the Pulmocare Research and Education (PURE) Foundation and has chaired the respiratory group for the Global Burden of Disease Study, adds, “Unlike in the past, people eat and sleep late, watch late-night television, drink endless cups of tea and coffee, and work late hours. Skipping meals is common, with little time for exercise. Sleep deprivation is a fallout of this. Stress and inadequate sleep are a deadly combination, feeding hypertension and diabetes.”

Salvi calls for hydration and good nutrition to stave off hypertension and diabetes. “Excess tea and coffee are harmful. Caffeine-present in tea and coffee-is a diuretic; it prevents hydration. A dehydrated constitution results in hypertension and diabetes, which, in turn, cause heart disease, stroke, kidney diseases, and eventually, death.”

He also views air pollution as a major risk.

“By air pollution, I am referring to both indoor and outdoor pollution. In rural areas, the burning of crop waste causes outdoor pollution. But indoor pollution in rural homes and urban slums is 5–10 times greater than outdoor pollution. High levels of particulate matter contribute to 20 percent of the global burden of diabetes, as well as hypertension.

Diabetologist and Director of the Diabetes Unit at Pune’s KEM Hospital Prof. Chittaranjan Yajnik, who has been working on this issue for over two decades, has an interesting take on the matter based on his findings.

Yajnik sees a direct correlation between vulnerability to diabetes and poor intrauterine growth.

“Poor intrauterine growth reflects in poor organ growth, especially of the infra-diaphragmatic organs (liver, pancreas, kidneys, and legs), reducing their capacity to perform adequately in later years. Such individuals, when faced with overnutrition and calories later in life, end up with prediabetes and diabetes.”

Yajnik’s research found that two-thirds of prediabetic girls and a third of the prediabetic boys were underweight at birth.

“These findings are suggestive of a ‘dual teratogenesis’ concept, which envisages a combination of undernutrition and overnutrition over a life course due to rapid socio-economic and nutritional transition…” This means intrauterine programming of diabetes needs to be supported in growth-retarded babies since metabolic abnormalities develop very early in life.

Yajnik certainly has a point, since anemia in expectant mothers and low birthweight babies is a major problem all over India. The National Family Health Surveys conducted over the years by the Government have shown a persistently high prevalence of fetal growth restriction in Indian babies. This phenomenon is linked to low birth weight in newborns, which is as high as 18.24 percent, according to the latest data.

The Solution

Recently, the Ministry of Health and Family Welfare (MOHFW) of the Government of India has implemented several schemes nationwide at the primary health level, starting with nutrition, medical care, and immunization for pregnant mothers while ensuring institutional delivery. Offspring are also extended comprehensive help for the 4 D’s (defects at birth, diseases, deficiencies, and developmental delays), immunization, supplementary nutrition, and WASH interventions. These continue through adolescence to prepare a healthy population for reproductive age.

Meanwhile, weekly wellness sessions have been introduced all over India. Deshmukh adds, “Regular screenings for hypertension and diabetes are done every few months for early detection and follow-up. Counselling sessions encourage people to adopt healthier lifestyles, while Yoga is being popularized through events like the International Yoga Day.”

These initiatives, one hopes, will arrest the epidemic.

IPS UN Bureau Report

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Aid Funding Crisis Means Parliamentarians’ Visionary Leadership Even More Crucial

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Population

Dr. Alvaro Bermejo, Director General of the International Planned Parenthood Federation (IPPF) addresses the Let's Discuss the Future of Africa Together seminar that took place last week (August 21) on the sidelines of TICAD9 in Yokohama City, Japan. Credit: APDA

Dr. Alvaro Bermejo, Director General of the International Planned Parenthood Federation (IPPF) addresses the Let’s Discuss the Future of Africa Together seminar that took place last week (August 21) on the sidelines of TICAD9 in Yokohama City, Japan. Credit: APDA

YOKOHAMA CITY, Japan & JOHANNESBURG, South Africa, Aug 25 2025 (IPS) – As funding for sexual and reproductive health rights was on a “cliff edge,” parliamentarians now needed to play a “visionary” leadership role because “financing strong, resilient health systems for all their people rests with governments,” said Dr. Alvaro Bermejo, Director General of the International Planned Parenthood Federation (IPPF).

He was speaking at the Let’s Discuss the Future of Africa Together seminar that took place last week (August 21) on the sidelines of TICAD9 in Yokohama City, Japan.

The session was organized by the Asian Population and Development Association (APDA), in collaboration with the Forum of Arab Parliamentarians for Population and Development (FAPPD) and the African Parliamentary Forum on Population and Development (FPA).

He told parliamentarians that their role is most critical.

“Africa’s health faces a serious challenge: According to WHO’s latest analysis, health aid is projected to decline by up to 40% this year compared to just two years ago. This is not a gradual shift—it is a cliff edge,” Bermejo said. “You know as well as I do that lifesaving medicines are sitting in warehouses, health workers are losing jobs, clinics are closing, and millions are missing care.”

While this reality was outrageous, it needed to be adapted to.

“And in this crisis lies an opportunity—an opportunity to shake off the yoke of aid dependency and embrace a new era of sovereignty, self-reliance, and solidarity,” with a clear mission to protect the health and lives of women and vulnerable populations through delivering high-quality sexual and reproductive health services.

Parliamentarians engaged in debates during a policy dialogue seminar organised by the Asian Population and Development Association (APDA), in collaboration with the Forum of Arab Parliamentarians for Population and Development (FAPPD) and the African Parliamentary Forum on Population and Development (FPA). Credit: APDA

Parliamentarians engaged in debates during a policy dialogue seminar organized by the Asian Population and Development Association (APDA), in collaboration with the Forum of Arab Parliamentarians for Population and Development (FAPPD) and the African Parliamentary Forum on Population and Development (FPA). Credit: APDA

This seminar and another in the series, Policy Dialogue on the Africa-Japan Partnership for Population and Development, were both supported by the UN Population Fund (UNFPA) Arab States Regional Office (ASRO), the Japan Trust Fund (JTF) and IPPF.

During the discussions, a wide range of topics about population dynamics in Africa and Africa-Japan cooperation were discussed.

In his opening remarks, Ichiro Aisawa, a member of the House of Representatives of Japan, told the seminar it was necessary to take joint action across borders and generations.

“Youth holds the key to unlocking Africa’s future. By 2050, it is predicted that approximately 70 percent of Africa’s population will be under the age of 30. As African countries enter a demographic dividend period, the role played by parliamentarians in each country will be extremely important.

Aisawa said it was necessary to listen to the voices of the community in addressing issues related to youth empowerment, gender equality, and sexual and reproductive health (SRH).

Parliamentarians should take “concrete action through legislation and policies; it is essential to harnessing the potential of young people, directly linking them to social and economic growth, and creating a society in which no one is left behind.”

Yoko Kamikawa, Chairperson of Japan Parliamentarians for Population (JPFP), addresses a seminar for African and Asian parliamentarians on the sidelines of the TICAD9 in Yokohama City, Japan. Credit: APDA

Yoko Kamikawa, Chairperson of Japan Parliamentarians for Population (JPFP), addresses a seminar for African and Asian parliamentarians on the sidelines of the TICAD9 in Yokohama City, Japan. Credit: APDA

During the discussions, representatives from Africa gave examples of how Japan had supported their health initiatives, especially important in a climate of decreasing aid.

Maneno Zumura, an MP from Uganda, said what compounded the issues in her country and in Africa was “the changes in climate. The unpredicted climate has affected agricultural activities by 40 percent, especially in drought-prone areas of the country.” This had resulted in nearly a quarter (24 percent) of children experiencing malnutrition.

However, she noted that Japan had made considerable contributions to education and health.

“As we assess Uganda’s development and Japan’s impact, it’s clear that sustainable progress thrives on global solidarity and local governance. Key achievements include a 62 percent rise in women’s incomes through cooperatives, a 50 percent drop in maternal mortality in refugee settlements, and supporting the road infrastructure and education, illustrating how policy-driven interventions can break cycles of poverty and inequality.”

There were several specific projects she alluded to, including education experts from Japan who contributed to an improvement of the quality of primary education in districts of Wakiso, Mbale, and Arua through the Quality Improvement in Primary Education Project (2021-2023). They also trained 1,500 teachers in participatory teaching methods.

“The Government of Japan supported the vulnerable communities like refugees and host communities by strengthening the social services like health in refugee camps like Rhino Camp,” Zumura continued, including construction of a health center with antenatal facilities serving over 300,000 people in camps of Bidibidi and Rhino Camp. They also trained 200 health workers in the management of childhood illnesses and maternal health care.

Mwene Luhamba, MP, Zambia, said his country was looking forward to partnering with Japan in expanding One-Stop Reproductive Health Services, enhancing parliamentary engagement, and investing in youth programs.

Bermejo said part of the solution to the development issues is to confront constraints.

“Some countries in Africa do need global solidarity, but what Africa needs from the world, more than anything else, is fair terms. We must also confront the structural constraints. Debt service burdens are crowding out social investments. Let us seize this moment, not just to repair but to transform,” he said. “Sexual and reproductive health services save lives. They empower individuals, promote dignity, and drive national development.”

In her closing remarks, Yoko Kamikawa, Chairperson of Japan Parliamentarians for Population (JPFP), said that it was through dialogue across borders and sectors that “we build consensus, strengthen legal frameworks, and ensure that national strategies reflect the voices of all people and empower them—especially women and youth.”

IPS UN Bureau Report