Digital Trade & the Sustainable Development Goals: A Dynamic Agenda

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Opinion

Online transactions and E-commerce have become a key part of people’s life in Asia and the Pacific. Credit: Unsplash/Rupixen

BANGKOK, Thailand, Aug 12 2024 (IPS) – The rapid growth of digitalization has fundamentally altered commerce, impacting production and facilitating the movement of goods. The 2023 Asia-Pacific Trade and Investment Report (APTIR), has pointed out that although digital trade revenues of Asia and the Pacific account for a significant share of global trade, this growth is uneven, with trade concentrated in a few areas, leading to disparities across the region.


Studies show a positive relationship between digital trade and progress on the Sustainable Development Goals (SDGs). These linkages among digital trade policy and the social and economic pillars of the SDGs may appear more indirect, but they do manifest through economic channels.

Various facets of the relationship between sustainable development and digital trade are evident, such as the impact of digital trade on wealth inequality in the region, the role of the Internet in export expansion, how e-commerce facilitates small and medium-sized enterprises (SMEs), and how digital trade can help achieve the ambitious agenda behind the SDGs.

However, better digital infrastructure does not necessarily engender competition and instead requires active measures from the government to promote linkages between export superstars and domestic suppliers.

Additionally, robust regulatory frameworks on digital trade can help eliminate “monopolistic and restrictive” trade policies, contributing significantly to a more equitable distribution of wealth.

Examples of good practices

Different policy measures to establish an inclusive digital trade and e-commerce landscape have been used across the region. For example, research on internet courts in China showed how such public and digitized judicial systems benefit smaller and medium-sized firms compared to private dispute resolution mechanisms, which are highly costly.

Similarly, research on the Pacific Alliance’s trade policies, particularly its binding agreements and work instruments, provided a framework to incorporate net neutrality in the promotion of equitable digital development.

Indonesia’s introduction of single submission for freight transport applications and its impact on sustainability in supply chains was another case study. This policy instrument has had significant impacts across multiple domains, such as increasing time effectiveness, reducing costs, and increasing transparency in shipping and port clearances.

Lessons learned and the way forward

There is a need to understand the specific digital trade policy instruments that promote sustainable development. It is critical to acknowledge key differences and similarities between trade and digital trade policy to strategically leverage their interlinkage to achieve the SDGs. Social development works in tandem with economic progress.

A key concern is the lack of data on cross-border e-commerce in the Asia-Pacific and Latin America regions, which hinders the implementation and evaluation of programs designed to promote the participation and productivity of small and medium enterprises (SMEs).

More concerted efforts to improve data measurement through private-public partnerships could be a possible policy intervention to address this issue. States should establish effective monitoring systems by improving the availability of economic statistics and third-party evaluations for measuring the progress and impact of SME support programs.

However, given the diversity in operations of SMEs across sectors, it is essential to devise and tailor policies that cater to their specific needs and realities.

There is also a need for sharing real-world examples of successful government initiatives and SME support programs so neighboring countries can draw lessons from them. There are doubts about the long-term usefulness of stand-alone Digital Economy Agreements (DEAs) due to the lack of stringent legal provisions for possible breaches, unlike market-access free trade agreements (FTAs).

Lastly, the United States, which has played a pivotal role in advocating for an open global trade environment, gradually step back from its position, it is time to rethink the leadership that would guide the establishment of digital trade provisions in the future.

This involves showcasing how digital trade rules will be established and enforced moving forward. Who will provide such public goods for digital trade is a major question facing the global economy.

Given its rapid digital-economy growth, significant market size, and increasing influence in global digital trade, should that leadership come from the Asia-Pacific region?

Witada Anukoonwattaka is Economic Affairs Officer, Trade Investment and Innovation Division, ESCAP; Preety Bhogal is Consultant, Trade Investment and Innovation Division, ESCAP.

IPS UN Bureau

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Killings of Palestinian Journalists Continue –Aided by Uninterrupted Flow of US Arms

Armed Conflicts, Civil Society, Featured, Global Governance, Headlines, Human Rights, IPS UN: Inside the Glasshouse, Middle East & North Africa, Press Freedom, TerraViva United Nations

The journalists gather in front of Al-Aqsa Martyrs Hospital to commemorate their friends, Al Jazeera reporter Ismail al-Ghoul and cameraman Rami al-Rifi, who lost their lives in Israeli army attack on a moving vehicle in the Al-Shati refugee camp, in Deir al-Balah, Gaza on July 31, 2024. Source: Middle East Monitor. Credit: Ashraf Amra, Anadolu Agency

UNITED NATIONS, Aug 12 2024 (IPS) – The growing number of killings of Palestinian journalists in Gaza has triggered a demand for a cut-off in US arms supplies to Israel.

Sarah Leah Whitson, Executive Director, Democracy for the Arab World Now (DAWN), told IPS despite pleas of the international community to suspend arms to Israel in the face of its unprecedented atrocities against Palestinians in Gaza, including the killing of over 165 Palestinian journalists, it beggars the imagination that Biden is now seeking to sell Israel new weaponry to facilitate even more slaughter.


On August 9, the U.S. State Department officially notified Congress of its intent to proceed with a new authorization for weapons to Israel, including 6,500 Joint Direct Attack Munitions (JDAMs) guidance kits to Israel, despite extensive evidence documenting the Israel Defense Force’s (IDF) use of U.S. weapons to carry out war crimes and crimes against humanity, said DAWN, in a press release Friday.

This “is a slap in the face of humanity and all the values we hold dear,” Whitson said.

According to Cable News Network (CNN) last June, two key congressional Democrats have given their approval to allow the Biden administration to proceed with what is believed to be the biggest ever weapons package for Israel, expected to be worth more than $18 billion and include some 50 F-15 fighter jets.

Blinken also announced his decision not to sanction the IDF’s notorious Netzah Yehuda battalion, despite credible evidence of its systematic and gross human rights violations in the occupied West Bank, in violation of strict U.S. laws requiring the imposition of such sanctions.

“It is mind-boggling that despite the overwhelming evidence of the IDF’s unprecedented crimes in Gaza that has shocked the conscience of the entire world, the Biden administration is greenlighting the transfer of additional lethal weapons to Israel,” said Whitson.

“It is hard to comprehend how the Biden administration can justify rewarding Israel with new weapons, despite Israel’s persistent defiance of every single plea the Biden administration has made urging a modicum of restraint, and despite the very apparent fact that such sales violate black letter U.S. laws prohibiting weapons to gross abusers like Israel,” she pointed out.

Meanwhile, as of August 9, 2024, preliminary investigations by the Committee to Protect Journalists (CPJ) showed at least 113 journalists and media workers were among the more than 40,000 killed since the war began, making it the deadliest period for journalists since CPJ began gathering data in 1992.

Journalists in Gaza face particularly high risks as they try to cover the conflict during the Israeli ground assault, including devastating Israeli airstrikes, disrupted communications, supply shortages, and extensive power outages, CPJ said.

This has meant that it is becoming increasingly hard to document the situation, and CPJ is investigating almost 350 additional cases of potential killings, arrests and injuries.

Dr Ramzy Baroud, a journalist and the Editor of The Palestine Chronicle, told IPS Israel has killed, as of last week, 168 Palestinian journalists, the same way it has killed over 200 aid workers, hundreds of doctors, medics and people from every category and background. None of this is coincidental.

A simple proof that Israel deliberately targets journalists is the fact that it habitually produces and promotes stories that justify their murder, often accusing them of terrorism. Israel is yet to provide a single set of credible evidence against any of the killed journalists, he said.

On October 11, Israeli President Yitzhak Herzog had said “there are no innocent civilians in Gaza”. This disturbing Israeli logic applies to all Palestinians in the Strip, including journalists.

“Israel must be held accountable to its ongoing murder of journalists. But a huge responsibility falls on the shoulders of journalists and media organizations around the world, who often ignore the very murder of their colleagues in Gaza, let alone circulate Israeli’s unfounded accusations often without questioning its credibility or merit,” he said.

The fact that Gazans continue to report on their own genocide by Israel is heroic beyond words. But they must not be disowned, and must not continue to report and die alone without a true international solidarity that could hold their murderers to account, said Dr. Baroud, who is also a Non-resident Senior Research Fellow at the Center for Islam and Global Affairs (CIGA).

Dr. James Jennings, President, Conscience International, told IPS the heroic martyrs of the free press in Gaza deserve to be honored by all humanity, at the very least with the Nobel Peace Prize. Standing under the bombs, reporting the truth, then paying with your life is a superhuman act of courage.

The job of journalists is simply to journal–to shine a light on the truth by writing down or telling what they see on the battlefield. Killing the messengers is a sign that the perpetrators fear them and their influence, he pointed out.

Deception and lies are major part of war. How else could people slaughter myriads of others and do it with impunity?, he asked.

But truth has two sides–sending and receiving. Refusing to credit honest reporters means that we really don’t want to hear what they are saying anyway. Choosing to believe lies because we want them to be true is what enables wars to continue.

“Even worse than lying to the enemy is lying to yourself. Attempting to cover the plain truth by denying facts or looking the other way is tantamount to insanity. When will Americans stop lying to themselves and start believing their own ideals?”, asked Dr Jennings.

Ibrahim Hooper, National Communication Director at the Washington-based Council on American-Islamic Relations (CAIR), the nation’s largest Muslim civil rights and advocacy organization, said: “The only thing that can explain the shocking silence of American and international media professionals about the mass killing of their Palestinian colleagues is the decades-long and systematic dehumanization of the Palestinian people, in which the lives of Palestinians have lesser or no value. Journalists worldwide must begin to speak out about these killings and about the Israeli genocide in Gaza.”

In a press release last week, the UN Educational, Scientific and Cultural Organization (UNESCO) said it is monitoring attacks and threats against journalists.

The agency noted that in recent months, multiple journalists covering protests in different parts of the world have been subjected to various forms of attacks, including killings, injuries, arbitrary detentions, and confiscation of their equipment, while exercising their rightful duties as journalists.

UNESCO recalls “that all authorities concerned have the duty and responsibility to ensure the safety of journalists covering protests around the world, in accordance with international norms and human rights obligations”.

In a joint statement, five UN special rapporteurs declared: “We have received disturbing reports that, despite being clearly identifiable in jackets and helmets marked “press” or traveling in well-marked press vehicles, journalists have come under attack, which would seem to indicate that the killings, injury, and detention are a deliberate strategy by Israeli forces to obstruct the media and silence critical reporting.”

Meanwhile, under international law, the intentional targeting of journalists is considered a war crime. While all governments are bound by international law protecting reporters, U.S. domestic law also prohibits the State Department from providing assistance to units of foreign security forces credibly accused of gross violations of human rights. Israel’s well-documented pattern of extrajudicial executions of journalists is a gross violation of human rights.

IPS UN Bureau Report

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Will the New Cybercrime Treaty be Used as a Tool for Government Repression?

Civil Society, Democracy, Featured, Global, Global Governance, Headlines, Human Rights, IPS UN: Inside the Glasshouse, Press Freedom, TerraViva United Nations

Global Cybercrime Treaty: A delicate balance between security and human rights. Credit: Unsplash/Jefferson Santos Via UN News

Aug 8 2024 (IPS) – A new UN Cybercrime Treaty, which is expected to be adopted by the UN General Assembly later this year, is being denounced by over 100 human rights activists and civil society organizations (CSOs) as a potential tool for government repression.

The treaty is expected to be adopted by a UN Ad Hoc Committee later this week and move to the 193-member General Assembly for final approval.


Deborah Brown, Deputy Director for Technology, Rights, and Investigations at Human Rights Watch (HRW), told IPS governments would then need to sign and ratify the treaty, which means going through national processes.

“We anticipate that as countries move to ratify the treaty it will face considerable scrutiny and pushback from legislators and the public because of the threat it poses to human rights.”

The treaty, she pointed out, would expand government surveillance and create an unprecedented tool for cross-border cooperation between governments on a wide range of crimes, without adequate safeguards to protect people from abuses of power.

“Negotiations are also expected to start on a protocol to accompany the treaty to address additional crimes and further expand the treaty’s reach. We urge governments to reject a cybercrime treaty that undermines rights,” Brown said.

Recognizing the growing dangers of cybercrime, the UN says member states have set about drafting a legally-binding international treaty to counter the threat.

Five years later, negotiations are still ongoing, with parties unable to reach an acceptable consensus, and the latest meeting of the Committee members in February did not conclude with an agreed draft, with countries unable to agree on wording that would balance human rights safeguards with security concerns.

One of the nongovernmental organizations taking part in the negotiations is Access Now, which defends and extends the digital rights of people and communities at risk around the world.

Whilst the February session was still taking place at UN Headquarters, Raman Jit Singh Chima, the Senior International Counsel and Asia Pacific Policy Director for Access Now, spoke to Conor Lennon from UN News, to explain his organization’s concerns.

“This treaty needs to address “core cybercrime”, namely those crimes that are possible only through a computer, that are sometimes called “cyber dependent” crimes, such as hacking into computer systems, and undermining the security of networks”, said Chima.

Clearly, these should be criminalized by states, with clear provisions put in place enabling governments across the world can cooperate with each other.

“If you make the scope of the treaty too broad, it could include political crimes. For example, if someone makes a comment about a head of government, or a head of state, that might end up being penalized under the cybercrime law,” he pointed out.

“When it comes to law enforcement agencies cooperating on this treaty, we need to put strong human rights standards in place, because that provides trust and confidence in the process”.

Also, if you have a broad treaty with no safeguards, every request for cooperation could end up being challenged, not only by human rights advocates and impacted communities, but by governments themselves, he warned.

Meanwhile, the joint statement by CSOs points to critical shortcomings in the current draft of the treaty, which threatens freedom of expression, privacy, and other human rights.

The draft convention contains broad criminal provisions that are weak –- and in some places nonexistent -– human rights safeguards, and provides for excessive cross-border information sharing and cooperation requirements, which could facilitate intrusive surveillance.

“Cybercrime regimes around the world have been misused to target and surveil human rights defenders, journalists, security researchers, and lesbian, gay, bisexual and transgender people, in blatant violation of human rights”.

The draft convention’s overbreadth also threatens to undermine its own objectives by diluting efforts to address actual cybercrime while failing to safeguard legitimate security research, leaving people less secure online, the CSOs warn.

“National and regional cybercrime laws are regrettably far too often misused to unjustly target journalists and security researchers, suppress dissent and whistleblowers, endanger human rights defenders, limit free expression, and justify unnecessary and disproportionate state surveillance measures”.

Throughout the negotiations over the last two years, civil society groups and other stakeholders have consistently emphasized that the fight against cybercrime must not come at the expense of human rights, gender equality, and the dignity of the people whose lives will be affected by this Convention.

In an oped piece in Foreign Policy in Focus, Tirana Hassan, executive director of Human Rights Watch, says the new treaty, backed by Russia, is aimed to stifle dissent.

She points out that Cybercrime—the malicious hacking of computer networks, systems, and data—threatens people’s rights and livelihoods, and governments need to work together to do more to address it.

But the cybercrime treaty sitting before the United Nations for adoption, could instead facilitate government repression, she noted.

By expanding government surveillance to investigate crimes, the treaty could create an unprecedented tool for cross-border cooperation in connection with a wide range of offenses, without adequate safeguards to protect people from abuses of power.

“It’s no secret that Russia is the driver of this treaty. In its moves to control dissent, the Russian government has in recent years significantly expanded laws and regulations that tighten control over Internet infrastructure, online content, and the privacy of communications,” said Hassan.

But Russia doesn’t have a monopoly on the abuse of cybercrime laws. Human Rights Watch has documented that many governments have introduced cybercrime laws that extend well beyond addressing malicious attacks on computer systems to target people who disagree with them and undermine the rights to freedom of expression and privacy, she pointed out.

For example, in June 2020, a Philippine court convicted Maria Ressa, the Nobel prize-winning journalist and founder and executive editor of the news website Rappler, of “cyber libel” under its Cybercrime Prevention Act.

The government has used the law against journalists, columnists, critics of the government, and ordinary social media users, including Walden Bello, a prominent progressive social activist, academic, and former congressman.

In Tunisia, authorities have invoked a cybercrime law to detain, charge, or place under investigation journalists, lawyers, students, and other critics for their public statements online or in the media.

In Jordan, the authorities have arrested and harassed scores of people who participated in pro-Palestine protests or engaged in online advocacy since October 2023, bringing charges against some of them under a new, widely criticized cybercrimes law.

Countries in the Middle East-North Africa region have weaponized laws criminalizing same-sex conduct and used cybercrime laws to prosecute online speech.

The treaty has three main problems: its broad scope, its lack of human-rights safeguards, and the risks it poses to children’s rights, said Hassan.

“Instead of limiting the treaty to address crimes committed against computer systems, networks, and data—think hacking or ransomware—the treaty’s title defines cybercrime to include any crime committed by using Information and Communications Technology systems.”

The negotiators are also poised to agree to the immediate drafting of a protocol to the treaty to address “additional criminal offenses as appropriate.”

As a result, when governments pass domestic laws that criminalize any activity that uses the Internet in any way to plan, commit, or carry out a crime, they can point to this treaty’s title and potentially its protocol to justify the enforcement of repressive laws.

In addition to the treaty’s broad definition of cybercrime, it essentially requires governments to surveil people and turn over their data to foreign law enforcement upon request if the requesting government claims they’ve committed any “serious crime” under national law, defined as a crime with a sentence of four years or more, Hassan said.

This would include behavior that is protected under international human rights law but that some countries abusively criminalize, like same-sex conduct, criticizing one’s government, investigative reporting, participating in a protest, or being a whistleblower.

In the last year, a Saudi court sentenced a man to death and a second man to 20 years in prison, both for their peaceful expression online, in an escalation of the country’s ever-worsening crackdown on freedom of expression and other basic rights.

This treaty would compel other governments to assist in and become complicit in the prosecution of such “crimes.”

Moreover, the lack of human rights safeguards, says Hassan, “is disturbing and should worry us all.”

IPS UN Bureau Report

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Water Stories: The Well Seven Families and 400 Buffaloes Rely On

Active Citizens, Asia-Pacific, Civil Society, Development & Aid, Editors’ Choice, Environment, Featured, Gender, Headlines, Health, Human Rights, Inequality, Natural Resources, Population, Sustainable Development Goals, TerraViva United Nations, Water & Sanitation, Women & Economy

Water & Sanitation

Women in Khardariya village in Dang fetching water from a community well. Credit: Tanka Dhakal/IPS

Women in Khardariya village in Dang fetching water from a community well. Credit: Tanka Dhakal/IPS

KATHMANDU, Aug 7 2024 (IPS) – In the rural village of Khardariya in the Dang district of Nepal, access to clean water is a major issue. Villagers depend on one poorly managed well for drinking water, cleaning, and feeding livestock.


Anjana Yadav stood near the well while a neighbor walked toward it to fetch a bucket of water.

“At least seven families and over 400 buffaloes rely on this well; this is the water that sustains the buffaloes, and we drink it too,” she said. “In summer, the water level goes down, and we suffer more,” Anjana told IPS.

According to government data, only 27 percent of the country’s population has access to pure drinking water. However, the government’s aim is to increase the number of people using safe drinking water to at least 90 percent by 2030, in line with Sustainable Development Goals. But villages like Khardariya are still struggling to access enough water, let alone pure water.

“This water is not drinkable, but we don’t have any other option,” Niramala Yadava (Anjana’s daughter) says while showing the logged water around the well, “We know this water is not safe, but we’re forced to drink it, use it for cleaning, and even in the kitchen. We also have to manage for livestock too.”

Khardariya is one example where access to water is a major problem, and there are other areas where people are facing the same situation. The Department of Water Supply and Sewerage Management claims that 80 percent of people have access to drinking water, but it’s not safe as per standards. Most of them still depend on surface water sources like rivers, ponds, and these sources are not necessarily safe to drink. And often time this water led to health consequences to the community where clean drinking water is not available.

Everyday Struggle

According to the World Health Organization’s Global Health Estimates (WHO GHE), one of the largest declines in the number of deaths is from diarrheal diseases, with global deaths falling from 2.6 million in 2000 to 1.5 million in 2019. But in Nepal even though cases are in decreasing trend, water related diseases are still a major concern, GHE data shows from 2000 to 2019 above 140 thousands of diarrheal cases are recorded per year.

Diarrheal diseases are one of the top ten causes of death in Nepal. According to data from the Institute for Health Metrics and Evaluation (IHME), diarrheal diseases ranked seventh in 2009 and ninth in 2019 in the list of top ten causes of death.

As Anjana Yadav in Dang, Sarita Rana Magar in Solukhumbu is struggling to get drinking water from the spring sourced tap, but it is not certain that the water is clean as per government standards. “We don’t have enough access to drinking water; even to get a couple of buckets of water is hard these days,” Magar says while waiting for her turn to fill water from the community tap in Lausasa village in the Khumbu region, where mountains stand right near her village. “It takes 25-30 minutes to fill one bucket (40-liter bucket) of water, and I need at least three buckets of water every day,” Magar said while keeping her bucket under the running tap.

Problem is Not Prioritizing

Even though the Government of Nepal claims that safe drinking water is a priority issue, the facts do not align with this assertion. In recent years, the budget for safe drinking water has been decreasing while the need is growing.

Madhu Timalsina, Senior Divisional Engineer at the Ministry of Water Supply, says that the government is not keen to expand basic drinking water safety.

“According to the data we have, 73 percent of the population lacks access to safe drinking water. The target is to reach 90 percent of the population with access to safe drinking water by 2030,” Timalsina says. “We don’t have the resources to sustain ongoing programs, and meeting the goal is far from achievable at this point. Water is not a priority for the government. We need resources.”

According to the Ministry, at a time when the demand for safe drinking water is increasing, the budget is shrinking. In the current fiscal year, the Ministry received over 28 billion Nepali rupees (about USD 208 million) as their budget, which was 42 billion (USD 313 million) in the previous fiscal year.

“It seems like in the coming year, it will decrease to 22-23 billion,” Timalsina said, “We have not been able to initiate new programs in recent years due to the lack of budget. Everything is ready, but we lack the resources.”

The Federation of Drinking Water and Sanitation Users Nepal (FDWSUN), which advocates for access to safe and contamination-free water for all, believes that the government is not taking the water issue seriously. “We have been continuously trying to create pressure, but the government is not willing to listen,” said Durga Chapagain, Senior Vice President of the FDWSUN, “The majority of users are still drinking water from open sources, and there is no budget allocated for drinking water projects.”

If the government truly intends to increase access to safe drinking water for up to 90 percent of the population by 2030, the budget should be allocated accordingly, according to Timalsina.

“To meet the target, we need to cover an additional 63 percent of the population within 6 years. The target is set, but we can’t achieve anything without the budget,” he explains. “We lack the resources to meet our needs, which is the primary limitation. Additionally, our springs are drying up, and water scarcity is becoming a major issue. Unfortunately, without resources, it’s not possible to do anything.”

IPS UN Bureau Report

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UN Calls for ‘Peaceful, Orderly and Democratic Transition’ Following Protests in Bangladesh

Active Citizens, Asia-Pacific, Civil Society, Democracy, Development & Aid, Featured, Global Governance, Headlines, Human Rights, Humanitarian Emergencies, Inequality, IPS UN: Inside the Glasshouse, Population, TerraViva United Nations

Human Rights

Sheikh Hasina, Prime Minister of the People’s Republic of Bangladesh resigned her post and fled the country after weeks of violent protests. Credit: UN Photo/Laura Jarriel

Sheikh Hasina, Prime Minister of the People’s Republic of Bangladesh resigned her post and fled the country after weeks of violent protests. Credit: UN Photo/Laura Jarriel

UNITED NATIONS, Aug 6 2024 (IPS) – After weeks of violent clashes against protestors, Bangladesh Prime Minister Sheikh Hasina resigned from her position and fled the country on Monday. Preparations are underway for an interim government to take over with the backing of the military, political parties, student leaders of the protest movement and all other groups involved in the transition. A UN spokesperson has urged that all parties involved in the current transition should work together to ensure a peaceful and democratic transition.


UN Secretary-General António Guterres is closely following developments, according to his deputy spokesperson, Farhan Haq. In a statement issued on Monday, Guterres condemned and deplored “further loss of life” during protests over the weekend, referencing protests held in the capital of Dhaka on Sunday. More than 100 people were reported dead, including at least 14 police officers. This has been the highest recorded death toll for a single day during a protest in the country’s recent history, according to Reuters.

During the daily press briefing at UN Headquarters, Haq said that the United Nations stands in full solidarity with the people of Bangladesh and has called for the full respect of their human rights. Haq added: “For us, the important things are for the parties to remain calm, and we want to emphasize a peaceful, orderly and democratic transition.”

“Ultimately, regarding what’s happened so far, there’s a need for a full, independent, impartial and transparent investigation into the violence that has happened so far,” he said.

As the situation continues to unfold, Haq added, the UN and its office in Bangladesh are keeping in contact with the authorities on the ground. “The situation is moving very swiftly. We will have to see what happens once the dust settles.”

What began as a movement to protest civil service recruitment practices has since evolved into a greater movement protesting the government’s crackdown, which was seen to have cracked down on human rights, such as freedom of expression and the right to peaceful demonstration. On August 4, protestors were calling for Hasina’s resignation in the wake of her government’s response to the month-long protests. In recent weeks, police and military units shot at protestors and civilians, enacted a curfew, and shut down internet and communications networks for several days.

In an address to the country on Monday, Chief of Army Staff General Waker-uz-Zaman announced Hasina’s resignation and the formation of the interim government. He also asked the people of Bangladesh to “keep trust in the army” during this period.

As multiple reports emerged of public vandalism and arson of government buildings and residences, Zaman said in a later statement that the public should refrain from causing damage to public property or harm to lives.

Senior officials in the UN system have publicly condemned the loss of life during this period. UNESCO Director-General Audrey Azoulay issued public statements condemning the killings of two journalists and calling on the authorities to hold those responsible accountable.

Sanjay Wijisekera, UNICEF Regional Director for South Asia, condemned the reported deaths of 32 children as of August 2, along with reports of children being detained. “In line with international human rights and the UN Convention on the Rights of the Child, to which Bangladesh is a signatory, and based on research into the effects of detention on children, UNICEF urges an end to the detention of children in all its forms,” he said.

UN High Commissioner on Human Rights Volker Türk issued a statement on Monday in which he called for the peaceful transition of power, guided by human rights and the country’s international obligations.

“The transition must be conducted in a transparent and accountable way, and be inclusive and open to the meaningful participation of all Bangladeshis,” he said. “There must be no further violence or reprisals.”

Türk called for those who had been arbitrarily detained to be released. He stressed that those who committed human rights violations need to be held accountable, while also reiterating that his office would support any independent investigation into these violations.

“This is a time for national healing, including through an immediate end to violence, as well as accountability that ensures the rights of victims to truth and reparations, and a truly inclusive process that brings the country together on the way forward.”

IPS UN Bureau Report

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Activists Challenge Pharma Company Gilead Over HIV Medication

Active Citizens, Africa, Civil Society, Development & Aid, Editors’ Choice, Featured, Global, Headlines, Health, Human Rights, Humanitarian Emergencies, Sustainable Development Goals, TerraViva United Nations

Health

Activists protest during the 25th International AIDS Conference (AIDS2024) in Munich over a affordable pricing for a drug currently sold by pharmaceutical firm Gilead. Credit: Ed Holt/IPS

Activists protest during the 25th International AIDS Conference (AIDS2024) in Munich over a affordable pricing for a drug currently sold by pharmaceutical firm Gilead. Credit: Ed Holt/IPS

MUNICH, Aug 2 2024 (IPS) – Campaigners and experts have demanded a breakthrough HIV intervention hailed as “the closest thing to an HIV vaccine” must be made available as soon and as cheaply as possible to all who need it as its manufacturer faces protests over its pricing.

Activists led a massive protest during the 25th International AIDS Conference (AIDS2024) in Munich last week as a study was presented showing lenacapavir—a drug currently sold by pharmaceutical firm Gilead for more than USD 40,000 per year as an HIV treatment—could be sold for USD 40 per year as a form of pre-exposure prophylaxis (PrEP) to help prevent HIV infection.


Community groups working in prevention, as well as experts and senior figures at international organizations fighting HIV, called on the company to ensure it will be priced so it is affordable for low- and middle-income countries (LMICs), which account for 95 percent of HIV infections.

“It is no exaggeration to call lenacapavir a game changer. It could be life-changing for some populations. We need to see it produced generically and supplied to all low- and middle-income countries to the people who need it,” said Dr. Helen Bygrave, chronic disease advisor at Medecins sans Frontiere’s (MSF) Access Campaign.

During the event, data from a trial of lenacapavir, a twice-yearly injectable, were presented. The results of the trial were announced by pharmaceutical firm Gilead last month and showed the drug offered 100% protection to more than 5,000 women in South Africa and Uganda.

Many experts and community leaders helping deliver HIV interventions who spoke to IPS described the drug as a real “game changer,” offering not just spectacular efficacy but relative ease and discretion in delivery—the latter key in combating stigma connected with HIV prevention intervention in some societies—compared to other interventions, such as oral PrEP.

But they warned there were likely to be challenges to access, with cost expected to be the main barrier.

Lenacapavir is currently approved only as a form of HIV treatment at a price of USD 42,000 per person per year.

While as a PrEP intervention it would be expected to be sold at a much lower price, an abstract presented at the conference showed that it could cost just USD 40 a year for every patient.

In a statement put out following the protests, Gilead said it was developing “a strategy to enable broad, sustainable access globally” but that it was too early to give details on pricing.

Critics claimed Gilead was not being transparent in its statement—the company talked of being committed to access pricing for high-incidence, resource-limited countries rather than specifically low- and middle-income countries—and there are fears that the price at which it is eventually made available as PrEP will be so high as to put it out of reach of the countries that are struggling most with the HIV epidemic.

“Cabotegravir, a two-month injectable form of PrEP, is currently being procured by MSF for low-income countries for USD 210 per person per year. We would not expect [the price for lenacapavir] to be higher than that, and we would hope it would be more ‘in the ballpark’ of  USD 100 per person per year,” said Bygrave.

She added that “questions have been asked of Gilead about its pricing for lenacapavir, and the company has been pretty vague in its answers.”

“Civil society needs to put continued pressure on Gilead about this issue because, without that pressure, I do not trust Gilead to do the right thing,” Bygrave, who took part in protests at the conference against Gilead’s pricing, said.

Some speakers at the conference set out a series of demands for the firm.

Winnie Byanyima, Executive Director of UNAIDS, called on Gilead to license generic manufacturers to produce it more affordably through mechanisms such as the Medicines Patent Pool (MPP), a UN-backed programme negotiating generics agreements between originators and generic pharmaceutical companies.

Others, such as keynote speaker Helen Clark, Chair of the Global Commission on Drug Policy, said such interventions must be seen as “common global goods, and ways must be found to make them accessible to all.”

“The pharmaceutical industry has been the beneficiary of much public research investment. With respect to HIV/AIDS, it has benefited from the mobilization of scientists and engaged communities who have advocated for investment in R&D and treatments. Prima facie, the notion that the companies can then make great profits from and not share the intellectual property created is wrong,” she said.

Others went even further, accusing some pharmaceutical firms of being parties to the creation of a de facto global two-tier system for medicine supply.

“Companies must share their medicines. We cannot accept an apartheid in access to medicine in which the lives of those living in the Global South are not regarded as having the same value as the lives in the North,” Archbishop Dr Thabo Makgoba, Archbishop of the Anglican Church of Cape Town and HIV advocate, said at a UNAIDS press event during the conference.

Some of those who work with key populations stressed the need to push through all necessary approvals and set lenacapavir’s price at an accessible level as quickly as possible to save lives.

“It’s great to have innovation and get important new tools in the fight against HIV. But the question is: how long will it take to get them to the people who need them? Until then, they are just a great announcement—like a beautiful picture hanging up there that you can see but cannot actually touch. We need to give communities the funding and the tools they need to do their vital work,” Anton Basenko, Chair of the Board of the International Network of People who Use Drugs (INPUD), told IPS.

The calls came as campaigners stressed the exceptional potential of lenacapavir. It is not only its astonishing efficacy, but also its relative ease and discretion of delivery, which experts are excited about.

Stigma around HIV prevention, such as oral PrEP, which involves taking daily tablets, has been identified as a major barrier to the uptake of HIV interventions in some regions.

Some HIV healthcare specialists at the conference told IPS they had seen cases of women leaving clinics with bottles of tablets and, as soon as they heard them rattling in the bottle, threw them into the bin outside the clinic because the noise would tell others they were taking the tablets and leave them open to potential discrimination, or even gender-based violence.

“The lack of oral PrEP uptake and adherence among women and girls is due to a number of factors, such as stigma and worries about being seen with a huge bottle of pills. What about if you are in a relationship and your partner sees the bottle and starts asking whether you are cheating on them or something?

“A woman could go and get a lenacapavir injection a couple of times a year and no one would have to even know and she wouldn’t have to think about taking pills every day and just get on with her life. This drug could change lives completely. I would definitely take it if it was available,” Sinetlantla Gogela, an HIV prevention advocate from Cape Town, South Africa, told IPS.

The concerns around access to lenacapavir at an affordable price for low and middle income countries come against a background of record debt levels among poor countries, which experts say could have a severe negative impact on the HIV epidemic.

A recent report from the campaign group Debt Relief International showed that more than 100 countries are struggling to service their debts, resulting in them cutting back on investment in health, education, social protection and climate change measures.

Speakers at the conference repeatedly warned these debts had to be addressed to ensure HIV programmes, whether they include lenacapavir or not, continue. Many called for immediate debt relief in countries.

“African debt needs to be restructured to let countries get hold of the medicines they need,” said Byanyima.

“Drop the debt; it is choking global south countries, denying us what we need for health. Please let us breathe,” said Makgoba.

IPS UN Bureau Report

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