Pakistan, Afghanistan & Yemen Among Countries With Biggest Vaccine Supply Gaps; US Promises More Jabs for Conflict Zones 11/11/2021 Elaine Ruth Fletcher COVID-19 Ministerial meeting, convened by US Secretary of State Antony Blinken Pakistan and eight other countries, mostly in or around conflict zones, face the largest gaps in vaccine commitments needed to reach a WHO goal of 70% coverage by September 2022. The data is part of a new “COVID Global Tracker” – launched Wednesday during a first-ever meeting of the world’s foreign ministers, convened by US Secretary of State Anthony Blinken. At the meeting, the US also announced that it had brokered a deal to deliver more J&J one-shot vaccines to countries in humanitarian crisis. Pakistan, which has a population of some 221 million people, is short nearly 60 million doses, according to the new data tracker. Data from the other countries, locked in prolonged crises or conflict, reflects the fact that, so far, most of the doses that will be needed have not yet been secured at all. For instance, Afghanistan, with a population of 39 million people, remains short 22 million vaccine doses. Yemen, with a population of 30 million, is short some 18 million doses. And the Democratic Republic of Korea (PRK), with a population of some 26 million people, is some 16 million doses. The gaps between demand and supplies available to the countries with the biggest long-term needs would be narrowed if one-shot J&J shots are deployed. Syria with a population of 17.5 million people is short 11 million doses, and Haiti (HTI), with 11.4 million people, is short some 7 million doses. Other countries on the list include Papua New Guinea (pop: 9 m), Nicaragua (pop: 6.6 m) and Laos (pop: 7.3 m). Top 9 Countries with Largest Gaps to Reach 70% Coverage (millions of doses) Data published on the “COVID Global Tracker, highlights in vivid detail the shortfall in vaccine access that low- and middle-income countries face, including a large swathe of Africa – and which is likely to persist throughout 2022. First-ever meeting of foreign ministers on COVID pandemic The meeting marked the first time that the US had convened foreign ministers to discuss responses to the COVID-19 pandemic since it began in February of 2020. Ït brought together some 40 ministers, including China’s, said Gayle Smith, State Department coordinator for global COVID-19 response in a press readout following the meeting. Noting that the pandemic is not just a health crisis but a security, economic and humanitarian crisis, Blinken said, “we need foreign ministers to step up and lead as well.” In press statements after the meeting, Blinken also called for expanded government and private sector collaborations to expand vaccine manufacturing, unlock supply logjams, and support expanded vaccination efforts in low- and middle-income countries. Only 13% of COVAX contracted doses delivered so far – ministerial meeting fails to yield more concrete commitments on delivery But the meeting did not translate into any immediate commitment to close the gap in dose deliveries to low- and middle WHO Director General Dr Tedros Adhanom Ghebreyesus, asked ministers to immediately set up a working group to deliver the estimated 514-680 million vaccine doses that would be needed needed to ensure 40 percent of each country’s population is vaccinated by year’s end. Some some 74 countries, mostly in sub-Saharan Africa, remain off track for meeting that 40% coverage goal, according to the data on the newly-released COVID19 Global Tracker. Sixty of those countries are among the 91 low- and middle-income countries that are primarily depending on COVAX, or the African Vaccine Acquisition Task Team (AVATT), for deliveries. The remainder are in fact upper-middle income countries that have fallen through the cracks. Expected Effective Vaccine Supply at End-2021 (% of Total Population): Most of sub-saharan Africa, and parts of Asia, could, at best, only reach 10-20% coverage – as compared to the 40% WHO goal. Only 13% of doses contracted by COVAX, and 6% of doses contracted by AVATT have actually been made available for delivery so far by manufacturers, the COVID Global Tracker also shows. That translates into a whopping 3.45 billion COVAX doses still missing from supplies, according to the Global COVID Tracker. Civil Society groups issue new call to prioritze LMICs in new dose deliveries as well as donations Along with WHO’s call on rich countries to release more dose donations, civil society groups called upon the ministers to let low- and middle-income countries jump the line – and receive first priority for forthcoming vaccine deliveries. The ministers should “agree to share all doses between those needed for domestic demand, as soon as they come off the production line,” in coordination with COVAX and AVATT, stated the open letter signed by nearly 40 civil society groups, including the Rockefeller and Open Societies Foundations: “HICs must publicly commit to send their expected deliveries straight to COVAX and regional mechanisms in Q4 2021 and organize this without delay with pharmaceutical and delivery companies. Ministers must use all routes available, including donations and ‘queue swaps’, to deliver doses to LMICs quickly.” But far those appeals have failed to get a response – including at the recent meeting. G-20 countries also remain far off course in delivering doses against promised donations. Insufficient progress on delivering pledged doses to COVAX – across most high-income countries Waiving Indemnity – eases vaccine delivery to crises regions On a brighter note, the US deal with J&J should ease the flow of those one-shot vaccines, including US vaccine donations, to a range of states in crises. The arrangement involves the company’s waiving of liability requirements that vaccine manufacturers typically demand of countries before vaccine acquisition deals are signed. “I’m pleased to share that the United States has helped broker a deal between J&J and COVAX to facilitate the first delivery of J&J vaccines to people living in conflict zones and other humanitarian settings,” Blinken said at the meeting. “We’re eager for people in these difficult circumstances to get protection against COVID-19 as soon as possible. We know the urgency of this fight,” he added. “We’ve got to be relentless because this pandemic is relentless. And we have to be coordinated, united, because that’s what a global health emergency like this requires.” Only a handful of other Chinese firms have also waived such indemnity requirements, including: Sinopharm and Sinovac, which have WHO-approved jabs on the market, as well as the biotech firm Clover, whose vaccine R&D was has been supported by the Oslo-based Coalition for Epidemic Preparedness (CEPI), followed by a recent IPO that raised $240 million on the Hong Kong stock exchange just last week. While still undergoing WHO review, Clover has already signed a deal with Gavi, the Vaccine Alliance, to supply its vaccine to COVAX following successful results of a Phase 2/3, multi-country trial of 30,000 people. In that trial, Clover announced that it’s vaccine had been 84% efficacious against moderate-to-severe COVID, and 100% efficacious against severe COVID. Image Credits: US Department of State, https://covid19globaltracker.org/, https://covid19globaltracker.org/. New Report Predicts 2.4°C Warming as COP26 Negotiators Race to Reach Climate Agreement – ‘Health’ Missing from Draft 10/11/2021 Kerry Cullinan COP26 president Alok Sharma A draft agreement released by UN Climate on Wednesday “calls upon parties to accelerate the phasing out of coal and subsidies for fossil fuels” – as countries work toward reaching consensus by the time the Glasgow Climate Conference (COP26) ends on Friday. The word ‘health’ also was noticeably absent from the draft text, reflecting the continued failure of the global community to recognise and address the intrinsic linkages between planetary and human well-being. Despite a recent spate of promises, including new pledges by the US and China, limiting global warming to 1.5° Celsius remains well out of reach. Even if all commitments are met, the world would still see 2.4°C warming by the end of the century, experts now predict. That was the conclusion of the non-profit Climate Action Tracker, which added up the most recent country pledges – or Nationally Determined Contributions (NDCs) – for CO2 reductions – translating those into forecasts for expected temperature rise. Target shortfalls reported by Climate Action Tracker. Earlier calculations had estimated a 2.7°C temperature rise – showing slight gains in the slow race to carbon neutrality. Dr Stephen Cornelius, the World Wildlife Fund’s chief advisor on climate change, described the country pledges as “woefully inadequate”. “COP26 has gotten further than Paris, but we are nowhere near the 1.5°C needed to avoid the worst impact of climate change,” Cornelius told a media briefing on Wednesday. However, he welcomed the draft’s recognition of the importance of science, including reference to the “code red” warning contained in a recent report issued by the Intergovernmental Panel on Climate Change (IPCC) on the urgency of climate action. ‘Wreckers’ like Saudia Arabia and Australia will try to weaken text Greenpeace International Executive Director Jennifer Morgan described the draft declaration as “a polite request that countries maybe, possibly, do more next year”. “We’ve just had a landmark study showing we’re heading for 2.4°C of warming,” said Morgan. “The job of this conference was always to get that number down to 1.5°C, but with this text, world leaders are punting it to next year.” #COP26: The new draft final decision text published today is not a plan to solve the climate crisis, it’s an agreement that we’ll all cross our fingers and hope for the best. It’s a polite request that countries maybe, possibly, do more next year. That’s not good enough. (1/2) — Jennifer Morgan (@climatemorgan) November 10, 2021 Greenpeace wants an agreement that is much stronger on finance for countries to mitigate and adapt to climate change. It also wants a commitment from countries to report annually – instead of every five years – on “new and better” plans until the world is able to reduce the global warming trajectory to the 1.5°C goal. While the language calling for an accelerated phase out fossil fuel subsidies, estimated to exceed $5 trillion annually, is seen as a signal of progress, there is no timeline for that to take place. And Morgan predicted that “wreckers like the Saudi and Australian governments” would try to delete the call for an accelerated phaseout of coal and fossil fuel subsidies from the draft. UK Green MP Caroline Lucas also condemned the draft, saying that it “utterly fails to rise to the moment” by failing to phase out all fossil fuels not just coal. Today’s draft #COP26 draft decision utterly fails to rise to the moment. The time for expressing “alarm & concern” is over – we need urgent action *now* & a pledge to phase out *all* fossil fuels, not just coal, which accounts for less than half the emissions problem. — Caroline Lucas (@CarolineLucas) November 10, 2021 COP26 delegates ignore warnings that fossil fuel subsidies are dangerous to health Fossil fuel subsidies have been repeatedly decried by the World Health Organization and other health experts at a series of health-focused COP26 events as particularly pernicious. Such subsidies, WHO points out, fuel dirty energy and transport sources – leading to air pollution emissions that kill an estimated 7 million people a year – while also discouraging investments in cleaner solutions that would be more cost-effective for societies overall. But the draft final COP statement had nary a word about health – or the climate-air pollution nexus plaguing many developing cities, particularly in South-East Asia. “Nearly half a billion will suffer severe health harm from north India’s air pollution even as COP26 offers up unambitious targets to a world at the brink of extinction,” stated the Indian NGO Care for Air. Nearly half a billion will suffer severe health harm from north #India’s #airpollution even as #COP26 offers up unambitious targets to a world at d brink of #extinction from#carbonemissions @HealthPolicyW @DrMariaNeira @UNEP @WHO @Jane_Burston @EPIC_India @1kenlee @dpcarrington — Care for Air (@CareForAirIndia) November 10, 2021 Paradoxically, COP will be concluding just as northern India’s seasonal air pollution emergency begins – a situation seen every autumn when smoke from crop stubble-burning in rural areas drifts toward Delhi, where it combines with a potent mix of fumes from construction, traffic, waste burning, and firecrackers celebrating the Hindu Diwali festival. Grand promises by politicians last year to devise more sustainable alternatives for farmers – such as composting or machine threshing of crop stubble – to have so far failed to materialize. ‘Massive credibility gap’, absence of clear targets for fossil fuel phase-out In Glasgow, politicians seemed anxious to avoid making the potent linkages between climate change and millions of deaths a year from air pollution. Language in the draft agreement remained general and non-specific around critical points, such as setting a target or timeline for actually phasing out fossil fuels. The draft agreement merely “invites parties to consider further opportunities to reduce non-carbon dioxide greenhouse gas emissions”. The statement does, however, go further than previous COP declarations in suggesting that a more holistic approach to the climate crisis is needed, emphasising the “critical importance of nature-based solutions and ecosystem-based approaches, including protecting and restoring forests, in reducing emissions, enhancing removals and protecting biodiversity”. Even so, “at the midpoint of Glasgow, it is clear there is a massive credibility, action and commitment gap that casts a long and dark shadow of doubt over the net zero goals put forward by more than 140 countries, covering 90% of global emissions”, Climate Action Tracker’s briefing document observed. The country targets for 2030 remain “totally inadequate”, added the report, estimating that they “put us on track for a 2.4°C temperature increase by the end of the century”. Another significant unresolved issue: LMIC financing COP26 President Alok Sharma confirmed at a plenary on Wednesday that while “some significant issues remain unresolved”, he expected “near-final” texts from the various negotiating groups by Thursday morning and a consensus document for adoption by the close of the summit on Friday. Aside from the inadequate emission targets, other sticking points concern financing, including agreement on finance for countries’ claims of climate change-related loss and damage – most of which are likely to be filed by low- and middle income countries. UK lead climate negotiator Archie Young told the plenary that more work also needs to be done on the “significant finance agenda and the $100-billion goal” – the annual finance target set by the Paris Agreement to be available by the end of 2021 to assist LMIC countries to mitigate and adapt to climate change. The draft appeals to “the private sector, multilateral development banks and other financial institutions to enhance finance mobilization in order to deliver the scale of resources needed to achieve climate plans, particularly for adaptation”. Glasgow flooded with fossil fuel lobbyists While the global business and finance community is said to have an unprecedented presence at COP26 – the largest contingent at the entire conference – is in fact the fossil fuel industry, an analysis of participants found. Some 503 fossil fuel lobbyists are registered at Glasgow, according to the analysis by the civil society groups, Corporate Europe Observatory (CEO) and GlobalWitness.org. The report “Glasgow Calls Out Polluters” found that if the fossil fuel lobby were a country delegation at COP it would be the largest with 503 delegates – two dozen more than the largest country delegation. In addition, the report found that: Over 100 fossil fuel companies are represented at COP with 30 trade associations and membership organisations also present; Fossil fuel lobbyiests are members of 27 official country delegations, including Canada, Russia and Brazil. Fossil fuel lobbyists dwarf the UNFCCC’s official indigenous constituency by around two to one. The fossil fuel lobby at COP is larger than the combined total of the eight delegations from the countries worst affected by climate change in the last two decades – Puerto Rico, Myanmar, Haiti, Philippines, Mozambique, Bahamas, Bangladesh, Pakistan. Image Credits: Climate Action Tracker., Climate Action Tracker. Fifty Countries Commit to ‘greening’ their healthcare systems at COP26 09/11/2021 Kerry Cullinan Solar panels provide electricity to Mulalika Health Clinic in Zambia. Fifty countries have committed to building sustainable, low-carbon and climate-resilient healthcare systems, and 14 of these have set net-zero carbon emission target dates from as early as 2030. This emerged from a health and climate change session at COP26, the United Nations climate conference in Glasgow, that was co-hosted by the World Health Organization (WHO). “As part of a green and resilient recovery from COVID-19, we need to recognise the role of health systems as emitters accounting for 4% to 5% of global emissions,” said Dr Rachel Levine, US Assistant Secretary in the Department of Health and Human Services. If the global health care sector were a country, it would be the fifth-largest greenhouse gas emitter on the planet, according to Health care’s climate footprint, a report produced by Health Care Without Harm. “These emissions are predicted to increase as health systems develop, and demographic changes lead to increasing healthcare demand,” said Levine, adding that the countries that had committed to building low carbon health systems were responsible for about one-third of all health sector emissions globally. The US has committed to decarbonizing the nation’s health systems by reducing greenhouse gas emissions in the federal health system, as well as the private sector via “incentives, guidance, technical assistance and regulatory approaches and partnerships”, Levine added. “The United States action on health system decarbonization is influential and critical. The US accounts for approximately 25% of the world’s health sector greenhouse gas emissions. This commitment to reducing greenhouse gases will also result in decreasing the negative health impacts of air pollution, such as premature death, heart disease, stroke, and more,” said Levine. Breaking: #COP26, over 50 countries have committed to decarbonize their #health systems a first ever COP presidency event on climate & health.Health sector is stepping up to decarbonize & calling global leaders to do the same!#ClimateEmergency #ClimatePrescription @HCWHGlobal pic.twitter.com/iwPhsdUJxW — Global Climate and Health Alliance (@GCHAlliance) November 9, 2021 Josh Karliner, International Director of Program and Strategy at Health Care Without Harm, said that “there is a growing global movement of hospitals and health systems” that were already reducing their carbon emissions. “There are more than 54 institutions in 21 countries representing more than 14,000 hospitals and health centres committed to race to zero,” said Karliner. “This is from Newcastle to New York. It’s from Sao Paulo to South Africa. It’s from Kerala to California.” Karliner explained: “We’re seeing hospitals and health systems taking action by investing in renewable energy by investing in zero-emission buildings and transport; by substituting anaesthetic gases with more sustainable alternatives; by implementing sustainable procurement programmes to purchase sustainably produced food, energy-efficient medical devices and lower carbon pharmaceuticals.” However, ‘greening’ health systems is a massive, expensive undertaking that requires many fundamental changes covering architecture, waste disposal, energy, and water. A flash flood in Fiji in 2018 Small island states struggle to make health services climate-resilient Dr Satyendra Prasad, Fiji’s permanent representative to the UN, told the meeting that his country struggled to keep health services running when faced with superstorms and other adverse weather events. “It is quite tragic when your doctors and nurses are being evacuated when they should be providing frontline services to people who have been injured and who need care,” said Prasad. “This conundrum is very tough, and it is a conundrum that exists for so many countries,” said Prasad, adding that Fiji is in the process of relocating health services to higher ground and equipping facilities with renewable energy to enable them to remain operational after major cyclones of flooding. “We losing fewer lives to extreme weather catastrophes. We are losing more lives to waterborne diseases and all the diseases that come following a major catastrophe such as flooding, and cyclone,” he added. Similarly, the Maldives has seen the emergence of vector-borne tropical diseases such as Dengue, which it didn’t use to have, said Aminath Shauna, Minister of Environment, Climate Change and Technology in the Maldives. “The Maldives is one of the most vulnerable island nations to climate change. We are experiencing things that we thought would happen towards the end of the century,” said Shauna. “Our coral reefs are dying. We are running out of fresh water. Our islands are eroding, and our islands are getting more frequently flooded, which poses a significant challenge to our public health system,” she added. To mitigate these risks, the Maldives has integrated climate risks into health policy, developed climate-sensitive disease programmes and is promoting climate-resilient healthcare facilities that are able to withstand climate events. It is also working to ensure that its essential services such as water, sanitation, waste management and electricity can still function during extreme weather events. “The Maldives health sector is also committed to initiating the greening of the health sector by adopting environment-friendly technologies and using energy-efficient services,” said Shauna. Finances for adaptation However, finances to make these changes are a challenge for countries like Fiji and the Maldives. Lack of finance has been a recurrent theme at COP26, with smaller countries with small carbon footprints appealing for reparations from large polluting countries to assist them to mitigate climate change. Former UK prime minister Gordon Brown and WHO Ambassador for Global Health Financing told the meeting that “you cannot cut investment in health at the expense of climate change – and you cannot cut investment in climate finance at the expense of health”. “We really have to recognise that we’re dealing with global public goods – the control of infectious diseases, a clean environment, clean air and a clean environment,” said Brown. “And we need to have a system of global burden-sharing where the richest countries that are responsible for the historic emissions and have the wealth and the capacity to pay, make good the funding that is necessary for mitigation and adaptation, and that includes the adaptation of healthcare systems, particularly in the poorest parts of the world,” said Brown. Despite the global commitment made at Paris COP to ensure $100 billion a year in financing to mitigate climate change by the end of this year, it looks like this target will only be reached in 2023. However, Brown stressed that if this target was not reached, it would deprive developing countries “of the opportunity not only to build coastal defences and renewable industries, but to build the healthcare systems that are necessary for resistance to droughts and famine, and also to pollution in the air”. .@WHO strongly welcomes commitments made at #COP26 by some countries to build health systems resilient to the impacts of the #ClimateCrisis, incl. extreme weather events, the increasing burden of diseases related to #airpollution and our warming planet. https://t.co/lDSceMsWlg pic.twitter.com/8dhOmL8QXM — Tedros Adhanom Ghebreyesus (@DrTedros) November 9, 2021 Addressing the meeting via a recorded message, WHO Director-General Dr Tedros Adhanom Ghebreyesus said that the changes the world needed to make to energy, transport and food systems to meet the Paris climate goals “would bring massive health gains”. He added that the WHO is committed to working with the countries that had committed to building greener health systems “for a healthier and more sustainable future”. Image Credits: UNDP/Karin Schermbrucker for Slingshot , World Meterological Organisation. Health Impacts of Climate Change Grab Eyeballs at COP26, But Lack of Finance Continues to be Major Issue 09/11/2021 Disha Shetty WHO Director-General Dr Tedros receiving an open letter about climate change, signed by health professionals from around the world and organized by Doctors for XR. GLASGOW – Conversations on the health impacts of the climate crisis have grown this year at COP26 – the United Nation’s annual climate conference, now in its 26th year. Experts hope that this increase in conversation will lead to greater awareness about the health crisis exacerbated by the climate crisis and lead to concrete action in the months and years ahead. Around 85% of countries now have a designated focal point for health and climate change in their ministries of health, according to the 2021 World Health Organization (WHO) health and climate change global survey report released on Monday. But countries report that a lack of funding, impact of COVID-19, and insufficient resource capacity are major barriers to progress. Many countries are unsupported and unprepared to deal with the health impacts of climate change, according to the survey. “We are here at COP26 to urge the world to better support countries in need, and to ensure that together we do a better job of protecting people from the biggest threat to human health we face today,” said Dr Maria Neira, WHO Director of Environment, Climate Change and Health. At the sidelines of the climate negotiations, the WHO held a day-long conference over the weekend focussed on the climate and health that was attended by high-level delegates. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Julia Gillard, former Prime Minister of Australia and Chair of Wellcome Trust. The conference sought to highlight that while climate change affects health, the mitigation strategies will also automatically translate into health gains. “Health must become the beating heart of climate action”, said Jeni Miller, executive director of the Global Climate and Health Alliance. “Political leaders must prioritise health and social equity, emission reduction and impact mitigation over politics, profit and unproven technological fixes. The decisions made during COP26 will define the health and wellbeing of people all over the world for decades to come”. Dr. Maria Neira, Director of WHO Environment, Climate Change and Health Highlighting the health gains of clean air In the first week of the COP26 negotiations, WHO also co-hosted a panel discussion on both the health and climate gains of clean air that this reporter helped moderate. Given that air pollution alone kills around seven million people worldwide every year, any progress on this would save millions of lives annually. The event also came at a time when air pollution in India’s capital, Delhi, had reached lethal levels following last week’s celebration of the festival Diwali, during which people set off fire crackers. The densely populated Indo-Gangetic plain where Delhi is, is one of the world’s most polluted regions, and emerging research suggests the source of air pollution is local. Dr Neira said that the time for conversations was over, the evidence on air pollution is clear and it is time now to act. As many of the pollutants that cause air pollution also lead to a greenhouse effect, the WHO has made efforts to highlight the dual climate and health gains of improving air quality that disproportionately affects vulnerable groups like children and the elderly. Developing countries are pushing for climate finance and technology transfer at COP so that they have the support they need to clean their air but much of this also needs to happen at sub-national levels, especially at city-level, that will also require local action, highlighted Ani Dasgupta, President and CEO of World Resources Institute (WRI). Health not a part of text of negotiations It was clear although that while health is a part of the growing conversation, it is far from figuring in the main climate negotiations. A former negotiator elaborated that, given how bitter and exhausting climate negotiations are, adding health to the text might not be practical and that any reduction in global carbon emissions will automatically translate into health gains. At this year’s COP there is also a push to hold the rich countries accountable for the loss and damage being caused by the climate crisis in vulnerable nations. Public health crisis, even though directly caused or exacerbated by extreme climate events, aren’t part of these negotiations either. “I don’t see it coming up very directly into the loss and damage negotiations here because the negotiations are more about the overarching structures, not necessarily on a very particular theme,” said Sven Harmeling, the International Climate Policy Lead, from CARE and CAN Europe. He did add that it does factor in how many of the developing countries think about the damages being caused. WHO’s latest survey backs his view. It found that virtually all (94%) countries have incorporated health considerations in their nationally determined contributions (NDCs) to the Paris Agreement, voluntary pledges by the government to reduce their carbon emissions. Emissions from coal-burning power stations are causing air pollution that is affecting millions of people worldwide. Highlighting emissions from healthcare and silos Among the conversations at COP26 that centred on healthcare was also how to get the healthcare sector to reduce its own emissions. A 2019 report from Healthcare Without Harm based on 2014 data on carbon emissions suggests that globally 4.4% of carbon emissions are from the healthcare sector itself. The US health sector had the largest greenhouse gas emissions. Andrea Epstein, climate programme manager for Latin America at Healthcare Without Harm said that number is probably higher now that despite the region being a part of the developing world, there is a growing interest in decarbonizing the health systems. “The problem is of course the means of implementation. Not just the financing and the technology but also having the capacity for that. So while it is a challenge, the interest is there.” Members of the civil society organisations present at COP highlighted the silos that continued to exist in conversations around health, climate and food – all of which affect each other but are handled by different organisations. Disha Shetty is reporting from COP26 as a part of the 2021 Climate Change Media Partnership, a journalism fellowship organized by Internews’ Earth Journalism Network and the Stanley Center for Peace and Security. Follow her on Twitter @dishashetty20 Image Credits: WHO/Chris Black, Planetary Health Eastern Africa Hub. Pandemic Treaty Offers Opportunity to Repair Fault Lines in COVID-19 Response – and Address Equity 09/11/2021 Kerry Cullinan A nurse takes the temperature of a child suspected of COVID-19 symptoms in a Lebanese public health centre. An international pandemic treaty based on equity could be the antidote to current weaknesses and imbalances in the global response to COVID-19, according to a group of influential authors in a Lancet paper published on Tuesday. A number of the authors are associated with The Independent Panel for Pandemic Preparedness and Response chaired by Helen Clark and Ellen Sirleaf Johnson, which was set up to assess the World Health Organization’s (WHO) response to COVID-19. Based on a timeline developed by the panel that lays out the global COVID-19 response, the authors conclude that the International Health Regulations (IHR) are too weak, and the required country actions are too slow, to protect the world against pandemics. Revised after the 2005 Severe Acute Respiratory Syndrome (SARS) outbreak, the IHR focus on balancing disease notification and health risks with international trade and travel considerations. They specify when and how Member States should notify WHO of a local disease outbreak, and what actions WHO and States should take after that notification. The IHR are currently the only legally binding international instrument governing countries’ obligations to report and respond to pathogens that could result in cross-border disease outbreaks and potential public health emergencies. In their review, the authors identified a number of significant IHR weaknesses, including: constraints on WHO reporting publicly about national events with pandemic potential; the need for greater specificity on the information that countries need to share with WHO; and a streamlined process to facilitate WHO verification of events within 24 hours of the first signals of an outbreak being received. Special World Health Assembly The article comes a few weeks before global leaders meet at a World Health Assembly special session (29 November – 1 December) to consider adopting an “instrument or treaty” to address pandemic preparedness and response. “It’s clear: if a new, fast-spreading pathogen were to emerge next month, the current IHR regime would not protect people and trade as intended,” said Dr Sudhvir Singh, lead author on the paper and an advisor to the Independent Panel. “We suggest change to the IHR and a new treaty or another instrument that would result in more information shared faster, WHO able to investigate rapidly, all countries moving immediately to assess risk; and tools, like tests and vaccines, available to all who need them.” Georgetown University’s Dr Alexandra Phelan added that “COVID-19 has shown that the existing obligations under the IHR are insufficient for our interdependent and digital world.” “Our analysis demonstrates that collectively, countries urgently need to update our international system to respond to the potential rapid spread of a high impact respiratory pathogen,” said Phelan. “We have concrete suggestions for ways in which the IHR may be revised or amended, as well as the approach and issues that must be covered in any new legal framework, like a pandemic treaty.” Four reasons for a pandemic treaty The authors advance four reasons why a pandemic treaty “presents the opportunity to enact comprehensive reform in pandemic preparedness and response”. “First, a pandemic treaty centred on the principle of equity would be an important signal of international commitment to guard against the entrenchment of global division and injustice.” A pandemic treaty offers an opportunity to “develop and instil norms of equity, justice, and global public goods of pandemic preparedness and response”, they argue. “Second, a pandemic treaty could provide high-level complementarity to the IHR and any potential post-pandemic reforms and proactive multidisciplinary approaches to zoonotic risk,” they argue. Their third argument is that a treaty establishes greater accountability, outbreak support, and global access to vital public health information. Finally, a pandemic treaty could provide the opportunity to develop “a solid evidence base for non-pharmaceutical interventions” that might prevent the next outbreak from becoming a pandemic. “The upcoming Special Session of the World Health Assembly is a critical opportunity for Member States to move ahead with strengthening the IHR and to agree on a process for negotiating a pandemic treaty. We must not lose this opportunity to protect global public health and future generations,” said Phelan. At a recent event hosted by G2H2, civil society organisations expressed fear that a pandemic treaty was a distraction from the TRIPS waiver. But Björn Kümmel, deputy head of the global health unit in the German Federal Ministry of Health, disputed that there is any direct political link between the treaty and the TRIPS waiver. Kümmel added that amending the IHR also would take time to negotiate. And a key question here is: “would they be a game-changer for the next pandemic to come? Certainly not,” he added, noting that there is “no compliance mechanism that currently is foreseen in the IHR.” Image Credits: UNICEF . Obama Critical of China and Russia’s ‘Dangerous Lack of Urgency’ in Climate Change at COP26 08/11/2021 Raisa Santos Former US President Barack Obama speaking at COP26 Former US President Barack Obama openly criticized two of the world’s largest CO2 emitting countries – Russia and China, for their “dangerous lack of urgency” in discussing the pressing matters of climate change this past week during COP26. Both Chinese President Xi Jinping and Russian President Vladimir Putin failed to make an appearance with other global leaders at the 26th United Nations Climate Change Conference in Glasgow, which Obama found to be “particularly discouraging,” as he addressed a room of climate experts at the event on Monday. “We need advanced economies like the US and Europe leading on [the issue of climate change]. But we also need China and India, we need Russia, just as we need Indonesia and South Africa and Brazil leading on this issue. We can’t afford anybody to be on the sidelines.” Obama noted that while there has been some progress made in the six years since the Paris Agreement, the legally binding international treaty on climate change, the world still falls short of their commitment to limit global warming to well below 1.5 C. “Here in Glasgow we see the promise of further progress. What is also true is that collectively and individually, we are still falling short. We have not done nearly enough to address this crisis.” “We are going to have to do more and whether that happens or not to a large degree is going to depend on you,” said Obama, calling for collective action from young people and politicians alike to take climate change seriously. Twenty countries pledge to end public finance of international fossil fuel development Although most nations have failed to be ambitious in their climate goals in the past week of COP26, said Obama, significant accomplishments and hard-won commitments have been made during the climate conference. One such commitment was for high-income countries to help low- and middle-income countries move away from fossil fuels. Back in September, US President Joe Biden told the UN General Assembly that the US would provide more than $11 billion in climate aid annually by 2024 to developing nations vulnerable to extreme weather and rising temperatures. In addition, the US and 20 other countries have pledged to stop publicly financing international fossil fuel development, with limited exceptions. “We will end new public direct support for the international unabated fossil fuel energy sector by the end of 2022,” the declaration read. The 20 countries that signed the pledge include Denmark, Italy, Finland, Costa Rica, Ethiopia, Gambia, New Zealand and the Marshall Islands, plus five development institutions including the European Investment Bank and the East African Development Bank. This deal does go further than a pledge made earlier in the year by the G20 to end international financing of coal-based power generation outside their own countries. However, this declaration does not include major Asian countries responsible for financing a majority of overseas fossil fuel projects. Climate change cannot be a partisan issue While collective action in fighting climate change requires international cooperation, Obama noted the geopolitical tensions that have arisen as a result of the pandemic, but called for the world to step up despite these tensions. “Climate change can’t be seen anywhere in the world as just an opportunity to score political points.” “Saving the planet isn’t a partisan issue. Nature, physics, science, do not care about party affiliation,” he added. Climate change, in the US particularly, has become a partisan issue, causing what Obama referred to as a “lack of leadership on America’s part” and the “open hostility towards climate science at the very top of the [US] federal government” that resulted from former President Donald Trump’s four years in office. Obama also pointed out that the lack of a stable congressional majority has prevented him and current President Joe Biden from taking an even stronger stance on climate change. However, Obama remain sconfident that Biden’s Build Back Better Framework, which would set the US on course to meet its climate goals, would be passed in coming weeks. The legislation, once approved by the US Congress, would devote at least US $1.7 trillion dollars to reduce greenhouse gas emissions by over a billion metric tons by the end of 2030. Young people have more at stake in the fight against climate change Greta Thunberg addresses climate strikers at Civic Center Park in Denver, Colorado. Thunberg is one climate activist Obama praised for inspiring millions in the fight against climate change. Though Obama noted that at times, he was “doubtful that humanity can get its act together before it’s too late”, this cynicism was countered by the prevailing efforts of young climate activists around the world. Addressing all the young people, who Obama said, had “more stake in this fight than anybody else,” he said: “I want you to stay angry. I want you to stay frustrated. Channel that anger, harness that frustration.” “Because that’s what’s required to meet this challenge. Solving a problem this big and this important has never happened all at once.” Image Credits: COP26, Andy Bosselman, Streetsblog Denver/Flickr. Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
New Report Predicts 2.4°C Warming as COP26 Negotiators Race to Reach Climate Agreement – ‘Health’ Missing from Draft 10/11/2021 Kerry Cullinan COP26 president Alok Sharma A draft agreement released by UN Climate on Wednesday “calls upon parties to accelerate the phasing out of coal and subsidies for fossil fuels” – as countries work toward reaching consensus by the time the Glasgow Climate Conference (COP26) ends on Friday. The word ‘health’ also was noticeably absent from the draft text, reflecting the continued failure of the global community to recognise and address the intrinsic linkages between planetary and human well-being. Despite a recent spate of promises, including new pledges by the US and China, limiting global warming to 1.5° Celsius remains well out of reach. Even if all commitments are met, the world would still see 2.4°C warming by the end of the century, experts now predict. That was the conclusion of the non-profit Climate Action Tracker, which added up the most recent country pledges – or Nationally Determined Contributions (NDCs) – for CO2 reductions – translating those into forecasts for expected temperature rise. Target shortfalls reported by Climate Action Tracker. Earlier calculations had estimated a 2.7°C temperature rise – showing slight gains in the slow race to carbon neutrality. Dr Stephen Cornelius, the World Wildlife Fund’s chief advisor on climate change, described the country pledges as “woefully inadequate”. “COP26 has gotten further than Paris, but we are nowhere near the 1.5°C needed to avoid the worst impact of climate change,” Cornelius told a media briefing on Wednesday. However, he welcomed the draft’s recognition of the importance of science, including reference to the “code red” warning contained in a recent report issued by the Intergovernmental Panel on Climate Change (IPCC) on the urgency of climate action. ‘Wreckers’ like Saudia Arabia and Australia will try to weaken text Greenpeace International Executive Director Jennifer Morgan described the draft declaration as “a polite request that countries maybe, possibly, do more next year”. “We’ve just had a landmark study showing we’re heading for 2.4°C of warming,” said Morgan. “The job of this conference was always to get that number down to 1.5°C, but with this text, world leaders are punting it to next year.” #COP26: The new draft final decision text published today is not a plan to solve the climate crisis, it’s an agreement that we’ll all cross our fingers and hope for the best. It’s a polite request that countries maybe, possibly, do more next year. That’s not good enough. (1/2) — Jennifer Morgan (@climatemorgan) November 10, 2021 Greenpeace wants an agreement that is much stronger on finance for countries to mitigate and adapt to climate change. It also wants a commitment from countries to report annually – instead of every five years – on “new and better” plans until the world is able to reduce the global warming trajectory to the 1.5°C goal. While the language calling for an accelerated phase out fossil fuel subsidies, estimated to exceed $5 trillion annually, is seen as a signal of progress, there is no timeline for that to take place. And Morgan predicted that “wreckers like the Saudi and Australian governments” would try to delete the call for an accelerated phaseout of coal and fossil fuel subsidies from the draft. UK Green MP Caroline Lucas also condemned the draft, saying that it “utterly fails to rise to the moment” by failing to phase out all fossil fuels not just coal. Today’s draft #COP26 draft decision utterly fails to rise to the moment. The time for expressing “alarm & concern” is over – we need urgent action *now* & a pledge to phase out *all* fossil fuels, not just coal, which accounts for less than half the emissions problem. — Caroline Lucas (@CarolineLucas) November 10, 2021 COP26 delegates ignore warnings that fossil fuel subsidies are dangerous to health Fossil fuel subsidies have been repeatedly decried by the World Health Organization and other health experts at a series of health-focused COP26 events as particularly pernicious. Such subsidies, WHO points out, fuel dirty energy and transport sources – leading to air pollution emissions that kill an estimated 7 million people a year – while also discouraging investments in cleaner solutions that would be more cost-effective for societies overall. But the draft final COP statement had nary a word about health – or the climate-air pollution nexus plaguing many developing cities, particularly in South-East Asia. “Nearly half a billion will suffer severe health harm from north India’s air pollution even as COP26 offers up unambitious targets to a world at the brink of extinction,” stated the Indian NGO Care for Air. Nearly half a billion will suffer severe health harm from north #India’s #airpollution even as #COP26 offers up unambitious targets to a world at d brink of #extinction from#carbonemissions @HealthPolicyW @DrMariaNeira @UNEP @WHO @Jane_Burston @EPIC_India @1kenlee @dpcarrington — Care for Air (@CareForAirIndia) November 10, 2021 Paradoxically, COP will be concluding just as northern India’s seasonal air pollution emergency begins – a situation seen every autumn when smoke from crop stubble-burning in rural areas drifts toward Delhi, where it combines with a potent mix of fumes from construction, traffic, waste burning, and firecrackers celebrating the Hindu Diwali festival. Grand promises by politicians last year to devise more sustainable alternatives for farmers – such as composting or machine threshing of crop stubble – to have so far failed to materialize. ‘Massive credibility gap’, absence of clear targets for fossil fuel phase-out In Glasgow, politicians seemed anxious to avoid making the potent linkages between climate change and millions of deaths a year from air pollution. Language in the draft agreement remained general and non-specific around critical points, such as setting a target or timeline for actually phasing out fossil fuels. The draft agreement merely “invites parties to consider further opportunities to reduce non-carbon dioxide greenhouse gas emissions”. The statement does, however, go further than previous COP declarations in suggesting that a more holistic approach to the climate crisis is needed, emphasising the “critical importance of nature-based solutions and ecosystem-based approaches, including protecting and restoring forests, in reducing emissions, enhancing removals and protecting biodiversity”. Even so, “at the midpoint of Glasgow, it is clear there is a massive credibility, action and commitment gap that casts a long and dark shadow of doubt over the net zero goals put forward by more than 140 countries, covering 90% of global emissions”, Climate Action Tracker’s briefing document observed. The country targets for 2030 remain “totally inadequate”, added the report, estimating that they “put us on track for a 2.4°C temperature increase by the end of the century”. Another significant unresolved issue: LMIC financing COP26 President Alok Sharma confirmed at a plenary on Wednesday that while “some significant issues remain unresolved”, he expected “near-final” texts from the various negotiating groups by Thursday morning and a consensus document for adoption by the close of the summit on Friday. Aside from the inadequate emission targets, other sticking points concern financing, including agreement on finance for countries’ claims of climate change-related loss and damage – most of which are likely to be filed by low- and middle income countries. UK lead climate negotiator Archie Young told the plenary that more work also needs to be done on the “significant finance agenda and the $100-billion goal” – the annual finance target set by the Paris Agreement to be available by the end of 2021 to assist LMIC countries to mitigate and adapt to climate change. The draft appeals to “the private sector, multilateral development banks and other financial institutions to enhance finance mobilization in order to deliver the scale of resources needed to achieve climate plans, particularly for adaptation”. Glasgow flooded with fossil fuel lobbyists While the global business and finance community is said to have an unprecedented presence at COP26 – the largest contingent at the entire conference – is in fact the fossil fuel industry, an analysis of participants found. Some 503 fossil fuel lobbyists are registered at Glasgow, according to the analysis by the civil society groups, Corporate Europe Observatory (CEO) and GlobalWitness.org. The report “Glasgow Calls Out Polluters” found that if the fossil fuel lobby were a country delegation at COP it would be the largest with 503 delegates – two dozen more than the largest country delegation. In addition, the report found that: Over 100 fossil fuel companies are represented at COP with 30 trade associations and membership organisations also present; Fossil fuel lobbyiests are members of 27 official country delegations, including Canada, Russia and Brazil. Fossil fuel lobbyists dwarf the UNFCCC’s official indigenous constituency by around two to one. The fossil fuel lobby at COP is larger than the combined total of the eight delegations from the countries worst affected by climate change in the last two decades – Puerto Rico, Myanmar, Haiti, Philippines, Mozambique, Bahamas, Bangladesh, Pakistan. Image Credits: Climate Action Tracker., Climate Action Tracker. Fifty Countries Commit to ‘greening’ their healthcare systems at COP26 09/11/2021 Kerry Cullinan Solar panels provide electricity to Mulalika Health Clinic in Zambia. Fifty countries have committed to building sustainable, low-carbon and climate-resilient healthcare systems, and 14 of these have set net-zero carbon emission target dates from as early as 2030. This emerged from a health and climate change session at COP26, the United Nations climate conference in Glasgow, that was co-hosted by the World Health Organization (WHO). “As part of a green and resilient recovery from COVID-19, we need to recognise the role of health systems as emitters accounting for 4% to 5% of global emissions,” said Dr Rachel Levine, US Assistant Secretary in the Department of Health and Human Services. If the global health care sector were a country, it would be the fifth-largest greenhouse gas emitter on the planet, according to Health care’s climate footprint, a report produced by Health Care Without Harm. “These emissions are predicted to increase as health systems develop, and demographic changes lead to increasing healthcare demand,” said Levine, adding that the countries that had committed to building low carbon health systems were responsible for about one-third of all health sector emissions globally. The US has committed to decarbonizing the nation’s health systems by reducing greenhouse gas emissions in the federal health system, as well as the private sector via “incentives, guidance, technical assistance and regulatory approaches and partnerships”, Levine added. “The United States action on health system decarbonization is influential and critical. The US accounts for approximately 25% of the world’s health sector greenhouse gas emissions. This commitment to reducing greenhouse gases will also result in decreasing the negative health impacts of air pollution, such as premature death, heart disease, stroke, and more,” said Levine. Breaking: #COP26, over 50 countries have committed to decarbonize their #health systems a first ever COP presidency event on climate & health.Health sector is stepping up to decarbonize & calling global leaders to do the same!#ClimateEmergency #ClimatePrescription @HCWHGlobal pic.twitter.com/iwPhsdUJxW — Global Climate and Health Alliance (@GCHAlliance) November 9, 2021 Josh Karliner, International Director of Program and Strategy at Health Care Without Harm, said that “there is a growing global movement of hospitals and health systems” that were already reducing their carbon emissions. “There are more than 54 institutions in 21 countries representing more than 14,000 hospitals and health centres committed to race to zero,” said Karliner. “This is from Newcastle to New York. It’s from Sao Paulo to South Africa. It’s from Kerala to California.” Karliner explained: “We’re seeing hospitals and health systems taking action by investing in renewable energy by investing in zero-emission buildings and transport; by substituting anaesthetic gases with more sustainable alternatives; by implementing sustainable procurement programmes to purchase sustainably produced food, energy-efficient medical devices and lower carbon pharmaceuticals.” However, ‘greening’ health systems is a massive, expensive undertaking that requires many fundamental changes covering architecture, waste disposal, energy, and water. A flash flood in Fiji in 2018 Small island states struggle to make health services climate-resilient Dr Satyendra Prasad, Fiji’s permanent representative to the UN, told the meeting that his country struggled to keep health services running when faced with superstorms and other adverse weather events. “It is quite tragic when your doctors and nurses are being evacuated when they should be providing frontline services to people who have been injured and who need care,” said Prasad. “This conundrum is very tough, and it is a conundrum that exists for so many countries,” said Prasad, adding that Fiji is in the process of relocating health services to higher ground and equipping facilities with renewable energy to enable them to remain operational after major cyclones of flooding. “We losing fewer lives to extreme weather catastrophes. We are losing more lives to waterborne diseases and all the diseases that come following a major catastrophe such as flooding, and cyclone,” he added. Similarly, the Maldives has seen the emergence of vector-borne tropical diseases such as Dengue, which it didn’t use to have, said Aminath Shauna, Minister of Environment, Climate Change and Technology in the Maldives. “The Maldives is one of the most vulnerable island nations to climate change. We are experiencing things that we thought would happen towards the end of the century,” said Shauna. “Our coral reefs are dying. We are running out of fresh water. Our islands are eroding, and our islands are getting more frequently flooded, which poses a significant challenge to our public health system,” she added. To mitigate these risks, the Maldives has integrated climate risks into health policy, developed climate-sensitive disease programmes and is promoting climate-resilient healthcare facilities that are able to withstand climate events. It is also working to ensure that its essential services such as water, sanitation, waste management and electricity can still function during extreme weather events. “The Maldives health sector is also committed to initiating the greening of the health sector by adopting environment-friendly technologies and using energy-efficient services,” said Shauna. Finances for adaptation However, finances to make these changes are a challenge for countries like Fiji and the Maldives. Lack of finance has been a recurrent theme at COP26, with smaller countries with small carbon footprints appealing for reparations from large polluting countries to assist them to mitigate climate change. Former UK prime minister Gordon Brown and WHO Ambassador for Global Health Financing told the meeting that “you cannot cut investment in health at the expense of climate change – and you cannot cut investment in climate finance at the expense of health”. “We really have to recognise that we’re dealing with global public goods – the control of infectious diseases, a clean environment, clean air and a clean environment,” said Brown. “And we need to have a system of global burden-sharing where the richest countries that are responsible for the historic emissions and have the wealth and the capacity to pay, make good the funding that is necessary for mitigation and adaptation, and that includes the adaptation of healthcare systems, particularly in the poorest parts of the world,” said Brown. Despite the global commitment made at Paris COP to ensure $100 billion a year in financing to mitigate climate change by the end of this year, it looks like this target will only be reached in 2023. However, Brown stressed that if this target was not reached, it would deprive developing countries “of the opportunity not only to build coastal defences and renewable industries, but to build the healthcare systems that are necessary for resistance to droughts and famine, and also to pollution in the air”. .@WHO strongly welcomes commitments made at #COP26 by some countries to build health systems resilient to the impacts of the #ClimateCrisis, incl. extreme weather events, the increasing burden of diseases related to #airpollution and our warming planet. https://t.co/lDSceMsWlg pic.twitter.com/8dhOmL8QXM — Tedros Adhanom Ghebreyesus (@DrTedros) November 9, 2021 Addressing the meeting via a recorded message, WHO Director-General Dr Tedros Adhanom Ghebreyesus said that the changes the world needed to make to energy, transport and food systems to meet the Paris climate goals “would bring massive health gains”. He added that the WHO is committed to working with the countries that had committed to building greener health systems “for a healthier and more sustainable future”. Image Credits: UNDP/Karin Schermbrucker for Slingshot , World Meterological Organisation. Health Impacts of Climate Change Grab Eyeballs at COP26, But Lack of Finance Continues to be Major Issue 09/11/2021 Disha Shetty WHO Director-General Dr Tedros receiving an open letter about climate change, signed by health professionals from around the world and organized by Doctors for XR. GLASGOW – Conversations on the health impacts of the climate crisis have grown this year at COP26 – the United Nation’s annual climate conference, now in its 26th year. Experts hope that this increase in conversation will lead to greater awareness about the health crisis exacerbated by the climate crisis and lead to concrete action in the months and years ahead. Around 85% of countries now have a designated focal point for health and climate change in their ministries of health, according to the 2021 World Health Organization (WHO) health and climate change global survey report released on Monday. But countries report that a lack of funding, impact of COVID-19, and insufficient resource capacity are major barriers to progress. Many countries are unsupported and unprepared to deal with the health impacts of climate change, according to the survey. “We are here at COP26 to urge the world to better support countries in need, and to ensure that together we do a better job of protecting people from the biggest threat to human health we face today,” said Dr Maria Neira, WHO Director of Environment, Climate Change and Health. At the sidelines of the climate negotiations, the WHO held a day-long conference over the weekend focussed on the climate and health that was attended by high-level delegates. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Julia Gillard, former Prime Minister of Australia and Chair of Wellcome Trust. The conference sought to highlight that while climate change affects health, the mitigation strategies will also automatically translate into health gains. “Health must become the beating heart of climate action”, said Jeni Miller, executive director of the Global Climate and Health Alliance. “Political leaders must prioritise health and social equity, emission reduction and impact mitigation over politics, profit and unproven technological fixes. The decisions made during COP26 will define the health and wellbeing of people all over the world for decades to come”. Dr. Maria Neira, Director of WHO Environment, Climate Change and Health Highlighting the health gains of clean air In the first week of the COP26 negotiations, WHO also co-hosted a panel discussion on both the health and climate gains of clean air that this reporter helped moderate. Given that air pollution alone kills around seven million people worldwide every year, any progress on this would save millions of lives annually. The event also came at a time when air pollution in India’s capital, Delhi, had reached lethal levels following last week’s celebration of the festival Diwali, during which people set off fire crackers. The densely populated Indo-Gangetic plain where Delhi is, is one of the world’s most polluted regions, and emerging research suggests the source of air pollution is local. Dr Neira said that the time for conversations was over, the evidence on air pollution is clear and it is time now to act. As many of the pollutants that cause air pollution also lead to a greenhouse effect, the WHO has made efforts to highlight the dual climate and health gains of improving air quality that disproportionately affects vulnerable groups like children and the elderly. Developing countries are pushing for climate finance and technology transfer at COP so that they have the support they need to clean their air but much of this also needs to happen at sub-national levels, especially at city-level, that will also require local action, highlighted Ani Dasgupta, President and CEO of World Resources Institute (WRI). Health not a part of text of negotiations It was clear although that while health is a part of the growing conversation, it is far from figuring in the main climate negotiations. A former negotiator elaborated that, given how bitter and exhausting climate negotiations are, adding health to the text might not be practical and that any reduction in global carbon emissions will automatically translate into health gains. At this year’s COP there is also a push to hold the rich countries accountable for the loss and damage being caused by the climate crisis in vulnerable nations. Public health crisis, even though directly caused or exacerbated by extreme climate events, aren’t part of these negotiations either. “I don’t see it coming up very directly into the loss and damage negotiations here because the negotiations are more about the overarching structures, not necessarily on a very particular theme,” said Sven Harmeling, the International Climate Policy Lead, from CARE and CAN Europe. He did add that it does factor in how many of the developing countries think about the damages being caused. WHO’s latest survey backs his view. It found that virtually all (94%) countries have incorporated health considerations in their nationally determined contributions (NDCs) to the Paris Agreement, voluntary pledges by the government to reduce their carbon emissions. Emissions from coal-burning power stations are causing air pollution that is affecting millions of people worldwide. Highlighting emissions from healthcare and silos Among the conversations at COP26 that centred on healthcare was also how to get the healthcare sector to reduce its own emissions. A 2019 report from Healthcare Without Harm based on 2014 data on carbon emissions suggests that globally 4.4% of carbon emissions are from the healthcare sector itself. The US health sector had the largest greenhouse gas emissions. Andrea Epstein, climate programme manager for Latin America at Healthcare Without Harm said that number is probably higher now that despite the region being a part of the developing world, there is a growing interest in decarbonizing the health systems. “The problem is of course the means of implementation. Not just the financing and the technology but also having the capacity for that. So while it is a challenge, the interest is there.” Members of the civil society organisations present at COP highlighted the silos that continued to exist in conversations around health, climate and food – all of which affect each other but are handled by different organisations. Disha Shetty is reporting from COP26 as a part of the 2021 Climate Change Media Partnership, a journalism fellowship organized by Internews’ Earth Journalism Network and the Stanley Center for Peace and Security. Follow her on Twitter @dishashetty20 Image Credits: WHO/Chris Black, Planetary Health Eastern Africa Hub. Pandemic Treaty Offers Opportunity to Repair Fault Lines in COVID-19 Response – and Address Equity 09/11/2021 Kerry Cullinan A nurse takes the temperature of a child suspected of COVID-19 symptoms in a Lebanese public health centre. An international pandemic treaty based on equity could be the antidote to current weaknesses and imbalances in the global response to COVID-19, according to a group of influential authors in a Lancet paper published on Tuesday. A number of the authors are associated with The Independent Panel for Pandemic Preparedness and Response chaired by Helen Clark and Ellen Sirleaf Johnson, which was set up to assess the World Health Organization’s (WHO) response to COVID-19. Based on a timeline developed by the panel that lays out the global COVID-19 response, the authors conclude that the International Health Regulations (IHR) are too weak, and the required country actions are too slow, to protect the world against pandemics. Revised after the 2005 Severe Acute Respiratory Syndrome (SARS) outbreak, the IHR focus on balancing disease notification and health risks with international trade and travel considerations. They specify when and how Member States should notify WHO of a local disease outbreak, and what actions WHO and States should take after that notification. The IHR are currently the only legally binding international instrument governing countries’ obligations to report and respond to pathogens that could result in cross-border disease outbreaks and potential public health emergencies. In their review, the authors identified a number of significant IHR weaknesses, including: constraints on WHO reporting publicly about national events with pandemic potential; the need for greater specificity on the information that countries need to share with WHO; and a streamlined process to facilitate WHO verification of events within 24 hours of the first signals of an outbreak being received. Special World Health Assembly The article comes a few weeks before global leaders meet at a World Health Assembly special session (29 November – 1 December) to consider adopting an “instrument or treaty” to address pandemic preparedness and response. “It’s clear: if a new, fast-spreading pathogen were to emerge next month, the current IHR regime would not protect people and trade as intended,” said Dr Sudhvir Singh, lead author on the paper and an advisor to the Independent Panel. “We suggest change to the IHR and a new treaty or another instrument that would result in more information shared faster, WHO able to investigate rapidly, all countries moving immediately to assess risk; and tools, like tests and vaccines, available to all who need them.” Georgetown University’s Dr Alexandra Phelan added that “COVID-19 has shown that the existing obligations under the IHR are insufficient for our interdependent and digital world.” “Our analysis demonstrates that collectively, countries urgently need to update our international system to respond to the potential rapid spread of a high impact respiratory pathogen,” said Phelan. “We have concrete suggestions for ways in which the IHR may be revised or amended, as well as the approach and issues that must be covered in any new legal framework, like a pandemic treaty.” Four reasons for a pandemic treaty The authors advance four reasons why a pandemic treaty “presents the opportunity to enact comprehensive reform in pandemic preparedness and response”. “First, a pandemic treaty centred on the principle of equity would be an important signal of international commitment to guard against the entrenchment of global division and injustice.” A pandemic treaty offers an opportunity to “develop and instil norms of equity, justice, and global public goods of pandemic preparedness and response”, they argue. “Second, a pandemic treaty could provide high-level complementarity to the IHR and any potential post-pandemic reforms and proactive multidisciplinary approaches to zoonotic risk,” they argue. Their third argument is that a treaty establishes greater accountability, outbreak support, and global access to vital public health information. Finally, a pandemic treaty could provide the opportunity to develop “a solid evidence base for non-pharmaceutical interventions” that might prevent the next outbreak from becoming a pandemic. “The upcoming Special Session of the World Health Assembly is a critical opportunity for Member States to move ahead with strengthening the IHR and to agree on a process for negotiating a pandemic treaty. We must not lose this opportunity to protect global public health and future generations,” said Phelan. At a recent event hosted by G2H2, civil society organisations expressed fear that a pandemic treaty was a distraction from the TRIPS waiver. But Björn Kümmel, deputy head of the global health unit in the German Federal Ministry of Health, disputed that there is any direct political link between the treaty and the TRIPS waiver. Kümmel added that amending the IHR also would take time to negotiate. And a key question here is: “would they be a game-changer for the next pandemic to come? Certainly not,” he added, noting that there is “no compliance mechanism that currently is foreseen in the IHR.” Image Credits: UNICEF . Obama Critical of China and Russia’s ‘Dangerous Lack of Urgency’ in Climate Change at COP26 08/11/2021 Raisa Santos Former US President Barack Obama speaking at COP26 Former US President Barack Obama openly criticized two of the world’s largest CO2 emitting countries – Russia and China, for their “dangerous lack of urgency” in discussing the pressing matters of climate change this past week during COP26. Both Chinese President Xi Jinping and Russian President Vladimir Putin failed to make an appearance with other global leaders at the 26th United Nations Climate Change Conference in Glasgow, which Obama found to be “particularly discouraging,” as he addressed a room of climate experts at the event on Monday. “We need advanced economies like the US and Europe leading on [the issue of climate change]. But we also need China and India, we need Russia, just as we need Indonesia and South Africa and Brazil leading on this issue. We can’t afford anybody to be on the sidelines.” Obama noted that while there has been some progress made in the six years since the Paris Agreement, the legally binding international treaty on climate change, the world still falls short of their commitment to limit global warming to well below 1.5 C. “Here in Glasgow we see the promise of further progress. What is also true is that collectively and individually, we are still falling short. We have not done nearly enough to address this crisis.” “We are going to have to do more and whether that happens or not to a large degree is going to depend on you,” said Obama, calling for collective action from young people and politicians alike to take climate change seriously. Twenty countries pledge to end public finance of international fossil fuel development Although most nations have failed to be ambitious in their climate goals in the past week of COP26, said Obama, significant accomplishments and hard-won commitments have been made during the climate conference. One such commitment was for high-income countries to help low- and middle-income countries move away from fossil fuels. Back in September, US President Joe Biden told the UN General Assembly that the US would provide more than $11 billion in climate aid annually by 2024 to developing nations vulnerable to extreme weather and rising temperatures. In addition, the US and 20 other countries have pledged to stop publicly financing international fossil fuel development, with limited exceptions. “We will end new public direct support for the international unabated fossil fuel energy sector by the end of 2022,” the declaration read. The 20 countries that signed the pledge include Denmark, Italy, Finland, Costa Rica, Ethiopia, Gambia, New Zealand and the Marshall Islands, plus five development institutions including the European Investment Bank and the East African Development Bank. This deal does go further than a pledge made earlier in the year by the G20 to end international financing of coal-based power generation outside their own countries. However, this declaration does not include major Asian countries responsible for financing a majority of overseas fossil fuel projects. Climate change cannot be a partisan issue While collective action in fighting climate change requires international cooperation, Obama noted the geopolitical tensions that have arisen as a result of the pandemic, but called for the world to step up despite these tensions. “Climate change can’t be seen anywhere in the world as just an opportunity to score political points.” “Saving the planet isn’t a partisan issue. Nature, physics, science, do not care about party affiliation,” he added. Climate change, in the US particularly, has become a partisan issue, causing what Obama referred to as a “lack of leadership on America’s part” and the “open hostility towards climate science at the very top of the [US] federal government” that resulted from former President Donald Trump’s four years in office. Obama also pointed out that the lack of a stable congressional majority has prevented him and current President Joe Biden from taking an even stronger stance on climate change. However, Obama remain sconfident that Biden’s Build Back Better Framework, which would set the US on course to meet its climate goals, would be passed in coming weeks. The legislation, once approved by the US Congress, would devote at least US $1.7 trillion dollars to reduce greenhouse gas emissions by over a billion metric tons by the end of 2030. Young people have more at stake in the fight against climate change Greta Thunberg addresses climate strikers at Civic Center Park in Denver, Colorado. Thunberg is one climate activist Obama praised for inspiring millions in the fight against climate change. Though Obama noted that at times, he was “doubtful that humanity can get its act together before it’s too late”, this cynicism was countered by the prevailing efforts of young climate activists around the world. Addressing all the young people, who Obama said, had “more stake in this fight than anybody else,” he said: “I want you to stay angry. I want you to stay frustrated. Channel that anger, harness that frustration.” “Because that’s what’s required to meet this challenge. Solving a problem this big and this important has never happened all at once.” Image Credits: COP26, Andy Bosselman, Streetsblog Denver/Flickr. Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Fifty Countries Commit to ‘greening’ their healthcare systems at COP26 09/11/2021 Kerry Cullinan Solar panels provide electricity to Mulalika Health Clinic in Zambia. Fifty countries have committed to building sustainable, low-carbon and climate-resilient healthcare systems, and 14 of these have set net-zero carbon emission target dates from as early as 2030. This emerged from a health and climate change session at COP26, the United Nations climate conference in Glasgow, that was co-hosted by the World Health Organization (WHO). “As part of a green and resilient recovery from COVID-19, we need to recognise the role of health systems as emitters accounting for 4% to 5% of global emissions,” said Dr Rachel Levine, US Assistant Secretary in the Department of Health and Human Services. If the global health care sector were a country, it would be the fifth-largest greenhouse gas emitter on the planet, according to Health care’s climate footprint, a report produced by Health Care Without Harm. “These emissions are predicted to increase as health systems develop, and demographic changes lead to increasing healthcare demand,” said Levine, adding that the countries that had committed to building low carbon health systems were responsible for about one-third of all health sector emissions globally. The US has committed to decarbonizing the nation’s health systems by reducing greenhouse gas emissions in the federal health system, as well as the private sector via “incentives, guidance, technical assistance and regulatory approaches and partnerships”, Levine added. “The United States action on health system decarbonization is influential and critical. The US accounts for approximately 25% of the world’s health sector greenhouse gas emissions. This commitment to reducing greenhouse gases will also result in decreasing the negative health impacts of air pollution, such as premature death, heart disease, stroke, and more,” said Levine. Breaking: #COP26, over 50 countries have committed to decarbonize their #health systems a first ever COP presidency event on climate & health.Health sector is stepping up to decarbonize & calling global leaders to do the same!#ClimateEmergency #ClimatePrescription @HCWHGlobal pic.twitter.com/iwPhsdUJxW — Global Climate and Health Alliance (@GCHAlliance) November 9, 2021 Josh Karliner, International Director of Program and Strategy at Health Care Without Harm, said that “there is a growing global movement of hospitals and health systems” that were already reducing their carbon emissions. “There are more than 54 institutions in 21 countries representing more than 14,000 hospitals and health centres committed to race to zero,” said Karliner. “This is from Newcastle to New York. It’s from Sao Paulo to South Africa. It’s from Kerala to California.” Karliner explained: “We’re seeing hospitals and health systems taking action by investing in renewable energy by investing in zero-emission buildings and transport; by substituting anaesthetic gases with more sustainable alternatives; by implementing sustainable procurement programmes to purchase sustainably produced food, energy-efficient medical devices and lower carbon pharmaceuticals.” However, ‘greening’ health systems is a massive, expensive undertaking that requires many fundamental changes covering architecture, waste disposal, energy, and water. A flash flood in Fiji in 2018 Small island states struggle to make health services climate-resilient Dr Satyendra Prasad, Fiji’s permanent representative to the UN, told the meeting that his country struggled to keep health services running when faced with superstorms and other adverse weather events. “It is quite tragic when your doctors and nurses are being evacuated when they should be providing frontline services to people who have been injured and who need care,” said Prasad. “This conundrum is very tough, and it is a conundrum that exists for so many countries,” said Prasad, adding that Fiji is in the process of relocating health services to higher ground and equipping facilities with renewable energy to enable them to remain operational after major cyclones of flooding. “We losing fewer lives to extreme weather catastrophes. We are losing more lives to waterborne diseases and all the diseases that come following a major catastrophe such as flooding, and cyclone,” he added. Similarly, the Maldives has seen the emergence of vector-borne tropical diseases such as Dengue, which it didn’t use to have, said Aminath Shauna, Minister of Environment, Climate Change and Technology in the Maldives. “The Maldives is one of the most vulnerable island nations to climate change. We are experiencing things that we thought would happen towards the end of the century,” said Shauna. “Our coral reefs are dying. We are running out of fresh water. Our islands are eroding, and our islands are getting more frequently flooded, which poses a significant challenge to our public health system,” she added. To mitigate these risks, the Maldives has integrated climate risks into health policy, developed climate-sensitive disease programmes and is promoting climate-resilient healthcare facilities that are able to withstand climate events. It is also working to ensure that its essential services such as water, sanitation, waste management and electricity can still function during extreme weather events. “The Maldives health sector is also committed to initiating the greening of the health sector by adopting environment-friendly technologies and using energy-efficient services,” said Shauna. Finances for adaptation However, finances to make these changes are a challenge for countries like Fiji and the Maldives. Lack of finance has been a recurrent theme at COP26, with smaller countries with small carbon footprints appealing for reparations from large polluting countries to assist them to mitigate climate change. Former UK prime minister Gordon Brown and WHO Ambassador for Global Health Financing told the meeting that “you cannot cut investment in health at the expense of climate change – and you cannot cut investment in climate finance at the expense of health”. “We really have to recognise that we’re dealing with global public goods – the control of infectious diseases, a clean environment, clean air and a clean environment,” said Brown. “And we need to have a system of global burden-sharing where the richest countries that are responsible for the historic emissions and have the wealth and the capacity to pay, make good the funding that is necessary for mitigation and adaptation, and that includes the adaptation of healthcare systems, particularly in the poorest parts of the world,” said Brown. Despite the global commitment made at Paris COP to ensure $100 billion a year in financing to mitigate climate change by the end of this year, it looks like this target will only be reached in 2023. However, Brown stressed that if this target was not reached, it would deprive developing countries “of the opportunity not only to build coastal defences and renewable industries, but to build the healthcare systems that are necessary for resistance to droughts and famine, and also to pollution in the air”. .@WHO strongly welcomes commitments made at #COP26 by some countries to build health systems resilient to the impacts of the #ClimateCrisis, incl. extreme weather events, the increasing burden of diseases related to #airpollution and our warming planet. https://t.co/lDSceMsWlg pic.twitter.com/8dhOmL8QXM — Tedros Adhanom Ghebreyesus (@DrTedros) November 9, 2021 Addressing the meeting via a recorded message, WHO Director-General Dr Tedros Adhanom Ghebreyesus said that the changes the world needed to make to energy, transport and food systems to meet the Paris climate goals “would bring massive health gains”. He added that the WHO is committed to working with the countries that had committed to building greener health systems “for a healthier and more sustainable future”. Image Credits: UNDP/Karin Schermbrucker for Slingshot , World Meterological Organisation. Health Impacts of Climate Change Grab Eyeballs at COP26, But Lack of Finance Continues to be Major Issue 09/11/2021 Disha Shetty WHO Director-General Dr Tedros receiving an open letter about climate change, signed by health professionals from around the world and organized by Doctors for XR. GLASGOW – Conversations on the health impacts of the climate crisis have grown this year at COP26 – the United Nation’s annual climate conference, now in its 26th year. Experts hope that this increase in conversation will lead to greater awareness about the health crisis exacerbated by the climate crisis and lead to concrete action in the months and years ahead. Around 85% of countries now have a designated focal point for health and climate change in their ministries of health, according to the 2021 World Health Organization (WHO) health and climate change global survey report released on Monday. But countries report that a lack of funding, impact of COVID-19, and insufficient resource capacity are major barriers to progress. Many countries are unsupported and unprepared to deal with the health impacts of climate change, according to the survey. “We are here at COP26 to urge the world to better support countries in need, and to ensure that together we do a better job of protecting people from the biggest threat to human health we face today,” said Dr Maria Neira, WHO Director of Environment, Climate Change and Health. At the sidelines of the climate negotiations, the WHO held a day-long conference over the weekend focussed on the climate and health that was attended by high-level delegates. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Julia Gillard, former Prime Minister of Australia and Chair of Wellcome Trust. The conference sought to highlight that while climate change affects health, the mitigation strategies will also automatically translate into health gains. “Health must become the beating heart of climate action”, said Jeni Miller, executive director of the Global Climate and Health Alliance. “Political leaders must prioritise health and social equity, emission reduction and impact mitigation over politics, profit and unproven technological fixes. The decisions made during COP26 will define the health and wellbeing of people all over the world for decades to come”. Dr. Maria Neira, Director of WHO Environment, Climate Change and Health Highlighting the health gains of clean air In the first week of the COP26 negotiations, WHO also co-hosted a panel discussion on both the health and climate gains of clean air that this reporter helped moderate. Given that air pollution alone kills around seven million people worldwide every year, any progress on this would save millions of lives annually. The event also came at a time when air pollution in India’s capital, Delhi, had reached lethal levels following last week’s celebration of the festival Diwali, during which people set off fire crackers. The densely populated Indo-Gangetic plain where Delhi is, is one of the world’s most polluted regions, and emerging research suggests the source of air pollution is local. Dr Neira said that the time for conversations was over, the evidence on air pollution is clear and it is time now to act. As many of the pollutants that cause air pollution also lead to a greenhouse effect, the WHO has made efforts to highlight the dual climate and health gains of improving air quality that disproportionately affects vulnerable groups like children and the elderly. Developing countries are pushing for climate finance and technology transfer at COP so that they have the support they need to clean their air but much of this also needs to happen at sub-national levels, especially at city-level, that will also require local action, highlighted Ani Dasgupta, President and CEO of World Resources Institute (WRI). Health not a part of text of negotiations It was clear although that while health is a part of the growing conversation, it is far from figuring in the main climate negotiations. A former negotiator elaborated that, given how bitter and exhausting climate negotiations are, adding health to the text might not be practical and that any reduction in global carbon emissions will automatically translate into health gains. At this year’s COP there is also a push to hold the rich countries accountable for the loss and damage being caused by the climate crisis in vulnerable nations. Public health crisis, even though directly caused or exacerbated by extreme climate events, aren’t part of these negotiations either. “I don’t see it coming up very directly into the loss and damage negotiations here because the negotiations are more about the overarching structures, not necessarily on a very particular theme,” said Sven Harmeling, the International Climate Policy Lead, from CARE and CAN Europe. He did add that it does factor in how many of the developing countries think about the damages being caused. WHO’s latest survey backs his view. It found that virtually all (94%) countries have incorporated health considerations in their nationally determined contributions (NDCs) to the Paris Agreement, voluntary pledges by the government to reduce their carbon emissions. Emissions from coal-burning power stations are causing air pollution that is affecting millions of people worldwide. Highlighting emissions from healthcare and silos Among the conversations at COP26 that centred on healthcare was also how to get the healthcare sector to reduce its own emissions. A 2019 report from Healthcare Without Harm based on 2014 data on carbon emissions suggests that globally 4.4% of carbon emissions are from the healthcare sector itself. The US health sector had the largest greenhouse gas emissions. Andrea Epstein, climate programme manager for Latin America at Healthcare Without Harm said that number is probably higher now that despite the region being a part of the developing world, there is a growing interest in decarbonizing the health systems. “The problem is of course the means of implementation. Not just the financing and the technology but also having the capacity for that. So while it is a challenge, the interest is there.” Members of the civil society organisations present at COP highlighted the silos that continued to exist in conversations around health, climate and food – all of which affect each other but are handled by different organisations. Disha Shetty is reporting from COP26 as a part of the 2021 Climate Change Media Partnership, a journalism fellowship organized by Internews’ Earth Journalism Network and the Stanley Center for Peace and Security. Follow her on Twitter @dishashetty20 Image Credits: WHO/Chris Black, Planetary Health Eastern Africa Hub. Pandemic Treaty Offers Opportunity to Repair Fault Lines in COVID-19 Response – and Address Equity 09/11/2021 Kerry Cullinan A nurse takes the temperature of a child suspected of COVID-19 symptoms in a Lebanese public health centre. An international pandemic treaty based on equity could be the antidote to current weaknesses and imbalances in the global response to COVID-19, according to a group of influential authors in a Lancet paper published on Tuesday. A number of the authors are associated with The Independent Panel for Pandemic Preparedness and Response chaired by Helen Clark and Ellen Sirleaf Johnson, which was set up to assess the World Health Organization’s (WHO) response to COVID-19. Based on a timeline developed by the panel that lays out the global COVID-19 response, the authors conclude that the International Health Regulations (IHR) are too weak, and the required country actions are too slow, to protect the world against pandemics. Revised after the 2005 Severe Acute Respiratory Syndrome (SARS) outbreak, the IHR focus on balancing disease notification and health risks with international trade and travel considerations. They specify when and how Member States should notify WHO of a local disease outbreak, and what actions WHO and States should take after that notification. The IHR are currently the only legally binding international instrument governing countries’ obligations to report and respond to pathogens that could result in cross-border disease outbreaks and potential public health emergencies. In their review, the authors identified a number of significant IHR weaknesses, including: constraints on WHO reporting publicly about national events with pandemic potential; the need for greater specificity on the information that countries need to share with WHO; and a streamlined process to facilitate WHO verification of events within 24 hours of the first signals of an outbreak being received. Special World Health Assembly The article comes a few weeks before global leaders meet at a World Health Assembly special session (29 November – 1 December) to consider adopting an “instrument or treaty” to address pandemic preparedness and response. “It’s clear: if a new, fast-spreading pathogen were to emerge next month, the current IHR regime would not protect people and trade as intended,” said Dr Sudhvir Singh, lead author on the paper and an advisor to the Independent Panel. “We suggest change to the IHR and a new treaty or another instrument that would result in more information shared faster, WHO able to investigate rapidly, all countries moving immediately to assess risk; and tools, like tests and vaccines, available to all who need them.” Georgetown University’s Dr Alexandra Phelan added that “COVID-19 has shown that the existing obligations under the IHR are insufficient for our interdependent and digital world.” “Our analysis demonstrates that collectively, countries urgently need to update our international system to respond to the potential rapid spread of a high impact respiratory pathogen,” said Phelan. “We have concrete suggestions for ways in which the IHR may be revised or amended, as well as the approach and issues that must be covered in any new legal framework, like a pandemic treaty.” Four reasons for a pandemic treaty The authors advance four reasons why a pandemic treaty “presents the opportunity to enact comprehensive reform in pandemic preparedness and response”. “First, a pandemic treaty centred on the principle of equity would be an important signal of international commitment to guard against the entrenchment of global division and injustice.” A pandemic treaty offers an opportunity to “develop and instil norms of equity, justice, and global public goods of pandemic preparedness and response”, they argue. “Second, a pandemic treaty could provide high-level complementarity to the IHR and any potential post-pandemic reforms and proactive multidisciplinary approaches to zoonotic risk,” they argue. Their third argument is that a treaty establishes greater accountability, outbreak support, and global access to vital public health information. Finally, a pandemic treaty could provide the opportunity to develop “a solid evidence base for non-pharmaceutical interventions” that might prevent the next outbreak from becoming a pandemic. “The upcoming Special Session of the World Health Assembly is a critical opportunity for Member States to move ahead with strengthening the IHR and to agree on a process for negotiating a pandemic treaty. We must not lose this opportunity to protect global public health and future generations,” said Phelan. At a recent event hosted by G2H2, civil society organisations expressed fear that a pandemic treaty was a distraction from the TRIPS waiver. But Björn Kümmel, deputy head of the global health unit in the German Federal Ministry of Health, disputed that there is any direct political link between the treaty and the TRIPS waiver. Kümmel added that amending the IHR also would take time to negotiate. And a key question here is: “would they be a game-changer for the next pandemic to come? Certainly not,” he added, noting that there is “no compliance mechanism that currently is foreseen in the IHR.” Image Credits: UNICEF . Obama Critical of China and Russia’s ‘Dangerous Lack of Urgency’ in Climate Change at COP26 08/11/2021 Raisa Santos Former US President Barack Obama speaking at COP26 Former US President Barack Obama openly criticized two of the world’s largest CO2 emitting countries – Russia and China, for their “dangerous lack of urgency” in discussing the pressing matters of climate change this past week during COP26. Both Chinese President Xi Jinping and Russian President Vladimir Putin failed to make an appearance with other global leaders at the 26th United Nations Climate Change Conference in Glasgow, which Obama found to be “particularly discouraging,” as he addressed a room of climate experts at the event on Monday. “We need advanced economies like the US and Europe leading on [the issue of climate change]. But we also need China and India, we need Russia, just as we need Indonesia and South Africa and Brazil leading on this issue. We can’t afford anybody to be on the sidelines.” Obama noted that while there has been some progress made in the six years since the Paris Agreement, the legally binding international treaty on climate change, the world still falls short of their commitment to limit global warming to well below 1.5 C. “Here in Glasgow we see the promise of further progress. What is also true is that collectively and individually, we are still falling short. We have not done nearly enough to address this crisis.” “We are going to have to do more and whether that happens or not to a large degree is going to depend on you,” said Obama, calling for collective action from young people and politicians alike to take climate change seriously. Twenty countries pledge to end public finance of international fossil fuel development Although most nations have failed to be ambitious in their climate goals in the past week of COP26, said Obama, significant accomplishments and hard-won commitments have been made during the climate conference. One such commitment was for high-income countries to help low- and middle-income countries move away from fossil fuels. Back in September, US President Joe Biden told the UN General Assembly that the US would provide more than $11 billion in climate aid annually by 2024 to developing nations vulnerable to extreme weather and rising temperatures. In addition, the US and 20 other countries have pledged to stop publicly financing international fossil fuel development, with limited exceptions. “We will end new public direct support for the international unabated fossil fuel energy sector by the end of 2022,” the declaration read. The 20 countries that signed the pledge include Denmark, Italy, Finland, Costa Rica, Ethiopia, Gambia, New Zealand and the Marshall Islands, plus five development institutions including the European Investment Bank and the East African Development Bank. This deal does go further than a pledge made earlier in the year by the G20 to end international financing of coal-based power generation outside their own countries. However, this declaration does not include major Asian countries responsible for financing a majority of overseas fossil fuel projects. Climate change cannot be a partisan issue While collective action in fighting climate change requires international cooperation, Obama noted the geopolitical tensions that have arisen as a result of the pandemic, but called for the world to step up despite these tensions. “Climate change can’t be seen anywhere in the world as just an opportunity to score political points.” “Saving the planet isn’t a partisan issue. Nature, physics, science, do not care about party affiliation,” he added. Climate change, in the US particularly, has become a partisan issue, causing what Obama referred to as a “lack of leadership on America’s part” and the “open hostility towards climate science at the very top of the [US] federal government” that resulted from former President Donald Trump’s four years in office. Obama also pointed out that the lack of a stable congressional majority has prevented him and current President Joe Biden from taking an even stronger stance on climate change. However, Obama remain sconfident that Biden’s Build Back Better Framework, which would set the US on course to meet its climate goals, would be passed in coming weeks. The legislation, once approved by the US Congress, would devote at least US $1.7 trillion dollars to reduce greenhouse gas emissions by over a billion metric tons by the end of 2030. Young people have more at stake in the fight against climate change Greta Thunberg addresses climate strikers at Civic Center Park in Denver, Colorado. Thunberg is one climate activist Obama praised for inspiring millions in the fight against climate change. Though Obama noted that at times, he was “doubtful that humanity can get its act together before it’s too late”, this cynicism was countered by the prevailing efforts of young climate activists around the world. Addressing all the young people, who Obama said, had “more stake in this fight than anybody else,” he said: “I want you to stay angry. I want you to stay frustrated. Channel that anger, harness that frustration.” “Because that’s what’s required to meet this challenge. Solving a problem this big and this important has never happened all at once.” Image Credits: COP26, Andy Bosselman, Streetsblog Denver/Flickr. Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Health Impacts of Climate Change Grab Eyeballs at COP26, But Lack of Finance Continues to be Major Issue 09/11/2021 Disha Shetty WHO Director-General Dr Tedros receiving an open letter about climate change, signed by health professionals from around the world and organized by Doctors for XR. GLASGOW – Conversations on the health impacts of the climate crisis have grown this year at COP26 – the United Nation’s annual climate conference, now in its 26th year. Experts hope that this increase in conversation will lead to greater awareness about the health crisis exacerbated by the climate crisis and lead to concrete action in the months and years ahead. Around 85% of countries now have a designated focal point for health and climate change in their ministries of health, according to the 2021 World Health Organization (WHO) health and climate change global survey report released on Monday. But countries report that a lack of funding, impact of COVID-19, and insufficient resource capacity are major barriers to progress. Many countries are unsupported and unprepared to deal with the health impacts of climate change, according to the survey. “We are here at COP26 to urge the world to better support countries in need, and to ensure that together we do a better job of protecting people from the biggest threat to human health we face today,” said Dr Maria Neira, WHO Director of Environment, Climate Change and Health. At the sidelines of the climate negotiations, the WHO held a day-long conference over the weekend focussed on the climate and health that was attended by high-level delegates. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Julia Gillard, former Prime Minister of Australia and Chair of Wellcome Trust. The conference sought to highlight that while climate change affects health, the mitigation strategies will also automatically translate into health gains. “Health must become the beating heart of climate action”, said Jeni Miller, executive director of the Global Climate and Health Alliance. “Political leaders must prioritise health and social equity, emission reduction and impact mitigation over politics, profit and unproven technological fixes. The decisions made during COP26 will define the health and wellbeing of people all over the world for decades to come”. Dr. Maria Neira, Director of WHO Environment, Climate Change and Health Highlighting the health gains of clean air In the first week of the COP26 negotiations, WHO also co-hosted a panel discussion on both the health and climate gains of clean air that this reporter helped moderate. Given that air pollution alone kills around seven million people worldwide every year, any progress on this would save millions of lives annually. The event also came at a time when air pollution in India’s capital, Delhi, had reached lethal levels following last week’s celebration of the festival Diwali, during which people set off fire crackers. The densely populated Indo-Gangetic plain where Delhi is, is one of the world’s most polluted regions, and emerging research suggests the source of air pollution is local. Dr Neira said that the time for conversations was over, the evidence on air pollution is clear and it is time now to act. As many of the pollutants that cause air pollution also lead to a greenhouse effect, the WHO has made efforts to highlight the dual climate and health gains of improving air quality that disproportionately affects vulnerable groups like children and the elderly. Developing countries are pushing for climate finance and technology transfer at COP so that they have the support they need to clean their air but much of this also needs to happen at sub-national levels, especially at city-level, that will also require local action, highlighted Ani Dasgupta, President and CEO of World Resources Institute (WRI). Health not a part of text of negotiations It was clear although that while health is a part of the growing conversation, it is far from figuring in the main climate negotiations. A former negotiator elaborated that, given how bitter and exhausting climate negotiations are, adding health to the text might not be practical and that any reduction in global carbon emissions will automatically translate into health gains. At this year’s COP there is also a push to hold the rich countries accountable for the loss and damage being caused by the climate crisis in vulnerable nations. Public health crisis, even though directly caused or exacerbated by extreme climate events, aren’t part of these negotiations either. “I don’t see it coming up very directly into the loss and damage negotiations here because the negotiations are more about the overarching structures, not necessarily on a very particular theme,” said Sven Harmeling, the International Climate Policy Lead, from CARE and CAN Europe. He did add that it does factor in how many of the developing countries think about the damages being caused. WHO’s latest survey backs his view. It found that virtually all (94%) countries have incorporated health considerations in their nationally determined contributions (NDCs) to the Paris Agreement, voluntary pledges by the government to reduce their carbon emissions. Emissions from coal-burning power stations are causing air pollution that is affecting millions of people worldwide. Highlighting emissions from healthcare and silos Among the conversations at COP26 that centred on healthcare was also how to get the healthcare sector to reduce its own emissions. A 2019 report from Healthcare Without Harm based on 2014 data on carbon emissions suggests that globally 4.4% of carbon emissions are from the healthcare sector itself. The US health sector had the largest greenhouse gas emissions. Andrea Epstein, climate programme manager for Latin America at Healthcare Without Harm said that number is probably higher now that despite the region being a part of the developing world, there is a growing interest in decarbonizing the health systems. “The problem is of course the means of implementation. Not just the financing and the technology but also having the capacity for that. So while it is a challenge, the interest is there.” Members of the civil society organisations present at COP highlighted the silos that continued to exist in conversations around health, climate and food – all of which affect each other but are handled by different organisations. Disha Shetty is reporting from COP26 as a part of the 2021 Climate Change Media Partnership, a journalism fellowship organized by Internews’ Earth Journalism Network and the Stanley Center for Peace and Security. Follow her on Twitter @dishashetty20 Image Credits: WHO/Chris Black, Planetary Health Eastern Africa Hub. Pandemic Treaty Offers Opportunity to Repair Fault Lines in COVID-19 Response – and Address Equity 09/11/2021 Kerry Cullinan A nurse takes the temperature of a child suspected of COVID-19 symptoms in a Lebanese public health centre. An international pandemic treaty based on equity could be the antidote to current weaknesses and imbalances in the global response to COVID-19, according to a group of influential authors in a Lancet paper published on Tuesday. A number of the authors are associated with The Independent Panel for Pandemic Preparedness and Response chaired by Helen Clark and Ellen Sirleaf Johnson, which was set up to assess the World Health Organization’s (WHO) response to COVID-19. Based on a timeline developed by the panel that lays out the global COVID-19 response, the authors conclude that the International Health Regulations (IHR) are too weak, and the required country actions are too slow, to protect the world against pandemics. Revised after the 2005 Severe Acute Respiratory Syndrome (SARS) outbreak, the IHR focus on balancing disease notification and health risks with international trade and travel considerations. They specify when and how Member States should notify WHO of a local disease outbreak, and what actions WHO and States should take after that notification. The IHR are currently the only legally binding international instrument governing countries’ obligations to report and respond to pathogens that could result in cross-border disease outbreaks and potential public health emergencies. In their review, the authors identified a number of significant IHR weaknesses, including: constraints on WHO reporting publicly about national events with pandemic potential; the need for greater specificity on the information that countries need to share with WHO; and a streamlined process to facilitate WHO verification of events within 24 hours of the first signals of an outbreak being received. Special World Health Assembly The article comes a few weeks before global leaders meet at a World Health Assembly special session (29 November – 1 December) to consider adopting an “instrument or treaty” to address pandemic preparedness and response. “It’s clear: if a new, fast-spreading pathogen were to emerge next month, the current IHR regime would not protect people and trade as intended,” said Dr Sudhvir Singh, lead author on the paper and an advisor to the Independent Panel. “We suggest change to the IHR and a new treaty or another instrument that would result in more information shared faster, WHO able to investigate rapidly, all countries moving immediately to assess risk; and tools, like tests and vaccines, available to all who need them.” Georgetown University’s Dr Alexandra Phelan added that “COVID-19 has shown that the existing obligations under the IHR are insufficient for our interdependent and digital world.” “Our analysis demonstrates that collectively, countries urgently need to update our international system to respond to the potential rapid spread of a high impact respiratory pathogen,” said Phelan. “We have concrete suggestions for ways in which the IHR may be revised or amended, as well as the approach and issues that must be covered in any new legal framework, like a pandemic treaty.” Four reasons for a pandemic treaty The authors advance four reasons why a pandemic treaty “presents the opportunity to enact comprehensive reform in pandemic preparedness and response”. “First, a pandemic treaty centred on the principle of equity would be an important signal of international commitment to guard against the entrenchment of global division and injustice.” A pandemic treaty offers an opportunity to “develop and instil norms of equity, justice, and global public goods of pandemic preparedness and response”, they argue. “Second, a pandemic treaty could provide high-level complementarity to the IHR and any potential post-pandemic reforms and proactive multidisciplinary approaches to zoonotic risk,” they argue. Their third argument is that a treaty establishes greater accountability, outbreak support, and global access to vital public health information. Finally, a pandemic treaty could provide the opportunity to develop “a solid evidence base for non-pharmaceutical interventions” that might prevent the next outbreak from becoming a pandemic. “The upcoming Special Session of the World Health Assembly is a critical opportunity for Member States to move ahead with strengthening the IHR and to agree on a process for negotiating a pandemic treaty. We must not lose this opportunity to protect global public health and future generations,” said Phelan. At a recent event hosted by G2H2, civil society organisations expressed fear that a pandemic treaty was a distraction from the TRIPS waiver. But Björn Kümmel, deputy head of the global health unit in the German Federal Ministry of Health, disputed that there is any direct political link between the treaty and the TRIPS waiver. Kümmel added that amending the IHR also would take time to negotiate. And a key question here is: “would they be a game-changer for the next pandemic to come? Certainly not,” he added, noting that there is “no compliance mechanism that currently is foreseen in the IHR.” Image Credits: UNICEF . Obama Critical of China and Russia’s ‘Dangerous Lack of Urgency’ in Climate Change at COP26 08/11/2021 Raisa Santos Former US President Barack Obama speaking at COP26 Former US President Barack Obama openly criticized two of the world’s largest CO2 emitting countries – Russia and China, for their “dangerous lack of urgency” in discussing the pressing matters of climate change this past week during COP26. Both Chinese President Xi Jinping and Russian President Vladimir Putin failed to make an appearance with other global leaders at the 26th United Nations Climate Change Conference in Glasgow, which Obama found to be “particularly discouraging,” as he addressed a room of climate experts at the event on Monday. “We need advanced economies like the US and Europe leading on [the issue of climate change]. But we also need China and India, we need Russia, just as we need Indonesia and South Africa and Brazil leading on this issue. We can’t afford anybody to be on the sidelines.” Obama noted that while there has been some progress made in the six years since the Paris Agreement, the legally binding international treaty on climate change, the world still falls short of their commitment to limit global warming to well below 1.5 C. “Here in Glasgow we see the promise of further progress. What is also true is that collectively and individually, we are still falling short. We have not done nearly enough to address this crisis.” “We are going to have to do more and whether that happens or not to a large degree is going to depend on you,” said Obama, calling for collective action from young people and politicians alike to take climate change seriously. Twenty countries pledge to end public finance of international fossil fuel development Although most nations have failed to be ambitious in their climate goals in the past week of COP26, said Obama, significant accomplishments and hard-won commitments have been made during the climate conference. One such commitment was for high-income countries to help low- and middle-income countries move away from fossil fuels. Back in September, US President Joe Biden told the UN General Assembly that the US would provide more than $11 billion in climate aid annually by 2024 to developing nations vulnerable to extreme weather and rising temperatures. In addition, the US and 20 other countries have pledged to stop publicly financing international fossil fuel development, with limited exceptions. “We will end new public direct support for the international unabated fossil fuel energy sector by the end of 2022,” the declaration read. The 20 countries that signed the pledge include Denmark, Italy, Finland, Costa Rica, Ethiopia, Gambia, New Zealand and the Marshall Islands, plus five development institutions including the European Investment Bank and the East African Development Bank. This deal does go further than a pledge made earlier in the year by the G20 to end international financing of coal-based power generation outside their own countries. However, this declaration does not include major Asian countries responsible for financing a majority of overseas fossil fuel projects. Climate change cannot be a partisan issue While collective action in fighting climate change requires international cooperation, Obama noted the geopolitical tensions that have arisen as a result of the pandemic, but called for the world to step up despite these tensions. “Climate change can’t be seen anywhere in the world as just an opportunity to score political points.” “Saving the planet isn’t a partisan issue. Nature, physics, science, do not care about party affiliation,” he added. Climate change, in the US particularly, has become a partisan issue, causing what Obama referred to as a “lack of leadership on America’s part” and the “open hostility towards climate science at the very top of the [US] federal government” that resulted from former President Donald Trump’s four years in office. Obama also pointed out that the lack of a stable congressional majority has prevented him and current President Joe Biden from taking an even stronger stance on climate change. However, Obama remain sconfident that Biden’s Build Back Better Framework, which would set the US on course to meet its climate goals, would be passed in coming weeks. The legislation, once approved by the US Congress, would devote at least US $1.7 trillion dollars to reduce greenhouse gas emissions by over a billion metric tons by the end of 2030. Young people have more at stake in the fight against climate change Greta Thunberg addresses climate strikers at Civic Center Park in Denver, Colorado. Thunberg is one climate activist Obama praised for inspiring millions in the fight against climate change. Though Obama noted that at times, he was “doubtful that humanity can get its act together before it’s too late”, this cynicism was countered by the prevailing efforts of young climate activists around the world. Addressing all the young people, who Obama said, had “more stake in this fight than anybody else,” he said: “I want you to stay angry. I want you to stay frustrated. Channel that anger, harness that frustration.” “Because that’s what’s required to meet this challenge. Solving a problem this big and this important has never happened all at once.” Image Credits: COP26, Andy Bosselman, Streetsblog Denver/Flickr. Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Pandemic Treaty Offers Opportunity to Repair Fault Lines in COVID-19 Response – and Address Equity 09/11/2021 Kerry Cullinan A nurse takes the temperature of a child suspected of COVID-19 symptoms in a Lebanese public health centre. An international pandemic treaty based on equity could be the antidote to current weaknesses and imbalances in the global response to COVID-19, according to a group of influential authors in a Lancet paper published on Tuesday. A number of the authors are associated with The Independent Panel for Pandemic Preparedness and Response chaired by Helen Clark and Ellen Sirleaf Johnson, which was set up to assess the World Health Organization’s (WHO) response to COVID-19. Based on a timeline developed by the panel that lays out the global COVID-19 response, the authors conclude that the International Health Regulations (IHR) are too weak, and the required country actions are too slow, to protect the world against pandemics. Revised after the 2005 Severe Acute Respiratory Syndrome (SARS) outbreak, the IHR focus on balancing disease notification and health risks with international trade and travel considerations. They specify when and how Member States should notify WHO of a local disease outbreak, and what actions WHO and States should take after that notification. The IHR are currently the only legally binding international instrument governing countries’ obligations to report and respond to pathogens that could result in cross-border disease outbreaks and potential public health emergencies. In their review, the authors identified a number of significant IHR weaknesses, including: constraints on WHO reporting publicly about national events with pandemic potential; the need for greater specificity on the information that countries need to share with WHO; and a streamlined process to facilitate WHO verification of events within 24 hours of the first signals of an outbreak being received. Special World Health Assembly The article comes a few weeks before global leaders meet at a World Health Assembly special session (29 November – 1 December) to consider adopting an “instrument or treaty” to address pandemic preparedness and response. “It’s clear: if a new, fast-spreading pathogen were to emerge next month, the current IHR regime would not protect people and trade as intended,” said Dr Sudhvir Singh, lead author on the paper and an advisor to the Independent Panel. “We suggest change to the IHR and a new treaty or another instrument that would result in more information shared faster, WHO able to investigate rapidly, all countries moving immediately to assess risk; and tools, like tests and vaccines, available to all who need them.” Georgetown University’s Dr Alexandra Phelan added that “COVID-19 has shown that the existing obligations under the IHR are insufficient for our interdependent and digital world.” “Our analysis demonstrates that collectively, countries urgently need to update our international system to respond to the potential rapid spread of a high impact respiratory pathogen,” said Phelan. “We have concrete suggestions for ways in which the IHR may be revised or amended, as well as the approach and issues that must be covered in any new legal framework, like a pandemic treaty.” Four reasons for a pandemic treaty The authors advance four reasons why a pandemic treaty “presents the opportunity to enact comprehensive reform in pandemic preparedness and response”. “First, a pandemic treaty centred on the principle of equity would be an important signal of international commitment to guard against the entrenchment of global division and injustice.” A pandemic treaty offers an opportunity to “develop and instil norms of equity, justice, and global public goods of pandemic preparedness and response”, they argue. “Second, a pandemic treaty could provide high-level complementarity to the IHR and any potential post-pandemic reforms and proactive multidisciplinary approaches to zoonotic risk,” they argue. Their third argument is that a treaty establishes greater accountability, outbreak support, and global access to vital public health information. Finally, a pandemic treaty could provide the opportunity to develop “a solid evidence base for non-pharmaceutical interventions” that might prevent the next outbreak from becoming a pandemic. “The upcoming Special Session of the World Health Assembly is a critical opportunity for Member States to move ahead with strengthening the IHR and to agree on a process for negotiating a pandemic treaty. We must not lose this opportunity to protect global public health and future generations,” said Phelan. At a recent event hosted by G2H2, civil society organisations expressed fear that a pandemic treaty was a distraction from the TRIPS waiver. But Björn Kümmel, deputy head of the global health unit in the German Federal Ministry of Health, disputed that there is any direct political link between the treaty and the TRIPS waiver. Kümmel added that amending the IHR also would take time to negotiate. And a key question here is: “would they be a game-changer for the next pandemic to come? Certainly not,” he added, noting that there is “no compliance mechanism that currently is foreseen in the IHR.” Image Credits: UNICEF . Obama Critical of China and Russia’s ‘Dangerous Lack of Urgency’ in Climate Change at COP26 08/11/2021 Raisa Santos Former US President Barack Obama speaking at COP26 Former US President Barack Obama openly criticized two of the world’s largest CO2 emitting countries – Russia and China, for their “dangerous lack of urgency” in discussing the pressing matters of climate change this past week during COP26. Both Chinese President Xi Jinping and Russian President Vladimir Putin failed to make an appearance with other global leaders at the 26th United Nations Climate Change Conference in Glasgow, which Obama found to be “particularly discouraging,” as he addressed a room of climate experts at the event on Monday. “We need advanced economies like the US and Europe leading on [the issue of climate change]. But we also need China and India, we need Russia, just as we need Indonesia and South Africa and Brazil leading on this issue. We can’t afford anybody to be on the sidelines.” Obama noted that while there has been some progress made in the six years since the Paris Agreement, the legally binding international treaty on climate change, the world still falls short of their commitment to limit global warming to well below 1.5 C. “Here in Glasgow we see the promise of further progress. What is also true is that collectively and individually, we are still falling short. We have not done nearly enough to address this crisis.” “We are going to have to do more and whether that happens or not to a large degree is going to depend on you,” said Obama, calling for collective action from young people and politicians alike to take climate change seriously. Twenty countries pledge to end public finance of international fossil fuel development Although most nations have failed to be ambitious in their climate goals in the past week of COP26, said Obama, significant accomplishments and hard-won commitments have been made during the climate conference. One such commitment was for high-income countries to help low- and middle-income countries move away from fossil fuels. Back in September, US President Joe Biden told the UN General Assembly that the US would provide more than $11 billion in climate aid annually by 2024 to developing nations vulnerable to extreme weather and rising temperatures. In addition, the US and 20 other countries have pledged to stop publicly financing international fossil fuel development, with limited exceptions. “We will end new public direct support for the international unabated fossil fuel energy sector by the end of 2022,” the declaration read. The 20 countries that signed the pledge include Denmark, Italy, Finland, Costa Rica, Ethiopia, Gambia, New Zealand and the Marshall Islands, plus five development institutions including the European Investment Bank and the East African Development Bank. This deal does go further than a pledge made earlier in the year by the G20 to end international financing of coal-based power generation outside their own countries. However, this declaration does not include major Asian countries responsible for financing a majority of overseas fossil fuel projects. Climate change cannot be a partisan issue While collective action in fighting climate change requires international cooperation, Obama noted the geopolitical tensions that have arisen as a result of the pandemic, but called for the world to step up despite these tensions. “Climate change can’t be seen anywhere in the world as just an opportunity to score political points.” “Saving the planet isn’t a partisan issue. Nature, physics, science, do not care about party affiliation,” he added. Climate change, in the US particularly, has become a partisan issue, causing what Obama referred to as a “lack of leadership on America’s part” and the “open hostility towards climate science at the very top of the [US] federal government” that resulted from former President Donald Trump’s four years in office. Obama also pointed out that the lack of a stable congressional majority has prevented him and current President Joe Biden from taking an even stronger stance on climate change. However, Obama remain sconfident that Biden’s Build Back Better Framework, which would set the US on course to meet its climate goals, would be passed in coming weeks. The legislation, once approved by the US Congress, would devote at least US $1.7 trillion dollars to reduce greenhouse gas emissions by over a billion metric tons by the end of 2030. Young people have more at stake in the fight against climate change Greta Thunberg addresses climate strikers at Civic Center Park in Denver, Colorado. Thunberg is one climate activist Obama praised for inspiring millions in the fight against climate change. Though Obama noted that at times, he was “doubtful that humanity can get its act together before it’s too late”, this cynicism was countered by the prevailing efforts of young climate activists around the world. Addressing all the young people, who Obama said, had “more stake in this fight than anybody else,” he said: “I want you to stay angry. I want you to stay frustrated. Channel that anger, harness that frustration.” “Because that’s what’s required to meet this challenge. Solving a problem this big and this important has never happened all at once.” Image Credits: COP26, Andy Bosselman, Streetsblog Denver/Flickr. Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Obama Critical of China and Russia’s ‘Dangerous Lack of Urgency’ in Climate Change at COP26 08/11/2021 Raisa Santos Former US President Barack Obama speaking at COP26 Former US President Barack Obama openly criticized two of the world’s largest CO2 emitting countries – Russia and China, for their “dangerous lack of urgency” in discussing the pressing matters of climate change this past week during COP26. Both Chinese President Xi Jinping and Russian President Vladimir Putin failed to make an appearance with other global leaders at the 26th United Nations Climate Change Conference in Glasgow, which Obama found to be “particularly discouraging,” as he addressed a room of climate experts at the event on Monday. “We need advanced economies like the US and Europe leading on [the issue of climate change]. But we also need China and India, we need Russia, just as we need Indonesia and South Africa and Brazil leading on this issue. We can’t afford anybody to be on the sidelines.” Obama noted that while there has been some progress made in the six years since the Paris Agreement, the legally binding international treaty on climate change, the world still falls short of their commitment to limit global warming to well below 1.5 C. “Here in Glasgow we see the promise of further progress. What is also true is that collectively and individually, we are still falling short. We have not done nearly enough to address this crisis.” “We are going to have to do more and whether that happens or not to a large degree is going to depend on you,” said Obama, calling for collective action from young people and politicians alike to take climate change seriously. Twenty countries pledge to end public finance of international fossil fuel development Although most nations have failed to be ambitious in their climate goals in the past week of COP26, said Obama, significant accomplishments and hard-won commitments have been made during the climate conference. One such commitment was for high-income countries to help low- and middle-income countries move away from fossil fuels. Back in September, US President Joe Biden told the UN General Assembly that the US would provide more than $11 billion in climate aid annually by 2024 to developing nations vulnerable to extreme weather and rising temperatures. In addition, the US and 20 other countries have pledged to stop publicly financing international fossil fuel development, with limited exceptions. “We will end new public direct support for the international unabated fossil fuel energy sector by the end of 2022,” the declaration read. The 20 countries that signed the pledge include Denmark, Italy, Finland, Costa Rica, Ethiopia, Gambia, New Zealand and the Marshall Islands, plus five development institutions including the European Investment Bank and the East African Development Bank. This deal does go further than a pledge made earlier in the year by the G20 to end international financing of coal-based power generation outside their own countries. However, this declaration does not include major Asian countries responsible for financing a majority of overseas fossil fuel projects. Climate change cannot be a partisan issue While collective action in fighting climate change requires international cooperation, Obama noted the geopolitical tensions that have arisen as a result of the pandemic, but called for the world to step up despite these tensions. “Climate change can’t be seen anywhere in the world as just an opportunity to score political points.” “Saving the planet isn’t a partisan issue. Nature, physics, science, do not care about party affiliation,” he added. Climate change, in the US particularly, has become a partisan issue, causing what Obama referred to as a “lack of leadership on America’s part” and the “open hostility towards climate science at the very top of the [US] federal government” that resulted from former President Donald Trump’s four years in office. Obama also pointed out that the lack of a stable congressional majority has prevented him and current President Joe Biden from taking an even stronger stance on climate change. However, Obama remain sconfident that Biden’s Build Back Better Framework, which would set the US on course to meet its climate goals, would be passed in coming weeks. The legislation, once approved by the US Congress, would devote at least US $1.7 trillion dollars to reduce greenhouse gas emissions by over a billion metric tons by the end of 2030. Young people have more at stake in the fight against climate change Greta Thunberg addresses climate strikers at Civic Center Park in Denver, Colorado. Thunberg is one climate activist Obama praised for inspiring millions in the fight against climate change. Though Obama noted that at times, he was “doubtful that humanity can get its act together before it’s too late”, this cynicism was countered by the prevailing efforts of young climate activists around the world. Addressing all the young people, who Obama said, had “more stake in this fight than anybody else,” he said: “I want you to stay angry. I want you to stay frustrated. Channel that anger, harness that frustration.” “Because that’s what’s required to meet this challenge. Solving a problem this big and this important has never happened all at once.” Image Credits: COP26, Andy Bosselman, Streetsblog Denver/Flickr. Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Norway has Best Drug Policies and Brazil Has Worst, According to New Index 08/11/2021 Aishwarya Tendolkar Most countries’ drug policies are misaligned with governments’ obligations to promote health, human rights and development, according to the first-ever Global Drug Policy Index, which was launched on Monday. Drug policies that rely on criminalisation, police intervention and forced eradication have a detrimental effect on the health and human rights of the affected community instead of helping them, according to the Index, which ranked 30 countries. Brazil, Uganda, Indonesia, Kenya, and Mexico had the worst drug policies, according to the Index. However, it did not rank the Philippines, a country whose “war on drugs” has led to the death of over 12,000 citizens. At the other end of the spectrum, Norway, New Zealand, Portugal, the UK and Australia are the five leading countries on humane and health-driven drug policies. Despite Norway topping the Index, it only managed a score of 74/100, while the average score for the 30 countries ranked was only 48/100. “Forty-eight out of 100 is a drug policy fail in anyone’s book,’ said Ann Fordham, Executive Director of the International Drug Policy Consortium which led the development of the Index with the partners in the Harm Reduction Consortium. “None of the countries assessed should feel good about their score on drug policy because no country has reached a perfect score, or anywhere near it. This Index highlights the huge room for improvement across the board,” she added. For decades, tracking how governments are doing in drug policy has been an elusive endeavour, according to a press release from the Harm Reduction Consortium. “In no small part, this is because data collection efforts by both governments and the United Nations have been driven by the outdated and harmful goal of achieving a ‘drug-free’ society,” it added. Low-income groups worst affected Countries’ ranking is based on 75 indicators across the fields of criminal justice and response, development, health and harm reduction, availability and access to controlled medicine, and the absence of extreme sentencing and response. The https://t.co/nJp9h8bX4p ranks countries based on: ✔️Absence of extreme sentencing related to drugs✔️Proportionality of criminal legal responses to drugs✔️Funding, availability & coverage of harm reduction✔️Availability of medicines for pain relief✔️Development — Harm Reduction International (@HRInews) November 8, 2021 Those countries that steered away from the health and safety aspects of drug policies generally impeded people’s access to harm reduction and controlled medicines, resulting in cases of abuse, violence and human rights violations, it said. In addition, drug policies disproportionately affected people women, LGBTIQ+, low-income and Black people. The ranking according to the Global Drug Policy Index 2021 Julita Lemgruber, the former Director of the Prison System of the State of Rio de Janeiro, said that in Brazil, the war on drugs has been an excuse by the police to kill black young people in the poor regions in big cities. “In Brazil, the police regularly kills approximately 4,000 people every year…this [index] is needed, it is urgent. We need more funding to get more countries measured. This will be key for actors in different areas,” said Lemgruber, currently Coordinator of the Centre for Studies on Public Security and Citizenship in Rio, at an online launch. “The Global Drug Policy Index is nothing short of a radical innovation,’ said Helen Clark, Chair of the Global Commission on Drug Policy and former Prime Minister of New Zealand. “Good, accurate data is power, and it can help us end the `war on drugs´ sooner rather than later.” However, Clark added that the findings “paint a bleak picture of the state of global drug policy”. “The success of drug policies has not been measured against health, development and human rights outcomes, but instead has tended to prioritise indicators such as the numbers of people arrested or imprisoned for drug offences, the amount of drugs seized, or the number of hectares of drug crops eradicated,” she added. The index’s health and harm reduction showed that with the exception of Brazil, Indonesia, Jamaica, Mozambique and Russia, countries surveyed had explicit supportive references to harm reduction in national policy documents. Minorities Affected Disproportionately “If drug policies were not so punitive and were instead guided by consideration of health, we would see much lower rates of HIV in south-east Asia,” said Adeeba Kamarulzaman , President of the International AIDS Society. The index shows a “shocking” lack of availability and coverage of harm reduction interventions, with only five countries reporting widespread access to needle and syringe programmes, opioid agonist (methadone) treatment in four countries, and distribution of naloxone in three. None of the countries in the report has a wide coverage of drug checking services. There were major disparities in access to controlled medicines between countries in the ‘Global North’ in comparison to those in ‘Global South’. Access to harm reduction services is considered to be restricted in an overwhelming majority of countries for people discriminated against on the basis of ethnicity, gender identity and sexual orientation. Women and members of the LGBTQI+ community also face more obstacles to access to harm reduction in every surveyed country. Inequality is deeply seated in global drug policies, according to the report.India, Indonesia and Thailand still have capital punishment for drug offences., while 24 of the countries surveyed impose mandatory minimum penalties for drug offences, most of which can be applied for first-time offences. “We must emphasize the importance of evidence and rights-based drugs policy and index like this based on those questions should guide policymaking priorities and reforms for years to come,” Clark said. Image Credits: Global Drug Policy Index, The Global Drug Policy Index 2021, The Global Drug Policy Index 2021. Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Africa’s Methane Gamble – Can A Climate-Warming Gas Become An Asset to Health? 07/11/2021 Paul Adepoju & Elaine Ruth Fletcher Infrared camera reveals escaped methane emissions from oil rig. Methane leaks from oil and gas make a major contribution to global warming. GLASGOW – Nearly two dozen African countries, including some of the continent’s biggest methane- producing nations, have now signed The Global Methane Pledge, launched Tuesday at COP26 by United States President Joe Biden and the President of the European Commission, Ursula von der Leyen. While the pledge was initially announced in September with nine countries signed on, it grew to over 80 countries during the announcement at COP26, and has since expanded to 105 countries according to US climate envoy John Kerry. The pledge list includes nearly two dozen African countries, including economies that heavily rely on methane-producing fossil fuel extraction. Those include Benin, Cameroon, Central African Republic, Côte D’Ivoire, Democratic Republic of Congo, Djibouti and Ethiopia. Others are Gabon, Gambia, Ghana, Guinea, Liberia, Mali, Malawi, Morocco, Nigeria, Papua New Guinea, Republic of the Congo and Rwanda. The list also includes Senegal, Togo, Tunisia, and Zambia. Under the Global Methane Pledge, countries have committed to reduce their methane emissions by at least 30% from 2020 levels by 2030. They have also committed to moving towards using best available inventory methodologies to quantify methane emissions, with a particular focus on high emission sources. Methane is a heat-trapping and climate warming gas nearly 30 times more potent than carbon dioxide. But unlike CO2, which persists in the atmosphere for centuries, methane emissions only last for about a decade. So sharply reducing methane emissions can rapidly slow the pace of global warming at a time when countries are still postponing painful CO2 reductions. Controlling methane emissions is increasingly being seen by many policymakers as one of the last ditch strategies that might help keep average temperature change to 1.5 C or below. And the number of signatories to the pledge, including from Africa and the developing world, signal the growing interest in methane – previously a focus largely of high-income countries, like the United States. “The countries who have joined the Pledge represent all regions of the world and include representatives from developed and developing nations,” the European Commission said in a statement, noting that “the strong global support for the Pledge illustrates growing momentum to swiftly reduce methane emissions—widely regarded as the single most effective strategy to reduce global warming.” Methane & health linkages – powerful but little discussed Birds scavenge for food scraps at a landfill in Danbury Connecticut. Landfills well as sewage pools are a major source of methane emissions, which release the gas as they biodegrade. Although the biggest sources of methane are escaped emissions from poorly designed or managed oil and natural gas extraction, they are by no means the only ones. Methane emissions also are produced by animal manure and human sewage, flooded rice fields; poorly managed waste landfills, as well as lakes and wetlands. Livestock methane emissions represent a whopping 32 per cent of human-caused methane emissions. Fermentation of flooded rice fields represents another 10%. And here, mitigation measures can also yield health co-benefits that range from reduced air pollution to reduced disaster risks – that are not yet well appreciated. A Global Methane Assessment undertaken by the UN Environment-supported Climate and Clean Air Coalition that if a range of creative measures were implemented, human-caused methane emissions can be cut by 45 per cent this decade. That would significantly slow the current space of climate change, while also saving 260,000 lives from air pollution, avoiding 775,000 asthma-related hospital visits, and 25 million tonnes of crop loss every year, the assessment concluded. The methane-manure-air pollution mix Archbishop Abuna Gregorious of the Ethiopian Orthodox Tewahido Church attending a workshop on biogas and sustainable farming methods in Ethiopia as part of an interfaith environmental action movement in sub-Saharan Africa “Many Heavens, One Earth, Our Continent’. But small-scale biogas projects have yet to catch the eye of big global investors. Few people realize for instance, that livestock manure, along with being a major source of methane that heats the planet, is also a key source of airborne releases of ammonia particulates – which contribute to air pollution. Such ammonia emissions are already one of the largest sources of PM2.5 air pollution in Europe – and as livestock production accelerates elsewhere, the trajectory may be similar. And that is in addition to the multiple health impacts of excessive red meat consumption – which is driving rapid expansion of livestock production – and with it, more methane. Conversely, methane harnessed from livestock manure, landfills and waste can also be used as a clean, and climate neutral source of electricity and household cooking fuels – reducing both outdoor and indoor air pollution from reliance on coal and wood fuels that billions of people still use for cooking and heating. Simply improving manure management can also reduce methane emissions, while reducing disease risks and improving the quality of soils – leading to more healthy food production as well. Other strategies, such as the seasonal draining of flooded rice fields can reduce methane emissions from rice production which contribute some 10% to global methane emissions – while also reducing risks of vector borne disease from mosquitoes that breed in rice paddies. Africa’s soaring methane emissions While the African continent contributes proportionally far less to climate change than almost any other region of the world, recent studies have shown that it is facing a burgeoning methane crisis. Available data from the World Bank show Africa’s methane emissions have more than doubled since 1971 – rising from about 410,000 kt of CO2-eq. to nearly one million kt of CO2-eq in 2018. Using satellite data, a 2019 study illustrated how emissions of methane in Sub-Saharan Africa surged from 2010 to 2016, with the East African region accounting for most of the increase. A July 2021 paper focusing on North Africa also reported that summertime methane emissions from Africa’s Nile Delta region are higher than predicted by inventory estimates, attributing this trend to agricultural practices and the Nile’s influence. In its report on Global Methane Assessment, the UN Environment Programme and the Climate & Clean Air Coalition identified livestock and oil and gas as the highest methane mitigation potentials in Africa considering they are the leading sources of methane emissions in Africa. Those emissions are steadily growing along with the expanding oil and gas industry in countries such as Nigeria and Ghana – as well as the expansion of livestock production of cattle, sheep and other ruminant livestock. Natural sources also make significant contributions to Africa’s methane emissions – releasing the gas during the process of plant and animal matter decay. One recent study estimates that African wetland methane (CH4) emissions represent about 12% of global wetland emissions. These wetlands emissions are concentrated in the sub-Saharan tropics, including the Congo basin. Some lakes also store large quantities of methane, due to certain geographic anomalies. In 1986, Lake Nyos, a tiny volcanic crater lake in Cameroon suddenly released large quantities of CO2 from a volcanic vent at the bottom of the lake, asphyxiating some 1,800 people living around its shores – in a phenomenon known as a limnic eruption. Lake Kivu, which straddles Rwanda and the Democratic Republic of Congo, poses a much larger safety risk to the nearly two million inhabitants living along the lake’s shores – including about 1 million people in the provincial DRC capital city of Goma. Lake Kivu as seen from the Rwandan side of the border – dangerous methane deposits lurk under the lake carved from a volcanic crater. Buried in the deepest straits of the scenic lake are some 300 billion cubic meters of CO2 and 60 billion cubic meters of methane, and those gas concentrations have been steadily increasing over past decades. Fears that Lake Kivu could explode heightened recently in May, when the nearby Mount Nyiragongo volcano erupted, setting off a chain reaction of hundreds of earthquakes in the subsequent days. While the worst scenario was avoided, scientists still fear that over time, the nearby seismic activity could lead to the sudden, lethal release of methane and CO2 now buried deep in the lake – either setting the city on fire – or asphyxiating its residents. If Kivu were to erupt, “it would be completely catastrophic”, limnologist Sally MacIntyre of the University of California, Santa Barbara, told Knowable last year. Pledges from the African powerhouses of Kenya and Nigeria – but no concrete plans Following the announcement of the pledge, this Health Policy Watch correspondent visited the pavilions of some of the African countries that have reportedly committed to the pledge for further clarification on their methane emission reduction plans. However, none had any concrete plans as at the time of filing this report. At the Nigerian pavilion, officials said bilateral meetings are ongoing on how the country will meet the pledge. The representatives of Kenya, Sierra Leone, Rwanda and South Africa also noted that no approved plans are available yet for their respective countries regarding their methane pledge. Under the Paris Agreement, each country is required to outline and communicate their post-2020 climate actions. Known as Nationally Determined Contributions (NDCs), they highlight the steps that respective countries are taking towards emissions reductions and also aim to address steps taken to adapt to climate change impacts. Most of the NDCs submitted by most of the African countries that have committed to the methane pledge did not include clear plans on how to reduce their methane emission. Algeria, Seychelles and Gambia moving on methane recovery from solid waste – and rice fields Constantly flooded rice paddies, like the one portrayed here in Vietnam are a source of 10% of global methane emissions – as well as being breeding grounds for vector borne diseases. At the same time, there are some indications that certain African countries are jumping on the train with more practical plans. Algeria, for instance, has expressed its interest in reducing emissions in the country by prioritizing the management of household solid waste. By 2030, the country aims to have fully covered waste dumps in its territory. Seychelles also stated in its NDC that it intends to tackle its methane emissions by installing biogas plants for methane recovery in landfill areas. Gambia, on the other hand, aims to reduce methane emissions from the country’s flooded rice fields by replacing them with efficient dry upland rice. It also expressed interest in tackling methane emissions through water management, having less flooded areas and by reducing the usage of fertilizer. It also mentioned methane capture and flaring from landfills, composting and reducing waste generation by recycling. “Methane capture in landfills provides substantial mitigation potential at low cost,” the country stated in its NDC. The healthy food systems option – reducing methane and zoonoses together Vegetable seller at Gosa Market in Abuja, Nigeria. Traditional markets provide access to healthy, fresh foods that play critical roles in feeding individuals and households globally. Shortly after the Global Methane Pledge was announced, a side event at the WHO COP26 Health Pavilion hosted a panel on tackling methane emissions by arguing for transformative, climate resilient and healthy food systems. The panelists noted that livestock agriculture’s contributions to greenhouse gas emissions are up to 20% and called for levelling the the playing field for the plant-based sector – to curb soaring increases in meat production which are unhealthy for the planet as well as for people.. “It’s time also to reform, for example, taxation subsidies. To lead by example in catering. We really have to create this enabling environment for consumers to make healthier and more sustainable food choices,” said Raphaël Podselver, Head of UN Advocacy at Berlin-based ProVeg International, a non-governmental organisation that works in the field of food system change. In her presentation, Dr Martina Stephany, Director of the Farm Animals Department at FOUR PAWS, an animal welfare organization, said animal welfare is significantly underestimated when it comes to the prevention of pandemics. “If we look closer at infectious diseases, 75% of them are zoonoses (diseases which can be transmitted to humans from animals) and 50% of zoonoses are caused by agricultural drivers, especially animal agriculture which is driving zoonoses. Probably one of the ugliest manifestations of this broken relationship is wildlife markets and factory farming,” she said. She described zoonoses as a symptom of a broken relationship between humans, animals and nature; and the reluctance of governments across the world to be actively against factory farming to its business potential. Other win-wins: Better manure management Manure heaps outside an animal barn in Iringa, Tanzania. Simply improving livestock manure management can also reduce methane emissions from livestock. A project by the UN Environment’s Climate and Clean Air Coalition is supporting such improved management in China – by carefully controlling livestock’s intake of feed, water and antibiotics – among other factors. “Not only will manure management help with China’s national efforts to become carbon neutral, it will also help with air pollution and improving soil quality and agricultural productivity,” said Professor Dong Hongmin, the Deputy Director at the Institute of Environmental and Sustainable Development in Agriculture (IEDA) at the Chinese Academy of Agriculture Sciences (CAAS), who is working with the CCAC on the project. “Livestock farming is developing rapidly in China,” adds Professor Li Yue, of the Chinese Academy of Agriculture Sciences (CAAS), in a CCAC interview. “Air pollution was very serious in the regions Beijing-Tianjin-Hebei during 2015-2017 and ammonia is one of the key driving forces of air pollution, and manure is a major source of ammonia emissions.” The project is also looking at how to reduce methane emissions from rice fields – through the seasonal draining of rice fields, or other strategies. Biogas production – potential for major scale up Biogas collection system at Wambizzi abattoir in Kampala, Uganda, sponsored by ILRI, the International Livestock Research Institute. Another oft-ignored option is the capture and containment of methane to produce biogas that can be burned as a clean fuel for cooking and heating – which is effectively climate neutral. Biogas can be produced from compostable food scraps and other biodegradable material that is far too often sent to landfills; from human and animal sewage – and even from natural, underground sources like the methane trapped in Lake Kivu. When biogas is used in low- income countries as a cooking fuel replacement for coal or wood, there are other huge health payoffs – reducing both household air pollution exposures from polluting dung, wood and coal cookstoves; reducing deforestation from charcoal production and wood scavenging; and also reducing valuable time spent in fuel collection – a task usually assigned to women and children. Small scale biogas production has already been happening for a few decades in a range of rural settings around the world. China’s Schezhuan province, for instance, has invested heavily in household biogas facilities for its pig-farmers – allowing them to rely upon the fuel for cooking as an alternative to coal bricks, for at least part of the year. Nepal has also supported the creation of home-based biogas facilities – that convert both human and livestock waste to a clean cooking fuel. In northern Europe and other developed countries, some cities are investing in biogas to manage urban sewage waste, while large farms are creating biogas out of animal manure. In larger, more industrialized biogas production, the raw biogas may undergo a further chemical process to transform it to bioLPG. BioLPG can be subject to much higher pressure, as well as being transported in tanks, like fossil-fuel derived propane. A 2020 assessment of the scale-up potential of bioLPG potential in Africa by the Global LPG Partnership found that some 1.65 million households across Ghana, Rwanda and Kenya could be provided with clean bio-LPG fuels by 2030 through the implementation of just five large-scale biogas capture projects in those countries, deemed to be economically and technically feasible. Meanwhile, on the shores of the explosive Lake Kivu, Rwanda in 2015 launched a major extraction project, known as KivuWatt, to capture and harness the dissolved methane from the lake – producing 26 megawatts of electrical power a year so far. Once fully operational, the project is supposed to generate 100 megawatts of power – in a country where only 35% of the population have access to electricity. Scale-up to 75 MW production was already supposed to happen by 2020 – but it reportedly remains pending. That is just one more reflection of how creative solutions to the global methane problem need a much bigger push – by global health and climate leaders – as well as financiers. See More events at the WHO COP26 Health Pavilion here: Image Credits: Clean Air Task Force , Evan Schneider, United Nations multimedia , GF Gabriella , Bac Ha, Viet Nam. UN Photo/Kibae, Michael Casmir, Pierce Mill Media, ILRI/Sonja Leitner., ILRI/Vianney Tumwesige. Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy Loading Comments... You must be logged in to post a comment.
Children’s Health Hit Hardest by Climate Change – but Cleaner Air, Greener Cities and Healthier Foods Can Create Cascade of Benefits 07/11/2021 Elaine Ruth Fletcher Rosamund Kissi-Debrah, mother of 11-year Ella, whose 2013 death from severe asthma was the first to be recognized by a court as caused by air pollution. Greening cities, investing in urban bike lanes rather than new roads, and making plant-based foods cheaper and easier to access than ultra-processed foods. This is a doctor’s prescription for a healthier planet. As climate negotiators at Glasgow’s COP26 conference remain locked in debate over the big-picture ambition of targets for global CO2 emissions reductions, and how to finance them, health advocates are trying to raise the profile of climate policies that would yield far-reaching knock-on benefits to the health of almost everyone on earth – but particularly for children, women and people living in some the poorest nations of the world. “We have sacrificed children all around the world to air pollution,” said Rosamund Kissi-Debrah, noting that some 500,000 children a year die from air pollution. Kissi-Debrah was speaking at the COP26 “Triple Win Scenario” event on Friday, co-sponsored by the WHO and the World Resources Institute. Kissi-Debrah’s 11-year-old girl daughter, Ella, was one of those victims. But her death from severe asthma in 2013 set a precedent: it was the first to be recognised by a court anywhere in the world as air-pollution induced. "We have sacrificed children all around the world to #airpollution" – caused by the same sources of #climatechange: Rosamund Kissi-Debrah, mother of 9-year-old Ella at #COP26. Ella's death from #dirtyair was the first to be recognized by a court in 2020: https://t.co/mf8LyLAsmb — Health Policy Watch – Global Health News Reporting (@HealthPolicyW) November 5, 2021 Like many Londoners, and many more urban dwellers in low- and middle-income cities around the world, Ella had lived in a heavily trafficked and heavily polluted neighbourhood. Shifting travel to greener modes, greening cities with more trees and making cities more walkable are among the climate strategies that health forces are advocating, and could all make a difference to the next generation. “Be serious, stop burning fossil fuels because those fossil fuels go into the air and into my lungs and yours. When you think about the planet, think about a couple of little, pink lungs,” said Dr Maria Neira, Director of the Department of Public Health, Climate & Environment, at the event. She noted that some 90% of the world’s population is exposed to unhealthy air pollution levels, leading to seven million deaths a year. Children among those worst affected The COVID-19 pandemic and climate change have created a perfect storm for increased malnutrition, child wasting and stunting, and maternal anaemia in parts of Africa. The fact that children are among those worst affected by climate change is underscored by a new review of the knowledge about climate change on child health, published by the Lancet on Sunday. “Present and future generations of children bear and will continue to bear an unacceptably high disease burden from climate change,” states the review’s authors, a group of Swedish experts from the Karolinksa Institute and elsewhere. “Through its far-reaching impact on all parts of society, climate change will challenge the very essence of children’s rights to survival, good health, wellbeing, education, and nutrition as enshrined by the Convention on the Rights of the Child and emphasised in the UN Sustainable Development Goals,” they note. “Climate change threatens to exaggerate the vulnerabilities of children and other populations at risk and could substantially hamper future progress and possibly even reverse the improvements made in child survival and wellbeing during recent decades,” concludes the review, suggesting that climate change needs to be better integrated into the SDG goals that cover children’s health overall.” Glasgow moment for health advocates Woman receives food assistance after widespread flooding the Horn of Africa and East Africa in 2020, linked by meterologists to climate change. But air pollution is only one of a range of ways in which our addiction to fossil fuels is delivering a double whammy to health – and children’s health in particular. Other, even more direct impacts include deaths and illness from extreme heat, storms, flooding, fires and drought. In addition, reduced food production capacity, an expanding geographic range for many infectious diseases, and increasing risk of new animal-borne diseases leaping from the wild to burgeoning cities – as SARS-CoV2 did – are imminent threats too. Given the rapid pace of climate change, “it won’t be long before the entire population of the world is affected, directly or indirectly,” said Julia Gillard, chair of the board of the UK-based philanthropy, Wellcome Trust and former Australian Prime Minister. Gillard was speaking at the COP26 “Global Conference on Health and Climate Change,” co-hosted by the World Health Organization (WHO) in Glasgow on Saturday. At the conference, co-sponsored by Wellcome, three UK-based universities and civil society groups, speakers warned of the burgeoning global health crisis that would result from inaction on climate change. “We are used to talking about climate as an environmental challenge, an economic challenge, an equity challenge. But it is also one of the most urgent health challenges facing us all today,” said Gillard. #Breaking #COP26: Health and Climate Experts Warn of Climate-Related Health Crisis https://t.co/kLWSb4Ilkc @JuliaGillard @DrTedros @WHO @Centre @JeniMiller @GCUclimatejust @jafryt @DrMariaNeira — Global Climate and Health Alliance (@GCHAlliance) November 6, 2021 Integrated policies not just global goals Sir Andy Haines, Professor of Environmental Change and Public Health at the London School of Hygiene and Tropical Medicine, speaking at the COP26 Climate and Health Summit. Tackling the root sources of climate change more rapidly can generate immediate savings for health systems and societies. But that will require not only big picture targets but a complete rethinking of policies, regulations, taxes and finance incentives at national and local levels, experts at the conference pointed out. “We need people to work together for integrated solutions,” said Professor Andy Haines of the London School of Hygiene and Tropical Medicine, who has written extensively on the planetary limits of not only temperature but also water, agricultural and forest ecosystems, which humankind needs to preserve to survive and thrive. Integration means recognising, for instance, that “the minister of transport is probably more a minister of health than the minister of health”, said Richard Smith, president of the UK Health Alliance on Climate Change. Commitment to ending financing for fossil fuel Twenty-six countries, including the US, UK, Canada and Italy, as well as the European Investment Bank and the French development agency, Agence Française de Développement, signed a commitment late last week to “end new direct public support for the international unabated fossil fuel energy sector by the end of 2022, except in limited and clearly defined circumstances that are consistent with a 1.5°C warming limit and the goals of the Paris Agreement”. The signatories also committed to prioritising their support “fully towards the clean energy transition”, using their resources to “enhance what can be delivered by the private sector”. They also commit to trying to persuade other governments, export credit agencies and public finance institutions to implement similar commitments into COP27 and beyond. According to WHO climate scientist Dr Diarmid Campell-Lendrum, $5.9 trillion is spent on direct and indirect subsidies to the fossil fuel industry each year. “We need to stop spending money on the wrong things and start spending it on the right things,” said Campbell-Lendrum, who cycled 1,600 km from Geneva to the Glasgow summit to drive home his point. He bore with him a letter calling for more climate action, signed by some 300 organisations, representing some 45 million health care professionals around the world. In London, Campbell-Lendrum was met by a raft of other climate cycle enthusiasts who continued the relay, getting the letter to Glasgow, where it was delivered to the COP26 leadership. https://twitter.com/i/status/1454817969276690436 Image Credits: Christine Olson/Flickr, IFRC, Paul Chappells. The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts This site uses cookies to help give you the best experience on our website. Cookies enable us to collect information that helps us personalise your experience and improve the functionality and performance of our site. By continuing to read our website, we assume you agree to this, otherwise you can adjust your browser settings. Please read our cookie and Privacy Policy. Our Cookies and Privacy Policy
The African Medicines Agency Countdown 05/11/2021 Editorial team Thirty-nine of the African Union’s 55 member states have now signed and/or ratified the African Medicines Agency Treaty, as of 6 July 2024, with Kenya, the Democratic Republic of Congo and Cape Verde amongst the latest to swing behind the treaty. As the countdown for other nations to sign continues, Health Policy Watch is tracking progress on our AMA Countdown, website developed in collaboration with the African Medicines Agency Treaty Alliance. Here you can find the latest data on who has signed the treaty, ratified the treaty – and who is yet to sign – as well as links to sources and resources related to the African Medicines Agency Treaty process: Multimedia available for download: Find up-to-date infographics describing what countries have signed, signed and ratified, and signed, ratified and deposited the AMA treaty – in .png and interactive formats available for embed or download. African Union FAQs on the AMA Treaty Click to access 41269-doc-AMA_FAQs_rev.pdf Official African Union infographic repository Multilingual links to the AMA Treaty: The AMA Treaty in English: The AMA Treaty in French: The AMA Treaty in Arabic: The AMA Treaty in Portuguese: African Medicines Agency Treaty Alliance: AMATA joint statement, 5 November 2021, at the time that the AMA Treaty came into force. Posts navigation Older postsNewer posts