US Slashes Quarter of Federal Health Workforce 28/03/2025 Stefan Anderson The Department of Health and Human Services oversees the US health system, including the FDA, CDC, NIH, and Medicare and Medicaid programs that serve millions of Americans. The Department of Health and Human Services will cut an additional 10,000 full-time employees, bringing total reductions to nearly a quarter of the federal workforce responsible for Americans’ health. HHS Secretary Robert Kennedy Jr., who rose to prominence as the leader of the world’s largest anti-vaccine activist group before taking control of the US health system, announced Thursday the cuts would save $1.8 billion annually from the agency’s $2 trillion budget – a cost reduction of 0.09% in exchange for a loss of 20,000 total employees. “I think most Americans would agree with me that throwing more money at healthcare isn’t going to solve the problem, or it would have solved it already,” Kennedy said in an address posted to social media. “Obviously, what we’ve been doing hasn’t worked.” The cuts are part of an all-out assault by the Trump administration on the federal workforce overseen by billionaire Elon Musk and his pseudo agency, the Department of Government Efficiency, or DOGE, HHS said in a media release. “The entire federal workforce is downsizing now, so this will be a painful period for HHS as we downsize from 82,000 full-time employees to around 62,000,” Kennedy said, describing the agencies he oversees as “pandemonium,” “fiefdoms,” and a “sprawling bureaucracy.” Despite cutting thousands of government programs, billions in grants, and eliminating tens of thousands of federal jobs, the Trump administration has so far failed to slow spending, with the US government spending more during Trump’s first month than during the same period last year. “We aren’t just reducing bureaucratic sprawl. We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic,” Kennedy said. “This Department will do more – a lot more – at a lower cost to the taxpayer.” ‘All that money’ We are streamlining HHS to make our agency more efficient and more effective. We will eliminate an entire alphabet soup of departments, while preserving their core functions by merging them into a new organization called the Administration for a Healthy America or AHA. This… pic.twitter.com/BlQWUpK3u7 — Secretary Kennedy (@SecKennedy) March 27, 2025 The cuts will be distributed across several key agencies, according to a fact sheet posted by HHS. The Food and Drug Administration will lose approximately 3,500 employees, though officials insist drug reviewers and food inspectors won’t be affected. The CDC will shed about 2,400 staff members as it “returns to its core mission” of epidemic response. The National Institutes of Health will eliminate 1,200 positions by consolidating administrative functions. The Centers for Medicare and Medicaid Services will cut 300 employees, with officials claiming this won’t impact services to beneficiaries. These identified cuts account for just 7,400 positions, leaving thousands more staff reductions still unspecified in the department’s announcements. The fact sheet characterized the changes as a “dramatic restructuring” while noting that under the Biden administration, health spending increased by 38% and staffing grew by 17%. Kennedy sharply criticized those increases as ineffective and wasteful: “All that money has failed to improve the health of Americans. We are the sickest nation in the world and have the highest rate of chronic disease.” The Biden-era budget expansions had targeted initiatives related to pandemic preparedness, mental health, and public health infrastructure. Critics argue these workforce reductions will harm Americans’ access to healthcare while yielding minimal savings. Kennedy and HHS have already been under fire for mass firings, failure to respond to a measles outbreak that has killed the first two Americans in over a decade, and billions in medical research cuts. Senator Ed Markey, Democrat of Massachusetts, blasted the decision on social media: “RFK Jr. wants to cut 10,000 more jobs at HHS. People are waiting too long and paying too much for care. Meanwhile, this Administration is cutting grants for lifesaving medical research and fighting to cut Medicaid—all to pay for billionaire tax breaks. It’s outrageous.” The US spends up to four times as much as comparable nations on healthcare per capita, despite being the only developed country without universal health care, according to data from the Commonwealth Fund. Americans already pay the highest amount per capita for healthcare globally, spending nearly double its OECD counterparts and up to four times more than health systems in South Korea, New Zealand and Japan. Despite these costs, the United States remains the only high-income nation without universal health coverage. More significant than staffing numbers in America’s healthcare cost crisis is the inability of US taxpayers to negotiate fair prices with pharmaceutical companies that wield enormous influence in Washington. Prescription drugs frequently cost two to four times more in the US than in Canada, the European Union, or Mexico. HHS oversees all major US health agencies, including the National Institutes of Health, the Centers for Disease Control and Prevention, and the Food and Drug Administration. The vast majority of HHS funding supports Medicare and Medicaid, which provide healthcare coverage for elderly, disabled, and low-income Americans. “We are going to do more with less,” Kennedy added. “No American will be left behind.” Health in Trump’s image Robert Kennedy Jr.’s banner photo on X, formerly Twitter, where he boasts over 4.5 million followers. Across federal agencies, the Department of Health and Human Services is undergoing perhaps the most profound ideological transformation, reflecting the priorities of both President Trump and Kennedy. Internal memos obtained by news agencies reveal an expanding list of scientific topics the National Institutes of Health now “no longer supports” – including research on vaccine hesitancy, COVID-19, diversity initiatives, climate change health effects, and transgender healthcare. Since Kennedy’s appointment, HHS agencies have terminated hundreds of previously approved scientific studies. Among the hundreds of terminated studies are grants that reveal a clear ideological pattern in the administration’s scientific priorities: investigations into Alzheimer’s disease in sexual and gender minority older adults, mental health interventions for LGBTQ+ communities affected by COVID-19, strategies to improve vaccine acceptance among Alaska Native populations, and research examining how institutional trust influences vaccine decisions—representing just a fraction of studies canceled for addressing topics now disfavored by Kennedy’s HHS. Sample of federal grants cut by HHS since Kennedy took over the department. In a particularly controversial move, the administration announced this week it would close its office for long COVID research, leaving millions of Americans suffering from the poorly understood condition without hope for scientific advances on treatments or causes. While defunding established medical research areas, the Kennedy-led HHS is simultaneously redirecting resources toward investigating purported links between vaccines and autism – connections that have been systematically discredited through decades of rigorous scientific study. “We are going to return HHS to its original commitment to public health and gold-standard science. I want this agency to be once again a revered scientific institution,” Kennedy declared, despite appointing David Geier to lead the vaccine-autism studies – a figure with no medical education who has been barred by multiple states for practicing medicine without a license. Geier and his father gained notoriety for treating autistic children with a prostate cancer drug that causes chemical castration, among other experimental and unproven treatments they administered to more than 600 children with autism nationwide. “It’s like hiring Andrew Wakefield,” Dorit Reiss, a law professor at UC Law San Francisco and expert on anti-vaccine movements, told STAT News. Wakefield is the discredited British doctor whose retracted 1998 Lancet article falsely claiming MMR vaccines cause autism is widely considered the foundation of modern anti-vaccine activism. “My first-hand experience over the recent troubling weeks convinced me that Kennedy and his team are working to bend science to fit their own narratives, rather than allowing facts to guide policy,” Kevin Griffis, who stepped down last week as director of the CDC’s office of communications, wrote in an editorial explaining his departure. “In my final weeks at the CDC, I watched as career infectious-disease experts were tasked with spending precious hours searching medical literature in vain for data to support Kennedy’s preferred treatments.” Decision tree sent to employees and offices reviewing NIH grants regarding words and language now banned from any federally funded research. The ideological reconfiguration extends beyond research priorities. Earlier this month, executive orders mandating the removal of the word “gender” from federal websites resulted in the temporary deletion of crucial public health resources covering adolescent health, HIV monitoring and testing, contraception guidance, and environmental health data. The pages were only restored after judicial intervention. The administration has also imposed sweeping restrictions on language permitted in federally funded research grants, prohibiting terms as fundamental as “socioeconomic difference,” “women,” “climate change,” “bias,” “equity,” and “ethnicity” – effectively censoring entire fields of scientific inquiry. Separately, the administration’s vast cuts to federal support for health research have been challenged in court by attorneys general from nearly half of America’s states. The scientific exodus prompted by these policies has been so significant that European countries and universities have established “scientific asylum” programs specifically targeting American researchers fleeing what many describe as ideologically driven censorship. On the global stage, the Trump administration has withdrawn from international health cooperation, eliminating all funding for Gavi, the vaccine alliance that helps low-income countries access essential vaccines for preventable diseases, while simultaneously reducing support for USAID’s global health initiatives. “I left my job because I believe public health policy must always be guided by facts and not fantasy,” Griffis wrote. “It is painful to say this, given my time in government service, but the United States urgently needs a strong alternative to the government public health guidance it has relied on in the past.” Spotlight on Increasing Evidence of Air Pollution’s Impact on Mental Health At WHO Conference 28/03/2025 Disha Shetty & Elaine Ruth Fletcher Studies show that air pollution is associated with worsening mental health outcomes. Air pollution has been linked to poor brain development, as well as a higher risk of dementia and stroke. A link has also been established between exposure to air pollution and depression as well as higher suicide rates. The subject received attention at the second WHO’s global conference on air pollution and health in Cartagena, Colombia this week. “Air pollution is increasing the risk of new mental health problems and worsening mental health in people with pre-existing mental health problems,” Alessandro Massazza, policy and advocacy advisor at United for Global Mental Health, a global non-profit that focuses on mental health advocacy, told Health Policy Watch. The societal costs of mental disorders due to air pollution, climate-related hazards, and inadequate access to green space are estimated to reach around $47 billion annually by 2030 — a significant portion of the massive $8.1 trillion annual price tag for the overall health impacts of air pollution. Alessandro Massazza (right) speaking on the impact of air pollution on mental health during a session at WHO’s global conference on air pollution and health in Colombia’s Cartagena. Around 99% of the world’s population breathes air that does not meet the air quality standard set by the World Health Organization (WHO). Exposure to high levels of air pollution claim over eight million lives worldwide every year. “It’s not just that we’re all exposed to air pollution, not just that it affects everybody, but it affects non-communicable diseases (NCDs),” said Mark Miller of the World Heart Federation. He pointed out that NCDs are already the world’s biggest killer, responsible for 74% of all deaths annually. “Tackling NCDs has to be one of the greater priorities for the world, no matter what sector of life that you’re in,” Miller said. How air pollutants reach the brain Burcin Ikiz, neuroscientist and director at EcoNeuro. The exact pathway through which air pollutants reach the brain is now becoming clearer. “The pollutants from the air enter our brains through two mechanisms. One is directly from our nasal cavities up to our olfactory bulb, but also from systemic inflammation,” Burcin Ikiz, neuroscientist and director at EcoNeuro, a research and consulting company working in global health, told Health Policy Watch. “When the lungs get inflamed due to the pollutants in the air, those send inflammatory responses into the bloodstream, and through the bloodstream reaches the blood-brain barrier,” Ikiz explained. “Normally, our blood-brain barrier should be our protective layer that protects the brain from any outside pollutants or harmful substances. But it’s not perfect. It’s a leaky system.” Children, the elderly population, and those living with other neurological conditions such as multiple sclerosis and Alzheimer’s are especially vulnerable, she added. Potential pathways for air pollutants to reach the brain and create an impact “We know less about what may be driving this association between air pollution but it’s likely to be the result of a mixture of biological (e.g., inflammation), social (e.g., not being able to go outside or socialize outdoors), and psychological (e.g., impact on mood, cognition, or sleep) mechanisms,” Massazza said. Air pollution is also linked to poor brain development in children, starting in utero. “Looking at pregnant women and their babies that are still in the womb being exposed to pollution, we see their brain structures changing,” Ikiz said. Post-birth, “we see them having…. developmental delays and lower IQs and so on.” Adolescence has been identified as another crucial period during which many mental health disorders first develop. The risk of strokes in which the blood flow to the brain is reduced, also increases due to air pollution, studies have found. Air pollution is also among the 14 modifiable risk factors for dementia. Air pollution has also been found in several studies to be associated with depression on both short and long-term time scales, drawing attention to its impact on poor mental health outcomes. Need for evidence-based interventions The additional societal costs of these mental health disorders influenced by environmental factors are expected to rise further, according to an estimate that pegs it at US $537 billion by 2050, relative to the baseline scenario in which the environmental factors remain at 2020 levels. “People with chronic and severe mental health problems often live with co-morbid non-communicable diseases such as respiratory or cardiovascular conditions, which can further increase their vulnerability to the physical health impacts of air pollution,” Massazza. Limited research on interventions shows that significant mental health gains are seen when air pollution is reduced. One study from China demonstrates how the country’s clean air policies are not only contributing to large reductions in air pollution but have also been deemed responsible for preventing 46,000 suicides over just five years. Significant data gaps remain, with only a handful of studies on air pollution’s impact on mental health coming from low- and middle-income countries. Experts say efforts are needed to improve research in understanding the pathways between environmental stressors and mental illness. In September, the UN headquarters in New York will host a high-level meeting on NCDs and mental health, where the impact of climate change on NCDs and mental health is likely to be discussed. “Clean air policies are mental health policies. From reduced energy poverty and more access to green spaces to increased physical activity resulting from active modes of transport, actions aimed at reducing air pollution have considerable potential co-benefits for mental health,” Massazza said. Sophia Samantaroy contributed reporting. Image Credits: Unsplash, By arrangement, Elaine Fletcher, Air quality and mental health: evidence, challenges and future directions. US Expresses Interest in ‘Health as Business’ at Meeting with African Leaders After Huge Funding Cuts 27/03/2025 Kerry Cullinan Dr Susan Monarez, newly appointed head of the US CDC (2nd left) and other US government officials meet Africa CDC Director General Dr Jean Kaseya and Dr Ngashi Ngongo in Washington. Leaders of the Africa Centres for Disease Control and Prevention (Africa CDC) held a five-hour meeting with Dr Susan Monarez, newly appointed head of the US CDC, and other US officials on Wednesday – for the first time since the US slashed funding to Africa’s health sector. Discussion centred on health security, funding for Africa CDC and options for health financing on the continent, Dr Ngashi Ngongo, Africa CDC’s incident management head, told a media briefing on Thursday. “From the [US] administration’s perspective, they would like to see more of health as a business, rather than something that functions on grants,” added Ngongo. African programmes worst affected by the US’s abrupt termination of funding are those dealing with maternal and child health, HIV, malaria and emergency preparedness and response, said Ngongo, speaking from Washington DC, where he and Africa CDC Director General Dr Jean Kaseya are meeting a range of US leaders. Aside from Monarez, the meeting was attended by high-level officials from the White House, the US State Department’s Bureau of Global Health Security and Diplomacy, Health and Human Services (HHS), and an assistant secretary from the President’s Emergency Plan for AIDS Relief (PEPFAR). “We made the point, which was accepted by our American counterparts, that global health security starts with what happens outside the US,” said Ngongo, adding that the Trump administration “remains committed to addressing health security”. This morning, @StateDeptGHSD hosted several meetings between USG leaders, @_AfricanUnion, and @AfricaCDC. We discussed our shared commitment to protecting the health of our people by advancing #GlobalHealth security and strengthening our partnerships. #USAfricaPartnership pic.twitter.com/DvKF7vXW0m — Bureau of Global Health Security and Diplomacy (@StateDeptGHSD) March 26, 2025 ‘Health as a business’ Ngongo said that the Trump administration is interested in “exploring how can we go into a partnership that translates into health as a business”, adding that private sector opportunities exist in the local manufacturing of medicines, digitalisation of health records and the electrification of clinics. “On programmes, we discussed malaria, HIV, and also support in the area of systems for emergency preparedness and response, in particular surveillance, laboratory capacity strengthening, and the health workforce,” said Ngongo. The aim of the meeting, he added, was “to make sure that we understand them and they also understand the priorities for Africa CDC”. Discussions with US government officials will continue in April around the World Bank’s spring meeting in Washington, he added. A report published in The Lancet this week predicted that, across all low and middle-income countries, an anticipated 24% weighted average of international aid reductions plus discontinued PEPFAR support “could cause an additional 4·43–10·75 million new HIV infections and 0·77–2·93 million HIV-related deaths between 2025 and 2030”. If PEPFAR support is “reinstated or equivalently recovered, this reduced to 0·07–1·73 million additional new HIV infections and 0·005–0·061 million HIV-related deaths”, the modelling study adds “Unmitigated funding reductions could significantly reverse progress in the HIV response by 2030, disproportionately affecting sub-Saharan African countries and key and vulnerable populations,” the authors note. Funding gap Meanwhile, Africa CDC has a funding gap of $224 million – in part due to the US walking away from a pledge made to the continent by the Biden administration. Official development assistance (ODA) for Africa has dropped from $81 billion in 2021 and to $25 billion 2025, yet there has been a 41% increase in disease outbreaks on the continent between 2022 and 2024. Lack of funds, weak health systems and conflict “risk the reversal of two decades of health achievement on the continent”, said Ngongo “We are also concerned about the risk of another African pandemic, which … would translate into more crisis, with the economic vulnerability that will push more Africans into poverty,” said Ngongo. “But it really doesn’t help to complain. We have to be proactive in terms of thinking that, if that is the new normal, if that is the direction that the world is taking, how do we remain fit in that context?” Options include increasing domestic financing, a “solidarity levy” on all airline tickets sold on the continent, higher “sin taxes” on alcohol and tobacco and partnerships with the private sector. Three-pronged plan to raise funds for African health “The European Union (EU) has already committed to imposing a minimal import levy on goods that are imported to Africa” to assist, he added. “All that is on the backbone of the optimization of the use of resources to ensure that there is less corruption, there is less misuse and inefficiencies,” said Ngongo, adding “you cannot really leave your health in the hands of the partners”. New mpox plan An updated plan to address the ongoing mpox outbreak was recently completed by the Africa CDC’s Incident Management Support Team. Its goals are to stop the human-to-human transmission, halve the burden of impact and strengthen the health system as part of countries’ epidemic preparedness and response. “The response strategy is mainly community-centred under the leadership of community health workers,” said Ngongo. It is a multi-sectoral approach that relies on strengthening co-ordination, digitalizing surveillance – which will assist with other diseases, and completing laboratory decentralisation. “We need to vaccinate about 6.4 million people during the next six months on this second plan and on the case management, we target at least 80% of confirmed cases that need to be taken care of,” he added. The total budget estimated is $429 million, of which a quarter will be for surveillance and a quarter for vaccination and logistics. Mpox cases rose by 22% increase over past week to 3,323 cases. Confirmed cases also rose from 381 to 925. The Democratic Republic of Congo (DRC), Burundi and Uganda account for 91% of all cases. Surveillance was slightly improved in the DRC with 21 out of 26 provinces reporting (up from 19 the previous week) and testing up from 13% to 20% of suspected cases. There were 2,451 new cases in comparison to 2,183 the week before, with 312 confirmed cases in comparison to 150. Sierra Leone, which has 114 confirmed cases, became the sixth country to start vaccinating people on Thursday. US Plans to End Support to Global Vaccine Alliance, Gavi 26/03/2025 Kerry Cullinan A baby gets a BCG vaccination in a Gavi-supported programme. The United States plans to stop funding the global vaccine alliance, Gavi, which assists developing countries to buy vaccines to protect their children, according to a spreadsheet obtained by the New York Times. Gavi is one of the 5,341 US Agency for International Development (USAID) grantees that the US intends to cut, according to the 281-page spreadsheet sent to Congress this week. The US covers 13% of Gavi’s budget, and its vaccine programmes are estimated to have saved almost 19 million lives over its 25-year existence. “We have not received a termination notice from the US government and are engaging with the White House and Congress with a view to securing $300m approved by Congress for our 2025 activities and longer term funding for Gavi,” Dr Sania Nishtar, CEO of Gavi, told Health Policy Watch. “A cut in Gavi’s funding from the US would have a disastrous impact on global health security, potentially resulting in over a million deaths from preventable diseases and endangering lives everywhere from dangerous disease outbreaks.” Responding to the news on X, Gavi said that it could save “over eight million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future”. #USA support for @Gavi is vital. With US support, we can save over 8 million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future. But investing in Gavi brings other benefits for our world and the American people. Here’s why: https://t.co/41Yb0bsl8o — Gavi, the Vaccine Alliance (@gavi) March 26, 2025 An investment in Gavi will also keep the US safe, it added: “By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox and yellow fever we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars.” “Every dollar we invest in lower income countries generates a return of $54. This helps countries develop and communities thrive, taking away pressure to migrate in search of a better life elsewhere.” ‘Political decision to ignore science’ Public Citizen’s Liza Barrie said that the Trump administration’s decision “abandons 25 years of bipartisan commitment to global immunisation and undermines the very systems that help prevent deadly outbreaks from reaching our own doorsteps”. “The administration is walking away from a $2.6 billion pledge — jeopardizing routine vaccinations for 75 million children over the next five years,” said Barrie, who heads the organisation’s global vaccine access programme. “This isn’t fiscal responsibility. It’s a political decision to let preventable diseases spread— to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all,” she stressed, adding that Congress has authority over foreign assistance funding. “The administration’s attempt to unilaterally walk away from its Gavi commitment raises serious legal questions and should be challenged. Lawmakers must stand up for the rule of law, and for the belief that the value of a child’s life is not determined by geography.” Schoolgirls line up to receive the HPV vaccine in Central Primary School in Kitui, Eastern Kenya The US also plans to ditch the United Nations Food and Agriculture Organization, which tracks zoonotic diseases despite the US being in the midst of a months’ long H5N1 outbreak in cattle that has also infected farm workers. Only 898 grantees will be retained, including scaled back support for HIV and tuberculosis and food aid during humanitarian crises. Around 60% of grants for the US President’s Emergency Plan for AIDS Relief (PEPFAR) were administered by USAID and at least eight countries are on the brink of running out of HIV medicine. Only 869 USAID staff are still in office out of over 6,000 and the US State Department has taken control of the agency. Earlier, Health Policy Watch reported on a leaked plan for US foreign aid which would see a new body, the Agency for International Humanitarian Assistance (IHA), take over the remnants of USAID. The plan envisages three “pillars” for future aid thematically organised as “safer”, “stronger”, and “more prosperous”. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security” under a new body, which will fall under the State Department. US Vice President JD Vance is in charge of deciding on the future of USAID. Updated on 27 March to include comment from Gavi CEO Sania Nishtar, Image Credits: Gavi, the Vaccine Alliance, Keystone / EPA / Karel Prinsloo / GAVI. Reducing Emissions of ‘Super Pollutants’ Would Slam Emergency Brake on Global Warming 25/03/2025 Sophia Samantaroy Panelists Rachel Huxley, Claire Henly, and Pierpaolo Mudu discussed the threat of super pollutants ahead of the WHO Air Pollution and Health Conference. CARTAGENA, Colombia – A small group of climate pollutants– including the air pollutants black carbon, methane, and ozone – are responsible for nearly half of global temperature increases to date. Reducing these emissions, which only remain in the atmosphere for a few weeks to decades, could serve as the “emergency brake” critical to halting runaway climate change, said experts Monday on the eve of the second WHO Air Pollution and Health Conference. Although these pollutants exert enormous 20-year climate-warming potential that is 80 to 2,000 times greater than carbon dioxide (CO2) per ton of emissions, their lifespan is far shorter than CO2, which remains in the atmosphere for a century or more. These pollutants are also projected to continue warming the climate with greater potency than CO2 over the next century. “If you reduce them today, we’ll see impacts in our lifetimes,” said Claire Henly, executive director of the Super Pollutant Field Catalyst, a US start-up NGO, at a media briefing ahead of the conference. While CO2 has received the overwhelming amount of climate mitigation attention, Henly and others argued that addressing a class of “super pollutant” greenhouse gases and particles, also known as “short-lived climate pollutants,” offers the greatest opportunity to have a rapid, and meaningful impact on both health and climate. Henly and others identified ozone, black carbon, and methane as super pollutants because of their wide-ranging impacts on food security, health, and climate change. Slowing the rate of climate change would make it easier for the “world to adapt to climate change,” said Henly. Nexus of climate change, air pollution and health It is also the nexus where health, climate, and food security concerns directly converge – leading scientists to dub them “super pollutants” precisely due to those wide-ranging impacts. Black carbon is a sub-component of dangerous particulate matter, associated with some 7 million deaths annually from air pollution. Ground-level ozone, formed as pollutants emitted by vehicles, industry and waste, is a leading factor in respiratory illness, particularly asthma, as well as damaging some 90% of global crop production every year. Methane, emitted by waste dumps, agriculture, and oil and gas flaring, is a leading precursor to ozone formation. Slowing emissions would also slow the rate of climate change, buying time for the world to transition to cleaner energy sources and other longer-range climate solutions, said Henly. Two leading super pollutant gases, methane and nitrous oxides (N2Ox), are formally recognized in the Paris climate agreement as powerful greenhouse drivers with a climate forcing potential that is 80, and 270, times more than CO2 respectively in the next 20 years. But black carbon is ignored, leading to a fragmented approach. Compared to carbon dioxide, super pollutants exert stronger climate warming in both the short and longterm, but drop out of the atmosphere faster. Similarly, the shared concerns of climate and health sectors around super pollutant emissions are often siloed, said Sergio Sanchez, senior policy director at the Environmental Defense Fund. Greater recognition of super pollutants as detrimental to both health and climate could help break through the barriers to more climate action, he said. Reducing these pollutants could avoid four times more warming by 2050, as opposed to decarbonization policies alone – and also prevent some 2.4 million deaths a year from air pollution. Yet emissions of super pollutants, including methane, are currently on the rise. Agricultural sector is getting more attention Punjab environmental officers put out fires set by Pakistani farmers in Province, an annual ritual on both sides of the border that leaves the entire Indo-Gangetic Plain shrouded in smoke. Most attention on super pollutants has focused on methane leaks from the fossil fuel industry. These occur at nearly every stage of the extraction and production cycle, with natural gas flaring the most glaring example of methane emissions. However, another key source of potent methane emissions is the agricultural sector, which accounts for 40% of global human-made methane emissions, with livestock, rice cultivation and crop debris being key sources. People often forget the fact that in some regions, such as the European Union, the agricultural sector accounts for 54% of methane emissions, noted Pierpaulo Mudu, WHO scientist. Another 34% of global methane emissions comes from fossil fuels and 19% from rotting urban and household solid waste. Some methane is also emitted by natural sources, such as peat bogs and wetlands. Overall, two-thirds of global methane emissions come from human activities, according to the Global Carbon Project. Methane emissions from agriculture harder to track Methane emissions from agriculture, however, are much harder to track and monitor than emissions from the oil and gas sector. “In agriculture, these pollutants are not emitted in high concentrations,” said Henly. “The emissions are distributed, and the kind of detection, whether it’s through on the ground sensors or remote detection, is just a bit more challenging than in the oil and gas coal sectors. Whereas previously, only big methane spikes or leaks from oil and gas installations could be detected, that is changing now, Henly said. Recently, new technology, in the form of higher resolution satellite imaging, has opened the way for more granular estimates from sources like agriculture. This week’s WHO conference will therefore feature the first session ever about the links between methane emissions in agriculture, climate, and health. Solutions that can be promoted,, experts say, include biogas capture from anaerobic digestion of crop waste and manure as well as improved compost management – so that methane gas is not produced at all. Ozone chokes crops But agriculture is also impacted by super pollutants, particularly ozone. It’s now estimated that ozone leads to a loss of 12% of wheat, 16% of soybean, 4% of rice, and 5% of corn production every year. “So we can see that the super pollutants are a real growing threat to food security,” said Rachel Huxley, Head of Climate Mitigation and Health at Wellcome Trust. Ground level ozone (O3) is a product of the vicious cycle of super pollutant formation. Gases produced by cars and industry, crop and waste incineration, interact in sunlight, leading to ozone’s creation. Unlike the “good” layers of stratospheric ozone that protect the planet and people from harmful ultraviolet radiation levels, ground level ozone is harmful to crop production as well as human health. Inhaling ozone leads to respiratory and a host of other health issues. And when over farmland, the pollutant can dramatically disrupt staple crop growth, according to a 2025 report by the Clean Air Fund. This week, for the first time ever, WHO is convening a meeting on agriculture, air pollution, climate and health, with the hopes of drawing more attention to these linkages within health and environment circles. “Everyone is obsessed with transport,” said Mudu, the WHO scientist leading the session. “Because of the visibility of the black smoke, but there are many different sources of air pollution with many sorts of invisible gases.” Black carbon and snowmelt A traditional brick factory in southern Tunisia. In Africa and South Asia brick making and waste burning are major sources of black carbon emissions. On the other side of the coin, when urban and household waste or crop debris is burned, rather than left to rot, it produces smoke – a mixture of gases and particles, including black carbon. The burning of rice crop debris regularly envelopes large parts of the Indian subcontinent in billowy smoke every autumn. Burning of household and urban solid waste is also a common practice in many developing regions. Waste burning, together with the use of wood and charcoal for household cooking and heating, as well as in traditional brick kilns, cast a chronic pallor of smoke or smog over cities and farmland in many other low- and even middle-income regions of the world – also contributing to the formation of ozone. Super pollutants exist at the nexus of climate and air quality, making them cost effective pollutants to target. But the tiny specks of black contained in the smoke do even more harm than other types of fine particles. They accelerate climate change in mountain regions, where they settle on snow and ice, absorbing additional sunlight and thus increasing snow and ice melt. Scientists estimate that black carbon is responsible for 39% of glacier melt in certain Himalayan glaciers, and there are similar impacts being observed in the Himalayas, Alps, Andes and the Rockies, according to a 2025 Clean Air Fund report. Locally, glacier melt reduces the reliability of water sources that rural regions of Nepal and northern India rely on for crop irrigation as well as domestic use. But there are global implications as well. It is a major reason that the Arctic is warming four times faster than other parts of the world, increasing the chances of “dangerous climate tipping points being breached,” the report stated. Regulation and action Often “forgotten” as potent drivers of climate change and poor health, super pollutants contribute to nearly half of warming. Regulation of super pollutants is challenging – because so many pollutants, and sectors, are involved. In the case of ground level ozone, as well, the pollution is not emitted directly, but rather is a product of reactions between methane, nitrogen oxides, and volatile organic compounds. So the precursors need to be regulated. Despite such complexities, the fact that black carbon as well as methane, ozone and other powerful short-lived gases – only reside in the atmosphere for weeks to decades, makes Huxley hopeful that policymakers can see the “economic sense” in cutting back on such emissions. “This is one of the most effective ways to keep 1.5ºC alive,” she said, referring to the Paris climate agreement goal. “This is our emergency brake on climate change.” The Global Methane Pledge aimed at reducing the gas, was launched at COP26 by the United States and the European Union and has so far been supported by over 150 countries, including over two dozen African nations. “Methane has been globally recognized as a super pollutant since COP26, thanks to the launch of the Methane Global Pledge and the commitments made by countries since then,” said Elisa Puzzolo, Super Pollutants policy manager at the Clean Air Fund. “Now, is the time to raise our ambition and address all super pollutants, including black carbon and troposheric ozone, to protect the climate, safeguard public health, and support most-affected regions and communities.” Super-pollutants ‘movement’ Air pollution impacts the most vulnerable, including children showcased in a quilt from the Indian advocacy group Warrior Moms. What Wellcome and the Clean Air Fund want to foster is a more coordinated super-pollutants “movement” that cuts across sectors – together with the UN Enviroment Programme-hosted Climate and Clean Air Coalition. “Solutions are proven,” Puzzolo said. For super-pollutants though, the regulatory landscape is a bit more complicated. Black carbon, though harmful to health and the climate, is not included in the Paris Climate agreement because it is a particle. “Reducing black carbon, alongside other super pollutants, is the fastest, most effective way to slow climate change, while also mitigating the enormous health impacts of air pollution,” said Jane Burston, CEO of the Clean Air Fund. “Yet to date not enough has been done.” “Action on short-lived climate pollutants is a matter of time and temperature,” said Martina Otto, head of the secretariat at the Climate and Clean Air Coalition, which was founded over a decade ago specifically to spearhead awareness and action on superpollutants. “They have a higher warming potential than CO2 and don’t accumulate in the atmosphere. Cutting them turns down the heat within decades and reduces air pollution now. A double dividend that we cannot afford to miss.” Image Credits: WHO/Diego Rodriguez, E. Fletcher/HPW, Climate and Clean Air Coalition, Punjab Enviornment Department, Climate and Clean Air Coalition, A. Bose/ HPW. Civil Society Organisations Face Backlash After Trump, Musk Link USAID Grantees to ‘Terrorism’ 25/03/2025 Kerry Cullinan The USAID office in Washington Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations. This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents. There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India. The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO. “An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements “are part of a broader pattern of stigmatisation and discrediting of civil society”. “The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. Disrupting critical programmes The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found. Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, “Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE. A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. “The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added. “The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation. “The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. “Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker. The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children. Image Credits: Global Aid Freeze Tracker. PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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Spotlight on Increasing Evidence of Air Pollution’s Impact on Mental Health At WHO Conference 28/03/2025 Disha Shetty & Elaine Ruth Fletcher Studies show that air pollution is associated with worsening mental health outcomes. Air pollution has been linked to poor brain development, as well as a higher risk of dementia and stroke. A link has also been established between exposure to air pollution and depression as well as higher suicide rates. The subject received attention at the second WHO’s global conference on air pollution and health in Cartagena, Colombia this week. “Air pollution is increasing the risk of new mental health problems and worsening mental health in people with pre-existing mental health problems,” Alessandro Massazza, policy and advocacy advisor at United for Global Mental Health, a global non-profit that focuses on mental health advocacy, told Health Policy Watch. The societal costs of mental disorders due to air pollution, climate-related hazards, and inadequate access to green space are estimated to reach around $47 billion annually by 2030 — a significant portion of the massive $8.1 trillion annual price tag for the overall health impacts of air pollution. Alessandro Massazza (right) speaking on the impact of air pollution on mental health during a session at WHO’s global conference on air pollution and health in Colombia’s Cartagena. Around 99% of the world’s population breathes air that does not meet the air quality standard set by the World Health Organization (WHO). Exposure to high levels of air pollution claim over eight million lives worldwide every year. “It’s not just that we’re all exposed to air pollution, not just that it affects everybody, but it affects non-communicable diseases (NCDs),” said Mark Miller of the World Heart Federation. He pointed out that NCDs are already the world’s biggest killer, responsible for 74% of all deaths annually. “Tackling NCDs has to be one of the greater priorities for the world, no matter what sector of life that you’re in,” Miller said. How air pollutants reach the brain Burcin Ikiz, neuroscientist and director at EcoNeuro. The exact pathway through which air pollutants reach the brain is now becoming clearer. “The pollutants from the air enter our brains through two mechanisms. One is directly from our nasal cavities up to our olfactory bulb, but also from systemic inflammation,” Burcin Ikiz, neuroscientist and director at EcoNeuro, a research and consulting company working in global health, told Health Policy Watch. “When the lungs get inflamed due to the pollutants in the air, those send inflammatory responses into the bloodstream, and through the bloodstream reaches the blood-brain barrier,” Ikiz explained. “Normally, our blood-brain barrier should be our protective layer that protects the brain from any outside pollutants or harmful substances. But it’s not perfect. It’s a leaky system.” Children, the elderly population, and those living with other neurological conditions such as multiple sclerosis and Alzheimer’s are especially vulnerable, she added. Potential pathways for air pollutants to reach the brain and create an impact “We know less about what may be driving this association between air pollution but it’s likely to be the result of a mixture of biological (e.g., inflammation), social (e.g., not being able to go outside or socialize outdoors), and psychological (e.g., impact on mood, cognition, or sleep) mechanisms,” Massazza said. Air pollution is also linked to poor brain development in children, starting in utero. “Looking at pregnant women and their babies that are still in the womb being exposed to pollution, we see their brain structures changing,” Ikiz said. Post-birth, “we see them having…. developmental delays and lower IQs and so on.” Adolescence has been identified as another crucial period during which many mental health disorders first develop. The risk of strokes in which the blood flow to the brain is reduced, also increases due to air pollution, studies have found. Air pollution is also among the 14 modifiable risk factors for dementia. Air pollution has also been found in several studies to be associated with depression on both short and long-term time scales, drawing attention to its impact on poor mental health outcomes. Need for evidence-based interventions The additional societal costs of these mental health disorders influenced by environmental factors are expected to rise further, according to an estimate that pegs it at US $537 billion by 2050, relative to the baseline scenario in which the environmental factors remain at 2020 levels. “People with chronic and severe mental health problems often live with co-morbid non-communicable diseases such as respiratory or cardiovascular conditions, which can further increase their vulnerability to the physical health impacts of air pollution,” Massazza. Limited research on interventions shows that significant mental health gains are seen when air pollution is reduced. One study from China demonstrates how the country’s clean air policies are not only contributing to large reductions in air pollution but have also been deemed responsible for preventing 46,000 suicides over just five years. Significant data gaps remain, with only a handful of studies on air pollution’s impact on mental health coming from low- and middle-income countries. Experts say efforts are needed to improve research in understanding the pathways between environmental stressors and mental illness. In September, the UN headquarters in New York will host a high-level meeting on NCDs and mental health, where the impact of climate change on NCDs and mental health is likely to be discussed. “Clean air policies are mental health policies. From reduced energy poverty and more access to green spaces to increased physical activity resulting from active modes of transport, actions aimed at reducing air pollution have considerable potential co-benefits for mental health,” Massazza said. Sophia Samantaroy contributed reporting. Image Credits: Unsplash, By arrangement, Elaine Fletcher, Air quality and mental health: evidence, challenges and future directions. US Expresses Interest in ‘Health as Business’ at Meeting with African Leaders After Huge Funding Cuts 27/03/2025 Kerry Cullinan Dr Susan Monarez, newly appointed head of the US CDC (2nd left) and other US government officials meet Africa CDC Director General Dr Jean Kaseya and Dr Ngashi Ngongo in Washington. Leaders of the Africa Centres for Disease Control and Prevention (Africa CDC) held a five-hour meeting with Dr Susan Monarez, newly appointed head of the US CDC, and other US officials on Wednesday – for the first time since the US slashed funding to Africa’s health sector. Discussion centred on health security, funding for Africa CDC and options for health financing on the continent, Dr Ngashi Ngongo, Africa CDC’s incident management head, told a media briefing on Thursday. “From the [US] administration’s perspective, they would like to see more of health as a business, rather than something that functions on grants,” added Ngongo. African programmes worst affected by the US’s abrupt termination of funding are those dealing with maternal and child health, HIV, malaria and emergency preparedness and response, said Ngongo, speaking from Washington DC, where he and Africa CDC Director General Dr Jean Kaseya are meeting a range of US leaders. Aside from Monarez, the meeting was attended by high-level officials from the White House, the US State Department’s Bureau of Global Health Security and Diplomacy, Health and Human Services (HHS), and an assistant secretary from the President’s Emergency Plan for AIDS Relief (PEPFAR). “We made the point, which was accepted by our American counterparts, that global health security starts with what happens outside the US,” said Ngongo, adding that the Trump administration “remains committed to addressing health security”. This morning, @StateDeptGHSD hosted several meetings between USG leaders, @_AfricanUnion, and @AfricaCDC. We discussed our shared commitment to protecting the health of our people by advancing #GlobalHealth security and strengthening our partnerships. #USAfricaPartnership pic.twitter.com/DvKF7vXW0m — Bureau of Global Health Security and Diplomacy (@StateDeptGHSD) March 26, 2025 ‘Health as a business’ Ngongo said that the Trump administration is interested in “exploring how can we go into a partnership that translates into health as a business”, adding that private sector opportunities exist in the local manufacturing of medicines, digitalisation of health records and the electrification of clinics. “On programmes, we discussed malaria, HIV, and also support in the area of systems for emergency preparedness and response, in particular surveillance, laboratory capacity strengthening, and the health workforce,” said Ngongo. The aim of the meeting, he added, was “to make sure that we understand them and they also understand the priorities for Africa CDC”. Discussions with US government officials will continue in April around the World Bank’s spring meeting in Washington, he added. A report published in The Lancet this week predicted that, across all low and middle-income countries, an anticipated 24% weighted average of international aid reductions plus discontinued PEPFAR support “could cause an additional 4·43–10·75 million new HIV infections and 0·77–2·93 million HIV-related deaths between 2025 and 2030”. If PEPFAR support is “reinstated or equivalently recovered, this reduced to 0·07–1·73 million additional new HIV infections and 0·005–0·061 million HIV-related deaths”, the modelling study adds “Unmitigated funding reductions could significantly reverse progress in the HIV response by 2030, disproportionately affecting sub-Saharan African countries and key and vulnerable populations,” the authors note. Funding gap Meanwhile, Africa CDC has a funding gap of $224 million – in part due to the US walking away from a pledge made to the continent by the Biden administration. Official development assistance (ODA) for Africa has dropped from $81 billion in 2021 and to $25 billion 2025, yet there has been a 41% increase in disease outbreaks on the continent between 2022 and 2024. Lack of funds, weak health systems and conflict “risk the reversal of two decades of health achievement on the continent”, said Ngongo “We are also concerned about the risk of another African pandemic, which … would translate into more crisis, with the economic vulnerability that will push more Africans into poverty,” said Ngongo. “But it really doesn’t help to complain. We have to be proactive in terms of thinking that, if that is the new normal, if that is the direction that the world is taking, how do we remain fit in that context?” Options include increasing domestic financing, a “solidarity levy” on all airline tickets sold on the continent, higher “sin taxes” on alcohol and tobacco and partnerships with the private sector. Three-pronged plan to raise funds for African health “The European Union (EU) has already committed to imposing a minimal import levy on goods that are imported to Africa” to assist, he added. “All that is on the backbone of the optimization of the use of resources to ensure that there is less corruption, there is less misuse and inefficiencies,” said Ngongo, adding “you cannot really leave your health in the hands of the partners”. New mpox plan An updated plan to address the ongoing mpox outbreak was recently completed by the Africa CDC’s Incident Management Support Team. Its goals are to stop the human-to-human transmission, halve the burden of impact and strengthen the health system as part of countries’ epidemic preparedness and response. “The response strategy is mainly community-centred under the leadership of community health workers,” said Ngongo. It is a multi-sectoral approach that relies on strengthening co-ordination, digitalizing surveillance – which will assist with other diseases, and completing laboratory decentralisation. “We need to vaccinate about 6.4 million people during the next six months on this second plan and on the case management, we target at least 80% of confirmed cases that need to be taken care of,” he added. The total budget estimated is $429 million, of which a quarter will be for surveillance and a quarter for vaccination and logistics. Mpox cases rose by 22% increase over past week to 3,323 cases. Confirmed cases also rose from 381 to 925. The Democratic Republic of Congo (DRC), Burundi and Uganda account for 91% of all cases. Surveillance was slightly improved in the DRC with 21 out of 26 provinces reporting (up from 19 the previous week) and testing up from 13% to 20% of suspected cases. There were 2,451 new cases in comparison to 2,183 the week before, with 312 confirmed cases in comparison to 150. Sierra Leone, which has 114 confirmed cases, became the sixth country to start vaccinating people on Thursday. US Plans to End Support to Global Vaccine Alliance, Gavi 26/03/2025 Kerry Cullinan A baby gets a BCG vaccination in a Gavi-supported programme. The United States plans to stop funding the global vaccine alliance, Gavi, which assists developing countries to buy vaccines to protect their children, according to a spreadsheet obtained by the New York Times. Gavi is one of the 5,341 US Agency for International Development (USAID) grantees that the US intends to cut, according to the 281-page spreadsheet sent to Congress this week. The US covers 13% of Gavi’s budget, and its vaccine programmes are estimated to have saved almost 19 million lives over its 25-year existence. “We have not received a termination notice from the US government and are engaging with the White House and Congress with a view to securing $300m approved by Congress for our 2025 activities and longer term funding for Gavi,” Dr Sania Nishtar, CEO of Gavi, told Health Policy Watch. “A cut in Gavi’s funding from the US would have a disastrous impact on global health security, potentially resulting in over a million deaths from preventable diseases and endangering lives everywhere from dangerous disease outbreaks.” Responding to the news on X, Gavi said that it could save “over eight million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future”. #USA support for @Gavi is vital. With US support, we can save over 8 million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future. But investing in Gavi brings other benefits for our world and the American people. Here’s why: https://t.co/41Yb0bsl8o — Gavi, the Vaccine Alliance (@gavi) March 26, 2025 An investment in Gavi will also keep the US safe, it added: “By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox and yellow fever we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars.” “Every dollar we invest in lower income countries generates a return of $54. This helps countries develop and communities thrive, taking away pressure to migrate in search of a better life elsewhere.” ‘Political decision to ignore science’ Public Citizen’s Liza Barrie said that the Trump administration’s decision “abandons 25 years of bipartisan commitment to global immunisation and undermines the very systems that help prevent deadly outbreaks from reaching our own doorsteps”. “The administration is walking away from a $2.6 billion pledge — jeopardizing routine vaccinations for 75 million children over the next five years,” said Barrie, who heads the organisation’s global vaccine access programme. “This isn’t fiscal responsibility. It’s a political decision to let preventable diseases spread— to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all,” she stressed, adding that Congress has authority over foreign assistance funding. “The administration’s attempt to unilaterally walk away from its Gavi commitment raises serious legal questions and should be challenged. Lawmakers must stand up for the rule of law, and for the belief that the value of a child’s life is not determined by geography.” Schoolgirls line up to receive the HPV vaccine in Central Primary School in Kitui, Eastern Kenya The US also plans to ditch the United Nations Food and Agriculture Organization, which tracks zoonotic diseases despite the US being in the midst of a months’ long H5N1 outbreak in cattle that has also infected farm workers. Only 898 grantees will be retained, including scaled back support for HIV and tuberculosis and food aid during humanitarian crises. Around 60% of grants for the US President’s Emergency Plan for AIDS Relief (PEPFAR) were administered by USAID and at least eight countries are on the brink of running out of HIV medicine. Only 869 USAID staff are still in office out of over 6,000 and the US State Department has taken control of the agency. Earlier, Health Policy Watch reported on a leaked plan for US foreign aid which would see a new body, the Agency for International Humanitarian Assistance (IHA), take over the remnants of USAID. The plan envisages three “pillars” for future aid thematically organised as “safer”, “stronger”, and “more prosperous”. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security” under a new body, which will fall under the State Department. US Vice President JD Vance is in charge of deciding on the future of USAID. Updated on 27 March to include comment from Gavi CEO Sania Nishtar, Image Credits: Gavi, the Vaccine Alliance, Keystone / EPA / Karel Prinsloo / GAVI. Reducing Emissions of ‘Super Pollutants’ Would Slam Emergency Brake on Global Warming 25/03/2025 Sophia Samantaroy Panelists Rachel Huxley, Claire Henly, and Pierpaolo Mudu discussed the threat of super pollutants ahead of the WHO Air Pollution and Health Conference. CARTAGENA, Colombia – A small group of climate pollutants– including the air pollutants black carbon, methane, and ozone – are responsible for nearly half of global temperature increases to date. Reducing these emissions, which only remain in the atmosphere for a few weeks to decades, could serve as the “emergency brake” critical to halting runaway climate change, said experts Monday on the eve of the second WHO Air Pollution and Health Conference. Although these pollutants exert enormous 20-year climate-warming potential that is 80 to 2,000 times greater than carbon dioxide (CO2) per ton of emissions, their lifespan is far shorter than CO2, which remains in the atmosphere for a century or more. These pollutants are also projected to continue warming the climate with greater potency than CO2 over the next century. “If you reduce them today, we’ll see impacts in our lifetimes,” said Claire Henly, executive director of the Super Pollutant Field Catalyst, a US start-up NGO, at a media briefing ahead of the conference. While CO2 has received the overwhelming amount of climate mitigation attention, Henly and others argued that addressing a class of “super pollutant” greenhouse gases and particles, also known as “short-lived climate pollutants,” offers the greatest opportunity to have a rapid, and meaningful impact on both health and climate. Henly and others identified ozone, black carbon, and methane as super pollutants because of their wide-ranging impacts on food security, health, and climate change. Slowing the rate of climate change would make it easier for the “world to adapt to climate change,” said Henly. Nexus of climate change, air pollution and health It is also the nexus where health, climate, and food security concerns directly converge – leading scientists to dub them “super pollutants” precisely due to those wide-ranging impacts. Black carbon is a sub-component of dangerous particulate matter, associated with some 7 million deaths annually from air pollution. Ground-level ozone, formed as pollutants emitted by vehicles, industry and waste, is a leading factor in respiratory illness, particularly asthma, as well as damaging some 90% of global crop production every year. Methane, emitted by waste dumps, agriculture, and oil and gas flaring, is a leading precursor to ozone formation. Slowing emissions would also slow the rate of climate change, buying time for the world to transition to cleaner energy sources and other longer-range climate solutions, said Henly. Two leading super pollutant gases, methane and nitrous oxides (N2Ox), are formally recognized in the Paris climate agreement as powerful greenhouse drivers with a climate forcing potential that is 80, and 270, times more than CO2 respectively in the next 20 years. But black carbon is ignored, leading to a fragmented approach. Compared to carbon dioxide, super pollutants exert stronger climate warming in both the short and longterm, but drop out of the atmosphere faster. Similarly, the shared concerns of climate and health sectors around super pollutant emissions are often siloed, said Sergio Sanchez, senior policy director at the Environmental Defense Fund. Greater recognition of super pollutants as detrimental to both health and climate could help break through the barriers to more climate action, he said. Reducing these pollutants could avoid four times more warming by 2050, as opposed to decarbonization policies alone – and also prevent some 2.4 million deaths a year from air pollution. Yet emissions of super pollutants, including methane, are currently on the rise. Agricultural sector is getting more attention Punjab environmental officers put out fires set by Pakistani farmers in Province, an annual ritual on both sides of the border that leaves the entire Indo-Gangetic Plain shrouded in smoke. Most attention on super pollutants has focused on methane leaks from the fossil fuel industry. These occur at nearly every stage of the extraction and production cycle, with natural gas flaring the most glaring example of methane emissions. However, another key source of potent methane emissions is the agricultural sector, which accounts for 40% of global human-made methane emissions, with livestock, rice cultivation and crop debris being key sources. People often forget the fact that in some regions, such as the European Union, the agricultural sector accounts for 54% of methane emissions, noted Pierpaulo Mudu, WHO scientist. Another 34% of global methane emissions comes from fossil fuels and 19% from rotting urban and household solid waste. Some methane is also emitted by natural sources, such as peat bogs and wetlands. Overall, two-thirds of global methane emissions come from human activities, according to the Global Carbon Project. Methane emissions from agriculture harder to track Methane emissions from agriculture, however, are much harder to track and monitor than emissions from the oil and gas sector. “In agriculture, these pollutants are not emitted in high concentrations,” said Henly. “The emissions are distributed, and the kind of detection, whether it’s through on the ground sensors or remote detection, is just a bit more challenging than in the oil and gas coal sectors. Whereas previously, only big methane spikes or leaks from oil and gas installations could be detected, that is changing now, Henly said. Recently, new technology, in the form of higher resolution satellite imaging, has opened the way for more granular estimates from sources like agriculture. This week’s WHO conference will therefore feature the first session ever about the links between methane emissions in agriculture, climate, and health. Solutions that can be promoted,, experts say, include biogas capture from anaerobic digestion of crop waste and manure as well as improved compost management – so that methane gas is not produced at all. Ozone chokes crops But agriculture is also impacted by super pollutants, particularly ozone. It’s now estimated that ozone leads to a loss of 12% of wheat, 16% of soybean, 4% of rice, and 5% of corn production every year. “So we can see that the super pollutants are a real growing threat to food security,” said Rachel Huxley, Head of Climate Mitigation and Health at Wellcome Trust. Ground level ozone (O3) is a product of the vicious cycle of super pollutant formation. Gases produced by cars and industry, crop and waste incineration, interact in sunlight, leading to ozone’s creation. Unlike the “good” layers of stratospheric ozone that protect the planet and people from harmful ultraviolet radiation levels, ground level ozone is harmful to crop production as well as human health. Inhaling ozone leads to respiratory and a host of other health issues. And when over farmland, the pollutant can dramatically disrupt staple crop growth, according to a 2025 report by the Clean Air Fund. This week, for the first time ever, WHO is convening a meeting on agriculture, air pollution, climate and health, with the hopes of drawing more attention to these linkages within health and environment circles. “Everyone is obsessed with transport,” said Mudu, the WHO scientist leading the session. “Because of the visibility of the black smoke, but there are many different sources of air pollution with many sorts of invisible gases.” Black carbon and snowmelt A traditional brick factory in southern Tunisia. In Africa and South Asia brick making and waste burning are major sources of black carbon emissions. On the other side of the coin, when urban and household waste or crop debris is burned, rather than left to rot, it produces smoke – a mixture of gases and particles, including black carbon. The burning of rice crop debris regularly envelopes large parts of the Indian subcontinent in billowy smoke every autumn. Burning of household and urban solid waste is also a common practice in many developing regions. Waste burning, together with the use of wood and charcoal for household cooking and heating, as well as in traditional brick kilns, cast a chronic pallor of smoke or smog over cities and farmland in many other low- and even middle-income regions of the world – also contributing to the formation of ozone. Super pollutants exist at the nexus of climate and air quality, making them cost effective pollutants to target. But the tiny specks of black contained in the smoke do even more harm than other types of fine particles. They accelerate climate change in mountain regions, where they settle on snow and ice, absorbing additional sunlight and thus increasing snow and ice melt. Scientists estimate that black carbon is responsible for 39% of glacier melt in certain Himalayan glaciers, and there are similar impacts being observed in the Himalayas, Alps, Andes and the Rockies, according to a 2025 Clean Air Fund report. Locally, glacier melt reduces the reliability of water sources that rural regions of Nepal and northern India rely on for crop irrigation as well as domestic use. But there are global implications as well. It is a major reason that the Arctic is warming four times faster than other parts of the world, increasing the chances of “dangerous climate tipping points being breached,” the report stated. Regulation and action Often “forgotten” as potent drivers of climate change and poor health, super pollutants contribute to nearly half of warming. Regulation of super pollutants is challenging – because so many pollutants, and sectors, are involved. In the case of ground level ozone, as well, the pollution is not emitted directly, but rather is a product of reactions between methane, nitrogen oxides, and volatile organic compounds. So the precursors need to be regulated. Despite such complexities, the fact that black carbon as well as methane, ozone and other powerful short-lived gases – only reside in the atmosphere for weeks to decades, makes Huxley hopeful that policymakers can see the “economic sense” in cutting back on such emissions. “This is one of the most effective ways to keep 1.5ºC alive,” she said, referring to the Paris climate agreement goal. “This is our emergency brake on climate change.” The Global Methane Pledge aimed at reducing the gas, was launched at COP26 by the United States and the European Union and has so far been supported by over 150 countries, including over two dozen African nations. “Methane has been globally recognized as a super pollutant since COP26, thanks to the launch of the Methane Global Pledge and the commitments made by countries since then,” said Elisa Puzzolo, Super Pollutants policy manager at the Clean Air Fund. “Now, is the time to raise our ambition and address all super pollutants, including black carbon and troposheric ozone, to protect the climate, safeguard public health, and support most-affected regions and communities.” Super-pollutants ‘movement’ Air pollution impacts the most vulnerable, including children showcased in a quilt from the Indian advocacy group Warrior Moms. What Wellcome and the Clean Air Fund want to foster is a more coordinated super-pollutants “movement” that cuts across sectors – together with the UN Enviroment Programme-hosted Climate and Clean Air Coalition. “Solutions are proven,” Puzzolo said. For super-pollutants though, the regulatory landscape is a bit more complicated. Black carbon, though harmful to health and the climate, is not included in the Paris Climate agreement because it is a particle. “Reducing black carbon, alongside other super pollutants, is the fastest, most effective way to slow climate change, while also mitigating the enormous health impacts of air pollution,” said Jane Burston, CEO of the Clean Air Fund. “Yet to date not enough has been done.” “Action on short-lived climate pollutants is a matter of time and temperature,” said Martina Otto, head of the secretariat at the Climate and Clean Air Coalition, which was founded over a decade ago specifically to spearhead awareness and action on superpollutants. “They have a higher warming potential than CO2 and don’t accumulate in the atmosphere. Cutting them turns down the heat within decades and reduces air pollution now. A double dividend that we cannot afford to miss.” Image Credits: WHO/Diego Rodriguez, E. Fletcher/HPW, Climate and Clean Air Coalition, Punjab Enviornment Department, Climate and Clean Air Coalition, A. Bose/ HPW. Civil Society Organisations Face Backlash After Trump, Musk Link USAID Grantees to ‘Terrorism’ 25/03/2025 Kerry Cullinan The USAID office in Washington Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations. This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents. There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India. The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO. “An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements “are part of a broader pattern of stigmatisation and discrediting of civil society”. “The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. Disrupting critical programmes The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found. Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, “Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE. A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. “The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added. “The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation. “The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. “Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker. The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children. Image Credits: Global Aid Freeze Tracker. PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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US Expresses Interest in ‘Health as Business’ at Meeting with African Leaders After Huge Funding Cuts 27/03/2025 Kerry Cullinan Dr Susan Monarez, newly appointed head of the US CDC (2nd left) and other US government officials meet Africa CDC Director General Dr Jean Kaseya and Dr Ngashi Ngongo in Washington. Leaders of the Africa Centres for Disease Control and Prevention (Africa CDC) held a five-hour meeting with Dr Susan Monarez, newly appointed head of the US CDC, and other US officials on Wednesday – for the first time since the US slashed funding to Africa’s health sector. Discussion centred on health security, funding for Africa CDC and options for health financing on the continent, Dr Ngashi Ngongo, Africa CDC’s incident management head, told a media briefing on Thursday. “From the [US] administration’s perspective, they would like to see more of health as a business, rather than something that functions on grants,” added Ngongo. African programmes worst affected by the US’s abrupt termination of funding are those dealing with maternal and child health, HIV, malaria and emergency preparedness and response, said Ngongo, speaking from Washington DC, where he and Africa CDC Director General Dr Jean Kaseya are meeting a range of US leaders. Aside from Monarez, the meeting was attended by high-level officials from the White House, the US State Department’s Bureau of Global Health Security and Diplomacy, Health and Human Services (HHS), and an assistant secretary from the President’s Emergency Plan for AIDS Relief (PEPFAR). “We made the point, which was accepted by our American counterparts, that global health security starts with what happens outside the US,” said Ngongo, adding that the Trump administration “remains committed to addressing health security”. This morning, @StateDeptGHSD hosted several meetings between USG leaders, @_AfricanUnion, and @AfricaCDC. We discussed our shared commitment to protecting the health of our people by advancing #GlobalHealth security and strengthening our partnerships. #USAfricaPartnership pic.twitter.com/DvKF7vXW0m — Bureau of Global Health Security and Diplomacy (@StateDeptGHSD) March 26, 2025 ‘Health as a business’ Ngongo said that the Trump administration is interested in “exploring how can we go into a partnership that translates into health as a business”, adding that private sector opportunities exist in the local manufacturing of medicines, digitalisation of health records and the electrification of clinics. “On programmes, we discussed malaria, HIV, and also support in the area of systems for emergency preparedness and response, in particular surveillance, laboratory capacity strengthening, and the health workforce,” said Ngongo. The aim of the meeting, he added, was “to make sure that we understand them and they also understand the priorities for Africa CDC”. Discussions with US government officials will continue in April around the World Bank’s spring meeting in Washington, he added. A report published in The Lancet this week predicted that, across all low and middle-income countries, an anticipated 24% weighted average of international aid reductions plus discontinued PEPFAR support “could cause an additional 4·43–10·75 million new HIV infections and 0·77–2·93 million HIV-related deaths between 2025 and 2030”. If PEPFAR support is “reinstated or equivalently recovered, this reduced to 0·07–1·73 million additional new HIV infections and 0·005–0·061 million HIV-related deaths”, the modelling study adds “Unmitigated funding reductions could significantly reverse progress in the HIV response by 2030, disproportionately affecting sub-Saharan African countries and key and vulnerable populations,” the authors note. Funding gap Meanwhile, Africa CDC has a funding gap of $224 million – in part due to the US walking away from a pledge made to the continent by the Biden administration. Official development assistance (ODA) for Africa has dropped from $81 billion in 2021 and to $25 billion 2025, yet there has been a 41% increase in disease outbreaks on the continent between 2022 and 2024. Lack of funds, weak health systems and conflict “risk the reversal of two decades of health achievement on the continent”, said Ngongo “We are also concerned about the risk of another African pandemic, which … would translate into more crisis, with the economic vulnerability that will push more Africans into poverty,” said Ngongo. “But it really doesn’t help to complain. We have to be proactive in terms of thinking that, if that is the new normal, if that is the direction that the world is taking, how do we remain fit in that context?” Options include increasing domestic financing, a “solidarity levy” on all airline tickets sold on the continent, higher “sin taxes” on alcohol and tobacco and partnerships with the private sector. Three-pronged plan to raise funds for African health “The European Union (EU) has already committed to imposing a minimal import levy on goods that are imported to Africa” to assist, he added. “All that is on the backbone of the optimization of the use of resources to ensure that there is less corruption, there is less misuse and inefficiencies,” said Ngongo, adding “you cannot really leave your health in the hands of the partners”. New mpox plan An updated plan to address the ongoing mpox outbreak was recently completed by the Africa CDC’s Incident Management Support Team. Its goals are to stop the human-to-human transmission, halve the burden of impact and strengthen the health system as part of countries’ epidemic preparedness and response. “The response strategy is mainly community-centred under the leadership of community health workers,” said Ngongo. It is a multi-sectoral approach that relies on strengthening co-ordination, digitalizing surveillance – which will assist with other diseases, and completing laboratory decentralisation. “We need to vaccinate about 6.4 million people during the next six months on this second plan and on the case management, we target at least 80% of confirmed cases that need to be taken care of,” he added. The total budget estimated is $429 million, of which a quarter will be for surveillance and a quarter for vaccination and logistics. Mpox cases rose by 22% increase over past week to 3,323 cases. Confirmed cases also rose from 381 to 925. The Democratic Republic of Congo (DRC), Burundi and Uganda account for 91% of all cases. Surveillance was slightly improved in the DRC with 21 out of 26 provinces reporting (up from 19 the previous week) and testing up from 13% to 20% of suspected cases. There were 2,451 new cases in comparison to 2,183 the week before, with 312 confirmed cases in comparison to 150. Sierra Leone, which has 114 confirmed cases, became the sixth country to start vaccinating people on Thursday. US Plans to End Support to Global Vaccine Alliance, Gavi 26/03/2025 Kerry Cullinan A baby gets a BCG vaccination in a Gavi-supported programme. The United States plans to stop funding the global vaccine alliance, Gavi, which assists developing countries to buy vaccines to protect their children, according to a spreadsheet obtained by the New York Times. Gavi is one of the 5,341 US Agency for International Development (USAID) grantees that the US intends to cut, according to the 281-page spreadsheet sent to Congress this week. The US covers 13% of Gavi’s budget, and its vaccine programmes are estimated to have saved almost 19 million lives over its 25-year existence. “We have not received a termination notice from the US government and are engaging with the White House and Congress with a view to securing $300m approved by Congress for our 2025 activities and longer term funding for Gavi,” Dr Sania Nishtar, CEO of Gavi, told Health Policy Watch. “A cut in Gavi’s funding from the US would have a disastrous impact on global health security, potentially resulting in over a million deaths from preventable diseases and endangering lives everywhere from dangerous disease outbreaks.” Responding to the news on X, Gavi said that it could save “over eight million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future”. #USA support for @Gavi is vital. With US support, we can save over 8 million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future. But investing in Gavi brings other benefits for our world and the American people. Here’s why: https://t.co/41Yb0bsl8o — Gavi, the Vaccine Alliance (@gavi) March 26, 2025 An investment in Gavi will also keep the US safe, it added: “By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox and yellow fever we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars.” “Every dollar we invest in lower income countries generates a return of $54. This helps countries develop and communities thrive, taking away pressure to migrate in search of a better life elsewhere.” ‘Political decision to ignore science’ Public Citizen’s Liza Barrie said that the Trump administration’s decision “abandons 25 years of bipartisan commitment to global immunisation and undermines the very systems that help prevent deadly outbreaks from reaching our own doorsteps”. “The administration is walking away from a $2.6 billion pledge — jeopardizing routine vaccinations for 75 million children over the next five years,” said Barrie, who heads the organisation’s global vaccine access programme. “This isn’t fiscal responsibility. It’s a political decision to let preventable diseases spread— to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all,” she stressed, adding that Congress has authority over foreign assistance funding. “The administration’s attempt to unilaterally walk away from its Gavi commitment raises serious legal questions and should be challenged. Lawmakers must stand up for the rule of law, and for the belief that the value of a child’s life is not determined by geography.” Schoolgirls line up to receive the HPV vaccine in Central Primary School in Kitui, Eastern Kenya The US also plans to ditch the United Nations Food and Agriculture Organization, which tracks zoonotic diseases despite the US being in the midst of a months’ long H5N1 outbreak in cattle that has also infected farm workers. Only 898 grantees will be retained, including scaled back support for HIV and tuberculosis and food aid during humanitarian crises. Around 60% of grants for the US President’s Emergency Plan for AIDS Relief (PEPFAR) were administered by USAID and at least eight countries are on the brink of running out of HIV medicine. Only 869 USAID staff are still in office out of over 6,000 and the US State Department has taken control of the agency. Earlier, Health Policy Watch reported on a leaked plan for US foreign aid which would see a new body, the Agency for International Humanitarian Assistance (IHA), take over the remnants of USAID. The plan envisages three “pillars” for future aid thematically organised as “safer”, “stronger”, and “more prosperous”. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security” under a new body, which will fall under the State Department. US Vice President JD Vance is in charge of deciding on the future of USAID. Updated on 27 March to include comment from Gavi CEO Sania Nishtar, Image Credits: Gavi, the Vaccine Alliance, Keystone / EPA / Karel Prinsloo / GAVI. Reducing Emissions of ‘Super Pollutants’ Would Slam Emergency Brake on Global Warming 25/03/2025 Sophia Samantaroy Panelists Rachel Huxley, Claire Henly, and Pierpaolo Mudu discussed the threat of super pollutants ahead of the WHO Air Pollution and Health Conference. CARTAGENA, Colombia – A small group of climate pollutants– including the air pollutants black carbon, methane, and ozone – are responsible for nearly half of global temperature increases to date. Reducing these emissions, which only remain in the atmosphere for a few weeks to decades, could serve as the “emergency brake” critical to halting runaway climate change, said experts Monday on the eve of the second WHO Air Pollution and Health Conference. Although these pollutants exert enormous 20-year climate-warming potential that is 80 to 2,000 times greater than carbon dioxide (CO2) per ton of emissions, their lifespan is far shorter than CO2, which remains in the atmosphere for a century or more. These pollutants are also projected to continue warming the climate with greater potency than CO2 over the next century. “If you reduce them today, we’ll see impacts in our lifetimes,” said Claire Henly, executive director of the Super Pollutant Field Catalyst, a US start-up NGO, at a media briefing ahead of the conference. While CO2 has received the overwhelming amount of climate mitigation attention, Henly and others argued that addressing a class of “super pollutant” greenhouse gases and particles, also known as “short-lived climate pollutants,” offers the greatest opportunity to have a rapid, and meaningful impact on both health and climate. Henly and others identified ozone, black carbon, and methane as super pollutants because of their wide-ranging impacts on food security, health, and climate change. Slowing the rate of climate change would make it easier for the “world to adapt to climate change,” said Henly. Nexus of climate change, air pollution and health It is also the nexus where health, climate, and food security concerns directly converge – leading scientists to dub them “super pollutants” precisely due to those wide-ranging impacts. Black carbon is a sub-component of dangerous particulate matter, associated with some 7 million deaths annually from air pollution. Ground-level ozone, formed as pollutants emitted by vehicles, industry and waste, is a leading factor in respiratory illness, particularly asthma, as well as damaging some 90% of global crop production every year. Methane, emitted by waste dumps, agriculture, and oil and gas flaring, is a leading precursor to ozone formation. Slowing emissions would also slow the rate of climate change, buying time for the world to transition to cleaner energy sources and other longer-range climate solutions, said Henly. Two leading super pollutant gases, methane and nitrous oxides (N2Ox), are formally recognized in the Paris climate agreement as powerful greenhouse drivers with a climate forcing potential that is 80, and 270, times more than CO2 respectively in the next 20 years. But black carbon is ignored, leading to a fragmented approach. Compared to carbon dioxide, super pollutants exert stronger climate warming in both the short and longterm, but drop out of the atmosphere faster. Similarly, the shared concerns of climate and health sectors around super pollutant emissions are often siloed, said Sergio Sanchez, senior policy director at the Environmental Defense Fund. Greater recognition of super pollutants as detrimental to both health and climate could help break through the barriers to more climate action, he said. Reducing these pollutants could avoid four times more warming by 2050, as opposed to decarbonization policies alone – and also prevent some 2.4 million deaths a year from air pollution. Yet emissions of super pollutants, including methane, are currently on the rise. Agricultural sector is getting more attention Punjab environmental officers put out fires set by Pakistani farmers in Province, an annual ritual on both sides of the border that leaves the entire Indo-Gangetic Plain shrouded in smoke. Most attention on super pollutants has focused on methane leaks from the fossil fuel industry. These occur at nearly every stage of the extraction and production cycle, with natural gas flaring the most glaring example of methane emissions. However, another key source of potent methane emissions is the agricultural sector, which accounts for 40% of global human-made methane emissions, with livestock, rice cultivation and crop debris being key sources. People often forget the fact that in some regions, such as the European Union, the agricultural sector accounts for 54% of methane emissions, noted Pierpaulo Mudu, WHO scientist. Another 34% of global methane emissions comes from fossil fuels and 19% from rotting urban and household solid waste. Some methane is also emitted by natural sources, such as peat bogs and wetlands. Overall, two-thirds of global methane emissions come from human activities, according to the Global Carbon Project. Methane emissions from agriculture harder to track Methane emissions from agriculture, however, are much harder to track and monitor than emissions from the oil and gas sector. “In agriculture, these pollutants are not emitted in high concentrations,” said Henly. “The emissions are distributed, and the kind of detection, whether it’s through on the ground sensors or remote detection, is just a bit more challenging than in the oil and gas coal sectors. Whereas previously, only big methane spikes or leaks from oil and gas installations could be detected, that is changing now, Henly said. Recently, new technology, in the form of higher resolution satellite imaging, has opened the way for more granular estimates from sources like agriculture. This week’s WHO conference will therefore feature the first session ever about the links between methane emissions in agriculture, climate, and health. Solutions that can be promoted,, experts say, include biogas capture from anaerobic digestion of crop waste and manure as well as improved compost management – so that methane gas is not produced at all. Ozone chokes crops But agriculture is also impacted by super pollutants, particularly ozone. It’s now estimated that ozone leads to a loss of 12% of wheat, 16% of soybean, 4% of rice, and 5% of corn production every year. “So we can see that the super pollutants are a real growing threat to food security,” said Rachel Huxley, Head of Climate Mitigation and Health at Wellcome Trust. Ground level ozone (O3) is a product of the vicious cycle of super pollutant formation. Gases produced by cars and industry, crop and waste incineration, interact in sunlight, leading to ozone’s creation. Unlike the “good” layers of stratospheric ozone that protect the planet and people from harmful ultraviolet radiation levels, ground level ozone is harmful to crop production as well as human health. Inhaling ozone leads to respiratory and a host of other health issues. And when over farmland, the pollutant can dramatically disrupt staple crop growth, according to a 2025 report by the Clean Air Fund. This week, for the first time ever, WHO is convening a meeting on agriculture, air pollution, climate and health, with the hopes of drawing more attention to these linkages within health and environment circles. “Everyone is obsessed with transport,” said Mudu, the WHO scientist leading the session. “Because of the visibility of the black smoke, but there are many different sources of air pollution with many sorts of invisible gases.” Black carbon and snowmelt A traditional brick factory in southern Tunisia. In Africa and South Asia brick making and waste burning are major sources of black carbon emissions. On the other side of the coin, when urban and household waste or crop debris is burned, rather than left to rot, it produces smoke – a mixture of gases and particles, including black carbon. The burning of rice crop debris regularly envelopes large parts of the Indian subcontinent in billowy smoke every autumn. Burning of household and urban solid waste is also a common practice in many developing regions. Waste burning, together with the use of wood and charcoal for household cooking and heating, as well as in traditional brick kilns, cast a chronic pallor of smoke or smog over cities and farmland in many other low- and even middle-income regions of the world – also contributing to the formation of ozone. Super pollutants exist at the nexus of climate and air quality, making them cost effective pollutants to target. But the tiny specks of black contained in the smoke do even more harm than other types of fine particles. They accelerate climate change in mountain regions, where they settle on snow and ice, absorbing additional sunlight and thus increasing snow and ice melt. Scientists estimate that black carbon is responsible for 39% of glacier melt in certain Himalayan glaciers, and there are similar impacts being observed in the Himalayas, Alps, Andes and the Rockies, according to a 2025 Clean Air Fund report. Locally, glacier melt reduces the reliability of water sources that rural regions of Nepal and northern India rely on for crop irrigation as well as domestic use. But there are global implications as well. It is a major reason that the Arctic is warming four times faster than other parts of the world, increasing the chances of “dangerous climate tipping points being breached,” the report stated. Regulation and action Often “forgotten” as potent drivers of climate change and poor health, super pollutants contribute to nearly half of warming. Regulation of super pollutants is challenging – because so many pollutants, and sectors, are involved. In the case of ground level ozone, as well, the pollution is not emitted directly, but rather is a product of reactions between methane, nitrogen oxides, and volatile organic compounds. So the precursors need to be regulated. Despite such complexities, the fact that black carbon as well as methane, ozone and other powerful short-lived gases – only reside in the atmosphere for weeks to decades, makes Huxley hopeful that policymakers can see the “economic sense” in cutting back on such emissions. “This is one of the most effective ways to keep 1.5ºC alive,” she said, referring to the Paris climate agreement goal. “This is our emergency brake on climate change.” The Global Methane Pledge aimed at reducing the gas, was launched at COP26 by the United States and the European Union and has so far been supported by over 150 countries, including over two dozen African nations. “Methane has been globally recognized as a super pollutant since COP26, thanks to the launch of the Methane Global Pledge and the commitments made by countries since then,” said Elisa Puzzolo, Super Pollutants policy manager at the Clean Air Fund. “Now, is the time to raise our ambition and address all super pollutants, including black carbon and troposheric ozone, to protect the climate, safeguard public health, and support most-affected regions and communities.” Super-pollutants ‘movement’ Air pollution impacts the most vulnerable, including children showcased in a quilt from the Indian advocacy group Warrior Moms. What Wellcome and the Clean Air Fund want to foster is a more coordinated super-pollutants “movement” that cuts across sectors – together with the UN Enviroment Programme-hosted Climate and Clean Air Coalition. “Solutions are proven,” Puzzolo said. For super-pollutants though, the regulatory landscape is a bit more complicated. Black carbon, though harmful to health and the climate, is not included in the Paris Climate agreement because it is a particle. “Reducing black carbon, alongside other super pollutants, is the fastest, most effective way to slow climate change, while also mitigating the enormous health impacts of air pollution,” said Jane Burston, CEO of the Clean Air Fund. “Yet to date not enough has been done.” “Action on short-lived climate pollutants is a matter of time and temperature,” said Martina Otto, head of the secretariat at the Climate and Clean Air Coalition, which was founded over a decade ago specifically to spearhead awareness and action on superpollutants. “They have a higher warming potential than CO2 and don’t accumulate in the atmosphere. Cutting them turns down the heat within decades and reduces air pollution now. A double dividend that we cannot afford to miss.” Image Credits: WHO/Diego Rodriguez, E. Fletcher/HPW, Climate and Clean Air Coalition, Punjab Enviornment Department, Climate and Clean Air Coalition, A. Bose/ HPW. Civil Society Organisations Face Backlash After Trump, Musk Link USAID Grantees to ‘Terrorism’ 25/03/2025 Kerry Cullinan The USAID office in Washington Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations. This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents. There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India. The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO. “An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements “are part of a broader pattern of stigmatisation and discrediting of civil society”. “The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. Disrupting critical programmes The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found. Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, “Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE. A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. “The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added. “The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation. “The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. “Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker. The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children. Image Credits: Global Aid Freeze Tracker. PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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US Plans to End Support to Global Vaccine Alliance, Gavi 26/03/2025 Kerry Cullinan A baby gets a BCG vaccination in a Gavi-supported programme. The United States plans to stop funding the global vaccine alliance, Gavi, which assists developing countries to buy vaccines to protect their children, according to a spreadsheet obtained by the New York Times. Gavi is one of the 5,341 US Agency for International Development (USAID) grantees that the US intends to cut, according to the 281-page spreadsheet sent to Congress this week. The US covers 13% of Gavi’s budget, and its vaccine programmes are estimated to have saved almost 19 million lives over its 25-year existence. “We have not received a termination notice from the US government and are engaging with the White House and Congress with a view to securing $300m approved by Congress for our 2025 activities and longer term funding for Gavi,” Dr Sania Nishtar, CEO of Gavi, told Health Policy Watch. “A cut in Gavi’s funding from the US would have a disastrous impact on global health security, potentially resulting in over a million deaths from preventable diseases and endangering lives everywhere from dangerous disease outbreaks.” Responding to the news on X, Gavi said that it could save “over eight million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future”. #USA support for @Gavi is vital. With US support, we can save over 8 million lives over the next 5 years and give millions of children a better chance at a healthy, prosperous future. But investing in Gavi brings other benefits for our world and the American people. Here’s why: https://t.co/41Yb0bsl8o — Gavi, the Vaccine Alliance (@gavi) March 26, 2025 An investment in Gavi will also keep the US safe, it added: “By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox and yellow fever we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars.” “Every dollar we invest in lower income countries generates a return of $54. This helps countries develop and communities thrive, taking away pressure to migrate in search of a better life elsewhere.” ‘Political decision to ignore science’ Public Citizen’s Liza Barrie said that the Trump administration’s decision “abandons 25 years of bipartisan commitment to global immunisation and undermines the very systems that help prevent deadly outbreaks from reaching our own doorsteps”. “The administration is walking away from a $2.6 billion pledge — jeopardizing routine vaccinations for 75 million children over the next five years,” said Barrie, who heads the organisation’s global vaccine access programme. “This isn’t fiscal responsibility. It’s a political decision to let preventable diseases spread— to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all,” she stressed, adding that Congress has authority over foreign assistance funding. “The administration’s attempt to unilaterally walk away from its Gavi commitment raises serious legal questions and should be challenged. Lawmakers must stand up for the rule of law, and for the belief that the value of a child’s life is not determined by geography.” Schoolgirls line up to receive the HPV vaccine in Central Primary School in Kitui, Eastern Kenya The US also plans to ditch the United Nations Food and Agriculture Organization, which tracks zoonotic diseases despite the US being in the midst of a months’ long H5N1 outbreak in cattle that has also infected farm workers. Only 898 grantees will be retained, including scaled back support for HIV and tuberculosis and food aid during humanitarian crises. Around 60% of grants for the US President’s Emergency Plan for AIDS Relief (PEPFAR) were administered by USAID and at least eight countries are on the brink of running out of HIV medicine. Only 869 USAID staff are still in office out of over 6,000 and the US State Department has taken control of the agency. Earlier, Health Policy Watch reported on a leaked plan for US foreign aid which would see a new body, the Agency for International Humanitarian Assistance (IHA), take over the remnants of USAID. The plan envisages three “pillars” for future aid thematically organised as “safer”, “stronger”, and “more prosperous”. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security” under a new body, which will fall under the State Department. US Vice President JD Vance is in charge of deciding on the future of USAID. Updated on 27 March to include comment from Gavi CEO Sania Nishtar, Image Credits: Gavi, the Vaccine Alliance, Keystone / EPA / Karel Prinsloo / GAVI. Reducing Emissions of ‘Super Pollutants’ Would Slam Emergency Brake on Global Warming 25/03/2025 Sophia Samantaroy Panelists Rachel Huxley, Claire Henly, and Pierpaolo Mudu discussed the threat of super pollutants ahead of the WHO Air Pollution and Health Conference. CARTAGENA, Colombia – A small group of climate pollutants– including the air pollutants black carbon, methane, and ozone – are responsible for nearly half of global temperature increases to date. Reducing these emissions, which only remain in the atmosphere for a few weeks to decades, could serve as the “emergency brake” critical to halting runaway climate change, said experts Monday on the eve of the second WHO Air Pollution and Health Conference. Although these pollutants exert enormous 20-year climate-warming potential that is 80 to 2,000 times greater than carbon dioxide (CO2) per ton of emissions, their lifespan is far shorter than CO2, which remains in the atmosphere for a century or more. These pollutants are also projected to continue warming the climate with greater potency than CO2 over the next century. “If you reduce them today, we’ll see impacts in our lifetimes,” said Claire Henly, executive director of the Super Pollutant Field Catalyst, a US start-up NGO, at a media briefing ahead of the conference. While CO2 has received the overwhelming amount of climate mitigation attention, Henly and others argued that addressing a class of “super pollutant” greenhouse gases and particles, also known as “short-lived climate pollutants,” offers the greatest opportunity to have a rapid, and meaningful impact on both health and climate. Henly and others identified ozone, black carbon, and methane as super pollutants because of their wide-ranging impacts on food security, health, and climate change. Slowing the rate of climate change would make it easier for the “world to adapt to climate change,” said Henly. Nexus of climate change, air pollution and health It is also the nexus where health, climate, and food security concerns directly converge – leading scientists to dub them “super pollutants” precisely due to those wide-ranging impacts. Black carbon is a sub-component of dangerous particulate matter, associated with some 7 million deaths annually from air pollution. Ground-level ozone, formed as pollutants emitted by vehicles, industry and waste, is a leading factor in respiratory illness, particularly asthma, as well as damaging some 90% of global crop production every year. Methane, emitted by waste dumps, agriculture, and oil and gas flaring, is a leading precursor to ozone formation. Slowing emissions would also slow the rate of climate change, buying time for the world to transition to cleaner energy sources and other longer-range climate solutions, said Henly. Two leading super pollutant gases, methane and nitrous oxides (N2Ox), are formally recognized in the Paris climate agreement as powerful greenhouse drivers with a climate forcing potential that is 80, and 270, times more than CO2 respectively in the next 20 years. But black carbon is ignored, leading to a fragmented approach. Compared to carbon dioxide, super pollutants exert stronger climate warming in both the short and longterm, but drop out of the atmosphere faster. Similarly, the shared concerns of climate and health sectors around super pollutant emissions are often siloed, said Sergio Sanchez, senior policy director at the Environmental Defense Fund. Greater recognition of super pollutants as detrimental to both health and climate could help break through the barriers to more climate action, he said. Reducing these pollutants could avoid four times more warming by 2050, as opposed to decarbonization policies alone – and also prevent some 2.4 million deaths a year from air pollution. Yet emissions of super pollutants, including methane, are currently on the rise. Agricultural sector is getting more attention Punjab environmental officers put out fires set by Pakistani farmers in Province, an annual ritual on both sides of the border that leaves the entire Indo-Gangetic Plain shrouded in smoke. Most attention on super pollutants has focused on methane leaks from the fossil fuel industry. These occur at nearly every stage of the extraction and production cycle, with natural gas flaring the most glaring example of methane emissions. However, another key source of potent methane emissions is the agricultural sector, which accounts for 40% of global human-made methane emissions, with livestock, rice cultivation and crop debris being key sources. People often forget the fact that in some regions, such as the European Union, the agricultural sector accounts for 54% of methane emissions, noted Pierpaulo Mudu, WHO scientist. Another 34% of global methane emissions comes from fossil fuels and 19% from rotting urban and household solid waste. Some methane is also emitted by natural sources, such as peat bogs and wetlands. Overall, two-thirds of global methane emissions come from human activities, according to the Global Carbon Project. Methane emissions from agriculture harder to track Methane emissions from agriculture, however, are much harder to track and monitor than emissions from the oil and gas sector. “In agriculture, these pollutants are not emitted in high concentrations,” said Henly. “The emissions are distributed, and the kind of detection, whether it’s through on the ground sensors or remote detection, is just a bit more challenging than in the oil and gas coal sectors. Whereas previously, only big methane spikes or leaks from oil and gas installations could be detected, that is changing now, Henly said. Recently, new technology, in the form of higher resolution satellite imaging, has opened the way for more granular estimates from sources like agriculture. This week’s WHO conference will therefore feature the first session ever about the links between methane emissions in agriculture, climate, and health. Solutions that can be promoted,, experts say, include biogas capture from anaerobic digestion of crop waste and manure as well as improved compost management – so that methane gas is not produced at all. Ozone chokes crops But agriculture is also impacted by super pollutants, particularly ozone. It’s now estimated that ozone leads to a loss of 12% of wheat, 16% of soybean, 4% of rice, and 5% of corn production every year. “So we can see that the super pollutants are a real growing threat to food security,” said Rachel Huxley, Head of Climate Mitigation and Health at Wellcome Trust. Ground level ozone (O3) is a product of the vicious cycle of super pollutant formation. Gases produced by cars and industry, crop and waste incineration, interact in sunlight, leading to ozone’s creation. Unlike the “good” layers of stratospheric ozone that protect the planet and people from harmful ultraviolet radiation levels, ground level ozone is harmful to crop production as well as human health. Inhaling ozone leads to respiratory and a host of other health issues. And when over farmland, the pollutant can dramatically disrupt staple crop growth, according to a 2025 report by the Clean Air Fund. This week, for the first time ever, WHO is convening a meeting on agriculture, air pollution, climate and health, with the hopes of drawing more attention to these linkages within health and environment circles. “Everyone is obsessed with transport,” said Mudu, the WHO scientist leading the session. “Because of the visibility of the black smoke, but there are many different sources of air pollution with many sorts of invisible gases.” Black carbon and snowmelt A traditional brick factory in southern Tunisia. In Africa and South Asia brick making and waste burning are major sources of black carbon emissions. On the other side of the coin, when urban and household waste or crop debris is burned, rather than left to rot, it produces smoke – a mixture of gases and particles, including black carbon. The burning of rice crop debris regularly envelopes large parts of the Indian subcontinent in billowy smoke every autumn. Burning of household and urban solid waste is also a common practice in many developing regions. Waste burning, together with the use of wood and charcoal for household cooking and heating, as well as in traditional brick kilns, cast a chronic pallor of smoke or smog over cities and farmland in many other low- and even middle-income regions of the world – also contributing to the formation of ozone. Super pollutants exist at the nexus of climate and air quality, making them cost effective pollutants to target. But the tiny specks of black contained in the smoke do even more harm than other types of fine particles. They accelerate climate change in mountain regions, where they settle on snow and ice, absorbing additional sunlight and thus increasing snow and ice melt. Scientists estimate that black carbon is responsible for 39% of glacier melt in certain Himalayan glaciers, and there are similar impacts being observed in the Himalayas, Alps, Andes and the Rockies, according to a 2025 Clean Air Fund report. Locally, glacier melt reduces the reliability of water sources that rural regions of Nepal and northern India rely on for crop irrigation as well as domestic use. But there are global implications as well. It is a major reason that the Arctic is warming four times faster than other parts of the world, increasing the chances of “dangerous climate tipping points being breached,” the report stated. Regulation and action Often “forgotten” as potent drivers of climate change and poor health, super pollutants contribute to nearly half of warming. Regulation of super pollutants is challenging – because so many pollutants, and sectors, are involved. In the case of ground level ozone, as well, the pollution is not emitted directly, but rather is a product of reactions between methane, nitrogen oxides, and volatile organic compounds. So the precursors need to be regulated. Despite such complexities, the fact that black carbon as well as methane, ozone and other powerful short-lived gases – only reside in the atmosphere for weeks to decades, makes Huxley hopeful that policymakers can see the “economic sense” in cutting back on such emissions. “This is one of the most effective ways to keep 1.5ºC alive,” she said, referring to the Paris climate agreement goal. “This is our emergency brake on climate change.” The Global Methane Pledge aimed at reducing the gas, was launched at COP26 by the United States and the European Union and has so far been supported by over 150 countries, including over two dozen African nations. “Methane has been globally recognized as a super pollutant since COP26, thanks to the launch of the Methane Global Pledge and the commitments made by countries since then,” said Elisa Puzzolo, Super Pollutants policy manager at the Clean Air Fund. “Now, is the time to raise our ambition and address all super pollutants, including black carbon and troposheric ozone, to protect the climate, safeguard public health, and support most-affected regions and communities.” Super-pollutants ‘movement’ Air pollution impacts the most vulnerable, including children showcased in a quilt from the Indian advocacy group Warrior Moms. What Wellcome and the Clean Air Fund want to foster is a more coordinated super-pollutants “movement” that cuts across sectors – together with the UN Enviroment Programme-hosted Climate and Clean Air Coalition. “Solutions are proven,” Puzzolo said. For super-pollutants though, the regulatory landscape is a bit more complicated. Black carbon, though harmful to health and the climate, is not included in the Paris Climate agreement because it is a particle. “Reducing black carbon, alongside other super pollutants, is the fastest, most effective way to slow climate change, while also mitigating the enormous health impacts of air pollution,” said Jane Burston, CEO of the Clean Air Fund. “Yet to date not enough has been done.” “Action on short-lived climate pollutants is a matter of time and temperature,” said Martina Otto, head of the secretariat at the Climate and Clean Air Coalition, which was founded over a decade ago specifically to spearhead awareness and action on superpollutants. “They have a higher warming potential than CO2 and don’t accumulate in the atmosphere. Cutting them turns down the heat within decades and reduces air pollution now. A double dividend that we cannot afford to miss.” Image Credits: WHO/Diego Rodriguez, E. Fletcher/HPW, Climate and Clean Air Coalition, Punjab Enviornment Department, Climate and Clean Air Coalition, A. Bose/ HPW. Civil Society Organisations Face Backlash After Trump, Musk Link USAID Grantees to ‘Terrorism’ 25/03/2025 Kerry Cullinan The USAID office in Washington Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations. This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents. There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India. The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO. “An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements “are part of a broader pattern of stigmatisation and discrediting of civil society”. “The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. Disrupting critical programmes The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found. Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, “Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE. A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. “The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added. “The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation. “The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. “Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker. The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children. Image Credits: Global Aid Freeze Tracker. PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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Reducing Emissions of ‘Super Pollutants’ Would Slam Emergency Brake on Global Warming 25/03/2025 Sophia Samantaroy Panelists Rachel Huxley, Claire Henly, and Pierpaolo Mudu discussed the threat of super pollutants ahead of the WHO Air Pollution and Health Conference. CARTAGENA, Colombia – A small group of climate pollutants– including the air pollutants black carbon, methane, and ozone – are responsible for nearly half of global temperature increases to date. Reducing these emissions, which only remain in the atmosphere for a few weeks to decades, could serve as the “emergency brake” critical to halting runaway climate change, said experts Monday on the eve of the second WHO Air Pollution and Health Conference. Although these pollutants exert enormous 20-year climate-warming potential that is 80 to 2,000 times greater than carbon dioxide (CO2) per ton of emissions, their lifespan is far shorter than CO2, which remains in the atmosphere for a century or more. These pollutants are also projected to continue warming the climate with greater potency than CO2 over the next century. “If you reduce them today, we’ll see impacts in our lifetimes,” said Claire Henly, executive director of the Super Pollutant Field Catalyst, a US start-up NGO, at a media briefing ahead of the conference. While CO2 has received the overwhelming amount of climate mitigation attention, Henly and others argued that addressing a class of “super pollutant” greenhouse gases and particles, also known as “short-lived climate pollutants,” offers the greatest opportunity to have a rapid, and meaningful impact on both health and climate. Henly and others identified ozone, black carbon, and methane as super pollutants because of their wide-ranging impacts on food security, health, and climate change. Slowing the rate of climate change would make it easier for the “world to adapt to climate change,” said Henly. Nexus of climate change, air pollution and health It is also the nexus where health, climate, and food security concerns directly converge – leading scientists to dub them “super pollutants” precisely due to those wide-ranging impacts. Black carbon is a sub-component of dangerous particulate matter, associated with some 7 million deaths annually from air pollution. Ground-level ozone, formed as pollutants emitted by vehicles, industry and waste, is a leading factor in respiratory illness, particularly asthma, as well as damaging some 90% of global crop production every year. Methane, emitted by waste dumps, agriculture, and oil and gas flaring, is a leading precursor to ozone formation. Slowing emissions would also slow the rate of climate change, buying time for the world to transition to cleaner energy sources and other longer-range climate solutions, said Henly. Two leading super pollutant gases, methane and nitrous oxides (N2Ox), are formally recognized in the Paris climate agreement as powerful greenhouse drivers with a climate forcing potential that is 80, and 270, times more than CO2 respectively in the next 20 years. But black carbon is ignored, leading to a fragmented approach. Compared to carbon dioxide, super pollutants exert stronger climate warming in both the short and longterm, but drop out of the atmosphere faster. Similarly, the shared concerns of climate and health sectors around super pollutant emissions are often siloed, said Sergio Sanchez, senior policy director at the Environmental Defense Fund. Greater recognition of super pollutants as detrimental to both health and climate could help break through the barriers to more climate action, he said. Reducing these pollutants could avoid four times more warming by 2050, as opposed to decarbonization policies alone – and also prevent some 2.4 million deaths a year from air pollution. Yet emissions of super pollutants, including methane, are currently on the rise. Agricultural sector is getting more attention Punjab environmental officers put out fires set by Pakistani farmers in Province, an annual ritual on both sides of the border that leaves the entire Indo-Gangetic Plain shrouded in smoke. Most attention on super pollutants has focused on methane leaks from the fossil fuel industry. These occur at nearly every stage of the extraction and production cycle, with natural gas flaring the most glaring example of methane emissions. However, another key source of potent methane emissions is the agricultural sector, which accounts for 40% of global human-made methane emissions, with livestock, rice cultivation and crop debris being key sources. People often forget the fact that in some regions, such as the European Union, the agricultural sector accounts for 54% of methane emissions, noted Pierpaulo Mudu, WHO scientist. Another 34% of global methane emissions comes from fossil fuels and 19% from rotting urban and household solid waste. Some methane is also emitted by natural sources, such as peat bogs and wetlands. Overall, two-thirds of global methane emissions come from human activities, according to the Global Carbon Project. Methane emissions from agriculture harder to track Methane emissions from agriculture, however, are much harder to track and monitor than emissions from the oil and gas sector. “In agriculture, these pollutants are not emitted in high concentrations,” said Henly. “The emissions are distributed, and the kind of detection, whether it’s through on the ground sensors or remote detection, is just a bit more challenging than in the oil and gas coal sectors. Whereas previously, only big methane spikes or leaks from oil and gas installations could be detected, that is changing now, Henly said. Recently, new technology, in the form of higher resolution satellite imaging, has opened the way for more granular estimates from sources like agriculture. This week’s WHO conference will therefore feature the first session ever about the links between methane emissions in agriculture, climate, and health. Solutions that can be promoted,, experts say, include biogas capture from anaerobic digestion of crop waste and manure as well as improved compost management – so that methane gas is not produced at all. Ozone chokes crops But agriculture is also impacted by super pollutants, particularly ozone. It’s now estimated that ozone leads to a loss of 12% of wheat, 16% of soybean, 4% of rice, and 5% of corn production every year. “So we can see that the super pollutants are a real growing threat to food security,” said Rachel Huxley, Head of Climate Mitigation and Health at Wellcome Trust. Ground level ozone (O3) is a product of the vicious cycle of super pollutant formation. Gases produced by cars and industry, crop and waste incineration, interact in sunlight, leading to ozone’s creation. Unlike the “good” layers of stratospheric ozone that protect the planet and people from harmful ultraviolet radiation levels, ground level ozone is harmful to crop production as well as human health. Inhaling ozone leads to respiratory and a host of other health issues. And when over farmland, the pollutant can dramatically disrupt staple crop growth, according to a 2025 report by the Clean Air Fund. This week, for the first time ever, WHO is convening a meeting on agriculture, air pollution, climate and health, with the hopes of drawing more attention to these linkages within health and environment circles. “Everyone is obsessed with transport,” said Mudu, the WHO scientist leading the session. “Because of the visibility of the black smoke, but there are many different sources of air pollution with many sorts of invisible gases.” Black carbon and snowmelt A traditional brick factory in southern Tunisia. In Africa and South Asia brick making and waste burning are major sources of black carbon emissions. On the other side of the coin, when urban and household waste or crop debris is burned, rather than left to rot, it produces smoke – a mixture of gases and particles, including black carbon. The burning of rice crop debris regularly envelopes large parts of the Indian subcontinent in billowy smoke every autumn. Burning of household and urban solid waste is also a common practice in many developing regions. Waste burning, together with the use of wood and charcoal for household cooking and heating, as well as in traditional brick kilns, cast a chronic pallor of smoke or smog over cities and farmland in many other low- and even middle-income regions of the world – also contributing to the formation of ozone. Super pollutants exist at the nexus of climate and air quality, making them cost effective pollutants to target. But the tiny specks of black contained in the smoke do even more harm than other types of fine particles. They accelerate climate change in mountain regions, where they settle on snow and ice, absorbing additional sunlight and thus increasing snow and ice melt. Scientists estimate that black carbon is responsible for 39% of glacier melt in certain Himalayan glaciers, and there are similar impacts being observed in the Himalayas, Alps, Andes and the Rockies, according to a 2025 Clean Air Fund report. Locally, glacier melt reduces the reliability of water sources that rural regions of Nepal and northern India rely on for crop irrigation as well as domestic use. But there are global implications as well. It is a major reason that the Arctic is warming four times faster than other parts of the world, increasing the chances of “dangerous climate tipping points being breached,” the report stated. Regulation and action Often “forgotten” as potent drivers of climate change and poor health, super pollutants contribute to nearly half of warming. Regulation of super pollutants is challenging – because so many pollutants, and sectors, are involved. In the case of ground level ozone, as well, the pollution is not emitted directly, but rather is a product of reactions between methane, nitrogen oxides, and volatile organic compounds. So the precursors need to be regulated. Despite such complexities, the fact that black carbon as well as methane, ozone and other powerful short-lived gases – only reside in the atmosphere for weeks to decades, makes Huxley hopeful that policymakers can see the “economic sense” in cutting back on such emissions. “This is one of the most effective ways to keep 1.5ºC alive,” she said, referring to the Paris climate agreement goal. “This is our emergency brake on climate change.” The Global Methane Pledge aimed at reducing the gas, was launched at COP26 by the United States and the European Union and has so far been supported by over 150 countries, including over two dozen African nations. “Methane has been globally recognized as a super pollutant since COP26, thanks to the launch of the Methane Global Pledge and the commitments made by countries since then,” said Elisa Puzzolo, Super Pollutants policy manager at the Clean Air Fund. “Now, is the time to raise our ambition and address all super pollutants, including black carbon and troposheric ozone, to protect the climate, safeguard public health, and support most-affected regions and communities.” Super-pollutants ‘movement’ Air pollution impacts the most vulnerable, including children showcased in a quilt from the Indian advocacy group Warrior Moms. What Wellcome and the Clean Air Fund want to foster is a more coordinated super-pollutants “movement” that cuts across sectors – together with the UN Enviroment Programme-hosted Climate and Clean Air Coalition. “Solutions are proven,” Puzzolo said. For super-pollutants though, the regulatory landscape is a bit more complicated. Black carbon, though harmful to health and the climate, is not included in the Paris Climate agreement because it is a particle. “Reducing black carbon, alongside other super pollutants, is the fastest, most effective way to slow climate change, while also mitigating the enormous health impacts of air pollution,” said Jane Burston, CEO of the Clean Air Fund. “Yet to date not enough has been done.” “Action on short-lived climate pollutants is a matter of time and temperature,” said Martina Otto, head of the secretariat at the Climate and Clean Air Coalition, which was founded over a decade ago specifically to spearhead awareness and action on superpollutants. “They have a higher warming potential than CO2 and don’t accumulate in the atmosphere. Cutting them turns down the heat within decades and reduces air pollution now. A double dividend that we cannot afford to miss.” Image Credits: WHO/Diego Rodriguez, E. Fletcher/HPW, Climate and Clean Air Coalition, Punjab Enviornment Department, Climate and Clean Air Coalition, A. Bose/ HPW. Civil Society Organisations Face Backlash After Trump, Musk Link USAID Grantees to ‘Terrorism’ 25/03/2025 Kerry Cullinan The USAID office in Washington Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations. This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents. There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India. The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO. “An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements “are part of a broader pattern of stigmatisation and discrediting of civil society”. “The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. Disrupting critical programmes The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found. Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, “Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE. A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. “The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added. “The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation. “The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. “Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker. The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children. Image Credits: Global Aid Freeze Tracker. PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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Civil Society Organisations Face Backlash After Trump, Musk Link USAID Grantees to ‘Terrorism’ 25/03/2025 Kerry Cullinan The USAID office in Washington Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations. This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents. There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India. The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO. “An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements “are part of a broader pattern of stigmatisation and discrediting of civil society”. “The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. Disrupting critical programmes The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found. Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, “Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE. A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. “The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added. “The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation. “The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. “Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker. The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children. Image Credits: Global Aid Freeze Tracker. PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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PEPFAR Reauthorisation Expires With No Clarity About Renewed US Funding for HIV 25/03/2025 Kerry Cullinan PEPFAR beneficiaries The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed. The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026. PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated. The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico. The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous. The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants. “IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document. The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work. ‘Not philanthropic’ The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources. It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”. IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”. The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts. Lack of domestic funding The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”. Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration. Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses. “Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion. Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid. However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants. PEPFAR achievements in 2024, most of which have been reduced or terminated. Running out of medicine Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO). In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS) The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer. However, if US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week. UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect. Update on the status of UNAIDS agreement with the U.S. Government/USAIDhttps://t.co/6ytlfxhhoC pic.twitter.com/6o6Fn88Ujg — UNAIDS Global (@UNAIDS) February 28, 2025 Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts. As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses. When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others. However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years. A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people. Dismal prospects for PEPFAR But influential conservatives have long sought to curtail PEPFAR. The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”. Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation. It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa. While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals. Image Credits: PEPFAR, US State Department. How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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. 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How ‘Everyday Heroes’ in Nigeria Are Cleaning Up Their Communities 24/03/2025 Abdullahi Jimoh Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals. OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste. Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets. “I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.” But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State. “Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.” Struggling with waste Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the Environmental Performance Index 2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7. Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change. “Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said. The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability. By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA). Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity. Local hero on a mission ‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter. Nigeria generates 0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at landfills and causes carbon emissions. Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference. “Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.” Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds. In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos. He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off. Shift in mindset Ruth Adelakun, a locust bean seller, admits that she used to litter the market. Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening. “I keep my trash here and empty it into the big government bin,” she said proudly. Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak. “Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya. “When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch. Uphill battle Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria. Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding. “Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.” However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan. “You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall. “Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change. Image Credits: Abdullahi Jimoh. Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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.
Halving Deaths from Air Pollution is Central Aim of WHO Conference 24/03/2025 Sophia Samantaroy & Elaine Ruth Fletcher Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health. CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040. “Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health. Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year – as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists. Solutions largely require political will Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO. But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: “We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution. And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. “The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch. Health community rallies around air pollution As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. “Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. “At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.” Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva. Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air. Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader. International cooperation fraught with uncertainty The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story) https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/ Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its “BreatheLife” awareness-raising campaign. Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air. The WHO’s air quality targets. Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. “While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. Expanding knowledge around health impacts In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science. These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers. More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. “Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira. “The evidence is indisputable.” Health sector’s role A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. The conference also will: Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs) Showcase health, climate, gender and equity co-benefits of air pollution and energy action Harness climate and development finance to tackle air pollution and ensure a just energy transition. Leverage health arguments to drive country cooperation and financial commitments. Cultural hype to build awareness Air pollution simulators in “pollution pods” being set up prior to the conference. Amid the technical panels and commitments, the conference will host a range of interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center. Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said. Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles. During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW. Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. 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
Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions 21/03/2025 Disha Shetty Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream. Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers. These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS). Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers. But those glaciers are now rapidly retreating. “WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo. “Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.” Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm. See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C Melting glaciers are putting food security at risk Distribution of glaciers around the world. The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass. The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said. As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic. “Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference. The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities. Source of 70% of world’s freshwater under threat There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica. The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves. In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available. “Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now. Glacier melt contributes to sea-level rise Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass. The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice. From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day). Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe. This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean. During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp. Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975. The changes in global glaciers since 1975 in gigatons (Gt). “If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said. The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change. “For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said. Preservation of glaciers is a necessity The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss. This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record. “I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock. He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years. “This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said. “We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said. The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures. This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability. Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS. Posts navigation Older postsNewer posts