By Baher Kamal
MADRID, Mar 13 2023 – Islamophobia is a ‘fear, prejudice and hatred of Muslims that leads to provocation, hostility and intolerance by means of threatening, harassment, abuse, incitement and intimidation of Muslims and non-Muslims, both in the online and offline world.’

Consequently, suspicion, discrimination and ‘outright hatred’ towards Muslims have risen to “epidemic proportions.”

These are not the words of this convinced secular journalist, but those of the UN Special Rapporteur on freedom of religion or belief.

In fact, a recent report launched ahead of the International Day to Combat Islamophobia (15 March), warns that, motivated by institutional, ideological, political and religious hostility that transcends into structural and cultural racism, it targets the symbols and markers of being a Muslim.

The United Nations General Assembly adopted a resolution sponsored by 60 Member-States of the Organization of Islamic Cooperation (OIC), which designated 15 March as the International Day to Combat Islamophobia. The resolution stresses that “terrorism and violent extremism cannot and should not be associated with any religion, nationality, civilization, or ethnic group.”
This definition emphasises the link between institutional levels of Islamophobia and manifestations of such attitudes, triggered by the visibility of the victim’s perceived Muslim identity.

A threat to Western values?

This approach also interprets Islamophobia as a form of racism, whereby Islamic religion, tradition and culture are seen as a “threat” to “Western values.”

“Following the terrorist attacks of 11 September 2001 and other horrific acts of terrorism purportedly carried out in the name of Islam, institutional suspicion of Muslims and those perceived to be Muslim has escalated to epidemic proportions.”

Widespread negative representations of Islam

At the same time, “widespread negative representations of Islam, and harmful stereotypes that depict Muslims and their beliefs and culture as a threat have served to perpetuate, validate and normalise discrimination, hostility and violence towards Muslim individuals and communities.”

In addition, in States where they are in the minority, “Muslims often experience discrimination in accessing goods and services, in finding employment and in education.”

In some States they are denied citizenship or legal immigration status due to xenophobic perceptions that Muslims represent national security and terrorism threats. Muslim women are disproportionately targeted in Islamophobic hate crimes, adds the United Nations.

Islamophobic ‘hate crimes’

Studies show that the number of Islamophobic hate crimes frequently increases following events beyond the control of most Muslims, including terrorist attacks and anniversaries of such attacks.

“These trigger events illustrate how Islamophobia may attribute collective responsibility to all Muslims for the actions of a very select few, or feed upon inflammatory rhetoric.”

The UN says that many Governments have taken steps to combat Islamophobia by establishing anti-hate-crime legislation and measures to prevent and prosecute hate crimes and by conducting public awareness campaigns about Muslims and Islam designed to dispel negative myths and misconceptions.

A resolution…

The United Nations General Assembly adopted a resolution sponsored by 60 Member-States of the Organization of Islamic Cooperation (OIC), which designated 15 March as the International Day to Combat Islamophobia.

The resolution stresses that “terrorism and violent extremism cannot and should not be associated with any religion, nationality, civilization, or ethnic group.”

It calls for a global dialogue on the promotion of a culture of tolerance and peace, based on respect for human rights and for the diversity of religions and beliefs.

Marking the first International Day to Combat Islamophobia in 2021, UN Secretary-General António Guterres pointed out that “anti-Muslim bigotry is part of a larger trend of a resurgence in ethno-nationalism, neo-Nazism, stigma and hate speech targeting vulnerable populations including Muslims, Jews, some minority Christian communities, as well as others.”

… and a Plan

In response to the “alarming trend” of rising hate speech around the world, UN Secretary-General António Guterres launched the United Nations Strategy and Plan of Action on Hate Speech.

The Strategy clearly states that hate speech incites violence and intolerance.

The devastating effect of hatred, it adds, is sadly nothing new. However, its scale and impact are now amplified by new communications technologies.

“Hate speech – including online – has become one of the most common ways of spreading divisive rhetoric on a global scale, threatening peace around the world.”

The numbers

With an estimated total of some 1.8 billion followers worldwide, Islam is the second most spread belief after Christianism (2.2 billion).

Here, it should be reminded that not all Arabs are Muslims, nor all Muslims are Arabs.

In fact, Arab countries are home to just slightly more than 1 in 4 Muslims worldwide, while Asia –in particular South and Southeast Asia– accounts for more than 60% of the world’s Muslims.

The largest Muslim population in a single country lives in Indonesia, which is home to 13% of all the world’s Muslims. Pakistan (with 12%) is the second largest Muslim-majority nation, followed by India (11%), and Bangladesh (10%).

Also the Arabs

In spite of the above, there is still a widespread perception mixing Muslims with Arabs, which extends the anti-Muslim hatred wave to all Arab or Arab-majority societies.

Whatever the case is, recent history shows that several Muslim countries have fallen victims to wars, and military occupation (Palestine, Afghanistan, Iraq, Syria, Yemen), while others are scenarios to stark instabilities (Libya, Tunisia, Sudan, just to mention some).

Racism everywhere

No lessons have been learnt from horrific crimes committed against believers. Remember the Holocaust against the Jews?

The evidence is that racism, “xenophobia and related discrimination and intolerance exist in all societies, everywhere. Racism harms not just the lives of those who endure it, but also society as a whole,” stated the UN chief.

“We all lose in a society characterised by discrimination, division, distrust, intolerance, and hate. The fight against racism is everyone’s fight…”

Yes, but is it… really?

By Philippe Benoit
WASHINGTON DC, Mar 13 2023 – BP, the oil company that previously brought us “Beyond Petroleum” and more recently robust corporate climate goals, has announced a return in emphasis to its traditional business of producing oil. Drawn by the inescapable appeal of oil’s latest high profits, has BP rebranded itself as “Back to Petroleum?”

This type of shift highlights the importance of stronger market incentives for reducing emissions so that companies interested in decarbonizing see their financial interest align with that course. BP’s recent journey points to the need for instruments that influence profits specifically, and notably reconsideration of the controversial price control tool: a climate-driven price cap on oil.

BP has consistently been a forward-leaning company among its peers on climate.  As early as 2002, then CEO Lord Browne rebranded BP as it sought “to reinvent the energy business: to go beyond petroleum.” However, various financial pressures, including the Deepwater Horizon spill, subsequently moved the company away from its non-petroleum businesses.

So long as there are big profits to be made from oil, these companies will continue to be drawn to their petroleum activities, notwithstanding any stated desire to shift to renewables

But in August 2020, BP was back with a strengthened pivot to climate as the company announced a series of ambitious low-carbon targets.”  This included a 40% production decline and a 10-fold increase in low-carbon investment over the next decade.  BP also announced  a groundbreaking target for Scope 3 emissions (namely, emissions from the consumption of its products by industry and other consumers).

Unfortunately, BP has now scaled back its climate ambition.  Notably, rather than a 40% drop in production by 2030, BP now expects only a 25% decrease.  Significantly, this shift has been made at a time of $28 billion in record corporate profits for BP, records also seen by other oil majors, such as ExxonMobil and Shell.

These record profits — driven in part by high gas prices resulting from Russia’s invasion of Ukraine — also point to a major vulnerability for any market-driven climate effort.  With the lure of these type of returns from the traditional petroleum business, it is difficult to see or sustain financial motivation to shift away.

Indeed, as BP made clear in announcing its ambitious 2022 climate targets: “bp is committed to delivering attractive returns to shareholders” — and petroleum, with its upside, is uniquely placed to deliver the potential of a high return. So long as there are big profits to be made from oil, these companies will continue to be drawn to their petroleum activities, notwithstanding any stated desire to shift to renewables.

However, this also points to what needs to be a focus of an effective climate policy for oil: reducing its profitability.  Over the years, think tanks, academics and others have put forward carbon pricing as the most efficient emissions reduction instrument, but this discourse has failed to deliver significant results in practice, especially when it comes to oil companies.

As emissions continue to rise and the carbon budget shrinks, the time has come to explore other solutions. One tool that merits consideration — more precisely, reconsideration — is a cap on oil prices.

This “climate oil price cap” would be designed to increase the relative profitability and so financial appeal of renewables by limiting the upside on oil activities specifically (something a customary windfall profits tax set at the corporate level wouldn’t accomplish). It would thereby support and encourage BP and other oil companies to transform themselves from a traditional petroleum company into an “integrated energy company” (BP’s own term), one that can generate significant profits from renewables and other low-carbon products relative to its petroleum activities.

Oil price controls are, of course, not new and have a checkered history (e.g., President Nixon’s effort in the US 50 years ago). But the climate emergency presents a new threat that merits re-examining this instrument. Importantly, a price cap could also help energy-importing developing countries, as well as vulnerable households there and elsewhere, avoid the harmful impact of the high oil prices experienced in 2022 (another potential advantage over a windfall profits tax ).

And there is now a precedent for this type of concerted purchaser action, namely the price cap on Russian oil agreed by the EU and US. It is also a tool that has drawn renewed attention in other contexts, including rethinking the framework governing gas prices to insulate US consumers from the gasoline price surges driven by Russia’s invasion of Ukraine.

Any effort needs to consider the lessons from the failed efforts of the past.  For example, the cap should be set at a sufficient level to attract the desired supply – including to energy-importing developing countries — even as it precludes the type of record profits the oil industry saw last year. It should also build on the experience with the current Russian price cap.

While, admittedly today there isn’t sufficient support for aggressive climate policies, the prospect for strong action will likely increase over time as heat waves, flooding and other extreme weather events wreak havoc exacerbated by climate change.  This in turn can be expected to increase the willingness of politicians and policymakers to be more ambitious down the road in taking climate action.

In anticipation of this changing landscape, creative options beyond traditional carbon pricing mechanisms should be explored and put before these decision-makers by think tanks, academics and others.

In this regard, the combination of BP’s recent record profits and shift in corporate policy points to the appropriateness of considering a price cap on oil as a possible tool to fight climate change by improving the relative profitability of low-carbon investments.

Philippe Benoit has over 20 years of experience working on international energy, development and sustainability issues.  He is currently research director at Global Infrastructure Analytics and Sustainability 2050.

By Joyce Chimbi
NAIROBI, Mar 13 2023 – Up until 2019, nurses in three health facilities located in the semi-arid south-eastern Kenya region of Makueni County struggled to bring critical health services closer to a hard-to-reach population scattered across three remote, far-flung villages.

“Kamboo, Yindalani and Yiuma Mavui villages are located 17 and 28 kilometres away from Makindu sub-county hospital, and 10 and 22 kilometres away from the nearest electricity grid,” Benson Musyoka, the nurse in charge of Ndalani dispensary in Yindalani village tells IPS.

Without a cold chain capacity to store vital vaccines and drugs, health facilities records show vaccination coverage across these villages was well below 25 percent.

Babies were delivered at home because mothers could not raise 6 to 12 USDs to hire a boda boda or motorbike taxi, which is the only means of transportation in the area. Others could not reach the hospital in time to deliver.

“Every morning, I would collect vaccines at Makindu sub-county hospital and transport them inside a vaccine carrier box to Ndalani dispensary. Once the vaccines are inside the carrier box, they are only viable for up to six hours, at which point whatever doses will have remained unused must be returned to storage at Makindu sub-county hospital for refrigeration or thrown away,” Musyoka expounds.

In February 2019, a groundbreaking donation of a solar-powered freezer to the Kamboo health centre significantly improved availability and access to vaccinations as well as maternal health services across the three villages and surrounding areas.

Francis Muli, the nurse in charge of Kamboo health centre, tells IPS that without a fridge or freezer, “you cannot stock Oxytocin, and without Oxytocin, you cannot provide labour and delivery services.”

He says it would be extremely dangerous to do so because Oxytocin is injected into all mothers immediately after delivery to prevent postpartum haemorrhage. Oxytocin is also used to induce labour.

As recommended by the World Health Organization, Oxytocin is the gold standard for preventing postpartum haemorrhage and is central to Kenya’s ambitious goal to achieve zero preventable maternal deaths.

In 2017, the Ministry of Health identified sub-standard care in 9 out of 10 maternal deaths owing to postpartum haemorrhage. Overall, postpartum haemorrhage accounts for 25 percent of maternal deaths in this East African nation.

Usungu dispensary and Ndalani dispensary are each located 10 kilometres away from Kamboo health centre in different directions. Nurses in charge of the facilities no longer make the long journey of 28 kilometres to and another 28 kilometres from Makindu to collect and return unused vaccine doses on vaccination days.

“We collect vaccine doses from Makindu sub-county hospital at the beginning of the month and store them in the freezer at Kamboo health centre. The freezer is large enough to store thousands of various vaccine doses collected from the sub-county hospital for all three facilities,” says Antony Matali, the nurse in charge of Usungu dispensary in Yiuma Mavui village.

Two to three times a week, Matali and Musyoka collect doses of various vaccines, including all standard routine immunization vaccines, with the exception of Yellow Fever. The vaccines are transported to their respective dispensaries in a carrier box that can hold up to 500 doses of different vaccines, including the COVID-19 vaccines. All three facilities have recorded significant improvement in immunization coverage from a low of 25 percent.

At Kamboo health centre, where the freezer is domiciled, records show measles immunization rate has surpassed the target of 100 percent to include additional clients outside the catchment population area of 4,560 people. Overall immunization coverage is at 95 percent, well above the government target of 90 percent.

At Ndalani dispensary, the immunization rate for measles has also surpassed the target of 100 percent as additional patients, or transit patients from four surrounding villages and neighbouring Kitui County, receive services at the dispensary. The overall vaccination rate for all standard vaccines is 50 to 65 percent.

In the Usungu dispensary, the vaccination rate for measles is at 75 percent, and for other vaccines, coverage is hovering at the 50 percent mark.

“Usungu and Ndalani have not reached the 90 percent mark because we suffer from both missed opportunities and dropouts. Missed opportunities are patients who drop by a facility seeking a service and find that it is not available at that very moment. Dropouts are those who feel inconvenienced if they do not find what they need in their subsequent visits, so they drop out along the way,” Musyoka explains.

A cold chain or storage facility such as the solar-powered freezer, Muli says, is the cornerstone of any primary health unit in cash-strapped rural settings, and all services related to mother and child are the pillars of any health facility. Without these services, he emphasizes, all you have is brick and mortar.

“At Usungu and Ndalani, we are currently not offering labour and delivery services because we do not have Oxytocin in the facility at all times due to lack of storage, and we cannot carry it around in the hope that a delivery will materialize that day due to the six-hour time limit,” Musyoka expounds.

Still, pregnant women receive the standard tetanus jabs and all other prenatal services, but close to the delivery period, Ndalani and Usungu refer the women to the Kamboo health centre and follow-up to ensure that they receive referred services. Facility records show zero infant and maternal mortality.

Annually, the Ministry of Health targets to vaccinate at least 1.5 million children against vaccine-preventable diseases such as measles, polio, tuberculosis, diarrhoea and pneumonia. Currently, one in six children under one year does not complete their scheduled vaccines.

Only one in two children below two years have received the second jab of Measles-Rubella, and only one in three girls aged 10 have received two doses of the HPV vaccine which protects against cervical cancer.

Ongoing efforts are helping address these gaps. For instance, the HPV vaccine was introduced in Makueni in March 2021. Musyoka vaccinated 46 girls aged 10 years with the two doses of HPV vaccine in 2021, and another 17 girls received their first HPV dose in 2022 and are due for the second dose in November 2022.

Healthcare providers say the freezer has transformed the delivery of mother and child services in the area by bringing critical immunization services closer to a marginalized and highly vulnerable community.

IPS UN Bureau Report

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By Cecilia Russell
JOHANNESBURG, Mar 13 2023 – Child marriage, gender-based violence (GBV), sexuality education, religion, and tradition came under the spotlight during a conference, Arab and Asian Parliamentarians’ Meeting to Follow-Up on ICPD25 Commitments: Addressing Youth Empowerment and Gender-Based Violence, held in Jakarta, Indonesia.

Professor Keizo Takemi, MP Japan, Chair of the Asian Forum of Parliamentarians on Population and Development (AFPPD), reminded delegates that GBV is on the rise in conflict situations, during disasters, and during the prolonged COVID-19 pandemic.

“Furthermore, children in some countries are at higher risk of child marriage due to economic pressures and school closures caused by the pandemic. Globally, about one in five (21 percent) girls are married before the age of 18. Child marriage not only deprives girls of educational opportunities, but early pregnancy and childbearing also come with a higher risk of complications and death.

Pierre Bou Assi, MP Lebanon, President of the Forum of Arab Parliamentarians on Population and Development (FAPPD), told the delegates it was necessary to acknowledge and confront the issues of GBV in the region. It was clear from a series of case studies from the Arab and Asia Pacific region that while there has been some success, there was plenty of work to do.

Dr Dede Yusuf Macan Effendi, MP for Indonesia and Chair of the Indonesian Forum of Parliamentarians on Population and Development (IFPPD), said the country had had some successes – for example, the incidence of GBV dropped from 33 percent in 2016 to 26 percent in 2021. However, many incidents were unreported, and this was considered “the tip of the iceberg.”

Effendi noted the region’s issues – like the high proportion of child marriage and exposure to HIV/Aids.

Dr Hasto Wardoyo, the chairperson of BKKBN, said parliamentarians played a critical role, with various “studies suggesting that the government should take steps such as increasing care capacity and access to services such as health services, social services, developing children’s abilities, opening and equalizing access, strengthening family and social bonds.”

A professor from UIN Jakarta, Dr Nur Rofiah, gave a perspective from Islam and said the religion had a  concept of maslahah or goodness. This recognizes women’s bodily experiences are different from men’s, and it would be important to consider actions that “cause painful experiences for women’s bodies, including gender-based injustice.”

Rofiah emphasized the adverse effects of child marriage for women saying that child brides lost out on their childhood, dropped out of school, experienced domestic violence, often were adversely impacted by divorce, were stigmatized by being widowed, lacked competitiveness in the work environment, very often experienced single parenthood and were susceptible to child marriage.

COVID-19 had impacted the ICPD25 programme of action, especially on health care, with malaria and tuberculosis neglected, as was gender equality, said  Nadimul Haque, an MP in India. The Regional Sexual and Reproductive Health Adviser, UNFPA ASRO Professor Hala Youssef, developed this theme, saying policymakers need to change strategy during this decade of action to 2030 – without which it would be difficult to achieve the goals. She called on delegates to move from the idea of “funding” ICPD goals to “financing” them. Funding was reliant on the government, but financing involved the wider society.

Delegates took a deep look at the pressing issues of child marriage, sexuality education, religion and gender-based violence during the Arab and Asian Parliamentarians’ Meeting to Follow-Up on ICPD25 Commitments: Addressing Youth Empowerment and Gender-Based Violence meeting held in Jakarta, Indonesia. Credit: APDA

Youssef called on parliamentarians to concentrate on the needs of young people, people with disabilities, universal health coverage, budgetary and financial allocations, social determinants of health, maternal deaths among adolescent girls, strengthening health workforce numbers, and capacity building.

The case study presented by Professor Ashraf Hatem, an MP from Egypt, showed that his country’s Universal Health Insurance (UHI) would soon remove the issue of what he called “catastrophic health expenditure” of the poor. The scheme rolled out in phases, would decrease out-of-pocket expenditure from 62 percent to 32 percent in 2032.

The government was subsidizing about 35 percent of the population. He gave an example of open heart surgery done in a UHI facility that would cost a patient 300 Egyptian pounds or about USD 10.

A grim picture of the social, psychological, economic, and medical burdens resulting from unintended pregnancies in her country was painted by Soukaina Lahmouch, an MP from Morocco. While there had been an improvement in the legal arsenal regarding abortion, marriage, and access to quality health services, much was still to be done. She explained that in Morocco, about 153 newborns are born out of wedlock each day, of which 24 children are abandoned at birth.

About 11,4 percent of pregnant women still received no prenatal care; however, in rural areas, about one-fifth of mothers received no prenatal care, and 13.4 percent gave birth without the assistance of qualified personnel.

“More than half of the women affected by poverty do not seek follow-up during pregnancies,” Lahmouch said, adding that education was a determinant, with almost all women with secondary school education giving birth in a health facility, but those without education more likely to give birth at home.

About 12 percent of women were married under 18, and a recent survey showed that 62.8 percent of women aged between 18 and 64 experienced violence during the year before the survey.

Dr Suhail  Alouini, a former MP of Tunisia, quoted a World Bank study, saying 18 percent of women were married before 18 in the Middle East/North Africa (MENA) region. While in many countries, the legal minimum age for marriage is set at 18, there were exceptions for the marriage of underage individuals due to court decisions.

Alouini said conflict and displacement increased the risk of GBV, including sexual violence and forced marriages.

“In some conflict-affected areas in the Arab region, the rates of child marriage have increased, and the COVID-19 pandemic has led to a surge in reports of GBV in the Arab region and around the world. The pandemic also disrupted efforts to prevent child marriage as school closures and economic hardships made girls more vulnerable to early marriage.”

He noted that GBV and child marriage requires a comprehensive and multi-sectorial approach focusing on prevention response and political leadership, and ICPD25 recommendations provide a road map for action emphasizing the importance of investing in data and research and engaging a wide range of stakeholders and political leadership. The role of parliamentarians is critical in addressing GBV and child marriage.

Laissa Alamia, MP of Bangsamoro Transition Authority, Philippines, spoke about the situation in the self-governing region and the Philippines.

“One in four Filipino women aged 15 to 49 experienced physical, emotional, and sexual violence by their partner or husband. One in six Filipino girls finds herself married before hitting the age of 18.”

This is the case even though the Philippines is known for its “most vibrant woman’s rights movement and the most comprehensive anti-GBV legal frameworks and mechanisms in the world.”

Bangsamoro region is disproportionately poor, and 62 percent of the women belonged to poor communities; the approximate number of child brides was 88,600 out of a population of 2.46 million women.

He said ethnic minority Muslim women continue to face different forms of discrimination, and the code of Muslim personal laws in the country gives a prescribed age for marriage of 15 for men and 15 or at puberty for females.

Alamia said the Philippines law, which prohibits child marriages, is not universally accepted by all communities and brings up religious freedom debates.

Dr Jetn Sirathranont, MP Thailand, noted in his closing remarks that there was still a long way to go to achieve the ICPD25 programme of action, but he hoped this conference would give an impetus to finding solutions.

Tomoko Fukuda, Regional Director of IPPF ESEAOR, encouraged parliamentarians to continue their work on the ICPD programme of action, despite conflicting priorities.

“So we as the older generation have to be committed to ensuring that the world is a better place for the young people and the children born into this world,” she said.

Anjali Sen, UNFPA Representative in Indonesia, shared a study by Schneider and Hirsch in 2020 that showed that “comprehensive sexuality education meets the characteristics of an effective GBV prevention … comprehensive sexuality education is based on human rights and gender equality.”

She called for it to be implemented, stating that it needed support and involvement from teachers, parents, healthcare providers, young people, and the government. Parliamentarians had a role in ensuring that policy and financial support were available.

Note:. This conference was organized by APDA and FAPPD, hosted by IFPPD and supported by UNFPA and Japan Trust Fund (JTF).

IPS UN Bureau Report

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By Ashka Naik and Nicoletta Dentico
GENEVA, Mar 13 2023 – As countries recently gathered in Geneva for the fourth round of negotiations on the WHO proposed pandemic treaty or accord, close examination of the current text by civil society experts has revealed significant gaps.

Critical concerns about the underlying vision of the draft text have been highlighted in a public statement led and endorsed by civil society organizations globally. The statement has been shared with the Intergovernmental Negotiating Body (INB4) that is mandated with the pandemic treaty negotiation.

These concerns still stand true. And it is urgent that the INB begins to tackle them before the next round of negotiations are upon us.

First and foremost, our analysis focuses on the fact that several parts of the text rely on voluntary arrangements, and that the binding regime of the text appears discouragingly vague and weak. One such instance relates to the principle of “common but differentiated responsibilities in pandemic prevention, preparedness and response,” which the draft borrows from the climate instruments.

This notion is extremely important to avoid pandemics, and it cannot be made voluntary, if the world is serious about the goal of reaching systemic capacity to respond to future health crises.

The draft text’s failure to provide safeguards or an accountability framework regarding the role of the corporate sector is another major source of concern. The WHO negotiation places the new UN’s ‘whole of society’ approach – which has been pushed in other negotiating fora – at its core through multistakeholderism, against the backdrop of striking and unfettered geopolitical power asymmetries. The involvement of the private sector in the COVID-19 response has been extremely problematic.

Countries desperately needing a concerted effort to tackle the pandemic were held ransom to the whims of power and profits of both the philanthropic and pharmaceutical industry.

The proposed treaty or accord mustn’t make the same mistakes, and all attempts to bring the corporate sector into the negotiation of any pandemic prevention, preparedness, or response must be strictly regulated at best, and prevented whenever there is a risk of public interest health policies being hijacked for profit.

It is clear that the financing approach outlined in the draft text blatantly ignores that the global financial system has historically prevented low- and middle-income countries from investing in public health.

Tax dodging by corporations, lack of fiscal and policy space for domestic resource mobilization, and crippling national debts are major barriers that prevent many countries from strengthening their public health services and institutions.

In low-income countries, debt has increased from 58% to 65% between 2019 and 2021. Thirty nations in sub-Saharan Africa have seen a debt-to-GDP ratio exceeding 50% just in 2021.

While the current draft misses taking into account the challenges of the global financial architecture, there is a blind spot with no substantive acknowledgement that public health crises are often engendered or exacerbated by a systematic destruction of the planet, at the intersection of the climate and environmental crises, food insecurity, and the mounting inequality crisis enshrined in gender and racial discrimination.

So far, the draft text hardly does justice to the urgency of preventing pathogen spillover at the animal-human interface. A narrow focus on the biomedical approach to dealing with future pandemics, without considering these intrinsic systemic factors, is bound to remain largely insufficient in dealing with any future pandemics.

Way Forward

Governments and various relevant socio-political actors engaged in the WHO diplomatic initiative on the pandemic treaty or accord have different and diverging interests and the Intergovernmental Negotiating Body (INB), which has done impressive work to keep pace with the agreed negotiations’ roadmap, has to reckon with these diverse political demands and conflicting pressures.

However, it is clear that to carry out the original intent of the new pandemic treaty or accord, unambiguous wording is needed that conveys a binding character of the agreement. This also means that the multistakeholder model under which the entire process of the treaty is being managed has to be re-examined and re-imagined instead of its current ‘whole of society’ form.

In future, none of the promises made by member states in the WHO pandemic treaty or accord will result in the desired change needed if the robust and reliable compliance mechanisms that enable governments to be held accountable are absent.

These demands are not unique to this treaty, but have similarly been made by civil society in ongoing negotiations in the UN on climate change and in the UN treaty on business and human rights. These were also incorporated into the tobacco control binding policy that the WHO established nearly 20 years ago.

At the same time, public health, public governance, public systems, and public funding must be at the center of the pandemic planning, prevention, and response. It is important to finally recognise that the global financial architecture must be overhauled, especially for low income and developing countries to have sovereign control over their fiscal and policy space, and to resource their public health needs through progressive taxation policies.

It is imperative to understand that the private sector cannot fulfill the current funding gaps and needs no leveraging by international development and financial institutions. Healthcare privatization is not the way to go to face the health challenges of the present and the future.

Lastly, all efforts must be made to make sure that the text creates a deliberate interconnection between the right to health and the right to a healthy environment, now explicitly adopted as a human right by the United Nations, as well as the rights of nature to exist and thrive.

It is about time that this global public health discourse reckons with the reality of populations and the environments from the ground, rather than from the ivory towers of corporate investors and vested policy-making.

Ashka Naik is the Director of Research and Policy at Corporate Accountability, and directs its food program, which focuses on structural determinants of food systems, nutrition, and public health

Nicoletta Dentico leads the Global Health Justice program at Society for International Development and co-chairs the Geneva Global Health Hub (G2H2)

IPS UN Bureau

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By Edgardo Ayala
SAN SALVADOR, Mar 13 2023 – Despite serious allegations by the US justice system that two officials of the government of Nayib Bukele reached a secret agreement with the MS-13 gang to keep the homicide rate low, the Salvadoran president seems to have escaped unscathed for now, without political costs.

The MS-13 gang members reached the agreement, according to investigations, in exchange for benefits offered by the Bukele administration after the president took office in February 2019.

One of the benefits was apparently not to extradite to the United States leaders of the gangs who are in prison in El Salvador, according to the criminal indictment filed by the Attorney General’s Office of the Eastern District of New York.

The legal action was filed in September 2022, but it was made public on Feb. 23, and it targets 13 leaders of the fearsome MS-13 gang, who are held responsible for murders and other crimes committed in the United States, Mexico and El Salvador.“I do not believe the legal action in New York will damage Bukele’s reelection prospects.” — Jorge Villacorta

“The accusation (in New York) merely confirms something we already knew,” analyst Jorge Villacorta told IPS.

Villacorta was referring to investigative journalistic reports by the newspaper El Faro, which since 2021 revealed the secret negotiations that the Bukele administration held with the gangs, which the president has consistently denied.

But it is one thing for a newspaper to report this and quite another for it to come from an accusation from the United States Attorney’s Office, in an investigation in which the Federal Bureau of Investigation (FBI) participated.

“Because in this case we are talking about legal action” by the U.S. justice system, which could affect the two officials implicated, Mario Vega, an evangelical pastor who studies the phenomenon of gang violence in El Salvador, told IPS.

Since 2012, the United States has considered MS-13 a transnational criminal organization.

A grand jury has reportedly already heard the evidence presented by the prosecution and has endorsed a trial, at an unspecified date.

Three gang members and others who could be captured later could at some point in the trial testify against the two Bukele officials, “and we are going to find out about all the secrecy that has surrounded the negotiations,” Vega added.

The two officials are the director of the General Directorate of Penitentiaries, Osiris Luna, and the head of the Directorate for the Reconstruction of the Social Fabric, Carlos Marroquín.

Neither of them are mentioned by name in the legal action, but they are clearly identifiable by their government positions.

Nor is it mentioned that they reportedly reached an agreement with gang members under the auspices of the Salvadoran president, but that is obvious because given the president’s authoritarian style, no one moves a finger without his consent.

Bukele, a millennial neo-populist who governs with increasing authoritarianism, has been waging a frontal war against gangs since Mar. 27, 2022, which has led him to imprison more than 65,000 members, with the help of a state of emergency in place since then.

However, the war apparently broke out once the pact with the gangs broke down. In the course of the trial in New York it may be verified that the secret negotiations took place since 2019 and were suspended in March 2022.

So far, the crackdown on the gangs, known here as maras, has drawn the applause of the majority of the population in this Central American country of 6.7 million people, according to the opinion polls.

But the president has also come under fire for abuses by soldiers and police, who have arrested people with no ties to the maras.

Around 2,000 suspected gang members were transferred in late February to the mega-prison that the government built to hold a large part of the gang members arrested under the state of emergency, which has suspended some constitutional guarantees since March 2022 in El Salvador, allowing abuses and arbitrary arrests by soldiers and police. CREDIT: Presidency of El Salvador

Immune ahead of the elections

And what could spell a major blow to their credibility for any president and would perhaps shake the foundations of a government would not make a big dent in Bukele’s popularity, said analysts interviewed by IPS.

With regard to the news about the case in New York, “people see it as suppositions or simply do not believe it; I do not see it as generating significant political costs for Bukele,” added Villacorta, a former leftist member of Congress.

It will apparently not affect the president even as he is getting ready to seek reelection in the Feb. 4, 2024 elections. He has already announced that he will run again, but his candidacy has not yet been made official.

Although his campaign has not been launched, Bukele and his Nuevas Ideas party are already mobilizing their publicity machine, in the face of an opposition that is keeping its head down.

Most lawyers agree that the Salvadoran constitution prohibits immediate reelection.

In May 2021, a new Legislative Assembly, controlled by Nuevas Ideas, dismissed the five judges of the Constitutional Chamber of the Supreme Court without the proper procedures and appointed five of their allies, who endorsed the right to reelection.

“I do not believe the legal action in New York will damage Bukele’s reelection prospects,” said Villacorta, a critic of the president.

This is due to the high levels of popularity that the president has among the public and the widespread acceptance of the state of emergency, which suspends some constitutional guarantees and has made it possible to capture 65,000 gang members.

Some 2,000 imprisoned gang members were transferred at the end of February to the Terrorism Confinement Center, a mega-prison that the government built on the outskirts of the municipality of Tecoluca in central El Salvador to hold some 40,000 prisoners.

Villacorta added: “What is perceived in the country and abroad is that Bukele, like some kind of superhero, in a few months has squashed the gangs.”

However, despite abundant evidence of abuses and arbitrary arrests, ordinary Salvadorans are overlooking this because their main problem, gang violence, has been successfully reduced.

“People will tend to forgive his past deeds, due to the fact that now they (gang members) are all imprisoned. This narrative is the one that moves people, and these are the emotions that count when it comes to voting,” commented Pastor Vega, also an opponent of Bukele.

Of the 65,000 incarcerated gang members, 58,000 have had an initial hearing before a judge, Justice and Public Security Minister Gustavo Villatoro said on Mar. 8 in a television interview.

The case brought in New York does not affect Bukele; “on the contrary, it makes Salvadorans mad, because they say ‘do they want us to keep suffering (from the gangs)?’. They are not going to say, ‘Ok they’re right, (the government) has brainwashed us’,” criminologist Misael Rivas told IPS.

Negotiations today and always

But Bukele’s war against the “maras” is now more in doubt than ever, with the investigation and accusation initiated by the US justice system against the 13 leaders of the MS-13.

In the criminal indictment, the US Attorney’s Office states that since 2012 the gangs, including Barrio 18, the other major mara, engaged in secret negotiations with the government and political parties.

In that year, the country was governed by the Farabundo Martí National Liberation Front (FMLN), the guerrilla group that became a political party in 1992, after the end of the 12-year Salvadoran civil war.

The pact or “truce” fell apart in 2015.

Negotiations with the gangs continued in 2019 “in connection with the 2019 elections,” the document continues. That year, in February, Nayib Bukele won the presidency with a large majority of votes.

It adds that several leaders of the MS-13 secretly met “numerous times” with the two officials – Luna and Marroquín, although it does not mention their names, only their posts.

These meetings took place in the Zacatecoluca and Izalco prisons, in the center and west of the country, it adds, which had already been reported by El Faro.

Batman in trouble?

Even when the alleged pact with the Bukele administration fell apart in March 2022, in one of the voice recordings published two months later by the newspaper, Marroquín is heard saying that “Batman” (a pseudonym for the president) was fully aware of the situation.

The MS-13 also agreed to support Nuevas Ideas in the 2021 parliamentary elections, which that party won by a large majority

Of the 13 indicted MS-13 leaders, three were arrested on Feb. 22 in Mexico “by the authorities of that country and extradited to the United States,” the Attorney General’s Office for the Eastern District of New York said a day later, in an official statement.

Those captured are: Vladimir Antonio Arévalo Chávez (nicknamed “Vampiro de Monserrat Criminales”), Walter Yovani Hernández Rivera (“Baxter from Park View”) and Marlon Antonio Menjívar Portillo (“Red from Park View”).

Criminologist Rivas said the outcome of the trial, once it begins, is far from certain.

If prosecutors press for the details of the negotiations with the Bukele government, defense attorneys would have to work hard to undermine the gang members’ credibility when it came to implicating the two Salvadoran officials, he said.

“Thinking as a defense attorney, suppose they gave me the case, I would insist on why they are bringing the case up now, when there is a frontal attack against the gangs and the Salvadoran people are finally happy?” said Rivas, who is also a lawyer and who supports the state of emergency.