By Joyce Chimbi
NAIROBI, Jun 22 2023 – The 1873 discovery of Mycobacterium leprae, the causative agent of leprosy by Norwegian doctor Gerhard Armauer Hansen, remains one of the greatest paradigm shifts in medical history, a true revolution.

“Before the great discovery, even in the days when communication and transportation technologies were not as developed as today, leprosy was detested by the entire world. Leprosy was believed to be a divine punishment or a hereditary disease; once affected, patients were segregated to remote areas and islands for life,” says Yohei Sasakawa, WHO’s Goodwill Ambassador for Leprosy Elimination.

Sasakawa, who also serves as chairperson of The Nippon Foundation, spoke during a two-day conference in Bergen, Norway, to commemorate the 1873 discovery. In attendance were over 200 people, including medical, human rights, and historical preservation experts, researchers, NGOs, and organizations of persons affected by the disease.

The Bergen International Conference on Hansen’s Disease, held on June 21 and 22, 2023, was organized by the Sasakawa Leprosy (Hansen’s Disease) Initiative and the University of Bergen. It focused on medical efforts against leprosy, human rights, and dignity issues and preserving the history of leprosy for the lessons it can teach future generations. All three are pillars of the Sasakawa Leprosy (Hansen’s Disease) Initiative’s activities for a world free of leprosy and the discrimination it causes, in line with the UN’s Resolution on Elimination of discrimination against persons affected by leprosy and their family members.

In his speech to delegates, Sasakawa acknowledged the extraordinary advances made by medical professionals since Dr Hansen’s discovery that leprosy was neither a curse nor a punishment from God but a chronic disease caused by a bacillus.

With the 1873 discovery, leprosy went from being a mythological divine disease shrouded in mystery to something one could observe and explain—although it would take more than half a century before a cure was found.

Delegates at the Bergen International Conference on Hansen’s Disease held on June 21 and 22, 2023. The conference was organized by the Sasakawa Leprosy (Hansen’s Disease) Initiative and the University of Bergen. Credit: Thor Brødreskift/Sasakawa Leprosy (Hansen’s Disease) Initiative

Margareth Hagen, Rector, University of Bergen, said there was a clear shift in the scientific discourse about leprosy before and after the discovery.

Sasakawa said the journey towards a cure started with a single anti-leprosy drug to more effective drug regimens and, ultimately, a recommendation from WHO’s medical team that leprosy patients receive drug regimens consisting of multiple drugs.

“A single anti-leprosy drug tended to increase drug resistance. Since the development of multi-drug therapy, with early detection and treatment, leprosy has become totally curable. About 60 million patients have been cured over the last 40 years,” he said.

Abbi Patrix, the great-grandson of Dr Hansen, now responsible for his great grandfather’s history, spoke about the man behind the science in a session titled, ‘My grandfather, my mother, the documents and me.’

Patrix, a European performance storyteller, talked about the day his mother, the only direct descendant of Dr Hansen at the time, learned that leprosy was named Hansen’s disease after her grandfather.

She was moved and wondered why? His mother was informed that Dr Hansen’s discovery had put a name to a disease that had confounded scientists and society alike and that labeling it ‘Hansen’s disease’ meant freedom for those afflicted because a cure could now be found.

The conference venue was, therefore, a recognition of his renowned great-grandfather because he was born in Bergen, and this was the site for his landmark 1873 discovery at only 32 years of age.

WHO Director-General Dr Tedros Adhanom Ghebreyesus told the audience: “WHO was born halfway between 1873 and today, 75 years ago. Much progress has been made since the two major milestones in the fight against leprosy. But much remains to be done toward our shared goals of zero disease, zero disability, and zero discrimination. Cases of leprosy have decreased significantly in recent decades, but more effort is needed to recover from the health system disruptions of the COVID-19 pandemic and move further ahead.”

Ghebreyesus said the WHO was committed to supporting countries in their bid to eliminate leprosy in line with the roadmap for neglected tropical disease for 2021 to 2030.

“So far, 49 countries have eliminated at least one neglected tropical disease, including Human African trypanosomiasis, rabies, and trachoma. With your support and those of our global partners, we can achieve that goal for leprosy too.”

Other dignitaries who spoke at the conference include United Nations High Commissioner for Human Rights Volker Türk, who said the conference celebrated medical innovations over the last 150 years.

“But when leprosy was eliminated as a global public health problem in 2000, it did not mean that the disease disappeared. Over 250,000 people suffer from leprosy every year, 15,000 of them are children. The actual figures are likely far higher,” he emphasized.

“Around three to four million people who have already been cured still bear varying degrees of impairment. The burden of leprosy is heaviest in countries with the greatest inequality, poverty, and marginalization.”

Türk further said that to better the lives of people affected by leprosy, “We need to address the physical symptoms, but we also need social and behavioral measures to address stigma and discrimination. We need comprehensive strategies with access to quality care, education, and social protection,” and told participants that “together we can make a real difference in ending leprosy, which causes immense preventable and unjustifiable suffering for thousands of people.”

Against this backdrop, Sasakawa stressed that further action is needed to combat stigma and discrimination, pointing out that as many as 130 discriminatory laws against leprosy are still in place in more than 20 countries.

“When respect for human rights is a must, it is unacceptable to leave such a large-scale and serious human rights violation unaddressed,” he said.

As the curtain fell on the Bergen conference of a remarkable journey to end leprosy over the last 150 years, Dr Takahiro Nanri, executive director of Sasakawa Health Foundation, noted that this was the third international conference that the foundation has helped to organize since launching its “Don’t Forget Leprosy” campaign in 2021 to help to ensure that the disease and those affected by it are not overlooked amid the coronavirus pandemic.

“Our purpose in organizing these conferences is to make the world aware that there are still many people who have Hansen’s disease and its consequences; to build momentum for collaboration toward the realization of a leprosy-free world; and to provide a setting for both formal and informal exchanges that can be a catalyst for innovative solutions that we as a foundation are ready to support,” he said.

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By Emilio Godoy
ENSENADA, Mexico , Jun 21 2023 – At the entrance to the coastal city of Ensenada in the northwestern Mexican state of Baja California a sign reads: “Every drop matters to us. Take care of the water.”

The message is important, as the city faces shortages due to hoarding by agricultural producers and builders, as well as the drought that has become more severe because of the effects of the climate emergency.”There is enough water, but there is hoarding. We consume a lot. It is a question of management. Consumption can be moderated, there are experiences around the world in this regard.” — Adrián González

But cities such as Ensenada, which has a population of 443,000 and is located 2,883 kilometers from Mexico City, do not take sufficient advantage of the reuse of water, a technique that along with other measures can contribute to the fight against the water shortage at a time when Mexico is suffering from intense drought and an unusual heat wave.

Independent expert Adrián González said a conventional focus on obtaining water that ignores improvements in its use continues to prevail.

“There is enough water, but there is hoarding. We consume a lot. It is a question of management. Consumption can be moderated, there are experiences around the world in this regard,” he told IPS.

Demand exceeds supply, and supply cuts and overexploited sources dry up the water supply. The delivery and sale of water in “pipas” or tanker trucks is a common sight in Ensenada, located in an arid region between the Pacific Ocean and the mountains.

Due to the overexploitation of the aquifers and the growing demand, Ensenada is suffering from a deficit, so long-term solutions are urgently needed.

Consumption stands at about 1,000 liters per second (l/s), which should increase to about 1,260 in 2030, while supply totals about 800 l/s, according to the State Water Commission, the government agency responsible for water resource management in Baja California, on the peninsula of the same name, bordering the United States.

While installed capacity and treatment are on the rise, a widespread problem lies in the historical lack of efficiency and maintenance of facilities, which limits the scope of the available technologies.

In 2021, coverage reached 67.5 percent of the wastewater generated and collected in the municipal sewage systems of this Latin American country, just a few tenths more than the previous year, according to data from the National Water Commission (Conagua).

Treated water can be used for agricultural irrigation, gardening, domestic and industrial uses, and can help recharge aquifers.

Local water agencies can undertake aquifer recharge projects, but incentives for doing so are needed. In fact, the legal framework does not stipulate recovery rights for reused water, which falls under the general jurisdiction of Conagua.

The El Naranjo municipal treatment plant in the city of Ensenada, in the northwestern peninsular state of Baja California, is operating below its installed capacity, which is further affecting the distribution of scarce water in the city. CREDIT: Conagua

Mexico, with a population of 128 million inhabitants spread over an area of 1.96 million square kilometers, is facing increasing water stress, ranking 24th among the countries in the world with this phenomenon, caused by overexploitation, pollution, scarcity and inequity in access to water.

In 2021, 2,872 water reuse plants were operating in Mexico – three percent more than the previous year-, with an installed capacity of 198,603 l/s and a treated flow of 145,341 l/s, just 0.5 percent above the 2020 level.

The northern state of Sinaloa has the largest number of plants (311), followed by Durango also in the north (241) and neighboring Chihuahua (195). Despite their water needs, those with the smallest number of plants are the southeastern state of Campeche and the northern state of Coahuila (27 each), which furthermore operate below capacity.

There are 44 plants operating in Baja California, with an installed capacity of 7692 l/s and a performance of 6222. At the same time, 14 of the 48 groundwater reservoirs in the state, including the Ensenada reservoir, suffer shortages because annual extraction exceeds renewal.

Regional and federal authorities have resorted to seawater desalination in the state, but it only refines about 130 l/s, out of a capacity of 250.

Martín Zepeda, founder of the non-governmental Citizens’ Water Commission, criticized the measures applied so far in the reuse of water.

“We have only achieved palliative measures. We have been suffering from the same problems for 30 years,” he stressed.

The coastal city of Ensenada in the northwestern Mexican state of Baja California depends on aquifer extraction, seawater desalination and the transfer of water from the state of Tijuana, also on the U.S. border, as not enough water is reused. CREDIT: Emilio Godoy/IPS

Baby steps

In another northern state, in the east, Nuevo León, reuse is showing signs of success, but more progress is needed.

Antonio Hernández, a researcher with the non-governmental organization Pronatura Noreste, stressed to IPS the need for treated water infrastructure.

“We don’t have a sufficient network to distribute the treated water available. In 2022, when the water shortage crisis began, the agency responsible instructed the municipalities to buy treated water and thus take pressure off the groundwater,” he told IPS from Monterrey, Nuevo León’s capital.

“The transfer was to be by truck. But it did not happen, because the municipalities did not buy the water nor did the government build the distribution network. Availability does not mean accessibility,” he said.

In 2022, Nuevo León, especially greater Monterrey with a population of more than five million people, faced a severe water crisis.

As a result, the authorities resorted to supply cuts, rate hikes, anti-waste fines and awareness campaigns on water usage.

In that state, 13 of the 24 aquifers are overexploited, including the one outside of Monterrey proper.

The population of Monterrey drinks about 16,000 l/s, which results in a deficit of about 3,000 l/s. That means the 56 treatment plants are insufficient, managing 12,387 l/s, compared to an installed capacity of 16,162 l/s.

Mexico does not take sufficient advantage of wastewater reuse, which can be used to recharge aquifers, for consumption in industrial facilities, for agricultural irrigation or for urban use. Pictured is a fountain in a park in a neighborhood in south-central Mexico City. CREDIT: Emilio Godoy/IPS

Half-hearted measures

Despite the problems faced by the plants, the Federal Attorney General’s Office for Environmental Protection (Profepa) only inspected four municipal facilities, most of them private, in 2016 in Baja California, where it found “minor irregularities” and charged fines in three, according to a public information request filed by IPS.

In Mexico City, only two were inspected – in 2018 and in 2022 – and minor irregularities were found in one private municipal plant, although it was not fined. In 2018, Profepa visited four plants in Nuevo León in which it found minor irregularities.

In total, Profepa inspected a total of 330 plants, including 50 in the western state of Jalisco and 33 in the northern state of Chihuahua. Of that total, it found minor irregularities in 234, and none in 69.

Focus on pipes and little else

The generalized view is the conventional one of promoting the construction of infrastructure to face the crisis, without addressing the scarcity of water resources.

The current Mexican government boasts that it is promoting 15 water projects, such as the construction of dams, aqueducts and treatment plants, mainly in the north of the country to combat the crisis.

In places like Ensenada, the outlook is no different.

Over the next few years, the State Water Commission foresees the expansion of the desalination plant, the modernization of an aqueduct, the rehabilitation of five treatment plants, the delivery of treated water to the agricultural zone, and the rehabilitation of pumping plants and wells.

Despite the situation, the Baja California state government is just now drafting its water plan for the 2022-2027 period.

In Nuevo León, authorities announced the digging of more wells, the construction of the Libertad dam, the El Cuchillo II Aqueduct and four treatment plants, as well as the modulation of pressure to reduce waste.

The Libertad dam will have a capacity of 1,500 l/s, at a cost of some 350 million dollars. Meanwhile, the aqueduct will transport 5,000 l/s, thanks to an investment of some 495 million dollars.

Mexico has also benefited from international financing for water projects. Since 1997, the North American Development Bank has financed 27 water and sanitation projects in Baja , in addition to three in Nuevo León since 2001.

The Norte treatment plant in the Mexican state of Nuevo León seeks to promote water reuse for automobile assembly, urban and agricultural activities in an area that experienced a severe water crisis in 2022. CREDIT: Conagua

Its financing of a 6.8 million dollar wastewater management initiative in the city of Mexicali is currently under public consultation.

In addition, the U.S.-Mexico binational financial institution is backing the issue of a 150 million dollar green bond for water projects.

The experts consulted proposed several measures, such as awareness campaigns, water reuse, and leak repair.

González, the independent expert, said the combination of reuse and efficiency offers very low costs and promising results.

“There is not going to be just one single solution. Fate is going to catch up with us. We can’t continue following strategies that have never worked and that have been exhausted,” he argued.

Zepeda, the water activist, also suggested the creation of a citizen water commission to audit the operation of the system.

“The situation is not going to improve until availability and uses are corrected. It is a combination of water sources and activities. We need long-term solutions,” he said.

Meanwhile, Hernández the researcher proposed a revision of zoning and land use plans to address the construction of neighborhoods, golf courses and vehicle assembly plants, to promote the efficient use of water.

By Thalif Deen
UNITED NATIONS, Jun 21 2023 – When the 193-member General Assembly adopted the 2030 Agenda for Sustainable Development back in September 2015., it was aimed at transforming the world into an idealistic state of peace and economic prosperity.

But eight years later, most of the world’s low-income countries (LICs) have been struggling to achieve even a single goal, including the two key targets: the eradication of extreme poverty and hunger by 2030.

In a new report released June 21, the United Nations has singled out some of the key achievers—the top five, among the world’s high-income countries (HICs), which are led by Finland, and followed by Sweden, Denmark, Germany and Austria.

European countries continue to lead in the SDG Index – holding the top 10 spots -– and are on track to achieve more targets than any other region, with Denmark, Czechia, Estonia, Latvia, and the Slovak Republic as the top five countries that have achieved or are on track to achieving the largest number of SDG targets this year.

By contrast, Lebanon, Yemen, Papua New Guinea, Venezuela, and Myanmar have the largest number of SDG targets moving in the wrong direction

The findings are listed in the 2023 Sustainable Development Report (SDR) and Index, which ranks the performance of all 193 UN Member States on the Sustainable Development Goals (SDGs) and is produced by the UN Sustainable Development Solutions Network (SDSN).

There is a risk that the gap in SDG outcomes between HICs and the LICs will be larger in 2030 than when the goals were universally agreed upon in 2015, warns the report

• Based on the current pace of progress since 2015, none of the goals will be achieved by 2030, and on average, less than 20% of the SDG targets are on track to be achieved.
• Government effort and commitment to the SDGs is too low, and notably, LICs and LMICs (low middle income countries) obtained a higher average score than HICs on political and institutional leadership for the SDGs.
• Among the G20 countries, average scores range from more than 75 percent in Indonesia to less than 40 percent in the Russian Federation and the United States.
• Argentina, Barbados, Chile, Germany, Jamaica, and Seychelles obtained the highest score on a new pilot index for their efforts to promote multilateralism, yet no country obtains a perfect score.

The report includes the first pilot index of multilateralism that captures the overarching dimensions of support for multilateralism and comparisons of countries, including countries’ efforts to promote and preserve peace, percentage of UN treaties ratified, international solidarity and financing, membership in select UN organizations, and the use of unilateral coercive measures among other indicators.

Argentina, Barbados, Chile, Germany, Jamaica, and Seychelles obtained the highest score for their efforts to promote multilateralism, yet no country obtains a perfect score.

The report was released just ahead of the June 22-23 International Summit for a New Global Financing Pact in Paris hosted by French President Emmanuel Macron.

As the UN nears the mid-point of the SDGs and ahead of the Paris Summit, the report provides timely insights on the chronic shortfalls of SDG financing to developing and emerging economies and offers six priorities for reform of the Global Financial Architecture.

The report also features a new pilot Index that gauges countries’ support for multilateralism and a new Index to track government efforts and commitments to the SDGs.

Despite the grim news, the report demonstrates that while the world is off track at the mid-point of the SDGs, now is the time for countries to double down on SDG progress by endorsing deep reform of the global financial architecture and implementing the SDG Stimulus to close the significant financing gap facing developing and emerging countries.

Professor Jeffrey D. Sachs, President of the SDSN and a lead author of the report, says half way to 2030, the SDGs are seriously off track – with the poor and highly vulnerable countries suffering the most.

“The international community should step up at this month’s Summit for a New Global Financing Pact in Paris, and at the key upcoming multilateral meetings, including the G20 meeting in New Delhi, the SDG Summit New York in September, and COP28 in Dubai, to scale-up international financial flows based on SDG needs”.

“It would be unconscionable for the world to miss this opportunity, especially for the richest countries to evade their responsibilities. The SDGs remain fundamental for the future we want.”

Providing a critical analysis of the new report, Jens Martens, Executive Director of Global Policy Forum Europe, based in Bonn, told IPS the SDSN report brings no surprises.

That the world is not on track to achieve the SDGs was already noted by the Global Sustainable Development Report 2023, the UN Secretary-General’s SDG Midterm Report, and many other civil society Spotlight Reports before.

However, the message that the SDSN Report conveys with the SDG Index is absolutely misleading, he pointed out.

“It suggests that the Western industrialized countries at the top of the ranking are on the right development path. But this is only because it ignores the negative externalities of their consumption and production patterns and their economic and financial policies. For good reasons, SDSN has therefore also developed a Spillover Index, but this merely complements the SDG Index,” he noted.

The emphasis on the SDG Index, with its positive ranking of Western industrialized countries, sends the wrong political message, said Martens.

“To reduce growing global inequalities, governments in the UN must address the structural causes of these inequalities”.

First and foremost, he argued, this requires fundamental reforms in the global financial architecture. The SDG Summit 2023, the Summit of the Future 2024, and the Fourth FfD Conference 2025 provide pivotal opportunities to initiate these reforms, he declared.

Chee Yoke Ling, Executive Director, Third World Network, Malaysia, told IPS the 2030 Sustainable Development Agenda with its 17 SDGs has fallen victim to the failure of means of implementation – new and additional financing as well as appropriate technology transfer to developing countries.

“We see the same fate for the climate and biodiversity treaties”.

At the same time, she said, the barriers in the external environment have worsened. “So, we see alarming debt burdens because the international financial architecture remains stacked against developing countries, while public funds and governments are pushed to take on a “de-risking” role to shore up private creditors”.

Look beyond, she said, the buzz of the World Bank’s Evolutionary Roadmap and the Macron New Global Financing Pact and “we see a fundamentally similar and even stronger set of policies and measures to maintain the status quo and further subject countries to financing sources beyond public control.

Meanwhile middle-income countries and even LDCs are faced with private creditors who refuse to do their part in debt reduction, and G7 governments do not want to rein them in either.

Trade protectionism is also rearing its head. The roll-out of the EU’s carbon border adjustment mechanism has raised alarms. In the name of a green transition for Europe, this new carbon border tax CBAM will directly impact Sub-Saharan Africa that relies heavily on exports of fossil fuels, minerals and metals that are carbon intensive, she pointed out.

Studies show that African countries will be highly exposed to the CBAM since 26% of continental trade was with the EU, while only 2.2% of the EU’s trade was with Africa.

The CBAM could reduce Africa to EU exports by up to 5.7%, based on current carbon prices. This may have the effect of reducing Africa’s GDP by about $16 billion at 2021 levels.

“Without clean technologies being shared with Africa, the EU’s new tax penalizes those countries that are already under increasing debt burden”.

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