Pharma Giant’s TB Drug Decision Welcomed, But Not All Developing Countries Benefit

Dr Abhijit Bhattacharya, MS, Central Hospital Kalla, Eastern Coalfields Ltd., assesses an x-ray of a TB patient. Credit: ILO

Dr Abhijit Bhattacharya, MS, Central Hospital Kalla, Eastern Coalfields Ltd., assesses an x-ray of a TB patient. Credit: ILO

By Ed Holt
BRATISLAVA, Jul 21 2023 – In a surprise move, pharma giant Johnson and Johnson (J&J) has agreed not to enforce some of its patents on a lifesaving TB drug, making generic versions available in many low- and middle-income countries (LMICs).

Although on the WHO’s list of essential medicines and a cornerstone of much TB treatment, bedaquiline had not been available in many countries in part because of its high cost.

A deal agreed between J&J and the Stop TB Partnership will allow the latter to procure and supply generic bedaquiline to 44 low- and middle-income countries through its Global Drug Facility (GDF). It is expected the price at which these countries will then be able to buy the drug under the deal will be significantly lower than currently, and some experts have suggested it may also reduce the price of the drug for those countries not covered in the deal.

But patient advocacy groups say that while it is good news that many countries will now get the drug more cheaply, there remain some serious problems with the new deal as countries with some of the highest TB burdens in the world
are excluded. They are also unhappy that it does not address the enforcement of secondary patents the company has on altered formulations of the drug, which are in place in scores of LMICs until 2027.

Critics have called on J&J to declare it will not enforce any secondary patents on bedaquiline in any country with a high burden of TB and withdraw and abandon all pending secondary patent applications for this lifesaving drug.

“We hope this deal will help drive down the price of this drug for all countries. But it doesn’t go far enough. What would have been best would have been for J&J to abandon and withdraw all the secondary patents it holds or has applied for everywhere,” Lindsay McKenna, TB Project Co-Director at the Treatment Action Group (TAG), told IPS.

Advocacy organisations have for years been pressing J&J to reduce the price of bedaquiline.

First approved in 2012, it was the first new TB drug in over 40 years and was hailed as revolutionary in the fight against drug-resistant TB, cutting out the need to use often very toxic, intravenously administered drugs. Its use in patient regimens also produced vastly improved treatment outcomes.

But its high cost – initially USD900 per course even in low-income countries – meant that it was available to relatively few people in many low- and middle-income countries, which have some of the highest TB burdens in the world.

Its price has now come down but remains too high in the eyes of many experts.

According to global health charity Medicins Sans Frontieres (MSF), J&J currently prices the drug at USD1.50/day for an adult treatment (USD272/six months). But with scale-up and unrestricted generic competition, it says the price of bedaquiline could get closer to USD0.50 per day.

This would make a huge difference to cash-strapped TB programmes in poorer countries.

“Any penny that can be saved [on bedaquiline] and which can be spent on something else related to TB, such as case identification, is of massive importance, especially in countries with high TB burdens,” Christophe Perrin, TB advocacy pharmacist at MSF, told IPS.

But even if the deal does bring the price down to that level, some of the countries which would benefit from purchasing the drug at a lower price will not be able to as they have been excluded from it.

Nine countries in the Eastern European and Central Asian region, which have some of the highest TB burdens in the world, are not covered by the deal because of an exclusive supply agreement J&J has with a Russian pharma firm.

“This deal is beneficial for those countries which can access it, but why are some countries excluded? Those that are excluded have some of the highest TB burdens in the world. It’s a real worry,” said Perrin.

The exclusion has infuriated senior health officials in some of the excluded countries. In a rare instance of its kind, the national tuberculosis (TB) programme (NTP) of Belarus sent an open letter to J&J demanding urgent action to improve equitable access to bedaquiline in Belarus, and all other countries with a high burden of TB.

“It is completely unfair that we will be excluded from this deal,” Dr Alena Skrahina, Deputy National TB Programme Manager, Belarus, told IPS.

Another high-burden country that will not be able to take advantage is South Africa. The country’s national procurement rules mean that it obtains bedaquiline directly from J&J.

Doctors and patient activists involved in the country’s fight against TB say South Africa’s inclusion in the deal would have been a huge boon to its efforts against the disease.

“Any money that can be saved could be used to expand diagnosis, public awareness, and use shorter TB treatment regimens, which is what we are looking to do here. Almost 95% of our patients are receiving bedaquiline, so a reduction in the price could have a massive effect. It would definitely benefit South Africa if it was included in this deal,” Dr Priashni Subrayen, TB technical director at the Johannesburg-based healthcare organisation Aurum Institute, told IPS.

Brenda Waning, head of the GDF, told IPS the deal was a good one for LMICs, but could also theoretically benefit countries not covered by it. It is widely expected that the competitive tenders in the deal will push the global price of the drug down as well.

“The deal is special in that usually when a company like J&J gives out licences it does so to a supplier, but this deal allows for multiple competitive buyers. We are expecting the price of bedaquiline to go down, although we won’t know by how much until the tenders happen. But a lower price is not the only benefit for countries. It will also mean more suppliers – the last thing you want to be doing is relying on a single supplier for a drug so there will be greater supply security – and whenever you have a price decrease, that frees up money which can be used for other things [to fight TB],” she said.

“We think the access price [for other countries] may come down through these tenders, so these countries could, theoretically, get it at a lower price than previously,” she added.

But even if that does happen, it will not be enough for critics who say J&J must abandon secondary patents it holds, or has applied for, in any country.

Unlike primary patents, which protect a completely new chemical entity, secondary patents cover modifications of, medical uses, and dose regimes of the new compound, among others. Critics argue they form part of a practice of “evergreening” which extends companies’ monopolies on existing products and, crucially, makes it difficult for generic manufacturers to enter the market with a generic drug after the original patent has expired

J&J has secondary patents for bedaquiline in 44 countries which are not due to expire until 2027, but under the new deal with StopTB, those countries will now be able to obtain a generic version of the drug.

But they remain in place in those states – “if J&J were to suddenly pull out of this deal, these countries would be back to square one,” noted Perrin – and the company continues to actively pursue their implementation elsewhere.

Phumeza Tisile, a South African TB survivor who lost her hearing because of side effects of treatment with older generation TB drugs, said J&J, and other pharma companies, should immediately withdraw secondary patents and commit to not applying for them anywhere in future.

“This provides affordable medicine to people who need the drug [and] helps people get generic versions of the relevant medicine at a very low cost,” she told IPS.

Pharmaceutical firms often argue that secondary patents are necessary to recoup the often very high costs associated with bringing a novel drug to the market and invest in the production of other new medicines.

J&J did not respond when contacted by IPS, but in a statement made as news of the deal broker last week, the company denied its patents had prevented people from accessing its drug and that the most significant barrier to treatment access for patients was the millions of undiagnosed TB cases every year.

Tisile, who works for advocacy group TB Proof, dismissed such claims, saying secondary patents may be denying people the drugs which they need to stop them dying.

“It’s greed,” she said. “Pharma companies make medicines to help people, but it never made sense to me that they make this medication so out of reach to people who actually need the medication the most, for them, it’s only profits. “This then can be very dangerous to millions of people who need the medication to survive. In this case, it should be patients before profits,” she said.

Others pointed out that the development of many new drugs is often funded by taxpayers – one study found that public investment into bedaquiline’s development was as much as five times that of J&J.

“It’s not a good faith argument to say that secondary patents are needed for a company to benefit from its investment in a drug. You could flip that round and say that the public needs to benefit from the investment they made into a drug,” said McKenna.

IPS UN Bureau Report

 


!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)?’http’:’https’;if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+’://platform.twitter.com/widgets.js’;fjs.parentNode.insertBefore(js,fjs);}}(document, ‘script’, ‘twitter-wjs’);  

‘It’s Time UN Turned Ideas to ‘UNMute’ Civil Society into Action’

Activists, CSOs and faith-based leaders this week pondered how you get a seat at the table when they couldn't even get access to the UN building.

Activists, CSOs and faith-based leaders this week pondered how you get a seat at the table when they couldn’t even get access to the UN building.

By Abigail Van Neely
NEW YORK , Jul 21 2023 – How do you get a seat at the table when you can’t even access the building? This question loomed as activists, faith-based leaders, and NGO representatives gathered at the NY Ford Foundation. They discussed how to amplify the voice of civil society organizations at the UN Headquarters across the street.

“How to UNMute” was hosted on July 20, 2023, as a side event during the ongoing 2023 High-Level Political Forum (HLPF). The event kicked off the creation of a manual to break down barriers to civil society engagement as the first step towards turning ideas into action.

Maithili Pai, the UN advocate for the International Service for Human Rights, illustrated the divide between the UN’s verbal commitments and its actual practices. Sometimes, Pai said, civil society representatives could not enter UN meeting rooms or waited years for UN accreditation. According to Pai, some representatives even faced retaliation for trying to interact with UN bodies.

“We understand very well that civil society is under attack and that there are people pushing you back,” Costa Rica’s Ambassador to the UN, Maritza Chan, told the audience.

Chan stressed that meeting the UN’s 17 sustainable development goals (SDGs) required empowering civil society organizations that provide critical insight.

“We need civil society in the room at all times, providing advice, supporting states, and also calling us when we are not doing things right,” Chan said.

Recommendations for the manual on ‘unmuting’ civil society were developed at a recent workshop. They include better-resourced UN NGO support offices, increased financing for participation in UN events, and more supportive visa processes, especially for delegates from the global south who have been historically excluded. Advocates also called for more systematic flows of information, methods of participation, and pathways into the UN.

Arelys Bellorini, the senior UN representative from World Vision, said she has to go to friendly missions to facilitate youth access to the UN.

Nelya Rakhimova, a sustainable development specialist, said she was asked to pay $1,500 to be at the UN.

Carmen Capriles, an environmental policy expert at the United Nations Environment Program, said she could not attend meetings on climate change because they were closed.

The Ambassador to the UN from Denmark, Martin Bille Hermann, pushed these advocates to present specific action items. “You’re not giving me easy avenues to deliver,” Hermann said. “Develop a toolbox that would allow us to continue to live in an old house.”

“We cannot expect different results by doing the same things,” Chan added.

This is not the first time these issues have been raised.

On the 75th anniversary of the UN in 2020, the General Assembly committed to making the UN more inclusive to respond to common challenges. The following year, a set of steps to strengthen the meaningful participation of stakeholders across the UN was presented to the secretary general by a group of civil society organizations and the permanent missions of Denmark and Costa Rica. The recommendations were endorsed by 52 member states and 327 civil society organizations.

The 2021 letter focused on the use of technology to make UN meetings more accessible. It cited an evaluation survey that found 50 percent of participants during the virtual 2020 HLPF joined for the first time. Most of these new participants represented civil societies in developing countries.

One suggestion for bridging digital divides and incorporating a more diverse range of participants was to host hybrid events and offer internet connection at UN country-based offices. However, Rakhimova pointed out that some events still do not have hybrid options.

The 2021 letter also called for a civil society envoy to the UN and an official civil society day. Neither recommendation has been formally implemented yet.

Mandeep Tiwana, chief officer of CIVICUS, a global alliance of civil society organizations with a strong presence in the global south, addressed inequalities in who influences international decision-making. Tiwana expressed concern that wealthy members of the private sector can “come in through the backdoor.” Meanwhile, activists already facing restrictions on their work wait outside.

“The time to open the doors to the UN virtually, online, and in person has come,” Chan said.
IPS UN Bureau Report

 


!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)?’http’:’https’;if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+’://platform.twitter.com/widgets.js’;fjs.parentNode.insertBefore(js,fjs);}}(document, ‘script’, ‘twitter-wjs’);  

Eswatini: Election with No Democracy on the Horizon

Credit: Eswatini Government/Twitter

By Andrew Firmin
LONDON, Jul 21 2023 – Eswatini heads to the polls soon, with elections scheduled for September. But there’s nothing remotely democratic in prospect. The country remains ruled by King Mswati III, Africa’s last absolute monarch, who presides over Eswatini with an iron fist. Mswati dissolved parliament on 11 July, confident there’s little chance of people who disagree with him winning representation.

A long history of repression

There’ll be some notable absentees at the next election. At least two members of parliament (MPs) certainly won’t be running again: Mthandeni Dube and Mduduzi Bacede Mabuza were convicted of terrorism and murder in June. Their real crime was to do what Swazi MPs aren’t supposed to do: during protests for democracy that broke out in 2021, they dared call for political reform and a constitutional monarchy.

Dube and Mabuza could face up to 20 years in jail. In detention they were beaten and denied access to medical and legal help. They were found guilty by judges appointed and controlled by the king. In Eswatini, the judiciary is regularly used to harass and criminalise those who stand up to Mswati’s power: people such as trade union leader Sticks Nkambule, subject to contempt of court charges for his role in organising a stay-at-home strike demanding the release of Dube and Mabuza. Other activists face terrorism charges.

But not every crime is so zealously prosecuted. In January, human rights lawyer Thulani Maseko was shot dead by unidentified assailants. Maseko was chair of the Multi-Stakeholder Forum, a network that brings together civil society groups, political parties, businesses and others to urge a peaceful transition to democracy. He’d previously spent 14 months in jail for criticising Eswatini’s lack of judicial independence. He was also Dube and Mabuza’s lawyer. There’s been little evident investigation of his killing.

There’s plenty more blood on the king’s hands. The 2021 democracy protests were initially triggered by the killing of law student Thabani Nkomonye. At least 46 people are estimated to have been killed in the ensuing protests. Security forces reportedly fired indiscriminately at protesters; leaked footage revealed that the king ordered them to shoot to kill.

In some areas security forces went house to house, dragging young people out for beatings. Hospitals were overwhelmed with the injured. People who survived shootings weren’t allowed to keep the bullets extracted from them, since this would have constituted evidence. Some bodies were reportedly burned to try to conceal the state’s crimes. When a second wave of protest arose in September 2021, led by schoolchildren, Mswati sent the army into schools, and then closed schools and imposed a nationwide protest ban. Hundreds of protesters and opposition supporters were jailed. A dusk-to-dawn curfew was enforced with the army on the streets and an internet shutdown imposed.

To this day, no one has been held accountable for the killings. There’s also been zero movement towards reform.

Farce of an election forthcoming

Following the intervention of the Southern African Development Community (SADC), the king agreed to hold a national dialogue. But two years on, that hasn’t happened. Instead he held a Sibaya – a traditional gathering in which he was the only person allowed to speak.

Now the election is going ahead without any constructive dialogue or reform. The chances of reform-minded potential MPs winning significant representation are slimmer than ever. To do so, they’d have to navigate a two-round process that is exclusionary by design, with candidates first needing to win approval at the chiefdom level. No party affiliations are allowed.

To further rein in those elected, Mswati directly appoints most of the upper house and some of the lower house. And just to make sure, he picks the prime minister and cabinet, can veto legislation and remains constitutionally above the law.

It’s a system that serves merely to fulfil a kingly fantasy of consultation and pretend to the outside world that democracy exists in Eswatini. Official results from the last two elections were never published, but it’s little wonder than turnout in this electoral farce has reportedly been low.

With the king unwilling to concede even the smallest demands, evidence suggests that repression is further intensifying ahead of voting. The king has imported South African mercenaries – described as ‘security experts’ – to help enforce his reign of terror. There are reports of a hit list of potential assassinations. Lawyers who might defend the rights of criminalised activists and protesters report coming under increasing threat.

Time for international pressure

People have been killed, jailed and forced into exile, but desire for change hasn’t gone away. After all, people in Eswatini aren’t asking for much. They want a competitive vote where they can choose politicians who serve them rather than the king, and they want a constitutional monarchy where the king has limited rather than absolute powers. If they got that, they might even get an economy that works in the public interest, rather than as a vast mechanism designed to funnel wealth to the royal family while everyone else stays poor.

The pretence of an election shouldn’t fool the outside world. Civil society keeps calling on African regional bodies not to let them down. In May the Multi-Stakeholder Forum urged the African Commission on Human and Peoples’ Rights to back an eight-point plan to respect human rights and enable dialogue. The demands were presented by Tanele Maseko, Thulani Maseko’s widow.

Eswatini’s activists also expect more of SADC, and of the government of South Africa, the country where so many of them now live in exile. Governments and organisations that claim to stand for democracy and human rights need to exert some pressure for genuine dialogue leading to a transition to democratic rule. They shouldn’t keep letting the king get away with murder.

Andrew Firmin is CIVICUS Editor-in-Chief, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report.

 


!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)?’http’:’https’;if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+’://platform.twitter.com/widgets.js’;fjs.parentNode.insertBefore(js,fjs);}}(document, ‘script’, ‘twitter-wjs’);  

Biomethane Tested in Brazil as a Sanitation Input

A pickup truck is fueled with biomethane at a pump in the Franca Wastewater Treatment Plant, in the southeastern Brazilian state of São Paulo. Some 40 vehicles are run on biofuel produced from wastewater treatment. The resulting sludge goes through a biodigestion process, which extracts biogas, which is then refined as biomethane. CREDIT: Mario Osava / IPS

A pickup truck is fueled with biomethane at a pump in the Franca Wastewater Treatment Plant, in the southeastern Brazilian state of São Paulo. Some 40 vehicles are run on biofuel produced from wastewater treatment. The resulting sludge goes through a biodigestion process, which extracts biogas, which is then refined as biomethane. CREDIT: Mario Osava / IPS

By Mario Osava
FRANCA, Brazil, Jul 21 2023 – The city of Franca is an example of basic sanitation in Brazil. In addition to providing universal treated water and sewage to its 352,500 inhabitants, it extracts biogas from wastewater and refines it to fuel its own vehicles.

Biomethane, the final product also called renewable natural gas, replaces fossil fuels and is used in 40 vehicles of the state-owned company Saneamiento Básico do Estado de São Paulo (SABESP) in Franca, in the northeast of the state of São Paulo.”We are a laboratory, a pilot project, which SABESP will replicate in other facilities when the economic and technical feasibility has been proven and the qualification and regulation of biomethane is in place.” — Alex Veronez

SABESP Franca has been producing biogas at its main wastewater treatment plant (ETE) since its inauguration in 1998, but for 20 years it flared the gas in order to avoid pollution. In 2018 it switched to purifying it to initially supply 19 vehicles.

The city became a symbol of good sanitation practices when it reached first place in the ranking of the 100 largest Brazilian municipalities by the non-governmental Instituto Trata Brasil, which monitors the sector and promotes awareness of it.

From 2015 to 2020 Franca remained in the lead, but fell to ninth place in 2023, in the report released in March. Reduced investment, relative to income, was one of the factors leading to the decline. But the city continued to score top marks in nine of the 12 categories evaluated.

The main reason for the decline, according to the institute’s executive president, Luana Pretto, was the rate of water loss in distribution: 28.89 percent. The target is 25 percent. This item is also measured by the losses in each connection, in which the city is doing well, but the evaluation takes into account both indicators.

“The competition is fierce among the top positions,” Pretto told IPS from nearby São Paulo. “The top-ranked improve even more, while those at the bottom get worse. The best ones, with sound systems in place, have more capacity to invest in expansions and improvements. At the bottom, many new investments are required.”

 

Alex Veronez, district manager of the São Paulo State Basic Sanitation company, is interviewed in his office in the city of Franca in southeastern Brazil. The production of biomethane from sewage here is a "laboratory" to be replicated after proving its economic and technical feasibility, in addition to producing improvements such as drying the sludge to convert it into biofertilizer. CREDIT: Mario Osava / IPS

Alex Veronez, district manager of the São Paulo State Basic Sanitation company, is interviewed in his office in the city of Franca in southeastern Brazil. The production of biomethane from sewage here is a “laboratory” to be replicated after proving its economic and technical feasibility, in addition to producing improvements such as drying the sludge to convert it into biofertilizer. CREDIT: Mario Osava / IPS

 

Biogas complements sanitation

Extracting biogas from wastewater and using biomethane, in which SABESP Franca is a pioneer in Brazil and Latin America, would improve the ranking, since it complements sanitation, she acknowledged. But it is not included in the assessment.

Franca is the only one of Brazil’s 5,575 municipalities that produces biomethane from wastewater, even in the SABESP system, which is responsible for the basic sanitation of 375 municipalities in the southeastern state of São Paulo, with a total of 28 million inhabitants.

“We are a laboratory, a pilot project, which SABESP will replicate in other facilities when the economic and technical feasibility has been proven and the qualification and regulation of biomethane is in place,” explained Alex Veronez, district manager of SABESP in Franca, which is responsible for operations in 16 municipalities.

The biomethane plant was inaugurated in 2018, thanks to a partnership with the German Fraunhofer institute, which provided the refining and storage equipment, while SABESP carried out the necessary works and the adaptation of its vehicles to biofuel.

Investments totaled seven million reais (1.5 million dollars at the current exchange rate) and a return on the investment is expected in seven years.

 

A decanting pond is the first step in the treatment of wastewater that then goes through other processes until it is sufficiently clean to be returned to the river, at the Wastewater Treatment Plant in Franca, a city in southeastern Brazil. This leaves sludge that goes to the biodigesters where biogas is produced. CREDIT: Mario Osava / IPS

A decanting pond is the first step in the treatment of wastewater that then goes through other processes until it is sufficiently clean to be returned to the river, at the Wastewater Treatment Plant in Franca, a city in southeastern Brazil. This leaves sludge that goes to the biodigesters where biogas is produced. CREDIT: Mario Osava / IPS

 

The benefit is primarily environmental. The International Center for Renewable Energy-Biogas (CIBiogás) estimates that biomethane reduces gasoline pollution by 90 percent.

Its production is only the final part of the 550 liters per second wastewater treatment plant, about 85 percent of Franca’s total. It comprises several processes and numerous ponds, for decanting and oxygenation that increase the reproduction of the microorganisms necessary for biogas production in three large biodigesters

 

Regulations needed for biofertilizer

The sludge that goes through the biodigestion process that extracts gases from it can be converted into fertilizer. As such it was distributed to farmers during the 13 initial years of the ETE, until new regulations on fertilizers by the Ministry of Agriculture and Livestock prevented it from being used.

Since then, the sludge has been discarded in the city’s sanitary landfill, a waste that also has costs for transporting a material that is heavy due to its 80 percent moisture. Composting treatment to eliminate impurities such as fecal coliforms could enable it to be used as biofertilizer, but it became unfeasible due to the cost.

“We spend a lot to carry water to the landfill,” lamented Veronez in a conversation with IPS in his office at SABESP in this southern city.

In order to save money and create better conditions for converting sludge into fertilizer, SABESP Franca is implementing a new drying system, which has been purchased and is being installed, as well as renovating a greenhouse to dry the sludge using solar thermal energy.

 

The Franca Wastewater Treatment Plant in southeastern Brazil has three large biodigesters that extract biogas from sludge, where the microorganisms that perform biodigestion reproduce, in a process that eventually gives rise to biomethane. CREDIT: Mario Osava / IPS

The Franca Wastewater Treatment Plant in southeastern Brazil has three large biodigesters that extract biogas from sludge, where the microorganisms that perform biodigestion reproduce, in a process that eventually gives rise to biomethane. CREDIT: Mario Osava / IPS

 

“This will allow us to dry 90 tons of sludge per day,” the manager said. It will save on transportation costs and represents a step forward towards the regulation and development of compost, an additional product that would be added to biomethane in the use of organic waste.

For now, only light SABESP vehicles use biomethane. Successful tests were carried out on a bus from the Swedish company Scania. Sweden is a country that uses biofuel extensively in its heavy vehicles.

But the sanitation company does not plan to sell biomethane, which it produces for its own use. SABESP has many vehicles and a level of energy consumption that will demand all the biogas and biomethane it produces in the long term, said Veronez, a construction engineer.

There are many challenges standing in the way of fully taking advantage of urban sewage gases, including the organization of the market and regulation of the activity, which is a recent development in Brazil, unlike in Europe.

The biggest progress in producing biogas is in landfills, especially for electricity generation. In a few cases it is converted into biomethane.

 

The energy potential of sanitation

In Brazil, only about two percent of the potential for biogas is being tapped, the Brazilian Biogas Association (Abiogás) estimates. The main sources are agricultural waste, led by sugar cane residue and animal excrement, landfills and urban wastewater.

 

 Part of the equipment at Franca's Wastewater Treatment Plant, for processing the biogas that generates biomethane, described as renewable natural gas, which is already replacing fossil fuels in 40 of the company's vehicles on an experimental basis. CREDIT: Mario Osava / IPS

Part of the equipment at Franca’s Wastewater Treatment Plant, for processing the biogas that generates biomethane, described as renewable natural gas, which is already replacing fossil fuels in 40 of the company’s vehicles on an experimental basis. CREDIT: Mario Osava / IPS

 

But the potential of basic sanitation, limited in relation to agriculture and landfills, would increase if the goal of universalizing its services by 2033, set by the regulatory framework for the sector passed by Congress in 2020, is met.

In Brazil, 44.2 percent of the population of 203 million people still has no sewerage service. The goal set by the Sanitation Framework approved by Congress in 2020 is for at least 90 percent of the population to have access to wastewater treatment by 2033.

The goal of universalization of treated wastewater is more feasible because it already stands at more than 85 percent of the total. The problem is droughts, which have become more frequent as a result of climate change.

“Franca was caught off guard by the 2014 drought, a novel experience because we did not know the limits of our water sources, the measurements were insufficient,” Veronez acknowledged.

Water security improved with the June 2022 inauguration of a new water treatment plant that takes water from the Sapucaí-Mirim River, the largest in the region. Until now, the local water supply depended basically on the smaller Canoas River, which cuts across the municipality.

The new catchment will serve 30 percent of the population, but it will be connected to the old system so that it can compensate for eventual reductions in flow from other sources, explained the manager of SABESP Franca.

Wagner Mutiny Could Push a Weak Russia Closer to Iran

A weaker Russia needs Iran more; on the other hand, a weaker Russia threatens both countries’ authoritarian model of governance.

By Emil Avdaliani
TBILISI, Georgia, Jul 21 2023 – Iran is not interested in a highly powerful Russia that could block Iranian ambitions in the South Caucasus and Middle East. At the same time, a too weak Russia would constitute a dangerous development paving the way for greater Western influence along Iran’s northern border and potentially even leading to the reversal of Moscow’s dependence on Tehran.

When a mutiny led by one-time Vladimir Putin ally and Wagner Group chief Evgeny Prigozhin began on June 24, 2023, Iranian officials were uneasy. The sudden unrest came at a time of unprecedented alignment between Tehran and Moscow and caught the Iranian regime off-guard.

Iranian media reacted to the events in a variety of ways. Hard-line Fars News Agency published numerous articles on the unfolding events and explained the reasons for the mutiny, essentially parroting information provided by Russian news outlets.

Fars also criticized Western media for double standards for its apparent approval of a revolt led by someone equally if not more brutal than Putin.

The Nour Agency was more explicit in accusing the West of purposefully fomenting Putin’s downfall. The same agency, however, also published more restrained versions such as one noting that threats to the West would multiply if Prigozhin was able to take control of Russia’s nuclear arsenal.

The Tasnim Agency featured a series of articles as well as analyses that also blamed the West for exacerbating Russia’s difficult position. Hardline Kayhan newspaper predictably accused the West of direct involvement in internal Russian affairs.

Other analysts were more nuanced, and many blamed the mutiny on Moscow’s failure to meet its military goals in Ukraine. The former head of the Iranian parliament’s National Security and Foreign Relations Committee, Heshmatollah Falahatpisheh, argued that Putin emerged weaker from the mutiny.

On the official level, Iran openly supported its northern neighbor. Iran’s foreign ministry spokesman spoke of the rule of law, while Foreign Minister Hossein Amir-Abdollahian expressed hopes that Russia would prevail. President Ebrahim Raisi called Putin two days after the revolt ended to convey his “full support.”

Iran’s official support for the Russian government and its leader was not surprising. Saudi Arabia, Qatar, China, and many other countries expressed the same view. What matters is that despite a seemingly careful management of the crisis, uncertainty about Russia’s geopolitical power and, most of all, Putin’s ability to control the situation lingers for Iran.

The stakes are high. The two have been lukewarm partners despite a spurt of activity since Russia’s invasion of Ukraine in 2022. Historical grievances as well as conflicting regional ambitions have often prevented the expansion of cooperation since the fall of the Soviet Union in 1991.

The war in Ukraine marked a notable break from the previous era. Pressured by the West, Russia openly shifted toward Asia and the Islamic Republic. Expanding trade through the North-South corridor as well as growing military cooperation have increased the stakes for Iran over how well Russia fares both in Ukraine and domestically.

In many ways, the present alignment is exceptional; such cooperation has not been seen since the late 16th century when both Russia and Persia feared the expanding Ottoman Empire.

A Goldilocks approach: Russia should neither be too strong nor too weak

Yet modern Iran is not interested in a highly powerful Russia that could block Iranian ambitions in the South Caucasus and Middle East. At the same time, a weak Russia would constitute a dangerous development, paving the way for greater Western influence along Iran’s northern border and potentially even leading to the reversal of Moscow’s dependence on Tehran.

Russia’s internal destabilization would also reverberate badly for Iran since the latter has had its own share of internal disturbances since the death in police custody of Mahsa Amini in 2022.

Wagner’s success would have shaken the very foundation on which the Eurasian states have been building a new order: a strong security apparatus that uses modern technologies to control dissent.

Until recently, Eurasian powers had seemed to show that they had harnessed modernity and that the concept was no longer solely associated with the West. The Wagner mutiny, however, exposed that this order is vulnerable and that a modern authoritarian state can easily fall into disarray.

On one level, however, Prigozhin’s failure to achieve whatever his goals were presents an ideal scenario for Iran. Russia is weakened, but not too much and the longer this state of affairs continues, the better for Iran.

Indeed, Moscow serves as a linchpin in the Islamic Republic’s efforts to divert Western attention from the Middle East and gain further momentum in terms of regional influence and its nuclear program. Given the likelihood of Russia continuing the war in Ukraine, this trend could further solidify in coming years.

The mutiny and the ensuing reported purge in the military ranks revealed cracks in the Russian elite, but also provides the Islamic Republic with opportunities to advance its position in bilateral ties.

Putin cannot afford to lose friends, which means greater avenues for Iran to act. Tehran might become more emboldened in the South Caucasus, where it has grasped an emerging vacuum as a result of Moscow’s distraction and pushed for closer ties with Armenia, Russia’s long-time ally.

Another area is the nuclear negotiations where Russia might even lend further support to Iran not to reach a consensus with the West. In Syria, Russia could be more vocal against Israeli strikes against Iranian positions.

Perhaps the biggest opportunity for Iran lies in space and military cooperation. In other trade, Iran might achieve a preferential agreement with the Russia-led Eurasian Economic Union by the end of this year. Another area for growth could be in Russian investments in Iran.

Under a recently signed agreement, Moscow agreed to finance a railway link for a new transport corridor. This could be a precursor for investment in other sectors of Iran’s embattled economy.

Longer term, Iranian elites recognize that Russia is unlikely to win the Ukraine war, at least not decisively enough, and that the present stalemate is the best that the Kremlin can expect. This dire picture for Russia means its push toward Asia will only grow, feeding into Iran’s own “Look East” agenda, which has encountered some pushback recently over failed attempts to attract investments from China, India, and other Asian actors.

Emil Avdaliani is a professor of international relations at European University in Tbilisi, Georgia, and a scholar of silk roads.

Source: Stimson Center, Washington DC

IPS UN Bureau

 


!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)?’http’:’https’;if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+’://platform.twitter.com/widgets.js’;fjs.parentNode.insertBefore(js,fjs);}}(document, ‘script’, ‘twitter-wjs’);