|
|
| by Christopher
Spencer |
Former Senior
Advisor International Organizations, Canadian Department of
Foreign Affairs and International Trade |
| Updated: 13 SEP
08 | |
ACCESS TO HIV PREVENTION: CLOSING THE GAP, A 40 page Report by Global HIV Prevention
Working Group, (distributed after May 03 as Supplement to Foreign Affairs):-brief statement of
Working Group's accomplishment states that it is region-by-region analysis of gaps in access
to HIV prevention interventions; it examines current spending levels versus projected need; and
it recommends funding and programmatic activities to avert 29m of 45m new HIV infections
projected between 2002 and 2010.Worldwide comments; then analyses regarding regions:
Sub-Saharan Africa, Asia/Pacific, Eastern Europe/Central Asia, Caribbean/Latin America, North
Africa/Middle East. Conclusions: HIV Prevention Resource Gap; RECOMMENDATIONS.
Latter(each followed by argumentation) are: Global spending on HIV prevention activities from
all sources should increase three-fold by 2005 to $5.7b, and to $6.6b by 2007. Because
prevention efforts currently fall short of what is needed in every region of developing world,
prevention scale-up must be central priority in each region. In immediate future, prevention
efforts should aggressively focus on bringing to scale especially cost-effective, high-impact
interventions. As both prevention and treatment programs are brought to scale, these initiatives
should be carefully integrated to create singlecontinuum of services. In addition to funding
prevention interventions themselves, donors should, in collaboration with multilateral agencies,
provide extensive additional support to build long-term human capacity and infrastructure.
Development assistance and policy reforms should address social and economicconditions that
increase vulnerability to, and facilitate rapid spread of HIV/AIDS. Research into newprevention
strategies and technologies should be strengthened and accelerated. Substantial and sustained
efforts by all donors should focus on improving data collection regarding magnitude and nature
of HIV/AIDS spending in low- and middle-income countries.
F.H.Abed, "Micro-Credit, Poverty and Development: the Case of Bangladesh" in Behind the
HeadlinesVol.57/ No.2-3 (Winter/Spring 00):-micro-credit -small loans made to poor
households/individuals to finance small-scale entrepreneurial activities- has expanded
rapidly(world target is now $20b), and encouraged hope for major cost-effective global
poverty-reduction. "NGOs in Asia, Africa, and Latin America are largest providers of micro-credit
to those sections of society - rural landless, disadvantagedwomen, marginal farmers, and wage
labourers - who depend largely on selling their labour for a living" (12). These target groups
reflect the fact that it is often the only way very poor can break cycle of povertyresulting from
a lack of collateral and exorbitant local interest charges. It produced high success ratesnot only
in poverty-reduction(and repayment:98%)but in social reform, economic development,
education/training, and growth of assets for both borrowers/lenders, which is reinvested. Abed,
director ofBangladesh Rural Advancement Committee, among world's largest NGO's, offers
much globally-relevant information:big issues/questions; scale/approach/result;
specialties(income-useful education, social development).
Virginia D.Abernethy Population Politics: The Choices that Shape Our Future(New York: Insight
Books 93):-an influential source, frequently cited for its study of human incentives. It takes now
widely-held view that developing an informed motivation to lower fertility rates(e.g. perception
of limited resources)must often precede active use of contraceptives. It also makes radical
proposal: total US immigration ban.[In fact, current migration from poor to rich countries barely
affects demographic pressures or trends, although short-distance, large-scale movements (such
as from Bangladesh to Assam)can have local impact.] G. Pascal Zachary, "An Unconventional
Academic Sounds Population Alarm" in Wall Street Journal 31 Jul 98, reports that Abernethy
opposed most aid to poor countries since, contrary to "demographic transition" theory(that
fertility falls as living standards rise), prosperity increases fertility.[Most experts probably feel
that while" transition" is much more complex than once thought, perceiving its complete
reversal would:(1)confusesome immediate, with major long-term, effects of rising living
standards (low OECD fertility);(2)ignore many other factors, e.g. female education; women's
choice; cultural imperatives.]
Masood Ahmed & Cheryl Gray Helping Countries Combat Corruption: The Role of the World
Bank(Washington: IBRD 97):-produced by World Bank's Poverty Reduction and Economic
Management Network(PREM). Bank's World Development Report 1997: The State in a Changing
World(op.cit.)also deals with global corruption issues in government context but mainly
descriptively, while PREM reportconcentrates on how Bank can help governments address
corruption as serious development constraint. Daniel Kaufmann(op.cit.)lists more articles and
books on this issue.
Salman Ahmed"No Size Fits All: Lessons in Making Peace and Rebuilding States"Foreign
AffairsVol.84/No.1(Jan/Feb 05):-Review Essay by Senior Political Officer, Office of UN USG for
Peacekeeping Operations who served in Cambodia, South Africa, Bosnia/Herzegovina,
Afghanistan and Iraq. Providesanalysis of the argumentation of three books: Roland Paris At
War's End: Building Peace After Civil Conflict(Cambridge: Cambridge Univ.Press 04); Kimberly
Zisk Marten Enforcing the Peace: Learning From the Imperial Past(New York: Columbia Univ.
Press 04); John Mueller The Remnants of War(Ithaca: Cornell Univ.Press 04). All three
draw"attention to important lessons that deserve serious consideration from policymakers and
practitioners...Still, these authors make too much of similarities among cases they study and not
enough of differences. And by using them to extrapolate bold models for state reconstruction,
authors belie inherent complexities of task...Specifics of...conflicts - their scale as well as their
historical geopolitical/socioeconomic roots - should inform how peace brokered/maintained. Yet
none...pays enough attention to such fundamental considerations."Essay is worth reading - as
a survey of all the issues faced by the UN when easing post-crisis problems.
AIDS: THIRD WORLD: COST-PATENT DILEMMA; GLOBAL ASSISTANCE
AIDS: THIRD WORLD: INFECTION RATES AND SOCIAL-ECONOMIC ISSUES
AIDS: THIRD WORLD: MEDICAL DEVELOPMENTS AND CHALLENGES
AIDS: THIRD WORLD: POLICY ISSUES AND CONFERENCES
The HIV/AIDS pandemic is viewed increasingly as the most serious challenge facing global
society. Almost all material on this subject is found in the media and is included in RECENT
DEVELOPMENTS. To reach all media selections relating to AIDS, click on AIDS Third World.
John B.Alexander Future War: Non-Lethal Weapons in Twenty-First Century Warfare(New York:
St. Martin's Press 99):-excellent study of immense potential of non-lethal weapons, and impact
of global trends on aims of security. Assumed US/NATO must(via UN)be world police force.
Emerging threats for armed forces/police are: powerful criminal/terrorist organizations, together
with transnational/religious bodies/ groups seeing themselves as politically, economically or
socially deprived. Wide range of non-lethal weaponry includes acoustic, biological, chemical,
electromagnetic weapons, physical restraints, low-impact projectiles, information warfare.
Useful scenarios: peace support(UN)operations; technologicalsanctions; strategic paralysis;
hostages or barricades. Issues addressed: practical limitations, strategicimplications, moral
opposition, legal considerations, and constraints on "winning" .
Graham AllisonNuclear Terrorism: The Ultimate Preventable Catastrophe(New York: Owl
Books/Henry Holk & Co 05):-extremely expert/influential report argues in INTRODUCTION
that:"Given the number of actors with serious intent, the accessibility of weapons or nuclear
materials from which elementary weapons could be constructed, and the almost limitless ways
in which terrorists could smuggle a weapon through US borders, [i]n my own considered
judgment, on the current path, a nuclear terrorist attack on US inthe decade ahead is more likely
than not"(15). First chapter concludes:"What all [major terrorist] groups have in common is a
hatred of the US or the West, along with sophisticated organizational structuresand access to
technical know-how. [U]ncomfortable fact is that being the world's only superpower isinevitably
going to breed resentment of one form or another - and it is impossible to mollify every single
group. Challenge to US is to prevent these organizations from acquiring the means to threaten
us with nuclear attack"(42).Then describes"unique destructive power of these terrible weapons",
how/where they could be obtained, and where/when/how attacks might take place(43-120). Then
describes policy changes to reduce chance of attack. List: priority to issue; standard for secure
nuclear weapons/material; globalalliance against nuclear terrorism; global clean-out of all
dangerous fissile material; stop new national production of fissile material; shut down of nuclear
black markets; block emergence of nuclear weaponsstates; full review of global nonproliferation
regime; revise nuclear weapons' postures/pronouncements;global prosecuting war on
terrorism(205). Emphasis is on US but essential involvement must be global.
Mark Almond, Europe's Backyard War: The War in the Balkans(London: Heinemann
94):-combination of background information on post-Yugoslav conflicts and military/political
conduct to publication date. Highly critical of diplomatic actions of virtually all involved,
including most Yugoslav groups, UN and European bodies. Gives prescient warning of ominous
precedent set by failure in Balkans.
Lawrence K.Altman "Study Finds Drop in H.I.V. Cases in South India"NYT 31 Mar 06:-"Prevalence
of new HIV infections has fallen significantly in southern India, region of that country where the
disease hasoccurred most often, scientists reported. Many health officials have predicted major
increases in HIV in India, which has world's second highest number of infected people, after
South Africa. But new infections among young aduts declined by more than a third from 2000
through 2004, according to astatistical study. [Article contains selected statistics from study and
varied information about sources.]Authors attributed favorable trend to an increasing use of
condoms by men and an insistence by prostitutes that their partners use them. That decline, in
turn, reduced transmission of HIV to spouses.Experts cautioned against drawing too firm a
conclusion from one study and added that the new findingsdid not mean India's HIV epidemic
was over. Still, the study has two key implications, researchers said.One is that strategies that
emphasize education about how HIV can be transmitted and the use of condoms offer the best
hope for reducing the spread of the virus in India. Second is that routine monitoring of HIV and
other sexually transmitted diseases are powerful and cost-effective ways to control AIDS in
India. But experts urged constant vigilance for signs of a reversal of the favorable
trend...Reductions were more modest in 14 northern states, where prevalence of HIV infections
is about one-fifth that in the four southern states".
Lawrence K.Altman "Chimp Virus Is Linked to H.I.V." New York Times 26 May 06:- "By studying
chimpanzee droppings in remote African jungles, scientists reported [25 May] they have found
direct evidence of amissing link between a chimpanzee virus and the one that causes human
AIDS. Scientists have long suspected that chimpanzees are the source of the human AIDS
pandemic because at least one subspecies carries a simian immune deficiency virus closely
related to HIV, the virus that causes AIDS... The genetic and immunologic tests were developed
in stages over the past seven years to help tracethe evolution of HIV and solve the mysterious
origins of AIDS. [S]tudy combined genetics and epidemiology... Team's findings show 'for the
first time a clear picture of the origin of HIV-1 and theseeds of the AIDS pandemic'. HIV-1 is the
virus that causes the vast majority of AIDS cases in the world... Studies estimate that the human
AIDS virus jumped species 50 to 75 years ago. But no one knowswho the first infected person
was or how that person acquired HIV. The earliest HIV infection wasdocumented in 1959 in an
unidentified man in Kinshasa[, Congo]. Team theorized that HIV was first transmitted locally
somewhere in west-central Africa. Because the subspecies of chimpanzees... livesin the wild in
Cameroon, Gabon and Congo Republic, the first infection could have been in any of those
areas... The communities with a high prevalence of infected chimpanees were located south of
theSangha River, which flows into the Congo river and on to Kinshasa. That led... to the theory
that someinfected person carried HIV from a remote area to Kinshasa, where it was then passed
on. It is not known whether chimpanzees infected with SIVcpz become ill... More collections
were needed in other vast areas of Africa to provide a clearer picture of the evolution of AIDS
and to determine if there wereother viruses that could cause epidemics like AIDS" .
Lawrence K.Altman "Report Shows AIDS Epidemic Slowdown in 2005"New York Times 30 May
06:- "Newsurveys suggest that global AIDS epidemic has begun to slow, with decline in new HIV
infections in about 10 countries, leader of UNAID program said. Outside of those countries,..
number of new AIDS infections continues to rise or hover at its current pace. Meanwhile, public
health efforts are reaching only a small proportion of people at risk, Dr.Peter Piot, executive
director of UNAIDS, said at news conference in UN NYC ...India has 5.7m infected people and
South Africa 5.5m, but India's population far greater. Showing no sign of decline, South Africa
has a prevalence rate of about 19% of 47m people.In India, rate is less than 1% of its population
of 1.1b. Progress against AIDS in some regions represents dividends from a surge in financing
since 2001, when UN pledged its commitment to stem epidemic by 2010. Declaration called for
countries to report regularly on their responses to AIDS. This week, UNGAwill receive the
progress that 126 countries have said they have made. Report(op.cit.), most comprehensive
survey ever compiled from country data, pointed to the 2001 UN meeting as a turning point for
AIDS financing. In 2005,.. world spent $8.3b on AIDS, compared with $1.6b in 2001. 'We areseeing
the impact', Piot said. He cited increased condom use, a rise in postponement of sexual
intercourse and a decrease in number of sex partners as factors in slowing of epidemic.
Summarizing report's findings, Piot said '2005 was least bad year in the history of the AIDS
epidemic'... Despite thepositive trends, Piot reported grim findings from China, Indonesia, Papua
New Guinea, Russia andVietnam(op.cit.), with signs of outbreaks in Bangladesh and Pakistan.
Ending the pandemic will depend largely on changing social norms like empowering women,
reducing stigma of the disease andencouraging a greater reduction in the number of sex
partners, report said. Most countries have strong foundations for building an effective response
against AIDS, report said, but systems to carry out plansremain inconsistent. Thoroughness of
the individual national reports varied, and many countries did not provide data for all
categories... Still, replies identified significant weaknesses, he said. Fewer than 50%of young
people achieved comprehensive knowledge levels about HIV, far fewer than the 90% goal.
Only9% of gay men and fewer than 20% of intravenous drug users received any kind of HIV
prevention help in 2005. Services to prevent HIV infections in infants have not scaled up as
rapidly as programs to provide antiretroviral therapy. Just 9% of pregnant women were covered...
Report shows that epicenterof the epidemic remains in sub-Saharan Africa. There epidemic has
reached peak, but incidence remains unacceptably high, Piot said. Across most of Africa, HIV
prevalence among pregnant women attendingclinics has remained roughly level for several
years. UN disputed contentions by some observers thatthe leveling off showed a turning point
in the AIDS epidemic in Africa... Piot said, 'actual number of people infected continues to rise
because of population growth'" ; Reuters "25 Years On, Anti-AIDS Drive Still Falling Short" NYT
30 May 06:- "Twenty-five years after AIDS first recognized, world still falling shortin its battle
against the disease with severe gaps in prevention and treatment, UN said [30 May].'Response
to AIDS epidemic to date has been nowhere near adequate', said UNAIDS... Since...1981,AIDS
and HIV virus that causes it have spread relentlessly from a few widely scattered hot spots to
virtually every country in the world, infecting 65m and killing 25m, UNAIDS said in 630p report...
Anti-AIDS initiatives and their results vary widely from country to country, and many are falling
short of benchmarks set in a landmark high-level UNGA session in 2001, UNAIDS said... Dr. Peter
Piot of UNAIDS... expected long-term commitments at this week's meeting...and hoped for $20m
annually by 2010... Global AIDS incidence rate is believed to have peaked in 1990s. About 1.3m
in developing world now on life-extending antiretroviral medicines, which saved about 300,000
lives last year alone. Still, some 4.1m were newly infected and 2.8m died in 2005... Global supply
of condoms was less than 50% of what was needed, and antiretroviral drugs, while more widely
available, remained costly and hard to get. Ignored in many countries are prostitutes, said...
ex-dir of UN Population Fund... However, final statement by governments at conference this
week not expected to refer to prostitutes, drug users orhomosexuals, due to objections from
Islamic nations, some Catholic countries and US, which fear thatmerely mentioning these groups
would endorse their behaviour. Infected individuals still suffer fromostracism and discrimination,
while vast majority of world's 40m infected have never been tested for HIVand are unaware of
their status, report said. While $8.9b expected available in 2006, $14.9b will be needed, UNAIDS
said. By 2008, it predicted $22.1b would be needed, including $11.4b for prevention plans alone.
Report called for more and better-targeted education and prevention strategies, more treatment
opportunities, and more drug research, particularly on drugs for children, whose needs 'have
been largely left out of the research agenda'" ; Lawrence K.Altman "U.N. Urges Tripling of Funds
by '08 to Halt AIDS" NYT 01 Jun 06:- "Stopping epidemic of AIDS will require $22b/year by 2008
and possibly more in following years, officials of UNAIDS program said. The $22b is nearly triple
the $8.3b spent 05 by all sources, including governments and private sector. Urging that
countries spend more, UNSG Kofi Annan said a costlier and more sustained effort needed
because AIDS 'has spread further, faster and with more catastrophic long-term effects than any
other disease'... Of projected figure, half is needed for prevention and a quarter for treatment and
care of infected people. Remainder is for care of orphans,children at risk of becoming infected
and program costs. UNSG and Piot of UNAIDS spoke as UNGAbegan meeting aimed at renewing
political commitment and setting new goals for expenditures and formeasuring progress...
Annan urged delegates to challenge countries trying to avoid goals that mention gay people,
prostitutes, intravenous-drug users and others at high risk of becoming infected.'Governments
concerned need to be realistic and responsible', UNSG said. He also said that 'if we are here to
try to end the epidemic, we will not succeed by putting our head in the sand and pretending
thatthese people do not exist or they do not need help'... Report cards showed that most
countries missed more goals than they met. More than 20m have become infected since 2001
meeting. Now countriesmust fundamentally change the way they think and deal with epidemic,
moving from crisis managementto 'sustained attention and the kind of "anything it takes"
resolve that member states apply to preventing global financial meltdowns or wars' , Piot said...
Global Business Coalition on HIV/AIDS released a study showing that private companies have
become more likely to provide treatment for employees as cost of antiretroviral drugs has fallen
over last six years, to $140-$300/year, from $10,000. In African countries with a high prevalence,
more than 70% of companies surveyed are fully subsidizing access to HIV treatment, coalition
said. Study...found increasing trend to expand such treatment to employees' dependents.
Companies also offering access to voluntary testing/counseling" ; Lawrence K.Altman &
Elisabeth Rosenthal "U.N. Strengthens Call for a Global Battle Against AIDS" NYT 02 Jun 06:-
"[UNGA]adopted strongly worded declaration [02 Jun] aimed at pressing nations of the world
to strengthen theirbattle against AIDS, global pandemic [UNSG] called 'greatest challenge of our
generation'. Language of document surprised even anti-AIDS groups, which said that while it
did not satisfy all their objectives, they had feared it would be watered down... Nonbinding
declaration reaffirms commitments made in 01,when UN defined AIDS as far more than a medical
issue, framing it in terms of political/human rights/ economic survival... New document is
political blueprint, not plan of action. Calls for strong commitment to bolster the rights of
women/girls so they can protect themselves from infection with HIV... Declarationcalls on
countries to: use scientifically documented prevention strategies, including condoms;make
clean needles accessible to drug users; take steps to provide universal access to prevention
programs/ care/antiretroviral drugs. Includes politically charged terms like 'condoms'
/'vulnerable groups' , thoughthose groups not specified... Countries expected to measure their
progress over next 5 years against targets to be determined by UN... Said world will need to
spend up to $23b/year by 2010... Earlier in day,UNSG Annan delivered a gloomy assessment,
saying world was losing the battle. 'The epidemic continues to outpace us' , he told packed
UNGA. 'There are more new infections than ever before; more deaths than ever before; more
women/girls infected than ever before'... [US' s] Mrs.Bush speech steered away from many of
the criticisms that have been labled against administration, notably that it promotes sexual
abstinence over scientifically proven strategies, particularly condom use. Indeed, she said,
'ABC'model - initials stand for abstain, be faithful and use condoms - had brought sharp declines
in infections in Africa. Britain's international development [minister] said in interview: abstinence
alone did not work...Dr. Peter Piot [UNAIDS] said: while no document could make anyone '100%
happy', final version was 'a major advance'and far stronger than weaker drafts circulating earlier
in week" .
Kofi A.Annan "Peacekeeping, Military Intervention, and National Sovereignty in Internal Armed
Conflict" in Jonathan Moore edit. Hard Choices: Moral Dilemmas in Humanitarian
Intervention(Lanham: Rowman & Littlefield 98)(for book see Moore op.cit.):-UNSG notes how UN
operations forced to change radically since end of Cold War. One change been UN involvement
in internal armed conflicts. "Often do not lend themselves to traditional peacekeeping
treatment," requiring difficult coordinated political, military, andhumanitarian response.
Meanwhile "understanding of sovereignty undergoing significant transformation" : "matter of
responsibility, not just power." "[M]ust not be allowed to obstruct effective action to address
problems that transcend borders or to secure human dignity." Author then provides illustrations,
drawing mainly on UN role in Bosnia.
Kofi A. Annan, "Two Concerns of Sovereignty: International Intervention in Humanitarian Crises"
The Economist18 Sep 99(49-50):-UNSG gives his views on basic issues. Inaction in Rwanda and
interventions in Kosovo(no authority) and East Timor(too little too late)all justify criticism. We
need consensus "not only... that massive and systematic violations of human rights must be
checked...but also on ways of deciding what action is necessary, and when, and by whom."
Critical points: "intervention" should not be understood as referring only to use of force; we
need redefinition of sovereignty and broader definition of national interests that "would induce
states to find greater unity in pursuit of common goals and values...today,collective interest is
national interest" ;if force is necessary, Council must uphold Charter; act "in defence of our
common humanity" ;ceasefires do not end commitments.
Kofi A. Annan, "Preventing War and Disaster: A Growing Global Challenge" , Annual Report on
the Work of the Organization 1999, by the Secretary-General of the United Nations(New York:
DPI/2058; Sales No: E.99.1.29-Sep 1999):-after a convincing plea for more cost-saving global
efforts to foresee, prevent, or reduce human and natural crises, Annan summarizes all major UN
activities over year to Sep 99, and selected plans and problems(in 130pp). Chapters address:
peace and security; development; humanitarian issues; globalization; legal order; human rights;
administration. Overall impression: hard-won progress implementing UN
obligations/reforms/savings are frustrated by Members' selfishness/lack of political will/financial
irresponsibility. HUMANITARIAN ISSUES and how they are handled merit a special
chapter(64-75). The year under review was described as "fraught with humanitarian disasters"
(64)both natural and created, many of which involved deliberate targeting of UN/NGO workers.
Inter-organization coordination was improved, and study of prevention expanded, but funding's
been short/imbalanced. The refugee situation(72-5) initially improved, but was then hit hard by
Kosovo's complex needs.
Kofi A. Annan, "UN Committed to Ensuring World Water Security and 'Blue Revolution', Says
Secretary-General, in Message to World Water Forum" in UN Press Release SG/SM/7334 21 Mar
00:-urgent global problem is finding huge additional quantities of affordable water to meet
increasing needs of population growth/concentration and rising agricultural/industrial demand,
and to make up for global pollution andfalling water tables(see Worldwatch Institute: Lester R.
Brown, "Water: Emerging Constraint on Growth" (123-5)in State of the World(1999)op.cit.). Hence
"world's impending water crisis" was theme of UNSG's text. He reported that "every year, more
than 5 million people[over 50% children]die as a result of poor water quality - 10 times the
number killed in wars...[W]ithin 25 years two out of every three people on Earth will live in
water-stressed conditions. Indeed, the declining state of the world's freshwater resources, in
terms of quantity and quality, may well prove to be the dominant issue on the environment and
development agenda of the new century" . UN Newservice 21 Mar 00: Klaus Toepfer, UNEP head,
at the Forum: "The battle for the conservation of water will be won or lost in the mega-cities of
the world" .[Technology can help:]Douglas Jehl, "Tampa Bay Looks to the Sea to Quench Its
Thirst" in New York Times12 Mar 00:-US appears to be just reaching the stage when many
high-density areas need, or find it economic, to desalinate sea or brackish water. Tampa
Bay(2.3m residents)will be the first large urban areato do so, planning the largest(25m
gallons/day)desalinization plant outside Saudi Arabia(whose economics are totally different). As
of writing, five states(cheaply)desalinate brackish water, while two cities which built sea-water
plants decades ago, now use them for backup due to cost. But Tampa cost estimates have fallen
from $4-6 per 1,000 gallons to $2.08. With several cities planning desalinization, and many more
facing the need, economics/technology may now produce a global cost breakthrough. [World
FDI and ODA may soon include large expenditures on desalination.]
Kofi A. Annan, "Common Destiny, New Resolve" , Annual Report on the Work of the Organization
2000, by the Secretary-General of the United Nations(New York: DPI/2153;Sales No.E.00.1.22-Sep
99):-UNSG begins by noting report to Millennium Summit, "We the Peoples: The Role of the
United Nations in the 21st Century" (op.cit.), includes his assessment of humanity's progress
and challenges at turn of millennium,and suggests ways in which international community can
work together to" better lives of people still left behind" .Introduction, summarizing 130-page
report on major UN activities over year to Sep 00, highlights: (1)Demands on UN humanitarian
agencies far exceeded worst-case predictions; (2)Living standards in sub-Saharan Africa still
declining; (3)AIDS pandemic spreads with frightening rapidity; needs stronger commitment to
action; (4)Three new peace missions were created, straining UNHQ resources.
(5)Reviewsanalysed UN failures in Srebrenica and Rwanda; offered recommendations. (6)
controversial economicbenefits of globalization must be more inclusive/equitably shared.
(7)Must be cooperative management ofglobal economic affairs through more effective
governance. (8)Informal global policy networks involving governments, international institutions,
civil society and private sector have great potential. Chapters: Peace/Security; Humanitarian
Commitments; Development; International Legal Order/Human Rights; UNManagement.
Kofi A. Annan "Courage To Fulfil Our Responsibilities" The Economist 04 Dec 04(23-5):-UNSG
offers global action-urging essay built on his immediate reaction to report of the High-Level
Panel on Threats, Challenges and Change. Following his urgent introduction is a brief summary
of Annan's alreadyconcentrated and rearranged version of the panel report's many
concerns/proposals. Its value is less to summarize the panel's views than to identify subjects
they and/or he discuss. "We face a world of extraordinary challenges - and of extraordinary
interconnectedness. We are all vulnerable to new security threats, and to old threats that are
evolving in complex and unpredictable ways. Either we allow this array of threats, and our
responses to them, to divide us, or we come together to take effective action to meet all of them
on basis of a shared commitment to collective security. I asked the 16 members of [panel]-
eminent people representing many nations and points of view - to analyse the threats to
peaceand security our world faces; to evaluate how well our existing policies and institutions
are meeting them; and to recommend changes to those policies and institutions, so as to ensure
an effective collective response to those threats. Their report...makes 101 far-sighted but
realistic recommendations. If acted on, they would address the security concerns of all states,
ensure that UN works better, strengtheninternational rule of law and make all people safer" .
First: threats. Event/process leading to deaths on large scale/lessening life chances or
undermines states, should be viewed as threat to innatl peace/security.Clusters:
economic/social, including poverty/disease; inter-state conflict/rivalry; internal violence: civil
war/state collapse/genocide; nuclear/radiological/chemical/ biological weapons; terrorism; innatl
crime.Threats interconnected to unprecedented degree; no state alone can defeat. Highly
enriched uranium at size of 6 milk cartons could level medium-sized city as nuclear device. Such
attack in US/Europe isstaggering cost for world economy. Security of developed states only as
strong as ability of poor statesto respond to/contain new deadly infectious disease. Incubation
period for most is longer than most air flights, so any one of 700m who travel airlines in year
could unwittingly carry lethal virus to unsuspecting state. Today, virus similar to 1918 influenza
could kill tens of millions in fraction of a year. In today's worldany threat to one is truly threat to
all; applies to all categories of threats. Since real limits on self-protection,all states need
collective-security system, committing all to act cooperatively against dangers.
Givengravity/interconnectedness of threats, world needs more active prevention. Prevention can
be highly effective(Nuclear Non-Proliferation Treaty);WHO helped halt SARS. Best prevention
agents: capable states, acting/cooperating with others. Best preventive strategy: is development
support. Millennium Development Goals to halve poverty/hunger by 2015 states' best security
investment. It will save lives/reduce violentconflict and radicalism/bolster state ability against
threats before real harm. HIV/AIDS shows danger ofinadequate prevention. Slow/ineffective
global response allowed 20m killed/20 years; spread continues andworst to come. Ultimate cost
will include shattered societies. Still not taking all needed steps to bring under control. Also
need public-health facilities built in poor world. Not only poorer states benefit
diseasetreatment/local prevention; whole world has better defence against
bio-terrorism/large-scale naturalepidemics. UNSC should work with WHO to strengthen
biological security via prompt, effective responses.Equal: greater environmental collective
action, including beyond Kyoto protocol to better resources management in states at risk.
Prevention also vital to protect against terrorism. New isrange/scale/intensity of threat(al-Qaeda
can kill around world/has struck in 10+ UN members).Could acquire instruments of massive
destruction: unprecedented danger. UN must better use assets in fight against terrorists:
articulate a strategy respectful of laws/human rights. Definition of terrorism offered: any action
intended to kill/seriously harm civilians/non-combatants, with purpose of
intimidatingpopulation/compelling action by government/innatl organization. States should use
to build consensus andstrengthen UN response to deadly scourge. Also urgent
recommendations on non-proliferation/disarmament/curbing supply of materials to reduce risk
of nuclear/chemical/biological attacks by states/terrorist groups. States encouraged to end
development of domestic uranium enrichmentand urged to voluntary time-limited moratorium
on reprocessing plant construction. IAEA ability to monitorcompliance with Non-Proliferation
Treaty strengthened by standards in protocol for safeguards inspections. Since Cold War, UN
far more engaged in preventing/ending civil wars; ended more through negotiationsince 90 than
in previous 200 years; developed expertise/learned hard lessons. As demand for UN blue
helmets grows, need to boost peacekeeper supply/avoid 90s worst failures. Rich states should
hastenefforts transforming existing forces for UN peace operations. UN must invest in
mediation/support peace agreement implementation. Demobilize combatants/reintegrate into
civil life; otherwise civil wars not successfully ended/other goals(democracy/justice/
development)remain unmet. Often innatl community lost focus if crisis high point
past/peacekeepers left. Propose UNSC create Peacekeeping Commission; to givestrategic focus
for work in states under stress/emerging from conflict. If prevention/peaceful resolution fails,
UN must be able to rely on force. Whatever reason: all states/UNSC should bear in mind basic
guidelines/questions: (1)Seriousness of threat: does it justify force?(2)Proper purpose: does
proposed force halt/avert threat?(3)Last resort: all non-military options explored/exhausted? (4)
Proportional means: force proposed minimum necessary?(5)Balance of consequences: clear
action not worse than inaction? No need to amend Art.51 of UN Charter: any state's right of
self-defence against armed attack/pre-emptive action against imminent threat. However if states
fear threats, neither imminent nor proximate, but which could culminate in horrific violence if left
to fester, UNSC already powered to act/must be prepared to take action earlier than past, when
asked/reliable evidence. Protection of civilians inside states long fraught with controversy. Yet
recognized more widely that question better framed, not as intervene-right but
protection-responsibility - borne first/foremost by states. Panel agreed principle of
non-intervention in internal affairs cannot protect committing genocide/large-scale ethnic
cleansing/othercomparable atrocities. I hope UN members agree/UNSC will act. UN(now nearly
60)born in very different time/world, so has under-appreciated record of adapting to new
dangers, e.g. peacekeeping in world's civil wars/response to attack of Sep 01. Clearly needs
far-reaching reform to prevent/respond to all current threats. Some propose via-UN collective
response too difficult/not necessary. But all anti-threat actions impact beyond immediate
context/all states benefit from shared global framework. Not mean UN needs to do everything.
It must learn of share burdens/welcome help from others/work with them. Already does so;
report recommends strengthened UN partnerships with regional organs/individual states. Great
attention: UNSC reform. Objectives: make UNSC more effective/authoritative. Permanent
membership devised(1945)to ensure active engagement of big powers to maintain
peace/security. New permanent members matter of controversy/debate. Two suggestions, both
expanding membership to 24; aim at: add those who contribute most to UN
financially/militarily/diplomatically; ensure UNSC represents UN as whole;not expand veto, which
would render decisions more difficult. Proposals offer chance breakthrough in year ahead. If
acted on, UNSC more representative/better equipped for decisive action. Need strengthened UN
secretariat that can support Peacebuilding Commission; implement UNSC/ committee decisions
better on peacekeeping/mediating civil wars. Report envisages more concerted-action
secretariat, with UNSGmore responsible for management/accountability. Equally important:
ECOSOC overhaul to strengthen role in social development/improving knowledge on
economic-social dimensions of security threats. Also, recommends Human Rights Commission
better defender of rights of all. After 60 years, once again findworld mired in disillusionment and
all too imperfect. Easy to stand at sidelines and criticise/talk endlessly about UN reform, but
world no longer has that luxury. Time to adapt collective security system so it works
efficiently/effectively/ equitably. Next year UN states reviewing progress on Millennium
Declaration; world leaders' summit in Sep. Appropriate moment to act on some of most
important recommendations in report.I will indicate which call for decisions at that level.
Fervently hope world leaders will rise to challenge. Have all lived through period of deep division
and sombre reflection. Must make 05 year of bold decision; all share responsibility for each
other's security. Let's summon courage to fulfil responsibility." Complete text of "A More Secure
World: Our Shared Responsibility" Report of the High-level Panel on Threats, Challenges and
Change, plus initial comments by requester/addressee, UNSG Kofi Annan, can be read and even
copied(99pp Acrobat Reader)from Secretary General's part of UN file (www.un.org). Executive
Summary(8pp Acrobat)also available at same address. Capturing the 21st Century Security:
Prospects for Collective Responses(Oct 04)collects reports from six Stanley Foundation
conferences in 04 that dealt with UNSG panel. Report at http://reports.stanleyfoundation.org.
Council on Foreign Relations "Q&A: Reforming the United Nations" 01 Dec 04:-originally
available either by NYT>CFR>International>[title] or via CFR directly. This is expert interview with
Lee Feinstein who" has spearheaded Council work on the United Nations" and studied the
important UN report and its UNGA prospects.
Clair Apodaca, Michael Stohl, George Lopez, "Moving Norms to Political Reality:
Institutionalizing Human Rights Standards through the United Nations System" (185-220)in The
Future of the United Nations System: Potential for the Twenty-First Century(New York: UN Univ.
98):-extremely useful study of UN human rights structures, treaties and activities, employing a
new sense that state legitimacy derives from internal order and regard for standards. Four main
UN purposes include promotion of human rights, set down in Universal Declaration(48)and
amplified in two International Covenants(76).All three now binding on all states. Many more
specific UN System treaties, with recent emphasis on Humanitarian Law.Growing human rights
roles of NGOs, High Commissioner and complex UN structures are explained.Reform proposals
involve structure, NGO protection and regional action.
Reza Aslan No god but God: The Origins, Evolution, and Future of Islam(New York: Random
House 05):-The widely-read author defines his aim in the Prologue: "This book is not just critical
reexamination of the origins and evolution of Islam, nor is it merely an account of the current
struggle among Muslims to define the future of this magnificent yet misunderstood faith. This
book is, above all else, an argument for reform"(xx). William Grimes, in his New York Times 04
May 05 review, quotes the book:"What is taking place now in the Muslim world is an internal
conflict between Muslims, not an external battle between Islam and the West"(248). Grimes
himself argues: "[Islam's] history, grippingly narrated and thoughtfully examined, takes up nearly
all of 'No god but God'. Aslan... has written a literate, accessible introduction to Islam.,. carefully
placing its message/rituals in historical context. Complete with glossary/annotated bibliography,
it could easily serve as a college textbook". The 310-page book includes 21st century arguments:
"[T]he attacks of 11 Sep 01 were not a defensive strike against a specific act of aggression
against Islam. They were never sanctioned by a qualified mujtahid. They made no differentiation
between combatant/noncombatant.,. indiscriminately killed women, children, and approximately
200 Muslims. In other words, they fell far short of the regulations imposed by Muhammad for a
legitimate jihadi response, which is why, despite common perception in the West, they were so
roundly condemned by the vast majority of the world's Muslims"(87). "Tragic events of 11 Sep...
initiated a vibrant discourse among Muslims about meaning/message of Islam in 21st century...
It may be too early to know who will write the next chapter of Islam's story, but it is not too early
to recognize who will ultimately win the war between reform/counterreform... But the cleansing
inevitable, and tide of reform cannot be stopped. Islamic Reformation is already here"(266).
Associated Press," Researchers Produce a Healthier Rice" in New York Times 14 Jan 00: -item
reports that " scientists have genetically engineered a type of rice that could end vitamin A
deficiency in the developing world" . About 14m children worldwide are deficient; so besides
reducing widespread blindness, raising vitamin A levels could prevent 1-2m deaths a year. Swiss
researchers successfully spliced three genes into rice to make it rich in beta carotene, a source
of vitamin A. While tests are ensuring the original nutritional value is maintained, the famous
International Rice Research Institute(IRRI) is working tobreed the trait into popular rice varieties.
New developments are reported in David Barboza, "AstraZeneca to Sell a Genetically
Engineered Strain of Rice" NYT 16 May(Note to Anthony DePalma," Super Seeds Sweeping Major
Markets..." ).
Associated Press, "Number of Refugees Grows Worldwide" New York Times 13 Jun 00:-World
Refugee Survey 2000, issued by prestigious US Committee for Refugees, claims that at end of
20th Century there were35m people worldwide "uprooted and in need of protection." Conflict
contributed 7m to this in 99 alone, and despite UN success in ending some long-term disputes
following end of Cold War, this estimated total had risen from 29m in 90. Moreover, of these,
13.7m are found in Africa(4.4m in Sudan alone).Another trend has been continually growing
number of refugees that for various reasons remain in their own countries:Internally Displaced
Persons. Identified IDPs now number at least 4m, and clearly demand higher priority from
UN-UNHCR since they are not afforded same legal protections and care as" international"
refugeesunder Geneva Conventions. On other hand, there is hope that some sources of refugees
and IDPs may bein sight of permanent solution. Elizabeth Rosenthal, "Famine in North Korea
Creates Steady Human Flow into China" NYT 10 Jun:-report on motives and stratagems of North
Korean refugees within/outside their country. Any moves towards Korean reconciliation could
have major and rapid effect on this crisis. For evenlonger-term look at issue of unwilling
migration, AP reports "Conference Addresses Migration" NYT 10 Jun:-experts Paris meeting
organized by Universal Academy of Cultures concluded "globalization demands greater moral
responsibility and intervening in sovereign nations is plausible response to misery that drives
populations beyond their borders." Those seeking political asylum increased from 250,000 in 87
to 900,000 in 92, but then declined to 388,000 in 98,perhaps reflecting growing influence of such
perceptionin UN. Meanwhile, if Europe's population falls 100m by 50, migration waves may
become beneficial.
Associated Press, "Activists Seek Cluster Bomb Ban" New York Times 08 Aug 00:-British arm
of International Campaign to Ban Land Mines has called for global moratorium on use,
manufacture and sale of cluster bombs, pending in-depth review of their legality and impact.
While designed to scatter immediately-exploding "bomblets" over large area, significant
numbers of bomblets fail to explode on first impact; so effectively become land mines. By
causing civilian casualties for years after hostilities end, charged their use is "indiscriminate and
in clear breach of international humanitarian law." Group calls for laws requiring clearance after
combat, compensation of civilian casualties and deployment records.Reuters, "UK Anti-Land
Mine Group Seeks Ban on Cluster Bombs" NYT 8 Aug :- gives similar facts, but adds bomblets
can blight farmland, impede economic recovery, grow in lethality over time.
Associated Press "Nations Vow to Fight Urban Blight" New York Times 09 Jun 01:-results of
five-year-review of progress in meeting UN Habitat Agenda, agreed upon at 96 global summit on
urban issues in Istanbul. New York review conference produced UN Declaration on Cities and
Other Human Settlements in the New Millennium which reaffirmed commitment to Agenda
principles regarding "adequate housing for all and sustainable development of world's cities"
-no easy task since many countries" openly admit they have made little progress since Istanbul
meeting. More than 1b...still lack adequate housing[out of 3b(50%)global urban population, and
since f]ast-growing slums are common on outskirts of Asian, Africa and Latin American cities"
.Textual crises overcome involved Palestinian proposal to criticize Israel, and US refusal to
reaffirm adequate housing as "human right" .
Associated Press"Ugandans Report Mixed Messages on AIDS Plan"New York Times 18 Mar
06:-"Question of why Ugandans didn't use a condom is at the heart of a dispute between some
health activists and US government. Activists, as well as some Ugandan officials, accuse US of
blunting the condom message in favor of abstinence, while the Americans say they are victims
of misinformation and have actually increased nearly tenfold the number of condoms they
supply to this African nation of 26 million...Billboards urging condom use have disappeared from
the capital, Kampala. In their place are posters, some funded by US government, urging youth
to delay sex until marriage... HIV prevalence crept up to 7.1% in 2004-5, after stagnating at
around 6% preceding three years, according to government figures";
Associated Press"AIDS Said Orphaned 1.5M Asia - Pacific Kids"New York Times 22 Mar
06:-"AIDS hasorphaned an estimated 1.5m children in Asia-Pacific region, but they are often
overlooked in the mix of other issues surrounding a disease that has historically focused on
adults, officials told a regional conference... About 121,000 children in the region have been
infected by the disease, according to UNAIDS figures from 2004. Another 35,000 also need
anti-retroviral drug treatment to survive. Three-day meeting has drawn some 250 delegates from
UN agencies, governments and NGOs to Hanoi to discusswhat can be done to limit spread of
the disease among youth and how to help children already infected or orphaned by it... UNICEF
regional director... said there needs to be increased prevention efforts targeting youth, more
focus on prevention of mother to child transmission, provision of drugs to children suffering
from the disease, and creation of support groups for kids infected with the virus or orphaned by
it... A Save the Children survey... found that many children cannot go to school becausesomeone
in their family is sick with the disease, they are commonly ridiculed and ostracized by society
and are sometimes forced to work as slaves or sex workers after becoming orphans"; AP"Group
Warns of More Child AIDS Deaths"NYT 24 Mar 06:-"Number of children orphaned by AIDS in East
Asia-Pacificregion could grow from 450,000 to 1.7m in less than a decade if resources aren't
increased for prevention and treatment, UNICEF official said... Also said number of child deaths
could reach nearly 20,000 a year during that time if more isn't done... It would take up to $5.5b
annually until 2015 to lessen effects of HIV/AIDS on children in the region, in increasing to an
estimated $6b a year after that, he said... [UNICEF epidemiologist also said] there are an
estimated 450,000 children in the region who have lost one or both parents to the disease, and
that could grow to 1.7m by 2015 without more funding... A documentreleased at end of
conference called for reducing the stigma and discrimination associated with HIV,boosting steps
to prevent mother-to-child transmission, and enhansing care and protection for children. Other
provisions included more pediatric HIV testing and greater access to anti-retroviral drugs for
children.HIV/AIDS epidemic is growing faster in East Asia than anywhere else in the world. In
many countriesepidemic still largely concentrated in high-risk groups.
Associated Press"AIDS Conference Ends With Appeals"New York Times 26 Apr
06:-"International AIDS conference [in Cape Town, of 1,000 scientists/researchers,] ended [26
Apr] with impassioned appeals to political/pharmaceutical industry leaders to fund development
of a virus-killing [vaginal] gel to protect women from the disease and so save millions of lives.
Peter Piot, head of UNAIDS,.. said safe/effective microbicides could be ready in 5-7 years, with
only minimal additional funding, and thus turn the dream of saving millions of lives into reality...
In the hard hit African countries, women account for nearly 60% of infections. Most are infected
through heterosexual intercourse... UNAIDS/WHO have long promotedmicrobicides as a
potentially valuable weapon in fight against the epidemic, not least because it allows women to
protect themselves without having to rely on partners who refuse to wear a condom or befaithful.
Yet despite this, research has proceeded slowly. [Piot] said investment in microbicide
development should be doubled - and even then would still only reach about US$150m per
year...Microbicides can take the form of a gel, cream, sponge or ring that releases an ingredient
that can kill or deactivate HIV during intercourse. There are currently five different products
being tested[, mainly in Africa on thousand of women]. Dozens of agents that could interrupt HIV
transmission have so far beenidentified. There are also hopes that the microbicides could be
used to prevent other sexually transmitteddiseases and unwanted pregnancies. One of the
products, cellulose sulphate, has the potential to bea contraceptive and shield against HIV...
Another microbicide, Carragard, coats vaginal cells and preventsthe virus from entering...Much
of funding for research comes from Gates Foundation and US government... Trying to dismiss
fears that microbicides would mainly be used in developing countries and therefore offer only
low profit margins, [WHO] cited their potential for use in contraception in wealthy countries".
Associated Press "Annan Paints Grim Picture to Assembly"New York Times 19 Sep
06:-"Addressing world leaders for last time as UNSG, Kofi Annan painted a grim picture of an
unjust world economy, global disorder, widespread contempt for human rights, and appealed
for nations/peoples to truly unite. As theannual UN General Assembly [UNGA] ministerial
meeting got under way, 192 UN member states facedambitious agenda including trying to
promote Mideast peace, curb Iran's nuclear ambitions, get UN peacekeepers into
conflict-wracked Darfur, promote democracy... Annan, whose second five-year term ends 31 Dec
06, said the past decade has seen progress in development, security, rule of law - the threegreat
challenges he said humanity faced in first address to UNGA in 97. But UNSG said too many still
exposed to brutal conflict, and fear of terrorism has increased clash of civilizations/religions.
Terrorismbeing used as pretext to limit or abolish human rights, and globalization risks driving
richer and poorer apart, he said. 'Events of last 10 years have not resolved, but sharpened, three
great challenges - unjust world economy, world disorder, and widespread contempt for human
rights and rule of law', Annan said.'As result, we face world whose divisions threaten very notion
of an international community, upon which this institution stands. I remain convinced that only
answer to this divided world must be a truly United Nations' , he said. In annual report, UNSG
touched on some of most difficult issues confronting leaders... [Arab-Israeli conflict; Iraq;
Afghanistan; Sudan/Darfur]. 'Together we have pushed some big rocks to top of the mountain,
even if others have slipped from our grasp and rolled back. But this mountain... is best place on
earth to be',UNSG said.'I yield my place to others with an obstinate feeling of hope for our
common future', Annan said. [UNGA] loud applause/rose in sustained standing ovation".
Enrico Augelli & Craig Murphy"Lessons of Somalia for Future Multilateral Humanitarian
Assistance Operations"Global Governance Vol.1/No.3 (Sep-Dec 95):-detailed account of what
went wrong in Somalia, and why. For another analysis of this important case, see Sapir and
Deconinck in Weiss (1995) op. cit.
Séverine Autesserre"The Trouble With Congo: How Local Disputes Fuel Regional Conflict"(94-110)Foreign Affairs Vol.87/No.3(May/Jun 08):-official summary:" |