Progress on universal access (or not), the world food crisis talks and US politics
DFID report
A lot happening in the world just now. Yesterday, A WHO, UNAIDS and UNICEF report Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector, said that nearly a million more people (950,000) were receiving treatment with antiretroviral therapy (ART) in low- and middle-income countries bringing the total number to close to 3 million. However, countries are still far from meeting universal access goals. An estimated 2.5 million people were newly infected with HIV in 2007, and overall, ART coverage still remains low-only 31% of people estimated to be in need of treatment in low- and middle-income countries were receiving it in 2007. According to the report, weak health systems and, in particular, a critical shortage of health-care personnel and a lack of long-term sustained funding threaten efforts to achieve universal access to HIV prevention, treatment and care. Then there is the crucial question of financial resources. At the end of 2007, the gap between required and available funding was estimated to be US$ 8.1 billion. To meet universal access targets, funding will have to more than quadruple to US$ 35 billion in 2010 and to US$ 41 billion in 2015. The UK’s Department for International Development, also released the UK Government’s plan for HIV/AIDS yesterday. Douglas Alexander, the Secretary of State, announced plans to spend £6 billion on strengthening health systems and services over seven years to 2015 and spoke about the need to make the most of new and existing resources to achieve Universal Access and to halt and reverse the spread of HIV. All very encouraging stuff.
Then there is the UN global summit on the World Food crisis taking place in Rome. Hopefully, the attendance of Robert Mugabe and Mahmoud Ahmadinejad will not steal all of the headlines. I have copied below a Lancet editorial about the world food crisis that I wrote a few weeks ago (in the 26 April issue of The Lancet) which might interest you.
And finally, of course it is a very big day in US politics today with the Democratic Party holding the last two primary elections in its presidential nomination race. Currently, most voters think that Obama will have a more positive influence on American foreign policy. Interesting times! Rhona
Lancet Editorial: Finding long-term solutions to the world food crisis
While customers at restaurants in New York City will soon be able to count the calories of their meals in an attempt to curb the obesity epidemic, people in New Delhi are currently counting their grains of rice. From Bolivia to Yemen, people around the world are taking to the streets in protest at the spiralling increases in food prices. Politicians have been sacked, protesters have died, and some governments are imposing extreme measures to ration food and control their hungry populations.
The era of cheap food is over. In the past year, the cost of wheat has risen by 130%, rice by 120%, with corn and soya not far behind. As a result, millions of people are starving and at least 100 million more people will be pushed further into poverty. Food, the fundamental determinant of health, is unaffordable to an increasing proportion of the world’s population. As usual, the poorest are affected the most, with those living in absolute poverty-less than US$1 a day-surviving on just one meal a day if they are lucky. And since the International Fund for Agricultural Development has estimated that the number of food-insecure people in the world will rise by 16 million for every percentage increase in the prices of staple foods, this situation is likely to get worse. The target of MDG 1-to reduce by half the proportion of people who suffer from hunger-is in reverse.
There are many contributing factors to the current crisis. The world will have 3 billion more mouths to feed by 2050. Emerging economies are not only eating more, but eating more meat. (It can take up to 9 kg of grain to produce 1 kg of meat.) Crop yields in developing countries have fallen dramatically with diminishing returns for at least a decade. Climate change has disrupted crop growth and water distribution. After the collapse of the US housing market, investors are ploughing trillions of dollars into commodities, such as food and raw materials, resulting in a “commodities super-cycle” where commodity price inflation feeds on itself leading to hugely inflated prices. Global trade distortions, where subsidised produce from rich countries is dumped on the markets of poorer ones, have wrecked the livelihoods of small-scale farmers and decreased local food production. But one of the largest contributors to the crisis is the rise of biofuels-in which potential food crops are burned as fuel in car engines-a situation that the UN Special Rapporteur for the right to food, Jean Ziegler, has called “a crime against humanity”.
Biofuels once perceived as the green alternative to fuel have recently been discredited. After the agricultural displacement effects of these fuels are taken into account, emissions from biofuels are many times worse than those from fossil fuels. Yet in the drive to make the USA self-sustaining for fuel production, massive ethanol subsidies and millions of acres of American corn have led to a boom in biofuels. American cars now burn enough corn to cover the import needs of 82 food-deficit countries. But thanks to a backlash against biofuels in Europe, the European Union, once committed to a 10% biofuel target by 2020, is now sensibly rethinking its position.
As the current food crisis affects every country in the world, it is no surprise that the situation is at the top of the international agenda. The UK Prime Minister wants the world food crisis to be discussed at the G8 Summit in July. The UN Food and Agriculture Organization is planning its crisis meeting for June, while another UN body, the Economic and Social Council, will hold a debate on the crisis next month in New York City. The Bretton Woods siblings, the World Bank and the International Monetary Fund, have already met to discuss the problem. And the Secretary-General of the UN is considering holding a World Summit to discuss the crisis.
With so many different talks planned there is a danger of a disjointed international effort in which the most powerful nations will be allowed to continue to promote protectionist practices. Short-term solutions, such as more humanitarian aid to help meet the World Food Programme’s previous commitment to feed 73 million people in 78 countries, will no doubt distract attention from the causes of the world food crisis. For example, the USA and France, among the first to announce their increase in food aid donations, have directly contributed to the crisis by repeatedly failing to stand up to their own farmers by abolishing agricultural subsidies.
Food is a complex political issue and quick fixes are not enough. Without a long-term plan that takes a bold stand against ethanol subsidies, the use of biofuels, and the trade distortions that have contributed to the crisis, any action will just be a temporary sticking plaster. Continuous food crises will be the new global norm unless the international community works together to find fair and sustainable solutions to tackle the root causes of global food insecurity. The Lancet
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