Featured Journal Content :: Nature Volume 569 Issue 7755, 9 May 2019

Featured Journal Content

Nature
Volume 569 Issue 7755, 9 May 2019
http://www.nature.com/nature/current_issue.html
Comment | 08 May 2019
Reboot ethics governance in China
The shocking announcement of genetically modified babies creates an opportunity to overhaul the nation’s science, argue Ruipeng Lei and colleagues.
Ruipeng Lei, Xiaomei Zhai[…] & Renzong Qiu
… China’s scientists and regulators have been going through a period of soul-searching. We, our colleagues and our government agencies, such as the Ministry of Science and Technology and the National Health Commission, have reflected on what the incident says about the culture and regulation of research in China. We’ve also thought about what long-term strategies need to be put in place to strengthen the nation’s governance of science and ethics.
In our view, China is at a crossroads. The government must make substantial changes to protect others from the potential effects of reckless human experimentation. Measures range from closer monitoring of the nation’s hundreds of clinics offering in vitro fertilization (IVF), to incorporating bioethics into education at all levels…

Article | 08 May 2019
Mapping the world’s free-flowing rivers
A comprehensive assessment of the world’s rivers and their connectivity shows that only 37 per cent of rivers longer than 1,000 kilometres remain free-flowing over their entire length.
G. Grill, B. Lehner[…] & C. Zarfl
Abstract
Free-flowing rivers (FFRs) support diverse, complex and dynamic ecosystems globally, providing important societal and economic services. Infrastructure development threatens the ecosystem processes, biodiversity and services that these rivers support. Here we assess the connectivity status of 12 million kilometres of rivers globally and identify those that remain free-flowing in their entire length. Only 37 per cent of rivers longer than 1,000 kilometres remain free-flowing over their entire length and 23 per cent flow uninterrupted to the ocean. Very long FFRs are largely restricted to remote regions of the Arctic and of the Amazon and Congo basins. In densely populated areas only few very long rivers remain free-flowing, such as the Irrawaddy and Salween. Dams and reservoirs and their up- and downstream propagation of fragmentation and flow regulation are the leading contributors to the loss of river connectivity. By applying a new method to quantify riverine connectivity and map FFRs, we provide a foundation for concerted global and national strategies to maintain or restore them.

Ebola virus disease – Democratic Republic of the Congo

Ebola – DRC

Ebola virus disease – Democratic Republic of the Congo
Disease Outbreak News (DONs)
9 May 2019
The Ebola virus disease (EVD) outbreak response this past week continues to be hampered by insecurity. On 3 May in Katwa, a Safe and Dignified Burial (SDB) team was violently attacked following the completion of a burial for a deceased EVD case. In Butembo and surrounding health zones, response activities were repeatedly halted due to a number of serious security incidents taking place from 4-6 May. On 8 May, a group of over 50 armed militia infiltrated the city centre. Security forces repelled the attack following intense gunfire in close proximity to staff accommodations. Although activities resumed on 9 May, after almost five consecutive days of suspension, threats of further attacks against EVD response teams and facilities remain prevalent.
These security incidents, and especially the resultant lack of access to EVD affected communities, remain a major impediment to the response, with teams unable to perform robust surveillance nor deliver much needed treatment and immunisations. The ongoing violent attacks sow fear, perpetuate mistrust, and further compound the multitude of challenges already faced by frontline healthcare workers. Without commitment from all groups to cease these attacks, it is unlikely that this EVD outbreak can remain successfully contained in North Kivu and Ituri provinces…

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Struggling with Scale: Ebola’s Lessons for the Next Pandemic
Center for Global Development – Report – May 9, 2019 :: 82 pages
Jeremy Konyndyk
PDF: https://www.cgdev.org/sites/default/files/struggling-scale-ebolas-lessons-next-pandemic.pdf

The next global pandemic is a matter of when, not if. Preparing for this inevitability requires that policy¬makers understand not just the science of limiting dis¬ease transmission or engineering a drug, but also the practical challenges of expanding a response strategy to a regional or global level. Achieving success at such scales is largely an issue of operational, strategic, and policy choices—areas of pandemic preparedness that remain underexplored.

The response to the 2014–2015 Ebola outbreak in West Africa illuminates these challenges and highlights steps toward better preparedness. Ebola was a known disease whose basic transmission pathways and con¬trol strategies were understood. Yet traditional Ebola control strategies were premised on small, non-urban outbreaks, and they rapidly proved inadequate as the disease reached urban environments, forcing policy¬makers to develop new strategies and operational plat-forms for containing the outbreak, which generated unique policy challenges and political pressures. Lack¬ing a blueprint for controlling Ebola at scale, response leaders scrambled to catch up as the disease began threatening the wider West African region.

This report explores the lessons of the Ebola outbreak through the lens of the US and UN policymakers who were forced to construct an unprecedented response in real time. It tells the story of their choices around four major policy challenges:
:: Operationalizing the US government response
:: Balancing the politics and the science of travel restrictions
:: Defining the role of a reluctant military
:: Coordinating complex international partnerships

The report draws on interviews with 19 high-level US and UN policymakers, a desk review of after-action reports, and the author’s own experiences while lead¬ing the response efforts of the US Agency for Interna¬tional Development (USAID).

Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 8 May 2019
:: With recent introduction to the immunization coverage activities in Zimbabwe and Mongolia, at least 1 dose of Inactivated Polio Vaccine (IPV) is now available worldwide in 126 countries. IPV consists of inactivated (killed) poliovirus strains of all three poliovirus types, producing antibodies in the blood to all types. In the event of infection, these antibodies prevent the spread of the virus to the central nervous system and protect against paralysis. Read press release here.
[See above for detail]

Summary of new viruses this week:
:: Pakistan — three wild poliovirus type 1 (WPV1) cases and five WPV1-positive environmental samples
:: Nigeria —one circulating vaccine derived poliovirus type 2 (cVDPV2)-positive environmental sample
:: Niger —one cVDPV2 isolated from a healthy community

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Editor’s Note:
WHO has posted a refreshed emergencies page which presents an updated listing of Grade 3,2,1 emergencies as below.

WHO Grade 3 Emergencies [to 11 May 2019]

Democratic Republic of the Congo
:: WHO Adapts Ebola Vaccination Strategy in the Democratic Republic of the Congo to Account for Insecurity and Community Feedback 7 May 2019 News release Geneva
:: 40: Situation report on the Ebola outbreak in North Kivu 7 May 2019
:: Disease Outbreak News (DONs) Ebola virus disease – Democratic Republic of the Congo
9 May 2019 [See Ebola DRC above for detail]

Syrian Arab Republic
:: Flu season in north-west Syrian Arab Republic 9 May 2019

Nigeria
:: WHO Supports one Million malnourished children in North-east Nigeria Maiduguri, 7 May 2019

Somalia
:: Vaccines are saving millions of lives of children in Somalia: urgent need to scale up routine immunization programme 7 May 2019

Bangladesh – Rohingya crisis – No new digest announcements identified
Mozambique floods – No new digest announcements identified
Myanmar – No new digest announcements identified
South Sudan – No new digest announcements identified
Yemen – No new digest announcements identified

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WHO Grade 2 Emergencies [to 11 May 2019]

Cyclone Idai
:: More than 435.000 children in Sofala province will be protected against measles, polio and rubella during Health Week in Mozambique
Beira, 6 May 2019 – Every year the Ministry of Health of Mozambique launches Health Week in Mozambique, together with the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) as main partners. Today, the launch was marked by the constraints following Cyclone Idai in the four most affected provinces: Sofala, Manica, Inhambane and Zambezia.

Libya
:: WHO denounces attack on health workers and ambulance in Libyan capital
Tripoli, 9 May – The World Health Organization today condemned in the strongest terms an attack on an ambulance in Tripoli, Libya, on Wednesday 8 May, that left 3 health workers injured, one severely…

Brazil (in Portugese) – No new digest announcements identified
Cameroon – No new digest announcements identified
Central African Republic – No new digest announcements identified
Ethiopia – No new digest announcements identified
Iraq – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

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WHO Grade 1 Emergencies [to 11 May 2019]
Afghanistan – No new digest announcements identified
Chad – No new digest announcements identified
Indonesia – Sulawesi earthquake 2018 – No new digest announcements identified
Kenya – No new digest announcements identified
Lao People’s Democratic Republic – No new digest announcements identified
Mali – No new digest announcements identified
Namibia – viral hepatitis – No new digest announcements identified
Peru – No new digest announcements identified
Philippines – Tyhpoon Mangkhut – No new digest announcements identified
Tanzania – No new digest announcements identified

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UN OCHA – L3 Emergencies
The UN and its humanitarian partners are currently responding to three ‘L3’ emergencies. This is the global humanitarian system’s classification for the response to the most severe, large-scale humanitarian crises. 
Syrian Arab Republic
:: Syria: Situation Report 1: Recent Developments in North-western Syria (as of 10 May 2019)
HIGHLIGHTS
…Conflict has increased in northwest Syria, impacting civilians, civilian infrastructure and service provision in northern Hama and southern Idleb governorates.
…Approximately 180,000 people were displaced between 29 April and 9 May, while 15 health facilities, 16 schools, and 3 IDP settlements are reportedly affected due to hostilities.
…The humanitarian response is scaling up to meet people’s need, in addition to the on-going response

Yemen – No new digest announcements identified

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UN OCHA – Corporate Emergencies
When the USG/ERC declares a Corporate Emergency Response, all OCHA offices, branches and sections provide their full support to response activities both at HQ and in the field.
CYCLONE IDAI and Kenneth
:: Mozambique: “Aid is free and sexual exploitation and abuse are unacceptable 06 May 2019
“From the outset of the Cyclone Idai response, and now as we respond to Cyclone Kenneth, we have broadcasted clear messaging – that aid is free, and that sexual exploitation and abuse are unacceptable – through multiple communications channels”, Humanitarian Coordinator for Mozambique Marcoluigi Corsi said today. “We have trained hundreds of aid workers and volunteers on the prevention of sexual exploitation and abuse. However, even in the face of our best efforts to prevent cases from occurring, the reality remains that the risk of sexual exploitation and abuse persists. We have therefore established clear referral pathways to capture and follow-up on any rumor, report or allegation of sexual exploitation and abuse and have clear protocols to fast-track action in response such cases.”…

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The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 4 May 2019

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortia and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor
GE2P2 Global Foundation – Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

PDF:The Sentinel_ period ending 4 May 2019

Contents
:: Week in Review  [See selected posts just below]
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities   [see PDF]
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals  [see PDF]

Lancet Editorial :: The erosion of women’s sexual and reproductive rights

Human Rights, Violence, Conflict: Rape As Weapon Of War

Editor’s Note:
In last week’s edition of The Sentinel, we included the UN Security Council’s report on the adoption of a resolution “…Calling upon Belligerents Worldwide to Adopt Concrete Commitments on Ending Sexual Violence in Conflict” [repeated below]. In the general media, there was strong criticism of a softening of the language of the resolution which we did not present. In this week’s The Lancet, the lead editorial provides an analysis and call to action included below.

.

The Lancet
May 04, 2019 Volume 393Number 10183p1773-1910
https://www.thelancet.com/journals/lancet/issue/current
Editorial
The erosion of women’s sexual and reproductive rights
The Lancet
The use of rape as a weapon of war is an unconscionable yet common phenomenon. An annual report from the UN Secretary General last month documents active use of sexual violence in 37 current conflicts, including in the Democratic Republic of the Congo, Myanmar, Somalia, South Sudan, and Syria. Sexual violence in conflict, which is mostly perpetrated against women and girls, is horrific and devastating to individuals, but also intended to destroy whole communities. Over history, it has usually been done with impunity and with little attention by the international community. Ten years after the UN categorised rape as a weapon of war, acknowledging that it had become “more dangerous to be a woman than a soldier in an armed conflict”, sexual violence in war remains a deep scar on the moral prebity of the international community.

So the news last week that a UN Security Council resolution had been adopted to reaffirm member states’ commitment to combating sexual violence is to be welcomed. Some important features of the 2019 resolution could be seen as gains: a focus on victim-centred approaches; the importance of civil society in pursuing justice; mention of boys and men as victims of sexual violence in conflict; recognition of children born of rape; and the valuable role of UN fact-finding missions. Sadly, the adopted resolution was stripped of its inclusion of formal monitoring and reporting of atrocities, which is an accountability mechanism long called for and needed. The bigger news—that the USA threatened to veto the resolution if it included language on sexual and reproductive health—is extremely alarming.

According to The Guardian, the USA required the removal of references in the resolution to sexual and reproductive health as this could imply it supports abortion. Critics say the move was designed to demonstrate President Trump’s conservative credentials and rouse voters for his re-election. But America playing (and winning) domestic politics in the multilateral space has much graver implications: it is putting women’s lives and health at risk. It also disregards the most fundamental of rights that a woman has over her own body. “It is intolerable and incomprehensible”, France’s Ambassador to the UN François Dellatre is quoted as stating, “that the Security Council is incapable of acknowledging that women and girls who suffered from sexual violence in conflict—and who obviously didn’t choose to become pregnant—should have the right to terminate their pregnancy.”

America’s hard-line stance against abortion rights for women victims of sexual violence in conflict is emblematic of a disturbing trend. The growing spread of conservative views on sexual and reproductive health pose a considerable threat to rights that had been hard-and rights fought and won more than a quarter of a century ago. 2019 marks 25 years since the International Conference on Population and Development (ICPD) in Cairo, at which the link between women’s empowerment and sustainable development was established. Women’s reproductive rights were affirmed by the international community for the first time. During the Nairobi Summit in November, 2019, hosted by the United Nations Population Fund (UNFPA) to discuss progress on ICPD+25, the many achievements for women’s sexual and reproductive rights will and should be celebrated. But it is the erosion of those rights that now needs the full attention and convening power of the international community of advocates for women and girls.

UNFPA’s own data lend support to the cause for alarm. The latest version of their flagship publication, State of the World’s Population 2019, reported last month that vast numbers of women still lack decision-making power over their own bodies. Women for the first time were surveyed about their ability to make decisions about sexual intercourse with their partner, contraceptive use, and health care. Just 57% of women around the world reported being able to make their own choices in these areas. Autonomy over one’s own body is not just a cornerstone of reproductive rights. The right to choose whether, when, how often, and with whom to get pregnant is foundational to women’s wellbeing, education, status, and participation in society, and it in turn is crucial to the health of families and communities.

A massive outcry about last week’s UN Security Council resolution debacle is certainly warranted. But a better outcome would be for advocates globally to redouble their efforts and form alliances. They must prepare and organise to produce a stronger, more visible, and unified approach against the conservatism that is slowly eroding women’s rights.

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Security Council 8514th Meeting (AM)
Security Council Adopts Resolution Calling upon Belligerents Worldwide to Adopt Concrete Commitments on Ending Sexual Violence in Conflict
Members Pass Resolution 2467 (2019) by 13 Votes in Favour, None against, as China, Russian Federation Abstain
The Security Council called today upon warring parties around the globe to implement concrete commitments to fight what many speakers described as the heinous, barbaric and all-too-often silent phenomenon of sexual violence during conflict…

It’s time for a new era of humanitarian aid – Start Network

Humanitarian Action

It’s time for a new era of humanitarian aid – Start Network
by Helen James
01 May 19
Start Network has today launched a new charity, which is aiming to catalyse a new era of humanitarian aid because its members believe that the global humanitarian system needs urgent reform to meet the challenges posed by today’s crises.

The new charity aims to transform humanitarian response through innovation, fast funding, early action, and localisation, tackling what it believes are the biggest systemic problems the sector faces. Problems including slow and reactive funding, centralised decision-making, and an aversion to change, means that people affected by crises around the world, do not receive the best help fast enough, and needless suffering results.

Until today Start Network has been a consortium hosted by Save the Children UK, since it first was established in 2010. In that time, it has developed impactful programmes with a sophisticated and proven approach, and a compelling vision for the future of humanitarian response. Its impact so far includes:
:: Enabling early action in the face of predictable crises, with the signing of a $1.9million drought insurance policy for Senegal, and 13 per cent of Start Fund activations in 2018 being in anticipation of impending crises.

:: Ensuring localisation to drive more appropriate responses and solutions, with half of Start Fund activations involving local partners, more than 280 equitable partnerships with local and national organisations in the Disasters and Emergencies Preparedness Programme and 100 locally developed innovations supported through Innovation Labs in four countries.

:: Transforming the nature of humanitarian decision-making through a collaborative and fast model, which ensures that millions of the most vulnerable people are helped, people who would otherwise have gone without assistance for weeks, months, or longer.

In becoming independent, Start Network will be better placed to drive the change it believes is needed. This will include:
:: A global risk-based financing facility, that is triggered by different levels of risk, enabling aid agencies to predict and act early, minimising the impact of crises.
:: A dispersed, international network of regional and national collectives of organisations, called “hubs”, that will have more power to define appropriate responses to crises.
:: A global tiered due diligence database, to enable more organisations to access funds directly and to reduce the duplication of existing multiple due diligence systems.

Start Network is made up of more than 40 humanitarian agencies, and it is funded by the governments of the United Kingdom, Ireland, the Netherlands, Jersey, and Germany, in addition to the World Bank and the IKEA Foundation – which is supporting the Start Network to build the infrastructure needed as an independent charity. The move to an independent charity means the Start Network can bring in more members and donors, scaling its work further.

Read more about Start Network’s vision for a new era of humanitarian aid, and watch a video.

Vaccine-preventable diseases and immunisation coverage among migrants and non-migrants worldwide: A scoping review of published literature, 2006 to 2016

Featured Journal Content

Vaccine
Volume 37, Issue 20 Pages 2643-2764 (6 May 2019)
https://www.sciencedirect.com/journal/vaccine/vol/37/issue/20
Research article  Abstract only
Vaccine-preventable diseases and immunisation coverage among migrants and non-migrants worldwide: A scoping review of published literature, 2006 to 2016
Nadia A. Charania, Nina Gaze, Janice Y. Kung, Stephanie Brooks
Pages 2661-2669

Highlights
:: 89% of studies reported higher VPD burden among migrants.
:: 70% of studies reported lower immunisation rates among migrants.
:: Future research needs consensus on employed methodologies and terminology.
:: Research should disaggregate migrant data to better understand migrant health.
:: Calls for more evaluation and reporting of screening and vaccination strategies.

Abstract
Background
Studies of vaccine-preventable disease (VPD) burden and immunisation coverage among migrants compared to locally-born populations present a mixed picture on whether migrants experience disproportionate VPD rates and immunisation inequities, and what the associated factors are. We conducted a scoping review to explore differences in VPD burden and immunisation coverage between migrants and non-migrants worldwide.
Methods
We followed Arksey and O’Malley’s five stage scoping review method. We searched for empirical, peer-reviewed literature published in English that compared VPD burden and/or immunisation coverage between migrant and non-migrant groups published between 2006 and 2016 using MEDLINE, EMBASE, CINAHL, Sociological Abstracts, and Web of Science databases. Relevant information from the studies were charted in Microsoft Excel and results were summarised using a descriptive analytical method.
Results
Forty-five studies met the inclusion criteria (n = 13 reporting on VPD burden; n = 27 reporting on immunisation rates; n = 5 reporting on both). Studies that met the criteria only reported findings from high income countries or high-middle income countries. Accounting for results that were presented according to separate ethnic migrant sub-groups, almost all of the studies comparing VPD burden (n = 17, 89%) reported higher burden among migrants compared to non-migrants, while most studies measuring immunisation rates (n = 26, 70%) noted lower rates among migrants. Numerous factors contributed to these findings, including the influence of migrants’ nativity, socio-economic status, migration background, generation status, residential duration, cultural/personal beliefs, language proficiency and healthcare utilisation.
Conclusions
Considerable variability of study foci and methodologies limited our ability to make definitive conclusions and comparisons, but the literature suggests that migrant populations generally experience higher VPD burden and lower immunisation rates. The findings highlight a number of important considerations for future research and immunisation programme planning. Future research should explore factors that influence VPD burden and immunisation rates, and strategies to overcome barriers to vaccine uptake among migrants.

Indigenous knowledge networks in the face of global change

PNAS – Proceedings of the National Academy of Sciences of the United States of America
http://www.pnas.org/content/early/
[Accessed 4 May 2019]

Indigenous knowledge networks in the face of global change
Rodrigo Cámara-Leret, Miguel A. Fortuna, and Jordi Bascompte
PNAS first published May 1, 2019. https://doi.org/10.1073/pnas.1821843116
Significance
The knowledge of nonliterate societies may vanish in silence jeopardizing indigenous peoples’ livelihoods. Yet, this cultural component is missed by studies on ecosystem services that have historically emphasized the biological dimension. Here we fill this gap by introducing indigenous knowledge networks representing the wisdom of indigenous people on plant species and the services they provide. This approach allows us to assess how knowledge held by 57 Neotropical indigenous communities is structured locally and regionally, how it is influenced by turnover in biological and cultural heritage, and how the progressive loss of biocultural heritage may undermine the resilience of these communities.
Abstract
Indigenous communities rely extensively on plants for food, shelter, and medicine. It is still unknown, however, to what degree their survival is jeopardized by the loss of either plant species or knowledge about their services. To fill this gap, here we introduce indigenous knowledge networks describing the wisdom of indigenous people on plant species and the services they provide. Our results across 57 Neotropical communities show that cultural heritage is as important as plants for preserving indigenous knowledge both locally and regionally. Indeed, knowledge networks collapse as fast when plant species are driven extinct as when cultural diffusion, either within or among communities, is lost. But it is the joint loss of plant species and knowledge that erodes these networks at a much higher rate. Our findings pave the road toward integrative policies that recognize more explicitly the inseparable links between cultural and biological heritage.

ICC – Timbutku Heritage Destruction: Ahmad Al Faqi Al Mahdi transferred to UK prison facility to serve sentence

Heritage Destruction – International Criminal Court

ICC Press Release : 3 May 2019
Ahmad Al Faqi Al Mahdi transferred to UK prison facility to serve sentence
Today, the Presidency of the International Criminal Court (ICC) announced that on 29 August 2018, Mr Ahmad Al Faqi Al Mahdi was transferred to Scotland, United Kingdom, to serve his sentence of imprisonment. The transfer of Mr Al Mahdi was not immediately announced while the Court considered a number of matters related to his safety and security.

The ICC relies on state support at the enforcement of sentence stage and is highly appreciative of the voluntary cooperation of the Scottish and United Kingdom Governments in respect of Mr Al Mahdi.

Mr Al Mahdi was sentenced to nine years’ imprisonment on 27 September 2016, by Trial Chamber VIII, for the war crime of intentionally directing attacks against religious and historic buildings in Timbuktu, Mali, in June and July 2012. Mr Al Mahdi was the first accused to make an admission of guilt at trial before the ICC. He has expressed remorse for his conduct and apologised to victims.

Persons convicted by the ICC serve their sentence in a State designated by the Court from a list of States which have indicated their willingness to allow convicted persons to serve their sentence…

Background: On 27 September 2016, Trial Chamber VIII found Mr Al Mahdi guilty of the war crime consisting in intentionally directing attacks against religious and historic buildings in Timbuktu, Mali, in June and July 2012 and sentenced him to nine years’ imprisonment. Mr Al Mahdi had pleaded guilty at the beginning of the trial. On 17 August 2017, Trial Chamber VIII issued a Reparations Order concluding that Mr Al Mahdi was liable for individual and collective reparations for the community of Timbuktu. Noting that Mr Al Mahdi was indigent, the Chamber encouraged the Trust Funds for Victims to complement the reparations award and directed the TFV to submit a draft implementation plan. On 8 March 2018, the Appeals Chamber confirmed, for the most extent, the Reparations Order. On 4 March 2019, Trial Chamber VIII issued its decision on the Updated Implementation Plan from the Trust Fund for Victims, approving the selection of projects presented by the Trust Fund for Victims in its updated plan, subject to certain conditions.
Further information on this case is available here.

UNICEF inaugurates 2,000th learning center in the Rohingya refugee camp, Cox’s Bazar, Bangladesh.

Education – Emergencies/Humanitarian Contexts

Education for Rohingya children in Bangladesh: Geneva Palais Briefing Note
This is a summary of what was said by UNICEF spokesperson Christophe Boulierac – to whom quoted text may be attributed – at today’s press briefing at the Palais des Nations in Geneva.

GENEVA, 3 May 2019 – This week, UNICEF inaugurated the 2,000th learning center in the Rohingya refugee camps of Cox’s Bazar of Bangladesh. More than 180,000 children are now learning in the 2,000 UNICEF-supported learning centres, taught by 4,000 teachers who have been trained by UNICEF partners. These children are aged between 4 to 14 years.

Following the arrival of hundreds of thousands of Rohingya children who were forced to flee for their lives from Myanmar to Bangladesh in August 2017, UNICEF’s initial focus was to scale up access to education and to provide safe learning environments.

Today, UNICEF is focusing on ensuring quality education for Rohingya children.

First, the children of the UNICEF-supported learning centers are now enrolled based on their competency level, whereas previously, they were placed in learning centres according to their age.
Second, in January 2019, UNICEF rolled out a new structured learning programme, known as the Learning Competency Framework and Approach (LCFA).

This Learning Competency Framework and Approach defines learning competencies (along with the approach to achieve them) that are comparable to those that children would achieve through a formal school curriculum. The learning framework covers the following subjects: English and Burmese language, mathematics, life skills and science across levels 1 to 5.

Education of Rohingya children is crucial. The results of a survey completed in December 2018 of 180,000 Rohingya children ages 4 to 14 showed the extent of the need for education. The results indicated that the majority of Rohingya children did not have regular access to education in Myanmar. Thus, they were in need of elementary or basic level education.

More than 90 per cent were shown to have learning competencies at the pre-primary level to grades 1 and 2. Just 4 per cent were at grade levels 3 to 5, and 3 per cent at grades 6 to 8.

There is an urgent need to provide opportunities for adolescents as only 7 per cent of 15 to 18 years old are accessing education.

We are now targeting 45,000 adolescents aged 15 to 18 with foundational skills in literacy and numeracy, and relevant vocational skills…

The Lancet Commissions :: The legal determinants of health: harnessing the power of law for global health and sustainable development

Featured Journal Content

The Lancet
May 04, 2019 Volume 393Number 10183p1773-1910
https://www.thelancet.com/journals/lancet/issue/current

The Lancet Commissions
The legal determinants of health: harnessing the power of law for global health and sustainable development
Lawrence O Gostin, John T Monahan, Jenny Kaldor, Mary DeBartolo, Eric A Friedman, Katie Gottschalk, Susan C Kim, Ala Alwan, Agnes Binagwaho, Gian Luca Burci, Luisa Cabal, Katherine DeLand, Timothy Grant Evans, Eric Goosby, Sara Hossain, Howard Koh, Gorik Ooms, Mirta Roses Periago, Rodrigo Uprimny, Alicia Ely Yamin
Key messages
1 Law affects global health in multiple ways, by structuring, perpetuating, and mediating the social determinants of health.
2 Although law has been central to major public health achievements in the past, its capacity to advance global health with justice remains substantially underutilised, particularly among professionals in the fields of health and science.
3 The right to health, a legally binding norm, provides a foundation for advancing global health with justice and should underpin health-related legal reforms.
4 Every human being has a right to affordable, high quality health services. By embedding equity and accountability in all health systems, the law and the rule of law can achieve health coverage that is truly universal—delivering the Sustainable Development Goals’ promise to leave no one behind.
5 Although the ability to enforce compliance with international legal obligations is generally limited, and largely dependent on power dynamics and political will, creative mechanisms can foster compliance and help establish impetus for action.
6 Law can address the pressing health concerns of the 21st century, across diverse areas. From tobacco control, non-communicable diseases, and road safety, to health emergencies, law can implement fair, evidence-based interventions to save lives. The global health community should champion evidence-based legal interventions and build the research case for legal action.
7 Laws that stigmatise or discriminate against marginalised populations are especially harmful and exacerbate health disparities. The global health community must oppose laws that undermine the right to health and to equity.
8 To realise the full potential of law to advance global health with justice, the global health community should build legal capacity and establish a sustained dialogue with legislators, regulators, judges, civil society, and researchers.

Report: – No Time to Wait: Securing the future from drug-resistant infections :: IACG – Interagency Coordination Group on Antimicrobial Resistance

AMR

Press Release
New report calls for urgent action to avert antimicrobial resistance crisis
International organizations unite on critical recommendations to combat drug-resistant infections and prevent staggering number of deaths each year.
New York, 29 April 2019 – The United Nations, international agencies and experts today released a groundbreaking report demanding immediate, coordinated and ambitious action to avert a potentially disastrous drug-resistance crisis.

If no action is taken – warns the UN Ad hoc Interagency Coordinating Group on Antimicrobial Resistance who released the report – drug-resistant diseases could cause 10 million deaths each year by 2050 and damage to the economy as catastrophic as the 2008-2009 global financial crisis. By 2030, antimicrobial resistance could force up to 24 million people into extreme poverty.

Currently, at least 700,000 people die each year due to drug-resistant diseases, including 230,000 people who die from multidrug-resistant tuberculosis. More and more common diseases, including respiratory tract infections, sexually transmitted infections and urinary tract infections, are untreatable; lifesaving medical procedures are becoming much riskier, and our food systems are increasingly precarious.

The world is already feeling the economic and health consequences as crucial medicines become ineffective. Without investment from countries in all income brackets, future generations will face the disastrous impacts of uncontrolled antimicrobial resistance.

Recognizing that human, animal, food and environmental health are closely interconnected, the report calls for a coordinated, multisectoral “One Health” approach.

It recommends countries:
:: prioritize national action plans to scale-up financing and capacity-building efforts;
:: put in place stronger regulatory systems and support awareness programs for responsible and prudent use of antimicrobials by professionals in human, animal and plant health;
:: invest in ambitious research and development for new technologies to combat antimicrobial resistance;
:: urgently phase out the use of critically important antimicrobials as growth promoters in agriculture.

.

Report
No Time to Wait: Securing the future from drug-resistant infections
IACG – Interagency Coordination Group on Antimicrobial Resistance
REPORT TO THE SECRETARY-GENERAL OF THE UNITED NATIONS
APRIL 2019 : 28 pages
KEY MESSAGES IN THIS REPORT
Antimicrobial resistance is a global crisis that threatens a century of progress in health and achievement of the Sustainable Development Goals.
:: Antimicrobial (including antibiotic, antiviral, antifungal and antiprotozoal) agents are critical tools for fighting diseases in humans, terrestrial and aquatic animals and plants, but they are becoming ineffective.
:: Alarming levels of resistance have been reported in countries of all income levels, with the result that common diseases are becoming untreatable, and lifesaving medical procedures riskier to perform.
:: Antimicrobial resistance poses a formidable challenge to achieving Universal Health Coverage and threatens progress against many of the Sustainable Development Goals, including in health, food security, clean water and sanitation, responsible consumption and production, and poverty and inequality.
:: Misuse and overuse of existing antimicrobials in humans, animals and plants are accelerating the development and spread of antimicrobial resistance.
:: Inadequate access to clean water, sanitation and hygiene in health care facilities, farms, schools, households and community settings; poor infection and disease prevention; lack of equitable access to affordable and quality-assured antimicrobials, vaccines and diagnostics; and weak health, food and feed production, food safety and waste management systems are increasing the burden of infectious disease in animals and humans and contributing to the emergence and spread of drug-resistant pathogens.

There is no time to wait. Unless the world acts urgently, antimicrobial resistance will have disastrous impact within a generation.
:: Drug-resistant diseases already cause at least 700,000 deaths globally a year, including 230,000 deaths from multidrug-resistant tuberculosis, a figure that could increase to 10 million deaths globally per year by 2050 under the most alarming scenario if no action is taken. Around 2.4 million people could die in high-income countries between 2015 and 2050 without a sustained effort to contain antimicrobial resistance.
:: The economic damage of uncontrolled antimicrobial resistance could be comparable to the shocks experienced during the 2008-2009 global financial crisis as a result of dramatically increased health care expenditures; impact on food and feed production, trade and livelihoods; and increased poverty and inequality.
:: In higher-income countries, a package of simple interventions to address antimicrobial resistance could pay for itself due to costs averted. In lower-income countries, additional but still relatively modest investments are urgently needed.
:: If investments and action are further delayed, the world will have to pay far more in the future to cope with the disastrous impact of uncontrolled antimicrobial resistance.

Because the drivers of antimicrobial resistance lie in humans, animals, plants, food and the environment, a sustained One Health response is essential to engage and unite all stakeholders around a shared vision and goals.
:: National Antimicrobial Resistance Action Plans are at the heart of a multisectoral One Health response, but financing and capacity constraints in many countries need to be urgently addressed to accelerate implementation.
:: Strengthening infection prevention and control in health care facilities and farms using available tools and ensuring access to clean water, sanitation and hygiene in health facilities, farms, schools, household and community settings are central to minimizing disease transmission and the emergence and transmission of antimicrobial resistance in humans, animals, plants, food and the environment.
:: Strengthening surveillance, regulatory frameworks, professional education and oversight of antimicrobial prescription and use, and increasing awareness among all stakeholders are also significant challenges that need to be urgently addressed to ensure the responsible use of antimicrobials and to minimize resistance in humans, animals, plants, food and the environment.
:: Immediately stopping the use of the antimicrobials on the WHO List of Highest Priority Critically Important Antimicrobial Agents for Human Medicine as growth promoters is an essential first step towards completely phasing out the use of antimicrobials for growth promotion.
:: Additional effort, investments and incentives are needed to spur innovation in antimicrobial medicines, diagnostics, vaccines, waste management tools, safe and effective alternatives to antimicrobials and alternative practices, as well as operational and implementation research, in human, animal and plant health.
:: Many people around the world still do not have access to antimicrobials. Ensuring equitable and affordable access to quality antimicrobial agents and their responsible and sustainable use is an essential component of the global response to antimicrobial resistance.
:: Stronger political leadership, advocacy, coordination and accountability are needed at all levels to enable a sustained One Health response to antimicrobial resistance. All stakeholder groups – including governments, civil society and the private sector – need to be engaged and to collaborate in an unprecedented effort across the human, animal, plant, food and feed production and environmental sectors, based on a shared vision and goals.
:: The challenges of antimicrobial resistance are complex and multifaceted, but they are not insurmountable. Implementation of the recommendations in this report will help to save millions of lives, maintain economic and other development gains, and secure the future from drug-resistant diseases.

Emergencies

Emergencies

POLIO
Public Health Emergency of International Concern (PHEIC)
Polio this week as of 2 May 2019
:: On 30 April 2019, the Polio Endgame Strategy 2019-2023 was launched. The strategy will guide the Global Polio Eradication Initiative and its partners to overcome final hurdles to eradication and stay the course for a polio-free world. Read the statement.
:: Polio News April 2019 is now online, covering all the happenings, news and the latest on polio eradication efforts around the world.

Summary of new viruses this week:
:: Afghanistan— one wild poliovirus type 1 (WPV1) case;
:: Pakistan — two WPV1 cases and 11 WPV1-positive environmental samples;
:: Nigeria— one cVDPV2-positive environmental sample

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The Polio Endgame Strategy 2019-2023
GPEI statement on the strategy to achieve and sustain a polio-free world
30/04/2019
Today, the Global Polio Eradication Initiative (GPEI) launched the Polio Endgame Strategy 2019-2023, which will guide the programme and its partners to overcome the final hurdles to eradication and move toward sustaining a polio-free future.

The new plan hones in on addressing today’s most pressing obstacles to end poliovirus transmission imminently, integrate polio programme resources into health and development programmes globally, and certify the world polio-free. In addition to building on the programme’s core strategies to expand access to vaccination and improve surveillance around the world, the 2019-2023 Endgame Strategy offers responsive and innovative solutions tailored to communities’ needs. These include establishing a regional hub in Amman, Jordan to enhance coordinated support to Afghanistan and Pakistan and creating permanent Rapid Response Teams to accelerate the programme’s response to outbreaks.

The programme will also work to improve immunisation coverage and support basic development needs through strengthened collaboration with immunisation partners such as Gavi, the Vaccine Alliance and the humanitarian and emergency response communities.

To reach its goals and achieve eradication, the Endgame Strategy requires a US$4.2 billion budget, of which US$3.27 billion is to be raised by the GPEI. In support of the Strategy and to encourage additional commitments, a pledging event will be hosted this November at the Reaching the Last Mile Forum in Abu Dhabi, a gathering of leaders from across the global health space held once every two years. The pledging event will be hosted by the GPEI, with the support of His Highness Sheikh Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi, a longtime champion of the polio programme.

The 2019-2023 Endgame Strategy builds on the 2013-2018 Strategic Plan, which brought the world to the brink of polio eradication. Despite this impressive progress, the last steps to eradication have proved to be the most difficult.

Wild poliovirus transmission continues in Afghanistan and Pakistan, and circulating vaccine-derived poliovirus outbreaks are ongoing in several countries across Africa and Asia. To overcome these challenges, the new Strategy must be fully implemented with sufficient resources and commitments from governments, donors, multilateral organisations, and local communities.

The Polio Endgame Strategy 2019-2023 will be discussed at the upcoming 2019 World Health Assembly in Geneva, Switzerland during the week of 20 May.

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Editor’s Note:
WHO has posted a refreshed emergencies page which presents an updated listing of Grade 3,2,1 emergencies as below.

WHO Grade 3 Emergencies [to 4 May 2019]

Democratic Republic of the Congo
:: Ebola situation worsening while support lags 30 April 2019
:: 39: Situation report on the Ebola outbreak in North Kivu 30 April 2019
:: Disease Outbreak News (DONs) Ebola virus disease – Democratic Republic of the Congo
2 May 2019
[See Ebola DRC above for detail]

Syrian Arab Republic
:: WHO condemns the attack on three health facilities in north-west Syrian Arab Republic
3 May 2019 The World Health Organization (WHO) strongly condemns the consecutive reported attacks on three health facilities in north-west Syria on 28 and 30 April. The attacks resulted in damage to infrastructure, putting them out of service.
Of the three attacked facilities, two were hospitals located in northern Hama providing life-saving medical services to thousands of vulnerable populations affected by increased hostilities over the past weeks…

Nigeria
:: Braving the waves to reach underserved populations with immunization services in the Niger Delta 28 April 2019
…“The difficulty of accessing healthcare services is due to suboptimal and expensive coastal and waterway transportation from the distant communities to healthcare centers, hence, innovative strategies are being employed to reach the underserved and vulnerable population with vaccination and other health interventions especially during Supplemental Immunization Activities (SIAs)”, says Dr Edmund Egbe, WHO State Coordinator in Bayelsa…

South Sudan
:: South Sudan intensifies efforts to control an ongoing measles outbreak 29 April 2019
…To date, more than 310 582 children aged 6 months – 15 years have been vaccinated.
South Sudan is among the countries experiencing an upsurge of measles cases. Since the beginning of 2019, measles outbreaks have been confirmed in 11 counties and three Protection of Civilian sites (POCs) housing displaced populations, affecting over 908 children and claiming at least seven lives…

Bangladesh – Rohingya crisis – No new digest announcements identified
Cyclone Idai – No new digest announcements identified
Myanmar – No new digest announcements identified
Somalia – No new digest announcements identified
Yemen – No new digest announcements identified

::::::

WHO Grade 2 Emergencies [to 4 May 2019]

Libya
:: WHO Libya teams saving lives on Tripoli’s front lines 30 April 2019
…WHO Libya has deployed 3 teams with different specialties, including general surgeons, orthopedic surgeons, a vascular surgeon and anaesthesiologists, to 3 hospitals receiving the wounded from the front lines.

Brazil (in Portugese) – No new digest announcements identified
Cameroon – No new digest announcements identified
Central African Republic – No new digest announcements identified
Ethiopia – No new digest announcements identified
Iraq – No new digest announcements identified
MERS-CoV – No new digest announcements identified
Niger – No new digest announcements identified
occupied Palestinian territory – No new digest announcements identified
Sudan – No new digest announcements identified
Ukraine – No new digest announcements identified
Zimbabwe – No new digest announcements identified

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WHO Grade 1 Emergencies [to 4 May 2019]
Afghanistan – No new digest announcements identified
Chad – No new digest announcements identified
Indonesia – Sulawesi earthquake 2018 – No new digest announcements identified
Kenya – No new digest announcements identified
Lao People’s Democratic Republic – No new digest announcements identified
Mali – No new digest announcements identified
Namibia – viral hepatitis – No new digest announcements identified
Peru – No new digest announcements identified
Philippines – Tyhpoon Mangkhut – No new digest announcements identified
Tanzania – No new digest announcements identified

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UN OCHA – L3 Emergencies
The UN and its humanitarian partners are currently responding to three ‘L3’ emergencies. This is the global humanitarian system’s classification for the response to the most severe, large-scale humanitarian crises. 
Syrian Arab Republic – No new digest announcements identified
Yemen – No new digest announcements identified

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UN OCHA – Corporate Emergencies
When the USG/ERC declares a Corporate Emergency Response, all OCHA offices, branches and sections provide their full support to response activities both at HQ and in the field.
CYCLONE IDAI and Kenneth
:: 28 Apr 2019
CERF allocates US$13M to provide a lifeline to people hit by Tropical Cyclone Kenneth in Comoros and Mozambique

The Sentinel

Human Rights Action :: Humanitarian Response :: Health :: Education :: Heritage Stewardship ::
Sustainable Development
__________________________________________________
Week ending 27 April 2019

This weekly digest is intended to aggregate and distill key content from a broad spectrum of practice domains and organization types including key agencies/IGOs, NGOs, governments, academic and research institutions, consortia and collaborations, foundations, and commercial organizations. We also monitor a spectrum of peer-reviewed journals and general media channels. The Sentinel’s geographic scope is global/regional but selected country-level content is included. We recognize that this spectrum/scope yields an indicative and not an exhaustive product. Comments and suggestions should be directed to:

David R. Curry
Editor
GE2P2 Global Foundation – Governance, Evidence, Ethics, Policy, Practice
david.r.curry@ge2p2center.net

PDF: The Sentinel_ period ending 27 Apr 2019

Contents
:: Week in Review  [See selected posts just below]
:: Key Agency/IGO/Governments Watch – Selected Updates from 30+ entities   [see PDF]
:: INGO/Consortia/Joint Initiatives Watch – Media Releases, Major Initiatives, Research:: Foundation/Major Donor Watch -Selected Updates
:: Journal Watch – Key articles and abstracts from 100+ peer-reviewed journals  [see PDF]

Security Council Adopts Resolution Calling upon Belligerents Worldwide to Adopt Concrete Commitments on Ending Sexual Violence in Conflict

Sexual Violence in Conflict

Security Council Adopts Resolution Calling upon Belligerents Worldwide to Adopt Concrete Commitments on Ending Sexual Violence in Conflict
Security Council 8514th Meeting (AM)
Members Pass Resolution 2467 (2019) by 13 Votes in Favour, None against, as China, Russian Federation Abstain
The Security Council called today upon warring parties around the globe to implement concrete commitments to fight what many speakers described as the heinous, barbaric and all-too-often silent phenomenon of sexual violence during conflict.

Adopting resolution 2467 (2019) by a vote of 13 in favour to none against, with 2 abstentions (China, Russian Federation), during a wide-ranging debate on the prevention and implications of sexual violence, the Council reiterated its demand for the complete cessation of all acts of sexual violence by all parties to armed conflict.

Calling upon the latter to implement specific, time-bound commitments to combat the crime, the Council welcomed efforts by the Secretary-General, his Special Representative on Sexual Violence in Conflict and other relevant officials in seeking such commitments and implementation plans, aimed at preventing and addressing all acts and forms of sexual violence in conflict and post-conflict situations.
The Council reiterated its deep concern that — despite its repeated condemnation of violence against women and children in situations of armed conflict, including sexual violence — the phenomenon continues to occur, often with impunity, and in some situations has become systematic and widespread, or reached appalling levels of brutality.

Encouraging Member States to adopt a survivor-cantered approach to ensure that survivors receive the care required by their specific needs without discrimination, the Council also called upon parties to conflict to include stipulations prohibiting such crimes in all ceasefire and peace agreements. It further urged States to recognize the equal rights of all affected individuals — including women, girls and children born of sexual violence — in national legislation and recognized the need to integrate prevention, response and elimination of the crime into all relevant Council resolutions, including authorizations and renewals of the mandates of peace missions.

Further by the terms of the resolution, the Council urged existing sanctions committees — where within the scope of the relevant designation criteria and consistent with the present and other relevant resolutions — to apply targeted sanctions against those who perpetrate and direct sexual violence during conflict. It reiterated its intention to consider including designation criteria pertaining to acts of rape and other forms of sexual violence when adopting or renewing targeted sanctions in situations of armed conflict…

Report: Two decades of Human Development already lost says UNDP-commissioned study on impact of war in Yemen

Yemen

Press Release
Two decades of Human Development already lost says UNDP-commissioned study on impact of war in Yemen
Amman, 23 April 2019 – Ongoing conflict in Yemen has already reversed human development by 21 years, according to a UNDP-commissioned study released today. The study warns of exponentially growing impacts of conflict on human development. It projects that if the war ends in 2022, development gains will have been set back by 26 years — almost a generation. If it continues through 2030, that setback will increase to four decades.

Commissioned by the United Nations Development Programme (UNDP) in Yemen and conducted by researchers from the Frederick S. Pardee Centre for International Futures, Josef Korbel School of International Studies, University of Denver, the study entitled Assessing the Impact of War on Development in Yemen considers the impact of conflict on the priorities articulated in the globally agreed Agenda 2030 for Sustainable Development and its Sustainable Development Goals.
The study compares three potential quantitative modelling scenarios for the conflict ending in 2019, 2022 and 2030 against a hypothetical scenario where the conflict did not escalate after 2014. Based on the scenarios, the study attempts to quantify the impact of conflict on multiple dimensions of development, including demographic outlook, economic conditions, infrastructures, health and education.

“Human development has not just been interrupted. It has been reversed,” asserted UNDP Yemen Resident Representative, Auke Lootsma. “Even if there were to be peace tomorrow, it could take decades for Yemen to return to pre-conflict levels of development. This is a big loss for the people of Yemen.”…

…“The long-term impacts of conflict are vast and place it among the most destructive conflicts since the end of the Cold War,” states the report; and further deterioration of the situation “will add significantly to prolonged human suffering, retard human development in Yemen, and could further deteriorate regional stability.”

.

Report
Assessing the Impact of War on Development in Yemen
UNDP 2019 :: 68 pages
Jonathan D. Moyer | David Bohl | Taylor Hanna | Brendan R. Mapes | Mickey Rafa
PDF: http://www.arabstates.undp.org/content/dam/rbas/doc/Crisis%20prevention/FINAL%20UNDP-Y_FullReport_041919_print-compressed.pdf

Prior to the escalation of conflict in 2015, development in Yemen was strained. A country of 30 million people, Yemen ranked: (a) 153rd on the Human Development Index (HDI); (b) 138th in extreme poverty; (c) 147th in life expectancy; (d) 172nd in educational attainment; and, (e) was in the World Bank low-middle income category. Projections suggest that Yemen would not have achieved any of
the Sustainable Development Goals (SDGs) by 2030 even in the absence of conflict.

This study on the “Impact of War on Development in Yemen”, was commissioned end of 2018 in collaboration with Frederick S. Pardee Center for International Futures, Josef Korbel School of International Studies, University of Denver. The researchers undertook the analytical work with a desire to understand the impact of war in Yemen across human, social and economic dimensions of development. The analysis was undertaken by calibrating a quantitative modeling system called International Futures (IFs) to fit the available information on the impact of war in Yemen to date, and then create four hypothetical analytical scenarios to be explored. One where the conflict ends in 2019, 2022 and finally one where conflict extents all the way to 2030. To assess the impacts from the conflict across the three conflict scenarios the fourth scenario represents a counter-factual world in which conflict did not escalate beyond 2014. The result is an impact study that quantifies the damages of the war in Yemen across multiple dimension of development such as loss of lives, health, demographics, education, infrastructure and the economy, etc.

The study is intended to advocate to the parties to the conflict on the consequences of the conflict on medium- and long-term development, as recovery to the pre-conflict levels would require two to three generations. At the same time the study intends to inform the general public, including the international community, about the level of devastation caused by the conflict in Yemen, and ask those who have influence over either party to the conflict to urgently push towards a sustainable peace deal and a stop to further escalation. The situation is already extremely severe. If it deteriorates further it will add significantly to prolonged human suffering, retard human development in Yemen, and could further deteriorate regional stability.

Through effective multilateralism, States can create norms that uphold our humanity

Governance – Multilateralism

Through effective multilateralism, States can create norms that uphold our humanity
ICRC Statement to UN General Assembly High Level Event to Commemorate and Promote the International Day of Multilateralism and Diplomacy for Peace
25-04-2019 | Statement
The International Committee of the Red Cross (ICRC) is pleased to join in today’s commemoration of the first official International Day of Multilateralism and Diplomacy for Peace.

As the guardian of international humanitarian law (IHL), a neutral, impartial and independent humanitarian actor, and a multiple recipient of the Nobel Peace Prize honoured for our humanitarian activities during war, the ICRC deems it important to provide our perspective on this critical topic. In particular we wish to highlight the interrelated nature of humanity and multilateralism.

In the aftermath of the Second World War, States recognized that if wars cannot be prevented they must be waged within certain limits. Humanity brought States together to draft, negotiate and adopt the four Geneva Conventions of 1949, which today are core to IHL and represent a shared commitment to humanity. Universally ratified, these rules of war are the quintessential product of multilateral consensus. They demonstrate what is possible through effective multilateralism: together States can create norms, uphold them and take action.

These Geneva Conventions were designed to protect the safety, dignity and well-being of people affected by conflict. The original drafters knew that when we invest in our shared humanity, we see positive results. Torture and ill treatment or rape and other forms of sexual violence are prevented. Hospitals can function and medical personnel are able to help the wounded and the sick. People who are detained are treated humanely. We are able to view our enemies as humans. When upheld and respected the collective result of international humanitarian law is less human suffering.

Humanity and multilateralism are at the heart of the United Nations and bring us today together. In this multilateral fora we create the norms that uphold our humanity. This year we mark the 70th anniversary of the Geneva Conventions. Let us remember the spirit of these Conventions and uphold human dignity even in the midst of war. It is our collective responsibility to ensure these laws are respected. Through multilateralism we can achieve this.

UNICEF expands network of drone testing corridors

Health, Development, Drones

UNICEF expands network of drone testing corridors
Press release
New York, 25 APRIL 2019 – Sierra Leone will serve as a new drone-testing site for humanitarian and development initiatives to improve the lives of children in hard to reach areas. The country will be the fourth in a network of drone testing corridors launched by UNICEF and the governments of Malawi, Vanuatu and Kazakhstan. Plans are also underway to launch a similar drone testing corridor in Namibia.

UNICEF and the Government of Sierra Leone (led by the Directorate for Science, Technology and Innovation and Ministry of Transport and Aviation) will establish a drone corridor for the development and testing of drones for aerial imagery and transportation. Aerial imaging projects will include mapping infrastructure, agriculture and transportation to focus on the delivery of life-saving medical supplies and perishable goods. The initiative will support education programs to build the skills needed to operate and maintain drones locally.

“From the world’s first drone-delivered vaccines in Vanuatu, to the tallest drone airspace for search and rescue in Kazakhstan, to stopping the spread of malaria in Malawi, we’re constantly expanding the ways in which we can use drones for social good,” said Christopher Fabian Principal Adviser of UNICEF Office of Innovation, ”But today’s expansion of a drone corridor in Sierra Leone is proof we won’t stop there. UNICEF is exploring ways of delivering similar solutions in a variety of environments – globally and at scale.”

In the Zambezi region of Namibia which has a high prevalence of HIV, UNICEF Namibia plans to use a drone delivery network to eventually transport blood samples from rural areas to central laboratories. During the rainy seasons, rural communities in the region are often cut off by floods for up to six months. Drones could render these unreachable communities within reach, making a significant contribution to efforts to tackle HIV and AIDS.

To further extend its drones programme, UNICEF will work with Irelandia Aviation to research, prototype and test innovative solutions for drone operations. The collaboration will strengthen efforts for large-scale mapping, machine learning, data analytics and the emergency response capability of the countries where UNICEF has drone programmes.

London Metals Exchange to shake up rules on responsibly sourced metals [cobalt+]

Responsible Commodities Sourcing – Cobalt, Non-Ferrous Metals

LME to shake up rules on responsibly sourced metals
Concerns over cobalt that may have been mined by children has prompted change
Neil Hume, Natural Resources Editor
Financial Times, April 22, 2019
The London Metal Exchange will only allow responsibly sourced metals to be traded from 2022, as rising demand from consumers and investors for sustainable products prompts one of the biggest shake-ups in the organisation’s history.

Under the new rules, producers operating in high-risk areas or conflict zones will need to meet international guidelines on responsible sourcing or face being delisted from the 142-year-old exchange.
The plans,…mark a significant departure from the exchange’s history in which metallurgical standards have determined the brands of metals eligible to trade on the LME, the world’s biggest marketplace for the likes of copper, zinc and aluminium.

However, responsible sourcing has come into focus after it emerged in 2017 that some of the cobalt — a key material in the batteries of smartphones and electric vehicles — traded on the LME could have been mined by children in the Democratic Republic of Congo…

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London Metals Exchange Press Release
LME launches consultation on the introduction of responsible sourcing standards across all listed brands
23 April 2019
:: Builds on broad market engagement to LME’s 2018 responsible sourcing position paper
:: LME consultation details proposed responsible sourcing requirements for all listed brands
:: Requirements are consistent with, or build on, the core OECD Guidance, and utilise responsible sourcing work already undertaken by the industry
:: Phased approach to transparency to encourage all producers to embrace a fully open approach, including in respect of financial crime and corruption risks

The London Metal Exchange (“LME”) today launched a formal market-wide consultation on proposed rules for the application of responsible sourcing principles to all LME-listed brands. These rules build on the strong engagement with market stakeholders to the LME’s October 2018 position paper, and reflect the broad range of feedback which the LME has received.

Matthew Chamberlain, LME CEO, commented, “Our comprehensive market engagement exercise has revealed strong support for the LME taking action on this important topic. The LME’s role is now to appropriately balance the differing views of market stakeholders when implementing our requirements – and we are pleased to have been able to do so in today’s proposals. For example, based on the constructive feedback of civil society organisations, we have enhanced our transparency requirements, and at the same time, we have respected the views of producers who have called for more achievable timelines and a clearly-defined reporting process.”

The LME’s proposed rules will require all of its listed brands to undertake a Red Flag Assessment, based on the Organisation for Economic Co-operation and Development (“OECD”) Guidance, by the end of 2020. If this assessment demonstrates potential responsible sourcing red flags, then that brand will be classified as a Higher-Focus Brand and will also need to be audited as compliant with an OECD-aligned standard by the end of 2022.

The LME’s phased transparency approach will ensure that all LME-listed brands publish fully attributed Red Flag Assessments to the market by the end of 2024, while respecting requirements of commercial confidentiality. In this way, the LME will deploy the twin tools of transparency (allowing interested stakeholders to engage with a brand on its responsible sourcing strategy) and standards (providing certainty to buyers of metal on the LME, and hence global consumers, that all brands meet a minimum level of responsible sourcing compliance). The LME is committed to a consensual approach, but if proved to be ineffective, the LME’s core power is to suspend or delist brands which do not engage on either transparency or standards alignment.

The LME’s requirements are consistent with the OECD Guidance, and have been designed specifically to respect and build on work already undertaken by industry bodies and companies in designing Red Flag Assessment templates and standards. However, based on stakeholder feedback, the LME’s proposals adopt a broad interpretation of the core OECD requirements in certain key respects. In addition to transparency standards, these requirements include a more comprehensive set of potential risks which may trigger red flags, as well as requiring ISO, OHSAS or equivalent standards for environmental management and occupational health and safety.

The LME has also taken on board market feedback around the balance between large-scale mining (“LSM”) and artisanal and small-scale mining (“ASM”) – and believes that, with the right governance, it can provide meaningful protection against the risks involved in both. The LME is therefore committed to adopting a fair and non-discriminatory approach to ASM and LSM in its responsible sourcing initiatives and implementing an appropriate risk assessment tailored to both models. In particular, the Red Flag Assessment will require producers to confirm whether they facilitate the disclosure of potential financial crime and corruption risks under the Extractive Industries Transparency Initiative (“EITI”), thus addressing one of the key concerns in respect of LSM.

Finally, the LME recognises that the metals trading community wishes to make a tangible contribution to progress and improvement in the physical market which it serves. Accordingly, the LME has allocated an initial contribution of US$2 million, from the proceeds of fines levied on the LME market, to charitable initiatives in the responsible sourcing sector.

Global consumers rightly demand action on responsible sourcing – and our industry must listen. The LME is taking action because it is the right thing to do, but also because the value of our market is based on providing metal which is acceptable to those consumers, and because the metals sector looks to us to provide leadership on these important topics. Our role will necessarily be to forge a consensus between the potentially divergent views of various stakeholders – and this role is never popular. Nevertheless, we are committed to playing our part in this movement,” Chamberlain added

Tyler Gillard, Head of OECD’s Responsible Business Conduct Unit said “The OECD is delighted to have worked with the LME over recent months in order to drive its responsible sourcing proposals forward. It is always a challenge to balance the broad range of market views while aligning with global standards. We are happy to see that the LME’s approach, which builds on existing frameworks, strikes the right balance and provides a strong basis for the responsible sourcing of metals in line with the OECD Guidance.”

Sun Lihui, Director of the Development Department of the China Chamber of Commerce of Metals Minerals & Chemicals Importers & Exporters (“CCCMC”) said “In recent years, the global focus on responsible sourcing of raw materials has expanded from traditional physical requirements to include environmental, social and governance (“ESG”) concerns. As the world’s most influential non-ferrous metal trading exchange, the LME is the first to formulate and publish a responsible sourcing policy on copper, aluminium, lead, zinc, nickel, tin, and cobalt. It plays a positive role in transforming and leading the global non-ferrous metals industry procurement and trade policy, and will promote companies to improve their supply chain management capacity continuously. It is not easy to establish an inclusive, balanced, effective and practical responsible sourcing policy because of the complexity, persistent and variation of supply chain risks of different metals. The LME is committed to addressing this challenge in a multi-stakeholder approach. I am pleased to have participated in and witnessed the drafting and revision of this policy, and I am willing to work closely with the LME to make a positive contribution on building a responsible, green, inclusive and sustainable supply chain of raw materials.”

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LME proposes requirements for the responsible sourcing of metal in listed brands
5 October 2018
The London Metal Exchange (LME) today published a position paper detailing new proposed requirements for listed brands regarding the responsible sourcing of metals, which align with the principles set out by the Organisation for Economic Co-operation and Development’s (OECD) “Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas” (Guidance)…

…The LME will work together with producers to assist them in assessing and identifying the “red flags” (as prescribed in the OECD Guidance) associated with the production of individual brands, which will then be classified as either “higher-focus” or “lower-focus”. Higher-focus brands – which will automatically include all cobalt and tin brands due to their higher risk of being affected by responsible sourcing concerns – will be required to adopt a standard that is aligned with the OECD Guidance and must demonstrate via an external “alignment assessment” and audit process the respective compliance of the standard to the guidance and of the brand to the standard.

For the other eight physically settled base metals listed on the LME (aluminium, both aluminium alloys, copper, lead, molybdenum, nickel and zinc), brands will be classified subject to the results of the red flag self-assessment….

Cobalt provisions
The LME notes specifically the market concerns in respect of cobalt, and is proposing a transitional provision which would come into effect by the third quarter of 2019, whereby cobalt brands which are exerting a demonstrable negative impact on LME pricing (which may be due to market concerns as to the responsible sourcing credentials of that brand) may be subject to action at an earlier date.

The true meaning of leaving no one behind

Featured Journal Content

Lancet Global Health
Apr 2019 Volume 7Number 4e385-e532
http://www.thelancet.com/journals/langlo/issue/current
Editorial
The true meaning of leaving no one behind
The Lancet Global Health
Sometimes it is important to go back to basics. For human interaction, one of the basics is language, the system of communication that, when applied at its best, allows us to understand each other, share, cooperate, and pull each other towards a better place. When on a collective journey towards a common objective such as the Sustainable Development Goals, with a rallying cry of “leaving no one behind” and a central aim of “reaching the furthest behind first”, this system of communication is fundamental to move beyond just the rhetorical: to be truly reached, the furthest one behind will need to understand what she is being told, and most likely, that exchange will have to be done in her own language. That principle should apply to all aspects of development, including global health.

With roughly 7000 living languages in the world, miscommunication is inevitable, but there are times and places when particular care should be taken to ensure that the message is clear and fully understood. Take the highly volatile situation of Ebola in eastern Democratic Republic of the Congo (DRC) for instance. Since the outbreak was declared in August 2018, there have been over 1000 confirmed and probable cases in North Kivu and Ituri provinces. Because the trauma of conflict has compounded the impact of the outbreak on the population, community engagement and ownership of the response are particularly important in the DRC. Last month, Translators without Borders released the results of a rapid study evaluating the effectiveness of risk communication materials on Ebola used in North Kivu. The results are striking: they show that materials used for the response—posters, brochures, and consent forms for the Ebola vaccine, some in French, some in standard or local Congolese Swahili—are not fully understood. Basic vocabulary in French related to Ebola was not recognised in focus groups and half of the participants misinterpreted a poster inviting the sick to present to the nearest health centre as the complete opposite, that they would not be welcome there. Consent forms used for the Ebola vaccine were also generally misunderstood, as they contained words in standard Swahili, French, and English that were not known to the participants, raising further ethical issues. This study presents the epitome of where and when the basics of language should be better applied to reach “the furthest behind” in global health.

Global health research in general should concern itself with language. As in most scientific fields, English is established as the dominant tongue. Some will rightfully argue that researchers need a lingua franca, a common language in which to communicate, but English is not strictly that: for some (indeed, a minority) it is their mother tongue, but for the rest it is a second language, one that can be mastered at varying levels of fluency, or not mastered at all. That clearly implies that when it comes to the handiwork of research—the searching for funds, the publishing, the reading, the presenting—not everyone is on the same plane, and some are left behind. A Comment published this week presents the reflections and ideas of a group of francophone researchers during a workshop at the Africa Health Agenda International Conference (AHAIC) in Kigali, Rwanda, last month on this very issue. Our readers will appreciate that we could not in good conscience publish this Comment in any language other than French, and will, we hope, take the extra step of accessing the English translation in the supplementary material if needed. The main message is that linguistic isolation and the barriers it creates are real and deeply ingrained, but also that there is a way forward. The solutions will require more consideration of the needs of different linguistic groups, the creation of support networks, and more linguistic collaboration in general. One initiative that fits neatly within these criteria is the Science and Language Mobility Scheme Africa, led by the African Academy of Sciences in partnership with the Wellcome Trust and Institut Pasteur. This brand-new programme funds research done by anglophone, francophone, and maybe soon lusophone researchers in language regions other than their own, in order to strengthen scientific collaboration while building language skills and improving cultural understanding between researchers from different linguistic backgrounds.

Such efforts are to be applauded. Leaving no one behind will require more than glancing back from a position of linguistic power and hoping everyone follows. It will require everyone, journals included, to reach out to the other and find concrete solutions to this most basic dilemma.