“Government assurances that the scaling back of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) program in South Africa (SA) will be carefully managed to protect patients are welcome, but … [t]he reality is that the Department of Health is struggling to cope with severe medical staff shortages, financial resources that never seem to stretch far enough, inadequate infrastructure and maintenance programs, and administrative bottlenecks,” a Business Day editorial states. Though the reworking of PEPFAR funding will take place over five years “and does not entail the complete loss” of funding, “the shortfall will have to come from somewhere,” the editorial says, adding, “It will be tragic if, just as we are starting to see light at the end of the long, dark tunnel of the HIV/AIDS epidemic in SA, the gains of the past few years were to be reversed due to the loss of critical foreign funding and the government’s lack of capacity to plug the gap.”
“Agriculture and nutrition are deeply intertwined. Not only does increasing agricultural productivity have the potential to improve rural families’ nutrition, but healthier and better-nourished farmers are more productive, earn more income, and contribute to further economic growth,” Gary Darmstadt, Sam Dryden, and Emily Piwoz of the Bill & Melinda Gates Foundation write in the foundation’s “Impatient Optimists” blog. The authors note they “recently developed a position paper that describes why and how the agriculture and nutrition strategies of the foundation intersect, highlighting ways that we will work together in the future to make complementary investments in order to improve the lives’ and health of families in developing countries.” They conclude, “Combating undernutrition requires contributions from many sectors, including both nutrition and agriculture” (8/9).
This Lancet editorial reflects on a medical crisis in Syria, highlighting a new report (.pdf) by Amnesty International that “documents the human rights abuses already occurring in the city.” The editorial states, “A disturbing feature of modern conflicts and, indeed, the Arab uprisings, has been the flagrant disregard for the Geneva Conventions, including targeting of civilians, persecution of health workers, and attacks on hospitals, alongside the failure of the U.N. system to prevent these violations,” and it highlights several examples cited in the report.
As the BRIC countries — Brazil, Russia, India, and China — invest more in innovations in health technologies and other areas, “many are looking to these countries to correct the global health research and development (R&D) imbalance that leaves the poor without needed products such as an improved tuberculosis (TB) vaccine or tests to help diagnose patients in remote rural settings,” David de Ferranti, president of Results for Development Institute (R4D), writes in the Huffington Post Blog. Writing that “India, which has already played such an important role in manufacturing affordable antiretroviral drugs, vaccines, and other essential health commodities for developing countries,” de Ferranti asks whether India “is … ready to play a leading role in health R&D?”
In this Forbes opinion piece, John Lechleiter, president and chief executive officer of Eli Lilly and Company, examines the business of counterfeit medicines, writing, “With global sales last year estimated as high as $200 billion, counterfeit medicine is big business, and it’s growing.” “In a recent Forbes column, Henry I. Miller cited an estimate by Roger Bate of the American Enterprise Institute that more than 100,000 people die every year from counterfeit drugs,” he continues, adding, “That’s why fighting counterfeits is essential to safeguarding health. We need action — national and international — to better secure the pharmaceutical supply chain.”
Noting that this week’s issue of the Lancet explores the theme of “[a]ccess to beneficial health technology, including essential medicines and medical devices, for those most in need,” a Lancet editorial states, “Maximizing use of current health technologies (drugs, devices, biological products, medical and surgical procedures, support systems, and organizational systems) is essential to improving global health.” Collaboration between the journal and Imperial College London has resulted in a new Commission on technologies for global health, which examines different ways to broaden the use of new technologies, from bringing down cost to making them more culturally acceptable, the editorial notes.
Extreme weather is forcing grain and meat prices to rise, and food production will have to increase about 60 percent over the next 40 years to meet a growing world population, but “there are solutions to these daunting problems,” Catherine Bertini, former director of the U.N. World Food Programme and the 2003 World Food Prize laureate, and Dan Glickman, former secretary of agriculture, write in a Politico opinion piece. The authors, co-chairs of the Chicago Council on Global Affairs’ Global Agricultural Development Initiative, say that in order to address these issues, “we should increase support for the agricultural researchers, in the U.S. and around the world, who are developing remarkable new drought and flood tolerant crop varieties”; make better use of arable land, especially in Africa; provide “farmers access to improved seeds, pesticides and fertilizers to boost productivity”; improve post-harvest infrastructure, including storage facilities; and “equip those working in agriculture, especially women, with the know-how to use newer technologies.”
In this post in Huffington Post’s “Impact” blog, Eric Holt Gimenez, executive director of Food First/Institute for Food and Development Policy, reflects on the global implications of a drought in the U.S., writing, “[I]f the 2008 and 2011 food price crises are any guide, the global effects of the U.S. drought are fairly predictable.” He continues, “The failure of the U.S. corn harvests spells a disaster for the world’s poor, but not because the poor eat our corn. … The poor will suffer the third global food disaster in four years because the price of corn will push up the price of other food commodities, like wheat, soybeans and rice …, push[ing] up food prices overall.” He writes, “The global response to food crises is also well rehearsed,” and makes a number of predictions as to how USAID, the United States Department of Agriculture, “seed and chemical monopolies,” and “the mega-philanthropies” will respond to the crisis.
International Community Must Address Challenges To Food, Water Security In A Systematic, Coherent Manner
“New ideas and approaches to the water and food nexus will be addressed at World Water Week,” which will take place in Stockholm, Sweden from 26-31 August, Anders Jagerskog, an associate professor and director of knowledge services at the Stockholm International Water Institute (SIWI), writes in this post in the AlertNet Blog. He highlights a report (.pdf) being launched by the institute called “Feeding a Thirsty World: Challenges and Opportunities for a Water and Food Secure Future,” noting it is aimed at “provid[ing] an overview of the areas that relate to food security and water” ahead of the event.
The following editorial, opinion pieces, and blog posts address a hunger summit hosted by U.K. Prime Minister David Cameron at the conclusion of the Olympic Games in London on Sunday.