Africa

The president says two bombs were linked to public address systems, and sent to pastors.

Credit: UNRWA

By Philippe Lazzarini
EAST JERUSALEM, Oct 16 2023 (IPS)

As of today, my UNRWA colleagues in Gaza are no longer able to provide humanitarian assistance.

As I speak with you, Gaza is running out of water and electricity. In fact, Gaza is being strangled and it seems that the world right now has lost its humanity.

If we look at the issue of water – we all know water is life – Gaza is running out of water, and Gaza is running out of life. Soon, I believe, with this there will be no food or medicine either.  

There is not one drop of water, not one grain of wheat, not a litre of fuel that has been allowed into the Gaza Strip for the last eight days.  

The number of people seeking shelter in our schools and other UNRWA facilities in the south is absolutely overwhelming, and we do not have any more the capacity to deal with them.

My team, who relocated to Rafah to sustain operations following the Israeli ultimatum, is working in the same building as thousands of desperate displaced people rationing also their food and water.

In fact, an unprecedented humanitarian catastrophe is unfolding under our eyes.

And already – and we should always remember that – before the war, Gaza was under a blockade for 16 years, and basically, more than 60 per cent of the population was already relying on international food assistance. It was already before the war a humanitarian welfare society.

Every hour, we receive more and more desperate calls for help from people across the Strip.    

We, as UNRWA, have already lost 14 staff members. They were teachers, engineers, guards and psychologists, an engineer and a gynecologist. Most of our 13,000 UNRWA staff in the Gaza Strip are now displaced or out of their homes. 

My colleague Kamal lost his cousin and her entire family.  My colleague Helen and her children were pulled out of the rubble. I was so relieved to learn that they were still alive. 

My colleague Inas fears that Gaza will no longer exist. Every story coming out of Gaza is about survival, despair and loss. 

Thousands of people have been killed, including children and women.  Gaza is now even running out of body bags. Entire families are being ripped apart.  

At least 1 million people were forced to flee their homes in one week alone. A river of people continues to flow south. No place is safe in Gaza.

At least 400,000 displaced (persons) are now in UNRWA schools and buildings, and most are not equipped as emergency shelters.

Sanitary conditions are just appalling, and we have reports in our logistics base, for example, where hundreds of people are just sharing one toilet.

Old people, children, pregnant women, people with disabilities are just being deprived of their basic human dignity, and this is a total disgrace! Unless we bring now supplies into Gaza, UNRWA and aid workers will not, be able to continue humanitarian operations.  

The UNRWA operations is the largest United Nations footprint in the Gaza Strip, and we are on the verge of collapse.

This is absolutely unprecedented.  

We keep reminding that International Humanitarian Law has now to be at the center of our concerns. Wars, all wars, even this war, have laws.  

International humanitarian law is the law of any armed conflict.  It explicitly sets the minimum standards that must prevail at any, any time.   

The protection of the wounded and civilians, including humanitarian workers, is non-negotiable under humanitarian law.  Last week’s attack on Israel was horrendous – devastating images and testimonies continue to come out.   

The attack and the taking of hostages are a flagrant violation of international humanitarian law.  But the answer to killing civilians cannot be to kill more civilians.  

Imposing a siege and bombarding civilian infrastructure in a densely populated area will not bring peace and security to the region.  

The siege in Gaza, the way it is imposed, is nothing else than collective punishment. So, before it is too late, the siege must be lifted and aid agencies must be able to safely bring in essential supplies such as fuel, water, food and medicine. And we need this NOW.

Over the last few days, we have advocated for fuel to come in because we need fuel for the water station and the desalination plant in the south of Gaza. Unfortunately, we still have no fuel.

All parties must facilitate a humanitarian corridor so we can reach all those in need of support.   

UNRWA and aid agencies must be able to do their work and save lives. And we must do so safely, without risking our own lives. 

Finally, we are also calling for a suspension of hostilities for humanitarian reasons, and this needs to take place without any delay if we want to spare loss of more lives.

Philippe Lazzarini is Commissioner-General, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA)

IPS UN Bureau

 

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The high-level segment of the UN General Assembly in late September 2021 was attended by more than 100 world leaders and over a thousand delegates from 193 countries —despite the UN’s pandemic lockdown. But Civil Society Organizations (CSOs) were banned from the Secretariat building. Credit: UN Photo / Mark Garten

By Thalif Deen
UNITED NATIONS, Oct 16 2023 (IPS)

When the United Nations commemorated the 75th anniversary of the UN Charter back in 2020, Secretary-General Antonio Guterres paid a supreme compliment to Civil Society Organizations (CSOs).

The CSOs, he pointed out, were a vital voice in the San Francisco Conference (where the UN was inaugurated). “You have been with us across the decades, in refugee camps, in conference rooms, and in mobilizing communities in streets and town squares across the world.”

“You are our allies in upholding human rights and battling racism. You are indispensable partners in forging peace, pushing for climate action, advancing gender equality, delivering life-saving humanitarian aid and controlling the spread of deadly weapons”.

And the world’s framework for shared progress, the Sustainable Development Goals (SDGs), is unthinkable without you’, he declared.

But in reality, CSOs are occasionally treated as second class citizens, with hundreds of CSOs armed with U.N. credentials, routinely barred from the United Nations, specifically when world leaders arrive to address the high-level segment of the General Assembly sessions in September.

The annual ritual where civil society is treated as political and social outcasts has always triggered strong protests. The United Nations justifies the restriction primarily for “security reasons”.

A coalition of CSOs– including Access Now, Action for Sustainable Development, Amnesty International, CIVICUS, Civil Society in Development (CISU), Democracy Without Borders, Forus, Global Focus, Greenpeace International, Human Rights Watch, Oxfam International, TAP Network, and UNA-UK— is now proposing the creation of a Special UN Civil Society Envoy to protect, advance and represent the interests of these Organizations.

Credit: United Nations

In a letter to Guterres, the coalition points out the disparity in access for civil society delegates viz. UN staff and members of government delegations who face no such restrictions stand as a critical reminder of the hurdles faced by accredited civil society representatives who travel great distances to contribute their perspectives at the UN.

“It is also a missed opportunity for civil society delegates to engage in key negotiations inside the UN headquarters and for policymakers to benefit from their critical and expert voices buttressed by lived experience in advancing the principles enshrined in the UN Charter,” the letter says.

Considering this recurring disparity, the letter adds, “we believe it’s vital to correct this injustice promptly to ensure opportunities for all stakeholders to contribute to discussions of global consequences”.

“This issue once again underscores the necessity for civil society to have a dedicated champion within the UN system, in the form of a Civil Society Envoy, who can help promote best practices in civil society participation across the UN and foster outreach by the UN to civil society groups worldwide, particularly those facing challenges in accessing the UN.”

“We would also like to express our support for the revision of modalities to ensure meaningful civil society participation at all stages of UN meetings and processes as well as Unmute Civil Society recommendations supported by 52 states and over 300 civil society organizations from around the world”.

“We believe that addressing the above concerns could lead to significant strides in advancing the ideal of a more inclusive, equitable, and effective UN in the spirit of ‘We the Peoples.’ “

Mandeep Tiwana, Chief Officer, Evidence and Engagement, at CIVICUS told IPS civil society representatives have long complained about asymmetries across UN agencies and offices in engaging civil society and have called for a champion within the UN system to drive best practices and harmonise efforts.

One such medium, he said, could be the appointment of a Civil Society Envoy along the lines of the UN Youth Envoy and Tech Envoy to drive key engagements.

Notably, a Civil Society Envoy could foster better inclusion of civil society and people’s voices in UN decision-making at the time when the UN is having to grapple with multiple crises and assertion of national interests by states to the detriment of international agreements and standards, he pointed out.

Five reasons why it’s time for a Civil Society Envoy:

1. Without stronger civil society participation, the SDGs will not get back on track. The UN’s own assessment laments the lack of progress on the SDGs. We desperately need stronger civil society involvement to drive innovations in public policy, effectively deliver services that ‘leave no one behind’ and to spur transparency, accountability and participation. A Civil Society Envoy can catalyse crucial partnerships between the UN, civil society and governments.

2. Civil society can help rebalance narratives that undermine the rules based international order. With conflicts, human rights abuses, economic inequality, nationalist populism and authoritarianism rife, the spirit of multilateralism enshrined in the UN Charter is at breaking point. Civil society representatives with their focus on finding global solutions grounded in human rights values and the needs of the excluded can help resolve impasses caused by governments pursuing narrow self-interests.

3. A civil society envoy can help overcome UNGA restrictions on citizen participation and create better pathways to engage the UN. As it does every year, this September the UN suspended annual and temporary passes issued to accredited NGOs during UNGA effectively barring most civil society representatives from participating. Further, civil society access to the UN agencies and offices remains inconsistent. Reform minded UN leaders and states that support civil society can prioritise the appointment of an envoy for improved access.

4. More equitable representation. The few civil society organizations who enjoy access to UNGA heavily skew toward groups based in the Global North who have the resources to invest in staff representation in New York, or the right passports to enter key UN locations easily. A UN civil society envoy would lead the UN’s outreach to civil society across the globe and particularly in underserved regions. Moreover, a civil society envoy could help ensure more diverse and equitable representation of civil society at UN meetings where decisions are taken.

5. A civil society envoy is possible. Getting anything done at the UN requires adhering to what is politically feasible. A civil society special envoy is within reach. The Unmute Civil Society initiative to enable meaningful participation at the UN is supported by 52 states and over 300 civil society organizations. It includes among other things a call for civil society day at the UN and the appointment of a UN envoy.

Recent UN Special Envoys include:

• Hans Grundberg (SWE), appointed Special Envoy of the Secretary-General for Yemen on 6 August 2021
• Noeleen Heyzer (SGP), appointed Special Envoy of the Secretary-General on Myanmar on 25 October 2021
• Geir Otto Pedersen (NOR), appointed Special Envoy of the Secretary-General for Syria on 31 October 2018
• Amandeep Singh Gill (IND), appointed Acting Special Envoy of the Secretary-General on Technology on March 10 June 2022.
• Hanna Tetteh (GHA), appointed Special Envoy of the Secretary-General for the Horn of Africa on 22 February 2022
• Xia Huang (CHN), appointed Special Envoy of the Secretary-General for the Great Lakes Region of Africa in April 2019
• Jayathma Wickramanayake (LKA), appointed Secretary-General’s Envoy on Youth.
• Kofi Annan, a former Secretary-General, served as Joint Special Envoy for the United Nations and the Arab League for Syria during 23 February to 31 August 2012
• Michael Bloomberg, a former Mayor of New York city, was appointed Special Envoy for Climate Action on 5 March 2018. Bloomberg was previously appointed Special Envoy of the Secretary-General for Cities and Climate Change on 31 January 2014
• Gordon Brown was appointed Special Envoy for Global Education in 2012

IPS UN Bureau Report

 

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A "for sale" sign seen outside a house in Centro Habana. As you walk along the streets of the Cuban capital, you see a variety of "for sale" signs on a number of houses. The same is true in cities and towns in Cuba's 168 municipalities. CREDIT: Jorge Luis Baños / IPS

By Luis Brizuela
HAVANA, Oct 16 2023 (IPS)

To emigrate to the United States and fulfill her hopes for a better life, Ana Iraida sold almost all of her belongings, including the apartment that, until her departure, saved her from the uncertainty of living in rented housing in Cuba, a country with an unresolved housing crisis.

“I inherited the apartment in Havana from my maternal grandmother, who passed away in 2015. It was small, but comfortable. I sold it for 6,000 dollars to pay for my documents, paperwork and airfare,” the philologist, who like the rest of the people interviewed preferred not to give her last name, told IPS."It is difficult to sell, because many people want to emigrate, and they are practically 'giving away' the houses. But at the same time hard currency is scarce and a person with thousands of dollars prefers to use them to leave the country." -- Elisa

From Houston, Texas in the U.S., where she now lives, the young woman said that, thanks to loans from friends, “I raised another 4,000 dollars. I got to Nicaragua in December 2022 and from there I continued by land to the U.S. border.”

Ana Iraida said she feels “fortunate” to have had a home that was “furnished and in good condition,” with which she covered her expenses. She said that others “have a more difficult time because they do not have a home of their own.”

In the last two years, emigration from Cuba has skyrocketed amidst the deterioration of the domestic economic situation, fueled by the COVID-19 pandemic, the tightening of the U.S. embargo, partial dollarization of the economy, the fall in the purchasing power of wages and pensions, shortages of essential products and inflation.

Errors and delays in the implementation of reforms to modernize the country and the ineffective monetary system implemented in January 2021 have also played a role.

In this country of 11 million people, in 2022 the exodus led some 250,000 people to the United States alone, the main receiving nation of migrants from this Caribbean island nation, from which it is separated by just 90 miles of sea.

To stem the wave of immigration, on Jan. 5 the U.S. government extended to nationals of Cuba, Nicaragua and Haiti a humanitarian temporary residency permit program, known as “parole”, similar to the one implemented in October 2022 for Venezuelans and previously for other nationalities.

As of the end of August, more than 47,000 Cubans had obtained the humanitarian permit, of whom 45,000 had already immigrated, according to U.S. Customs and Border Protection.

 

A view of Havana from Cerro, one of its 15 municipalities. This city of 2.2 million inhabitants, the biggest in the country, has the largest housing deficit in Cuba, exceeding 800,000 housing units. CREDIT: Jorge Luis Baños / IPS

One of the requirements for the temporary residency permit is to have sponsors who are U.S. citizens or hold some other legal status, in addition to having the financial resources to support the beneficiary or beneficiaries.

 

Swapping or selling parole

Owning your own home can also be an opportunity allowing whole families to move abroad.

“People are swapping houses for parole status. A few weeks ago I facilitated the exchange of a house for five parole permits to the United States. And in another case, with a residence in Miramar (a wealthy neighborhood in western Havana), nine people were the beneficiaries,” said Damian, a historian who privately engages in buying and selling, for which he charges a commission.

Damián explained to IPS that “residents in the United States ask for 10,000 to 12,000 dollars to provide a guarantee for parole status. The number of people they give a guarantee for depends on the value of the house. When the process is completed, the property is sold to a relative or friend of that person in Cuba.”

Walking through the streets in the Cuban capital, the most varied signs reading “for sale” can be seen on crumbling or remodeled buildings. The same is true in other cities and towns of the country’s 168 municipalities.

On online sites and Facebook groups for buying and selling activities, there is a proliferation of advertisements with photos and information about the properties, such as the number of rooms, the presence of a landline telephone line or an electrical installation that allows the connection of 110 and 220 volt equipment.

Some negotiate the price with or without furniture, others negotiate with buyers who pay cash in hand, or who pay in dollars, euros or make the deposit abroad.

“It is difficult to sell, because many people want to emigrate, and they are practically ‘giving away’ the houses. But at the same time hard currency is scarce and a person with thousands of dollars prefers to use them to leave the country,” said Elisa, a lawyer who told IPS she is interested in settling with her husband and son in Spain.

She said she has been trying to sell her apartment in La Vibora, another Havana neighborhood, for a year. “I can’t find a buyer, not even now that I dropped the price to 10,000 dollars, half the initial price, and it’s furnished,” she complained.

In Cuba’s informal real estate market, offers range from 2,000 dollars or less to a million dollars. The lowest of these figures is far from the average monthly salary, equivalent to 16.50 dollars on the black market.

 

A man pulls a cart loaded with building blocks past a house for sale in the municipality of Centro Habana. In view of the government’s diminished construction capacity and the decline of funds for housing, since 2010 the government authorized the free sale of various materials for construction, repairs, remodeling and expansion. CREDIT: Jorge Luis Baños / IPS

 

Hurdles despite the reforms

Now, Cubans can sell their properties even to move away from the country, a situation very different from 15 years ago, when only swaps of houses between two or more owners were possible. Homes could only be sold to the government, and they were confiscated if the people living there emigrated.

Under laws passed in the early years after the 1959 revolution, most citizens became homeowners.

The Urban Reform Law of 1960 turned housing properties over to those who lived in them, prohibited their sale or lease, and abolished private construction and mortgages.

After decades of prohibitions, in October 2011 the 1988 General Housing Law was amended and the doors were opened to free purchase and sale between Cuban citizens and even foreign residents, endorsed before notaries and with the payment of taxes.

The law also eliminated certain formalities and official regulations on swaps.

Prior to the restitution of the right of ownership of residential units, in 2010 the government approved permits allowing people to build, repair or expand their own homes.

In view of the government’s reduced capacity for construction and the decline in housing funds in that same year, the free sale of cement, sand, gravel, cement blocks and corrugated iron bars was also authorized, which until then had been exclusively centrally allocated or sold in convertible pesos (CUC, a now defunct currency equivalent to the dollar).

The authorities promoted the granting of subsidies to vulnerable families, especially those affected by hurricanes, and micro-credits to build, expand or remodel homes.

These measures helped drive a boom in private construction and repairs.

As in other areas marked by the scarcity of materials, red tape and unequal purchasing power, the granting of housing and sale of materials is not exempt from corruption, theft and poor quality work, which has given rise to repeated complaints from the public.

There is still a housing deficit of more than 800,000 homes, while one third of Cuba’s 3.9 million homes are in fair or poor condition.

The largest deficits are concentrated in Havana, a city of 2.2 million inhabitants, as well as in Holguín, Santiago de Cuba and Camagüey, the other three most populated cities.

In 2019, a Housing Policy was launched, aimed at eliminating the housing shortage within a decade, based on the incentive of local production of construction materials and recyclable inputs, in addition to the contribution from the government and the centrally planned economy.

But the policy has run into hurdles as a result of the economic crisis, and multiple factors such as delays in paperwork and procedures, loss of material resources, unfinished subsidies and financial resources tied up in the banks.

The shortage of foreign currency and insufficient investment stand in the way of increasing production and incorporating equipment to boost construction capacity and sustainability.

Official data show that in 2022, more than 195 million dollars were dedicated to business services, real estate and rental activity, including hotel construction, which represented almost 33 percent of investment in the sector.

On the other hand, only 8.5 million dollars were allocated to housing construction, or 1.4 percent of the total, according to the government’s National Statistics and Information Office (ONEI).

Since 2019, 127,345 housing units were completed and 106,332 were remodeled or repaired, said Vivian Rodriguez, general director of Housing of the Ministry of Construction, during the most recent session of the Council of Ministers, on Oct. 1.

The authorities acknowledged that compliance with the year’s plan of 30,000 new units is under threat. Maintaining this pace would mean eliminating the housing deficit in more than 28 years.

 

A rundown house stands next to a newly remodeled home on a street in the municipality of Playa, Havana. A third of Cuba’s 3.9 million homes are considered to be in fair and poor condition. CREDIT: Jorge Luis Baños / IPS

 

No immediate solution

The lack of housing and the deterioration of existing homes continue without a viable solution in the short or medium term.

On many occasions, people of different generations are forced to live together in small homes, many of which are in a state of disrepair, putting a significant number of families at risk.

Access to housing has also been identified as a factor in the low birth and fertility rates that Cuba has been experiencing for decades.

There is also a problem after tropical cyclones and heavy rains, when centuries-old buildings that have never been remodeled or repaired collapse, or those vulnerable to strong winds are left roofless.

The private practice of professions such as architecture is also not allowed, and although since September 2021 the government has authorized the incorporation of micro, small and medium-sized companies, some of which specialize in the construction and repair of real estate, they still encounter obstacles to their practice.

“There could be many solutions, but in my opinion an essential one is that building materials must be available and at affordable prices; or that houses can be sold to workers so they can pay for them on credit. Otherwise, families will continue to be overcrowded, roofs and walls will collapse on us, or we will grow old without a place of our own,” Orlando, a prep school teacher living in Havana, told IPS.

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Tuberculosis remains the leading infectious cause of death in the world, responsible for 1.6 million deaths a year, and is an active and acute crisis in many countries. Credit: Athar Parvaiz/IPS

By Maria Beumont
NEW YORK, Oct 13 2023 (IPS)

At the end of September, two weeks after the United Nations held a High-Level Meeting on Tuberculosis (TB), a torrential storm dropped 6” of rain on New York City. The intensity of the storm recalled that of Hurricane Ida two years earlier, which—in the largest city in the United States—damaged more than 3% of buildings, killed 13 people, and left 380 families homeless.

As recently as the early 1990s, New York City was a hotspot for TB. Throughout the decade, the city spent more than a billion dollars to contain the disease, which had become entrenched in its more impoverished communities—including those without homes. TB has plagued the world for millennia, for as long as communities have been separated by wealth.

If rises in human displacement and hunger are tragic first order effects of climate change, TB is a giant, looming second order effect. Displacement and malnutrition are established risk factors for TB, and both are exacerbated by climate change

Today, it remains the leading infectious cause of death in the world, responsible for 1.6 million deaths a year, and is an active and acute crisis in many countries.

The low-resource settings where much of the world’s TB burden is concentrated are the same places set to bear most of the impact of climate change and whose health systems are ill-equipped to handle added burden.

In August, two typhoons slammed into the coast of Southern China, forcing the evacuation of almost one million people. At the same time, a surprise cyclone hit Southern Brazil, leaving 1,600 people without homes. And earlier this year, Cyclone Freddy hammered Mozambique and Malawi, forcing hundreds of thousands of people into temporary shelter. All four countries have a high burden of TB cases, according to the World Health Organization (WHO).

India, another high-burden TB country, has been hit hard this year by heat waves and drought. It is estimated that 17 million Indians will face climate-change induced hunger by 2030. Increases in climate-induced food insecurity will only add to the existing crisis; the UN estimates that 735 million people around the world faced food shortage in 2022.

If rises in human displacement and hunger are tragic first order effects of climate change, TB is a giant, looming second order effect. Displacement and malnutrition are established risk factors for TB, and both are exacerbated by climate change. Though such impacts are not directly tracked, we can assume that recent climate-enhanced superstorms, heat waves, and droughts amplified the TB burden in Brazil, China, India, Malawi, and Mozambique.

While climate change is a leading topic at major global forums around the world, including at the UN, the TB pandemic remains largely ignored. In 2018, TB appeared on the global radar when the UN held its first High-Level Meeting (HLM) on TB. National delegations agreed to four ambitious goals on providing treatment to people with TB, preventive treatment to people at risk, and drastically increasing the amount of funding devoted to tackling the disease and developing new tools for this effort.

The world was already behind in fulfilling these commitments when the COVID-19 pandemic hit, derailing TB funding and care. As COVID-19 raged, the limited funding and attention for TB had to be diverted to face the new threat. As a result, TB deaths increased for the first time in more than 20 years. Ultimately, not one of the primary commitments from the HLM were met.  As climate change intensifies along with the effects of displacement and malnutrition, it may lead to future TB outbreaks and further strain already fragile health systems.

Despite these setbacks, there have been notable achievements in TB research and care. A treatment for the highly drug-resistant forms of the disease was approved by the US FDA and other regulatory authorities, and was endorsed by the WHO. Additionally, the US Centers for Disease Control and Prevention issued guidance on a four-month treatment for drug-sensitive TB, reducing treatment duration for the first time in decades.

TB researchers remain optimistic. Changing the way we fight TB is achievable, and we have a strong research pipeline of promising new TB treatments, diagnostics, and vaccines. Breakthroughs are on the horizon—and they are sorely needed. The impact of safe, shorter, effective, and affordable tools to control TB is anticipated to be significant.

At the UN’s second High-Level Meeting on TB this past September, another batch of ambitious goals were adopted—including a six-fold increase in funding for services and research. During the COVID-19 pandemic, we all witnessed the results of focused efforts and appropriate funds. The same is true for TB: with adequate funding and resources, we can develop the next generation of tools to fight TB. Support from world leaders now is critical, as we can end one of humanity’s oldest diseases if we come together, while also mitigating the impact of one of the climate change crisis. This opportunity cannot be missed.

Excerpt:

Maria Beumont, MD, is Vice President and Chief Medical Officer for the TB Alliance

Earthquake orphans are cared for at the Kuramaa Center in the Idlib Governorate, Northern Syria. Credit: Sonia Al Ali/IPS

By Sonia Al Ali
IDILIB, SYRIA, Oct 13 2023 (IPS)

Seven-year-old Salim al-Bakkar was orphaned in the earthquake that struck southern Turkey and northern Syria on February 6, 2023.

Saved by members of the civil defense team who pulled him from the rubble, doctors had to amputate his left leg – which had been crushed in the 7.7 magnitude quake that killed more than 55,000 people and destroyed at least 230,000 buildings. 

Salim, from Jenderes, north of Aleppo, Syria, was pulled from the rubble but, suffering from crush syndrome, had his leg amputated.

His only surviving relative, his grandmother Farida al-Bakkar, tells IPS of the pain and the sadness of caring for her grandchild.

“When my grandson woke up and saw me, he asked me about his mother, but I could not tell him that his mother and father had died because he was devastated.”

Salim is not alone; thousands of children survived without their families and now experience loneliness, psychological stress, and physical pain.

Even seven months after the earthquake, the fear Salim felt that day has remained engraved in his memory, according to his grandmother.

Dr Kamal Al-Sattouf, from Idlib, in northern Syria, says the earthquake resulted in many diseases.

“Thousands of buildings were completely and partially destroyed as a result of the earthquake, while the infrastructure of water and sanitation networks in the regions was damaged, increasing the risk of epidemics and infectious diseases such as cholera.”

The doctor stressed the spread of respiratory diseases, such as lung infections, especially among children and the elderly, and diarrhea of all kinds, viral and bacterial, cholera, and malaria, due to vectors spreading among the rubble, such as mosquitoes, flies, mice, and rodents.

Al-Sattouf said that people pulled alive from the rubble were often also affected by what is known as ‘crush syndrome.’ The hospital where he works received many cases, the severity of which is often related to the time the survivors spent under the rubble, usually made up of heavy cement blocks.

According to the doctor, crush syndrome results when force or compression from the collapsed buildings cuts off blood circulation to parts of the body or the limbs.

Psychological Impacts

A 10-year-old girl, Salma Al-Hassan, from Harem, in northern Syria, keeps asking to visit her old house destroyed by the earthquake. This was where she lost her mother and her sister.

Her father explains: “My daughter suffers from a bad psychological condition that is difficult to overcome. With panic attacks, fear, and continuous crying, she refuses to believe that her mother and sister are dead.”

He points out that his daughter became withdrawn after she witnessed the horrors of the earthquake. She loves to be alone and refuses to talk to others. She also refuses to go to school.

He and his daughter were extracted alive from under the rubble more than 8 hours after the earthquake.

Dalal Al-Ali, a psychological counselor from Sarmada, Northern Syria, told IPS: “Many people who survived the earthquake disaster, especially children, still suffer from anxiety disorders and depression, which is one of the problems. Symptoms of this disorder are persistent feelings of sadness and hopelessness, loss of interest in activities, and changes in appetite and sleep patterns.”

She pointed out that the child victims of the earthquake urgently need psychosocial support in addition to life-saving aid, including clean water, sanitation, nutrition, necessary medical supplies, and mental health support for children, both now and in the long term.

Al-Ali stresses the need to provide an atmosphere of safety and comfort for children and to establish a sense of security and protection by moving them to a safe place as far as possible from the site of danger, in addition to providing group therapy and individual therapy sessions for parents, as well as for children, to help them overcome anxiety, and allow them to express their feelings by practicing sports and the arts.

She confirms that children need more attention than adults in overcoming the impacts of the earthquake because children saw their whole world collapse before their eyes and continue to feel the trauma acutely.

Victims of Earthquake, also Victims of Syrian Conflict

The Syrian Network for Human Rights, in a report published earlier this year, said it had documented the deaths of 6,319 Syrians due to the earthquake.

Of these, 2,157 victims were killed in areas of Syria not under the control of the Syrian regime and 321 in areas controlled by the Syrian regime. regime, while 3,841 Syrian refugees died in Turkey.

The group stressed the need to investigate the reason for the delays in the response of the United Nations and the international community because this led to more preventable deaths of Syrian people – and those responsible for the delays should be held accountable.

The network says the high death toll was in a highly populated area because of internal displacement due to conflict within the Syrian regime.

Even more tragically, the report adds, these traumatized people had to live through the horrors of indiscriminate bombing by the Syrian regime in the IDP camps in which they live.

With the aim of caring for the earthquake orphans in Idlib Governorate, Northern Syria, the (Basmat Nour) Foundation opened the Kuramaa Center to take care of the children.

The director of the Kuramaa Center, Muhammad Al-Junaid, says to IPS: “Many children lost their families and loved ones during the devastating earthquake, so we opened this center that provides care for orphaned children, and provides all their educational requirements, psychological support activities, and entertainment.

There are now 52 children at the center, which can take up to 100.

Al-Junaid added: “The staff work hard to put a smile on the children’s faces, and our goal is to make them forget the pain that they cannot bear and take care of them by all possible means to live a normal life in a family.”

Eight-year-old Fatima Al-Hassan, from Idlib, lost her entire family in the earthquake. She lives in the center and has found tenderness and care.

“I spend my time teaching, drawing, and playing with my peers in the care home.”

But Fatima still remembers her family with love and sadness.
IPS UN Bureau Report

 

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Two years after reaching the quarter-finals on debut, The Gambia will face a perilously tough task in January at the Africa Cup of Nations.

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An image illustrating the ‘No-senior zone’ in a Korean café. Credit: The Nation

By Hyunsung (Julie) Lee
SEOUL, Oct 13 2023 (IPS)

Growing up in a culture that values respect for elders, I was acutely aware of the importance of caring for our aging population. However, my journey to understanding the gravity of this issue truly began with a personal anecdote. I watched my grandmother, a pillar of strength throughout my childhood, gradually withdraw from the vibrant world in which she once thrived. The cheerful twinkle in her eyes began to dim, replaced by an eerie sense of isolation.

This experience opened my eyes to a stark reality: a disturbing surge in elderly suicide rates hidden beneath the facade of cultural reverence for seniors in Korea and Japan. In 2021, these rates reached 61.3 deaths per 100,000 people in Korea, primarily driven by profound social isolation.

Suicide deaths in Korea. Credit: Statista

Some may argue that these figures are insignificant, but the persistence of a high suicide rate cannot be dismissed. Moreover, they are poised to become even more critical as we approach a world where, according to WHO, the elderly population over the age of 60 is expected to double by 2050, and those 80 years or older are projected to triple.

So how severe are the elderly suicide rates due to isolation in Korea and Japan? Well, research highlights that this is due to the significant rise in the elderly population. Such an increase has been concurrent with the rising elderly suicide rates. The Global Burden of Disease study emphasizes that the global elderly suicide rate is almost triple the suicide rates across all other age groups. For example, in South Korea alone, there has been a 300% increase in elderly suicide rates.

If the world’s elderly population has increased overall, why is it that the elderly suicide rates within Korea and Japan have been especially severe? This was particularly confusing as I believed that due to cultural and social standards of filial piety and respecting your elders, such suicide rates would be low. However, I found the answer to my own question when I visited Korea in July this year.

When I arrived in the country, one of the first things I did was to visit a cafe to meet with a friend. However, as I was about to enter the cafe, I saw a group of elderly men and women leaving the cafe while comforting each other, saying, “It’s okay; it’s not the first time we’ve been rejected.” As I later found out, this was because the cafe was a ‘no-senior zone.’

Similar to how some places are designated as ‘no-kid zones,’ this cafe, and others, did not allow people over the age of 60 to enter.  According to Lee Min-ah at Chung-Ang University, “The continuous emergence of ‘no-something zones’ in our society means that exclusion among groups is increasing, while efforts to understand each other are disappearing.”

I also discovered that age discrimination is also present in other aspects of the elderly’s life, more specifically, in the workplace. According to a survey by the National Human Rights Commission of Korea, in 2018, 59 percent of the Korean elderly found it difficult to be employed due to age restrictions, and a further 44 percent experienced ageism within their workplace. The increase in discrimination against the elderly has heightened their sense of isolation, eventually leading to cases of suicide in extreme circumstances.

Jung Sook Park, the Secretary General of World Smart Sustainable Cities Organization (WeGo) with the author Hyunsung (Julie) Lee.

Interview with Jung Sook Park, the Secretary General of WeGo at the Seoul Global Center

I wanted to learn more about the current action being taken to help the elderly feel more included in our society, as I believed this would be key to preventing isolation-related suicide cases. To gain further insight, I decided to interview Jung Sook Park, the Secretary General of the World Smart Sustainable Cities Organization (WeGo).

WeGo is an international association of local governments, smart tech solution providers, and institutions committed to transforming cities worldwide into smart and sustainable cities through partnerships. I believe that by interviewing the Secretary General of WeGo, I would be able to learn more about the specific solutions that governments and organizations are implementing collaboratively.

Through my interview, I gained an understanding that the South Korean government and social organizations are currently focusing on addressing age discrimination, recognizing it as a key factor in isolationism.

Park mentioned that one specific approach to resolving this issue involves the use of ‘meta spaces’ and technological wristbands. She emphasized that in today’s technology-driven world, enabling the elderly to adapt to such technology could bridge the generation gap between the younger and older generations. She further explained that meta spaces, allowing for anonymous communication, and technological wristbands, which could include features like a metro card and direct access to emergency services, would facilitate the elderly’s integration into modern society. Park concluded that enabling the elderly to adapt efficiently to the current social setting could break down the generational barrier between youth and the elderly, fostering a direct connection between these two disparate groups.

During my research, I coincidentally came across a website called Meet Social Value (MSV). MSV is a publishing company that specializes in writing and publishing insightful articles about contemporary social issues. Their most recent article, titled ‘Senior,’ delves into the social challenges faced by the elderly in Korean society and explores solutions involving inclusive designs and spaces.

MSV serves as a prime example of how contemporary social organizations are taking steps to address the issue of elderly discrimination. This is especially significant because, through youthful and trendy engagement on social media, it becomes easier to raise awareness of this issue among younger generations.

Meet Social Value’s most recent article, titled ‘Senior,’ delves into the social challenges faced by the elderly in Korean society and explores solutions involving inclusive designs and spaces.

As I continued my research, I started pondering what I, as an 18-year-old, could do to contribute to resolving this issue. Even though I’m still a student, I wanted to find ways to make a difference, especially after witnessing age discrimination and its consequences firsthand.

I found the answer to my question when I learned about the initiatives undertaken by the government of Murakami City and the Murakami City Social Welfare Council to bridge the gap between the youth and senior citizens. They introduced the Murakami City Happy Volunteer Point System, which aimed to encourage more people to assist seniors through various volunteering activities such as nursing facility support, hospital transportation services, and operating dementia cafes, among others. The system rewarded volunteers with points that could be exchanged for prepaid cards, creating an incentive for more individuals to get involved in helping their senior citizens.

Taking this into consideration, I believe that the younger generation, especially students, may contribute by creating such an incentivization system. For example, students may create senior volunteering clubs within their schools and take turns volunteering and connecting with elderly citizens every weekend. By doing so, clubs may incentivize their members through points which may later be traded for a snack or lunch at the school cafeteria. Through small incentives, this may naturally encourage more students to participate and thus naturally allow for the youth to create a relationship with the elderly, hence contributing to mitigating the issue of elderly isolation.

The webpage of the Murakami City Happy Volunteer Point System contains the system’s details.

In Korea’s battle against ageism, we find ourselves at a turning point. To navigate this societal shift successfully, we must recognize that age discrimination not only undermines the dignity of our elders but also hampers our collective progress. The solution requires a comprehensive approach. Policy reforms are crucial, emphasizing stringent anti-ageism measures in the public space and the workplace. Equally significant solutions are awareness campaigns to challenge stereotypes and foster inter-generational understanding.

However, true change starts with the youth. By confronting our biases and engaging in volunteering activities, we can break down barriers and celebrate the diverse experiences each age group brings. Through such efforts, we can create a society where age is not a determinant of worth but a source of strength and wisdom. It’s a journey demanding our collective commitment, but one that will lead us towards a more inclusive and harmonious future for all.

Edited by Hanna Yoon

IPS UN Bureau Report

 

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Excerpt:

In this, the fourth of IPS' Youth Thought Leaders series, the author looks at suicide rates in older persons and concludes we should break barriers and celebrate the diversity each generation brings.

Credit: UN Environment Programme (UNEP)
 
The fifth meeting of the Conference of the Parties to the Minamata Convention on Mercury (COP-5) will take place from Monday, 30 October to Friday, 3 November 2023 at the International Conference Centre (CICG) in Geneva, Switzerland. More than eight hundred participants – including Parties’ representatives, non-parties governments, intergovernmental organizations, UN bodies and NGOs – are already confirmed to attend the meeting., according to UNEP.

By Charlie Brown
WASHINGTON DC, Oct 13 2023 (IPS)

As the Minamata Convention on Mercury’s fifth Conference of the Parties (COP5) approaches, momentum builds to adopt the Africa Region’s proposed amendment to phase out dental amalgam – a cavity filling material that is approximately 50% mercury.

Specifically, the Africa Region has filed a proposal to amend the Minamata Convention to add a 2030 phase-out date for amalgam, bringing it in line with many other mercury products. The proposal also adds common-sense measures to facilitate this phase-out, including (1) submitting to the Secretariat a national plan for phasing out the use of dental amalgam and (2) excluding the use of dental amalgam in government insurance policies and programs.

This amendment is already getting support from governments around the world. On 9 October the World Alliance for Mercury-Free Dentistry hosted a webinar on phasing out amalgam, featuring distinguished speakers ranging from the Honorable MP Nilto Tatto of Brazil to the Honorable Minister Roger Baro of Burkina Faso, from Dr. Luu Hoang Ngoc of Vietnam, the longest-serving Minamata delegate in Asia, to Joshua Sam of SPREP, architect of the Mercury-Free Pacific campaign—as well as dentists from three continents.

The momentum to end use of this primitive pollutant from the colonial era is substantial; more than 40 nations have enacted amalgam bans or partial bans:

• Ending amalgam use in children, pregnant women, and breastfeeding women (e.g., the European Union, Vietnam)
• Setting a phase-out date for all amalgam use (e.g., Tanzania, Italy)
• Banning amalgam use by law (e.g., Philippines, Moldova, Mongolia, Bolivia, New Caledonia)
• Ending amalgam use by shareholder consensus (e.g., St. Kitts & Nevis, Zambia)
• Ending amalgam imports (e.g., Cuba, Colombia)
• Ending amalgam use in public programs (e.g., Indonesia, Poland)
• Ending amalgam use in armed forces (e.g., India, Bangladesh)

These countries are working to end amalgam because they understand the many benefits of moving away from mercury products like amalgam – and toward a mercury-free world.

First, moving away from amalgam protects the environment from amalgam’s mercury. Between 226 and 322 tonnes of dental mercury is used around the world annually. Dental mercury enters the environment via many unsound pathways, polluting air via cremation, dental clinic emissions, and sludge incineration; water via dental clinic releases and human waste; and soil via landfills, burials, and fertilizer.

Studies show that after environmental costs are factored in amalgam is more expensive than mercury-free fillings, but these mercury-free alternatives eliminate the high environmental costs of amalgam.

Second, moving away from amalgam reduces human exposure to mercury. Dental amalgam releases mercury throughout its lifecycle. Higher levels of exposure to mercury (for both patients and dental workers) are associated with placement and removal of dental amalgams.

Once implanted in teeth, dental amalgam continues to release low levels of mercury vapor, with higher amounts released during mastication, gum chewing, tooth grinding, and tooth brushing. Phasing out amalgam will eliminate this source of exposure.

Third, moving away from amalgam actually improves oral health because of the advantages of mercury-free fillings. Studies show mercury-free composite fillings can last as long as – and even longer than – amalgam.

They preserve tooth structure that must be removed to place an amalgam filling, which can increase the longevity of the tooth itself. They can even help prevent future caries.

While support for the Africa Region’s proposed amalgam phase-out amalgam has been steadily building, the amalgam industry has been pushing back. Led by the pro-mercury World Dental Federation, the industry has issued a controversial letter that seemingly promotes a two-tiered system of dentistry: toxic-free dentistry for wealthy countries and mercury-based dentistry for lower-income countries.

Such health inequity and environmental injustice is unacceptable. The world has witnessed such outrageous disparities before, such as when Western nations banned lead paint at home but sold it to Asian, African, and Latin American nations. All countries worldwide, not only wealthy ones, deserve to benefit from mercury-free dental care.

At COP4, held last year in Indonesia, the Parties to the Minamata Convention added the Children’s Amendment, which requires each Party to “…Exclude or not allow, by taking measures as appropriate, or recommend against the use of dental amalgam for the dental treatment of deciduous teeth [baby teeth], of patients under 15 years and of pregnant and breastfeeding women…”

Now the Parties have a great opportunity take the next logical step at COP5: phase out the 200-year mistake of mercury amalgam dental fillings. During the week of 30 October to 3 November, the world will choose whether to accept the industry’s two-tiered system of dentistry that off-loads mercury into Africa, into Asia, and into Latin America – or embrace a mercury-free future for dentistry. It’s time to make dental mercury history!

Charlie Brown is president, World Alliance for Mercury-Free Dentistry

IPS UN Bureau

 

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