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General Assembly President calls for solidarity with Ukraine as ‘needless war’ reaches two-year mark

“As we reflect on the two years of anguish and hardship, let us emerge from this place with a resounding message of solidarity and unwavering support to the resilient people of Ukraine,” he said, speaking on the eve of the solemn anniversary. 

The Security Council is also set to meet later on Friday on Ukraine, where fresh strikes were reported on the cities of Odesa and Dnipro, just one day after deadly attacks in the Donetsk region, located in the east. 

Destruction and devastation 

Addressing representatives of the UN’s 193 Member States gathered in the General Assembly Hall in New York, Mr. Francis stated that they “can neither be blind to the ongoing destruction and devastation, nor ignore the plight of the people of Ukraine.” 

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“This is especially so, because this year also coincides with the tenth anniversary of the 2014 attempted illegal annexation of Crimea and other Ukrainian territories by the Russian Federation,” he added. 

Russia’s full-scale invasion began on 24 February 2022. Since then, thousands of people have been killed and injured, millions more uprooted, and schools, hospitals and other critical infrastructure damaged. Scores of Ukrainian children have also been forcibly deported to Russia. 

Extensive impacts worldwide 

Mr. Francis said the impact of this “needless war” extends far beyond the borders of Ukraine as the environment is also “the silent victim of the conflict”, while the real risk of a nuclear accident persists. 

“And, ultimately, the war has affected every Member State gathered in this hall – whether in the form of the soaring food prices or in the context of energy insecurity.” 

Furthermore, the conflict has been a significant catalyst in reshaping global geopolitics and geoeconomics, he continued, as it is directly harming the countries involved while also impeding progress in many others, especially developing nations. 

UN Charter undermined 

“It is actively undermining the very foundations of our UN Charter – threatening the principles of sovereignty, and territorial integrity we all committed to hold dear and to defend,” he said. 

“It has disrupted the delicate balance of international relations – at a time when unity, solidarity and cooperation are absolutely crucial to multilateral problem-solving.

Mr. Francis noted that while the 15-member UN Security Council has been paralyzed by division over the conflict, the General Assembly has condemned Russia’s aggression and demanded the immediate, complete and unconditional withdrawal of its forces from Ukrainian territory. 

Work for peace 

“Beyond condemnations, we, the United Nations, must actively work towards a comprehensive, just and sustainable peace in line with the Charter of this organization,” he said. 

The Assembly President called for redoubling efforts “to end wars and usher in a future of hope, promise and prosperity for the people in Ukraine and Russia, alike – and indeed elsewhere, without exception.” 

A family receives medical treatment in Odesa after being resuced in Kherson following the destruction of the Kakhovka dam.
© UNICEF

A family receives medical treatment in Odesa after being resuced in Kherson following the destruction of the Kakhovka dam.

Bolstering healthcare in Ukraine 

Meanwhile, UN agencies have been reflecting on their response to the conflict in Ukraine, which the World Health Organization (WHO) has called Europe’s largest emergency.

WHO has been partnering with the Ministry of Health to determine, in real-time, what the key needs of the sector are and step in where needed to bolster existing systems.

Support has included regularly donating essential medical supplies, vehicles, and equipment to ensure existing healthcare facilities can continue functioning. 

Teams have also built temporary structures in communities where health facilities have been damaged or destroyed, thus ensuring that people can continue to receive care. Currently, 12 modular primary care clinics are open in locations across the south and the east of the country.  

WHO has verified 1,574 attacks on health since the war broke out, claiming the lives of 118 of health care workers, and impacting health facilities, transport, and warehouses.  

The conflict in Ukraine has had a devastating impact on children’s mental health and ability to learn.
© UNICEF/Aleksey Filippov

The conflict in Ukraine has had a devastating impact on children’s mental health and ability to learn.

Concern for children’s mental health

Russia’s full-scale invasion has taken a devastating toll on the mental health of Ukraine’s youngest citizens, according to the UN Children’s Fund (UNICEF). 

The agency said boys and girls in frontline areas have been forced to spend between 3,000 and 5,000 hours – equivalent to between four to seven months – sheltering in basements, bunkers, or a hole in the ground. 

Seeking safety from missiles and drones is coming at a great cost for these children, said UNICEF Spokesperson James Elder who was in the city of Kharkiv this week, where he spoke to families and child psychologists.

“Around three-quarters of young people have recently reported needing some sort of psychological or emotional support; a fraction of those are getting it,” he said, speaking on Friday to journalists in Geneva.

“So, the ongoing shelling, the increased use of drones – all this is building into an awareness that children continue to be killed, and so it’s hindering families’ capacity to overcome the stress and trauma inflicted by this war.” 

Mr. Elder added that despite education being a fundamental source of hope and stability, it is chronically disrupted and beyond reach for a substantial segment of Ukraine’s children. 

“Children in frontline areas have been inside a school for a single week over the past four years – two years of COVID-19 and two years of full-scale war. In the Kharkiv region, two out of 700 schools are delivering in-person learning,” he said.

UNICEF’s response in Ukraine has included providing a network of psychologists who support children and their parents, helping them overcome distress and trauma and find some relief, some joy. 

The agency also supports the rebuilding of critical infrastructure such as schools and water systems, among other operations. 

First Person: Supporting mental health in Madagascar, one consultation at a time

Henrielle Emasignavy works for WHO in Ambovombe, where the Androy Regional Referral Hospital is based. She spoke about the care that is being provided to people who are struggling with mental health crises.

WHO’s Henrielle Emasignavy at the Androy Regional Referral Hospital.
UN News/Daniel Dickinson

WHO’s Henrielle Emasignavy at the Androy Regional Referral Hospital.

“In Ambovombe town, we are seeing a number of mental health conditions, including psychotic episodes, schizophrenia and depression.

There has been an increase in young people suffering from mental health episodes. We think that amongst young men it may be linked to cannabis use, and amongst young women between the ages of 13 and 18, it could be the breakup of a relationship or depression following the birth of a child.

One of the contributing causes for both men and women is the anxiety of constantly living under stressful conditions caused by the ongoing humanitarian crises in the south of Madagascar.

We have recently experienced drought and cyclones in different regions of the south which have compounded the effects of climate change as well as deep-rooted underdevelopment. This has left the many vulnerable people who live across the south struggling to survive. When crops fail, they have no safety net and often go hungry. Access to health and other social protection services can also be problematic.

‘Victims of sorcery’

I met one woman called Elodie who suffered postpartum psychosis after giving birth at age 20 and then losing her child six months later.

When I met her, I noticed a chain had been attached to her ankle.

Her mother told me that it was for her own safety as her daughter kept on trying to escape. There is a lot of stigma attached to people who suffer from mental health disorders. They are said to be “possessed” and the victims of sorcery.

Mental health problems are curable from a medical point of view, but increasing ignorance and poverty force people to resort to drastic measures such as tying up patients, which exacerbates the mental illnesses they suffer from.

The mother (centre) of Elodie (right) says she has responded well to medication.
UN News/Daniel Dickinson

The mother (centre) of Elodie (right) says she has responded well to medication.

Accessing care

Accessing treatment is hugely challenging for patients. The nearest specialist hospital for mental health treatment is between 600 kilometres away, so to meet the increased need for services, WHO has brought in medical teams for periodic out-patient care. 

During one three-day period, there was a total of 93 free consultations; 67 per cent of those patients were women, including Elodie, who was seen by a neurologist. As a result of this consultation, she was given medication which her mother says is improving the state of her mental health. Elodie is looking after herself better; for example, she is taking care of her personal hygiene.

WHO would like there to be more services available for people like Elodie, and while it is clear that a visiting psychiatrist can only do so much, I’m happy that we are able to help some patients on the road to recovery.

Elodie has the support of her mother and sister, but very sadly, the rest of the family rejected her and so she and her mother were forced out of the family home.

Her mother is hoping for a full recovery soon so Elodie can lead a normal life once again and so she can earn some money and contribute to the three-woman household.”

SDG 3
United Nations

SDG 3

SDG 3: HEALTHIER GLOBAL POPULATION

  • Promote mental health and wellbeing and strengthen the prevention and treatment of substance abuse
  • Reduce the number of deaths and illnesses from pollution, contamination and tobacco
  • Achieve universal health coverage, and provide access to affordable, essential vaccines and medicines
  • Reduce global maternal mortality rate to less than 70 per 100,000 live births and under-five mortality to at least 25 per 1,000 live births
  • End epidemics of AIDS, tuberculosis and malaria and combat hepatitis and other communicable diseases

 

Sustainable development hinges on ensuring healthy lives and promoting wellbeing at all ages

Stories from the UN Archive: Boris Karloff, leprosy and Nigeria

Actor Boris Karloff.
Public Domain

Actor Boris Karloff.

Famous for his role in the film adaptation of Mary Shelley’s 1818 novel, Mr. Karloff also acted in 130 movies, playing, as he called it, many “spine-chilling roles”.

Stepping out of those roles and into his “real self”, Mr. Karloff worked with UN Radio in 1959 to record a feature on how communities in Nigeria were coping with leprosy.

“If you still think that leprosy, or Hansen’s disease, leaves its victims greatly disfigured and dooms them to that condition, then you should have been with me in the rural clinic in Tiranka, in northern central Nigeria,” he said, over the sound of drumming.

Today, leprosy still occurs in about 120 countries, with more than 200,000 cases reported each year.

It’s a preventable and curable disease according to the World Health Organization (WHO) in its global strategy to eradicate it.

Efforts are now ongoing in every region of the world.

Listen to The Dance of New Life here, part of UN News’s series highlighting epic moments across the UN’s past, cultivated from the UN Audiovisual Library’s 49,400 hours of video and 18,000 hours of audio recordings.

Leprosy prevention programmes are now happening worldwide, including this school campaign in Recife, Brazil. (file)
PAHO/WHO

Leprosy prevention programmes are now happening worldwide, including this school campaign in Recife, Brazil. (file)

Stories from the UN Archive

Join us every #ThrowbackThursday for another dive into history. Meanwhile, check out some classics from the archives:

  • Watch UN Video’s Stories from the UN Archive playlist here
  • Visit our accompanying series here.
  • History buffs can also find classic UN Radio podcasts over the decades here

World News in Brief: Unprecedented cholera spike in Africa, Julian Assange extradition update, locusts compound Sudan crisis

Dr. Fiona Braka from WHO’s regional office in Brazzaville, Congo, said that eastern and southern Africa have been particularly badly affected.

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In just the first four weeks of the year, 10 African countries reported more than 26,000 cases and 700 deaths, which is nearly double the number reported last year over the same period.

Zambia and Zimbabwe have been worst hit, but Mozambique, Tanzania, the Democratic Republic of the Congo, Ethiopia and Nigeria are also in the grip of “active outbreaks”, with a high risk of further spread, Dr. Braka said.

Preventable and treatable 

“We will continue to see records being broken as long as people do not have access to clean water and sanitation facilities,” she explained. “Cholera is preventable and treatable. No one, no longer, should die from it.”

Increased flooding associated with climate change has helped the spread of cholera, a preventable waterborne disease. More cyclones and droughts have also reduced access to clean water, creating an ideal environment for cholera to thrive.

Despite a global shortage of oral cholera vaccines, WHO supports inoculation drives in Zambia, where over 1.7 million people have been vaccinated. A campaign is also underway in Zimbabwe, which expects to provide protection to 2.3 million people.

WHO has also deployed over 100 medical experts and dispatched emergency supplies to affected areas in Zambia and Zimbabwe.

More than 30 tonnes of emergency supplies have already been delivered to both countries, including cholera kits and rehydration salts, with more assistance on the way.

UN torture expert urges UK to halt extradition of Julian Assange to the US 

The UN Human Rights Council-appointed independent expert on torture urged the United Kingdom on Tuesday to halt the possible extradition of Julian Assange to the United States.

Alice Edwards called on British authorities to consider Mr. Assange’s appeal based on the substantial fears that, if extradited, he would be at risk of treatment amounting to torture or other forms of ill-treatment or punishment.

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“Julian Assange suffers from a long standing and recurrent depressive disorder. He is assessed as being at risk of committing suicide,” the Special Rapporteur said in a statement.

He faces numerous charges in the US, including under the Espionage Act of 1917, for the alleged unlawful release of diplomatic and other cables and documents via the investigative site he co-founded, WikiLeaks.

Lifetimes in jail

“If extradited, he could be detained in prolonged isolation while awaiting trial or as an inmate. If convicted, he could be sentenced to up to 175 years in prison,” Ms. Edwards said.

The independent expert questioned whether his extradition is compatible with the UK’s international human rights obligations considering the risks to his mental health through solitary confinement or likelihood of “disproportionate” sentencing. 

“Diplomatic assurances of humane treatment provided by the Government of the United States are not a sufficient guarantee to protect Mr. Assange against such risk,” she added, calling on the UK to carefully review the extradition order.

A final domestic appeal after a long-running legal battle on Mr. Assange’s extradition is scheduled to take place before the High Court in London on 20 and 21 February.

Rapporteurs and other rights experts are independent of any government or organization, receive no salary and serve in their own capacity. 

Sudan: Food scarcity set to worsen as threat increases from desert locusts

UN humanitarians are warning that food will become even more scarce in the coming months as Sudan enters the lean season, the UN Spokesperson told journalists on Tuesday. 

“An estimated 18 million people are food insecure – that’s 10 million more than last year,” said Stéphane Dujarric.  

This comes as the UN Food and Agriculture Organization (FAO) cautioned earlier in Geneva that the damage caused by desert locusts in the country has worsened significantly since the middle of last year.

Existential threat to seed supplies

FAO Deputy Representative in Sudan Adam Yao warned that the pest problem had reached a “threatening level”, and without sustained efforts to control the invasion, significant agricultural losses are inevitable.

Locusts swarm in the Nugal region of Somalia.
© FAO/Haji Dirir

Locusts swarm in the Nugal region of Somalia.

This is due in part to the absence of surveillance and control operations in central and western Sudan resulting from the ongoing war between Government forces and the rival RSF militia, which has plunged the country into crisis. 

Nonetheless, locust control officers supported by the FAO have managed to survey more than 113,500 hectares and control around 23,000 hectares of land already infested.

Mr. Yao said FAO was working together with the UN humanitarian coordination office, OCHA, to secure immediate access to Wad Madani to ensure seed collections under threat can be moved to a safer location.

Aid agencies have managed to deliver lifesaving assistance to seven million people in Sudan since last April.

Cancer rates set to rise 77 per cent by 2050

There are predicted to be more than 35 million cancer cases during 2050, up from the estimated 20 million in 2022, according to latest figures from the International Agency for Research on Cancer (IARC), a specialized branch of the UN World Health Organization (WHO).

The increase reflects both population ageing and growth, as well as changes to people’s exposure to risk factors. Tobacco, alcohol and obesity are key factors, along with air pollution.

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Varying patterns 

Richer countries are expected to have the greatest absolute increase in cancer, with an additional 4.8 million new cases predicted in 2050. 

However, low and middle-income countries should see a higher proportional increase in cancer, while mortality is projected to almost double.

The estimates from the IARC’s Global Cancer Observatory are based on the best sources of data available from 185 countries and covers 36 different forms of cancer. 

They were published alongside a WHO survey from 115 countries which showed that the majority do not adequately finance priority cancer and palliative care services as part of universal health coverage. 

Common cancers globally 

Ten types of cancer collectively comprised around two-thirds of new cases and deaths globally in 2022, the IARC said. 

Lung cancer was the most commonly occurring form worldwide with 2.5 million new cases.  It accounted for more than 12 per cent of all new cases and 18.9 per cent of deaths, 1.8 million, making it the leading cause of cancer death. 

Female breast cancer ranked second in terms of occurrence, with 2.3 million cases, worldwide or 11.6 per cent, but accounted for 6.9 per cent of deaths. 

Other commonly occurring cancers were colorectal, prostate and stomach cancer

Colorectal cancer was the second leading cause of cancer death, followed by liver, breast and stomach cancer. 

Cervical cancer was the eighth most commonly occurring cancer globally, the ninth leading cause of cancer death, and the most common cancer in women in 25 countries, many of which are in sub-Saharan Africa.

Inequalities and investment 

The IARC estimates – issued ahead of World Cancer Day on 4 February – also revealed striking inequalities, particularly in breast cancer.

One in 12 women in richer countries will be diagnosed with the disease in their lifetime and one in 71 will die of it, the agency said.  However, although only one in 27 women in poorer countries will receive a positive breast cancer diagnosis, one in 48 will die.

These women “are at a much higher risk of dying of the disease due to late diagnosis and inadequate access to quality treatment,” said Dr. Isabelle Soerjomataram, Deputy Head of the Cancer Surveillance Branch at IARC. 

The WHO survey also revealed significant global inequities in cancer services. For example, higher income countries were up to seven times more likely to include lung cancer-related services in their health benefits packages. 

“WHO, including through its cancer initiatives, is working intensively with more than 75 governments to develop, finance and implement policies to promote cancer care for all,” said Dr Bente Mikkelsen, Director of its Department of Noncommunicable Diseases, underlining the need for greater investment. 

World News in Brief: Progress on transfats, Ukraine war update, General Assembly President in China

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Denmark, Lithuania, Poland, Saudi Arabia, and Thailand have received the first-ever WHO certificates for demonstrating that they have a best practice policy for industrially produced trans-fatty acids (iTFA) elimination in effect, supported by adequate monitoring and enforcement systems.

Trans fats are industrially produced or naturally occurring, and both are linked to an increased risk of heart attacks and heart disease.

They have “no known health benefit, but huge health risks,” said WHO chief Tedros Adhanom Ghebreyesus. Furthermore, the fried foods, cakes and ready meals where they can be found lurking are often high in sugar, fat and salt.

WHO had set an ambitious target in 2018 to fully eliminate iTFA from the global food supply by the end of 2023.  Although it was not met, the UN agency said remarkable progress towards this goal has been made in every region of the world.

A grand total of 53 countries now have “best practice” policies in place to tackle mass-produced trans fats in food. This covers 3.7 billion people, 46 per cent of the global population, up from just six per cent only five years ago.

Ukraine: Fresh attacks deepen suffering for winter-weary civilians 

Recent attacks in Ukraine are causing further suffering for civilians already enduring harsh winter conditions, the UN humanitarian affairs office, OCHA, said on Monday. 

OCHA cited Ukrainian officials who reported that more than a dozen civilians were killed or injured in attacks in eastern, central and southern Ukraine over the past three days. Homes, schools, a hospital and energy infrastructure were also impacted. 

“In the eastern region of Kharkiv, authorities said shelling caused damage to homes and electrical grids,” the UN agency said. 

“In the southern region of Kherson, attacks over the weekend also damaged homes, as well as education and telecommunications facilities, according to the governor of the oblast.” 

OCHA and partners continue to provide urgent humanitarian assistance to people in these areas. 

Convoys deliver aid 

On Friday, the UN Humanitarian Coordinator in Ukraine, Denise Brown, led a convoy to the Kherson Region. The trucks delivered food, medical supplies, winter clothes, solar lamps, hygiene items and children’s supplies to about 800 people in need. 

Another convoy that arrived in the Kharkiv Region on Friday brought blankets, bottled water, solar lamps, medical supplies and hygiene kits, supplies for people with disabilities, and construction materials to repair damaged homes. 

The Russian invasion of Ukraine will reach the second-year mark on 24 February.  

During 2023, the UN and partners sent over 107 humanitarian convoys to support some 400,000 residents in the front-line areas in the eastern and southern parts of the country.

The President of the General Assembly, Mr. Dennis Francis, is talking with researchers at Shanghai Institutes for International Studies.
PGA spokesperson’s office

The President of the General Assembly, Mr. Dennis Francis, is talking with researchers at Shanghai Institutes for International Studies.

General Assembly President calls for new commitment to UN Charter 

With the world at “an inflection point”, countries must recommit to the core principles of the UN Charter, the President of the General Assembly said in China on Sunday.

Delivering keynote remarks at the Shanghai Institutes for International Studies, Dennis Francis highlighted how the worsening impacts of climate change, hunger and multidimensional poverty are hampering efforts to achieve a safer, more just and more sustainable world.

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Meanwhile, geopolitical divides have sparked new conflicts, and deepened pre-existing ones, across areas of Africa, Eastern Europe and the Middle East. 

Mr. Francis said these worrying developments are laying bare the limits of the multilateral system and raising legitimate questions about both the relevance and ability of the UN to solve complex problems. 

“They demand that we fortify our foundation – and recommit to the core principles of the UN Charter, that have offered us a guiding light out of the tumultuous past since the founding of the United Nations,” he said.

He commended China for continuing to play a leading role in global affairs, noting that it was the first country to sign the UN Charter, the Organization’s founding document, and since then has been a “notably steadfast support of multilateralism”. 

“Since the horrific 7 October attack on Israel – the escalation of violence in the Middle East, and the wrenching humanitarian catastrophe in the Gaza Strip, continue to project the worst aspects of the human condition; precisely that which the Charter was intended to avoid,” Mr. Francis said. 

The General Assembly “has been both active and ambitious” on the crisis, he said, by resuming its Tenth Emergency Session on the Middle East and adopting two resolutions that received overwhelming support from its 193 members. 

'High-risk mission' delivers fuel to Al-Shifa Hospital in northern Gaza

The “high-risk mission”, carried out the previous day, was marked by delays at the checkpoint and severely damaged roads. Thousands of hungry civilians also surrounded the UN vehicles and fuel truck in a desperate search for food and water, further delaying the journey.

The team reported that functionality at the hospital has improved since the last humanitarian mission 10 days ago, with a significant decrease in the number of displaced people sheltering there – from 40,000 to 10,000. 

Some services operational

Al-Shifa has 120 health care workers and 300 patients. Between five to 10 surgeries are conducted daily, mainly trauma cases that require immediate care.

Essential services such as basic laboratory and radiological facilities remain operational, along with emergency care, a surgical unit with three operation theatres, post-operative care, and a dialysis unit. Plans are underway to reopen a nine-bed Intensive Care Unit (ICU) in the coming days.

However, there are no maternity or pediatric services, and shortages of specialized doctors, medicines, and medical supplies such as orthopedic equipment.

“These units could become operational again, but will require a consistent supply of fuel, oxygen, medical supplies, and other aid,” WHO said. Furthermore, the  primary oxygen plant was destroyed, and the hospital is now relying on a smaller plant.

Healthcare under fire

WHO continues to draw attention to the dire state of the healthcare system in Gaza, where 14 out of 36 hospitals remain partially functional after nearly four months of conflict.

Intensified military presence and hostilities in the south are severely obstructing the movement of health workers, ambulances and UN partners, and their ability to resupply hospitals. Agency staff said the situation for hospitals in the city of Khan Younis is “catastrophic and indescribable”. 

WHO also expressed extreme concern over reports of Al-Kheir Hospital, a small NGO-run facility, facing military incursions and several health workers being detained. Communication with the hospital is no longer possible. 

Staff digging graves

Due to evacuation orders in neighbourhoods surrounding Nasser Medical Complex – the largest hospital in the south – as well as continuous hostilities in its vicinity, large numbers of wounded people are on the hospital grounds, according to the Gaza health authorities.

“UK Med, an international emergency medical team deployed at Nasser, says that no one can enter or exit the facility due to ongoing bombardment close by,” WHO added.

“Health staff are reported to be digging graves on hospital grounds due to the large numbers of deaths anticipated and the need to manage dead bodies. This horrifying situation should never take place in any hospital.”

WHO warned that Al-Amal Hospital is at risk of becoming non-functional, as ambulances and injured patients reportedly cannot access the facility.

The UN agency reiterated its calls for an immediate ceasefire, protection of civilians and healthcare, and sustained access for the delivery of critical aid across the Gaza Strip.

 

World News in Brief: Pandemic treaty in jeopardy, historic IOM appeal, ‘enormous obstacles’ facing Iran’s lawyers

Tedros Adhanom Ghebreyesus was addressing the World Health Organization (WHO) Executive Board when he said that “several outstanding issues” still needed to be resolved by governments and that time was “very short” to find consensus.

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“A failure to deliver the pandemic agreement and the International Health Regulations amendments will be a missed opportunity for which future generations may not forgive us,” Tedros said.

Legally binding

The WHO chief’s warning follows agreement by Member States of the UN agency to start a process to draft and negotiate a “convention, agreement or other international instrument” to strengthen pandemic prevention, preparedness and response after the huge loss of life caused by COVID-19.

Such agreements made between countries have legal standing and are binding.

WHO has emphasized that a proposed pandemic convention would be driven by the need to ensure equity of access to tools that can stop pandemics in their tracks, including vaccines, personal protective equipment, information and expertise and access to healthcare for everyone.

UN migration agency issues first ever global annual appeal for $7.9 billion

UN migration agency, IOM, issued a nearly $8 billion funding call on Monday to help almost 140 million people, including those internally displaced and the communities that host them.

Leading the appeal, IOM Director General Amy Pope said it was urgent to help communities resist climate change, which last year was an even bigger driver of migration than conflict.

“Hundreds of millions of people live in communities that are extremely vulnerable to climate shocks,” she said.

Crisis ahead

“If we do not begin to build this capacity now, we collectively will face a displacement crisis that dwarfs anything we deal with.” 

Speaking in Geneva, Ms. Pope stressed that irregular and forced migration had reached “unprecedented levels”, with more than 71 million people already displaced within their own countries today.

But, the IOM chief also insisted there was “overwhelming evidence” that well-managed migration was “a major contributor to global prosperity and progress”.

In line with the UN agency’s long-term objectives, it said that Monday’s appeal would help to save lives and protect people on the move, find solutions to displacement and facilitate safe pathways for regular migration.

Rights defenders demand protection for lawyers in Iran

Independent UN human rights experts hailed lawyers in Iran over their “courageous commitment to the rule of law” and efforts to practice their profession despite “enormous obstacles and pressures”.

In a statement issued on Monday ahead of the International Day of the Endangered Lawyer, marked on 24 January, the Special Rapporteurs on Iran and the issue of judicial independence called on Tehran to fully protect the country’s legal professionals.

Following the “Women, Life, Freedom” protests triggered by the death of Mahsa Amini in police custody in 2022, Iranian authorities arrested thousands, subjecting them to deplorable conditions and even death penalty charges, said the two independent experts.

Despite the risks, many Iranian lawyers attempted to provide legal support to the protesters and consequently faced intimidation, arbitrary arrests and being disbarred.

Rising to the challenge

Lawyers in Iran have, again and again, risen to the challenge and have suffered the consequences,” the experts declared.

They underscored that Iranian lawyers often operate in peril due to restrictions that violate international standards for the free and independent exercise of the legal profession and the right to a fair trial. The Bar Association, one of Iran’s oldest professional organizations, has been targeted by the Government through structural changes and investigations, according to the rapporteurs.

They urged Iran to implement measures ensuring that lawyers can fulfil their vital role without the threat of prosecution for legitimate professional activities, emphasizing the impact on the right to a fair trial for all Iranians.

Special Rapporteurs are part of the Special Procedures of the Human Rights Council. They do not receive a salary for their work and serve in their individual capacity.

Gaza crisis: Babies being born ‘into hell’ amid desperate aid shortages

Reiterating urgent international calls for a ceasefire, the UN Children’s Fund (UNICEF) reported that there have been nearly 20,000 births since the start of widespread Israeli bombardment in response to Hamas-led attacks in Israel that left some 1,200 dead and approximately 250 taken hostage.

Chronic aid access problems have meant that Caesarean sections have been performed without anaesthetic while other women have been unable to deliver their stillborn babies because medical staff are overwhelmed, the UN agency said.

“Mothers face unimaginable challenges in accessing adequate medical care, nutrition and protection before, during and after giving birth,” said UNICEF Communications Specialist Tess Ingram.

“Becoming a mother should be a time for celebration. In Gaza, it’s another child delivered into hell.”

Soundcloud

Hepatitis shock

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Echoing deep concerns about the deteriorating humanitarian situation, UN World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus expressed alarm that hepatitis A infections had been confirmed in Gaza.

“The inhumane living conditions – barely any clean water, clean toilets and possibility to keep the surroundings clean – will enable hepatitis A to spread further and highlight how explosively dangerous the environment is for the spread of disease,” Tedros tweeted on X, formerly Twitter, on Thursday.

The latest WHO data indicates that on average 500 people are sharing one toilet, and over 2,000 people have to use a single shower, increasing the risk of disease spread.

In addition to a sharp rise in upper respiratory infections, diarrhoea cases among children under age five recorded during the last three months of 2023 were 26 times higher than reports from the same period in 2022, the UN health agency noted.

“People are being pushed into ever smaller places; they’re in overcrowded shelters with lack of access to clean water, lack of access to toilets,” said WHO spokesperson Tarik Jasarevic.

“A large chunk of the population in Gaza – people who are injured and bombarded – need immediate medical help,” the WHO official said, noting that Nasser Medical Complex in Khan Younis had only two doctors remaining in its emergency department compared to 24 before the war, with only 14 intensive care beds today, down from 45 and only four nurses available out of 20 initially.

Some relief

To help the most vulnerable women and children in Gaza, UNICEF has ensured the delivery of milk formula and supplements for mothers too weak to breastfeed, along with medical supplies for overstretched medical teams, but much more is needed.

Speaking from Amman, Jordan, after returning from southern Gaza, Ms. Ingram explained that staff at the overwhelmed Emirati Hospital in Rafah were forced to discharge mothers “within three hours of a Caesarean”, a situation that is “beyond belief and requires immediate action”.

Some 105 days since the start of the war, she insisted that constant bombardment and displacement “directly impacts newborns, resulting in higher rates of undernutrition, developmental issues and other health complications”.

 

‘Inhumane’ conditions

Approximately 135,000 children under two years old are believed to be at risk of severe malnutrition today amid “inhumane” conditions characterized by makeshift shelters, poor nutrition and unsafe water, Ms. Ingram continued.

Seeing newborn babies suffer while some mothers bleed to death should keep us all awake at night,” she said. “Knowing two very young Israeli children abducted on 7 October have still not been released should also keep us awake.”

Deadly toll nears 25,000

Echoing those concerns, the UN human rights office, OHCHR, expressed deep concern at reports that nearly 25,000 people have been reported killed, according to Gaza’s Ministry of Health. A full 70 per cent are believed to be women and children, and at least another 61,500 have been injured while “several thousands more are under the rubble, many presumed dead”.

In its latest update on the crisis, the UN aid coordination office, OCHA, repeated deep concerns that safe and effective relief missions “anywhere in Gaza” remained “heavily compromised by Israeli restrictions on the import of critical equipment, including appropriate communication devices”.

Palestinian civil defence responders search the rubble of a building in the aftermath of an air strike in the Gaza Strip. (file)
WHO

Palestinian civil defence responders search the rubble of a building in the aftermath of an air strike in the Gaza Strip. (file)

Access denials by the Israeli military to areas north of Wadi Gaza “have also impeded efforts to a scale up the provision of lifesaving assistance there and adding significant cost to the overall response”, the UN office maintained.

Pressure-cooker environment

Briefing journalists in Geneva from Gaza, the head of the UN Human Rights Office (OHCHR) in the Occupied Palestinian Territory, Ajith Sunghay, said that displaced people continue to arrive in Rafah “in the thousands”.

“I’ve seen men and children digging for bricks to be able to hold in place tents made with plastic bags,” he said. “This is a massive human rights crisis and a major, human-made, humanitarian disaster. Gaza needs urgent scaling up of humanitarian aid, including of the protection response.”

The days-long telecommunications blackout has continued, Mr. Sunghay said, emphasizing that this “added to the confusion and fear” as it prevented Gazans from accessing services and information on where they should evacuate.

“It is a pressure cooker environment here, in the midst of utter chaos, given the terrible humanitarian situation, shortages and pervasive fear and anger,” the OHCHR official continued, describing how “heavy bombardment of Middle Gaza and Khan Younis” was “clearly visible and audible from Rafah, especially at night”.

After arriving in Gaza on Monday, Mr. Sunghay said that he could “hear bombing, sometimes several times an hour”. Night-time was “the most terrifying time” during strikes for Gazans and the more than 100 civilians still held hostage in the enclave, who are “unseen (and) who most certainly hear the same sounds and feel the same fear”, he said.

Europe: 1.4 million lives saved thanks to COVID-19 vaccines

Delivering his first message of the new year, Dr. Hans Kluge stressed that without vaccines, the death toll on the continent “could have been around four million, possibly even higher.”

More than 2.5 million COVID-19 deaths, and 277 million confirmed cases, were reported in the vast WHO European Region, which comprises 53 countries stretching from the Atlantic to the Pacific Ocean.

A ‘vital decision’ 

Analysis of 34 countries showed that most people whose lives were saved by vaccines, 90 per cent, were over 60.

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The vaccines reduced deaths by 57 per cent in the period between their rollout in December 2020 through March 2023, with the first booster doses alone saving an estimated 700,000 lives.

“Today, there are 1.4 million people in our region – most of them elderly – who are around to enjoy life with their loved ones because they took the vital decision to be vaccinated against COVID-19,” said Dr. Kluge, speaking from Copenhagen.

“This is the power of vaccines. The evidence is irrefutable,” he added.

Vaccination must continue 

COVID-19 rates in Europe remain elevated but are decreasing. WHO recommends that people at highest risk of the disease should continue to be re-vaccinated six to 12 months after their most recent dose.

This category includes older persons, frontline health workers, pregnant women, and people who are immunocompromised or have significant chronic medical conditions. 

Meanwhile, WHO is currently seeing widespread circulation of respiratory viruses like influenza, Respiratory Syncytial Virus (RSV) and measles in the European region.

Flu rates rising 

RSV rates peaked before the new year and are now declining, Dr. Kluge reported, and influenza rates are rapidly rising, with a likely surge expected over the coming weeks. 

There has been a nearly 60 per cent increase in reported hospitalizations for the flu over the past two weeks and a 21 per cent increase in ICU admissions, compared to the previous two weeks.

Flu cases increased four-fold between November and December, with 38 countries reporting the start of the seasonal influenza epidemic. Those most affected by severe disease are people aged 65 and older and the very young.

“We are concerned about reports of localised pressures on hospitals and overcrowding in emergency rooms, due to a confluence of circulating respiratory viruses,” he said.

Variants and vigilance 

Dr. Kluge stressed that although COVID-19 infections rates are broadly decreasing across Europe, the situation can rapidly change in the face of the new variant of interest, JN.1, now the most common variant reported globally.

“Though there’s no current evidence to suggest the JN.1 variant is more severe, the unpredictable nature of this virus shows how vital it is that countries continue to monitor for any new variants,” he said. 

As many countries have reduced or stopped reporting COVID-19 data to WHO, Dr. Kluge underscored the need for continued surveillance as the disease “is here to stay”.

“We know how to keep ourselves and others safe, whether from COVID-19 or other respiratory infections,” he said, referring to measures such as staying home if sick and wearing masks in settings such as hospitals or crowded places. 

Noting that “health is slipping from the political agenda”, Dr. Kluge voiced deep concern over the failure to address the “ticking time-bomb facing our health and care workforce”. 

“As health systems come under strain, we are reminded that we may be unprepared for anything out-of-the-ordinary, such as the emergence of a new, more severe COVID-19 variant or a yet unknown pathogen,” he warned, urging leaders to show “demonstrable support” for health workers. 

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