Global Health Watch 1 in one file
Global Health Watch 1 in one file Global Health Watch 1 in one file
The wider health context | D5 Box D5.1 The disastrous impact of war on the environment Destruction of urban environments by aerial carpet bombing of cities in Europe and Japan during World War II. Over 600 oil well fires in Kuwait, ignited by retreating Iraqi troops in 1991, had a devastating effect on the affected areas’ ecology and caused acute respiratory symptoms among people exposed, sometimes far away. Destruction of environmental resources, such as the destruction of mangrove forests by Agent Orange (a herbicide widely used by the US) and bombs during the Vietnam war. Contamination of rivers, streams, and groundwater supplies, such as occurs with chemical leakage from rusting metal containers at military storage sites. Finally, war and the preparation for war have profound impacts on the environment. Military activities consume huge quantities of non-renewable resources, such as fuels to power aircraft and ships, and rare metals used in the production of equipment and weapons (Sidel and Shahi 1997). More profoundly, military activities contribute to widespread pollution and environmental contamination (see examples in Box D5.1) (Levy et al. 2000). Less obvious are the environmental impacts of preparation for war, such as the huge amounts of non-renewable fossil fuels used by the military before (as well as during and after) wars and the environmental hazards of toxic and radioactive wastes, which can contaminate air, soil, and both surface water and groundwater (Renner 1997). The changing nature of war Overall, war takes an increasing toll on civilians, both by direct attack on them or by ‘collateral damage’ caused by weapons directed at military targets. During some wars in the 1990s, approximately 90% of the people killed were noncombatants (Garfield and Neugut 2000). Many were innocent bystanders caught in the crossfire of opposing armies; others were specifically targeted civilians. The changing nature of war includes use of new weapons, drone (unmanned) aircraft and high-altitude bombers, and the increasing use of suicide or homicide bombers in guerrilla warfare and what is termed ‘terrorism’. The US has claimed the right to conduct a ‘preventive’ or ‘pre-emptive’ war against nations that it perceives as posing a threat to its security and has 256
initiated a ‘war on terrorism’. In addition, its 2002 nuclear policy says it may choose to use nuclear weapons not only in response to a nuclear attack but also against attack by other weapons of mass destruction (US Department of State 2002). The pre-emptive strike against Iraq by the governments of the US and UK may lead to abandonment of the rules and procedures of law and diplomacy that have prevented many wars. Underlying causes of conflict and militarism The underlying causes of armed conflict and militarism include poverty, social inequities, adverse effects of globalization, and shame and humiliation. Some of the underlying causes of war are becoming more prevalent or worsening, including the persistence of socioeconomic disparities and other forms of social injustice. The rich-poor divide is growing, as documented in part A. Abundant resources, such as oil, minerals, metals, gemstones, drug crops and timber, have also fuelled many wars in developing countries. Globalization, also discussed in part A, may be among the causes of violence and war if it leads to exploitation of people, of the environment and of other resources (Cornia and Court 2001, Zwi et al. 2002). The Carnegie Commission on Preventing Deadly Conflict (1997) has identified factors that put nations at risk of violent conflict. These include: • lack of democratic processes and unequal access to power, particularly where power arises from religious or ethnic identity, and leaders are repressive or abusive of human rights; • social inequality characterized by markedly unequal distribution of resources and access to them, especially where the economy is in decline and there is, as a result, more social inequality and more competition for resources; • control by one group of valuable natural resources such as oil, timber, drugs or gems; and • demographic changes that outstrip the nation's capacity to provide basic necessary services and opportunities for employment. The commission might also have noted that the consequences of colonialism are still felt in many countries. Colonialism destroyed political systems, replaced them with new ones unrelated to the population’s cultural values and created commercial dependence. Neocolonialism, through multilateral agencies, transnational corporations and international organizations, and in some instances with the use of the military, is responsible for social inequality, control of natural resources, and lack of democratic processes. In many countries, the US has systematically opposed political processes that would War 257
- Page 223 and 224: • Redesign trade rules. Governmen
- Page 225 and 226: D2 | Water Access to enough clean w
- Page 227 and 228: water consumption worldwide. Each p
- Page 229 and 230: table d2.1 Top corporate players in
- Page 231 and 232: 16 Protesting against the privatiza
- Page 233 and 234: Box D2.3 Regulating private water c
- Page 235 and 236: The private sector overestimates th
- Page 237 and 238: Box D2.7 US citizens told to boil t
- Page 239 and 240: to water. Worse still, it does this
- Page 241 and 242: References Barlow M, Clarke T (2002
- Page 243 and 244: D3 | Food Undernutrition is by far
- Page 245 and 246: Functional and Productive Capacity
- Page 247 and 248: table d3.1 Corporate control of US
- Page 249 and 250: keting and processing means that sm
- Page 251 and 252: average Indian family of four reduc
- Page 253 and 254: Bank’s US$ 93.5 million loan to C
- Page 255 and 256: Avery N, Drake M, Lang T (1993). Cr
- Page 257 and 258: D4 | Education Some 135 million chi
- Page 259 and 260: ledge about health-care practices a
- Page 261 and 262: 2005, and on present trends about 4
- Page 263 and 264: Box D4.3 Programmes that aim to emp
- Page 265 and 266: • per capita public spending fall
- Page 267 and 268: unable to recruit 9000 badly needed
- Page 269 and 270: Gordon D et al. (2003). The distrib
- Page 271 and 272: D5 | War War has an enormous and tr
- Page 273: 19 Chechnya destroyed. War has wide
- Page 277 and 278: an explosive force equivalent to ab
- Page 279 and 280: the risk of their misuse and divers
- Page 281 and 282: Box D5.3 An agenda for peace The Ha
- Page 283 and 284: Machel G (1996). Impact of Armed Co
- Page 285 and 286: part e | Holding to account: global
- Page 287 and 288: E1 | World Health Organization The
- Page 289 and 290: The sources consulted worldwide in
- Page 291 and 292: Box E1.1 Milestones in WHO history
- Page 293 and 294: aised by his attempts to revitalize
- Page 295 and 296: • stronger internal focus on perf
- Page 297 and 298: 21 WHO - up in the clouds? Reaction
- Page 299 and 300: in favour of so-called ‘vertical
- Page 301 and 302: to speak openly, while bullying and
- Page 303 and 304: velop a unified, purposeful health
- Page 305 and 306: to medicines, and the mobilizing ro
- Page 307 and 308: Recommendations WHO’s core purpos
- Page 309 and 310: doctors, and more people with exper
- Page 311 and 312: E2 | UNICEF In 2005, Carol Bellamy,
- Page 313 and 314: In sum, for almost a decade, childr
- Page 315 and 316: prompted a global debate on how to
- Page 317 and 318: E3 | The World Bank and the Interna
- Page 319 and 320: 22 World Bank: the centre of world
- Page 321 and 322: approach to conditionality is being
- Page 323 and 324: tal policies should explicitly refe
<strong>in</strong>itiated a ‘war on terrorism’. In addition, its 2002 nuclear policy says it may<br />
choose to use nuclear weapons not only <strong>in</strong> response to a nuclear attack but<br />
also aga<strong>in</strong>st attack by other weapons of mass destruction (US Department of<br />
State 2002). The pre-emptive strike aga<strong>in</strong>st Iraq by the governments of the<br />
US and UK may lead to abandonment of the rules and procedures of law and<br />
diplomacy that have prevented many wars.<br />
Underly<strong>in</strong>g causes of conflict and militarism<br />
The underly<strong>in</strong>g causes of armed conflict and militarism <strong>in</strong>clude poverty,<br />
social <strong>in</strong>equities, adverse effects of globalization, and shame and humiliation.<br />
Some of the underly<strong>in</strong>g causes of war are becom<strong>in</strong>g more prevalent or worsen<strong>in</strong>g,<br />
<strong>in</strong>clud<strong>in</strong>g the persistence of socioeconomic disparities and other forms<br />
of social <strong>in</strong>justice. The rich-poor divide is grow<strong>in</strong>g, as documented <strong>in</strong> part A.<br />
Abundant resources, such as oil, m<strong>in</strong>erals, metals, gemst<strong>one</strong>s, drug crops<br />
and timber, have also fuelled many wars <strong>in</strong> develop<strong>in</strong>g countries. <strong>Global</strong>ization,<br />
also discussed <strong>in</strong> part A, may be among the causes of violence and war if<br />
it leads to exploitation of people, of the environment and of other resources<br />
(Cornia and Court 2001, Zwi et al. 2002).<br />
The Carnegie Commission on Prevent<strong>in</strong>g Deadly Conflict (1997) has identified<br />
factors that put nations at risk of violent conflict. These <strong>in</strong>clude:<br />
• lack of democratic processes and unequal access to power, particularly<br />
where power arises from religious or ethnic identity, and leaders are repressive<br />
or abusive of human rights;<br />
• social <strong>in</strong>equality characterized by markedly unequal distribution of resources<br />
and access to them, especially where the economy is <strong>in</strong> decl<strong>in</strong>e and there<br />
is, as a result, more social <strong>in</strong>equality and more competition for resources;<br />
• control by <strong>one</strong> group of valuable natural resources such as oil, timber, drugs<br />
or gems; and<br />
• demographic changes that outstrip the nation's capacity to provide basic<br />
necessary services and opportunities for employment.<br />
The commission might also have noted that the consequences of colonialism<br />
are still felt <strong>in</strong> many countries. Colonialism destroyed political systems,<br />
replaced them with new <strong>one</strong>s unrelated to the population’s cultural values<br />
and created commercial dependence. Neocolonialism, through multilateral<br />
agencies, transnational corporations and <strong>in</strong>ternational organizations, and <strong>in</strong><br />
some <strong>in</strong>stances with the use of the military, is responsible for social <strong>in</strong>equality,<br />
control of natural resources, and lack of democratic processes. In many<br />
countries, the US has systematically opposed political processes that would<br />
War<br />
257