Global Malnutrition and the Politics of Food

Whether they are starving or eating too much, children around the world are malnourished. A full belly doesn’t necessarily mean that a child is getting proper nutrition from the food that they eat. Obese children are just as nutritionally deficient as children who have bloated bellies from hunger. The result is a global generation of unhealthy children who will experience a shorter life expectancy than normal from complications with their health and related diseases. The double burden of malnutrition is seen in both a complete lack of access to food and an overabundance of unhealthy foods.

A recent World Health Organization (WHO) report stated that combating five major health factors could eliminate millions of premature deaths. Among those top five is childhood nutrition. Lacking nutritious food has serious implications for health, but consuming too much food without nutritional value, which contributes to obesity, is more likely to lead to a premature death. For the first time in 15 years, children in the US have a lower life expectancy than their parents. By the same token, children in countries defined as “developing” have faced low life expectancies for many years, but what they eat (or don’t eat) is less likely to kill them. Who would have imagined that being overweight is more likely to kill you than being underweight?

On the flip side of childhood nutrition is the near complete lack of access to food in developing countries. There were any number of crises this past year that qualified the “need” for food aid from “developed” countries. Floods, earthquakes, droughts, famines, etc. – but what is the state of food aid? Is it excellent nutritious assistance in difficult times? Bill Easterly and the Aid Watch blog ask: “Can the story on US food aid get any worse?,” noting that the US continues to support relief agencies that use a corn-soy food blend that doesn’t even meet the 1960s international nutrition standards of food aid. Children in developing countries don’t necessarily die from a lack of nutritious food, but rather from the diseases that attack their weakened immune systems. The food we eat is a first line of defense by keeping the rest of our body systems healthy. Some of the best examples of the importance of food and health come from Paul Farmer, who often says that, “the treatment for hunger is food.” Many times food is overlooked as a critical treatment in health crises, which makes it that much more important to invest in nutritious alternatives for food aid and support local farmers around the world.

Unfortunately here in the US, corporations have a firm grip on what we eat. There are a small number of major factory farming corporations that produce our food. They use coercive actions and their money to keep control of farmers and the food industry. This hurts our families and communities here in the US and contributes to the nutritional inadequacy of what Americans eat, but it also has far reaching implications in developing countries. Because of the control by US corporations of the food industry and the US government’s subsidies for farmers, food prices have been rising steadily around the world. This impact is hitting small farmers in developing countries hardest as they struggle to find markets to sell their produce and support their families. These small farmers can’t compete with US farmers who are government subsidized or the US corporations who are mass producing and shutting them out. Even as people in developing countries struggle to buy food to eat, one in six Americans are struggling with hunger. This is largely a result of the economic downturn and has affected more than just those already considered poor in the US. It is estimated that nearly one billion people do not have access to a secure source of food around the globe.

While the fact that many Americans struggle with food security is shocking, the spike in rates of obesity demonstrates the pressing need for communities to rethink how they eat and live. Obesity gives a blatant visual representation of how much control we have lost when it comes to our food. The WHO states that “globesity” is spreading across the globe and millions will suffer if we don’t make changes. A recent study conducted by Wayne State University showed that one third of infants in the US are obese or at risk for obesity. This allows us to easily assume that an obese infant will become an obese adult. Hunger and food security are extremely important issues when it comes to talking about health and nutrition. Many who suffer being underweight have suffered through natural disasters, but the immediate threat to children and the global population is the man-made disaster of being overweight.

Thankfully there are many people who are working to fix the food industry, support local farmers, and promote healthy eating to children in schools. President Obama recently signed the Child Nutrition Bill to increase access to healthy foods in schools. Where there have been numerous policy barriers nationally and internationally, this is a step in the right direction to bring policies in line with the health needs of our global population. We must commit to supporting the basic health of our children if we care about a building a healthy future.

Originally featured and posted at,  Americans for Informed Democracy on 18 January 2011.

Obama’s Africa Policy is Military Policy

Oil and US Military Activities in Africa

Many people had high hopes for Obama’s presidency having a serious focus and positive impact on the African continent (including myself). The policies of past presidents relegated Africa to a single, monolithic policy for a continent of 55 countries. Under Bush, AFRICOM launched and a renewed focus on military engagement became the norm for US Africa Policy with the US military providing anti-terrorism training and the military implementing humanitarian aid projects typically conducted by USAID.

As Obama was campaigning as a Senator, I thought he had great potential to make changes in US Africa Policy. In 2007, I wrote:

Just last year the Illinois Senator went on an African tour visiting South Africa, Kenya, Ethiopia, and Chad – discussing the issues of the HIV/AIDS epidemic, the growing violence in Darfur, refugees from the Sudan conflict, the Kibera slums, and Africa becoming a new haven for terrorists. I wonder if he is in favor of the Africa Command? Obama presents a great hope for American political reform and rebirth, but also Obama presents a great hope for Africa and bringing about a more focused and effective and involved US African Policy that is not afraid to invest in the continent. (Written 01/06/2007)

President Obama began his presidency repairing the world’s view of the US after the extremely negative view the world population held of Bush and his wars in the Middle East. In 2009, Obama gave compelling speeches in Ghana and Egypt. To me, these speeches seemed to signify that the Obama Administration was going to engage countries in Africa as individual actors and place engagement in Africa as a higher priority.

My hopes aren’t as strong as Obama begins his campaign for a second term. It is no mystery that Obama’s focus has been on domestic issues during the last 4 years. Beyond the far reaching impacts of political unrest and change across North Africa and the Middle East, Obama’s Africa Policy has been kept at an arms length. Hillary Clinton has done a commendable job of managing the US’s image abroad, but Obama’s Administration has not engaged the continent the same way he has spoken to and about Africa.

How has Obama fared since his Africa Tour of 2006? What advances have been made in US Africa Policy? Here are the issues since 2006:

HIV/AIDS

Arguably the most prominent accomplishment of Obama’s term was passing Healthcare Reform. Much of his time and effort was focused on fighting, compromising, and pushing for this legislation. The strong domestic focus is expected, but its seems Obama only mentions HIV/AIDS on World AIDS Day. This past year (2011) Obama had a strong story and spoke of a growing commitment to “The End of AIDS.” However, we have also seen Congress push to slash our humanitarian aid budget to even less than 1% while at the same time the Global Fund is in a funding crisis. Bush often mention PEPFAR in his State of the Union speeches, but Obama never has. This may have just been political, Bush needed to deflect attention from his unpopular war-mongering and Obama needed to draw in his base of supporters for the upcoming election. Obama has said publicly that he will defend the US funding for PEPFAR and the Global Fund. Many people note that if Obama is elected to a second term he will likely be involved in more international issues. This seems to be one on Obama’s radar for future involvement.

Darfur, Sudan

While serving in the Senate, Obama was a staunch advocate for ending genocide in Darfur. After elected, he appointed strong anti-genocide advocates to key posts: Susan Rice, UN Representative for the US, and Hillary Clinton, Secretary of State. During Obama’s term, the world’s newest country was formed: South Sudan. Both Obama and Clinton have made statements affirming US support for the new country of South Sudan. Obama has made strong statements that South Sudan and Sudan need to move past long standing differences if they are to both prosper, but the reality on the ground is another story. The violence and bloodshed has not ended. Rhetorically I ask, why have no troops been sent to Darfur or South Sudan?

Slums

During his Africa Tour, Senator Obama visited the Kibera slum in Kenya. The AFRICOM 2011 statement of purpose notes the great need for increased economic support in Africa to bring stability and growth. This past year has seen revolutions and uprisings against governments across Africa, from human rights protests in Uganda, to full revolution in Egypt, armed conflict in Libya, land protests in South Africa, to #OccupyNigeria decrying the oil industry’s grip on the country. The slums in full view of skyscrapers are a common sight in many of the developing world’s major cities. Global inequality is not being ignored any longer and populations are taking things into their own hands. Obama has been known to be in close personal contact with African heads of state. US investment in Africa has not been as well publicized.

In 2011, Ambassador Demetrios Marantis spoke about the US’s Africa trade and investment policy. Marantis highlighted the small-scale, project by project, country by country investment related to the African Growth and Opportunity Act (AGOA) as well as the Millennium Challenge Corporation (MCC), but it seems that the glaring issues with these programs raised during the Bush administration have not been addressed. Marantis also spoke of the US’s efforts to sign bi-lateral trade agreements, 7 total, which will increase private investments. If you ask me this is a poor response and demonstrates a lack of imagination and innovation towards African engagement.

Terrorism

This has been by far the most prominent area of the Obama Administraion’s Africa Policy. Out of all issues focused on in Africa, the military intervention and on the ground action seems to be the “go to move” for African engagement. Since 2003, the US military has been conducting anti-terrorism trainings with many African militaries in the West African Sahel region, working to mitigate Al-Qaeda in the Islamic Magreb (AQIM). The US military has also been involved in the Somali conflict, helping Kenyan troops to protect their border and engaging Al-Shabab, these efforts have not been without civilian casualties. Recently, US special forces went into Somalia to rescue aid workers held by a Somali pirate group.

Obama authorized the US military to run support missions in Libya, carrying out the majority of flight missions attacking Libyan military installations. The US military presence was significant even though the UK and France were leading the mission. More recently in October 2011, Obama announced he would be sending around 100 troops to Uganda to assist in fighting the Lord’s Resistance Army (LRA) responsible for a long running conflict affecting Northern Uganda and neighboring regions.

This year, the bombing skills of Boko Haram have improved quickly and the Nigerian and US militaries believe AQIM is teaching militants in Nigeria to make better bombs. The attack on the US Embassy has lead the US to commit military efforts to helping the Nigerian government fight Boko Haram.

What will 2012 Bring?

Some have called these various efforts the “Pentagon’s shadow war in Africa,” however nothing has been veiled in shadows. The US holds nothing back to show it is there to militarily support African countries. The US Africa Policy has been revealed to be a focus on mitigation of terrorist groups that seem to be gaining ground and ensuring regional security before other economic or humanitarian efforts are increased.

“Africa is not big in Washington, there is no constituency that cares about Africa that much,” said Kwaku Nuamah, a Ghanaian professor at American University in Washington.  “I did not think the traditional contours of American foreign policy were going to change because there was somebody in the White House with ties to Africa, but of course a lot of people expected that.”

Like all presidents, Obama has many words and equally many unfulfilled commitments. As Obama is focused domestically, it has been the US military that has demonstrated his Africa Policy. Obama has chosen the sword over the pen in implementing policy across the continent and I can only continue to hope, like others, that a second term for Obama will mean more non-military engagement in Africa. This all goes without noting the US’s competition with China in Africa. . .

the week in african health

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Ethiopia a scene of over-grazing and desertification, making it difficult for both people and animals to survive. (From the MSF Photo Blog)

’There’s no reason only poor people should get malaria’

In an action that surprised many audience guests, Bill Gates, released a small number of mosquitoes into the crowd at the TED conference. Gates quit Microsoft last year to focus more on his philanthropic work. He spoke of the need, and his commitment, to put more funding towards developing drugs to combat malaria, one of the highest killers in the ‘developing’ world.
Watch the video:
More:
Mosquito Genes Linked To Insecticide Resistance May Be New Target in Fight Against Malaria,
Insecticide malaria impact clue

When there is no village doctor

It is estimated that every fourth medical doctor and every twentieth nurse trained in Africa leaves the continent for better job prospects and better pay in wealthier countries. The UN Global Health Workforce Alliance warns that the economic crisis could further increase the medical workforce crisis across Africa.

For David Werner, who wrote the widely-translated 1970s village health care manual, “Where There is No Doctor,” medical specialization is not the best answer. “Experts come in and think they have all the answers, and end up drowning out solutions villagers could devise themselves.”

Need to Focus on Maternal, Child Health – Top AU Official

As the African Union meets in Addis Ababa, Commissioner for Social Affairs Biencé Gawana said in regards to the AU’s proposed launch of a continent-wide program,

“We will launch a movement to promote maternal and child health in the continent,” she told reporters. “It will be an advocacy campaign… together with partners like UNFPA [the UN Population Fund] and UNICEF [the UN Children’s Fund].

With 500,000 women dying in childbirth each year, Africa has some of the highest rates of maternal, infant, and child mortality. As part of the solution the AU report noted: “One of the main challenges in the promotion of maternal, infant and child health and development is access to health care facilities and services, especially at primary health delivery level and [in] rural areas.”

Zimbabwe: Cholera Infection Rate Climbs As UN Cleared to Assess Crisis

On Monday the WHO reported an increase of 2000 cholera deaths in Zimbabwe. The report was released just as President Mugabe agreed to allow a top level UN assessment team to tour the country to find solutions to curb the cholera pandemic as well as the current hunger crisis. Food security continues to plummet in may areas of Zimbabwe as many worry they will not receive aid in time.
More: Zimbabwe Cholera Statistics Rise Again As New Malaria Fears Grow,
Zimbabwe Diary: fighting cholera

South Africa: The Quiet Water Crisis

There is great concern with the cholera outbreak in Zimbabwe, but what the South African government may be missing is its very own growing water crisis. With an aging infrastructure and rising demand, the potential for deadly bacteria to be released into its water systems is high. When Mandela’s government took power in 1994, an estimated 14 million South Africans lacked access to clean water supply and 21 million people lacked proper sanitation. Although the numbers have changed drastically, the Department of Water Affairs and Forestry (DWAF) reported in 2008 that 5 million people still lacked access.

Twestival and Charity: Water

Last year SCOUT BANANA conducted a ‘Year of Water’ Project to benefit the work of Charity: Water. The organization is now utilizing the social media tool, Twitter, to raise a large amount of money to build wells across the world. Charity: Water began its work by supporting well projects across the African continent.

South Africa: ‘Development Must Adapt to Water Resources We Have’

98% of water resources are being used in South Africa. Water security is becoming an issue as pollution from mining has been difficult to clean up and no other water resources remain unused.

Obama Lifts “Global Gag Rule”

Also known as the Mexico City Policy, this move is being applauded by women’s and productive rights groups across the globe.
More: Obama Reverses U.S. Ban on Abortion-Linked Aid

University Partnership Aims to Fight HIV/AIDS More Effectively

Backed by an almost $5 million grant from the Bill & Melinda Gates Foundation, John Hopkins University is growing a partnership with Makerere University in Uganda in an attempt to combat the growing HIV/AIDS epidemic. The partnership is only in its initial steps.

Originally posted on the SCOUT BANANA blog.