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BBC: Water map shows billions at risk of 'water insecurity'

About 80% of the world's population lives in areas where the fresh water supply is not secure, according to a new global analysis. Researchers compiled a composite index of "water threats" that includes issues such as scarcity and pollution. The most severe threat category encompasses 3.4 billion people. Writing in the journal Nature, they say that in western countries, conserving water for people through reservoirs and dams works for people, but not nature. They urge developing countries not to follow the same path. What we're able to outline is a planet-wide pattern of threat” Charles Vorosmarty City College of New York Instead, they say governments should invest in water management strategies that combine infrastructure with "natural" options such as safeguarding watersheds, wetlands and flood plains. The analysis is a global snapshot, and the research team suggests more people are likely to encounter more severe stress on their water supply in the coming decades, as the climate changes and the human population continues to grow. They have taken data on a variety of different threats, used models of threats where data is scarce, and used expert assessment to combine the various individual threats into a composite index.

Where is the Evidence-base for Health Policy and Health System Management?

There is a need for a One Health Knowledge Management System that addresses the need for evidence in health policy and health system management in the U.S. as well as overseas. The article below rightly claims that evidence-based medicine is growing and is positively impacting clinical practice. That said, there needs to be a One Health Knowledge Management System that can inform policy makers, planners, and health systems managers about the cascading health issues and impacts within their domains and jurisdictions. See below.

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Nosocomial Infections: Drug-resistant "Superbugs"

September 17, USA TODAY – (International) Drug-resistant ‘superbugs’ hit 35 states, spread worldwide. Bacteria that are able to survive every modern antibiotic are cropping up in many U.S. hospitals and are spreading outside the country, public health officials said. The bugs, reported by hospitals in more than 35 states, typically strike the critically ill and are fatal in 30 percent to 60 percent of cases. Israeli doctors are battling an outbreak in Tel Aviv that has been traced to a patient from northern New Jersey, said the director of infection control and epidemiology at the University of Pennsylvania and president of the Society of Healthcare Epidemiologists. The bacteria are equipped with a gene that enables them to produce an enzyme that disables antibiotics. The enzyme is called Klebsiella pneumoniae carbapenamase. It disables carbapenam antibiotics, last-ditch treatments for infections that don’t respond to other drugs. “We’ve lost our drug of last resort,” he said. Source: http://www.usatoday.com/yourlife/health/medical/2010-09-17-1Asuperbug17_ST_N.htm

Poverty Rate In U.S. Saw Record Increase In 2009: 1 In 7 Americans Are Poor

Why is it that Americans are discovering that the U.S. now has the largest increase in poverty in more than a half a century under the administration of a U.S. president that may be one of the most sympathetic to the needs of the middle class and the poor of all presidents during this period? One answer might be that it reflects a long tail of a previous president due to the engagement of elective wars with poor outcomes and disastrous tax and social policies. This will most likely be at the heart of the political rhetoric of the Democratic party during the the 2010 mid-term and 2012 presidential election. However, there may be a deeper truth, which our national leadership and the American public is missing, or is unwilling to speak about. American society has deep structural problems from long-standing policies and socio-poliical behaviors stemming back to the early 1980s and before, that have aggregated into disastrous unsustainable, yet well entrenched, societal patterns. The key question is "When will the sociopolitical climate be ripe for political leadership to emerge that can speak honestly with the American public about the federal debt?

Scientists Find Thick Layer Of Oil On Seafloor

As suspected by many scientists and residents along the Gulf Coast, the dispersants used by BP and natural processes have driven the oil from Deepwater Horizon to the bottom. Given the large amounts of petrochemicals covering the bottom of a huge area in the Gulf of Mexico, there is serious concern that the food chain is significantly disrupted in this area. http://www.npr.org/templates/story/story.php?storyId=129782098

UN: 3.5 Million Pakistani Children at Risk for Waterborne Diseases

The United Nations says 3.5 million children in Pakistan are at risk from waterborne diseases, warning of a "second wave of death" from the country's devastating floods. U.N. humanitarian spokesman Maurizio Giuliano said Monday as many as six million people face the risk of contracting diarrhea and dysentery if donors do not provide more aid. Sluggish response The U.N. has launched an appeal for $460 million, but charities say the response has been sluggish, with only about 27 percent of the goal being met so far. Hundreds of angry flood victims blocked a highway outside Sukkur in southern Sindh province Monday, demanding government assistance. The protesters held up traffic as they called for food and shelter. Three weeks of monsoon rains have triggered Pakistan's worst flooding, with an estimated 1,600 people killed and 20 million affected in Khyber-Pakhtunkhwa, Punjab and Sindh provinces. More flooding likely On Monday, authorities said a new wave of flooding was likely along the Indus River in Punjab and Sindh. U.N. Secretary-General Ban Ki-moon traveled to Pakistan on Sunday and said the flooding was the worst natural disaster he has ever seen. He urged international donors to speed up aid. Britain's Deputy Prime Minister Nick Clegg on Monday called the international response to the disaster lamentable.

Congress and the Spill

Below is a New York Times OpEd that provides an overview of the actions Congress should take in the Deepwater Horizon Spill and its meaning for future risks the petrochemical industry assumes when endangering the health and human security of Americans. What are your thoughts? xxxxxxx Published: August 2, 2010 Over the opposition of most Republicans and the massed lobbying power of the oil industry, the House last week narrowly approved legislation imposing new safeguards on offshore oil drilling.

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Workshop Overview

Two-Day Workshop August 11-12, 2010 At East-West Center, Honolulu, Hawaii Launching a Global Resilience Initiative in Asia: Case of Pandemic Influenza We will hold a two-day workshop, Launching a Global Resilience Initiative in Asia: Case of Pandemic Influenza in August 11-12, 2010 at East-West Center, Honolulu, Hawaii. The Global Resilience Initiative in Asia is a long term and policy oriented effort to create an integrated framework and roadmap for “resilience” in Asia under a Global Disaster Risk Management (GDRM) approach (see “Background Paper”). Pandemic influenza was chosen as the topic of the first workshop as it is emblematic of the type of emerging global disaster risks that urgently requires the GDRM approach and the development of “resilience.” Recognizing that “resilience” is an elusive term and understood in different way the workshop will focus on identifying the key defining features of “resilience” that address the following four major policy issues: 1. While the “resilience” has recently received much attention, few national, regional or international institutions have provided guidance as to what constitutes “resilience” and how to implement it. 2.

Launching a Global Resilience Initiative in Asia: Case of Pandemic Influenza

Background Paper Prepared by Mika Shimizu and Allen Clark East-West Center Draft 1) Issue/Introduction Traditional case-by-case post-disaster response based disaster management no longer suffices to deal with emerging complex disaster risks the world faces today. The influence of globalization, urbanization and climate change has dramatically changed the scope, severity and impact of many modern day disasters. Specifically, globalization has changed the nature of disaster management and associated public policy, by making both areas more complex, uncertain and difficult to address at the national and global levels. This structural change, largely overlooked by policy and disaster management communities, necessitates a transition from traditional disaster management to a Global Disaster Risk Management (GDRM) approach. The GDRM approach incorporates and focuses on the development of “resilience”(as discussed later) through a better understanding of the impact of the above global changes on policy and disaster management, and pre-disaster (ahead of the event) risk preparedness and management. The “Global Resilience Initiative in Asia (GRIA)” is being initiated to address the existing deficiency of the lack of a GDRM approach in the disaster management regime of Asia.

Spill raises concerns of health effects

By Elizabeth Weise, USA TODAY Lawsuits are already being prepared alleging harm to people who are living near or working to clean up the Deepwater Horizon oil spill off the coast of Louisiana. The law firm Smith Stag in New Orleans says it has assembled a group of lawyers in the Gulf states to process such claims. Stuart Smith, a partner in the firm, says he has been in touch with people in Alaska who say they were hurt during the Exxon Valdez spill in 1989 by chemicals in the oil and dispersants used to keep it from reaching shore "which are also toxic." He says he's concerned about the potential health effects on the thousands of out-of-work fishermen, shrimpers and oystermen who will be taking part in the cleanup in the Gulf of Mexico. So what are the human health risks from a disaster such as this? For more information: http://www.usatoday.com/news/nation/2010-05-05-oil-health_N.htm?csp=obinsite

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