Our Planet Healthy Planet, Healthy People-2015Our Planet May 2015 Fa PDF

May 2015
United Nations Environment Programme
Healthy Planet, Healthy People

Massoumeh Ebtekar
Enabling Breathing
of Clean Air
Khaled Fahmy
Time to Act
Maria Neira
Development's
Healthy Heartbeat
Nina Cromnier
Within Reach
Photo: Stuart Pearce/Robert Harding Library
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Table of Contents
Features
Page 6
Page 22
Massoumeh Ebtekar
Enabling Breathing
of Clean Air
Nithya Ramanathan
IH Rehman
Veerabhadran Ramanathan
Credit Where its Due
Page 10
Khaled Fahmy
Time to Act
Page 16
Page 28
Maria Neira
Development's
Healthy Heartbeat
Nina Cromnier
Within Reach
Page 18
Hans Bruyninckx
Breathtaking
Challenge
Page 30
Page 44
Chris W Williams
Julian Kyomuhangi
Silent Emergency
Richard Fuller
Pollution The
Greatest Killer
Page 34
Page 48
Hugh Montgomery
Terminal Blow?
Gladys
Kalema-Zikusoka
Felling Trees
Brings Disease?
Page 36
Samuel S Myers
Clear and
Present Danger
Page 40
Peggy Liu
A New Way to Eat
Page 4
Reflections
Page 14
A Breath of Fresh Air
Page 20
Extreme Beans
Page 26
The Missing Link
Page 32
Cleaning Our Air
Page 38
Off the Shelf
Page 46
Making Connections
Page 50
UNEP Publications
Page 52
Environmental Champion
Photo: Neil Emmerson/Robert Harding Picture Library
Achim Steiner
Reflections
n a few
munity
Sustainable
create the
sustainable
to build a
Achim Steiner
United Nations UnderSecretary-General and
UNEP Executive Director
Margaret Chan
Director-General of the
World Health Organization
months, the international comwill gather to finalize the

Development Goals (SDGs) and
foundations for the post-2015
development agenda that aims
brighter future for humankind.
The environment cuts across virtually all

of the goals, as it should: the Earths natural
resource base props up much of human existencefurnishing us with agricultural land and
fisheries; supporting livelihoods and growth;
giving us air, water, energy and so much more.
But perhaps nowhere is the importance of a
well-managed environment as clear as in human
healthwhich is not only a standalone goal and
itself an enabler of other goals such as those on
education, economy and societies, but a way of
measuring how we are performing across the
board. This latter aspect is one the World Health
Organization (WHO) will emphasize at the
upcoming World Health Assembly in Geneva.
These sustainable development aspirations
have come not a moment too soon. As a result
of the impacts our rapid development have
wrought on the environment, our planet is

straining to sustain human life in good health.
The evidence to support this assertion is clear.
In March last year, for example, WHO estimated
that in 2012 exposure to indoor and outdoor
air pollution killed around 7 million people
worldwide, making it the worlds largest single
environmental health risk. This air pollution is
due in large part to a fossil-fuel based economy
that pumps particulate matter and other harmful materials into the air. A century or so ago,
perhaps we had the excuse of ignorance and a lack
of alternative technologies. Today, we do not.
We have examples of sustainable urban transport systems across the globe. We have access
to cleaner fuels and more-efficient vehicles.
We have created more advanced renewable
energy and energy-efficient technologies. We
can produce clean cookstoves to slash the 4.3
million annual deaths from indoor air pollution.
Happily, all of these crucial initiatives are
spreading, most notably renewables. In
2014, we saw a $270 billion surge in investment, up 17 per cent on the previous year,
in the 1970s, and grew to US$4.12 trillion by

2010. Global chemicals sales are projected
to grow about 3 per cent per year to 2050.
But the gains that chemicals provide must not
come at the expense of human health and the
environment. The health impacts include both
disease and illness and death by poisoning.
And new issues are emerging.In a 2012 report
UNEP and WHO concluded that despite substantial advances in our understanding of
endocrine disrupting chemicals, uncertainties and knowledge gaps still exist that are too
important to ignore.
The list of challenges may seem daunting, but
past successes show they are not insurmountableand tackling them head-on is imperative
to the success of our post-2015 agenda. Take
the Montreal Protocol, for exampleunder
which the world collectively tackled the damage ozone-depleting substances were causing to
the ozone layer, and thus human health through
increased skin cancer and cataract cases.
according to research from the Frankfurt

School UNEP Centre and Bloomberg New
Energy Finance. With further expansion of
renewable energy and the other opportunities
above, we can provide universal access to clean
energy without compromising human health.
We have similar challenges and opportunities
in how we manage chemicals, a topic that is
particularly pertinent given that this May the
Basel, Rotterdam and Stockholm Conventions
met to boost efforts to minimize human health
and environmental impacts from chemicals, including pollution, and from waste.
Chemicals are an integral part of todays
world, and this is not about to change. Global
chemical output was valued at US$171 billion
We are now on track for recovery to pre1980 levels, and the benefits are astonishing:
new data released by the US Environmental
Protection Agency showed that actions under
the Montreal Protocol will have prevented
283 million cases of skin cancer by 2100.
Extrapolated across the globe, this means
billions of cases, and millions of lives saved.
Another achievement comes in the form of the
Minamata Convention on mercury, a toxic element that can cause serious health impacts.
After years of negotiation, the Minamata
Convention was adopted in early 2013 and
subsequently discussed at the World Health
Assembly. It now has 128 signatures and 11 ratifications, and preparatory work is well underway
to support nations in meeting their obligations.
This is all encouraging, but health challenges also emerge from environmental
In Africa alone, climate change

could reduce crop yields by up
to 20 per cent by 2050 as the
population near doubles.
issues that are not so obviousclimate

change chief amongst them. Emerging evidence from the Intergovernmental Panel on
Climate Change shows that climate change
has altered the distribution of some infectious disease vectors, altered the seasonal
distribution of some allergenic pollen species, and increased heatwave-related deaths.
If we do not act to reduce greenhouse gas emissions, then we will see even greater health
impacts. Extreme weather events will claim
many lives, while changing weather patterns
will increasingly affect agricultural production. In Africa alone, climate change could
reduce crop yields by up to 20 per cent by 2050
as the population nearly doubles. The health
consequences of such a scenario are obvious.
This is why the second major process taking
place this year, the meeting in Paris designed
to produce a binding agreement on mitigating
and adapting to climate change, will hold equal
importance for human health. A weak agreement would undoubtedly hamper sustainable
development. A strong agreementone which
commits nations to deep emissions cuts and
innovative ways to build resilience to the impacts
of climate changewould give us a far better
chance of delivering on this ambitious agenda.
There are so many other areas we could touch
upon: how human health is supported by biodiversity and ecosystem services; growing
plastic contamination in the oceans and food
chain; the ever-increasing amounts of e-waste
that expose workers to hazardous substances.
The web of interactions between the environment and human health is undoubtedly
complex, but the top-level message is simple: how we manage and use the planets
resources has a clear and obvious impact on
how healthy we and future generations will be.
UNEP, WHO and many other committed organizations, governments and individuals have
come a long wayboth in building the evidence
base that enable policies to improve human
health, and implementing initiatives that
reduce environmental risk factors.
This year, with the SDGs and climate negotiations concluding, we have a golden opportunity
to elevate these efforts to the next level. We
should not waste it.
Massoumeh Ebtekar
Enabling Breathing
of Clean Air
Irans experience in abating air pollution
shows the importance of long-term planning
and social mobilization
vehicles on the roads, inefficient fuel consumption and a lack
of pollution control facilities in industrial plants burning
fossil fuels.
Massoumeh
Ebtekar
Vice President of the
Islamic Republic
of Iran and Head
of Department of
Environment
Champion of
the Earth 2006
ranians were the first to refer to air pollution in the scientific literature. Avicenna, in his Canon of Medicine
completed in 1025 AD, classifies and describes various types
of air and water with potential to harm humans. Now the
World Health Organization has repeatedly named air pollution as a major threat to human health and a carcinogen,
showing that it is not only an environmental issue, but a
global economic and public health challenge.
Air quality is important for over 35 million Iranian citizens
in major cities. Rapid industrialization and urbanization
has seen more than 70 per cent of the population migrate to
urban areas in recent decades, creating many environmental
challenges. Mashad, Tabriz, Isfahan, Shiraz, Ahwaz, Karaj
and Arak are now major cities with over 1 million inhabitants. Many other provincial centreslike Kermanshah,
Rasht, Ghom, Urumieh, Ghazvin, Bushehr, Kerman, Yazd
and Bandar Abbasare large cities booming with population
and economic growth.
Meanwhile, Tehransurrounded by the Alborz Mountains

to the north and the eastis a mega city with 8.5 million overnight inhabitants and over 11 million during the day. Official
estimates reveal there to be over 5 million vehicles on the
citys roads, including more than 2.5 million motorcycles,
and acute air pollution has long been a major environmental challenge. The primary pressure points leading to this
untenable situation, identified in the Second National State
of the Environment Report, are: population growth (leading to urban sprawl and increasing demands for energy and
infrastructural development), increasing numbers of motor
The late Professor Taghi Ebtekar began research on air pollution in Iran as early as 1974, at Tehran University and as
an advisor to the mayor of Tehran. He set forth a strategy for
substituting natural gas (CNG) as a cleaner fuel for public
transportation. His studies and plans later became the basis
for Tehrans roadmap to combat air pollution. This project
now spans one and a half decades. In 1998, multiple studies
on air pollution in Tehran were compiled, and a comprehensive plan to combat it was drawn up. After adoption by the
cabinet in 1999, and allocation of resources, the scheme was
implemented as seven major projects.
From 1999 up to 2005, cars came under strict emission controls, emitting 80 per cent fewer pollutants due to engine
modifications and the installation of catalytic converters
and filters. Lead was completely phased-out from petroleum during those years. Electronic automobile inspection
centres were established, CNG-operated buses were introduced, public transport (including the underground metro
and the bus system) was promoted and a nationwide awareness-raising campaign, including a national Clean Air Day,
was initiated. An ad hoc committee met regularly with
all stakeholders and major players to monitor the plan.
However, after 2005 the plan faced serious impediments
and delays. Over an eight-year period, Tehran faced an
annual increase of between 200,000 to 400,000 new vehicles that were regulated, but which still added to the traffic
and pollutant load. A plan to phase-out obsolete cars was
initiated in 2002, but bureaucratic impediments delayed its
implementation until several years later.
One reason for the delay was a change in development priorities. Following elections in 2005, the incoming president
introduced different national priorities and widespread
changes in management within administrative bodies. The
inter-sector cooperation committee in charge of monitoring
the pollution strategywhich had convened more than 150
Photo: Yoko Aziz /Robert Harding
Rapid industrialization and

urbanization has seen more than
70 per cent of the population in
Iran migrate to urban areas in
recent decades, creating many
environmental challenges.
From 1999 up to 2005,

cars came under strict
emission controls,
emitting 80 per cent
fewer pollutants due to
engine modifications
and the installation of
catalytic converters
and filters.
sessions since 1999became inoperative. This, sadly, led to a

general decline in the effectiveness of the overall plan. Nine
years after its inception, many projects were lagging behind
for several reasons, including this change of priorities and
government policies.
In 2007, the Tehran City Council established an environmental committee that adopted a plan to combat air
pollution in Tehran and mobilize local resources for it.
Watchdog bodies such as the Parliament and City Council
also produced reports and warned on the long-term consequences of neglecting environmental questions. Using a
European-based approach, researchers estimated that the
total cost of health damage from air pollution was about $7
billion in 2001, equivalent to 8.4 per cent of Irans nominal
gross domestic product (GDP). This is predicted to reach
$9 billion in 2019 in the absence of any effective and efficient intervening measures.
After the election of President Rouhani in 2013, tackling
environmental challenges again became a national priority. The president undertook a serious strategy to improve
national indicators in all fields, including the environment.
Nationwide programmes are now in process to improve

energy consumption patterns and energy efficiency, audit
energy for industries and build combined cycle power
plants and renovate old ones. Alternative, clean energy
power plants were reinstituted and are now under way. The
government has also provided budgetary and economic
incentives for private sector energy efficiency projects
and supported public transport, including Tehrans metro
which served 3 million commuters daily in 2014. Similar
air pollution mitigation roadmaps have been implemented
in seven other major cities, promising better air quality for
more than 30 million citizens.
After the installation of the new government, a systemic
arrangement led to drafting a bill on the national action
plan to combat air pollution in 2014, dealing with the gaps
and unimplemented aspects of the programme. A 16-member cross-sector national committee, with a strong referral
and follow-up mechanism, was established and regular
meetings have been convened. Local action plans and committees are also maintained at each city.
As a result, and based on the bill, the Ministry of Petroleum
expedited processes to upgrade the standards of its refineries and their products. Euro 4 petroleum and diesel fuel
replaced the low-grade, polluting compounds in all major
cities during 2014. This achievementaccomplished
despite the ongoing unjust sanctions against our country,
impeding our access to new clean technologieswas an
important stride forward.
In the same year, the automotive industry implemented
Euro 4 emission standards after several years of delay.
With government incentives, more than 350,000 obsolete
passenger cars were phased out, resulting in a drastic lowering of emissions. Substituting natural gas for heavy fuels
used in power plants and strict online monitoring near
large cities were also important measures.
7
Annual analysis of results from multiple monitoring

stations in major cities indicates that a significant improvement in air quality has occurred as a result of these intensive
efforts and intersectoral work. During the Iranian calendar
year 1393 (starting on March 22, 2014), monitoring stations
showed that Tehran experienced 44 days of better air quality. Other cities also produced similar results.
During this period, Irans civil society enjoyed substantive
governmental supportbreathing new life into this vital
peoples mechanismin sharp contrast with the practices of
the previous government. The number of green non-governmental organizations grew rapidly from 370 to 730 in just 18
months between 2013 and 2015, indicating the latent potential of our society in this area.
This wave of awakening gave a significant boost to the government initiative on air pollution. Local and national media
launched information campaigns, and very widespread
Clean Air Days encouraged citizens to take responsible
decisions to use public transportation or apply inspection
regulations for private cars. President Rouhani joined in,
riding the underground metro to his office: this received
widespread publicity and was welcomed as a responsible,
natural gesture on Clean Air Day.
As a result of the plan of action now under way, the quality of
air in our major cities has gradually improved over a period
of 18 months. Systematic monitoring of air quality and
reporting on implementation and intersectoral collaboration will continue.
Photo: Ashley Cooper /Robert Harding
Meanwhile, dust storms have also caused deterioration in

air quality in Iranian cities over the past decade. The harmful dust mostly originates in neighbouring areas, including
Saudi Arabia, Iraq and the borders of Syria and Jordan.

Negotiations and preparations for a regional agreement and
fund have been under way, but some regional states have not
collaborated, while fundamental insecurity in many areas
has resulted in a setback for the regional fund.
Nationally, the Department of the Environment has established an ad hoc committee for intersectoral collaboration,
developing a national action plan, identifying dust hotspots
and defining clean strategies and scientific methods to minimize them. Large areas in the southern, western and eastern
regions have been screened. Strategies to combat the formation of the hotspots have been adopted, the government has
allocated funding and the plan is gaining traction. New air
quality monitoring stations have been established in many
regions of the country to measure particles smaller than 2.5
microns.
In some areas, large tree and shrub plantations have been
created to prevent desertification. The ongoing drought and
detrimental effects of climate change have aggravated the
situation. Besides its effect on the health of our citizens, the
huge dust phenomenon has inflicted damage on our natural,
pristine Zagros forests and range lands, and on agriculture.
Local communities have been integrated into management
schemes for protected areas and wetland, such as the restoration of Parishan wetland in Kazeroun. Wetlands become
sources of dust when they dry out. A drastic change in irrigation policy and water consumption has been put into
practice with local farmers in many areas. For example, the
Houralazim wetland in the south western bordersdried
out in previous years for oil explorationnow receives a
constant influx of water, restoring much of the natural landscape and vegetation.
Photo: Robert Harding
The Houralazim wetland in the south western borders

dried out in previous years for oil explorationnow
receives a constant influx of water, restoring much of the
natural landscape and vegetation.
The number of green

non-governmental
organizations grew
rapidly from 370 to
730 in just 18 months
between 2013 and
2015.
Media coverage of these measures has also surged, again

bringing a wave of awareness and hope to the public, though
it has been emphasised that such large-scale climate-related phenomena can only be resolved through long-term
planning and regional collaboration. Recent polls conducted by major media groups indicate that 51 per cent of
those surveyed were satisfied with government efforts to
improve environmental conditions.
These environmental complications of conflict and insecurity signify the importance that United Nations bodies
should attach to conflict resolution. The role of Iran as a
promoter of peace and moderation, and the countrys influential role in both regional and global equations, can serve as
a deterrent force to curb extremism and ameliorate the current lack of security that is now a mainstay of global political
attention.
The prioritization of Iranian environmental issues by Dr.

Rouhanis government comes while it is also under pressure
over inflation rates, the need for economic growth and new
investment and strong demand for employment.
Our experience in Iran makes clear the importance of

long-term planning for air pollution control, as well as
the detrimental effects of political short-sightedness and
disregard for environmental planning. It highlights the
importance of efficient intersectoral cooperation and
project management mechanisms and the role of social
mobilization and civil society. And it also shows how badly
mistaken it would be to overlook the pivotal role of the
media. Perseverance and continuity in supporting local and
national initiatives, creativity and inspirational activities
are all important keys to success.
Its positive approach is also improving relations with the

global community, beginning with neighbouring countries.
Its extension to the resolution of the nuclear dispute and
lifting of all unjust sanctions is proving itself instrumental in
this context as well. Promoting peace and security are vital
strategies in the West Asia region: without them sustainable
development is not possibleeven in some areas outside
the immediate zone. Insecurity leads to mismanagement of
natural resources and crises over such bedrock questions as
land and water.
The drying up of the Mesopotamian Wetlands was once
attributed to the policies of Saddam in Iraq, and currently
the increase in wastelands and desertification are a consequence of the emergence of DAESHan entity of terror and
insecurity wrongly attributed to Islam.
Although we have taken great strides during the past year

and a half, we still have a long journey ahead to ensure standard air quality for our major cities to curb dust storms at
the local and regional level. Responsible action at all levels
is required to ensure a better quality of life for all. We look
forward not only to national efforts and collaboration, but
also to regional and international support, as it has become
evident that environmental issues are global ones, with no
political or geographical boundaries.
9
Khaled Fahmy
Time to Act
Africa needs to invest in health and
environment for sustainable development
Evaluating and managing the resulting impacts on ecosystems and

human health have generally been largely separate activities, under
the auspices of different disciplines with no obvious interaction.
Hence, many of our perceptions of the relationships between the
natural environment and human health are very limited, and still
relatively unexplored. These limitations cause a knowledge gap
for those seeking to develop effective policies for using resources
sustainably and protecting environmental and human health.
Minister of
Environment, Egypt
and President, African
Ministerial Conference
on the Environment
he Future We Wantthe outcome document of the United

Nations Conference on Sustainable Development (Rio+20)
indicated that health is a precondition for, and an outcome and
indicator of, all three dimensions of sustainable development:
social, environmental and economic. As we look towards the
Sustainable Development Goals, health stands out as a continuing
concern for communities worldwide. Being able to mitigate
adverse health impacts from the environment efficiently is a key
issue in sustainable development. Therefore, while Africa has
the potential to achieve sustainable development, realizing this
will largely depend on deliberate efforts to address the crucial
environmental and health problems hindering the continents
socioeconomic advancement.
Human health is intimately related to the state of the environment,
which contributes significantly to it through the quality of air we
breathe, the food we eat and the water we drink. Ecosystemsthe
planets life-support systemare becoming degraded by climate
change, pollution, agricultural practices and urban development.
Pollution and other aspects of poor environmental quality have
well-established effects on human health and the quality of life.
Air pollution, inadequate management of chemicals and wastes,
poor water quality and climate changeamong otherspose
significant threats to human health, both individually and
collectively. Many of these challenges continue to grow and
develop, both in ways that we can reasonably forecast and in
ways that we cannot.
Humans have altered their environment, and will continue to do
so, while remaining dependent upon ecosystems for food, water
and materials like timber and biofuels.
10
Africa continues to grapple with environment-related health issues

affecting life expectancy and commercial productivity. It carries
a hugely disproportionate disease burden. Cancer, respiratory
diseases, allergies and asthma, cardiovascular disease, neurological
Photo: Frans Lanting/Robert Harding Picture Library
Khaled Fahmy
Our understanding of the functioning of the biosphere, and our

connections with it, must be adequate to inform policy and decisionmaking processes. New developments and improvements in our
scientific understanding of how environmental change affects
the linkages between ecological integrity, environmental goods
and human health will help us develop an acceptable standard of
living for many more people.
Photo: Jorgen Schytte/Robert Harding Picture Library
Countries should mitigate the

underlying causes of ecosystem
degradation, while simultaneously
improving human health, capacity
building, dissemination of
knowledge and good practices.
Supplying safe drinking
water and environmental
hygiene, for example,
could reduce morbidity
from diarrhoea related
diseases by 40 per cent.
effects, and different reproductive and developmental disorders

are among the health outcomes associated with environmental
factors. How African governments manage issues associated with
the environment-health nexus will therefore partly determine
whether they stay on the path to sustainable development.
Extreme weather events and disastersand the recent emergence
and re-emergence of certain diseaseshave been harsh reminders
of the critical linkages between human health and environmental
conditions, and of the human, social and economic costs of
ignoring them. The burden of disease is likely to increase as we
lose health-promoting ecosystem services and have more contact
with its sources.
The recent Ebola outbreak highlights the links between health,
environmental change and socio-ecological systemsand
shows how exploring them is critical to finding solutions. The
epidemic with its serious impacts on public health, economies
and societiesmay be the starkest warning yet that, as we tear down
forests, we open ourselves up to new disease strains. Deforestation

increases opportunities for contact between people and wildlife.
Demonstrating the critical linkages between health and
environment is only the first stage: what is important is how
we respond. It has become increasingly evident that there are
immense opportunities to manage the African environment
for better health. Indeed, African ministers of health and the
environment held a joint meeting in Libreville, Gabon, in August
2008 to explore avenues for a multisectoral approach to address
both issues. Its outcome, the Libreville Declaration on Health
and Environment, called for promoting knowledge sharing and
information exchange between and among countries, and providing
guidance and support for assessing and managing environmental
risk factors for human health and ecosystem degradation. It also
committed to improved knowledge management on health and
environment issues.
The third Africa Environment Outlook reportan AMCEN flagship
publicationreported that environmental factors contribute about
28 per cent of Africas disease burden, dominated by diarrhoea,
respiratory infections and malaria that collectively account for
60 per cent of known environmental health impacts. Increasingly,
African governments are committing to improve environmental
conditions to protect their peoples health and well-being.
The World Banks report, Investing in Health, concluded that
managing ecosystems better could significantly reduce disease
burdens. Already-established interventions such as supplying safe
drinking water and environmental hygiene, for example, could
reduce morbidity from diarrhoea-related diseases by 40 per cent.
Numerous measures have been taken to address environment and
health challenges, and others continue to be discussed.
11
Photo: Ernst Tobisch/Robert Harding Picture Library
Extreme weather events and

disastersand the recent
emergence and re-emergence
of certain diseaseshave
been harsh reminders
of the critical linkages
between human health and
environmental conditions.
12
However, political commitment, concerted action and shared

responsibility between health and environment sectors are still
required. Countries should mitigate the underlying causes of
ecosystem degradation, while simultaneously improving human
health, capacity building, dissemination of knowledge and good
practices.
We should strongly consider creating national frameworks and
mechanisms for intersectoral action adequately to address the
inter-linkages between health and the environment; to invest in
the required infrastructure related to health and environmental
services; to build from past and current experiences; to revitalize
expertise in environmental management for health; and to
increase communication and community education to raise
awareness of how individual practices can affect human health
and the environment.
African countries need to be able to monitor, prevent or mitigate
risks that may develop into full-scale crises by strengthening their
national health and environment institutions, investing in them
to enable them to assess the impacts of development projects
and ensuring the integration of objectives related to health and
Photo: Mark Edwards/Robert Harding Picture Library
Significant ongoing efforts to implement the Libreville Declaration

and the Luanda Commitment on Health and Environment in
Africa are being undertaken, for example, by countries with the
support of UNEP, the World Health Organization (WHO), the
African Development Bank and other stakeholders.
Human beings are at

the centre of concerns
for sustainable
development. They are
entitled to a healthy
and productive life in
harmony with nature.
the environment into national poverty reduction strategies and
development plans.
Governments should integrate health and environmental impact
considerations into economic development processes; support
integrated policy assessment of the health and environment
linkages using qualitative and quantitative valuation methodologies;
define priorities based on such an assessment; identify knowledge
gaps; refine normative health and environment standards and
guidelines; support local applied research to build technical
capacity; and strengthen cooperation among key actors in solving
practical policy questions.
Governments may wish to consider including the following in their
policy agendas: monitoring new and emerging environmental
threats; reviewing their emergency preparedness plans to ensure
that managing new or emerging environmental risk factors
has been adequately addressed; developing and implementing
awareness-raising campaigns on the most important risk factors;
and undertaking community sensitization and education.
Although data on environment-related health costs and cost-benefit
ratios of environment policy interventions will never be as precise
as market values for other goods, the available evidence strongly
suggests that measures to improve the quality of the environment
can prove to be very worthwhile investments.
The benefits of many environmental policies in terms of reduced
health-care costs and increased productivity significantly exceed
the costs of implementing them. Providing a clean and healthy
environmentnow and for future generationswill reduce
mortality, improve human health and well-being and lead to
substantial savings in associated health-care costs.
We have the human and material resources to achieve these
goals, not as an abstract concept but as a concrete reality. Let us
harness them to reduce the unacceptably high and preventable
environmental health burden and move towards development
that is truly sustainable.
AMCEN is aware of the need for urgent action, greater relevance,
collaboration, coherence and impact, and will actively work
towards achieving this goal.
13
UNEP at Work
A Breath of Fresh Air
Reducing short-lived climate pollutants in the
waste and transport sectors can harness health
Photo: Gary Crabbe / Enlightened Images Photography
and environment benefits
very year, 7 million people die from diseases

related to indoor and outdoor air pollution,
including smog and particulate matter (PM2.5).
Methane is a precursor of tropospheric ozone,
or smog. Black carbon, emitted through incomplete combustion of fossil fuels and biomass, is
a major component of PM2.5 . Both are so-called
short-lived climate pollutants, which have
not only important impacts on the quality of
our air, but also on our climate system. They
stay in the atmosphere for a relatively short
lifetimefrom a few days to a few decades.
As one of seven founding partners to the
Climate and Clean Air Coalition (CCAC) and
14
as the host of the CCAC Secretariat, UNEP is

working to reduce emissions of black carbon
and methane, among other short-lived climate
pollutants, to generate air quality, near-term
climate and food security benefits. To that
end, UNEP is co-leading two of the CCACs
seven sectoral initiatives: Municipal Solid
Waste (MSW) and Heavy Duty Diesel (HDD).
Municipal solid waste creates hazards on
several levels. Globally, landfills are the third
largest source of anthropogenic methane
emissions, while open burning of waste is a
significant source of black carbon. In addition,
uncontrolled leachate contaminates ground
water and increases vector-borne diseases.

To date, the MSW Initiative has supported
baseline assessments of waste in 20 cities
and action plans in 10 cities. It has delivered a
number of tools such as a calculator for quantifying emissions. And it has set up a peer to
peer learning process between participating
cities. Other lead partners are Canada, Japan,
Mexico, the United States, C40 Cities Climate
Leadership Group, the International Solid
Waste Association and the World Bank.
The HDD Initiative targets the transport
sector, which generates about 19 per cent of
global black carbon emissions, 99 per cent
Photo: Michael Christopher Brown/ Magnum Photos
Globally, landfills are the third largest

source of anthropogenic methane
emissions, while open burning of waste
is a significant source of black carbon.
In addition, uncontrolled leachate
contaminates ground water and
Photo: Ashley Cooper/Robert Harding Picture Library

Photo: Shutterstock
increases vector-borne diseases.
of which come from diesel engines. Among

other results, the initiative has supported
regional and national regulatory processes
to develop stringent fuel quality and vehicle
tailpipe emission standards.
For example, the HDD Initiative has supported China and Mexico in their national
processes, and the East African region in its
regional process.
Furthermore, UNEP is actively engaged in
all four cross-cutting initiatives of the CCAC:
Science to policy interface: UNEP is co-leading the regional assessment to further ground
policy in science, and provide regional-specific

information that will allow countries to prioritize action.
Regional and national implementation:
UNEPs regional offices are supporting institutional strengthening and the development
of national action plans in 14 countries
Bangladesh, Chile, Colombia, Cote dIvoire,
Ethiopia, Ghana, Jordan, Liberia, Maldives,
Mexico, Morocco, Nigeria, Peru and Togo.
Mobilizing finance: Through its Finance
Initiative, UNEP is helping tailor finance
strategies for CCAC-sector initiatives, develop
collaborative tools for knowledge and innovation, build the CCACs knowledge on finance and
use the UNEP network to develop high-impact
partnerships.
Cities: UNEP is co-leading the Urban Health
Initiative alongside Norway, the United States,
the World Health Organization, the World Bank,
ICLEI Local Governments for Sustainability
and the International Centre for Integrated
Mountain Development (ICICMOD). Both
MSW and HDD also have strong urban components: UNEPs International Environmental
Technology Centre is supporting MSW assessments and action plans to reduce emissions;
as part of HDD, UNEP is supporting cleaner
city bus fleets.
See more at: www.unep.org/ccac
15
Maria Neira
Development's
Healthy Heartbeat
Proven, affordable strategies can address
the one-quarter of the global burden of
death and disease that is due to unhealthy
environmental factors
generation, outdoor waste, biomass burning and the use of
energy in buildings. Another 4.3 million deaths are linked
to household air pollution, mostly from exposures to smoke
emissions from rudimentary biomass and coal cookstoves and
fires, upon which nearly 3 billion people worldwide primarily
depend. Many people are exposed to both indoor and outdoor
air pollution. Due to this overlap, mortality attributed to the
two sources cannot simply be added together, hence the total
estimate of around 7 million deaths in 2012.
Maria Neira
Director for Public
Health, Social and
Environmental
Determinants of
Health, World Health
Organization
orld Health Organization (WHO) estimates released

last year reported that in 2012 around 7 million people diedone in eight of total global deathsas a result of
exposure to air pollution. This finding more than doubles
previous estimates and confirms that air pollution is now the
worlds largest single environmental health risk. Reducing it
could save millions of lives. The new data particularly reinforce evidence about the links between air pollution exposure
and cardiovascular diseases, such as stroke and ischaemic
heart disease. This is in addition to air pollutions role in
developing respiratory diseases, including acute respiratory
infections and chronic obstructive pulmonary diseases, as
well as cancers.
The estimates are based both on more knowledge about the
diseases caused by air pollution, and on better assessment
of human exposure to it, enabling scientists to make a more
detailed analysis of health risks from a wider demographic
spread that now includes rural as well as urban areas.
As our world faces an unprecedented epidemic of noncommunicable diseases (NCDs), health and environment
policymakers need to understand how health risks are exacerbated by air pollution, as well as more broadly by unhealthy
home and urban environments.
Some 3.7 million deaths globally are attributed to outdoor air
pollution. Among the key sources are traffic emissions, power
16
Most morbidity and mortality assessments related to air

pollution are made on the basis of airborne concentrations
of PM2.5particulate matter less than 2.5 microns (m) in
diameter. Meanwhile, ground level ozone, formed from a mix
of urban air pollution emissions, is a factor in chronic asthma
and respiratory disease.
Many of the air pollutants that are most harmful to health also
damage the climate. These include the so-called short-lived
climate pollutants such as ozone and black carbon (the sooty
component of small particulate matter that is emitted by both
diesel engines and cookstoves) that get their name from their
short lifespan in the atmosphere. Cleaning up these, in particular, can generate immediate health and near-term climate
benefits.
Many air pollution sources also generate other health risks.
Unbridled urban traffic, for example, exacerbates the risk of
injury and creates barriers to walking and cycling, which in
turn inhibits peoples access to outdoor space for physical
activity.
Households with inefficient cookstoves are often poor, and
may be vulnerable to a range of other environmental health
risks, including lack of clean drinking water, sanitation and
structural deficits that make inhabitants more vulnerable
to extreme weather or natural disasters related to climate
change. The need for ensuring structurally safe construction
in rapidly developing cities has been particularly evident
with inadequate ventilation. Vector-borne diseases, such

as malaria and dengue, may be combated through environmental measures like screens on doors, windows and water
containers, as well as sustainable irrigation. Undernourished
or malnourished children are more vulnerable to a range of
infectious diseases. Changing climate conditionsleading to
drought, floods, increased heat and changed patterns of infectious disease transmissioncan also increase vulnerabilities.
Photo: Arjen Van De Merwe/Robert Harding Picture Library
All in all, WHO estimates that about one-quarter of the global

burden of death and disease is due to unhealthy environmental factors that could be addressed with proven, affordable
development strategies. Over 80 per cent of the disease and
injury conditions monitored by WHO are influenced somehow by environmental or occupational factors.
While framing the problems is an important first step, doing
something about them is the greater long-term challenge.
Public policies can help shape a healthy environment in which
to live, work and raise families through all stages of the life
cycle. WHO works to promote such policies for primary prevention in housing, energy, transport and food production
through a range of upstream activities such as:
Unsafe drinking water,

sanitation and hygiene remains
a factor in 58 per cent of underfive deaths from diarrhoeal
diseasedespite significant
declines in both WASH-related
and overall mortality.
Over 80 per cent
of the disease and
injury conditions
monitored by WHO are
influenced somehow
by environmental or
occupational factors.
in the aftermath of Nepals recent earthquake, where widespread building collapses have claimed thousands of lives.
Unhealthy diets may include excessive consumption of
processed foods and red meats that may both be carbon
intensive and increase risks of obesity and obesity-related
NCDs. Dietary choices may, in turn, be heavily influenced by
urban environmental factors such as the decline of neighbourhood fresh food markets and the predominance of fast
food chains.
Unhealthy urban and rural environments also remain a
major source of communicable diseases. Indoor smoke from
rudimentary cookstoves, for example, is a cause of over onehalf of childhood pneumonia deaths. Unsafe drinking water,
sanitation and hygiene (WASH) remains a factor in 58 per
cent of under-five deaths from diarrhoeal diseasedespite
significant declines in both WASH-related and overall mortality. Tuberculosis is transmitted in crowded housing
Quantifying death, disease and disability from different

environmental and, where feasible, social risks. WHO is
updating its (2005) estimates of the proportion of diseases
caused by environmental and occupational factors through
a systematic review and synthesis of the literature on risk
conditions and diseases, as well as of evidence about available
interventions.
Health-linked sustainability indicators. WHO has documented health-linked indicators that could contribute
to monitoring post-2015 Sustainable Development Goals.
Examples include reduced urban air pollution concentrations as an indicator for healthy and sustainable cities;
reduced household air pollution as an indicator for sustainable energy; and reduced childhood stunting and obesity as
dual indicators of improved nutrition from sustainable food
production.
WHO norms and guidelines. WHO guidelines for indoor air
quality, household fuel combustion, ambient air pollution
concentrations, safe drinking water, radiation and chemical
exposures are used by countries around the world as the basis
for national legislation, standards and enforcement.
Leadership and advocacy. We join with our fellow United
Nations agencies, national governments and ministries, and
civil society in campaigns and coalitions. Examples include
the UNEP-hosted Climate and Clean Air Coalition to Reduce
Short-lived Climate Pollutants, where WHO is a leader of a
new health initiative. WHO has also long been active in United
Nations-supported campaigns to phase out lead in gasoline
and paint; end the use of asbestos; eliminate mercury from
medical devices; and support safer management of chemicals.
Together, all these activities touch every one across the
planetrich and poor, newborns and elderly. They help
support health and well-being in our journey through life
by avoiding and eliminating unnecessary illness, injury and
death. This is the healthy heartbeat of sustainable development.
17
Hans
Bruyninckx
Breathtaking
Challenge
Air pollution still harms Europeans health,
and shortens their life expectancy
our lungsthey also pass into our bloodstream. According

to our estimates at the European Environment Agency
(EEA), fine particulate matter concentrations in 2011 were
responsible for around 430,000 premature deaths in the EU.
Executive Director,
European Environment
Agency
urope has clearly improved its air quality in the last

decades. This has been achieved through a combination of
direct and indirect measures, including effective legislation,
technology and higher public awareness. As a result, the
concentrations in the air of many pollutants, including
sulphur dioxide, carbon monoxide, lead and benzene, have
decreased significantly. But despite these achievements, air
pollution, especially of particulate matter (PM), ground-level
ozone (O3) and nitrogen dioxide (NO2), continues to impact
the health of Europeans.
Air pollution affects everyone, particularly people breathing
higher levels of it in urban areas. Some are especially
vulnerable, including those suffering from cardiovascular and
respiratory diseases, people with airway allergies, the elderly
and infants.
The effects of air pollution on heart disease and respiratory
illnesses are well known, but new studies show that it can also
affect our health in other ways, from fetal development to
illnesses late in life. According to recent research, co-funded
by the European Union (EU), air pollution in Europe reduces
life expectancy by around 8.6 months per person. To a large
extent, this is caused by fine particulate matter (PM2.5).
Particulate matter is the single pollutant that causes the
greatest harm to human health in Europe. Some of these
particles are so small that they not only penetrate deep into
18
In the last decade, Europe has reduced emissions both of

PM and its precursors. But these reductions have not always
resulted in lower exposures.
Photo: eyb/Robert Harding Picture Library
Hans Bruyninckx
Particulate matter is formed in different ways. Some particles

are emitted directly into the atmosphere. Others come about
as a result of subsequent chemical reactions of different
precursor gases in the atmosphere, namely sulphur dioxide,
nitrogen oxides, ammonia and volatile organic compounds.
These particles can be composed of many components, with
their impact on health and the environment depending on
their chemical composition.
Photo: Cornelius Paas/Robert Harding Picture Library
Air pollution is a local, pan-European and global issue. Air

pollutants released in one country may be transported in
the atmosphere, contributing to or resulting in poor air
quality elsewhere.
According to recent
research, co-funded by
the European Union
(EU), air pollution in
Europe reduces life
expectancy by around
8.6 months per
person.
The share of the EU urban population exposed to

concentration levels of PM10 above the values set by EU
legislation remains high: between 21 and 30 per cent (20102012). Under the World Health Organizations (WHO) stricter
guidelines, 64-83 per cent of the urban population in the EU
was exposed to excessive PM10 concentrations.
Similarly, the amounts of ozone precursors emitted into the
atmosphere have dropped significantly in the last decade,
but the exposure of urban populations still remains high.
For example, in the period 2010-2012, between 14 and 17
per cent of the EU urban population was exposed to ozone
levels above EU target values, mostly in southern Europe
where warmer summer temperatures lead to higher rates of
ozone formation. By WHOs stricter guidelines, more than
95 per cent of EU urban residents were exposed to excessive
levels. The EEA has estimated that exposure to high-levels
of ground-level O3 concentrations in 2011 caused 16,160
premature deaths in the EU.
A considerable number of EU countries fail to achieve their
emission targets set by EU or international legislation
for one or more air pollutants (particularly nitrogen
oxides). Limiting the concentrations of air pollutants is
also a challenge. Many urban areas struggle with levels
of particulate matter, ground-level and nitrogen dioxide
ozone higher than the thresholds set in legislation. There

are different reasons why controlling air pollution remains
challenging. For example, nitrogen dioxide has not fallen
as fast as expected. This is partly because vehicles are an
important source of NO2, and vehicle emission standards
have not always led to reductions in the real world. Air
pollution is also a local, pan-European and global issue. Air
pollutants released in one country may be transported in the
atmosphere, contributing to or resulting in poor air quality
elsewhere.
Our consumption patterns can also contribute to high
concentrations of certain pollutants. Overall, fuel combustion
is clearly a key contributor, arising from energy demand
across various economic sectors, from road transport and
households to energy use and production. Besides road
transport sources, coal and wood burning in small stoves
for home heating in some urban and rural areas constitutes
a major local source of pollution. The choices made by
individual households for heating can depend on several
factors, including the affordability of fuel, and can have
significant impacts on local air quality.
Clearly, we cannot ignore the impacts of air pollution on our
healthand we should not forget that air pollutants harm our
ecosystems, economy and buildings as well.
19
Innovation
01
Extreme Beans
New heat-tolerant varieties offer
environmental and health benefits
Based in Cali, Colombia, CIAT is one of 15 research centres in the

CGIAR, a consortium that works together on cross-cutting agricultural
issues. The CIAT research on heat-tolerant beans was published as
part of CGIAR research programmes on grain legumes, and on climate
change, agriculture and food security. Among other recent evidence,
the CIAT report draws on Africas Adaptation Gap 2, which projects
that temperatures will rise between 2-6C in Africa between 20502100more rapid and earlier climate deviations than any other region.
Moisture stress from extreme heat will particularly affect agriculture,
which is both a crucial source of food and livelihood. Even a 2C rise is
expected to lead to undernourishment and loss of livelihood for half
of Africas population. The World Bank predicts yield reductions in
Africa of 25-90 per cent by 2050.
Photo: CIAT project/Flickr
For years, researchers at the International Center for

Tropical Agriculture (CIAT) have been developing
beans that could resist drought and tolerate poor
soil. Now, spurred on by new evidence, they have
recently developed 30 elite lines of bean that can combat
an emerging threat: extreme heat. These new heat-tolerant
lines promise to help farmers adapt to climate change, while
protecting a vital source of protein and minerals.
While drought and disease have long been threats to beans, recent
climate models have suggested that extreme heat renders bean
pollen less fertile, which reduces both the quantity and quality of
the crop. Given predicted temperature increases, some countries in
Africa and Latin America could lose up to half of their land suitable
for bean crops by 2050.
We were surprised to find that heat stress will be the biggest threat to
bean production, said Steve Beebe, who leads CIATs bean programme.
The 30 elite lines of heat-tolerant beans developed by Beebes team
are expected to cut loss of land from 50 to 5 per cent. In fact, the new
varieties may allow farmers in some parts of Africa and Latin America to
expand production, using land that was previously too hot for bean crops.
20
For all these reasons, climate change adaptation is imperative to ensure

food and nutritional security for Africa. UNEPs preliminary assessment,
The Global Adaptation Gap Report 2014, identifies the need for more
drought-resistant, early maturing varieties. Heat-tolerant beans, as
documented in the CIAT report, are one example of a technological
innovation that can help strengthen community resilience to climate
change.

Apart from helping farmers adapt to climate change, the new varieties
also have health benefits. For many poor smallholders who cannot
afford meat, dairy or fish, beans and other grain legumes provide a
rich source of protein.By preservingand possibly addingland
for bean production, the new varieties will help promote both food
security and nutrition.
Beans are also a vital source of iron, an essential micronutrient that
strengthens the immune system, helps fight off anaemia and promotes
the physical and cognitive development of children. More than a decade
ago, CGIAR researchers successfully created bean varieties that offered
twice as much iron as common beans. Weve been fortunate that a
few of the new heat-tolerant bean lines had been previously fortified
with iron, said Beebe. Thats an added bonus to the extensive health
and environmental benefits that the new lines will offer.
Developing new heat-tolerant varieties is an ecosystems-based (EbA)
approach to adaptation, one that works with nature rather than
against it. Apart from being more cost effective than conventional
techniques, EbA measures are known to increase yields, as well as
to enhance nutrition, community resilience and ecological capacity.
The CIAT project, therefore, has the potential to produce all these
benefits and should be promoted. In the coming months, the CIAT
team will continue its research with formal yield trials.
See more at: http://ciat.cgiar.org/bean-research

21
Nithya Ramanathan
IH Rehman
Veerabhadran Ramanathan
Credit Where its Due

Giving carbon credits to households with
advanced cookstoves is a scalable solution
to providing clean energy, and combating
indoor air pollution and climate change
Nithya Ramanathan
President, Nexleaf
Analytics
IH Rehman
Director, The Energy
and Resources
Institute, New Delhi
Veerabhadran
Ramanathan
Professor, University of
California, San Diego
22
nergy access is a basic requirement for human development and well-being, but it is vastly different for the
poorest 3 billion people on Earth than it is for the richest 1
billion. The top billion consume 50 per cent of available fossil energy whilemore than two centuries after the industrial
revolutionthe poorest 3 billion are still forced to rely on
traditional fires (fueled by wood, dung, agricultural waste,
charcoal and coal) to cook and heat their homes. One third
of them are also forced to use kerosene and candles for lighting. This imbalance in access to modern energy comes at
enormous costs to human health and the environment, and
creates further disparities in how the effects of those costs are
experienced.
In their use of fossil fuels, the top 1 billion contribute more
than half the emissions of carbon dioxide and other greenhouse gases that cause global warming. If they (and the
middle-income 3 billion) continue current rates of fossil fuel
consumption, the world will witness warming of 2C or more
in a few short decades. The brunt will be borne by the bottom
3 billion, who live on the edge of subsistence and are most vulnerable to the resulting droughts or other changes in weather
and climate.
At the same timethrough being limited to using inefficient
cooking fires and lampsthe poorest 3 billion are exposed to
large quantities of soot (or black carbon) and brown carbon.
Once emitted, black carbon particulates both escape into the

atmosphere and contribute to household health risks. They
are unquestionably deadly. About 4 million people die each
year from the toxic smoke emitted by household fires and
lights. Exposure to household air pollution kills more people
than malaria, TB and HIV combined.
Such household emissions may also contribute as much as 20
per cent to black carbon emissions worldwide. This is vastly
significant because black carbon (from stoves and other
sources) is the second largest contributor to global warming
after carbon dioxide and leads to crop loss, deforestation and
the melting of glaciers, threatening critical food and water
sources.
The consequences of energy imbalance are dire.
But the new United Nations initiative Sustainable Energy for
All, which aims to provide access to sustainable and renewable
energy sources to everyone, is unprecedented and extremely
productive.
The health benefits of providing energy to the bottom 3 billion
would be far ranging, and the climate benefits would be felt by
all.
Project Surya, which we lead, focuses on clean energy solutions for the poorest that achieve benefits in health, climate
and sustainability by employing clean cooking and lighting
technologies that reduce smoke emissions by 90 per cent or
more. One chronic issue with these advanced technologies
which still use locally available solid biomass is that with the
Photo: Robert Harding Picture Library
The health benefits of providing energy to the bottom 3

billion would be far ranging, and the climate benefits
would be felt by all.
Yet the use of advanced energy technologies enables us to

leverage the link between household pollution and climate
change. Surya now provides users of advanced improved
stoves with the credit they deserve for mitigating climate
change. Households that employ them generate quantifiable
reductions in black carbon and carbon dioxide, with direct
positive impacts on the climateand so should be able to
sell the resulting credits in a market. Much as a company can
sell carbon credits for cleaning up its operations, we believe
individual women should also receive financial benefits for
their actions to reduce emissions of carbon dioxide and black
carbon.
About 4 million
people die each year
from the toxic smoke
emitted by household
fires and lights.
Exposure to household
air pollution kills more
people than malaria,
TB and HIV combined.
added performance comes additional cost. The coststypically, about six weeks of income for rural householdsalong
with the lack of robust supply chains, inhibit scaling up the
technologies to the hundreds of millions of households where
they are needed.
23
Photo: Tanvi Mishra
Photo: Tanvi Mishra
Generating carbon credits for switching to improved stoves

is nothing new. After all, burning firewood leads to 1-2 billion
tons of carbon dioxide emissions every year. The contributions from each household do not reflect the total potential
climate mitigation achieved, although improved stoves
also help to reduce deforestation. But quantifying the black
carbon reductionswhich work separately from carbon dioxidereveals that their true carbon savings are two to three
times greater. Moreover, including black carbon may bring
new investors and buyers to carbon markets because reducing it has more immediate climate mitigation impacts than
cutting carbon dioxide and has clear health and sustainability
benefits. So this new approach could catalyze new funds to
support energy access at scale.
While this seems straightforward in principle, there are some
formidable challenges. One example of these is verifying the
use of clean stoves on a house-by-house basis. Another is accurately translating stove usage to climate credits, saleable
via a carbon market (or results-based financing mechanism),
which encompass reductions in both carbon dioxide and
black carbon particulates from adopting the cleaner energy
technology.
24
Project Suryas Climate Credit Pilot Project

combines cutting-edge air pollution and climate
change science with pioneering wireless sensor
technologies to work towards universal access to
advanced cook stoves and solar lighting systems.
And a third is distributing the financial credits to the women

using the stoves, or the stove distributor.
Project Suryas Climate Credit Pilot Project (C2P2) combines
cutting-edge air pollution and climate change science with
pioneering wireless sensor technologies to work towards
universal access to advanced cook stoves and solar lighting
systems. Through an international partnership that includes
Photo: Shutterstock
Project Surya
focuses on clean
energy solutions
for the poorest that
achieve benefits
in health, climate,
and sustainability
by employing clean
cooking and lighting
technologies that
reduce smoke
emissions by 90 Per
cent or more.
NGOs, private donors, academics, government banks, The

Gold Standard Foundations Voluntary Carbon market, rural
entrepreneurs, village chiefs and small womens groups, Surya
uses wireless sensors integrated into kitchens to document
climate credits generated by using improved stoves. Close to a
quarter of households now use the improved stoves for 50-100
per cent of their daily cooking needs. Each household that uses
the stove for all cooking could earn approximately $35 per
year (assuming an estimate of $6 per tonne of CO2 equivalent).
Carbon markets ensure a level of transparency and standardization of methods for verification and validation that will be
important if this initiative is to scale up beyond Surya or any
single institution. Surya is now working to expand this carbon
market approach to encourage the adoption of clean lighting,

as well as cooking, technologies.
Through this work, Project Surya is celebrating and rewarding the role of the poorest women in the world as climate
warriors.
We acknowledge the contributions of Tara Ramanathan in
leading the Nexleaf Analytics cookstove programme in the field
and significant contributions from Omkar Patange in India.
We thank Charlie Kennel and Ellen Lehman, Mac McQuown,
Qualcomm Wireless Reach, UK AID, and the United Nations
Environment Programme for their explicit support of C2P2.
25
UNEP at Work
The Missing Link
Scientists are studying
how Ebola jumps from
great apes to humansfor
Photo: Simon De Glanville/Robert Harding Picture Library
the sake of both species
ince its discovery in 1976, Ebola has

struck the human population more than
20 times across the tropical belt of Africa.
Scientists believe that Ebola jumps from
wildlife populations to humans through the
preparation and consumption of wild meata
stark reminder of the interaction between
human health and the environment.
The Great Apes Survival Partnership (GRASP)
takes the issues surrounding Ebola very seriously. A unique alliance of 98 partners that
includes national governments, conservation
organizations, research institutions, United
Nations agencies and private companies,
GRASP focuses on zoonotic disease as one
of its six priorities.
Given that great apes are highly susceptible
to Ebola, the GRASP Scientific Commission
and several partners have helped prepare tools
and resources should Ebola outbreaks affect
great ape populations now or in the future.
26
Scientists have proven that all eight of the human

Ebola outbreaks in Gabon and the Republic of Congo
in the last quarter century were initiated by poachers
handling infected ape meat.
Photo: Jan Fritz/Robert Harding Picture
Library
The most recent outbreak in West Africa,

which has claimed more than 10,000 human
lives, underscores the urgency. In response
to the crisis, GRASP contracted Dr. Siv Aina
Leendertz to conduct a strategic review of the
relationship between Ebola in great ape and
human populations. Working with leading
epidemiologists from the GRASP Scientific
Commission and other experts, Dr. Leendertz
examined the role of increased interaction
between humans and great apes in the wake
of human population growth and expansion
into previously uninhabited forests.
Photo: Shutterstock
According to initial results, maps showing

Ebolas impact on great apes could be helpful
in predicting future outbreaks, giving public
health officials lead time to prepare for possible human exposure.
Dr. Leendertzs results, which will be published in a scientific journal, will help craft
The collection of more data that maps the exposure of

great ape populations to Ebola could predict future
outbreaks and give public health officials lead time to
prepare for possible human exposure.
GRASPs Ebola policies. In the meantime,
GRASP prepared infographics to warn
communities about the dangers of killing
or consuming great apes. A report in 2015
on the host of zoonotic diseases that now
threaten human beings and great apes is
under consideration.
Photo: Christian Htter/Robert Harding Picture Library
Humans, too, are vulnerable to Ebola. Past

outbreaks in Central Africa and West Africa
showed clear links between chimpanzees
and gorillas in those regions and human
interactions. Indeed, scientists have proven
that all eight of the human Ebola outbreaks in
Gabon and the Republic of Congo in the last
quarter century were initiated by poachers
handling infected ape meat. For that reason,
its important to monitor great ape populations
to predict and, if possible, prevent disease
transmission to humans.
Ebola is not the only disease that has been

shown to jump between the species, making
community health an important cornerstone
of conservation in biodiversity hotspots.
GRASP partners such as Conservation through
Public Health (www.ctph.org) and Gorilla
Doctors (www.gorilladoctors.org) have set the
standard for community disease treatment
and monitoring around great ape populations.
They have even established health safety protocols for tourists visiting mountain gorillas.
Although these programmes are helping
communities across East Africa, more needs
to be done in Ebola target zones in West and
Central Africa.
See more at: http://www.un-grasp.org/
27
Nina
Cromnier
Within Reach
Sound management of chemicals is an
essential part of sustainable development
nationally, regionally and globally
Nina Cromnier
Director-General,
Swedish Chemicals
Agency and Chair
of the Management
Board of the European
Chemicals Agency
ustainable development cannot be achieved nationally,

regionally or globally unless chemicals are managed
safely. Sound chemicals management is relevant for all three
dimensions of sustainable development: environmental
economic and social.
Chemicals contribute in many ways to improved standards
of living, but when used incorrectly can have serious adverse
effects on human health and the environment, which in turn
damages the development of countries. Land and water
resources polluted by hazardous chemicals may become
unusable for a long time and pollution can also make food
sources, such as fish, unusable for human consumption.
People are exposed to chemicals at work, in the home and
indirectly through the environment, and this can lead to
death or acute or long-term effects on health.
There are wide differences in the capacity of the worlds
countries to manage chemicals safely. Their production is
steadily increasing all around the world. However, a growing
proportion of the production and use of hazardous chemicals takes place in developing countries, where chemicals
control is often inadequate, exposing their people and environments to unacceptable risks. Poor people are exposed
significantly more often than others to hazardous substances. Exposure of foetuses and children is particularly
serious, as this can affect their development and impair their
prospects in life.
Sweden has 16 national environmental quality objectives,
adopted by the Swedish Parliament in the late 1990s, with
28
the overall aim of solving its major environmental problems

by 2020. One of the objectives is a Non-Toxic Environment,
meaning that the environment must be free from man-made
or extracted compounds and metals that represent a threat
to human health or biological diversity. Other objectives
include Reduced Climate Impact, Clean Air, Good-Quality
Groundwater, Sustainable Forests and a Varied Agricultural
Landscape. Work towards a Non-Toxic Environment will
contribute to almost all the other goals, as reducing the levels of hazardous substances is a prerequisite to improving
the quality of most parts of the environment.
Chemicals are spread globally, by air, water and not least
through trade, by themselves or in other productsso no
country can reach national objectives on its own. Chemical
pollution is a serious global problem that needs to be tackled
in cooperation between countries.
The most severe problems with globally spread hazardous chemicals must be addressed by global measures.
International agreements must be further developed
continuously to enable new and emerging problems to be
handled.
However, for the vast majority of the chemicals in use, the
most important control needs to take place on a national (or
in some cases regional) level.
The Swedish Chemicals Agency has long worked with a
number of development cooperation projectsespecially,
for example, working as far as possible with preventive
measures, making roles and responsibilities clear between
industry and governmental authorities and sharing as much
data as possible between countries.
Control of chemicals whenor even beforethey are placed
on national markets can substantially help to reduce health
and environmental problems that would otherwise occur
later in the life cycle. This approach is often very cost effective compared to measures for taking care of chemicals once
they are already spread in society or the environment.
Photo: Knut Knipser/Robert Harding Picture Library
Ensuring an infrastructure for

managing chemicals soundly can
avoid both significant risks to
human health and ecosystems
and substantial costs to national
economies.
A growing proportion
of hazardous
chemicals is
produced and used in
developing countries
where controls are
often inadequate,
exposing people and
environments to
unacceptable risks.
Industries in the chemicals sector value-chainincluding

producers, importers and commercial usershave a key
role in the sound management of chemicals in both developing and developed countries. Industry can and should
have more detailed knowledge on the properties and safety
of the products they place on the market. Public authorities
need to ensure that industry fulfils its roles and responsibilities, which should be clearly defined in national legislation.
Authorities need to have enough capacity for enforcement
to avoid free riders, while capacity for a dialogue between
relevant agencies and enterprises or industry associations
is also important.
A clear regulatory framework for chemicals management
is an asset for doing business in a country. It gives industry
that meets product and food safety standards an improved
potential for expansion and international trade, and it
makes the conditions clear for those who would like to
establish new businesses in a country.
The EU Reach regulation, a comprehensive legislation on
chemicals control, is largely based on the above principles,
and is now being implemented.
One prerequisite for well-functioning chemicals control is

the availability of knowledge of the impact of substances on
the environment and health. One of Reachs requirements
is that the companies should register information about
the health and environmental hazards of the chemicals that
they produce or import. The quality of the registrations is
important. Based on this information a register is built up at
the European Chemicals Agency. All countries in the world
can use this, together with information from other sources,
through the OECD e-ChemPortal. By sharing data between
countries, considerable resources can be saved globally.
Implementing the Globally Harmonized system on
Classification and Labelling of Chemicals is among the most
important measures a country can undertake, as it provides information on the hazards along the supply chain.
As hazardous chemicals are often incorporated into other
products, better information on this aspect is also essential. This is a truly global issue and the global programme
on Chemicals in Productswithin the Strategic Approach
to International Chemicals Management (SAICM)is a
good starting point. This programme focuses on increasing
availability and access to the information actors need
throughout the life cycle of productsso that they can
properly manage products and the chemicals in them.
Based on the right information on the hazards and occurrence of chemicals, both industry and governmental
authorities can fulfil their respective responsibilities to
contribute to sustainable development. Handling chemicals safely is part of national, regional and global sustainable
development. Ensuring an infrastructure for managing
them soundly can avoid both significant risks to human
health and ecosystems and substantial costs to national
economies. When addressing means of implementation,
it is fundamentally important to adopt a preventative
approach and a perspective where roles and responsibilities are clearly defined.
29
Chris W Williams
Julian Kyomuhangi
Silent Emergency
Providing access to sanitation for all is both
the key public health challenge of our time
and a moral obligation
However, as the MDGs deadline looms close, the target is

likely to be missed by half a billion people worldwide, making
it the most off-track goal. In fact, if the current trend continues, Uganda will only reach its MDG target by 2051.
Chris W Williams
Executive Director
of the Water Supply
& Sanitation
Collaborative Council
wo and a half billion people live without access to

improved sanitation and hygiene facilities, 1 billion currently defecate in the open and 748 million live without safe
drinking water. The world may have 6 billion mobile phone
subscriptions, but only 4.5 billion people have access to a
toilet.
This is a silent health emergency of enormous proportions.
But the challenge is not only a moral one. Sanitation and
hygiene are engines that drive health, social and economic
development, and contribute to a cleaner environment.
Julian
Kyomuhangi
Assistant
Commissioner of
Health Services
Environmental Health
for the Republic of
Uganda
30
Good sanitation and hygiene practices are vital for human

health. Adopting them reduces morbidity and mortality rates,
and mitigates the spread of disease. Yetin contrast to the
financial and human mobilization dedicated to immunization
and bed net distributionalmost 520,000 children under five
die from diarrhoeal diseases every year due to a lack of safe
water, sanitation and basic hygiene.
A world that lacks adequate sanitation, hygienic facilities and
clean water prohibits us from attaining other development
goals, such as maternal and child health, education, gender
equality, and ending extreme poverty and hunger. In 2002, the
international community acknowledged the importance of
sanitation and hygiene by including them in the Millennium
Development Goals (MDGs).
In many countries, the political will to allocate resources and

support sanitation and hygiene promotion remains inadequate. Across the health sector, there is limited advocacy for
improved access to water and sanitation. This costs countries
enormous resources, especially during epidemic outbreaks.
Indeed, World Bank research indicates that hygiene is the
most cost-effective health intervention available, and has
the ability to significantly reduce extreme poverty. For every
dollar spent on eliminating open defecation in rural areas,
approximately $6 of economic gains are generated. Likewise,
providing universal access to basic sanitation at home will
return $3 for every dollar spent.
In Uganda, expenditure on sanitation and hygiene has historically been low, and progress in improving coverage has
stagnated. In some districts, sanitation coverage is below 20
per cent. Sadly, the water, sanitation and hygiene (WASH) sectors share of the national budget more than halved between
2004 and 2012.
Achieving decent standards of sanitation and hygiene for
everybody in the world is possible, and the positive news is
that increasing numbers of countries are committing their
energy and resources towards this. Madagascar, Nepal and
Malawi are just a few of those that are taking huge strides and
maximizing their political commitments.
By some estimates, investments of around $10 billion per
yeara tiny sum by global standardscould give access to
basic sanitation and hygiene to all the people in the world
in the next two or three decades. Money is therefore not the
problem.
A world that lacks adequate sanitation, hygienic facilities and

clean water prohibits us from attaining other development
goals, such as maternal and child health, education, gender
equality, and ending extreme poverty and hunger.
Every dollar spent
on eliminating open
defecation in rural
areas generates about
$6 of economic
gains.
The major obstacles are low political interest, the need for
clear lines of responsibility within different ministries,
and the lack of awareness of the need for community-led
behaviour change.
Many in the development world believe that building toilets is a sufficient measure for providing total sanitation. But
this is not so. All too often large sums of money are spent on
providing toilets to communities that are never used. It is
increasingly becoming clear that 100 per cent latrine coverage is not enough to mitigate sanitation and hygiene-related
diseases, and that the answer lies in stopping open defecation
through sustained changes in hygienic behaviour.
In March 2008, the Water Supply & Sanitation Collaborative
Council (WSSCC)the only United Nations body devoted
to the sanitation and hygiene needs of vulnerable and marginalized people around the worldlaunched the Global
Sanitation Fund, the first global mechanism for financing sanitation and hygiene. Its purpose is to boost the flow
of money to organizations in developing countries with
expertise in demand-driven sanitation and hygiene programmes. National programmes it has supported have so
far ensured that 7 million people in 20,600 communities
in Africa and South Asia now live in environments free of
open-defecation (ODF); 7.9 million people have access to
hand-washing facilities; and more than 4.2 million people

now use improved toilets.
The WASH coalition in Uganda, the National Sanitation
Working Group (NSWG), was set up in 2003, to coordinate, lobby and promote hygiene and sanitation in the
country.There are now more than 1.5 million people living in
ODF environments, and more than 3 million people that have
received hygiene messages as a result of decentralized local
government intervention.
For Uganda, as in the rest of the developing world, health
means wealth, particularly for people who cannot go to work
because theyre ill, or for children who lose almost 200 million
school days a year to inadequate sanitation and unhygienic
facilities, thus growing up to an insecure future. The relationship to environmental protection is also clear, given that
around 90 per cent of sewage in the developing world is discharged untreated into streams and rivers.
Sanitation is still often surrounded by taboos, and lack of political will and sustainability. More commitment and resources
are needed from governments and civil society. Providing
access to basic sanitation to 40 per cent of the worlds population is not merely the right thing to do. It is the key public
health challenge of our timeand a moral obligation.
31
UNEP at Work
Cleaning Our Air
Reducing urban air pollution
Photo: Eurasia/Robert Harding Picture Library
through cleaner transport
he lung of an urban resident having lived

his or her life in a city is grey with many
black spots, while that of someone who has
lived far from the city, like in the Himalaya,
is pink. This is what air pollution does to our
bodyour lungs are the filters of the air we
breatheday in and out.
But our lungs cant filter everything. Small
particulate matter, known as PM2.5, is one
hundredth the size of a human hair. It can
pass through lungs and cause all sorts of health
effectsfrom strokes to cancer.
Small particulates air pollution is rapidly
making its way up the ladder of the most
pressing and challenging health problems.
According to the World Health Organization
32
(WHO), more people worldwide are affected

by small particulates pollution than by any
other pollutant.
WHO also estimates that 3.7 million people
die prematurely every year due to outdoor air
pollution (with a similar number due to indoor
air pollution)more than HIV, malaria and TB
together. The main culprit is vehicle emissions,
which are responsible for the majority of this

small PM pollution.
The damage, however, is largely preventable
through a proven, cost-effective, two-track
approach. First, we need a rapid introduction
of cleaner fuels and vehicles, especially diesel
vehicles. Existing diesel technology, proven to
reduce small particulate emissions by more
We need to change the way we look at urban mobility

by redesigning cities around people instead of vehicles,
by promoting walking and cycling, and by introducing
effective, quality public transport systems.
According to the World Health Organization, more

people worldwide are affected by small particulates
Photo: ROM/Robert Harding Picture Library
air pollution than by any other pollutant.
than 95 per cent, is already in place in many

countries. UNEP is helping other countries
adopt standards to introduce these low-sulfur
diesel fuels and set standards for vehicles.
Photo: Klaus-Werner Friedrich/Robert Harding Picture Library
But technology is not the entire solution.

The vehicle fleet in low- and middle-income
countries is set to triple by 2050, and thus the
sheer number of new vehicles will offset the
benefits of technology.
Therefore, as a second track, we also need to

change the way we look at urban mobility by
redesigning cities around people instead of
motorized transport, by promoting walking
and cycling, and by introducing effective,
quality public transport systems. Many
developed and developing countries and
cities have successfully implemented such
strategies.
UNEP is leading or partnering in global initiatives to improve urban air quality through
reducing small particulate emissions from
transport, working in close alliance with governments, civil society and the private sector.
Two examples are the public-private
Partnership for Clean Fuels and Vehicles
(PCFV-www.unep.org/transport/pcfv) and
the Clean Diesel Initiative under the Climate
and Clean Air Coalition (CCAC wwww.
unep.org/ccac).
This work is part of a renewed focus within
UNEP on air quality and health as requested
by governments that adopted an Air Quality
Resolution at the inaugural UN Environment
Assembly in June last year.
See more at: www.unep.org/transport/
33
Hugh
Montgomery
Terminal Blow?
Climate change, the greatest threat to
health this century, is striking at an
already weakened world
by 25 per cent in 10 years to over 200 billion kg a year);

more water (1,000 litres [l] to grow 1 kg wheat, but 15,000
to produce 1 kg of red meat): and more land (we cut down
130 trillion square metres of forest a year).
Hugh
Montgomery
Prof of Intensive Care,
University College,
London and Director
of its Institute for
Human Health and
Performance
eath in an intensive care unit usually results from a

sudden insult striking an individual already bearing
an accumulated burden of disease. Historically, the same
has been true of mass extinction eventsa major insult
striking an already weakened biosphere. We now face the
same peril: humanity has chipped away at the base of the
ecological pyramid on top of which it sits and, now teetering,
faces what could be a terminal blow.
It took some 540 million years for the human species
to develop from the first multi-celled life, and a further
150,000 years or so for its population to reach 1 billion. That
population doubled again in only 123 years, with another
billion added in just 33 years, and still another 15 years
later. There are now over 7 billion of us worldwideand
each uses more. From 1804 to the present, world population
rose seven-fold, but world gross domestic product (GDP)
multiplied some 500 times overfrom $175 billion (in
1990 US dollars) to over $75 trillion. This growth has
been largely underpinned by use of the planets resources,
whether fossil fuels or phosphates.
Humanity harvested 90.4 billion kilograms (kg) of wild fish
in 2011, with aquaculture adding a further 63.6 billion kg.
In 2012, 304 billion kg of meat were produced for human
consumption, as were 2.5 trillion kg of cereals in 2014.
Such escalations in agriculture demand more pesticides
and phosphates. They also require more fertilizer (use up
34
Land use leads to erosion: 68 billion tons of fertile soil are

lost annually, and much (if not all) of the worlds topsoil
may be exhausted this century. Meanwhile, much of the
worlds agriculture is supported by groundwater drained
faster than it can be replenished, and by mining (non- or
slow-filling) fossil aquifers. The depth of the main aquifer
under the North China Plainwhich supplies the wheat for
570 million peopleis falling by more than 3 metres a year.
The Ogallala aquifer under the USAs Great Plainswhich
supplies 30 per cent of the water used for irrigation in the
countrylost 2 per cent of its volume in the 8 years to 2009
alone and, once depleted, will take 6,000 years to refill.
Such impacts extend beyond the geological to the biological:
whether through mining, building, farming, logging or
pollution, human activity is destroying the ecosystems
upon which it depends. In the 27 years to 2012, Australias
Great Barrier Reef lost over half of its coral cover. Since
1970, the worlds vertebrate populations have been halved.
Up to eight species are becoming extinct every hour. We are
living through a mass extinction of our own making. More
precisely, through demolishing the delicate base of the
ecological pyramid, we may soon be part of a mass extinction.
Such is the chronic disease burden that our planet faces.
In this weakened (and rapidly weakening) state, the world
and its inhabitants now face the force of rapid and extreme
climate change.
Fossil fuels hold carbon dioxide (as carbon) sequestered
over hundreds of millions of years. We are now releasing it
on a timescale of tens of decades. The first commercial jet
ticket was sold only 63 years ago, while 98 passengers now
Simple physics means that the resulting emissions will lead

to a net positive energy balance in our atmospherethe
equivalent of five Hiroshima bombs a second. The oceans
have absorbed over 90 per cent of this energy of late, and their
surface temperatures have risen. Land surface temperatures
are rising, too. Arctic sea ice is disappearing at a rate of up
to 50,000 square km a year, while the Antarctic ice sheet is
losing 159 billion tons of ice annually.
Sea levels are rising inexorably. The effects will continue
for millennia: 7 per cent of CO2 emitted today will still be
warming the planet in 100,000 years. But emissions continue
to grow at a rate beyond the Intergovernmental Panel on
Climate Changes (IPCC) worst case scenario, putting us
on track for a global average temperature rise of more than
4C above pre-industrial temperatures in the next 85 years.
Photo: Philip Wallick /Robert Harding Picture Library
Land use leads to

erosion: 68 billion
tons of fertile soil
are lost annually, and
much (if not all) of the
worlds topsoil may be
exhausted this century.
board every second. The worlds first mass-produced car

only appeared some 114 years ago, but there are now over
1 billion motorized vehicles on the planet. We now burn
166,000 l of oil, 248,000 kg of coal and 108 billion l of gas each
second. In a little over 150 years, humans have driven the
concentration of CO2 beyond 400 parts per milliongreater
than at any point in the last 10-15 million years.
Rising sea levelscombined with increasingly

frequent and severe extreme weather events as
the atmosphere gains energywill lead to poverty,
starvation, displacement, migration and conflict.
Photo: Mark Weber /Robert Harding Picture Library
Added to the existing mass destruction of our biosphere,

climate change threatens our well-being and survival. In
2009, the UCL-Lancet Commission on Climate Change
and Health called it the greatest threat to global health of
the 21st Century. Impacts can be direct (e.g. through heat
waves and extreme weather events), or indirect (e.g. through
agricultural losses and changing patterns of disease, or the
impacts on economies and social structure, migration and
conflict).
After only 0.85oC warming so far, many such anticipated
threats have occurred. Others come from altered bacterial
growth; algal sea blooms; groundwater contamination with
salt and nitrates; changes in disease vector distribution and
activity; and altered concentrations of ground-level ozone.
And rising sea levelscombined with increasingly frequent
and severe extreme weather events as the atmosphere gains
energywill lead to poverty, starvation, displacement,
migration and conflict.
Such planetary plague might be open to some forms
of symptomatic relief, but is not readily curable.
Environmental issues are now military issues, health
issues, survival issues. As in any crisis, an emergency team
response is requiredin this case, involving business and
civil society. Lumbering diplomacy may deliver inadequate
first aid, long after the patient is condemned to die.
35
Samuel S Myers
Clear and
Present Danger
New research is identifying threats to health
and nutrition from the Great Transformation
being forced on natural systems
Senior Research
Scientist, Harvard
School of Public Health
uman civilization has flourished during the uniquely

stable biophysical conditions of the Holocene. But
over the past decades, the combination of rapid population
growth and rapid increases in per capita consumption have
led to an extraordinary ballooning of humanitys ecological
footprint. We have converted roughly half the ice-free, desert-free land surface to croplands and pastures. We have
cut down 50 per cent of the worlds tropical and temperate
forests. We have dammed 60 per cent of the worlds rivers
and exploit 85-90 per cent of monitored fisheries at, or
beyond, sustainable limits. Our activities have reduced the
populations of vertebrate wildlife species by roughly 50 per
cent since 1970 and are driving species extinct at 100-1,000
times the baseline rate. Our greenhouse gas emissions are
increasingly disrupting the global climate system. And
most of these trends are accelerating.
We have tended to view this Great Transformation of
Earths natural systems as an environmental problema
threat to birds and fish, but not so much to us. But increasingly, our group at Harvard is learning that this couldnt be
more wrong.
Recently, for example, weve learned that emissions of carbon dioxide into the atmosphere are driving not just global
climatic disruption, but also significant reductions in the
nutritional value of food. We grew 41 cultivars of rice, wheat,
corn, soy, sorghum and field peas in open field conditions in
seven locations on three continents over 10 years using free
air carbon dioxide enrichment methods. Comparing crops
36
We have also developed a new approach to estimating the

importance of animal pollinators for human nutrition
around the world, through overlaying data on the pollinator
dependence of all food crops, the estimated consumption of
each food per capita and the concentration of 23 different
nutrients found in each food. Thus we can model how pollinator declines would alter intake of different foods and what
Samuel S Myers
grown at ambient CO2 with those grown under identical

conditions but at 550 parts per million (ppm) CO2 (concentrations that our atmosphere is expected to reach in
roughly 40 years), we found that the edible portion of the
ones grown at elevated CO2 had significant reductions in
protein, iron and zinc. This is important because roughly
2 billion people suffer from zinc and iron deficiencies at an
estimated cost of 63 million life years lost annually. We also
found that 2.75 billion people live in countries whose populations consume at least 70 per cent of their dietary zinc
and/or iron from the type of crops showing strong reductions. Additional analyses suggest that these CO2-induced
nutrient changes will drive hundreds of millions of people
into zinc deficiency, while exacerbating the condition for
billions already suffering from it.
Over the past decades, the combination of rapid

population growth and rapid increases in per capita
consumption have led to an extraordinary ballooning of
humanitys ecological footprint.
capacity. We are now investigating more comprehensively
the role bushmeat plays in the diet as a source of other
important micronutrients like zinc, omega-3 fatty acids,
and vitamins A and B12. We are concerned that what we are
finding in Madagascar is occurring in populations around
the worldthe quiet erosion of a nutritional cornerstone as
access to wild-caught meat becomes scarcer.
Photo: Eric Woods /Robert Harding Picture Library
Access to seafood is likely to be of similar, or even greater

importance, for coastal populations, and we have started
investigating relationships between it, fisheries management, micro- and macronutrient status of local populations
and health outcomes. We have put together a strong team of
fisheries ecologists, economists and nutritional epidemiologists to begin quantifying the role that global fisheries
play in nutrient intakes and nutritional status around the
world. In this way, we can explore the extent to which sustainable fisheries management is not just a conservation
imperative, but also a public health one.
In total, we found that

pollinator declines
could lead to over
1 million deaths
annually and a very
large global burden of
disease.
these changes in dietary intake would mean in terms of the

total amount of a particular nutrient available per capita per
country. In research published in January 2015, we showed
that pollinator declines would significantly increase the
risk of vitamin A deficiency for populations in Mozambique
and Uganda, with smaller effects in Bangladesh and Zambia.
More recently, we have conducted a global analysis of how
such declines around the world would impact the global burden of disease by increasing the risk of vitamin A deficiency,
folate deficiency and low intake of fruits, vegetables, and
nuts and seeds. In total, we found that pollinator declines
could lead to over 1 million deaths annually and a very large
global burden of disease.
Loss of animal pollinators is only one of many ways that
biodiversity loss is likely to impact human nutrition and
health. We also have been investigating an even more
direct onethe loss of access to both terrestrial and marine
wildlife for food. My colleague Chris Golden has shown
that bushmeat is an important source of dietary iron in
Madagascar and that removing it from the diet of the population he works with would lead to a 30 per cent increase in
anemia in childrenan outcome of enormous public health
importance as iron-deficiency anemia leads to increased
maternal and neonatal death, reduced IQ and reduced work
These issues impact billions of people, but are just the

tip of the iceberg. Enormous questions remain: how will
the combination of increasing water scarcity, land degradation, pollinator declines, fisheries degradation and
climate change interact to alter the quality and quantity
of food when we need to roughly double production over
the next 40 years? What will be the associated nutritional
and health outcomes for different populations around the
world? How many people will need to find new homes as a
result of changes in climate, food production, natural hazards and sea level?
Such questions are finally beginning to receive the attention they deserve. A group of universities, NGOs and other
organizations is coalescing to support the growth of a
robust, policy-focused, research field addressing such topicsHealth & Ecosystems: Analysis of Linkages (HEAL).
It aims to help build a community of practice, identify
or construct core educational materials, disseminate
research methodologies, provide links to policy communities and communicate developments in the field. In July,
2015, The Lancet will publish a commissioned report of
the Rockefeller-Lancet Commission on Planetary Health,
detailing the human health risks associated with the accelerating transformation of Earths natural systems and
emphasizing a set of actions to address them.
The Great Transformation poses a clear and potent danger to human health. It is more important than ever to
understand and quantify the relationships between our
management of Earths natural systems and the health of
populations around the world. Only then can we manage
them to optimize both health and conservation outcomes
for future generations.
37
UNEP at Work
Off the Shelf
Access to online resources is transforming
Photo: Research4life
health and environmental research
n 2007, when he first joined Makerere

University in Uganda as an agricultural
librarian trainee, Onan Mulumba spent
most of his time re-shelving books. Now he
accesses thousands of online journals, books
and databases to help farmers deal with pest
infestations and plant diseases.
UNEP-supported programme whose origins

date back to 2000.
The (farmers) want an immediate solution

because the new crop pests in Uganda are very
destructive, he said. We can now search the
databases to get the knowledge they need.
Yet 15 years ago, large portions of the world did

not have access to the knowledge contained in
international scientific publications.
In 2000, the World Health Organization (WHO)

found that 56 per cent of institutions in 75
of the worlds low-income countriesthose
with annual per capita gross national product
(GNP) of under US$1,000had had no journal
subscriptions for the previous five years; 34
per cent of institutions in countries with an
annual per capita GNP of US$1,000-3,000 had
had no subscriptions for five years; and another
34 per cent averaged only two subscriptions
over the past five years.
The transformation to electronic resources

in libraries is part of Research4Life, a
1 (H. Dundar and D. Lewis, Determinants of research

productivity in higher education. Research in Higher
Education 39 (1998) 607.
Not surprisingly, the survey revealed that one

of the researchers greatest difficulties was
lack of access to the key research literature
38
Studies of research productivity in Canadian,

British and American universities have found
that productivity is related significantly to
access to information resources.1
working with other partners to make

research more accessible, a strategy that
ultimately aims to improve health and
environmental incomes.
found mainly in refereed journals published
in high-income countries.2
In response, WHO and six major biomedical
publishers announced a scholarly publishing
partnership in July 2001 that WHO Secretary
General Gro Harlem Brundtland called the
biggest step ever taken towards reducing the
health information gap between rich and poor
countries. HINARI (Access to Research in
Health) opened access to institutions in lowand middle-income countries in January 2002.
Building on the proven concept of HINARI
in the health realm, the Food and Agriculture
Organization (FAO) launched AGORA
(Research in Agriculture) in October 2003.
Then, on the strength of HINARE and AGORA,
UNEP launched OARE (Online Access to
Research in the Environment) in October
2 Improving Access to Scientific Information for Developing Countries: UK Learned Societies and Journal Access
Programmes. UK National Commission for UNESCO.
2008.
Through Research4Life, UNEP is
2006. The three efforts, which collaborated

with each other, created a larger and stronger
partnership now called Research4Life.
Research4Life is an online programme
providing access to the full text of scientific
books and journals. Access is available for
researchers, primary healthcare workers, and
environmentalists and policy managers working
in not-for-profit research institutions, academic
institutions and government ministries.
Research4Life users gain access in the same
way as paying customers, which makes it
simpler for partner publishers. Institutions
register via a Research4Life web form and
then receive a user name and password that
can be shared with all users affiliated with the
institution. Authenticated users then log in
to get access to available full-text content on
the publishers websites. To date, more than
5,000 institutions in more than 100 countries
have access to Research4Life. For Makerere
University, Research4Life has helped boost
the quantity and quality of faculty publications

and student dissertations. Among other
scientific innovations, Makerere researchers
have developed a new bacteria-resistant
tomato and bred four high-yielding and early
maturing soybean varieties that are resistant
to leaf rust disease.
Instead of viewing librarians as mere book
dust removers, (users) see us as resourceful
information agents without which research
is impossible, said Onan Mulumba, whose
successes are one of several captured by the
partnership.3
Ultimately, Research4Life aims to improve
health and environmental outcomes. In a world
where healthy people and a healthy environment are becoming increasingly intertwined,
it is more important than ever that research
is informed by evidence contributed by the
entire global community.
3 Making a Difference. Research4Life; 2011.
39
Peggy Liu
A New Way
to Eat
Chinese diets increasingly imperil both
health and the planet, but a bid to change this
is starting at the beginning
wants for meals, and makes his mom give his friends expensive toys to win them over at playdates. He prefers to spend
his time indoors studying, and on video games, than on running around outside playing sports.
Peggy Liu
Chairperson of
JUCCCE
hen Cui Fengqing was 16, she was sent from

Shanghai to a rural village to plant vegetables in
a commune. Every year, the local government sent her
household a block of frozen raw eggs so they could celebrate
the New Year with egg dumplings. For seven years, she had
no meat in her meals. Until she was in her 50s, she didnt go
grocery shopping and didnt cook.
Since then, China has lifted 200 million out of food poverty.
Every rural school lunch is subsidized by 4RMB (US$0.68).
In the 30 years to 2009, the disposable income of Chinas
urbanizing middle class has increased nine times over,
while the proportion of all its people in poverty slumped
from 63 per cent in 1981 to just 10 per cent in 2004.
That is an amazing achievement, but there is a big downside. A whole generation of parents has neglected to teach
its kids to cook, making them dependent on convenience
foods or restaurants. Starbucks has turned China from a
tea-drinking nation to one infatuated with sweet coffee,
and KFC is the number one franchise.
Now, Lawrence Changs parents treat him regularly to
McDonald's. His mother believes that a multinational corporation will have stricter regulations on food safety, so the
hamburgers and fried chicken must be healthy. As a chubby
Little Emperor (precious only son), he dictates what he
40
Although one in five people in the world live in China, one

in three of those with diabetes are Chinese. In 1980, less
than 1 per cent of Chinese adults had the disease: now its
more than 10 per cent. By 2011, up to 20 per cent of 7-18
year-olds were overweight and obese, and 15 per cent were
pre-diabetic.
The deputy secretary of the China Diabetes Society, Xu
Zhangrong, said The sudden rise of diabetes in China
is not only a health threat, but an economic one. It could
bankrupt the countrys healthcare system. China needs to
shift its focus from treating diabetes to preventing it.
Yet China has no formal food education program. And its
National Institute of Nutrition and Food Hygiene said,
China has just over 10,000 qualified nutritionists nationwide, but needs at least 4 million, based on international
standards of one nutritionist for every 300 people.
Chinas dietary and health crises are also a planetary one.
Its huge appetite for imported foods impacts the agriculture resources of countries around the world. New Zealand
is turning pastures into dairy farms to produce milk and
infant formula for it.
Our food system is to blame for up to 30 per cent of global
greenhouse gas emissions. With 800 million people in
the process of entering the Chinese middle class by 2025,
they are replacing shared stir fries containing tiny slivers
of meat with huge individual Western-style steaks. Thats
bad news for methane emissions, deforestation, Chinas
already dwindling sources of water and land that could be
Photo: Tim Graham/Robert Harding Picture Library

Photo: Ingolf Pompe/Robert Harding Picture Library
A whole generation of parents

has neglected to teach its kids to
cook, making them dependent
on convenience foods or
restaurants.
used to produce tons and tons of vegetables instead of one

slab of meat.
The time to make a massive change starts in first grade, in
the school curriculum. A survey by the China Center for
Disease Control showed that primary school kids diets are
controlled by school lunches and cooks at home. Middle
school childrens diets, by contrast, are largely influenced
by their peers and, by the time they reach high school, their
food habits are largely set. If we want to make a dramatic
change, we must start with the 94 million children in primary school.
A New Way to Eatan initiative by my non-profit
JUCCCEis doing just that, setting out to meet the lack
of nutritional education. The challenge is how to keep childrenwith their short attention spansinterested, and
how to explain to them complex sustainable diet concepts
of which most adults are not yet aware.
Our initiative uses playducation to turn such terms as
biodiversity, micronutrients, high blood sugar into
fun themes like Eat a Rainbow Everyday, Where Our
Food Comes From, and Icky Sticky Sugar. Children can
jump around, play speed games, get blindfolded. And, of
course, there are lots and lots of stickers.
The curriculum is based on three simple Food Hero Rules:
1. Food fuels your mind and body
2. Quality foods & exercise give you extra fuel
3. You can save the planet by eating healthier.
41
Photo: Tao/Robert Harding Picture Library
In 1980, less than

1 per cent of
Chinese adults had
diabetes: now its
more than 10 per
cent.
Complex food pyramids and calorie concepts are turned

into a simpler Eat This First table that blends healthy eating for both kids and the planet. Requests to pilot activities
of the initiativeeven as it is being developedare proving
to be overwhelming. It has received enthusiastic feedback
from kids, parents and teachers in school classrooms,
extracurricular academies, subscription educational magazines, mother and child groups, restaurants and corporate
employee activation programmes.
Of coursethough China has 15 per cent of the worlds primary school childrenit is hardly alone in facing dietary
and planetary challenges. So we are partnering with the
EAT Forum with the aim of eventually taking the programme global, with regional partners adapting it to local
language and tastes.
42
Photo: Guillem Lopez/Robert Harding Picture Library
The challenge is to keep

childrenwith their short
attention spansinterested in
nutrition, and to explain complex
concepts about sustainable diet
of which even most adults are
not yet aware.
Photo: Sean Sprague/Robert Harding Picture Library
Photo: Fumio Okada/Robert Harding Picture Library

Todays children are the first generation not expected to

live longer than their parents. They are also the first to be
imperiled by dangerous climate change. By learning to eat
differently, they can tackle both threats at the same time
and have fun doing so.
43
Richard Fuller
Pollution
The Greatest Killer
Tackling the health effects of pollution
should be a core focus of development
kills directly, but it causes a range of diseases, from cancer

to asthma, and wreaks gastrointestinal, cardiovascular,
immunological and neurological damage.
One in seven deaths occur every year because of the damage
we inflict on our environment. But they are preventable.
Richard Fuller
CEO of Pure Earth/
Blacksmith Institute,
New York
ealth issues have always been rightly at the top of the

worlds development agenda. Ebola, swine flu and
avian fluand the triad of malaria, tuberculosis and HIV
all deserve attention. Yet there is another scourge that has
not yet received enough focus, which kills slowly, silently,
but massively, and takes far more human lives than malaria,
tuberculosis and HIV combined.
It is pollution. Contaminated air, water and soil were
responsible for 8.9 million deaths in 2012, according to
data from the World Health Organization (WHO) and the
Institute for Health Metrics and Evaluation. Thats more
than one in seven deaths worldwide, a greater number than
is due to smoking, war or malnutrition. Pollution has been
steadily growing, as has its health impact, so that it is now
the leading cause of death. And, of course, it also damages
economies, slowing down development in countries that
sorely need to grow.
Pollution comes in many forms, including particulates
in smoke from wood-burning cookstoves, contaminated
water from mining effluent, sewage in poor slums and
belching smokestacks from poorly run industry. It rarely
44
This is first and foremost a development issue: 94 per cent

of these deaths occur in low- and middle-income countries,
and most of the 6 per cent that take place in high-income
countries are in the poorer Eastern European Member
States of the European Union (EU).
Wealthy nations have generally managed pollution well in
the last few decades. They have safe drinking water, clean
air for the most part and good sewerage systemsespecially
compared to poorer countries, many of which have been
industrializing with few or inadequate pollution controls.
The results can be seen in pictures of Beijing and Delhi
shrouded in toxic particles, in rivers filled with chemicals,
garbage and sewage, and in poisoned fish and contaminated
food around the globe.
It neednt be like this. It is possible to have clean and
green economies: richer countries are already on such
a trajectory. It is also possible to clean up the messes that
have already been made. We could solve this issue in our
lifetimes, saving millions of lives each year, and ensuring
that children achieve their full potential.
Part of the reason we have not done this so far is that we
have abdicated responsibility for pollution to sectors other
than health. Many think it should instead be considered as
At first glance, tackling pollution appears overwhelmingly

complex, but solutions are quite doable, and most are very
cost effective. At Pure Earthmy non-profit focusing on
contaminated siteswe have cleaned up towns destroyed by
lead pollution at the cost of a few dollars for every year of life
saved. Communities blighted by chemicals from weapons
manufacturing have also been made safe again. There have
been successful efforts by many actors to bring clean water
to cities and villages across the globe. Policies to control air
emissions have worked in the richer countries, and should
be replicable in the developing world. In general, it is not
large international companies that cause the majority of
these problems. Most of the pollution is created locally,
by small-scale artisans or smaller domestic companies, or
result from abandoned toxic sites.
Important things can be done on a strategic international
level to make progress in managing pollution and improving
health. While affected countries need to do the majority of
We could solve this issue in our

lifetimes, saving millions of
lives each year, and ensuring
that children achieve their full
potential.
Photo: Egmont Strigl/Robert Harding Picture Library
Contaminated air,
water and soil were
responsible for 8.9
million deaths in
2012, according to
data from the World
Health Organization
and the Institute for
Health Metrics and
Evaluation.
a focus of transportation, energy or climate change. Health

systems focus on health service, such as treating diseases,
and prevention rarely features in national strategies.
Meanwhile, pollution has been fragmented into a list of
innocent-sounding categories that fail to communicate the
severity of the problem; the death and disease. It has fallen
off our maps.
the work, local capacities are usually inadequate. Donors

can help with technical assistance and projects that build
real on-the-ground capacity through learning by doing.
The Global Alliance on Health and Pollution brings
together agencies around the world to provide help to
willing countries, and its efforts should be expanded and
supported. Pollution must also be a focus of the Sustainable
Development Goals. An International Commission on
Pollution and Health (along the lines of the Stern Report
on Climate Change) should define the economic and health
costs, and bring attention to the problem.
A change in focus is needed. We need to evolve the way we
think about pollution, seeing it as an interdisciplinary issue
impacting health, the environment and economic growth,
and thus a core focus in development assistancenot just as
an add-on to biodiversity or climate change.
In the 1960s, the West woke up to the fact that pollution
was poisoning its children and its future. It worked hard to
fix the problem and largely succeeded. But now the threat
has shifted to the developing world, and its bigger than
ever. Its time that we treat it with the respect it deserves,
and get started. The global community has a chance to do
something that is practical, doable and solvable. This is a
problem with well-known and proven solutions, where we
can really make a difference.
45
Innovation
02
Making
Connections
Ecohealth approaches integrate
health, environment and social equity
46
Photo: Carmen Bezner Kerr
For all its success, the farmer-led research in Malawi identified

knowledge gaps and social inequity in the context of climate change. In
2009, IDRC supported a new phase of research involving Ekwendeni
Hospital, the University of Malawi and Canadas Western University.
Broadening research to include Kasungu district in central Malawi,
the team assessed the value of farmer-to-farmer exchanges and
Photo: The Poverty-Environment Initiative
The project was funded in part by the International Development

Research Centre (IDRC), which has been pioneering research that
integrates environmental and health concerns since 1996. The
ecohealth approach recognizes the need to break down silos between
disciplines, and look for connections that can ensure benefits for
both ecosystems and people. To that end, scientists collaborate with
practitioners, civil society and decision makers to make healthy,
equitable and sustainable changes.
Over the past 15 years, smallholder farmers in Ekwendeni, northern

Malawi, have been working with researchers on agro-ecological
techniques to improve soil fertility, food security and nutrition.
Interplanting maize with legumes such as soybeans and pigeon peas,
for example, helped improved maize yields and fortify family diets.
The approach generated tangible results: in participating villages,
4,000 children were 1 kg heavier by their first birthday and 1.5 kg
heavier at three years of age. In 2013, the UN Special Rapporteur on
the Right to Food called the project a food security model for Malawi.
community institutions to foster adaptive responses to climate

change, with sensitivity to inequities linked to issues such as HIV.
Following initial discussions about climate change and agro-ecology
with researchers, the 400 participating farmers developed their
own experiments. In one village, farmers used local clay to build
woodstoves that used less fuelwood and generated less smoke.
Through peer exchanges, two other villages learned about the
woodstoves, and adapted the idea.
The woodstoves proved popular with women farmerswho
traditionally collect fuelwoodsince they saved time. But the
labour-saving technology also appealed to HIV-positive households.
And farmers living with HIV also found intercropping useful: not
only did this technique produce greater yields of maize, it also
meant less planting and weeding.
There is still stigma associated with HIV, said Dr. Rachel Bezner
Kerr, who has coordinated research since the projects inception
in 2000. At the same time, we found that farmers with HIV who
felt weak on certain days got help with their weeding from other
participants. The project triggered a collaborative spirit that points
to social impacts that went beyond individual households. It gave
the community a sense of hope.
With support from Cornell University, where Dr. Kerr teaches in
the sociology department, a new phase of the project will integrate
agro-ecology, gender and social equity, and nutrition with popular
education tools. We will use drama, role play, poetry and graphic
novels to show how families are struggling with different elements
of climate change, said Dr. Kerr. In June, we will meet face-toface with farmers in Malawi to develop the ideas further, and then
test and refine them over the next year.
See more at: http://soilandfood.org/

http://www.idrc.ca/
47
Gladys
Kalema-Zikusoka
Felling Trees
Brings Disease?
Deforestation and wildlife exploitation lead
to outbreaks of Ebola and other diseases
pollution, population growth and over-harvesting. We started

an NGO, Conservation Through Public Health, www.ctph.
org, in 2003 to address disease as a threat to biodiversity
conservationand have found that poverty and high human
population growth rates are also part of the problem.
How is Ebola, a disease of significant public health importance
that has caused the loss of over 10,000 human lives within
a year in West Africa, linked to biodiversity conservation?
Gladys
Kalema-Zikusoka
Founder and Chief
Executive Officer,
Conservation Through
Public Health
arly in my career as a wildlife veterinarian, I realized that

human public health and biodiversity conservation were
interlinked. As the first veterinarian for the Uganda Wildlife
Authority, a government parastatal mandated to manage the
countrys wildlife, I led a team in 1996 that investigated the
first scabies skin disease outbreak in the critically endangered
mountain gorillas of Bwindi Impenetrable National Park.
Humansthe gorillas closest domestic relativeswere
found to be the source of the scabies, a disease of poverty,
which caused the death of an infant gorilla and sickness in the
rest of the group: it only recovered with Ivermectin treatment,
commonly used to treat scabies in people. Gorillassharing
98.4 per cent of DNA with humans, yet naive to the scabies
mite infectionsuccumbed to the disease when they ventured
outside the national park to forage in community gardens
and came into contact with mite-infested clothing.
Zoonotic diseases, such as scabies, that spread between people and animals, travel in both directions in Central Africa:
Ebola has resulted in the deaths both of thousands of gorillas
and chimpanzees and of people who have handled or eaten
them. Disease is now recognized among the major threats to
biodiversity along with habitat destruction, invasive species,
48
The disease, caused by a virus of the Filoviridae family that

includes Cuevavirus and Marburg virus, results in haemorrhagic fever. It was first discovered in 1976, with two outbreaks
at Nzara in Sudan, and Yambuku in Democratic Republic of
Congo, in a village near the Ebola River. People can develop
it from contact with infected wildlife, and it can then spread
quickly through their families and communities.
Of the five Ebola species identifiedZaire, Bundibugyo,
Sudan, Reston and Ta Forestthe first three have been
associated with large outbreaks in Africa: the 2014 West
African outbreak belongs to the Zaire species. The disease
has a case fatality in humans ranging from 25 per cent for
the Bundibugyo Ebola virus to 6090 per cent for the Zaire
one, although survival can be improved with appropriate
intensive care of rehydration and symptomatic treatment.
Licensed Ebola vaccines are undergoing evaluation in both
humans and great apes, although the cost and practicality
of vaccinating great apes in the wild make it highly unlikely
that initiative could proceed in the near future.
People go into forests to cut trees and hunt wildlife in order
to feed their families. In Africa, the poorest people tend to
live next to protected areas, and rely on natural resources
Photo: Michael Runkel/Robert Harding Picture Library
Photo: Michael Runkel/Robert Harding Picture Library
While Western
Lowland gorillas still
number over 100,000,
Ebola has wiped out as
many as 5,000 of them
in the past 15 years.
to meet their most basic needs. Unfortunately, this creates

a high risk of contracting emerging infectious diseases like
Ebola and Marburg harboured by fruit bats in the forests.
People also cut down trees for firewood to cook for large
families and sell commercially. And logging companies
can create an unsustainable demand for timber resulting
in rapid deforestation and even closer contact between
people and wildlife.
People also hunt wild animals to earn a living, especially in
this part of the world where bush meat is a delicacy and in
great demand. And beliefs also come into it. For example,
when a child falls sick in Bwindi Impenetrable National Park,
the father goes into the forest to hunt a duiker believing that
it will make his child better. In Central Africa, people believe
that eating a gorilla or chimpanzee makes you as strong or
as intelligent as them.
Infected fruit bats are believed to be another source of Ebola.
More recent studies have shown that insectivorous bats may
also be a source of the disease. Monkeys and great apes that
come into contact with fruit bats also contract it and die.
Western Lowland gorillas still number over 100,000, but are
listed as critically endangered by the IUCN Red List because
Disease is now recognized among

the major threats to biodiversity
along with habitat destruction,
invasive species, pollution,
population growth and overharvesting.
of Ebola, which has wiped out as many as 5,000 of them in

the past 15 years. So people who hunt and eat bush meat from
the forest are therefore at great risk of contracting Ebola.
Reducing the risk of wildlife-to-human transmission from
contact with infected fruit bats, monkeys and apes and consumption of their raw meat depends on both public health
and conservation. Public health measuresincluding handling animals with gloves and other appropriate protective
clothing and thoroughly cooking animal products before
consumptionare important in dealing with the symptoms,
but not the cause.
To address the causes of Ebola, there should be an end to
wildlife meat consumption and deforestation, particularly
through commercial concessions for oil palm and timber.
Viable and less harmful alternatives can be explored,
including community education on the risks of zoonotic
disease transmission from consuming bush meat; planting
softwood forests for timber outside protected areas; promoting consumption of alternative animal protein from
safer domesticated animals such as goats, pigs and cows;
or farming wildlife such as guinea fowloutside the forest.
The Great Apes Survival Partnership (GRASP)which
accepted CTPH as a partner in 2013 and unites nearly 100
organizations dedicated to great ape conservationcounts
zoonotic disease monitoring among its six priorities. The
World Health Organization (WHO), CTPH and Uganda
Wildlife Authority are members of the Uganda National
Disease Taskforce. Led by the Ministry of Health or Ministry
of Agriculture, Animal Industries and Fisheries, the taskforce
engages all concerned sectors in disease outbreak response
using a One Health approach, including Ebola, Marburg
and Anthrax, all linked to wildlife.
Collectively, we can prevent further loss of human lives and
critical biodiversity by ending deforestation and wildlife
exploitation.
49
UNEP Publications
United Nations
Environment Programme:
Annual Report 2014
Increasing Private Capital

Investment into Energy
Access: The Case for MiniGrid Pooling Facilities
Responsible Food
Purchasing: Four Steps
Towards Sustainability for
The Hospitality Sector
The United Nations Environment

Programme Annual Report tells the story
of the environment and the organization's
work in 2014, through stunning
photography and inspirational stories of
change from the ground.
Mini-grids are viewed as one of the key

elements in securing universal energy
access in the developing world. However,
current levels of investment into renewable
decentralized energy are insufficient to reach
the development goals identified by initiatives
such as the UNs Sustainable Energy for All. In
order to reach such levels of deployment, new
models of financing need to be designed.
Responsible food sourcing, to be successful,

requires cooperation. To achieve your selected
sustainability targets fully, you will need to
work closely with your supply chain, supporting
your suppliers, incentivizing good practice and
explaining to them why and how your business
has committed to new standards of responsible
environmental and social performance.
In this report, we provide a conceptual

framework for the development of a private
sector facility to pool and cross-collateralize
diverse capital to support international
mini-grid portfolios. We begin by discussing
the current status of electrification
initiatives in developing countries, and the
approaches adopted to access finance for their
implementation. We then argue that two key
barriers exist to the effective financing of minigrids. First, mini-grids in emerging markets
have a complex risk profile that is difficult
to mitigate at the individual project level.
Furthermore, individual mini-grid projects
are so small that their fixed transaction costs
reduce their financial viability.
50
This guidance document, will help food

purchasers to understand better the
importance to their business of responsible
food purchasing, while providing practical
advice and guidance to enable them to make
the right decisions and choices. This guidance
outlines an approach to integrating food
sustainability into your business, with practical
steps, checklists and tips reinforced by case
studies that provide valuable learning from
those already embarked on responsible food
purchasing. The resources listed at the end
of the document will enable you to explore
the wider sustainability agenda further, as
responsible food purchasing remains a rapidly
evolving field.
Establishing Chinas Green

Financial System
Benefits of Forest Ecosystems Global Trends in Renewable

in Zambia and the Role of
Energy Investment 2015
REDD+ in a Green Economy
In 2014, the Research Bureau of the Peoples

Bank of China convened a Green Finance Task
Force made up of 40 experts from ministries,
financial regulators, academics, banks and
other financial institutions, complemented by
international experts brought together by the
UNEP Inquiry to consider the steps that China
could take to establish a green financial system.
The main objective of the study was to assess

the economic value of Zambias forest ecosystem
services. The study estimates that, when
ecosystem services provided by forests are
accounted for, forests make a direct contribution
to the national economy equivalent to about
4.7 per cent of gross domestic product (GDP),
which rises to 6.3 per cent with the application
of multiplier effects.
This report is the outcome of this process, and

in it the Research Bureau of the Peoples Bank
of China presents an ambitious framework of
recommendations . Pan Gongsheng, Deputy
Governor of the Peoples Bank of China, states in
the forward that the Peoples Bank of China is
spearheading the drafting of the 13th Five Year
Plan for the reform and development of Chinas
financial sector; green finance will be a key
element of this plan.
According to UNEP's 9th "Global Trends

in Renewable Energy Investment 2015",
prepared by the Frankfurt School-UNEP
Collaborating Centre for Climate &
Sustainable Energy Finance and Bloomberg
New Energy Finance, the United Nations
Environment Programme (UNEP) and
Bloomberg New Energy Finance, the past
year brought a rebound of green energy
investments worldwide with a surge of a solid
17 per cent to $270 billion.
Brushing aside the challenge of sharply lower
crude oil prices, this sudden increase reversed
the investment dip of the past two years and
was mainly driven by investments in solar and
wind energy.
All UNEP publications are available online at:

www.unep.org/publications
51
Environmental
Champion
Jamie Oliver
Photo: David Loftus
Jamie Oliver has joined other

celebrity chefs to campaign
against the practice of discarding
hundreds of thousands of caught,
but unwanted, fish at sea
elebrity chef and author, restaurateur and campaigner, Jamie

Oliver has started giving up eating meat for several days a week as
a result of his commitment to sustainable development. I believe we
are at a point in our history where we need to take a much more serious
look at how were using land and how were going to need to use it in the
future, he told Our Planet. Personally, I have started going vegetarian
two or three days a week, not merely for my own health, but because Im
increasingly worried about the sustainability of eating meat every day.
Oliver, who has hosted many television series and written 19 bestselling books, has long campaigned for better food in schools. Born in
1975, his parents ran a pub/restaurant in Essex, England, where he
used to practise cooking when young. It was then that he first became
interested in the relationship between food and the environment,
which he describes as one of the absolutely key issues facing our
planet.
He explains: My Dad was my first mentor. He would always buy locally
and seasonably, grow food in the pub kitchen, and make sure he knew
the local farmers and hunters so he could get the freshest, higher
welfare produce.
52
Photo: Ken Lennox Photography
Dyslexic, he left school at 16, with few qualifications,

but attended catering college andafter a series of
jobsended up at Londons celebrated River Caf
as a sous chef. There he was noticed, aged just 22, by
the BBC, which was making a documentary about
the restaurant. Two years later, he had his first TV
series and a cookbook topping the best-seller list. He
never looked back and, more importantly, moved
forward into campaigning for better nutrition and
health.
In 2005, he launched his first campaign to
move schoolchildren to eat more healthily and
avoid junk food, succeedingover the years
in making it a hot political issue, and bringing
radical improvements to British school meals. He
was awarded the 2010 TED Prize for his efforts
to create change on both the individual and
government levels in the UK and the US. Two
years later, he was given the Healthy Cup Award
of the Harvard School of Public Health for tackling
the childhood obesity epidemicand campaigning
to provide whole, freshly-cooked food in schools
on both sides of the Atlantic.
He has set up 16 charity restaurants around the
world, which train disadvantaged young people
to work in the hospitality industry, and has joined
other celebrity chefs to campaign against the
practice of discarding hundreds of thousands of
caught, but unwanted, fish at sea. He believes that
I believe
passionately
in taking great
care of the
animals we
breed for food
both because
it is the right
thing to do
and because
you are what
you eat.
a tax should be placed on soda drinks and health

warnings and age-restrictions on caffeine-laden
energy onesand that advertising of unnecessary
products which undermine breastfeeding
should be banned. And he has suggested that all
supermarket deals and promotions for processed
foods would have to be matched with ones for fresh
ingredients, to make it a level playing field and
encourage people to cook from scratch.
He told Our Planet: I believe passionately in taking
great care of the animals we breed for food both
because it is the right thing to do and because you
are what you eat. Who wants to be made of animals
pumped full of growth hormones and antibiotics?
Who wants to eat vegetables that have been soaked
in dangerous pesticides that poison the land?
For me, the relationship between nutrition and
the environment is one of the absolutely key issues
facing our planet and our species, as we use more
and more land to create food and water for animals,
as opposed to using it for food for us to eat.
It all comes down to food education. I have
launched a petition at change.org/Jamieoliver.
Please sign it and share it because we need to teach
our kids not just about food and cooking, but (also)
how to eat seasonably and sustainably. We need to
educate them about the ways food is produced to
enable them to make the right choices.
53
This year, World Environment Day challenges

everyone to re-imagine their dreams for a good
life, delinked from excessive consumption.
If seven billion people were to each
make one positive change towards
a sustainable lifestyle, what would
our world be like?
Share your dreams with us!

Celebrate World Environment Day on 5 June
by sharing your vision for a life of wellbeing on
a sustainable planet. Make a pledge. Register
your activityall at www.unep.org/wed Thlengeto all to re-imagine our dreams for a good life

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May 2015

United Nations Environment Programme

Healthy Planet, Healthy People

Photo: Stuart Pearce/Robert Harding Library

United Nations Environment Programme

For past issues visit:

Printing: UNON, Publishing Services Section, Nairobi,ISO 14001:2004-certified

A Breath of Fresh Air

The Missing Link

Cleaning Our Air

Off the Shelf

Photo: Neil Emmerson/Robert Harding Picture Library

months, the international comwill gather to finalize the

The environment cuts across virtually all

wrought on the environment, our planet is

in the 1970s, and grew to US$4.12 trillion by

according to research from the Frankfurt

In Africa alone, climate change

issues that are not so obviousclimate

Meanwhile, Tehransurrounded by the Alborz Mountains

Photo: Yoko Aziz /Robert Harding

Rapid industrialization and

From 1999 up to 2005,

sessions since 1999became inoperative. This, sadly, led to a

Nationwide programmes are now in process to improve

Annual analysis of results from multiple monitoring

Photo: Ashley Cooper /Robert Harding

Meanwhile, dust storms have also caused deterioration in

Saudi Arabia, Iraq and the borders of Syria and Jordan.

Photo: Robert Harding

The Houralazim wetland in the south western borders

The number of green

Media coverage of these measures has also surged, again

The prioritization of Iranian environmental issues by Dr.

Our experience in Iran makes clear the importance of

Its positive approach is also improving relations with the

Although we have taken great strides during the past year

Evaluating and managing the resulting impacts on ecosystems and

he Future We Wantthe outcome document of the United

Africa continues to grapple with environment-related health issues

Photo: Frans Lanting/Robert Harding Picture Library

Our understanding of the functioning of the biosphere, and our

Photo: Jorgen Schytte/Robert Harding Picture Library

Countries should mitigate the

effects, and different reproductive and developmental disorders

forests, we open ourselves up to new disease strains. Deforestation

Photo: Ernst Tobisch/Robert Harding Picture Library

Extreme weather events and

However, political commitment, concerted action and shared

Photo: Mark Edwards/Robert Harding Picture Library

Significant ongoing efforts to implement the Libreville Declaration

Human beings are at

Photo: Gary Crabbe / Enlightened Images Photography

and environment benefits

very year, 7 million people die from diseases

as the host of the CCAC Secretariat, UNEP is

water and increases vector-borne diseases.

Photo: Michael Christopher Brown/ Magnum Photos