Bangladesh was born on December 16 1971, following a devastating war that cost the lives of 3,000,000 people. They were victorious in their fight for independence, yet the prospects of the Bangladeshi people living in the 70’s were disheartening, earning it the now rather infamous connotation of a basket case, as Henry Kissinger called it back in 1971. Emerging from the rubbles left by the war, the resilient Bangladeshis began the rebuilding of their newly established nation. Economic growth was slow to take off, and it rebounded to the pre-war level about twenty years later, in the 90’s. Yet, it was after the 90’s that the country began to attain palpable progress and only over the 2000-2010 decade that the country achieved great poverty reduction. The depth-of-poverty MDG target of 8 percent was attained five years ahead of schedule, and Bangladesh was set in the right path for achieving the first MDG goal of halving the poverty headcount to 28.5 percent by 2015.
“If I don’t get a hundred it would be a bad day.” said Muniran Bibi. She sounded like an ambitious cricket player. “The boat clinic is our only chance of getting health care here on the island.” she insisted. “If not many people come, a big chance would be wasted for them.” Her eyes were bright with anticipation.
“Bye sir!” Rahul was running ahead into the distance. It was hard for me to imagine how he could be running… The cracked soil was incredibly hot and extended all the way to what looked like a lake in the distance. It was not a lake…it was a mirage.
“He wants to be a doctor,” said his mother, who was walking next to me. “His sister does not know yet. She is only 2...”
When I came home from my visit to Gujarat, where we met Rahul Kalubhai Koli in Dhrangadhra in Surendranagar district, I could not stop thinking about him. He is 4 1/2, and he wants to be a doctor.
The latest science, described in the World Bank report “Turn Down the Heat,” indicates that we are heading toward a 4° C warmer world, with catastrophic consequences in this century. While carbon dioxide (CO2) is still the No. 1 threat, there is another category of warming agent called short-lived climate pollutants (SLCPs). Mitigating these pollutants is a must if we want to avoid the 4° C warmer future.
The main SLCPs are black carbon, methane, tropospheric ozone, and hydrofluorocarbons. They are potentially responsible for more than one-third of the current warming. Because SLCPs have a much shorter lifetime in the air than CO2; reducing their emissions can create almost immediate reduction of global/regional warming, which is not possible by reducing CO2 emissions alone. According to one U.N. report, full implementation of 16 identified measures to mitigate SLCPs would reduce future global warming by about 0.5˚C.
In this blog, we will focus on one SLCP – black carbon. Black carbon is a primary component of particulate matter (PM), the major environmental cause of premature deaths globally. As a climate pollutant, black carbon’s global warming effects are multi-faceted. It can warm the atmosphere directly by absorbing radiation. When deposited on ice and snow, black carbon reduces their reflecting power and increases their melting rate. At the regional level, it also influences cloud formation and impacts regional circulation and rainfall patterns such as the monsoon in South Asia.
Coal has been a mainstay of Indian energy. It accounts for 63% of India’s energy consumption, and demand is set to grow dramatically over the coming decades. Coal use for electricity generation is projected to grow 2% every year, almost doubling its share of India’s generating capacity by 2030. According to the International Energy Agency, India is likely to become the second-largest consumer of coal, surpassing the United States in the next five years.
Because coal is both cheap and abundant domestically, it may seem like the perfect solution to India’s energy and electricity woes. However, using coal comes with severe health, environmental, and economic effects. As quality of life improves for most Indians on one hand from economic progress, many could be subject to the vagaries of this dirty pollutant. Also, as the world moves closer to a consensus on climate change, using coal at this growing rate may become untenable.
Two recent studies shed light on the huge environmental damage that is done by coal-fired power plants in India. Professor Maureen Cropper and her co-authors at the University of Maryland estimated premature cardiopulmonary deaths associated with air emissions from 89 power plants from all over India. Last week, Professor Cropper presented their analysis in a World Bank seminar. Their study attributes on average 650 deaths per plant per year to directly emitted sulfur dioxide, nitrogen oxide and particulate emissions from coal plants.
Another recent study published by Greenpeace and authored by Sarath Guttikunda and Puja Jawahar presents more dramatic results than the Cropper study. It suggests that in 2011-2012, emissions from Indian coal plants resulted in 80,000 to 115,000 premature deaths and more than 20 million asthma cases from exposure to particulate pollution with an associated cost of $3.3 billion to $4.6 billion.
It looked like an ordinary little drugstore. A reasonable supply of medication on the right, and man behind a small desk in the middle.
But what was on the desk was not ordinary: a netbook laptop and a fingerprint scanner. And on the left were boxes, all the same medication, with names written on them. “Try it,” Neema said. “Scan your finger.” I did and the screen turned yellow. “You have never been here yet” said Neema, “I cannot give you any medication.”
The World Health Organization’s recent Global Burden of Disease (GBD) Assessment estimates that outdoor air pollution causes 620,000 premature deaths per year in India, a six fold increase since 2000. The main causes are growing emissions of particulate emissions (PM10) from transport and power plants. GBD in this analysis has ranked air pollution as the sixth most dangerous killer in South Asia and fifth leading cause of deaths in India.
Also, according to the WHO, across the G-20 economies, 13 of the 20 most polluted cities are in India and over 50% of the sites studied across India had critical levels of PM10 pollution. A recent rapid survey by Delhi based Center for Science and Environment revealed that almost 75% of respondents considered air pollution as a major cause of concern and as responsible for respiratory illnesses.
On Jan. 7 from 2-4 p.m., there will be a live chat on Sri Lanka's aging population at facebook.com/worldbanksrilanka. Tehani Ariyaratne, from the Centre for Poverty Analysis, will be joining the chat. Here, she discusses her recent work on the subject.
In Sri Lanka, an individual above the age of 60 is considered 'elderly'. Our documentary focussed on individuals in two districts, Hambantota and Batticaloa, and captures a diverse, rural elderly population. During the course of our fieldwork, we met and spoke with many individuals about their ideas regarding the benefits of and constraints to maintaining an active lifestyle.
Sri Lanka's population is young now, but getting older quickly. What does this demographic transition mean to you and for Sri Lanka?
Join a live chat Jan. 7 on the World Bank Sri Lanka Facebook page with experts including Indralal De Silva, professor at the University of Colombo; Sundararajan Gopalan, senior health, nutrition, and population specialist with the World Bank; Shalika Subasinghe, social protection consuiltant with the World Bank; and Tehani Ariyaratne of the Center for Poverty Analysis (CEPA).
The discussion will focus on the dimensions of growing old in Sri Lanka and move on to the challenge Sri Lanka is facing in dealing with an aging population with limited resources.
You might not think of health insurance as a suspenseful subject, but a recently released book on the subject proves different. As such, there is one missing entry on the back cover, describing the book "Government-Sponsored Health Insurance in India: Are You Covered?" by authors Gerard La Forgia and Somil Nagpal. Perhaps something like “The authors play with their readers’ nerves as they drill deeper and deeper into the mysterious workings of health insurance programs in India. Slowly a multi-faceted picture emerges, which the authors skillfully bring to bustling life, not least by adding fiscal and political economy spice throughout.”