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Impacted by HurricanesOn November 2, 2020, Hurricane Eta made landfall in Puerto Cabezas, Nicaragua. As a Category 4 hurricane, it was the strongest hurricane to hit the Central American region in many years. Shortly after, Hurricane Iota hit. Thousands have died and many have experienced displacement. Since Central America is one of the poorest areas of Latin America, the U.S. is in a position to help alleviate the crisis by providing foreign aid to those impacted by hurricanes.

Poverty in Central America

Nicaragua is the second-poorest nation in the Western Hemisphere. Moreover, Nicaragua’s poverty rate sits around 15.1%. Geographically, the poorest area of Nicaragua is the Atlantic Coast of the country. Similarly, Honduras is an impoverished nation located north of Nicaragua. Honduras is also one of the poorest countries in Central America. Furthermore, Honduras’ geographical location leaves it exposed to extreme weather such as heavy rainfall and droughts. The most vulnerable, oftentimes rural and coastal populations, are susceptible to these intense weather changes. Neighboring countries of El Salvador and Guatemala are also impoverished nations with vulnerable populations. The increased climate disasters leave these populations at risk of death, poverty and becoming climate refugees.

Hurricane Eta and Hurricane Iota

On the eve of Hurricane Eta’s landfall, the Nicaraguan government evacuated around 3,000 families living in the coastal area. According to UNICEF, more than a million Nicaraguans, which also includes half a million children, were endangered by the hurricane. El Salvador evacuated people as a precaution and many of Guatemala’s departments declared a state of emergency.

Hurricane Eta made landfall as a Category 4 hurricane. The storm destroyed houses, hospitals and businesses. Widespread flooding and mudslides were responsible for the casualties across the region. Unfortunately, Hurricane Eta was not the only storm blasting through Central America.

Weather forecasters predicted another strong storm, Hurricane Iota. Also a Category 4 hurricane, Iota made landfall 15 miles south of where Hurricane Eta did just days prior. The hurricane further stalled the rescue efforts of the region. In Honduras, the hurricanes impacted around 4 million people with more than 2 million losing access to health care. Moreover, Guatemala had more than 200,000 people seeking shelter after the two hurricanes.

Foreign Aid to Central America

The Central American region is impoverished and vulnerable to natural disasters. Furthermore, many Central American nations depend on foreign aid from the United States. The countries of Guatemala, Honduras and El Salvador (the Northern Triangle) rely on foreign aid from the U.S. to manage rural poverty, violence, food insecurity and natural disasters. Moreover, that aid has been reduced under the Trump administration. Since Donald Trump took office, the aid for these countries has reduced from $750 million to $530 million. In April 2019, Trump froze $450 million of foreign aid to the Northern Triangle, further diminishing the lives of many. Foreign aid keeps Central Americans from plummeting to extreme poverty and also curtails migration to the United States.

Congress Pleads for Foreign Aid

As Hurricane Eta ravaged through Central America, Rep. Norma Torres (CA-35) wrote a letter urging Secretary of State, Mike Pompeo, to increase foreign aid to Central America. Torres (CA-35) wrote, “Hurricane Eta was an unavoidable natural disaster, but its aftermath is a preventable humanitarian crisis in the making.” In addition, the Chairman of the House Foreign Affairs Committee (HFAC), Eliot Engel (NY-16), also showed his support for increased aid to those Hurricane Eta impacted. Engel wrote, “a large-scale U.S. effort is needed to provide much-needed relief to those affected by Eta so that they are not forced to leave their countries and make the perilous journey north.”

USAID Provides Disaster Relief

The U.S. Agency for International Development (USAID) has agreed to increase aid by $17 million to the countries impacted by Hurricane Eta and Hurricane Iota. Studies have shown that foreign aid is a successful policy to reduce global poverty. Any aid given to these countries benefits the lives of those impacted by hurricanes in several significant ways.

– Andy Calderon
Photo: Flickr

Childhood Cancer in Developing Countries
Although people have made significant progress in treating communicable diseases in childhood, one cannot say the same about reducing childhood cancer in developing countries. In fact, many did not consider it a public health problem in the developing world until recently. The mortality rate is currently an alarming 80 percent in developing countries with 160,000 new cases each year. Tragically, many could receive treatment from generic medications if they receive the right foreign aid according to Republican Congressman Michael McCaul. Children with cancer living in low to middle-income countries are four times as likely to die of their disease as children living in high-income countries. 

Challenges Ahead

In order to reduce morbidity rates from childhood cancer in developing countries, people on the ground will face significant challenges. U.S. researchers reported that the median cost for 15 different generic drugs was only $120 in South Africa and $654 in the U.S., yet many people cannot even afford the lowest drug prices. The reason is that the drugs are actually more expensive when compared to per capita GDP (the average person’s total economic output). In Australia, generic drug prices were 8 percent of per capita GDP compared to 33 percent in India. The question of how many people will be unable to receive treatment despite lower drug prices remains. Another challenge is that many children will have already reached the late stages of the disease and perhaps even have comorbid HIV as with the Burkitt lymphoma trial in Malawi. The trial failed to reach two-thirds the cure rate of developing countries despite patients receiving intensive chemotherapy treatment.

New Legislation Passed

Yet there is hope. The U.S. House of Representatives has recently passed a bill to address the issue. McCaul and Democrat Congressman Eliot Engel introduced the Global Hope Act of 2019 and demonstrated that the two parties are still capable of swiftly passing bipartisan legislation despite increased polarization in the country.

The congressmen introduced the bill on December 10, 2019, and the House passed the bill on January 27, 2020. The bill aims to improve the survival rate of children living with cancer in developing countries. It will support the Global Health Organization’s initiative to increase the survival rate of children with cancer to 60 percent by 2030.

How it Works

One of the main focal points of the bill is improving the availability and cost of existing medicines and developing new ones. People have already developed much of the infrastructure from previous aid directed toward communicable diseases, but the bill seeks to enhance infrastructure as well. As outlined by the foreign affairs committee’s press release, the bill will help increase the survival rate of children with cancer by:

  • Supporting efforts to train medical personnel and develop healthcare infrastructure to diagnose, treat, and care for children with cancer
  • Leveraging private sector resources to increase the availability of cancer medicines
  • Improving access to affordable medicines and technology that are essential to cancer treatment
  • Coordinating with international partners to expand research efforts to develop affordable cancer medicines and treatments

Childhood cancer is the second leading cause of death in childhood worldwide, second only to accidents. Though the issue remained in the shadow of communicable diseases for years, people are starting to take notice. The new legislation passed in the house addresses many of the barriers to a high survival rate for childhood cancer in developing countries.

– Caleb Carr
Photo: United Nations

AGOA and MCA
The House Foreign Affairs Committee, including Chairman Ed Royce (R-CA), Ranking Member Eliot Engel (D-NY), and Reps. Chris Smith (R-NJ) and Karen Bass (D-CA), joined forces to introduce legislation that will improve economic trade in Africa utilizing the Africa Growth and Opportunity and Millennium Challenge Acts.

The original African Growth and Opportunity Act (or AGOA) is a U.S. Trade Act enacted in May 2000. AGOA enhances access to the U.S. market for qualifying Sub-Saharan African (SSA) countries. In order to qualify for AGOA, countries have to be working to improve their rule of law, human rights and respect for labor standards. Although the act originally covered an eight-year time period until 2008, due to various amendments signed by both former Presidents George W. Bush and Obama, AGOA has been extended to 2025. The new amendments will update and strengthen the original act.

The amendments to AGOA will make information more readily available over the Internet to users in both Africa and the U.S. while encouraging policies that promote economic trade with Africa. They also provide technical assistance that allows participating countries of AGOA to utilize it to its full capacity.

The second part of this legislation will improve economic trade in Africa through updating the Millennium Challenge Act (or MCA). The MCA was passed in 2003 with the main purpose of providing global economic development through assisting in programs that will eliminate poverty while supporting good governance and economic freedom. These programs are run through the Millennium Challenge Corporation (MCC), which partners with countries directly in programs that encourage economic growth.

The new amendments to the legislation will allow the MCC to work with more flexibility in their mission to increase regional trade, collaboration, and economic integrity. To accomplish this, the amendments to MCA will allow two projects, or “compacts,” per country simultaneously. In the previous legislation, there was only one allowed—making it particularly competitive. Additionally, MCC’s private-sector board members can extend their term for two years, providing stability. Lastly, the reporting requirements of MCC will be strengthened in order to ensure greater transparency.

Upon the introduction of these amendments to both AGOA and MCA, Chairman Royce, Ranking Member Engel, Rep. Smith and Rep. Bass said in the press release by the Foreign Affairs Committee: “Moving developing countries away from aid and toward trade helps African companies, especially women. But it also benefits U.S. farmers, manufacturers and small businesses by providing new markets for their goods. So today we are introducing a bill to modernize AGOA and MCA—key laws in the effort to encourage African economic independence and promote U.S.-Africa trade. With Africa’s consumer spending expected to reach one trillion dollars, now is the time to accelerate this important trade relationship.”

The introduction of these amendments is a step in the right direction for economic trade in Africa. As so many other countries have invested in the economic growth of Sub-Saharan Africa, the US appears to be moving in that direction as well with the updates of AGOA and MCA.

Sydney Roeder

Photo: Flickr

Digital GAP Act
The Digital Gap Act, a key bill advocated for by The Borgen Project has passed in the House of Representatives. The Digital Global Access Policy (GAP) Act (H.R. 5537) passed on September 7 with bipartisan support, championed by House Republican Chair Cathy McMorris Rodgers (R-WA), House Foreign Affairs Committee Chairman Ed Royce (R-CA), Ranking Member Eliot Engel (D-NY) and Congresswoman Grace Meng (D-NY).

The bill, introduced in June 2016, targets the percentage of world’s population without internet access. If enacted, the Digital GAP Act would promote mobile or broadband internet access to at least 1.5 billion of the 4.2 billion people without internet access by 2020. Nearly 75 percent of those living offline reside in only 20 countries and are predominantly low-income, female, elderly, illiterate and rural populations.

The bill requires the Department of State, USAID and the Peace Corps to make integrated efforts to promote first-time internet access across developing countries. To do so, the Digital GAP Act supports internet deployment, capacity building, and build-once approaches by standardizing the inclusion of broadband conduit pipes as part of sewer, power transmission facilities, rail, pipeline, bridge, tunnel and road projects.

By leveraging support from international agencies, the legislation aims to promote gender-equitable internet access and protect human rights online, including the freedoms of speech, assembly, association, religion and the right to privacy.

The bill would further require the President to report to Congress on not only the progress of his internet access policy but also on the partnerships between federal agencies to provide access and develop infrastructure.

To accomplish these goals, the Congressional Budget Office (CBO) estimates that the implementation of the Digital GAP Act would cost less than $500,000 between the years 2017 and 2021.

Upon the introduction of the bill into Congress, McMorris Rodgers stated, “Access to the same technology which powers the American economy is critical to empowering developing countries. By promoting internet access around the world and modernizing our approach to humanitarian and International development programs, we will be taking an important step towards closing the digital divide holding so many people back, and improving global economic security.”

Earlier this week, McMorris Rodgers expressed her enthusiasm towards the passing of the bill, adding, “Modernizing our international aid prerogatives to reflect the 21st-century world we all live in is crucial as we look to get more of the developing world online.”

Overall, the Digital GAP Act seeks to end the digital divide by providing equitable and affordable internet access which could be the catalyst for a myriad of positive changes in resource-poor communities by spurring economic growth and job creation, reducing poverty and gender inequality as well as improving health education.

The Borgen Project has advocated for the passing of this legislation in recent months and will continue to stress global internet access as an important tool in the fight against poverty as the bill progresses to the Senate.

-Anna O’Toole

Photo: Flickr