Despite a decline in new HIV infections globally, a UN report launched on Wednesday highlights that nearly all people who inject drugs live in countries that do not provide suitable harm-reduction service coverage, meaning they are denied adequate access to essential health services.

“UNAIDS is greatly concerned about the lack of progress for people who inject drugs, which is due to the failure of many countries to implement evidence-informed, human rights-based approaches to drug use,” said Michel Sidibé, Executive Director of UNAIDS, the UN agency dedicated to combatting the virus.

The new UNAIDS report, Health, rights and drugs: harm reduction, decriminalization and zero discrimination for people who use drugs, shows that of the 10.6 million who injected drugs in 2016, more than half were living with hepatitis C and one-in-eight with HIV.

Among other things, comprehensive harm reduction services, such as needle–syringe programmes, drug dependence treatment and HIV testing and treatment would “kick-start progress on stopping new HIV infections among people who use drugs”, says  the report.

“By putting people at the centre and ensuring that they have access to health and social services with dignity and without discrimination or criminalization,” Mr. Sidibé said, “lives can be saved and new HIV infections drastically reduced”.

Few UN Member States have lived up to an agreement made at the 2016 Special Session on the World Drug Problem, to establish effective measures for people who use drugs, according to the agency.

UNAIDS advocates for the full engagement of civil society as an essential source of information and advocacy, especially in places where repressive policies and practices are the norm.

The organization also promotes human rights and health services, targeting harm reduction and HIV services, community-led responses and the removal of drug- and HIV-related stigmas and discrimination.

Human activity is damaging the planet so badly, exacerbated by climate change, that it will increasingly put our health at risk, warns a major report from the UN Environment Programme (UNEP), released on Wednesday at the UN Environment Assembly, currently taking place in Nairobi.

In a statement, UN Environment described the Global Environment Outlook, which was produced by 250 scientists and experts from more than 70 countries, as the most comprehensive and rigorous assessment completed by the United Nations in the last five years.

Unless environmental protections are drastically scaled up, the report says, there could be millions of premature deaths by the middle of this century, with pollutants in freshwater systems becoming a major cause of death by 2050.

The science is clear. The health and prosperity of humanity is directly tied with the state of our environment – Joyce Msuya, Acting Executive Director, UNEP

In addition, more chemicals, known as endocrine disruptors, will have an adverse effect on male and female fertility, as well as the neurological development of children.

The UN Environment Assembly is the world’s highest-level decision-making body on the environment, where environmental ministers from around the world are meeting to tackle critical issues such as food waste, accelerating the spread of electric mobility, and the crisis of plastic pollution in the oceans.

“The science is clear. The health and prosperity of humanity are directly tied to the state of our environment,” said Joyce Msuya, Acting Executive Director of UNEP. “We are at a crossroads. Do we continue on our current path, which will lead to a bleak future for humankind, or pivot to sustainable development? That is the choice our political leaders must make, now.”

Change outdated business models to save the planet

On a more optimistic note, the report makes clear that  the science, technology, and financing exists to move towards a more sustainable global economy, and ensure that the worst-case scenario is avoided, but political leaders, together with much of the public and private sector, is still wedded to outdated, polluting models of production and development.

Ensuring a near-zero-waste economy by 2050 will require a new global business approach, and the report shows that “green investment” of just 2 per cent of countries’ GDP would deliver long-term growth comparable with a “business as usual” approach, but with fewer impacts from climate change, water scarcity and loss of ecosystems.

As well as policy changes that address entire systems such as food and energy, the report advises the adoption of low-meat diets, and a big cut in food waste: these two measures alone would cut by half the amount of food we will need to produce in order to feed the projected 9-10 billion people on the planet in 2050.

At present, the report states, a third of global edible food is wasted, and more than half of food produced in industrialized countries is thrown away.

More than a quarter of a million children in the Kasai region of the Democratic Republic of the Congo (DRC) – and thousands of others who have fled with their families to nearby provinces – are suffering severe and acute malnutrition, and need lifesaving treatment, said the UN Children’s Fund (UNICEF) on Wednesday.

Between 2016 and 2018, large numbers of people were displaced from their homes due to militia-led violence and insecurity in the Kasais, fueling rights abuses and high levels of malnutrition among children.

While pockets of insecurity still remain, thousands who had fled, have now returned to their communities: “We have been working tirelessly with partners and local communities in the Kasai region to support the slow recovery process following years of conflict and violence that have devastated children and families,” said Gianfranco Rotigliano, UNICEF Representative in the DRC.

At the same time, at least 300,000 Congolese are returning from Angola, causing additional stress on health centers, schools and other basic services in Kasai and compromising access to essential and lifesaving services for many children.

“We are concerned that recent gains for children might be lost in this fragile situation, now that we have many people returning to the region from Angola”, the UNICEF Representative pointed out.

Over the last two years, UNICEF and its partners have treated 200,000 severely malnourished children in the Kasai region and rehabilitated 500 burned-down or looted classrooms so children could return to school.

It has also assisted more than 100,000 children with psychosocial support and education material and supported more than 5,000 unaccompanied children and those associated with militias, helping to reintegrate them back into their families and communities.

Moreover, since 2017, UNICEF and its partners in Kasai have vaccinated nearly four million children against measles and yellow fever; organized access to health care for more than 163,000 people; provided 900,000 people with water, sanitation and hygiene kits in cholera-prone zones; secured access to community spaces for learning for 78,000 children; provided essential household items to nearly 150,000 people; and reached more than six million people with key life-saving messages.

An independent rights expert appointed by the Human Rights Council has called on the United Nations to “provide justice and remedies” to displaced people who suffered lead poisoning after being housed in UN camps on toxic wasteland in Kosovo.

The appeal on Wednesday by Special Rapporteur on human rights and toxics, Baskut Tuncak, follows a UN panel report on alleged human rights violations by the United Nations peacekeeping mission in Kosovo, UNMIK.

Among the cases reviewed by the Human Rights Advisory Panel was a complaint submitted by 138 individuals from the Roma, Ashkali and Egyptian communities that they suffered lead poisoning and other serious health consequences after their relocation to internally-displaced persons (IDP) camps in northern Kosovo, between 1999 and 2013.

Taking into account the panel’s findings, the office of UN Secretary-General António Guterres, announced in May 2017, the establishment of a Trust Fund to implement community-based assistance projects.

The statement said that the Secretary-General “believes that it is our shared duty to support the Roma, Ashkali and Egyptian communities in Kosovo and ensure that they receive the assistance that they need.  In this connection, the Organization will make every effort, in consultation with Member States, to mobilize the necessary resources in support of the Trust Fund.

However, to date, the Fund has not received any contributions from Member States, Mr. Tuncak maintained, adding that lead poisoning is believed to have contributed to the deaths of several children and adults.

‘Fundamentally flawed’ solution

“I am deeply disappointed by the inertia surrounding this case,” he said, “and that the solution offered by the UN is an inoperative and fundamentally flawed Trust Fund, which will neither provide justice, nor the necessary elements of an effective remedy for the victims.”

According to the Special Rapporteur, around 600 people lived in the camps -following their displacement during conflict between the then Federal Republic of Yugoslavia and Kosovo Albanian rebels who were supported by NATO airpower – between 1999 and 2013. Approximately half were children under the age of 14.

Reports of lead poisoning among residents were available as early as 1999, Mr Tuncak said in a statement, noting that protective measures to prevent lead exposure were taken for peacekeeping personnel in 2000.

Such action was not carried out for residents until 2006, however, he said.

“After sobering discussions with victims and their families and assessing the facts of this tragic case, the circumstances demand individual compensation and a public apology by the United Nations, in addition to community-based projects,” Mr Tuncak said.

“The UN’s integrity is at issue,” he continued. “It should reform its approach and mobilise the necessary resources to fully implement the recommendations of its own Human Rights Advisory Panel without further delay.”

In addition to recommending compensation payments to 138 individuals, the panel also called for a public apology for failing to comply with human rights standards.

“Decades ago, UNMIK did not fulfil its mandate to promote and protect the rights of these children and their families,” the Special Rapporteur said.” Nothing will replace what these victims have lost, but now the United Nations has an opportunity to do what it can to atone for past mistakes.”

 “The central question of gender equality is a question of power”, he stressed, noting that we continue to live in a male-dominated world with a male-dominated culture.

 “Power is not given, power is taken”, he stressed, adding that “we have to push back” against the resistance to change “because people do not like power being taken”.

“We will only be successful if we are able to combine the institutional approaches, like the ones the UN develops, with the approaches at the civil society [level], the grassroots movements and the public opinion in general”, he elaborated.

In enumerating the UN’s internal priorities, he listed the first as parity, telling the meeting that at the senior Under-Secretary-General (USG) and Assistant-Secretary-General (ASG) levels, “we are now at 53 per cent men and 47 per cent women, which means that we are in line to the commitment I made to reach full parity in senior management in 2021”, he stated.

He added that while there are 26 women and 16 men in senior management, peacekeeping remains a male-dominated field. “We need to have probably a majority of women in headquarters” at the USG and ASG level, he said, “to compensate for what is still a minority in the field, but we are making progress very quickly”, he explained.

Notwithstanding the progress at the top levels, where he can personally appoint women, he said he was aware of a “pushback” moving down the ranks. To remedy this, Mr. Guterres said he was encouraging all Member States to include gender as a criteria and vowed to keep pushing, adding that “the battle is enormous”.  

Ending impunity

Turning to sexual harassment, he flagged that the victims are predominantly women and girls “because of the power relations”.

The Secretary-General said the main obstacle to introducing a zero-tolerance policy was the doubt people had over its effectiveness, pointing out that often “the victim becomes a double victim” instead of the perpetrators being punished.

To combat this, “we have done something revolutionary” he told the group: “We created a team of six women experts on sexual harassment investigations” where complaints bypass the old bureaucratic system and go straight to this team, “which might make some men think twice”. This second priority was greeted with a stirring round of applause.

Sexual exploitation perpetrated by UN staff against others, namely vulnerable populations, was the UN chief’s third priority.

While cases are reported in peacekeeping operations, they also come in from agencies working in humanitarian and development fields.

Combatting this violence, including in families, is what Mr. Guterres called his first “outside priority”.

He identified “a wide range” of ways to do this, from prevention to training and more effective court systems.

The second priority beyond the UN he said, concerned human rights violations, which he said was “very much linked to the pushback aspect.”

Mr. Guterres cited an uptick in the persecution of women human rights defenders, online hate speech, harassment and “vicious campaigns of the worse possible kind”.

“The hatred and prejudice” against “women emerging”, is also “a question of power”, he said, lamenting that legislation, reproductive rights and “even genital mutilation” are moving backwards.

In conjunction with governments and international organizations, civil society has an important role to play in shifting this.

“We need to push back against the pushback in relation to what is a difficult environment for the human rights universe related to the question of gender,” Mr. Guterres spelled out.

The human right agenda in several parts of the world is losing ground and “it is very important that we unite our efforts to reverse this trend”, concluded the Secretary-General.