Advocacy and diplomacy

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Community focus for global health risks

Community-level health volunteers and activities are vital to addressing the most pressing global health risks. Governments and international partners must provide greater funding and recognition for the role of community level health volunteers and interventions.

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No-one is safe until everyone is safe – why we need a global response to COVID-19

Equitable vaccine distribution is a humanitarian imperative. There is a choice. The world of the next 10 years can be one of greater justice, abundance and dignity. Or it can be one of conflict, insecurity and poverty. We are at a turning point. COVID-19 has been a truly global crisis in which we all have shouldered a burden. In many cases this has caused us to reflect on those longer injustices that have perpetuated in parts of the world where the pandemic is yet another layer of misery, instability and unrest. These inequalities have been exposed and exacerbated by the impact of the pandemic, both between and within countries. The effects will be felt on a global scale for years to come. The impact of a catastrophe like the COVID-19 pandemic is measured in the tragedy of individual loss and death, as well as the national and global disruption to almost every part of life. No country in the world has been untouched. Variants of the virus, potentially more infectious and resistant to vaccines, will continue to threaten us if they are not controlled now. Those of us who have signed this declaration represent organizations with roots in communities across the world. We work closely with those affected by conflict, disaster and famine, and know the immense challenges they face – but also of their resilience even in the worst of situations. In 2021, the world economy is facing the worst downturn since 1945. For some countries this will sharply increase poverty and suffering. For others it means hunger and death. The fallout from the pandemic will be with us for a long time to come. There will be a continued economic impact, with all the human suffering that brings. A generation of children, especially girls, have left school and will not return. The world is facing the challenge of how to reverse these devastating dynamics with health being a key part of such a response. We advocate here for ‘Health for All’, where each person’s life is valued, and every person’s right to healthcare is upheld. People not only need vaccinations – they need access to healthcare workers who are skilled and equipped to deliver adequate medical support. We need to build a world where each community, regardless of where they live, or who they are, has urgent access to vaccinations: not just for COVID-19, but also for the many other diseases that continue to harm and kill. As the pandemic has shown us, in our interdependent world no one is safe until everyone is safe. We have a choice: vaccine nationalism or human solidarity. Thanks to effective international action, several vaccines have been produced. The World Health Organization, GAVI and CEPI are leading the COVAX initiative, which is currently the best effort we have to ensure that vaccines reach people around the world. However, COVAX is only intended to cover 20% of the global population– the most vulnerable in lower-income countries – by the end of 2021 and it is not yet clear if it will meet this target. Meanwhile studies show that if we focus only on vaccinating our own populations, the world risks global GDP losses of up to $9.2 trillion (with half of that cost being incurred by high income countries) this year alone. But it is not just a matter of money. In order to achieve wider global vaccination, complex logistical, infrastructure and scaling issues must be addressed. The Access to COVID-19 Tools (ACT) Accelerator is focused on providing a means to accelerate the development, manufacturing and distribution of COVID-19 diagnostic and treatment products. The ACT recognizes and aims to address the requirement for information sharing – whether about technology, intellectual property or manufacturing. However, more needs to be done. The sharing of information, the transfer of technology and the strengthening of manufacturing processes, to name a few, require the active involvement of States and the private sector. We therefore call on world leaders to: Ensure equitable access to vaccines between countries by providing vaccines, sharing knowledge and expertise, and fully funding the Access to COVID-19 Tools (ACT) Accelerator, which is working to provide equitable access to and implementation of COVID-19 diagnostics, therapeutics, and vaccines. Ensure equitable access to vaccines within countries by ensuring all sectors of the population are included in national distribution and vaccination programs, regardless of who they are or where they live, including stigmatized and marginalized communities for whom access to healthcare might not be straightforward. Support countries financially, politically and technically to ensure that curbing COVID-19 is not a standalone goal, and instead is one important element of a broader health strategy, implemented alongside communities to bring longer-term improvements to people’s health and access to healthcare. We are committed, in our different institutions, to offering all the help we can to support actions by communities and authorities. It is time for decisive leadership. Countries and organizations across the world have a once-in-a-generation opportunity to address global inequality and reverse some of the fallout from the past year. In doing so, they will bring hope not only for the poorest in the world, but for us all. The Most Reverend Justin Welby, Archbishop of Canterbury Peter Maurer, President of the International Committee of the Red Cross Bishop Ivan M Abrahams, General Secretary of the World Methodist Council HE Elder Metropolitan Emmanuel of Chalcedon, Ecumenical Patriarchate The Reverend Dr Chris Ferguson, General Secretary of the World Communion of Reformed Churches Dr Tedros Adhanom Ghebreyesus, WHO Director-General Filippo Grandi, United Nations High Commissioner for Refugees Henrietta H. Fore, Executive Director, UNICEF The Reverend Dr Martin Junge, General Secretary of the Lutheran World Federation Dr Azza Karam, Secretary-General, Religions for Peace Francesco Rocca, President of the International Federation of Red Cross and Red Crescent Societies Rabbi David Rosen, Co-President, Religions for Peace Sheikh Ahmed al-Tayeb, The Grand Imam of al-Azhar HE Cardinal Peter Turkson, Prefect of the Dicastery for Promoting Integral Human Development, Rome

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As climate-related disasters escalate, humanitarian sector urges world leaders to invest in preparedness

Geneva, 24 August 2021 – The recent devastating wildfires, heatwaves, droughts, floods and storms are having a severe impact on millions of people and put lives at risk across the globe, the International Federation of Red Cross and Red Crescent Societies (IFRC) has warned. The extreme rainfall that led to last month’s devastating floods in Belgium, Germany, Luxemburg, and the Netherlands are made 1.2 to 9 times more likely to happen due to climate change, according to an attribution report by an international team of leading climate scientists and the Red Cross Red Crescent Climate Centre. The report also found that such downpours in the region are now 3-19% heavier because of global warming. Jagan Chapagain, Secretary General of the IFRC, said: “It cannot be more evident that climate change is here - and its humanitarian impacts are devastating. As humanitarians, it is our role to respond to disasters, but also to address risks and better prepare our communities, especially the most vulnerable. “But we cannot do it alone. With COP26 approaching, we urge governments to make comprehensive and lasting political commitments to boost preparedness, build resilient communities and save lives.” The results of the World Weather Attribution report are in line with the conclusions of the major Intergovernmental Panel on Climate Change (IPCC) report released earlier this month, which assessed that there is now unequivocal evidence that humans are warming the planet’s climate, and human-induced climate change is the main driver of changes in including weather extremes. Maarten van Aalst, Director of the Red Cross Red Crescent Climate Centre: “The science is clear: climate change is hurting us already today. The huge human and economic costs of these floods are a stark reminder that we need to prepare for more extreme weather events. “Local communities are already confronted with the rising risks, and it is critical that they are aware of what’s coming their way, supported to reduce risk where we can, but also to evacuate and respond if needed.” The catastrophic flooding in Western Europe killed more than 220 people and forced thousands to leave their homes. Thousands of volunteers from National Red Cross and Red Crescent Societies responded to the crisis and worked tirelessly to evacuate people, provide shelter, and distribute food, clothing and medical supplies. The impact of such disasters can be reduced by investing in local communities and giving people the tools to respond. In the face of tropical storm Henri, the American Red Cross is currently providing in-person and online guidance to communities on how to prepare for a flood, keep families safe during such emergencies, and clean up a flooded home. In the Middle East, Red Crescent Societies, including those in Iran, Iraq and Syria, have been responding to the drought affecting the lives of millions of people. In Saudi Arabia, the Red Crescent has organized a nationwide campaign on mitigating the health hazards caused by the temperatures climbing up to 50C. Ahead of the worst of the winter season, the Mongolian Red Cross Society gave unrestricted cash grants and animal care kits to 2,000 herder households in most-at-risk areas, helping to prevent the suffering among communities. Around the world and particularly in vulnerable areas, the IFRC has expanded the use of forecast-based financing to allocate emergency funding ahead of predicted disasters. This helps communities take the necessary measures to protect themselves such as: strengthening their houses and evacuating people before a disaster hits. But, as the climate crisis is accelerating, more needs to be done. 1.7 billion people have already been affected by climate and weather-related disasters in the past decade, according to the last World Disasters Report. In 2020, IFRC through its Disaster Relief Emergency Fund (DREF) provided 75 National Red Cross and Red Crescent Societies with 32 million Swiss francs to support 109 operations – many of which were floods and cyclones in the Asia Pacific region and Africa. For more information or to arrange interviews, please contact: In Geneva: Marie Claudet: +33 7 82 68 18 34 or [email protected]

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Refugees are paying the highest price in the COVID-19 pandemic

Geneva, 18 June 2021 – Ahead of World Refugee Day on 20 June, the International Federation of Red Cross and Red Crescent Societies (IFRC) raises the alarm about the situation of refugees who are facing severe humanitarian hardships, which have been exacerbated by the COVID-19 pandemic. Jagan Chapagain, IFRC Secretary General, said: “Vulnerable groups, such as refugees, are paying the highest price in the COVID-19 pandemic. We are seeing alarming trends that show many refugees around the world are unable to pay for food or rent and are struggling to access health care and education. “Refugees have been disproportionately affected by the impact of the COVID-19 pandemic and have often been left out of socio-economic support policies. A large number of refugees have lost their sources of income or depleted their savings and are now adopting negative strategies to survive.” In Bangladesh, latest analysis carried out in refugee camps in Cox's Bazar by the Bangladesh Red Crescent Society – with support from the IFRC – reveals that communities are struggling to cover their essential needs, particularly due to COVID-19 related movement restrictions, health issues, restricted access to markets, and a recent major fire in the camps. Price hikes in local markets and further displacement caused by camp fires have pushed many families further into food insecurity. During April and May, around 30,000 refugees in the Cox's Bazar camps raised questions and concerns, with 63% seeking services, including urgent food relief and shelter. Just over one third (37%) requested health or medical care. In the past year, reduced presence of humanitarian organizations in the camps due to COVID-19 restrictions also led to an increase in child labour, sexual and gender-based violence and heightened risk of human trafficking. In addition, an increase in child marriage has been observed since the start of the pandemic, often seen as an alternative to education or work. In Colombia, border closures, movement restrictions and loss of livelihoods led to limited access to food and accommodation, with many refugees and migrants – most of whom are from Venezuela - eating only once per day. 18% of those surveyed by the Red Cross Red Crescent Global Migration Lab cited food security and malnutrition as the biggest risks for children during the pandemic. In Turkey, a recent study – conducted by the Turkish Red Crescent and the IFRC – indicates that, among the 4,500 refugee households surveyed[1], debt levels have increased by nearly 50% over the last year. Even more alarming is the fact that many families are unable or can barely afford to pay for what they need most, such as food (72%) and rent (66%). However, cash assistance provided by the EU-funded Emergency Social Safety Net (ESSN) is helping refugees to cover some of these costs. In order to cope with the consequences of the COVID-19 pandemic, refugees are increasingly relying on survival strategies, such as reducing food consumption, buying cheaper and less nutritious food, buying food on credit and borrowing money from relatives and friends. These strategies have negative consequences on health and well-being and contribute to worrying levels of food insecurity and skyrocketing debts for refugees. “Nobody should be forced to choose between giving their family food or paying their rent; nor face hunger or forced evictions,” said Jagan Chapagain. “Governments should work together with donors, international and multilateral organizations, private sector and civil society to effectively mitigate the negative impact of the COVID-19 pandemic on vulnerable groups, such as refugees and migrants. It's our shared responsibility to ensure that everyone can meet their most essential needs”. -- [1] Households receiving cash assistance from the EU-funded Emergency Social Safety Net (ESSN) are identified as “eligible” in the Intersectoral Vulnerability Study, while those not receiving support are “ineligible”. In Turkey, refugees are officially recognized as “foreigners who are under international protection or temporary protection”.

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Advocacy hub

Red Cross and Red Crescent Societies areauxiliaries to the public authorities in the humanitarian field. Theyhave a special responsibility to support their authorities to develop policies that protect vulnerable people, particularlyfrom disasters and crises. The IFRC serves as their representative in global and regional policy fora, working closely with the International Committee of the Red Cross (ICRC).

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Tackling the humanitarian impacts of the climate crisis together

Imagine two neighbouring communities. One a wealthy neighbourhood next to a lake, its large houses surrounding a community hall that doubles as an evacuation centre. The other, a densely packed, low-income fishing village on the nearby harbour. The weather has been strange lately: destructive typhoons are becoming more frequent; the winds are stronger. Dangerous floods happen more often. Given the increasing risk, the authorities announce that they’ll take action to keep everyone safe. They decide to pay for a second evacuation centre in the wealthy suburb. This is clearly a terrible decision. But scenarios like this are playing out every day in countries and communities most at risk from our changing climate. Globally, 86 million people may be at risk of flooding by 2030, according to new research presented in the World Disasters Report 2020 - released today by the International Federation of Red Cross and Red Crescent Societies (IFRC). Asia is by far the most disaster-prone region in the world, experiencing around twice as many emergencies such as major floods and storms as the Americas or Africa. The study shows that of the 20 countries assessed as most vulnerable to climate change, and climate and weather-related disasters, including Afghanistan and the Solomon Islands in the Pacific, not one was among the 20 highest per-person recipients of climate adaptation funding, according to the Notre Dame Global Adaptation Initiative. Bangladesh and Myanmar are only just ahead of the 20 countries most vulnerable to climate disasters, yet both have seen gains in recent years. In Bangladesh, investment in early action ahead of floods and cyclones is not only preventing death and injury but making it a little easier to recover from more destructive and frequent monsoonal flooding. None of the five countries that spend the most on adaptation to climate change had “very high” – or even “high” vulnerability scores. Not one was classed as “fragile”. place. At the other end of the funding spectrum, less than 1 US dollar per person is being made available for climate adaptation funding in five out the eight “very high” vulnerability countries, and 38 out of 60 countries deemed to be of “high” vulnerability. This is the equivalent of putting the new evacuation centre by the lake, rather than making it accessible to the fishing community that is at high risk from storms and floods. And all over the world, people are being left at risk because the resources required for adapting to climate disasters and reducing risks are not reaching the community level, where they are needed the most. Urgent investment is needed, now, if countries are to introduce necessary climate adaption measures that will protect communities and prevent human and economic costs of disasters. But how can we do this in the current economic situation? After all, looking just at the adaptation needs outlined in the nationally determined contributions of 50 developing countries, 50 billion US dollars is needed every year. My worry is that this shortfall will continue to grow as governments and international donors concentrate on the ongoing pandemic. But climate adaptation work can’t take a back seat while the world is preoccupied with COVID-19. The two crises have to be tackled together. And we have the opportunity to do this. The massive stimulus packages that are being developed around the world in response to COVID-19 are an opportunity to “build back better”. We can build a green and adaptive recovery, using relevant funds to invest in making communities safer and more resilient to future disasters. We can expect the pandemic to have a serious impact on future resources. But this underlines the importance of smart financing to reduce disaster risks and promote climate adaptation in all communities exposed to hazards. Climate change is an even more significant threat to humanity than the COVID-19 pandemic. It affects us all. Some countries in Asia and the Pacific are currently more exposed to climate risks than others, but we will all feel the impact eventually. So we all have to adapt. We can start by putting resources at the disposal of the people who need it most. By protecting them, we give everyone a better chance of preventing the terrible human toll from storms, floods and fires that will affect us all.

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