Oxfam Trailwalker

Anyone want to do the Oxfam Trailwalker? Seems I’ve been somewhat tardy getting a team together… the places available for those willing to commit to raising $1000+ filled up within a day. Which means now, the minimum fund raising to enter is $3000. Anyone game?

Health and organic food in Cuba

There’s a lot of lessons we could learn from Cuba. That’s right, Cuba. Poor, communist nation, currently the subject of US embargoes. Admittedly, I don’t fully understand the political situation there, but here’s what I do understand: in 2003 Cuba is ranked even 7th (behind 30 other countries) in terms of Healthy Average Life Expectancy (HALE – figures taken from WHOSIS).

The HALE in Cuba is 68. Japan’s HALE is 75. Japan spent $2018 (average of spending from 1995-2006) to achieve this. The USA (the least effective spender on health) spent $4949 to achieve a HALE of just 69. On average, the 30 top ranked countries spend $2475 per capita. Cuba spent just $211. The nearest rival in terms of health spending effectiveness was Singapore (HALE 70, per capita spending $941) which spent $13 per year of healthy average life, versus $3 per year in Cuba. The top five performers are Cuba, Singapore, Malta, Spain and Japan.

There are of course lessons to be learnt from all of these countries. Here are a few that we can learn from Cuba: focus on prevention. Train doctors, and imbed them in communities, rather than hospitals alone. Fund research. Use vaccines and eliminate diseases. Measles was eliminated in Cuba in the early or mid 1990’s. Grow and eat healthy food.

Cuba has been assisted greatly by the US embargoes on this front – it had no choice, other than starving. Cuban’s grow food without petrochemicals such as fertilisers and pesticides. They don’t depend on oil to plow the earth or ship produce great distances. Instead, farms are interspersed within communities, including within cities. They use natural substances to deter pests, and use complementary crop techniques, instead of monocultures that require substantial chemical intervention. The result is cheap, healthy food – and it shows in healthy average life expectancy.

World food production

I’ve just read Feeding the World, a special report by Joel K Bourne Jr published in June’s National Geographic – I’m just catching up on the issues that came while I was away. The report discusses the fact that world food production is failing to keep pace with world food consumption. It also discusses the Millennium Villages, championed by The Earth Institute and Jeffrey Sachs, whose book I recently read. It’s hard to fault Sachs’ book, which argues compellingly that we can end poverty, but Feeding the World reminded me of an aspect of the book with which I am not wholly satisfied.

Sachs argues, amongst other things, that the Green Revolution of the 1960s should be brought to Africa as part of a program to end extreme poverty. The Green Revolution brought high-yield grain varieties, intensive irrigation and synthetic pesticides and fertilisers to Asia, enabling global production to double in the second half of last century. The Millennium Villages are in part intended as a demonstration that this can also be achieved in Africa.

In this argument Sachs’ takes the West’s proven technologies and rigourously plans and calculates how they can be applied in the third world. This is an eminently reasonable approach, and due to its conservative nature, no doubt the approach that has the best chance of receiving mainstream political support. However, one wonders if saddling the third world with technologies that increasingly seem outmoded is the best approach.

Intensive industrial agriculture has enabled us to feed a growing global population, but it has also depleted soils and aquifers, and in many cases degraded those resources to the point where they can no longer be used. It seems that there may be hard limits to how much further industrial agriculture can carry us, and it seems that we might have come right up against those limits.

There is, however, an alternative to industrial agriculture, one that has a great deal of promise. Sustainable farming seems to be a real alternative- choosing crops that suit the local conditions, rather than those crops for which there is the greatest demand; combining different crops that compliment each other and rotating through crops that fix nitrogen or protect soils, rather than raising vast areas of a single crop; managing farms as entire and complex ecosystems, from soil biology up, rather than as an equation of nitrogen plus water in equals gross tonnage out.

Despite its great promise, sustainable farming is handicapped by it’s apparent idealism, by the ease with which it is dismissed as naivety, and by the real complexity of achieving ecological management at a global scale. The simplicity of chemical agriculture for the end user is an enormous advantage. It remains to be seen whether sustainable farming will gain any real support, or the outcome if it doesn’t. For my part though, I’d rather struggle with the complex answer, then risk backing the simple response – as appealing as it might be – to the exclusion of all else.

Review: Jeff Sachs’ The End of Poverty

As I write this, I’m in Abu Dhabi International Airport. The last time I was here, I grabbed a copy of Jeffrey Sachs’ The End of Poverty: Economic Possibilities for Our Time. It’s a very readable book, and one that has opened my eyes to a whole different way of looking at the world. I very highly recommend that you read the book, as this review will not do it justice, but I would like to briefly summarise some key concepts that have stuck with me.

The key message of the book is that it is within our power, for the first time, to end extreme poverty. That is, over the next 15 years or so, we can build a world where no-one is without the basic necessities: food, clean water, shelter, education, health services, and the opportunity to work to better their lives.

To do this, we need to be guided by what Sachs refers to as clinical economics. Clinical economics means practicing economics as a doctor practices medicine, rather than as an exercise in promoting ideology. Rather than simplistic assessments of economic woes, it calls for a detailed differential diagnosis of the problem. Rather than one-size-fits-all solutions, clinical economics calls for an evidence based approach: choosing those courses of action that we have good empirical reasons to believe will work, and then rigorously assessing our progress against clearly defined goals.

While there are some parts of the work that I don’t completely agree with, for the most part The End of Poverty is excellent. Once again, I very highly recommend reading it. I found it to be thought-provoking and it has inspired me to find ways to engage with problems of this scale within my own domain. I have longed believed in the power of IT , and though my thoughts are yet to coalesce, I’m sure that IT has a large role to play in the end of poverty.