Panelists Rachel Huxley, Claire Henly, and Pierpaolo Mudu discussed the threat of super pollutants ahead of the WHO Air Pollution and Health Conference.

CARTAGENA, Colombia – A small group of climate pollutants– including the air pollutants black carbon, methane, and ozone – are responsible for nearly half of global temperature increases to date. 

Reducing these emissions, which only remain in the atmosphere for a few weeks to decades, could serve as the “emergency brake” critical to halting runaway climate change, said experts Monday on the eve of the second WHO Air Pollution and Health Conference.

Although these pollutants exert enormous 20-year climate-warming potential that is 80 to 2,000 times greater than carbon dioxide (CO2) per ton of emissions, their lifespan is far shorter than CO2, which remains in the atmosphere for a century or more.

These pollutants are also projected to continue warming the climate with greater potency than CO2 over the next century.

“If you reduce them today, we’ll see impacts in our lifetimes,” said Claire Henly, executive director of the Super Pollutant Field Catalyst, a US start-up NGO, at a media briefing ahead of the conference

While CO2 has received the overwhelming amount of climate mitigation attention, Henly and others argued that addressing a class of “super pollutant” greenhouse gases and particles, also known as “short-lived climate pollutants,” offers the greatest opportunity to have a rapid, and meaningful impact on both health and climate.

Henly and others identified ozone, black carbon, and methane as super pollutants because of their wide-ranging impacts on food security, health, and climate change. Slowing the rate of climate change would make it easier for the “world to adapt to climate change,” said Henly. 

Nexus of climate change, air pollution and health

It is also the nexus where health, climate, and food security concerns directly converge – leading scientists to dub them “super pollutants” precisely due to those wide-ranging impacts. 

Black carbon is a sub-component of dangerous particulate matter, associated with some 7 million deaths annually from air pollution. 

Ground-level ozone, formed as pollutants emitted by vehicles, industry and waste, is a leading factor in respiratory illness, particularly asthma, as well as damaging some 90% of global crop production every year. Methane, emitted by waste dumps, agriculture, and oil and gas flaring, is a leading precursor to ozone formation.  

Slowing emissions would also slow the rate of climate change, buying time for the world to transition to cleaner energy sources and other longer-range climate solutions, said Henly. 

Two leading super pollutant gases, methane and nitrous oxides (N2Ox), are formally recognized in the Paris climate agreement as powerful greenhouse drivers with a climate forcing potential that is 80, and 270, times more than CO2 respectively in the next 20 years. But black carbon is ignored, leading to a fragmented approach.  

Super pollutants sources chart
Compared to carbon dioxide, super pollutants exert stronger climate warming in both the short and longterm, but drop out of the atmosphere faster.

Similarly, the shared concerns of climate and health sectors around super pollutant emissions are often siloed, said Sergio Sanchez, senior policy director at the Environmental Defense Fund. Greater recognition of super pollutants as detrimental to both health and climate could help break through the barriers to more climate action, he said.

Reducing these pollutants could avoid four times more warming by 2050, as opposed to decarbonization policies alone – and also prevent some 2.4 million deaths a year from air pollution. 

Yet emissions of super pollutants, including methane, are currently on the rise.

Agricultural sector is getting more attention

Punjab environmental officers put out fires set by Pakistani farmers in Province, an annual ritual on both sides of the border that leaves the entire Indo-Gangetic Plain shrouded in smoke.

Most attention on super pollutants has focused on methane leaks from the fossil fuel industry. These occur at nearly every stage of the extraction and production cycle, with natural gas flaring the most glaring example of methane emissions. 

However, another key source of potent methane emissions is the agricultural sector, which accounts for  40% of global human-made methane emissions, with livestock, rice cultivation and crop debris being key sources. 

People often forget the fact that in some regions, such as the European Union, the agricultural sector accounts for 54% of methane emissions, noted Pierpaulo Mudu, WHO scientist.

Another 34% of global methane emissions comes from fossil fuels and 19% from rotting urban and household solid waste. Some methane is also emitted by natural sources, such as peat bogs and wetlands. Overall, two-thirds of global methane emissions come from human activities, according to the Global Carbon Project. 

Methane emissions from agriculture harder to track

Methane emissions from agriculture, however, are much harder to track and monitor than emissions from the oil and gas sector.

“In agriculture, these pollutants are not emitted in high concentrations,” said Henly. 

“The emissions are distributed, and the kind of detection, whether it’s through on the ground sensors or remote detection, is just a bit more challenging than in the oil and gas coal sectors.

Whereas previously, only big methane spikes or leaks from oil and gas installations could be detected, that is changing now, Henly said. 

Recently, new technology, in the form of higher resolution satellite imaging, has opened the way for more granular estimates from sources like agriculture.

This week’s WHO conference will therefore feature the first session ever about the links between methane emissions in agriculture, climate, and health.  Solutions that can be promoted,, experts say, include biogas capture from anaerobic digestion of crop waste and manure as well as improved compost management – so that methane gas is not produced at all.

Ozone chokes crops

But agriculture is also impacted by super pollutants, particularly ozone. It’s now estimated that ozone leads to a loss of 12% of wheat, 16% of soybean, 4% of rice, and 5% of corn production every year.  

“So we can see that the super pollutants are a real growing threat to food security,” said Rachel Huxley, Head of Climate Mitigation and Health at Wellcome Trust.

Ground level ozone (O3) is a product of the vicious cycle of super pollutant formation. Gases produced by cars and industry, crop and waste incineration, interact in sunlight, leading to ozone’s creation. 

Unlike the “good” layers of stratospheric ozone that protect the planet and people from harmful ultraviolet radiation levels, ground level ozone is harmful to crop production as well as human health. 

Inhaling ozone leads to respiratory and a host of other health issues. And when over farmland, the pollutant can dramatically disrupt staple crop growth, according to a 2025 report by the Clean Air Fund.

This week, for the first time ever, WHO is convening a meeting on agriculture, air pollution, climate and health, with the hopes of drawing more attention to these linkages within health and environment circles. 

“Everyone is obsessed with transport,” said Mudu, the WHO scientist leading the session. “Because of the visibility of the black smoke, but there are many different sources of air pollution with many sorts of invisible gases.”

Black carbon and snowmelt 

A traditional brick factory in southern Tunisia. In Africa and South Asia brick making and waste burning are major sources of black carbon emissions.

On the other side of the coin, when urban and household waste or crop debris is burned, rather than left to rot, it produces smoke – a mixture of gases and particles, including black carbon. 

The burning of rice crop debris regularly envelopes large parts of the Indian subcontinent in billowy smoke every autumn. Burning of household and urban solid waste is also a common practice in many developing regions. 

Waste burning, together with the use of wood and charcoal for household cooking and heating, as well as in traditional brick kilns, cast a chronic pallor of smoke or smog over cities and farmland in many other low- and even middle-income regions of the world – also contributing to the formation of ozone.   

super pollutants
Super pollutants exist at the nexus of climate and air quality, making them cost effective pollutants to target.

But the tiny specks of black contained in the smoke do even more harm than other types of fine particles. They accelerate climate change in mountain regions, where they settle on snow and ice, absorbing additional sunlight and thus increasing snow and ice melt. 

Scientists estimate that  black carbon is responsible for 39% of glacier melt in certain Himalayan glaciers, and there are similar impacts being observed in the Himalayas, Alps, Andes and the Rockies, according to a 2025  Clean Air Fund report

Locally, glacier melt reduces the reliability of water sources that rural regions of Nepal and northern India rely on for crop irrigation as well as domestic use. 

But there are global implications as well. It is a major reason that the Arctic is warming four times faster than other parts of the world, increasing the chances of “dangerous climate tipping points being breached,” the report stated.

Regulation and action

super pollutants
Often “forgotten” as potent drivers of climate change and poor health, super pollutants contribute to nearly half of warming.

Regulation of super pollutants is challenging – because so many pollutants, and sectors, are involved. In the case of ground level ozone, as well, the pollution is not emitted directly, but rather is a product of reactions between methane, nitrogen oxides, and volatile organic compounds. So the precursors need to be regulated. 

Despite such complexities, the fact that black carbon as well as methane, ozone and other powerful short-lived gases – only reside in the atmosphere for weeks to decades, makes Huxley hopeful that policymakers can see the “economic sense” in cutting back on such emissions. 

“This is one of the most effective ways to keep 1.5ºC alive,” she said, referring to the Paris climate agreement goal. “This is our emergency brake on climate change.” 

The Global Methane Pledge aimed at reducing the gas, was launched at COP26 by the United States and the European Union and has so far been supported  by over 150 countries, including over two dozen African nations. 

“Methane has been globally recognized as a super pollutant since COP26, thanks to the launch of the Methane Global Pledge and the commitments made by countries since then,” said Elisa Puzzolo, Super Pollutants policy manager at the Clean Air Fund.

“Now, is the time to raise our ambition and address all super pollutants, including black carbon and troposheric ozone, to protect the climate, safeguard public health, and support most-affected regions and communities.”

Super-pollutants ‘movement’

air pollution quilt
Air pollution impacts the most vulnerable, including children showcased in a quilt from the Indian advocacy group Warrior Moms.

What Wellcome and the Clean Air Fund want to foster is a more coordinated super-pollutants “movement” that cuts across sectors – together with the UN Enviroment Programme-hosted Climate and Clean Air Coalition.

“Solutions are proven,” Puzzolo said. For super-pollutants though, the regulatory landscape is a bit more complicated. Black carbon, though harmful to health and the climate, is not included in the Paris Climate agreement because it is a particle.

“Reducing black carbon, alongside other super pollutants, is the fastest, most effective way to slow climate change, while also mitigating the enormous health impacts of air pollution,” said Jane Burston, CEO of the Clean Air Fund. “Yet to date not enough has been done.”

“Action on short-lived climate pollutants is a matter of time and temperature,” said Martina Otto, head of the secretariat at the Climate and Clean Air Coalition, which was founded over a decade ago specifically to spearhead awareness and action on superpollutants. 

“They have a higher warming potential than CO2 and don’t accumulate in the atmosphere. Cutting them turns down the heat within decades and reduces air pollution now. A double dividend that we cannot afford to miss.”

Image Credits: WHO/Diego Rodriguez, E. Fletcher/HPW, Climate and Clean Air Coalition, Punjab Enviornment Department, Climate and Clean Air Coalition, A. Bose/ HPW.

The USAID office in Washington

Civil society organisations (CSOs) globally face investigation, restrictions and harassment in dozens of countries after US President Donald Trump claimed that the US Agency for International Development (USAID) was run by “radical left lunatics” and Elon Musk claimed that several grantees supported terror organisations.

This is according to a recent survey carried out by the EU System for an Enabling Environment (EU SEE), which documents the experiences of 54 organisations, and draws on information from two global surveys involving almost 1000 CSO respondents.

There have been calls for investigations of CSOs that receive US funding in nine countries including Brazil and Hungary, and increased harassment of CSOs in 13 including Peru, Paraguay and Russia. Six countries are considering restrictions on foreign funding, including Guatemala and India.

The Nigerian National Assembly has launched investigations into the activities of USAID and nonprofits in the country “following the recent statement by a US Senator that USAID funds [terrorist group] Boko-Haram in Nigeria”, according to a Nigerian CSO.

“An investigative committee set up on 20 February 2025, by the House of Representatives will focus on the activities of CSOs in the Northwestern part of the country,” the respondent said. “If not objectively carried out, the investigation may become part of an ongoing process of attack on civil society and push for stiffer regulations, a common trend which started in 2015 and continues until today.” 

The President of El Salvador, Nayib Bukele, alleged publicly that “USAID funds had been misused by journalists, independent media, and other civil society actors as part of a global money laundering operation”, according to a CSO from that country, which said his statements  “are part of a broader pattern of stigmatisation and discrediting of civil society”.

“The most reported impact by far is increased criticism and stigmatisation of international funding,” according to EU SEE. 

Disrupting critical programmes

The abrupt halting of US foreign aid is disrupting “critical human rights, democracy, gender equality and health programmes, leaving vulnerable communities without essential support”, the survey found.

Over two-thirds (67%) of surveyed organizations have been directly impacted by the termination of USAID, with 40% of them losing 25-50% of their budgets, 

“Without swift action, many organizations that hold governments accountable, defend human rights, and support vulnerable communities may disappear altogether,” according to EU SEE.

A USAID grantee from Myanmar reported that the cuts have “severely impacted” work such as programmes on “conflict-related sexual violence, transnational repression, and Association of Southeast Asian Nations (ASEAN) advocacy”. 

“The funding cuts are causing huge shortages and closure of projects providing medical and subsistence support to the most vulnerable communities inside the country and along the border,” it added.

“The suspension of USAID funding has affected more than 60 civil society actors in Peru, putting at risk projects related to democracy, human rights, governance, the environment, and the fight against drugs,” according to a Peruvian organisation.

“The loss of international funding compromises the sustainability of many NGOs, limiting their ability to offer training, empowerment and support to vulnerable communities.” 

Indonesia received $153.5 million from USAID in 2024 and the funding freeze has left CSOs “in a precarious position”, according to an Indonesian CSO. 

“Some CSOs have had to implement unpaid leave for their staff, while others are managing to pay only half of their employees’ salaries until the review process concludes,” it added. “The ramifications of this aid freeze threaten the livelihoods of those working within these organisations and jeopardize critical programmes in health, education, and environmental conservation.” 

Sectors most affected by USAID grant terminations, according to the Global Aid Freeze Tracker.

The Global Aid Freeze Tracker, reports that the health and protection sectors have been worst hit, with particularly significant disruptions in HIV, malaria, and protection services. The second most affected category is governance, particularly anti-corruption activities, followed by projects offering economic and livelihood support for vulnerable populations, especially women and children.

Image Credits: Global Aid Freeze Tracker.

PEPFAR beneficiaries

The US Congress’s one-year reauthorisation of the President’s Emergency Plan for AIDS Relief (PEPFAR) expires on Tuesday (25 March) and there is no clarity about its future – other than that it is likely to be slashed.

The only Bill up for discussion on this date that has any connection to PEPFAR is the Reorganizing Government Act 2025, which aims to extend the authority of President Donald Trump to propose a plan to reorganise the federal government until 31 December 2026.

PEPFAR projects can continue as long as Congressional funds are allocated to them via Appropriations Acts – but that hasn’t protected those administered by the US Agency for International Development (USAID) from being terminated.

The only inkling of what a reformed and slashed PEPFAR might look like is contained in a throwaway reference to PEPFAR in a leaked plan on US foreign aid reform that is being circulated by Trump aides, as reported by Politico.  

The “blueprint” proposes that aid be organised into three “pillars” – safer, stronger, and more prosperous.

The “safer” pillar will cover “humanitarian assistance, disaster response, global health and food security”, with aid dispensed by a new Agency for International Humanitarian Assistance (IHA). 

IHA will fall under the State Department and replace the now largely defunct USAID which dispensed around 60% of PEPFAR grants.

“IHA’s mandate would be limited to the strategic delivery of humanitarian assistance, responding to disasters, enhancing global health security (including a modified PEPFAR) and promoting international food security,” according to the document.

The State Department has already taken control over PEPFAR’s website and many of the links to basic reports and HIV information no longer work.

‘Not philanthropic’

The blueprint has emerged two-thirds of the way through the Trump-imposed 90-day “pause” on all foreign investment excluding “lifesaving humanitarian aid” – although most of that has stopped too because there are no USAID employees to dispense resources.

It stresses that US aid “should not be philanthropic in nature, but must advance our direct national security, strategic and commercial interests”.

IHA’s success will be measured by “concrete metrics: lives saved, outbreaks of infectious disease contained, pandemics prevented, famines averted and measurable increases in positive perception of the United States in emerging markets”.

The reorganisation of aid will require Congress to amend the Foreign Affairs Reform and Restructuring Act of 1998, the Foreign Assistance Act, the Pay Act and provisions of the annual Appropriations Acts.

Lack of domestic funding

The blueprint notes that “leaders of some countries are simply not committed enough to the progress of their own people to merit or justify any significant commitment of US taxpayers’ resources” but that some assistance activities “disincentivize host country investments and reforms”.

Only two of the 55 African member states – Botswana and Rwanda – spend 15% of their budgets on health, yet this is something African states pledged to do back in 2001 in the Abuja Declaration.

Dr Jean Kaseya, who heads the Africa Centres for Disease Control and Prevention (Africa CDC), told a media briefing last week that some African countries relied on “external assistance” for 80% of their HIV and malaria responses.

“Overnight, everything is gone,” Kaseya said, adding that 30% of Africa’s health expenditure comes from official development assistance (ODA), and there had been a 70% cut in ODA this year from $81 billion to $25 billion.

Kaseya will be in Washington this week to lobby for the resumption of aid, and plans to meet members of the Trump administration, PEPFAR officials and Members of Congress in a bid to restore US aid.

However, he said that there were also urgent continental efforts to get more domestic resources to fill the huge gaps left by the termination of USAID grants.

PEPFAR achievements 2024
PEPFAR achievements in 2024, most of which have been reduced or terminated.

Running out of medicine

Haiti, Kenya, Lesotho, South Sudan, Burkina Faso, Nigeria and Ukraine are likely to run out of antiretroviral (ARV) medicine for HIV within the next few weeks and months as a result of USAID cuts, according to the World Health Organisation (WHO).

In Haiti, antiretroviral medicines were recently included on a special humanitarian flight to avoid a stockout, according to the Joint UN Agency on HIV/AIDS (UNAIDS)

The impact of the 90-day pause on foreign aid programs may lead to 100,000 additional HIV-related deaths this year and cause more than 135,000 babies to be born with HIV infections that could have been prevented with medications that block mother-to-child transmission, according to an estimate by researchers Khai Hoan Tram, Jirair Ratevosian and Chris Beyrer.

However, if  US assistance for HIV is not restored after the pause in April, and it is not replaced by other funding, “there will be an additional 6.3 million AIDS-related deaths in the next four years”, UNAIDS head Winnie Byanyima told reporters in Geneva this week.

UNAIDS itself may not survive as it was informed on 27 February that the US was stopping all aid to the agency with immediate effect.

Research on an HIV vaccine, a study on long-acting pre-exposure prophylaxis and a large tuberculosis research study in South Africa have come to a halt due to US funding cuts.

As HIV is a fast-mutating virus, treatment comprises a combination of three different drugs (often combined in a single pill) that target different stages of the HIV lifecycle to stop it from making new viruses.

When people stop ARVs, their immune systems weaken and they are susceptible to all kinds of infectious diseases, with tuberculosis being the most common. They also have a high risk of developing drug-resistant HIV which is far harder to treat. In addition, as their viral loads increase they are more likely to pass the virus on to others.

However, many people in the HIV sector agree that governments need to take more ownership of their HIV response. 

Ratevosian, who is a former PEPFAR chief-of-staff, Beyrer and four other Duke University colleagues have written a policy proposal that would see countries achieving 50% co-financing for HIV within five years.

A key aspect of their proposal is that funding should move to places where the epidemic is getting worse and scale up HIV prevention by rolling out the long-acting pre-exposure prophylaxis (PrEP) injectable lenacapavir to five million most at-risk people.

Dismal prospects for PEPFAR

But influential conservatives have long sought to curtail PEPFAR.  The Heritage Foundation, which authored the conservative Project 2025 blueprint for Trump’s administration, argued in 2023 that PEPFAR should be “restructured as a development rather than an emergency assistance program”.

Except in cases of rape or maternal transmission, HIV/AIDS is “primarily a lifestyle disease (like those caused by tobacco) and as such should be suppressed through education, moral suasion, and legal sanctions,” according to the foundation.

It also claimed that “as with any venereal disease, education and abstinence could end the AIDS epidemic” – although this approach has failed miserably in both the US and Africa.

While PEPFAR projects can continue – in theory – as long as congressional appropriations (funding) are available, a much scaled-down version is likely to emerge tha may well follow the Heritage Foundation’s proposals.

Image Credits: PEPFAR, US State Department.

Alekuwodo market in Osogbo is now noticeably cleaner because of the efforts of locals.

OSOGBO, Nigeria – A few years back, when the bustling Alekuwodo market in Osogbo in Osun State quietened down at night, the chaos of the day lingered. Crushed tomatoes, discarded papers, plastic wrappers, bean husks, watermelon rinds and other fruit scraps turned the market square into a suffocating mess. As the sun set, the stench would rise — a grim reminder of the day’s waste.

Ruth Adelakun, 57, acknowledges that she was part of the problem. As a locust bean seller, she set up her roadside stall under a tarpaulin umbrella to shield herself from the heat. The sweltering weather meant she drank plenty of water out of plastic sachets.

“I can drink at least five sachets a day,” she admitted, waving an empty plastic wrapper. “I used to drop them anywhere because I didn’t know it harmed the environment.”

But the harm is real. “Dirty environments breed disease-causing microorganisms,” explained Dr Mahmud Abubakar from Federal Teaching Hospital in Kebbi State.

“Air pollution increases respiratory infections, while contaminated water can cause cholera, diarrhoea, and even bladder cancer.”

Struggling with waste

Nigeria ranks in the bottom 30 countries globally for waste management — ranked 152nd out of 180 in the  Environmental Performance Index  2024 compiled by the Yale Center for Environmental Law and Policy, with a dismal score of 12.7.

Mayokun Iyaomolere, environmentalist and executive director of the environmental group, Plogging Club, warns that this negligent approach to waste fuels climate change.

“Waste ends up in landfills, releasing carbon dioxide and other harmful gases. These emissions contribute to extreme weather events like flooding, heatwaves, and droughts,” he said.

The impact of climate change is already severe, with Nigeria ranked 158th out of 182 countries for climate vulnerability.

By September 2024, flooding had affected 31 states, displaced over 641,000 people, and claimed 285 lives, according to the UN Office for the Coordination of Humanitarian Affairs (OCHA).

Meanwhile, rising heat levels have led to deadly heatwaves in the southwest with average temperatures of 50C last February, crippling food security and worsening Nigeria’s hunger crisis  — with the Global Hunger Index scoring the nation 110th out of 120 countries, signalling serious food insecurity.

Local hero on a mission

‘Spider-Man’ Olaunlokun Johnathan speaks to school students about litter.

Nigeria generates  0.51 kg of municipal solid waste per capita every day , amounting to an overall daily generation of 75.6 million kg, according to the World Bank. This ends up at  landfills and causes carbon emissions.

Amid this crisis, one man decided to act. Olaunlokun Johnathan, 45, doesn’t have a formal environmental science degree — he simply loves clean surroundings. In 2004, he began advocating for a litter-free Nigeria, undeterred by insults or indifference.

“Our people are part of the problem — even the regulators don’t take their jobs seriously,” he said, frustrated. “They care more about their salaries, and there aren’t enough waste-collection vehicles.”

Determined, Johnathan cleans the streets of Osogbo three times a week, picking up litter wherever he goes. Dressed in a polo shirt or orange jacket, with cotton gloves and worn-out shoes, he tirelessly works to change minds.

In 2021, Johnathan took his mission to the next level — dressing up like Spider-Man. His costume caught people’s attention, helping him spread his message to schools, markets, motor parks, and religious centers across states like Osun, Kaduna, Ogun, Oyo, and Lagos.

He taught schoolchildren to use trash bins, urged market vendors to tidy up their stalls, and showed drivers how to keep motor parks clean. Slowly but surely, his persistence paid off.

Shift in mindset

Ruth Adelakun, a locust bean seller, admits that she used to litter the market.

Meanwhile, Adelakun is now a changed woman. She keeps a sack for her waste and disposes of it properly every evening.

“I keep my trash here and empty it into the big government bin,” she said proudly.

Usman Zakariyya, a 25-year-old bean seller, also adjusted his habits after hearing Johnathan speak.

“Before, I used to leave the chaff blown out here without worrying about packing up in the evening before going home but now any time I finish the blowing I sweep and pack up them instantly,” said Zakariyya.

“When people get conscious of their environment and no longer litter, it is a window of opportunity for them to adjust to other behaviors that ultimately have environmental impact,” Iyaomolere told Health Policy Watch.

Uphill battle

Olaunlokun Johnathan cleaning the streets of Osogbo in Nigeria.

Despite his successes, Johnathan faces many challenges. People mock him, while government grants are restricted to younger advocates aged 18 to 30, leaving him without crucial funding.

“Some people thought I was mad,” he confessed. “I’ve thought of quitting, but the community needs change.”

However, today Alekuwodo market is noticeably cleaner. People pack their waste neatly, and traders sweep up as soon as they spot Johnathan.

“You won’t find trash carelessly thrown around here anymore,” he said, smiling as he waved to a watermelon seller tidying his stall.

“Sweep it clean!” he called out, his voice echoing through the square as he walked off to continue his mission — a living reminder that one determined person can inspire an entire community to change.

Image Credits: Abdullahi Jimoh.

Clean air light show and exhibits bedeck a heavily trafficked street outside of the Cartagena Convention Center hosting WHO’s Second Conference on Air Pollution and Health.

CARTAGENA, Colombia – A tour bus emits a cloud of black diesel smoke in front of Cartagena’s glittering white conference center. It is a vivid reminder that from the hottest tourist destinations to the slums of Latin America, Asia and Africa, nine out of ten people on the planet breathe dangerously unhealthy levels of air pollution every day. Thanks to air pollution, millions fall ill every year with a range of respiratory and cardiovascular diseases as well as cancers, leading to at least seven million deaths each year. 

On Tuesday, the Colombian coastal city will host the second WHO Air Pollution and Health conference 25-27 March, where global leaders are poised to call for an ambitious goal of cutting deaths from air pollution by 50% in 2040.

“Clean air is not a privilege; it is a human right,” says Dr Maria Neira who heads WHO’s work on climate, environment and health.

Indeed, air pollution is the biggest environmental risk to human health – risks that altogether account for some 25% of premature deaths every year –  as well as a major contributor to climate change, according not only to WHO, but also the world’s leading climate scientists

Solutions largely require political will

Delhi’s winter smog routinely reaches air quality ratings exceeding 50 times the level deemed safe by the WHO.

But unlike some other disease challenges, there are ready, affordable, solutions that largely require political will to implement. Neira has a ready list of WHO’s top priorities for the conference at her fingertips: 

“We need to work together urgently to scale up transitioning from coal-fired power to renewable energy,” she says, while also. “expanding public and sustainable transport, establishing low-emission zones in cities and promoting clean energy for cooking, and solar power in healthcare facilities.” 

Even so, cutting emissions enough to halve deaths from air pollution within just 15 years is a highly ambitious goal.The challenges to attainment are particularly daunting given not only the current trajectory of fossil fuel emissions – but also rollbacks to environmental and climate commitments by trend setters like the United States. 

Even so, the fact that WHO has been able to muster significant member state support for such a commitment represents a milestone in a battle to raise awareness about a health threat from fine particulates and other air pollution components that scientists first defined in the mid-1990s, and that WHO member states only formally embraced in a 2015 World Health Assembly Resolution.

And while ambitious, this year’s conference goal also provides a clear target for countries to aim for – after the WHO’s inaugural Conference on Air Pollution and Health failed to do so. 

“The science is as clear as our skies must be. We will take action to stop toxic air from polluting our health,” declared Neira in a statement to Health Policy Watch

Health community rallies around air pollution

As another reflection of growing awareness, nearly 50 million health professionals, patients, advocates, and individuals signed a call ahead of this week’s conference for urgent action to reduce air pollution. 

Signatories included more than 47 million health professionals, patients, representatives of civil society organizations, and individuals – from organizations such as the World Medical Association, NCD Alliance, and the World Heart Federation. 

“Forty-seven million people from the health community have issued a clarion call for urgent, bold, science-driven action on air pollution, and their voices must be heard,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General, in a press statement ahead of the three-day conference event. 

“At the second WHO Conference on Air Pollution and Health in Cartagena, we hope to see concrete commitments from countries to implement those tools and save lives.”

Even so, Tedros himself will not be attending the three-day conference – a last minute cancellation perhaps reflective of the continuing budget and political woes faced by WHO in Geneva.

Among the more than 700 participants, however, are ministers of health, deputy ministers and other high level health officials from China, India, Colombia, Vietnam, and El-Salvador. A number of mayors from cities such as  London, Santiago, Quebec, as well as leaders in civil society, will be in attendance. 

Other UN-affiliated agencies, such as the World Bank, the World Meteorological Organization and the UN Environment Programme, as well as philanthropies such as Wellcome and the Clean Air Fund, are co-sponsoring as well as supporting sessions on topics ranging from finance to “super pollutants” – that warm the planet as well as polluting the air.  

Notably, no US government officials will be attending the conference – reflecting the Trump Administration’s recent decision to withdraw from WHO and as well as from multilateral global climate and environmental efforts where the US was previously a leader.

International cooperation fraught with uncertainty

The Cartagena conference comes at a time of tumultuous international relations and cuts to environmental and climate action. 

New US President Donald Trump, in particular, not only renounced the 2015 Paris Climate Accord but he has cancelled US participation and funding for clean energy development in Africa and beyond. At home, his administration has also issued a record number of orders rolling back domestic environmental regulations that limited toxic air pollution. (see related story)

https://healthpolicy-watch.news/epa-plans-to-roll-back-dozens-of-regulations-threatening-americas-health-environmental-health-experts-warn/

Historically, the US Environmental Protection Agency (EPA), National Atmospheric and Oceanic Administration (NOAA), and National Aeronautics and Space Administration (NASA) were global leaders in much of the air pollution space, participating on WHO, WMO and UNEP scientific panels. In this year’s conference, their voices will be strangely still. 

However, American academics from institutions such as Columbia University, the University of Colorado and University of California at Berkeley will still be in attendance, as will civil society groups such as the Environmental Defense Fund, Healthcare Without Harm, Client Earth and others. 

Despite the gaps, conference organizers hope the decades of research and expanding body of evidence around air pollution’s health impacts will spur individual countries to make strong national commitments to reducing air pollution – in line with the 50% by 2040 goal etched by WHO and its  “BreatheLife” awareness-raising campaign

Low- and middle income countries in Asia and Africa, struggling with a huge and still growing burden of air pollution-related diseases, can also be inspired by success stories on controlling air pollution in not only North America and Europe, but also in emerging economies of Latin America, and elsewhere. 

Countries that are unable to pledge to halve air pollution deaths within just 15 years will also be encouraged to make commitments to reducing pollution’s impacts more incrementally to at least meet one of WHO’s “interim air quality” goals, on the path to cleaner air.  

Air pollution quality table
The WHO’s air quality targets.

Countries also may pledge to act in specific sectors, such as the transport sector, through better monitoring and tighter regulatory oversight, or through new clean energy investments, for example. 

“While the challenge is immense, progress is possible. Many cities and countries have significantly improved air quality by enforcing stricter pollution limits,” said Neira. 

Expanding knowledge around health impacts

In the two days leading up to Thursday’s session on high level policy commitments, the conference will feature dozens of technical sessions on the latest science.

These will cover air pollution sources and their measurement – from household air pollution to wildfires and fracking; solutions for cities and polluting sectors such as transport and for reducing emissions from health sector facilities – and its environmental footprint more broadly. 

Notably, a widening array of health conditions have now been linked to air pollution exposure beyond the “traditional” diseases of respiratory illnesses, cardiovascular diseases and cancers.

More recent research has shed light on a growing set of linkages between high air pollution levels and health at all stages of life – from adverse birth outcomes to dementia and mental health. 

“Besides years of living with laboured breath, punctuated by asthma attacks, or clouded by cataracts, mounting evidence links air pollution to various health outcomes like low birth weight, diabetes, cognitive impairment, and mental health impacts,” said Neira.

“The evidence is indisputable.” 

Health sector’s role

A key point of cross-cutting focus will be the health sector – how health policy officials and healthcare professionals – can play a meaningful role in an issue oft-perceived largely through an “environmental” lens. 

The conference also will:

  • Take stock of global progress since the start of the 2015 Sustainable Development Goals (SDGs)
  • Showcase health, climate, gender and equity co-benefits of air pollution and energy action 
  • Harness climate and development finance to tackle air pollution and ensure a just energy transition.
  • Leverage health arguments to drive country cooperation and financial commitments.

Cultural hype to build awareness 

Cartagena 2025 conference air pollution
Air pollution simulators in “pollution pods” being set up prior to the conference.

Amid the technical panels and commitments, the conference will host a range of  interactive and cultural events open to the public on the broad esplanade that graces Cartagena’s seaside Conference Center.

Beginning on Wednesday, renowned Brazilian street artist Eduardo Kobra will develop and exhibit a large-scale mural dedicated to global environment and climate concerns on the esplanade. 

British British artist Michael Pinsky will invite public participants to an immersive air pollution experience in his “pollution pods” which will simulate different types of air pollution and sources for visitors to the dome shaped pods. 

Each pod will mimic a different type of pollutant, and its sensory discomforts, highlighting the urgency of addressing toxic air sources, Pinsky said.  

Conference participants as well as members of the public will also be able to test their lung and heart health through booths operated by the European Respiratory Society, World Heart Federation, and European Lung Foundation. 

On Monday, the eve of the conference, early bird arrivals can opt to join a six kilometer cycling tour of the city or a four kilometer run/walk – illustrating the importance of clean air to healthy, active lifestyles.

During the event, sponsored by the global non-profit Cityzens, participants will be equipped with personal sensors to get a sense of their own particulate matter exposure while exercising – beginning at 6 am before the city’s temperatures rise above 30°C. 

It’s hoped that the cultural and activities hype will bring the dangers of air pollution down to a more personal and motivational level, Neira said. 

Image Credits: E.Fletcher/Health Policy Watch, Fletcher/Health Policy Watch, Raunaq Chopra/ Climate Outreach, WHO, S. Samantaroy/HPW.

Depletion of world’s glaciers that are also its water towers threatens water supply to hundreds of millions downstream.

Many glaciers in western Canada, the United States, Scandinavia, Central Europe, the Caucasus, New Zealand and the tropics will not survive the 21st century – and this will have a “dramatic impact” on mountain communities and hundreds of millions of people who depend on water that originates from these glaciers.

These are the key findings of the latest reports from the United Nations (UN) agency World Meteorological Organization (WMO), and the Zurich-based glacier monitoring agency World Glacier Monitoring Service (WGMS).

Glaciers are among the key indicators of the health of our planet, and some of the world’s largest rivers including the Ganga, Brahmaputra, Indus, and Yangtze, originate from the glaciers.

But those glaciers are now rapidly retreating.

“WMO’s State of the Global Climate 2024 report confirmed that from 2022-2024, we saw the largest three-year loss of glaciers on record. Seven of the ten most negative mass balance years have occurred since 2016,” said WMO Secretary-General Celeste Saulo.

“Preservation of glaciers is a not just an environmental, economic and societal necessity. It’s a matter of survival.”

Since 1975, the world’s glaciers have lost 9,000 billion tonnes of ice or an ice block the size of Germany, with a thickness of 25 meters. This has pushed the sea levels up by 25 mm.

See related story: The Year 2024 Was Warmest-Ever on Record – Temperature Rise Likely Exceeded 1.5°C

Melting glaciers are putting food security at risk

Distribution of glaciers around the world.

The 2024 data shows that, for the third consecutive year, all the glaciers around the world had lost mass.

The rate of melting of glaciers is directly linked to the rising global temperatures, Stefan Uhlenbrock, Director of Water and Cryosphere department at the WMO said.

As 2024 was the warmest year on record, temperatures are expected to continue to rise, and Uhlenbrock warned the changes this will cause will be dramatic.

“Globally, in the interconnected economy, it’s everyone around the world who’s indirectly impacted from these dramatic changes. It’s putting at risk the water supplies. It’s putting at risk food security, energy security, as well as the ecosystem services that water resources and other resources provide. But you shouldn’t also forget the social, the cultural as well as the spiritual values glaciers have,” he said during a press conference.

The reports were released to mark the first World Day for Glaciers on March 21 this year, and sound alarm that the accelerating glacier melt risks unleashing cascading impacts on economies, ecosystems and communities.

Source of 70% of world’s freshwater under threat

There are approximately 275,000 glaciers around the world that cover roughly 700,000 km² or the equivalent of twice the size of Germany. These exclude the continental-sized ice sheets of Greenland and Antarctica.

The glaciers are in high mountain regions often referred to as the world’s water towers as glaciers are the source of about 70% of the world’s freshwater reserves.

In the short-term, increased glacier melting increases the risk of natural hazards such as floods for those living downstream. But in the long-term, they threaten the water security of people as the rivers that the glaciers feed risk running dry. In dry and hot seasons in some areas, glacier runoff is often the only water available.

“Hotspots of water availability from glaciers are Central Asia and the central Andes, where glaciers in the hottest and driest months are often the only water resource,” Dr Michael Zemp, Director of the WGMS said during the press conference. WGMS has been coordinating glacier monitoring for over 130 years now.

Glacier melt contributes to sea-level rise

Annual global glacier mass changes from 1976 to 2024 in gigatons. The shades of blue refer to years the glaciers increased in mass while the shades of red refer to the years the glaciers lost mass.

The new findings complement a recent study published in the journal Nature in February, which found that between 2000 and 2023, glaciers lost 5% of their remaining ice.

From 2000 to 2023 alone, the global glacier mass loss totals 273 billion tonnes of ice every year, according to the reports. This amounts to 6,552 billion tonnes over 24 years or what the entire global population currently consumes in 30 years (assuming three litres per person per day).

Regionally, the loss of glacier ice ranges from 2% in the Antarctic and subantarctic islands to almost 40% in Central Europe.
This melting ice is currently the second-largest contributor to global sea-level rise, after the warming of the ocean.

During this period, glacier melt contributed 18 mm to global sea-level rise. “This might not sound much, but it has a big impact: every millimeter sea-level rise exposes an additional 200,000 to 300,000 people to annual flooding,” says Zemp.

Based on a compilation of worldwide observations, the WGMS estimates that glaciers (separate from the continental ice sheets in Greenland and Antarctica) have lost a total of more than 9,000 billion tonnes since records began in 1975.

The changes in global glaciers since 1975 in gigatons (Gt).

“If you take the example of Germany, it would be an ice block of the size of Germany, with a thickness of 25 meters. That is the ice that we lost since 1975 from glaciers,” Zemp said. “This is about 25 millimetres of sea level rise, or currently, a bit more than one millimetre each year,” he said.

The Greenland ice sheet is also melting while the Antarctic ice sheet is not contributing “so much” to the rising water levels at the moment. But as the temperatures continue to rise that will change.

“For the next decades, the glaciers are the drivers for the sea level rise. When we talk about the next centuries, it’s the ice sheets that we have to worry about,” Zemp said.

Preservation of glaciers is a necessity

The 2024 hydrological year, calculated from 1 October 2023 to 30 September 2024, saw the fourth-highest glacier mass loss on record. It was also the third year in a row during which all 19 glacier regions in the world experienced a net mass loss.

This loss was relatively moderate in regions like the Canadian Arctic and the Greenland periphery but glaciers in Scandinavia, Svalbard (Norwegian archipelago) and North Asia experienced their largest annual mass loss on record.

“I just want to want to stress that preserving glaciers is not only an environmental imperative, it’s really a survival strategy,” said WMO’s Uhlenbrock.

He pointed to the 2022 heatwave in Europe when the heat caused the Swiss Alps to lose 10% of its ice in two years.

“This was also the year when it was so hot that several nuclear power plants in France had to be shut down because of the lack of cooling water. It was such a dry and hot time that there were energy supply problems,” he said.

“We need to advance through better observation systems, through better forecasts and better early-warning systems for the planet and the people. Only then we can protect our water supplies, the livelihoods of people, as well as ecosystems for future generation,” he said.

The way forward is to limit the global emissions of greenhouse gases, experts said, adding that there are no other viable long-term measures.

This year is being marked as the International Year of Glaciers’ Preservation by the United Nations (UN). Global leaders, policymakers, scientists and civil society members will attend a UN high-level event in Paris and New York on March 20 and 21 to address the crucial role of glaciers in the climate system and water availability.

Image Credits: WMO, World Glacier Monitoring Service (WGMS), C3S/ECMWF/WGMS.

Witkoppen Clinic’s HIV services in Johannesburg was one of many African clinics receiving PEPFAR funds via USAID.

Two to four million additional Africans are likely to die annually as a result of the shock aid cuts by the United States and other key donors, according to Dr Jean Kaseya, who heads the Africa Centre for Disease Control and Prevention.

Kaseya heads to Washington next week to coincide with the end of US Congress’s reauthorisation of the US President’s Emergency Plan for AIDS Relief (PEPFAR) on 25 March.

Numerous PEPFAR projects have already been terminated in the past two months by Trump appointee Elon Musk’s Department of Government Efficiency (DOGE) and it is unclear what the Republican-dominated Congress envisages for the plan.

Kaseya said he planned to meet members of the Trump administration, PEPFAR officials and Members of Congress next week in a bid to restore US aid.

“It is a disaster,” Kaseya told a media briefing on Thursday, disclosing that some African countries relied on “external assistance” for 80% of their HIV and malaria responses.

‘Overnight, everything is gone’

“Overnight, everything is gone,” he said, noting that 30% of Africa’s health expenditure comes from official development assistance (ODA) – yet there had been a 70% cut in ODA this year from $81 billion to $25 billion.

Aside from the gutting of virtually all the US Agency for International Development (USAID) grants, major European donors have also cut ODA.

Earlier in the week, the World Health Organisation (WHO) reported that Kenya, Lesotho, South Sudan, Burkina Faso and Nigeria would run out of antiretroviral medicine for HIV within the next few months as a result of USAID cuts.

WHO Director-General Dr Tedros Adhanom Gebreyesus said that while the aid withdrawal was the right of the US administration it “has a responsibility to ensure that, if it withdraws direct funding for countries, it is done in an orderly and humane way to allow them to find alternative sources of funding.”

Kaseya reported that he has been travelling the breadth of the continent and internationally to secure three key pillars of support for health on the continent: increased domestic funding, “innovative financing” for outbreaks and “blended financing”.

Africa CDC is pursuing three sources of funds to address the enormous gap left by the US withdrawal of aid.

The aid cut will “reverse two decades of health achievements in maternal, child health and infectious diseases”, warned Kaseya, adding that entire health systems “could collapse”.

Alongside the cuts is a surge in disease outbreaks – up 41% in the past two years.

The African health response is also hampered by countries’ debt servicing burden and dependence on imported medical countermeasures, said Kaseya.

Africa CDC projects an additional 39 million people will be pushed into poverty as part of the ODA cuts. The calculations are based on CDC modelling.

Kaseya has held several briefings with health ministers and African Union leaders to address the crisis, particularly focusing on alternative sources of funding.

Only two of the 55 member states – Botswana and Rwanda – spend 15% of their GDP on health – something that African states pledged to do in the Abuja Declaration back in 2001.

Only 16 countries have national health financing plans.

Kaseya said the Africa CDC is also trying to ensure that the health sector access to some of the $95 billion contributions made by the diaspora, including possibility via taxes.

With blended finance, Kaseya said private sector investment is needed “mostly in local manufacturing, electrification of health centres, connectivity, digital health and supply chain infrastructure”.

Mpox plateaus – but fall in testing is to blame

While mpox cases appear to have plateaued, this is due to challenges related to testing – particularly in the Democratic Republic of Congo (DRC) – rather than the disease being controlled, said Kaseya.

Conflict in eastern DRC and the loss of USAID funding that was covering the transportation of mpox samples to laboratories have led to a 16% drop in testing in the DRC over the past week alone. Less than a quarter of suspected cases were tested. Meanwhile, the turnaround time for testing has increased in many regions due to transport problems.

Image Credits: International AIDS Society, Witkoppen Clinic.

Record warming has led to cascading impacts, such as a higher rate of glacier melting and ocean warming, which threaten fisheries and freshwater supplies.

The past ten years (2015-2024) were the ten warmest years on record, individually and collectively, according to the State of the Global Climate 2024 report released on 19 March.

The year 2024 was also the warmest year in the 175-year observational record of temperature tracking, according to the United Nations’ agency World Meteorological Organization (WMO), in the annual report.

And it was the first calendar year during which average temperatures were “likely” more than 1.5°C above the pre-industrial era (1850-1900) baseline, WMO experts said at a press conference on the report’s findings on Tuesday.

They use the term “likely” due to a highly technical scientific debate over what exactly may be considered the pre-industrial temperature baseline.

2024 was likely the warmest year on record and an estimated 1.55°C above the pre-industrial average, with a margin of error of ±0.13 C.

Key climate indicators worsening

Key climate indicators have worsened and some of the consequences are irreversible over hundreds if not thousands of years, said, Chris Hewitt, WMO’s Director of Climate Services at Tuesday’s press briefing.

“The climate has always been changing, if we look back at the distant past, then these rates of change are pretty high and not very welcome,” he said.

Among those, atmospheric concentrations of the greenhouse gas (GHG), carbon dioxide (CO2), are now at the highest levels it has been in the last 800,000 years.

The largest three-year loss of glacier mass on record also occurred over the past three years. This has pushed up the rate of sea level rise which has doubled since satellite measurements began.

In 2024, extreme weather events like tropical cyclones, floods, droughts, and other hazards led to the highest-ever number of people displaced in the past 16 years. Those events also contributed to worsening food crises and caused massive economic losses.

“While a single year above 1.5°C of warming does not indicate that the long-term temperature goals of the Paris Agreement are out of reach, it is a wake-up call that we are increasing the risks to our lives, economies and to the planet,” said WMO Secretary-General Celeste Saulo in a press statement.

See related story: Many of the World’s Glaciers Will Not Survive This Century With Dire Consequences for Hundreds of Millions

Rising planetary distress

Record temperatures extended over a wide area.

Rising heat is also affecting the integrity of the world’s oceans, critical habitats for fish, upon which around 16% of the world’s population depends as a key source of protein, with each of the past eight years having set a new record for ocean heat content.

“Our planet is issuing more distress signals — but this report shows that limiting long-term global temperature rise to 1.5°C is still possible. Leaders must step up to make it happen — seizing the benefits of cheap, clean renewables for their people and economies  —  with new National climate plans due this year,” United Nations Secretary-General António Guterres said in a press statement.

Right now, the contrary is happening in the world’s largest economy and second-largest GHG emitter, the United States.  The US government has fired key scientists affiliated with the National Oceanic and Atmospheric Administration (NOAA), which monitors oceans and temperatures; removed key climate data and pollution references from websites; abolished climate-related Environmental Protection Agency pollution regulations, rescinded incentives for clean energy production.

See related story: US EPA Rollback of Dozens of Air, Water and Chemical Pollution Regulations Threatens America’s Health, Experts Warn

In the case of the 2024 report, data was not affected, WMO experts at the conference said. But they did not elaborate on the extent to which scientific collaborations with US government scientists were still continuing.

“So, in the world of meteorology, whether in climates and oceanography, we exchange and share data and science and knowledge. So that would apply to any country and the US is clearly one of the world leaders in the field of climate. So, we certainly value the engagement in collaboration with us scientists and US organizations,” Hewitt said.

Scientists also stressed that the WMO report relies on multiple datasets, including, but not limited to data provided by NOAA.

Long-term warming hasn’t yet exceeded 1.5°C

While the average temperature in 2024 may have been above 1.5°C, the average over the past several decades was estimated at 1.34-1.41°C above the 1850-1900 baseline, the scientists said. Effectively, this means that the 1.5°C limit set out in the 2015 UN Paris Agreement, hasn’t yet been formally breached.

The record global temperatures seen in 2023 and broken in 2024 were also due to the ongoing rise in GHG emissions, coupled with a shift from a cooling La Niña to warming El Niño event, the report said.

Several other factors may have contributed to the unexpectedly unusual temperature jumps, including changes in the solar cycle, a massive volcanic eruption and a decrease in cooling aerosols, according to the report.

A WMO team of international experts is working to ensure even more reliable tracking of long-term global temperature changes, in collaboration with the Intergovernmental Panel on Climate Change (IPCC) – the UN body set up to assess science related to climate change.

Why oceans are warming faster

Annual global ocean heat content down to 2000 m depth for the period 1960–2024.

Around 90% of the energy trapped by GHGs in the earth’s system is absorbed by the oceans. The rate of ocean warming over the past two decades, 2005-2024, is more than twice that in the period 1960-2005.

“The ocean is warming, and it’s a continued warming, and in 2024 we observed ocean heat content which reached the highest levels in a 65-year observational record,” Karina von Schuckmann, an oceanographer at Mercator Ocean in France said during the press conference.

“Data for 2024 show that oceans continued to warm, and sea levels continued to rise. The frozen parts of Earth’s surface, known as the cryosphere, are melting at an alarming rate: glaciers continue to retreat, and Antarctic sea ice reached its second-lowest extent ever recorded. Meanwhile, extreme weather continues to have devastating consequences around the world,” said Saulo of WMO.

The 18 lowest Arctic sea-ice extents on record were all in the past 18 years.

Cascading impacts of extreme weather events

In 2024 extreme weather events worsened around the world.

Meanwhile, extreme weather driven by rising temperatures, such as cyclones, forest fires and floods, displaced over 100,000 people, the highest number since 2008, and destroyed homes, critical infrastructure, forests, farmland and biodiversity.

The compounded effect of various shocks, such as intensifying conflict, drought and high domestic food prices drove worsening food crises in 18 countries globally by mid-2024, the WMO report said.

Tropical cyclones were responsible for many of the highest-impact events of 2024. Tropical cyclone Chido on 14 December 2024 caused casualties and economic losses in the French Indian Ocean island of Mayotte, Mozambique and Malawi.

But high displacement numbers are not all bad, experts stressed.

“Early warning systems, when they’re effective, say, for a tropical storm, can often mean that people have moved out of an area and may be counted amongst displaced people,” explained John Kennedy, co-chair of WMO’s expert team on Climate Monitoring and Assessment.

“So rather than seeing casualties, we see people being moved to safer areas.”

Ocean warming will continue until the end of the century, even in low-carbon scenarios

Real-time data from specific locations show that levels of the three main GHGs – carbon dioxide, as well as methane and nitrous oxide – already at the highest levels in the last 800,000 years – continued to increase in 2024.

Gases like carbon dioxide remain in the atmosphere for generations, trapping heat.

Ocean warming leads to the degradation of marine ecosystems, biodiversity loss, and reduction of the ocean’s ability to act as a carbon sink. It fuels tropical storms and contributes to sea-level rise. Ocean warming is even more irreversible – on centennial to millennial time scales.

Climate projections thus show that ocean warming will continue for at least the rest of the 21st century, even for low-carbon emission scenarios.

Along with the urgent need to reduce GHG emissions, experts stressed on the need to strengthen early warning systems for countries.

Investments in weather, water and climate services are more important than ever to meet the challenges and build safer, more resilient communities, Saulo stressed.

“Only half of all countries worldwide have adequate early warning systems. This must change,” said Saulo.

Image Credits: WMO, WMO , WMO.

WHO head of immunisation Dr Kate O’Brien and Dr Joachim Hombach, WHO senior health advisor and SAGE Executive Secretary

Cuts to global immunisation budgets are hitting measles vaccine coverage, disease surveillance, laboratory networks and outbreak response the hardest, according to the Strategic Advisory Group of Experts on Immunization (SAGE).

SAGE, which advises the World Health Organization (WHO) on immunisation, issued the warning at a media briefing on Tuesday after its four-day biannual meeting.

It warned that the recent cuts by the Trump administration in the United States create a risk of further backsliding in immunisations “just when countries are recovering from the impact of the COVID-19 pandemic”. 

“The number of zero dose children, meaning those children that have not received any vaccines, have increased, even though the big [post-COVID] catch-up has helped,” SAGE chair Dr Hanna Nohynek told the media briefing.

Dr Kate O’Brien, WHO’s head of immunisation, said that vaccines have saved at least 154 million lives over the past 50 years, “and 60% of those lives saved were attributable to the measles vaccine”. 

Measles labs shutdown

However, WHO’s global measles and rubella network of more than 700 laboratories, funded solely by the US, faces “imminent shutdown”, WHO Director-General Dr Tedros Ahhanom Ghebreyesus told a media briefing on Monday. 

The collapse of the network, called Gremlin, would mean that outbreaks would not be detected – either at all or not rapidly, said O’Brien.

“Measles is one of the most infectious viruses, and it can have serious consequences, including infections of the brain, of the lung, pneumonia and  encephalitis,” she noted.

“The purpose of detecting [measles outbreaks] rapidly is to stamp them out at source as quickly as possible and to respond,” said O’Brien. 

She warned that measles was already surging, with 57 countries having outbreaks last year, in comparison to 35 countries in the two prior years. 

“Without that lab network and the epidemiologists, scientists and public health workers that are part of that response, we will certainly see many, many more outbreaks, many, many more deaths and many, many more cases,” said O’Brien.

Gremlin costs $8million a year, which O’Brien described as a “best buy” investment to save lives. It had been funded by the US Centers for Disease Prevention (CDC) not the US Agency for International Development (USAID).

The major theme of the four-day meeting was the “very high concern” of SAGE members of the impact of the funds cut on the “eradication, elimination and control of diseases”, added O’Brien.

Polio transmission

SAGE is “highly concerned” about the continued transmission of wild poliovirus in Pakistan and Afghanistan and the circulation of vaccine-derived poliovirus type 2 and its expansion into new areas, including European countries.

SAGE also reviewed updated evidence and concluded that a polio vaccination schedule with a minimum of three vaccine doses of the inactivated poliovirus (IPV), starting at six weeks of age or later is adequate, without the need for a scheduled IPV booster dose (4th dose). 

SAGE reaffirmed that three doses of pneumococcal conjugate vaccines (PCVs) is the most effective way to prevent childhood pneumococcal disease. 

SAGE noted that PCV10 by the Serum Institute of India had recently received WHO-prequalified for the immunization of infants, joining PCV10 (GlaxoSmithKline) and PCV13 (Pfizer).

It also recommended varicella vaccines, using a two-dose schedule with a minimum four-week interval between doses, for children in populations where varicella is an important public health problem. 

Varicella vaccination could also be introduced for special populations, such as immunocompromised people, those living with well-controlled HIV infection and health workers in areas where they 

SAGE also received a report from the global vaccine platform, Gavi. Highlights include that Gavi’s HPV vaccine initiative is on track to immunise 86 million girls by the end of the year,  while significant progress has been made in rolling out malaria vaccines.

Gavi will invest $800 million in polio vaccines this year and $5.6 million to address mpox.

Gavi aims to launch a new strategy in 2026 that will focus on introducing new vaccines, strengthening country programmes, and reducing zero-dose children.

 

Cows grazing

Europe has successfully controlled many livestock diseases over the years, but the threat of animal diseases is never truly over – and climate change is increasing this threat.

In 2023, the continent saw an outbreak of bluetongue virus that cost the Netherlands alone an estimated €200 million.

Earlier this year, Germany experienced its first foot-and-mouth outbreak in more than three decades, resulting in bans on German meat and dairy exports.

These recent outbreaks have underscored  the perennial threat of animal disease to the security of food, health, and economic systems across the continent. They cause massive losses to livestock farmers, present risks to human health, and damage food availability.

Perhaps most importantly, the danger of these diseases is predicted to grow as global warming changes Europe’s climate.

Take bluetongue virus, for instance. The disease is endemic to the tropics but began to migrate to Europe in the 1990s and has moved further north in the last decade as a result of rising temperatures, allowing for a virus adapted to warmer climates to thrive across Europe.

The shorter, milder winters have allowed for a longer transmission period for the virus. These changes are likely to be seen in other livestock diseases as well.

Sustainable future

Given these conditions, improving animal health is integral to ensuring a healthy, sustainable future for the livestock sector and all Europeans. As consultations continue on the European Union (EU) Animal Health Law and work starts on a sustainable livestock strategy, concrete measures to improve animal health should be at the centre.

This first means bringing the animal health sector, which represents the manufacturers of animal medicines, vaccines and other animal health products, to the table by allowing a regular and constructive dialogue with veterinary authorities.

The animal health sector can assist in achieving greater sustainability of livestock. Current strategies largely consist of shared principles and approaches amongst member states, but they lack the solid measures needed to make real impacts.[1]  This marks a huge blind spot in the potential strategy.

Animal health experts can offer actionable measures to improve animal health that will ultimately benefit all of Europe.

For example, investing in preventative tools allows governments to curb risks before they become full crises. This includes improving vaccinations, advancing disease surveillance and early warning systems, and implementing biosecurity upgrades and farm-level prevention practices.

Disease prevention is also critical for reducing the livestock sector’s emissions. Fewer losses mean fewer wasted resources and less resources needed to make up the difference.

It also reduces the need to cull animals and spend public money to compensate farmers for these losses.

Reducing disease levels also helps address concerns around antimicrobial resistance (AMR), which threatens the health of people and animals across the continent. AMR occurs when microorganisms no longer respond to antimicrobial treatments. While this can happen naturally, it is accelerated by the improper use of antimicrobial medicines in human and veterinary medicine.

 Thankfully, antimicrobial use in animals has dropped 53% in the EU since 2011, largely due to the dramatic increase in prevention products such as vaccines that reduce the need for antibiotics in the first place.

Supporting improved breeding can also help reduce the sector’s climate impact. This includes genomic testing to support farmers to select breeds for traits such as disease resistance, reduced emissions, and climate adaptation.

In New Zealand, for example, the government has been working with researchers to breed high-productivity, low-methane ruminants like sheep, which have produced 12% lower methane emissions than traditional breeds.

With more than 220 million ruminants in Europe, including innovative breeding approaches such as those in the Sustainable Livestock Strategy can make a big impact on the continent’s emissions.

Disease prevention

Disease prevention and breeding strategies go a long way to improving the sustainability of livestock farming from an environmental perspective, but they are also central to improving animal welfare and farm economics.

For example, new technologies such as sensors used to detect cows’ rumination can detect disease up to five days before clinical signs of the disease.

Calving prediction technologies give alerts from six to 12 hours in advance of calving, reducing calf mortality, and automatic feeding machines can be used to detect bovine respiratory disease in calves with high accuracy at least one day before clinical diagnosis.

Integrating policies on preventative measures, new technology use, and improved breeding, can offer exponential benefits for people and animals.

The EU is one of the world’s largest trading blocs, with nearly 450 million people relying on policymakers to protect them from economic and health crises.

 The continent cannot afford a passive approach to animal health and disease prevention, especially as animal diseases persist despite the measures already in place.

 An EU-wide strategy needs more than just shared principles and approaches. It needs tangible policies and best practices to be effective, covering the full livestock supply chain. Without decisive and inclusive action, the next major outbreak is not a question of “if” but “when”—and Europe cannot afford to be unprepared for “Disease X”.

Pierre Sultana is the Public Affairs Director of AnimalhealthEurope, which represents the manufacturers of animal medicines, vaccines and other animal health products in Europe.

 

Image Credits: pxfuel, Charyse Reinfelder.