The populist backlash against globalization is being felt acutely across Europe as well as here in the US. And yet whether you look at it from an economic, political or military perspective, transnational cooperation has become an integral part of our global landscape. Hear CDDRL Mosbacher Director Francis Fukuyama on the future of globalization for World Affairs. 

In a shack that now sits below sea level, a mother in Bangladesh struggles to grow vegetables in soil inundated by salt water. In Malawi, a toddler joins thousands of other children perishing from drought-induced malnutrition. And in China, more than one million people died from air pollution in 2012 alone.

Around the world, climate change is already having an effect on human health.

In a recent paper, Katherine Burke and Michele Barry from the Stanford Center for Innovation in Global Health, along with former Wellesley College President Diana Walsh, described climate change as “the ultimate global health crisis.” They offered recommendations to the new United States president to address the urgently arising health risks associated with climate change.

Bangladeshi children make their way through flood waters.

The authors, along with Stanford researchers Marshall Burke, Eran Bendavid and Amy Pickering who also study climate change, are concerned by how little has been done to mitigate its effects on health.

“I think it’s likely that health impacts could be the most important impact of climate change,” said Marshall Burke, an assistant professor of earth system science and a fellow at the Freeman-Spogli Institute for International Studies.

There is still time to ease — though not eliminate — the worst effects on health, but as the average global temperature continues to creep upward, time appears to be running short.

“I think we are at a critical point right now in terms of mitigating the effects of climate change on health,” said Amy Pickering, a research engineer at the Woods Institute for the Environment. “And I don’t think that’s a priority of the new administration at all.”

Health effects of climate change

Even in countries like the United States that are well-equipped to adapt to climate change, health impacts will be significant.

“Extremes of temperature have a very observable direct effect,” said Eran Bendavid, an assistant professor of medicine and Stanford Health Policy core faculty member.

“We see mortality rates increase when temperatures are very low, and especially when they are very high.”

Bendavid also has seen air pollutants cause respiratory problems in people from Beijing to Los Angeles to villages in Sub-Saharan Africa.

“Hotter temperatures make it such that particulate matter and dust and pollutants stick around longer,” he said.

In addition to respiratory issues, air pollution can have long-term cognitive effects. A study in Chile found that children who are exposed to high amounts of air pollution in utero score lower on math tests by the fourth grade.

“I think we’re only starting to understand the true costs of dirty air,” said Marshall Burke. “Even short-term exposure to low levels can have life-long effects.”

Low-income countries like Bangladesh already suffer widespread, direct health effects from rising sea levels. Salt water flooding has crept through homes and crops, threatening food sources and drinking water for millions of people.

“I think that flooding is one of the most pressing issues in low-income and densely populated countries,” said Pickering. “There’s no infrastructure there to handle it.”

Standing water left over from flooding is also a breeding ground for diseases like cholera, diarrhea and mosquito-borne illnesses, all of which are likely to become more prevalent as the planet warms.

On the flip side, many regions of Sub-Saharan Africa — where clean water is already hard to access — are likely to experience severe droughts. The United Nations warned last year that more than 36 million people across southern and eastern Africa face hunger due to drought and record-high temperatures.

Residents may have to walk farther to find water, and local sources could become contaminated more easily. Pickering fears that losing access to nearby, clean water will make maintaining proper hygiene and growing nutritious foods a challenge.

Climate change will affect health in all sectors of society.

All of these effects and more can also damage mental health, said Katherine Burke and her colleagues in their paper. The aftermath of extreme weather events and the hardships of living in long-term drought or flood can cause anxiety, depression, grief and trauma.

Climate change will affect health in every sector of society, but as Katherine Burke and her colleagues said, “….climate disruption is inflicting the greatest suffering on those least responsible for causing it, least equipped to adapt, least able to resist the powerful forces of the status quo.

“If we fail to act now,” they said, “the survival of our species may hang in the balance.”

What can the new administration do to ease health effects?

If the Paris Agreement’s emissions standards are met, scientists predict that the world’s temperature will increase about 2.7 degrees Celsius – still significant but less hazardous than the 4-degree increase projected from current emissions.

The United States plays a critical role in the Paris Agreement. Apart from the significance of cutting its own emissions, failing to live up to its end of the bargain — as the Trump administration has suggested — could have a significant impact on the morale of the other countries involved.

“The reason that Paris is going to work is because we’re in this together,” said Marshall Burke. “If you don’t meet your target, you’re going to be publicly shamed.”

The Trump administration has also discussed repealing the Clean Power Plan, Obama-era legislation to decrease the use of coal, which has been shown to contribute to respiratory disease.

“Withdrawing from either of those will likely have negative short- and long-run health impacts, both in the U.S. and abroad,” said Marshall Burke.

Scott Pruitt, who was confirmed today as the head of the Environmental Protection Agency (EPA), is expected to carry out Trump’s promise to dismantle environment regulations.

Despite the Trump administration’s apparent doubts about climate change, a few prominent Republicans do support addressing its effects.

Secretary of State Rex Tillerson, the former chairman and CEO of Exxon Mobile, supports a carbon tax, which would create a financial incentive to turn to renewable energy sources. He also has expressed support for the Paris Agreement. It is possible that as secretary of state, Tillerson could help maintain U.S. obligations from the Paris Agreement, though it is far from certain whether he would choose to do so or how Trump would react.

More promising is a recent proposal from the Climate Leadership Council. Authored by eight leading Republicans — including two former secretaries of state, two former secretaries of the treasury and Rob Walton, Walmart’s former chairman of the board — the plan seeks to reduce emissions considerably through a carbon dividends plan.

Already an issue, malnutrition will increase with droughts in Sub-Saharan Africa.

Their proposal would gradually increase taxes on carbon emissions but would return the proceeds directly to the American people. Americans would receive a regular check with their portion of the proceeds, similar to receiving a social security check. According to the authors, 70 percent of Americans would come out ahead financially, keeping the tax from being a burden on low- and middle-income Americans while still incentivizing lower emissions.

“A tax on carbon is exactly what we need to provide the right incentives and induce the sort of technological and infrastructure change needed to reduce long-term emissions,” said Marshall Burke.

Pickering added, “This policy is a ray of hope for meaningful action on climate.”

It remains to be seen whether the new administration and congress would consider such a program.

What can academics do to help?

Meanwhile, academics can promote health by researching the effects of climate change and finding ways to adapt to them.

“I think it’s fascinating that there’s just so little data right now on how climate change is going to impact health,” said Pickering.

Studying the effects of warming on the world challenges traditional methods of research.

“You can’t create any sort of experiment,” said Bendavid. “There’s only one climate and one planet.”

The scholars agree that interdisciplinary study is a critical part of adapting to climate change and that more research is needed.

“If ever there was an issue worthy of a leader’s best effort, this is the moment, this is the issue,” said Katherine Burke and her colleagues. “Time is short, but it may not be too late to make all the difference.”

Stanford University has expressed its views on the recent executive order on immigration, and is offering resources for students who could be affected. News accounts indicate that as many as 17,000 students across the country fall into this category. On Jan. 27, President Trump signed an executive order restricting travel to the United States of people from seven largely Muslim countries -- Syria, Iran, Iraq, Libya, Somalia, Sudan and Yemen.

Amy Zegart, co-director of the Center for International Security and Cooperation, said CISAC's "mission is generating knowledge to build a safer world. We bring scholars, ideas from everywhere. And always will."

Looking ahead, Stanford is planning campus events and initiatives on this issue. Some information already to note: 

• Stanford launched a new website on immigration issues for students and scholars. This includes centralized campus information about international travel guidance and other information. Stanford will continue to add content to this site.

• A letter to the campus community from Stanford president Marc Tessier-Lavigne, provost John Etchemendy, and incoming provost Persis Drell affirming the university's support for international students. "As events unfold, the university intends to continue vigorously advocating before Congress, the Executive Branch, and beyond for policies consistent with its commitment to members of our community who are international, undocumented and those who are impacted by the recent executive order."

Syria's civil war has taken a devastating toll on children.

Stanford freshman Emma Abdullah puts a young human face on that tragedy with her book, The Blue Box, which details the plights of Syrian children during the country’s six-year civil war. Published in 2014, the work is a collection of short stories and poems, and all proceeds go to charity. Abdullah estimates she’s raised $80,000 for the cause. Abdullah, who was raised in Kuwait, has relatives and friends from her father’s side of the family in Syria who have died or gone missing.

As many as 470,000 people and 10,000 children have been killed in the war, according to published accounts and the United Nations.

“My goal is to raise awareness about what these children are going through,” said Abdullah, who spoke at a recent staff meeting at Stanford's Center for International Security and Cooperation. “It’s important for me to bring this situation to light.”

She’s found receptive minds among her fellow classmates, though many of them were not aware of the scope of horror in Syria. “Other students have been good, and people are willing to listen once you talk to them about it. It’s been very positive at Stanford, and there is a lot to do on campus.”

Her 86-page book includes a child who writes stories about people in Syria. “She feeds the box with her thoughts; she puts in everything she has. She doesn't know it but her box becomes powerful. It takes up every word, every smile and every heartbeat and slowly, quietly, it grows. It grows into something so much bigger and more profound than she is. She’s just a child. She’s just a child who promised she’d save another but who doesn't know how. But one day, she looks at her box and she understands,” writes Abdullah, who will major in political science.

'It's a sad picture'

The Syrian civil war began in March 2011; the politics involved were not understandable to Abdullah. Would things return to normal? They did not, and have not since. She soon began losing friends – she estimates at least 20 people -- as thousands of children were tortured and killed.  She wanted to do something and make a difference, and not just be a bystander staying silent. So Abdullah began expressing her thoughts and feelings in story form.

Regarding the book’s front cover, Abdullah recalled that when she told the child who drew it how beautiful it was, the child replied, “Don’t lie, it’s a sad picture.” Despite the bright colors, one sees children in that drawing crying and a military airplane flying overhead dropping bombs. And, one of the girls pictured, Nour, is lost forever, likely dead, noted Abdullah. 

Image

In one story, “Call of the Jasmine,” a little boy named Karim writes an early letter to Santa Claus, worried that he may not be alive come December. “I know where I live is not very pretty and I know there’s not much in it for you, but mama says we’re beautiful where it counts.”

In another account, a child is given an injection of lethal poison. “Everything subsequently goes dark but I close my eyes anyway. The darkness will protect me.”

Some quotes from the book include, “When you write something down, it stays forever. It's like a little part of you that you're giving to the universe.” Abdullah also writes, “We live in a world where some people have already lost the game before having begun.”

As she describes the experience of war on children, “There is no Richter scale to measure pain; it leaves you vulnerable. It's not pain you can get used to, not sorrow that you can tame. It leaves you broken, broken but alive.”

Ultimately, one of her characters said, “Maybe life just wants to be noticed, like a sulking toddler, so it will keep throwing things our way until we finally give it the attention it deserves.”

Disconnected world

Abdullah says literature and art allow us to connect with each other in ways that any other medium would really struggle to match.

“We tend to think of refugees as statistics; death tolls in faraway lands we will never live in. We see children of war and never picture our own for we assume that we will never find ourselves packing up our lives and everything we know only to cross oceans for new homes that do not want us,” she said.

That disconnect is the greatest part of the problem. “We allow ourselves to feel distanced from these events and these people. I wonder how many people stop to think ‘this could be me,’” she said.

Abdullah said that when people read a story or watch a play, they are able to think beyond their own lives and feel what another’s pain is like.

“If stories and theater allow us all to live the harrowing life of a refugee, if only for just an hour, maybe we could all carry a little part of them inside of us and maybe then we’d want to push for change,” she added.

‘Community and unity’

President Trump’s recent travel ban for Muslims from seven different Middle Eastern countries has focused attention on Syrian refugees, Abdullah said. Now, media outlets are interviewing refugees and doing in-depth stories on them. She believes the protests and activism around the country and on campus reflects the desire by many to take a closer look at the victims of the Syrian war.

“We see a greater sense of community and unity, and people who might not have cared about these issues are starting to do so now. People are saying, ‘this is not right’ There is a sense of hope,” she said.

She said that living in constant fear of being hurt by others for what you believe in and in fear of being told you can no longer enter a country like the U.S. is something no one should have to experience.

“Nobody chooses where they are born,” Abdullah said.

“My friends in the Middle East are afraid that all the years they have spent working hard will amount to nothing if their education is interrupted. Those studying in the U.S. wonder whether they will be able to visit their families for the holidays and those in other countries are afraid that maybe the ban will spread to where they are, too.”

Power of writing

Abdullah said she’s always enjoyed writing; she started publishing when she was 13, and has written for student newspapers and magazines in her home country. “I saw that people were being touched, and thought it could have an effect.”

Emma Abdullah

Abdullah went to high school at the New English School in Kuwait. Her book has been adapted as a play by Alison Shan Price. Titled, “The Blue Box: The Memories of Children of War,” it premiered in Kuwait in 2015 and then internationally at the Edinburgh Festival Fringe in Scotland last year. 

For those seeking to help, Abdullah suggests making donations to the Syrian American Medical Society, which has helped with evacuations and humanitarian relief for children and others caught up in the crisis.

“The most important thing is not to forget them and not to allow anyone else to either. It is too easy to become indifferent, she said.

The Syrian war has dragged on for six years now, Abdullah said, and children continue to suffer and die every day.

“On a very small scale, the best thing you can do is talk about them and make sure your friends do, too. Learn more about the war and the refugee crisis so that you can spread the word,” she said.

People can donate to charities and NGOs that work with refugees, volunteer at charities, or even start their own fundraisers.

“Advocacy is crucial,” Abdullah said. “Protest, email or call your representatives and urge your government to increase their assistance to Syrian refugees, and encourage your friends to do the same.”

Follow CISAC at @StanfordCISAC and www.facebook.com/StanfordCISAC.

MEDIA CONTACTS

Clifton B. Parker, Center for International Security and Cooperation: (650) 725-6488, cbparker@stanford.edu