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.
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.”
What defines the strategic environment today is not individual threats, but the uncertainty presented by a multi-polar world of four revisionist powers (Iran, North Korea, China and Russia) actively challenging the rules-based international order, or what Admiral Harris refers to as the Global Operating System. The Global Operating System represents the norms and standards that enabled 75 years of relative peace and unparalleled prosperity since the end of World War II. Each of these revisionist powers - accumulating military capability at different rates, scales and varying levels of sophistication - are designed to assert behavior that sharply reduces or eliminates America's contributions and thus undermine global security in the Indo-Asia-Pacific region. Admiral Harris will describe how we can reinforce the Global Operating System and deter revisionist powers to ensure access to the air, sea, space and cyber domains by demonstrating credible combat power and the resolve to use it.
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Admiral Harris assumed command of U.S. Pacific Command (USPACOM) on May 27, 2015. He is the 24th Commander since USPACOM was established on Jan. 1, 1947 with headquarters at Hawaii.
Following graduation from the U.S. Naval Academy in 1978 and designation as a naval flight officer (NFO), he was assigned to VP-44. His subsequent operational tours include tactical action officer aboard USS Saratoga; operations officer in VP-4 at Barbers Point, Hawaii; three tours with Patrol and Reconnaissance Wing 1 at Kami Seya, Japan; Director of Operations for U.S. 5th Fleet at Manama, Bahrain; and Director of Operations for U.S. Southern Command.
Harris has served in every geographic combatant command region, and participated in the following major operations: S.S. Achille Lauro terrorist hijacking incident, Attain Document III (Libya, 1986), Earnest Will (Kuwaiti reflagged tanker ops, 1987-88), Desert Shield/Desert Storm, Southern Watch, Enduring Freedom, Iraqi Freedom, Willing Spirit (Colombia hostage rescue, 2006-7), and Odyssey Dawn (Libya, 2011). For Odyssey Dawn, he served as the Joint Force Maritime Component Commander afloat.
Harris’ graduate education focused on East Asia security. He attended Harvard’s Kennedy School of Government, Georgetown’s School of Foreign Service, and Oxford University. He was a MIT Seminar 21 fellow.
Ian Johnson, a veteran journalist with a focus on Chinese society, religion and history, is the 2016 recipient of the Shorenstein Journalism Award. The award, given annually by the Walter H. Shorenstein Asia-Pacific Research Center, is conferred to a journalist who produces outstanding reporting on Asia and has contributed to greater understanding of the complexities of Asia. He will deliver a keynote speech and participate in a panel discussion on May 1, 2017, at Stanford.
“Ian Johnson is one of those rare writers who has not only watched China’s evolution over the long haul, but who is also deeply steeped in the culture and politic of both Europe and the United States as well,” said Orville Schell, the Arthur Ross Director at the Asia Society of New York’s Center on U.S.-China Relations and jury member for the award. “This cross-cultural grounding has imbued his work on China with a humanistic core that, because it is always implicit rather than explicit, is all the more persuasive.”
Ian Buruma, the Paul W. Williams Professor of Democracy, Human Rights, and Journalism at Bard College and jury member for the award, added further praise, “Ian Johnson is one of the finest journalists in the English language. He writes about China with extraordinary insight, deep historical knowledge and a critical spirit tempered by rare human sympathy. His work on China is further enriched by wider interests, such as the problems of Islamist extremism in the West, specifically Germany, where he lives when he is not writing from China.”
The Shorenstein award, now in its 15th year, originally in partnership with the Shorenstein Center on Press, Politics and Public Policy at Harvard, was created to honor American journalists who through their writing have helped Americans better understand Asia. In 2011, the award was broadened to encompass Asian journalists who pave the way for press freedom, and have aided in the growth of mutual understanding across the Pacific. Recent recipients of the award include Yoichi Funabashi, former editor-in-chief of the Asahi Shimbun; Jacob Schlesinger of the Wall Street Journal; and Aung Zaw, founder of the Irrawaddy, a Burmese publication.
Johnson has spent over half of the past 30 years in the Greater China region, first as a student in Beijing from 1984-85, and then in Taipei from 1986-88. He later worked as a newspaper correspondent in China, from 1994-96 with Baltimore's The Sun, and then from 1997-2001 with the Wall Street Journal, covering macroeconomics, China’s social issues and World Trade Organization accession.
Johnson returned to China in 2009, where he now lives and writes for the New York Times and freelances for the New York Review of Books, the New Yorker and National Geographic. He also teaches and leads a fellowship program at the Beijing Center for Chinese Studies.
Johnson has also worked in Germany, serving as the Wall Street Journal’s Germany bureau chief and senior writer. Early on in his career, he covered the fall of the Berlin Wall and German unification, and later returned to head coverage on areas including the introduction of the euro and Islamist terrorism.
Johnson has been twice nominated for the Pulitzer Prize and won in 2001 for his coverage of the Chinese government’s suppression of the Falun Gong spiritual movement and its implications of that campaign for the future. He is also the author of two books, Wild Grass (Pantheon, 2004) which examines China’s civil society and grassroots protest, and A Mosque in Munich (Houghton Mifflin Harcourt, 2010). His next book, The Souls of China: The Return of Religion after Mao (Pantheon, April 2017) explores the resurgence of religion and value systems in China.
Additional details about the panel discussion and the award are listed below.
About the Panel Discussion and Award Ceremony
A keynote speech will be delivered by Shorenstein Journalism Award winner Ian Johnson, followed by a panel discussion with Orville Schell, the Arthur Ross Director at the Asia Society of New York’s Center on U.S.-China Relations, and Xueguang Zhou, professor of sociology at Stanford; moderated by Daniel C. Sneider, associate director for research at Shorenstein APARC.
May 1, 2017, from 12:00 – 1:30 p.m. (PDT)
Bechtel Conference Center, Encina Hall, 616 Serra Street, Stanford, CA 94305
The keynote speech and panel discussion are open to the public. The award ceremony will take place in the evening for a private audience.
To RSVP for the panel discussion, please visit this page.
About the Shorenstein Journalism Award
The Shorenstein Journalism Award honors a journalist not only for excellence in their field of reporting on Asia, but also for their promotion of a free, vibrant media and for the future of relations between Asia and the United States. Originally created to identify American and Western journalists for their work in and on Asia, the award now also recognizes Asian journalists who have contributed significantly to the development of independent media in Asia. The award is presented annually and includes a prize of $10,000.
The award is named after Walter H. Shorenstein, the philanthropist, activist and businessman who endowed two institutions that are focused respectively on Asia and the press - the Walter H. Shorenstein Asia-Pacific Research Center at Stanford and the Joan Shorenstein Center on Press, Politics and Public Policy in the Kennedy School of Government at Harvard.
Past recipients of the award include: Yoichi Funabashi, formerly of the Asahi Shimbun (2015); Jacob Schlesinger of the Wall Street Journal (2014), Aung Zaw of the Irrawaddy (2013), Barbara Demick of the Los Angeles Times (2012), Caixin Media of China (2011), Barbara Crossette of the New York Times (2010), Seth Mydans of the New York Times (2009), Ian Buruma (2008), John Pomfret of the Washington Post (2007), Melinda Liu of Newsweek (2006), Nayan Chanda of the Far Eastern Economic Review (2005), Don Oberdofer of the Washington Post (2004), Orville Schell (2003), and Stanley Karnow (2002).
A jury selects the award winner. The 2016 jury comprised of:
Ian Buruma, the Paul W. Williams Professor of Democracy, Human Rights, and Journalism at Bard College, is a noted Asia expert who frequently contributes to publications including the New York Times, the New York Review of Books and the New Yorker. He is a recipient of the Shorenstein Journalism Award and the international Erasmus Prize (both in 2008).
Nayan Chanda is the director of publications and the editor of YaleGlobal Online Magazine at the Yale Center for the Study of Globalization. For nearly thirty years, Chanda was at the Hong Kong-based magazine, Far Eastern Economic Review. He writes the ‘Bound Together’ column in India’s Business World and is the author of Bound Together: How Traders, Preachers, Adventurers and Warrior Shaped Globalization. Chanda received the Shorenstein Journalism Award in 2005.
Susan Chira is a senior correspondent and editor on gender issues and former deputy executive editor and foreign editor at the New York Times. Chira has extensive experience in Asia, including serving as Japan correspondent for the Times in the 1980s. During her tenure as foreign editor, the Times won the Pulitzer Prize four times for international reporting on Afghanistan, Russia, Africa and China.
Donald K. Emmerson is a well-respected Indonesia scholar and director of Shorenstein APARC’s Southeast Asia Program and a research fellow for the National Asia Research Program. Frequently cited in international media, Emmerson also contributes to leading publications, such as Asia Times and International Business Times.
Orville Schell is the Arthur Ross Director at the Asia Society of New York’s Center on U.S.-China Relations and former jury member for the Pulitzer Prize for international reporting. Schell has written extensively on China and was awarded the 1997 George Peabody Award for producing the groundbreaking documentary The Gate of Heavenly Peace. He received the Shorenstein Journalism Award in 2003.
Daniel C. Sneider is the associate director for research at Shorenstein APARC, writing on Asian security issues, wartime historical memory and U.S policy in Asia. He also frequently contributes to publications such as Foreign Policy, Asia Policy and Slate. Sneider had three decades of experience as a foreign correspondent serving in India, Japan and Russia for the Christian Science Monitor and as the national and foreign editor of the San Jose Mercury News and a syndicated columnist on foreign affairs for Knight-Ridder.
For more information about the award, please visit this page.
In an op-ed for The Diplomat, Stanford assistant professor Phillip Y. Lipscy says the Trump presidency offers Japanese Prime Minister Shinzo Abe an opportunity to realize his vision of a more prominent Japan, yet the depth of the bilateral relationship and ability to deliver hinge on how much the two leaders can compromise on economic and security interests.
Scholars at Stanford's Shorenstein Asia-Pacific Research Center in the Freeman Spogli Institute for International Studies assess the strategic situation in East Asia to be unsettled, unstable, and drifting in ways unfavorable for American interests. These developments are worrisome to countries in the region, most of which want the United States to reduce uncertainty about American intentions by taking early and effective steps to clarify and solidify U.S. engagement. In the absence of such steps, they will seek to reduce uncertainty and protect their own interests in ways that reduce U.S. influence and ability to shape regional institutions. This 23-page report entitled “President Trump’s Asia Inbox” suggests specific steps to achieve American economic and security interests.
Paul Ormerod quotes REAP's research on the future growth of the Chinese economy. Read the orignal article here.
Possibly the single most important of the tensions stoked up by President Trump is the rivalry between the United States and China. Economic strength will be the ultimate determinant of this struggle for the position of Top Nation.
The annual output in China is currently around $10 trillion a year, compared to the $17 trillion in America.
Over the past 30 years, the US grown at an annual average rate of 2.4 per cent, and China by 9.3 per cent.
But a paper in the latest issue of the world-class Journal of Economic Perspectives argues persuasively that the sustainable Chinese growth rate in the medium and longer term is much lower, in the range of 3-4 per cent a year.
Hongbin Li and colleagues, based both in Stanford and top universities in China, note that growth in China since the start of the economic reforms in 1978 has been the fastest that any large country has sustained for such a long period of time. But much of this is due to the rapid transition from a centrally planned to a market oriented economy. Forty years ago, virtually no-one operated in the private sector. Now, well over 80 per cent of workers are in the private sector. This shift obviously cannot be repeated.
Closely intermingled with this has been the massive move of population from the countryside to the cities. More precisely, from low productivity agriculture to higher productivity urban economic activities. But the annual growth rate of rural-to-urban migration has declined from over 11 percent in the 15 years before 2000 to only 3 percent since then. And the growth of migration almost certainly will fall further given that rural-based surveys are finding that less than 10 percent of young able-bodied rural individuals are now living (and working on farms) in rural areas.
Until 2011, the authors point out that China enjoyed what they call a “demographic dividend”. The age group of the working population was unusually high as a share of the population as a whole. But because of what the authors tactfully refer to as “the fall in fertility” since the early 1980s, this is now declining fast. The one child policy was mainly responsible, but higher incomes also reduce birth rates.
China remains a huge and growing economy. But projections that it will overtake the US within readers’ lifetimes seem fanciful.
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."
• A letter to the White House by Tessier-Lavigne and 47 other higher education leaders describing the impact the travel ban will have on students and scholars from those seven countries. "We write as presidents of leading American colleges and universities to urge you to rectify or rescind the recent executive order closing our country’s borders to immigrants and others from seven majority-Muslim countries and to refugees from throughout the world. If left in place, the order threatens both American higher education and the defining principles of our country."
• The Bechtel International Center remains an ongoing resource for international students and scholars at Stanford who have questions or concerns. Vaden Health Center’s Counseling and Psychological Services (CAPS) is collaborating with the Bechtel International Center and with the Markaz Resource Center. They will offer special drop-in hours for the next six Friday afternoons for students and scholars. Both student and scholar advisors will be present to offer guidance. Here is the schuedule:
Location: Bechtel International Center
Time: 2-4 p.m.
When: Feb. 10, in the Assembly Room; Feb. 17, in the Assembly Room; Feb. 24, in the Conference Room; March 3, in the Conference Room; March 10, in the Assembly Room; and March 17, in the Assembly Room.
• A statement by Stanford regarding its principles of immigration. "As an academic institution and as a community, Stanford welcomes and embraces students and scholars from around the world who contribute immeasurably to our mission of education and discovery."
• A Q&A with Stanford law professors Jayashri Srikantiah and Shirin Sinnar discussing the implications of the travel ban.
Bloomberg quotes REAP's research on China's healthcare system. Read the original article here.
The outlines of China’s demographic challenge are well-known: By 2050 almost 27 percent of the population will be 65 or older, up from around 10 percent in 2015. Less recognized is that the crisis will hit hardest in rural villages.
China’s cities attract a disproportionate share of government health spending, along with the best doctors, so rural residents must put up with care that is expensive but shoddy. The average cost of a hospital visit is 50 percent of the annual income of a city dweller; for rural residents it’s 1.3 times annual income. Meanwhile, a 2014 survey by Stanford’s Rural Education Action Program found that patients at village health clinics received an accurate diagnosis only about one-quarter of the time. Overprescription of drugs is rampant.
About 60 percent of China’s senior citizens live in rural areas, where poverty is widespread and health care is poor.
Bangladeshi children make their way through flood waters.
Climate change will affect health in all sectors of society.
Already an issue, malnutrition will increase with droughts in Sub-Saharan Africa.
