Burma: Rohingya

Lord Avebury Excerpts

Tuesday 9th June 2015 Lords Chamber

[Baroness Verma]

My noble friend is absolutely right that there are some real, complex concerns and issues that need to be addressed. As she rightly pointed out with reference to one individual’s case—and there are many such cases—of course there is a great need for the Burmese to do a lot more and to be more inclusive of all communities in Burma. My noble friend will know from her own experience in her past role in the Foreign Office that the Government are very much involved in talking to the Burmese Government and in looking at how we can empower civil society organisations to work much closer within Burma. So a number of issues need to be addressed, but I think the Government are right in their position of working closely with Burma while being a critical friend and highlighting areas where we need to work much better.

[Lord Avebury (LD)]

My Lords, the Foreign Office Minister, Hugo Swire, had to summon the Burmese ambassador in April to complain about lack of access and protection for humanitarian aid workers in Rakhine. Can my noble friend say whether that had any effect, and how much of the generous aid which the Government are giving to succour the victims of persecution in Rakhine is getting through to those victims? Can she also say what is happening about the 7,000 people at sea and whether ASEAN is mounting any sort of rescue operation to prevent them from losing their lives?

Sudan: Bombardment of Civilians

Lord Avebury Excerpts

Wednesday 4th March 2015 Lords Chamber

[Baroness Northover]

The cross-border area is again a very difficult area to be working in. Our sense of things in terms of South Sudan is that we have huge challenges there in trying to get the parties to some kind of agreement. The Government of Sudan themselves are playing a non-obstructive role generally speaking. However, given all the instability on the border that the most reverend Primate talks about, it is exceptionally difficult.

[Lord Avebury (LD)]

My Lords, does my noble friend recognise and do the Government recognise that the genocidal Government of Field Marshal al-Bashir and his generals, many of whom have also been invited before the ICC, have adopted a deliberate plan to eradicate the SPLM/A by a programme of destruction of food crops, bombing of hospitals and other atrocities which have already led to the fleeing of 250,000 people from South Kordofan and Blue Nile to take refuge in Sudan and Ethiopia? When will the Government remind the United Nations of the duty to protect?

[Baroness Northover]

We have consistently stressed the need for the United Nations to be engaged in the two areas. Obviously, there are challenges when the United Nations is not allowed into the areas that it should be. When I was in Sudan about a month ago, we were pressing on the Government there that, if the United Nations wants to get in and feels that it is safe to, it should be able to. We pressed for the Security Council statement on 11 December, which called on all parties to refrain from acts of violence against civilians. The newly appointed independent expert is working on human rights abuses and we are urging him to take that further forward.

Syrian Refugees

Lord Avebury Excerpts

Thursday 26th February 2015 Lords Chamber

[Baroness Northover]

We have taken in 143 under the humanitarian protection scheme—people who, for example, have very severe medical needs—and we have taken in almost 4,000 Syrians under the asylum claims system. The noble Lord will recognise that this is a major problem and the numbers in the region are such that it is extremely important that we support the many refugees who are looking to return home.

[Lord Avebury (LD)]

My Lords, UNICEF estimates that the number of Syrian refugee children will reach 2.2 million in 2015. Does my noble friend agree that its help is key to the future of Syria? Will the Government therefore, in collaboration with UNICEF, do everything possible to ensure that these children are vaccinated, not only against polio and MMR but against pneumococcal disease and rotavirus?

[Baroness Northover]

My noble friend is right. That is why we put a great deal of emphasis on both health and education—so that there is not a lost generation. Syrian refugee children are vaccinated against polio and measles when they arrive in neighbouring countries as part of the registration process. Vaccination in those camps takes place on a routine basis; it is run by local ministries but supported by the UN and NGOs. There is constant review of which diseases need to be targeted, and at the moment we are especially concerned about the resurgence of cases of polio.

International Development (Official Development Assistance Target) Bill

Lord Avebury Excerpts

Friday 6th February 2015 Lords Chamber

[Lord Lawson of Blaby]

My noble friend is absolutely right. It is the second “the” that I seek to change. I am most grateful to him and I will be grateful for any further interventions that he may wish to make.

I will for his benefit read out a letter from the former Liberal Democrat mayor of Guildford. He is interesting in this context because he was for many years a senior official in the ODA, which was the predecessor of DfID, and he has maintained a continued interest since his ODA days in the aid programme in its reality. He writes:

“I would be prepared to brief anyone who needs to be convinced that there is a now a massive misuse of our aid programme—most recently in Ghana, Mozambique, Nepal, Malawi, Uganda, Rwanda—not to mention Nigeria, Kenya or Pakistan—to which must be added the transfers to the IBRD and other organisations in excess of our obligations to them”.

The corruption issue—

[Lord Avebury (LD)]

The noble Lord said that he was not going to make a Second Reading speech, and that is exactly what he is doing.

[Lord Lawson of Blaby]

I am making a speech which puts the context, which is essential for all the amendments on the Marshalled List. I am sorry that noble Lords are terrified of the argument. They realise that this is an absurd Bill. They are not prepared to listen to any arguments against it. Noble Lords will want to read the report of the Economic Affairs Committee. We have ample evidence of all the corruption there is.

Let me make two things absolutely clear. First, we are not discussing humanitarian aid. My view is that it would be good for us to do more than we do at present in humanitarian aid, but 90% of the British aid programme is so-called development aid, and that is what we are debating today in this Bill. Secondly, I am not at all opposed to the great cause of alleviating poverty in the poorest countries of the world. Indeed, I have always been strongly supportive of that and was lucky enough to be in a position to do something about aid. Some noble Lords will remember the so-called Toronto terms of 1988, which were called the Toronto terms because they were finally agreed at the G7 summit in Toronto. Their aim was to give debt relief to the poorest of the poor countries.

Global Development Goals

Lord Avebury Excerpts

Thursday 11th December 2014 Lords Chamber

[Lord Avebury (LD)]

My Lords, I agree with the noble Lord, Lord Cashman, that if we reduce the number of goals and the number of tasks, we may be in danger of losing some very important principles. I also agree with him on the need to tackle inequality, as a fan of the Equality Trust, and on the proposition that he carefully enunciated that unequal societies are not happy societies. Many of the evils that we suffer in the developed world are a product of our failure to tackle inequalities in our own society.

I also regret that, although the Secretary-General refers to this in his report, The Road to Dignity by 2030, published last week, there is an omission in the main goals, and even in the subsidiary tasks that are set out before us in the SDGs, of any reference to the greatest threat to the objectives of ending poverty, addressing climate change and keeping the rise in global temperature below 2 degrees centigrade, which is the inexorable rise in the number of human beings. I do not see any explicit recognition of that in the Secretary-General’s report.

In the draft sustainable development goals, also published last week by the UN open working group, goal 13 is to take,

“urgent action to combat climate change and its impacts”.

This is recognised as the primary responsibility of the UN Framework Convention on Climate Change, and I think there needs to be stronger linkage between the two strategies. Is it really possible to achieve 7% GDP growth in the least developed countries, and should we not distinguish between growth that requires consumption of energy, such as manned space travel or Formula 1 or nice garden bridges over the River Thames, and beneficial growth, such as the development of tidal power which could provide 42% of Scotland’s electricity?

On the continued growth of the human race, goal 3.7 calls for,

“universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes”.

If we coupled that with goal 5, which aims to:

“Achieve gender equality and empower all women and girls”,

women would have the right to control their own fertility, and have access to the means of doing so. As the noble Baroness, Lady Jenkin, said, 225 million women in the world do not have access to the means of controlling their own fertility. I am very glad to see that that is part of the new SDGs. In the developed world people have control of their own fertility. The problem is that there are religious and cultural obstacles to women’s equality in sub-Saharan Africa and the Islamic world that will not be easily overcome. There is good evidence to show that as women get better educated they will begin to take control of their own fertility, but where there is a long history of male dominance, that is not going to be easy to achieve.

I entirely agreed with the noble Lord, Lord Judd, when he said that conflict prevents any meaningful development. The emergence of extremist organisations such as al-Shabaab, AQAP, the Daesh and Boko Haram should be recognised explicitly as a major obstacle to women’s emancipation. Former members of the Secretary-General’s high-level panel, in an open letter in September, stressed:

“Freedom from fear and violence is the most basic human entitlement, and people demand peace and good governance as a core component of their well-being, not an optional extra”.

The nearest we get to this is goal 16, calling for “peaceful and inclusive societies”, but the language does not spell it out. The necessity of combating ideologies of hatred, murder and the subjection of women, and blasphemously claiming to be the true voice of Islam, needs to be on the final version of the SDGs presented to the General Assembly for approval next September.

My grandfather, who was born in 1834, had 12 children. They had large families in the 19th century because they expected high infant mortality. That is no doubt one of the factors behind the huge birth rates today in many less developed countries. But we know what needs to be done to complete the reduction by two-thirds, between 1990 and 2015, in the under-five mortality rate—goal 4 of the MDGs—in the countries that have not got there and to take the process much further. The WHO recommends 11 antigens for universal infant use and this should be incorporated in the post-2015 agenda.

That goal should be achievable even for the poorest countries with the help of the Global Alliance for Vaccines and Immunisation, to which I am proud to say this country is one of the largest contributors. But can my noble friend explain why in the five years 2011 to 2016 we contributed £1.3 billion, and now that has been reduced to £1 billion in the next funding round for the years 2016 to 2020? If I may refer to the previous debate, the Chancellor has had no difficulty in signing up to the renewal of the contribution to the former fund for AIDS, TB and malaria, so he ought to be able to do the same for GAVI.

I note that Germany, Canada, Norway and the Netherlands have all announced larger increases in the pledges they intend to make at the replenishment conference chaired by Chancellor Merkel in January. Are we really going to be the only country to give less this time, when the Secretary of State says:

“Investing in immunisation is one of the most cost-effective ways of saving lives and improving living standards, health and the global economy”?

The APPG on Child Health and Vaccine Preventable Diseases, of which I am co-chair, would like to see in the next 15 years the adoption of a more holistic approach to child health, integrating the vaccination programmes with the delivery of the WASH agenda for clean water, sanitation and hygiene, where there is still huge potential for disease prevention. Half the girls who drop out of school in sub-Saharan Africa do so because WASH is not provided. Many more drop out or miss school when they reach the age of menstruation for the same reason. We would like to see hygiene added to goal 6. This would be the place to refer to the co-ordination of the delivery of the WHO antigens with the WASH programme.

We also believe that there is tremendous potential in product development partnerships. I mentioned in the previous debate the example of GSK’s development, with the help of the Gates Foundation and many others in the PATH Malaria Vaccine Initiative, of the world’s first anti-malaria drug RTS,S. In phase three trials, the drug reduced incidence of the disease by a quarter in six to 12 week-old infants at first vaccination, and by half in young children aged five to 17 months at first vaccination. In July, GSK sought an opinion from the European Medicines Agency on the quality, safety and efficiency of the drug. Assuming that the reply is positive, the WHO is likely to issue a policy recommendation before the end of next year, allowing African countries to develop schedules for the delivery of RTS,S and for their national regulatory agencies to consider applications from the manufacturers. Children could receive the vaccine by 2016, saving hundreds of lives.

There is broad reference to multi-stakeholder partnerships at the very end of the open working group’s draft list of sustainable development goals. My final plea to my noble friend, when she comes to wind up, is whether DfID would consider proposing that a reference to PDPs, which have such enormous potential, be added to goal 17 as a shining example of what these partnerships can achieve.

AIDS, Tuberculosis and Malaria

Lord Avebury Excerpts

Thursday 11th December 2014 Lords Chamber

[Lord Avebury (LD)]

My Lords, I begin by joining in the congratulations which have been expressed to the noble Lord, Lord Fowler, on his outstanding record over several decades campaigning against homophobia and for the eradication of HIV/AIDS. He continues with this work effectively here in your Lordships’ House, in his book, AIDS: Don’t Die of Prejudice, and in his many speeches and articles on what the world needs to do to eradicate a scourge that my noble friend rightly describes as the greatest public health threat in the world today.

The noble Lord rightly castigated the 80 countries that criminalise homosexuality and the noble Lords, Lord Cashman and Lord Lexden, mentioned Uganda in particular as having an anti-homosexuality Bill currently before its Parliament. It was not for this reason, I think, that we cancelled our budgetary aid to Uganda, but perhaps we ought to review our non-humanitarian aid to all the 80 countries to see whether any pressure can be brought to bear on them through fiscal means.

As has been said, the Global Fund invests some $4 billion a year, of which the UK provides nearly £1 billion as its share. This is a cost-effective partnership, bringing together Governments, civil society, the private sector, philanthropists and patients affected by the diseases. It mobilises programmes run by local experts in 140 countries, avoiding duplication or overlapping.

As your Lordships know, HIV and TB are closely linked and TB is the leading cause of death worldwide for people living with HIV. Last year, the Global Fund provided that all applications for support from countries with high incidences of both diseases should present integrated programmes to qualify for assistance. This is a great step forward in the response to TB, because country HIV programmes have often been significantly more developed than their counterparts that address TB. TB patients will benefit from the greater resourcing, expertise and reach of country HIV programmes. For some reason, DflD currently does not integrate TB into any of its bilateral HIV programmes. This needs to change. I would like my noble friend, when she comes to wind up, to say that we will follow the Global Fund’s example by requiring recipients of our bilateral assistance for HIV/AIDS also to integrate their TB/HIV programming.

There is also a case for the co-ordination of delivery systems for malaria diagnosis and treatment with programmes for TB and HIV. The APPG on Malaria and Neglected Tropical Diseases points out in its latest report that,

“HIV and malaria frequently co-exist and the treatments most commonly used for each are now known to interact with each other”.

This would not be the case, I hope, with the first ever vaccine against malaria, RTS,S, developed over the last 20 years by GSK with additional funding by the Gates Foundation in one of the product development partnerships which are proving to be so successful in addressing the lack of commercial incentive to undertake R&D for vaccines, diagnostics and drugs for neglected diseases of the developing world. Does my noble friend the Minister think that we are likely to be able to eliminate these three diseases by 2030? On malaria, the APPG says that the Medicines for Malaria Venture has,

“the strongest anti-malaria … development pipeline that has ever existed”.

The rollout of the RTS,S vaccine before the end of the decade will be a significant milestone on the road to eradication. However, targets are needed for the post-2015 agenda, which is to be discussed shortly.

For HIV/AIDS, the fast-track approach of UNAIDS to ending the epidemic by 2030 is supported by a strong consensus, according to UNAIDS, which has identified headline intermediate targets for 2020. It recalls that African countries committed in the 2001 Abuja declaration to spend 15% of their budgets on health, but only six of them have met that commitment. Additional funding—the amount not specified—would be needed from donor countries; presumably, as the third-largest donor to the Global Fund, we are entitled to ask our EU partners to step up to the plate and contribute proportionately to their national income, as we do.

In conclusion, I am sorry to note that there was not a word about DfID in the Chancellor’s Autumn Statement, still less any mention of our commitment to the Global Fund over the next five years as we embark on the post-2015 agenda. The fund’s three-year pledging cycle does not fit with our five-year Parliaments, but it would be useful to hear from my noble friend what Mr Osborne has pencilled in for the 2016 round.

Malala Yousafzai

Lord Avebury Excerpts

Wednesday 10th December 2014 Lords Chamber

[Baroness Northover]

Indeed. I agree with the noble Baroness.

[Lord Avebury (LD)]

My Lords, what steps does my noble friend think the United Nations can take to convince the people of Pakistan that the deprivation of women and girls’ education is costing their state and public enormous economic potential? Will that be something that she could draw to the attention of the Government of Pakistan?

[Baroness Northover]

Many people in the Government of Pakistan are aware of that and there is an encouraging increase in the number of girls as well as boys in school.

Syrian Refugees: Food Aid

Lord Avebury Excerpts

Tuesday 2nd December 2014 Lords Chamber

[Baroness Northover]

The noble Lord is right that a huge amount of support will need to go to these countries. That is what the United Kingdom is in fact doing, both as regards support within Syria itself but also for those countries around, some of which, as he well knows, were under a lot of pressure before this crisis occurred and are under further pressure. We have to ensure that the situation that developed in Iraq does not develop elsewhere.

[Lord Avebury (LD)]

My Lords, perhaps I may return to the question of the UK’s undertaking to accept a small number of refugees from the region, on which I received a Written Answer this morning. Can the Government not review the commitment to accept 500 refugees over the next five years? Is this not a very small commitment, bearing in mind the vastness of the problem?

[Baroness Northover]

I will certainly refer that to my colleagues.

HIV and AIDS: Vaccine

Lord Avebury Excerpts

Monday 1st December 2014 Lords Chamber

[Baroness Northover]

I will be speaking at the launch of that report later this afternoon, and no doubt we will have further discussions about it. One of the striking things about this is that in terms of research and development funding for new product development in 2012—the most recent figures available—33.6% went to HIV/AIDS, 17.1% towards malaria and 15% towards TB, so it is not a neglected area. But research into the vaccine is proving exceptionally difficult and the trials have proved disappointing. It is therefore necessary to move back to basic research and drive it forward that way. Meanwhile, a lot of effort is going into research and development on treatments. As the noble Lord will know, over the past decade there have been great advances in treatment. One of the key things, as my noble friend Lord Howe just indicated, is making sure that people know their status and are treated.

[Lord Avebury (LD)]

My Lords, I declare an interest as co-chair of the All-Party Group for Child Health and Vaccine Preventable Diseases. We understand that an effective vaccine against HIV/AIDS is still a long way off, but could my noble friend give us a progress report on two relevant product development partnerships that are funded by DfID? They are the International AIDS Vaccine Initiative, and the TB Alliance’s development of new drugs for TB patients who are also infected by HIV.

[Baroness Northover]

My noble friend rightly highlights the link between HIV and TB. The IAVI has developed new approaches to HIV vaccine research by focusing on the needs of developing countries and early-stage research. The TB Alliance has four combinations of drugs in late-stage development, and will soon launch a trial of a combination of drugs that are suitable for those who are co-infected with both diseases.

South Sudan

Lord Avebury Excerpts

Tuesday 8th July 2014 Lords Chamber

[Baroness Northover]

The noble Baroness shows great understanding of the situation in South Sudan. As she rightly points out, the key to this is the conflict there. That is at the heart of why there is a problem—and why there is a problem with access. She rightly highlights the difficulty of getting aid in. We are working very hard on logistics with the UN, the ICRC and international NGOs to try to get assistance in through air transport and other means but it is proving extremely difficult. Clearly, the cessation of hostilities would be the key to sorting this out.

[Lord Avebury (LD)]

My Lords, considering that fewer than half the pledges made at the Oslo conference in May have been honoured, should not the Disasters Emergency Committee write to the defaulters pointing out that, if they paid up, the shortfall of $1 billion needed to avert famine in Sudan would be cut by a third? Why are the BRIC countries and the oil-rich Gulf states missing from the list of 26 contributors to the crisis response plan?

[Baroness Northover]

First, I am immensely glad to see my noble friend back in his place and, as ever, fighting for the rights of the vulnerable.