(1 year, 11 months ago)
Lords ChamberIt is certainly the case globally that women with HIV have some of the highest maternal death rates, which is why our ending preventable deaths approach, which is a major focus of UK ODA, has a strong rights and equality focus and will remain a priority for the UK. In the domestic and UK context, I shall certainly convey that suggestion to the Department of Health.
My Lords, I welcome the Government’s recent commitment of £1 billion to the Global Fund which, in the circumstances fiscally here in the UK, is a remarkable and generous donation and makes us one of the best contributors still in the world to that important fund. Of the 650,000 deaths from AIDS every year globally, to which my noble friend Lord Fowler referred, some one-third are from tuberculosis, which is the biggest single cause of death of people who have HIV. The co-infection of the two diseases remains a serious problem. Does my noble friend recognise the importance of tackling both major epidemics—tuberculosis and HIV—together? That commitment will continue to be important if we are to have some chance of beating these diseases—although there is no chance of beating TB by 2030—at least within the lifetime of a generation.
I first thank the noble Lord for his comments about his contribution to the Global Fund. I agree with him—in the face of the budgetary pressures that we are facing, I was very relieved and pleased that we were able to make that commitment to the Global Fund, which is doing extraordinarily important work.
The noble Lord also makes an important point about TB. It is the case that until just a few years ago, the trajectory of TB was very much downwards. It was one of those historic illnesses that we had almost got to grips with, or certainly believed that we were getting to grips with. One problem is that we are seeing the weakening of the effectiveness of antibiotics. Currently, there is a limited supply of antibiotics and, if we continue to abuse them, as we are doing globally—well over half the world’s antibiotics are used just to keep animals alive in factory farm conditions in which they would not otherwise survive—that will be the height of irresponsibility. We will be wasting globally this treasure—because antibiotics are a miracle cure that our ancestors would have dreamed of—just to get our animals a bit fatter a bit quicker and to keep them alive in conditions in which we should not be keeping them in any case. So this is a priority—the UK is leading on this issue, and is doing extraordinarily important work on it—but I do not think that we can solve the problem that the noble Lord raised unless we get to grips with our abuse of antibiotics.
(3 years, 7 months ago)
Lords ChamberMy Lords, the impact of Covid-19 on other global health issues such as TB is deeply troubling. The UK has a proud legacy of fighting TB globally. Our current pledge of up to £1.4 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria is tackling all three diseases and helping countries to strengthen their health systems. We also invest in TB research and innovation to help people access new TB treatments.
My Lords, I thank my noble friend for his Answer. Many people believe that tuberculosis is a disease of the past. It is in fact, sadly, a disease of the present, still killing 1.5 million people a year globally quite unnecessarily. By the time this World TB Day has ended, there will have been another 4,000 needless losses of life, and 700 of those will be children. No epidemic in human history has been beaten without a vaccine, yet there is no effective adult vaccine for tuberculosis. I am grateful for the many things that the Government are doing to tackle this disease globally, but will my noble friend assure me that the Government will remain committed to funding the vital research and development for the new tools that will help us to beat this terrible disease by the time of the sustainable development goal which committed to end it in nine years’ time?
My Lords, tackling TB is a crucial part of improving lives. As the noble Lord says, every death from TB is preventable. That is why the UK has been a leading donor on TB for many years; we are consistently among the top three most generous countries. Our research investments have been transformational and have led to at least five new diagnostic tools for TB. Although the pandemic has forced us to take tough decisions, tackling TB remains a priority and global health remains a top UK ODA priority, as set out by the Foreign Secretary just a few days ago. We will provide more information on how we will continue to take a leading role in due course.
(3 years, 7 months ago)
Lords ChamberMy Lords, despite the changes that were recently announced, our aid budget will continue to serve the primary aim of reducing poverty in developing countries through a number of different means. The new strategic approach to ODA will ensure that every penny we spend goes as far as possible and makes a world-leading difference. The Foreign Secretary has set out how we will deliver better results for the world’s poorest, as well as for the UK, through focusing on the seven global challenges where the UK can make the most difference.
My Lords, I welcome the approach set out in today’s integrated review, but our aid spending and what we can do globally are crucial to soft power. It seems that the large sum of money that has been taken out of the ODA budget has, in one year, potentially impacted, for example, aid programmes in Yemen, research and development programmes on global public health and the funding of LGBT groups. All of this will impact our soft power, just as it does volunteering. Will my noble friend report back the strong views of many of us on this side of the House, as well as others, that the 0.7% target should be restored as soon as possible?
My noble friend is right to value our ODA in the context of the tremendous soft power that it brings the United Kingdom. I will convey his message to the Government. The creation of the FCDO and the strategic oversight of ODA spend by the whole of government means that we will do aid better across government, even if the budget is temporarily smaller. We will ensure that the UK’s aid secures a greater impact across the globe. We will combine our aid with diplomacy to maximise its impact, focusing our efforts on where the UK can make a world-leading difference and ensuring that the UK is a force for good across the globe.