International Day of Education

Bambos Charalambous Excerpts
Thursday 23rd January 2025

(4 weeks, 2 days ago)

Westminster Hall
Read Full debate Read Hansard Text Read Debate Ministerial Extracts

Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Bambos Charalambous Portrait Bambos Charalambous (Southgate and Wood Green) (Lab)
- Hansard - -

I beg to move,

That this House has considered the International Day of Education.

It is a pleasure to serve under your chairmanship, Sir Desmond.

Tomorrow, Friday 24 January, we mark the United Nations International Day of Education. As we do so, we will be reminded of the transformative power of education. It is the cornerstone upon which societies are built, economies are strengthened and individuals are empowered. Education is not merely a privilege; it is a fundamental human right. Article 28 of the UN convention on the rights of the child enshrines that right.

However, as we reflect on our global commitments, particularly sustainable development goal 4, which aims to ensure inclusive and equitable quality education and to promote lifelong learning opportunities for all, we must confront the stark reality that progress has been uneven and significant challenges remain if we are to reach SDG 4 targets. In considering the progress towards some of the SDG 4 targets, I will focus first on target 4.1:

“By 2030, ensure that all girls and boys complete free, equitable and quality primary and secondary education leading to relevant and effective learning outcomes.”

Since the adoption of the 2030 agenda, strides have been made in expanding access to education, and enrolment rates in primary education have increased globally. According to the UNESCO Global Education Monitoring Report 2024, 110 million more children and youths have entered school since SDG 4 was adopted in 2015, and there is a growing recognition of the importance of quality education, with 40 million more young people completing secondary education today than in 2015.

However, those achievements mask deep disparities. According to UNESCO, approximately 251 million children and youths are still out of school worldwide, which means that since 2015 the out-of-school population has reduced by only 1%. Some 33% of out-of-school children and youths are from low-income countries, in contrast to only 3% from high-income countries, and over half of all out-of-school children and youths are in sub-Saharan Africa. We have also seen the terrible impact of the policies of the Taliban in Afghanistan, which have deprived girls of their right to education. Urgent action must be taken by the international community to ensure that these regional disparities are urgently addressed if we are to meet the SDG 4.1 target.

Crises such as conflicts, natural disasters and public health emergencies pose formidable barriers to education. In 2016, 75 million children did not have access to quality education due to forced displacement, humanitarian crises and climate change events. Nine years later, that figure has trebled to 224 million. Even children who do have access to school are not learning the basics, with over half those children—127 million—not meeting the minimum standards of literacy and numeracy.

There has been a regression in meeting both SDG 4.5, which is about eliminating all discrimination in education including for children in vulnerable education settings, and SDG 4.6, which is about ensuring all youths achieve a minimum standard of literacy and numeracy. That is deeply worrying, with UNICEF reporting that 70% of children in low and middle-income countries are unable to read a simple story by the age of 10.

The root cause of these crises, which disrupt education, needs to be tackled by the international community. UNICEF estimates that climate change alone disrupts the education of nearly 40 million children every year. In countries affected by emergencies, children lose access to safe drinking water, healthcare and food, alongside their education. Schools, which should be sanctuaries of learning, are often the targets of attacks. Between 2015 and 2019, attacks on education were reported in 93 countries. More recently, in Gaza ongoing conflicts have devastated educational infrastructure and left more than 1 million children in Gaza in dire need of educational support.

In Sudan, more than 17 million children are not in education, and schools are often used to house displaced children. In the eastern part of the Democratic Republic of the Congo, more than 1.3 million children are out of school because of an escalation of violence, and children also risk being killed, maimed, abducted, abandoned and recruited into armed groups. Closer to home, the impact of the war in Ukraine has also had a devastating effect on children’s education.

Organisations such as Education Cannot Wait have been instrumental in addressing those challenges. As the global fund dedicated to education in emergencies, Education Cannot Wait works to ensure that children in crisis settings receive uninterrupted education. Its multi-year resilience programme and emergency first responses have reached millions of children worldwide.

Adequate financing is pivotal to achieving SDG4, yet education often receives less than 3% of humanitarian aid. According to research by UNICEF, children-focused overseas development aid fell by 56% from 2016 to 2022; in the UK, it fell from 11% to a shocking 4% over the same period. The International Parliamentary Network for Education estimates that the annual financing gap for achieving SDG4 is £100 billion.

The funding gap is exacerbated by the debt burdens of low and middle-income countries; in some cases, the interest owed to private creditors is more than those countries’ entire education budgets. Christian Aid’s report “Between life and debt” found that 25 African countries spend more on repaying debt than they do on their education budgets, including in Kenya, Nigeria, Ethiopia, Zambia and Malawi. Unless there are international structural changes to tackle unsustainable debt, education in low-income countries will never get fixed, and that will hamper efforts to provide quality education, particularly in low-income countries and crisis-affected regions. Education is one of the most underfunded areas of humanitarian law, receiving only approximately 3% of international humanitarian funding. That is clearly not enough.

One of the central tenets of achieving SDG4 is teachers. There is a global shortage of teachers: the National Education Union estimates that roughly 44 million additional teachers will be required, 15 million of those in sub-Saharan Africa, to meet sustainable development goals for education. To achieve that ambition, we need a new global teacher strategy to train, recruit and retain qualified teachers in the global south.

In many low-income countries, there are huge pressures on teachers, including with regard to working conditions, class sizes and equipment. Teachers are also often the victims of attacks, and in some instances they are denied regular pay. The UN has recognised this as an important issue, especially in low-income countries with fragile economies. A key recommendation of the UN high-level panel on the teaching profession was the creation of a global fund for teachers’ salaries, so that children can continue to receive education during crises.

I have a number of questions for the Minister before I conclude. The first relates to international education aid. Will the Government bolster their financial contributions to global education initiatives and ensure that funds are directed towards the most marginalised and crisis-affected children? That would include supporting organisations such as Education Cannot Wait and UNICEF, which are on the frontlines of delivering education in emergencies. Breaking down barriers to opportunity was one of the Labour party’s key missions. Will the Minister confirm that as aid funding for education aligns with that mission, education will receive the priority it deserves?

I also want to ask the Minister about advocacy for safe schools. As I mentioned earlier, a significant factor in children’s not receiving education is conflict. Can the Minister advise me whether the Government will champion the protection of educational institutions in conflict zones? By supporting the safe schools declaration and advocating for the adherence to international humanitarian law, we can work towards ending attacks on education.

As I mentioned earlier, teachers are the backbone of education systems. Providing them with adequate training, resources and support, especially in emergency contexts, is crucial, as is ensuring they are paid for the work they do in very difficult circumstances. Do the Government support the creation of a global fund for teachers’ salaries to help pay for teachers in conflict areas?

Finally, on the promotion of inclusive education, children with disabilities are doubly disadvantaged in receiving education in crises. Can the Minister advise whether the Government will support programmes that target providing education for children with disabilities in crises?

Alice Macdonald Portrait Alice Macdonald (Norwich North) (Lab/Co-op)
- Hansard - - - Excerpts

I thank my hon. Friend for giving way and for securing this debate. It is a pleasure to serve under your chairmanship, Sir Desmond.

One of the key barriers for all children, particularly children with disabilities, is inadequate access to water and sanitation. Some 200 million children do not have a toilet at all in school, and that issue affects 50% of schools in sub-Saharan Africa. Does he agree it is also important to look at the other sustainable development goals, including SDG6 on water and sanitation, to ensure that efforts are joined up?

Bambos Charalambous Portrait Bambos Charalambous
- Hansard - -

My hon. Friend makes an excellent point. SDG4 should not be seen in isolation. We need to target a number of SDG goals to make sure children receive the education they need. Water and sanitation is clearly one of the top ones that we need to target. I thank my hon. Friend for making such an excellent point.

I conclude by saying that education is a beacon of hope in the darkest of times. It is the key to breaking cycles of poverty, fostering peace and building resilient societies. As we mark the UN International Day of Education, let us reaffirm our commitment to ensuring that every child, regardless of their circumstances, has access to quality education. The challenges are immense, but with a collective will and concerted action, we can turn the tide. The UK has both the responsibility and the capacity to lead in this endeavour. Let us seize the moment to make a lasting difference in the lives of millions of children worldwide.

--- Later in debate ---
Bambos Charalambous Portrait Bambos Charalambous
- Hansard - -

This has been a very positive debate, and it is great that there is cross-party support on this important issue. I thank all Members for their contributions and the Minister for her positive response. I look forward to how that investment from the Government is taken forward to build on the previous Government’s commitment to education. The Minister is obviously a passionate advocate for education, and will want to see the fruits of the investments and steps the Government are taking to achieve SDG4 as soon as possible.

Question put and agreed to.

Resolved,

That this House has considered the International Day of Education.

Impact of Conflict on Women and Girls

Bambos Charalambous Excerpts
Thursday 9th January 2025

(1 month, 1 week ago)

Westminster Hall
Read Full debate Read Hansard Text Read Debate Ministerial Extracts

Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Bambos Charalambous Portrait Bambos Charalambous (Southgate and Wood Green) (Lab)
- Hansard - -

I congratulate my hon. Friend on securing this important debate and on her excellent speech.

One of the consequences of war and conflict is disruption to education. The educational void is catastrophic, not just for girls themselves but for their families, communities and nations, too. A lack of education for girls also undermines peacebuilding. Studies show that educated women are key to rebuilding post-conflict societies, participating in governance, and preventing the resurgence of violence. Does my hon. Friend agree that the UK must champion the protection of education in conflict zones and hold Governments and militias to account when they attack schools or use them for military purposes?

Alice Macdonald Portrait Alice Macdonald
- Hansard - - - Excerpts

I do agree. Like the previous Government, this Government have done a lot on girls’ education, as did former Prime Minister Gordon Brown, who continues to do so. There is not only an impact on girls’ present; it is an attack on their future and on the future of us all.

We have seen the rolling back of women’s rights, and nowhere is this more evident than in Afghanistan, described as the worst women’s rights crisis in the world. The Taliban are steadily erasing women and girls from public life and suppressing every single one of their rights. A female in Afghanistan cannot go to school, cannot go to the park and cannot travel or leave the house without a male chaperone. She cannot work for a non-governmental organisation, which will have a devastating impact on the delivery of aid; she cannot study midwifery or medicine; and over Christmas it was reported that the Taliban have banned windows to stop women even being seen. This is gender apartheid.

I went to Afghanistan in 2011 and met many women who were determined to shape the future of their country. The politicians I met are no longer able to serve. The women who were working in domestic abuse refuges are not working any more—indeed, those shelters are shut. Those women are still fighting for the future of their country; it is their voices and demands that we must listen to, and we must act. That must include heeding their calls to recognise what is happening as gender apartheid, and as a crime under international law. That would mark a historic step towards ending this abhorrent discrimination and send an important message to Afghan women and girls that we stand with them.

The international community and the UK must also make it clear that we will not normalise relationships with the Taliban unless they end their war on women. I know the Minister cares passionately about this issue. Will she tell us what specifically the Government are doing, and whether they will support the calls to recognise what is happening as gender apartheid and pursue it through the UN so that it is treated as a war crime?

We can all do our part. Like others present, I joined many Members of Parliament in signing a letter, organised by my hon. Friend the Member for Gower (Tonia Antoniazzi), to the England and Wales Cricket Board, asking it to speak out and boycott the match against Afghanistan—because all action matters.

I turn now to Sudan, where an estimated 6.9 million people are currently at risk of gender-based violence; where 75% of girls are not in school; where there is evidence of mass and systemic rape; and where women are reportedly committing suicide out of fear of that rape. Evidence shows that women and girls from ethnic minority groups are being deliberately targeted. The accounts are horrific. I read one from a 35-year-old Nuba woman who described how six Rapid Support Forces fighters stormed into her family compound. She said:

“My husband and my son tried to defend me, so one of the RSF fighters shot and killed them. Then they kept raping me, all six of them”.

Sudan has been described as the world’s forgotten conflict. As the UK is the penholder on Sudan in the United Nations, will the Minister set out what we can do now to support women in Sudan and change the situation so that it is no longer the world’s forgotten conflict? Does she agree that the United Nations and the African Union should urgently deploy a mission to protect civilians in Sudan that is mandated and resourced to address sexual violence? Does she think UN member states should bolster support for the UN fact-finding mission, as the Secretary-General has urged, to help to pave the way forward towards meaningful accountability?

Let me turn to Gaza; I know that more Members will speak about the situation in the middle east. As I said in the Chamber recently, there are 50,000 pregnant women in Gaza right now who cannot access the care that they need. Imagine giving birth in the hell that is Gaza right now. If the ban on the United Nations Relief and Works Agency for Palestine Refugees in the Near East goes ahead at the end of this month, that will have a devastating impact on everybody, including women and girls, so I hope the Minister will update us on what we are doing to push harder on that front.

Many people may ask why we in the UK should care about this. Why should we care about what is happening to women in other parts of the world? Well, it is the right thing to do, as was set out by the previous Government in their national action plan on women, peace and security. It is also the smart thing to do, because empowered and engaged women mean more secure and prosperous societies. When women’s rights are rolled back anywhere, they are rolled back everywhere.

Syria

Bambos Charalambous Excerpts
Thursday 19th December 2024

(2 months ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Anneliese Dodds Portrait Anneliese Dodds
- View Speech - Hansard - - - Excerpts

I am grateful to the right hon. Lady for her comments. She has raised a number of issues, with which I will deal in turn. First, she asked about the UK’s engagement with HTS. I did talk about that in my statement, but I can provide additional information. It is clear that the fact that HTS is a proscribed terrorist group does not prevent the UK from engaging with it in our efforts to help secure a political settlement, or from engaging with any future transitional Government in Syria that includes HTS. Its proscription will not inhibit the pursuit of our foreign policy objectives in Syria, and the UK will be guided by a set of core principles for any diplomatic interaction with the interim Syria authorities, with inclusion and the protection of human rights as key considerations. That has been the case until now, and it most definitely will be the case into the future. The right hon. Lady asked about engagement with other bodies at official level. There has been engagement with Türkiye and with the SDF, and that will continue. We are seeking to do all that we can, above all, to ensure that the interests of Syrians themselves are put at the forefront in this very difficult situation.

The right hon. Lady asked about the representations being made by the UK to the HTS. I covered that in my statement, but let me repeat that we have been crystal clear about the fact that any subsequent arrangements must be comprehensive, representative, inclusive and, above all, determined by Syrians. She asked whether this would have any impact on the integrity of the proscription regime; no, and it must not, because that is an incredibly important regime and there will be no linkage. She asked what would happen with those who chose to leave our country to promote and support terrorism by seeking to fight for Daesh; of course those people will not be able to come to the UK. She talked about the use of chemical weapons; I covered that in my statement as well, but, again, the UK will seek to play as much of a part as it possibly can in ensuring that those stockpiles are destroyed after they were used so appallingly against the Syrian people.

The right hon. Lady asked about the use of aid. I have discussed this matter myself, as have many of my officials, with a number of multilateral bodies and with a number of our bilateral partners as well. We are determined to work together to ensure that aid does not fall into the wrong hands and is not diverted. Of course that must not happen, because it is desperately needed by many Syrians. A great many people have already been displaced from Syria to neighbouring countries, but large population movements now seem to be taking place, and it really is important that the aid goes where it is needed. We are, of course, monitoring that in detail.

The right hon. Lady asked about the situation with Iran. The UK has condemned Iran’s reckless and destabilising activity, including its support for militant groups. We have been very clear about that, as the new Government. Finally, the right hon. Lady talked about the need to ensure that we do not see an increase in the developments that have been so concerning, involving the smuggling of weapons and drugs. The UK will focus on that later with the new Government, because we see the damage that has already been caused in that regard.

Bambos Charalambous Portrait Bambos Charalambous (Southgate and Wood Green) (Lab)
- View Speech - Hansard - -

I welcome the Minister’s statement. Earlier this week I met Alevi, Kurdish and other communities who are deeply concerned about what will happen to minorities in Syria now that HTS has seized power there. The UK has rightly proscribed HTS as a result of its links with al-Qaeda. Can the Minister reassure the House that the Government will use all their powers to prevent HTS and other hostile actors from attacking minorities in Syria?

Anneliese Dodds Portrait Anneliese Dodds
- View Speech - Hansard - - - Excerpts

Of course we will seek to use every lever in that respect, because it is the position of this Government that all civilians must be protected, and that includes civilians who form part of religious and ethnic minorities. We have also made it very clear that, as I mentioned a few moments ago, the political process must be inclusive, and that covers all religious and ethnic minorities. When it comes to the situation for Kurds, I think it relevant to underline the fact that the UK has been in touch with both Türkiye and the SDF since the start of this escalation. We are urging all sides to refrain from activity that could lead to a further loss of civilian life, and of course we want to see the ceasefire being held to.

COP29 and International Climate Finance

Bambos Charalambous Excerpts
Wednesday 30th October 2024

(3 months, 3 weeks ago)

Westminster Hall
Read Full debate Read Hansard Text Read Debate Ministerial Extracts

Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Ellie Chowns Portrait Ellie Chowns
- Hansard - - - Excerpts

Thank you, Sir Roger—I am still learning the ropes. I thank the Minister for coming to respond to the debate. It is my pleasure to introduce this debate on international climate finance, and I particularly appreciate the presence of so many colleagues, given that it is an extraordinarily busy day when, with the Budget, we are discussing domestic finance. I may have one or two words to say on that in a moment.

This debate is particularly important, because we are in the run-up to COP29—the conference of the parties—in Baku. It is supposed to be the finance COP, because it is crucial that we mobilise the necessary finance to tackle the global climate crisis. My purpose in securing this debate is to encourage the Government to put a bit more flesh on the warm words that we have heard so far. I recognise those warm words: for example, the Foreign Secretary saying that he wanted to put climate change “at the centre” of foreign policy—that is welcome—and the commitments from the Secretary of State for Energy Security and Net Zero on domestic investment. However, there is still much more to do.

I will give the Minister advance notice of the topics on which I would love her response. At COP29, we are looking for the international community to agree a new collective quantified goal for climate finance in the trillions of dollars, not the billions. That is the scale of the challenge that we face. Do the Government recognise that, and are they prepared to play their part in leading from the front to ensure that there is collective commitment to the goal?

International climate finance needs to tackle mitigation, as well as the urgent need to invest to reduce emissions of greenhouse gases. It needs to tackle adaptation, because an enormous amount of global warming is already built into the climate system through historical emissions. It also needs to tackle loss and damage: the costs that are already being borne particularly by the most vulnerable in the poorest countries, and are due to the historical debt that early industrialising countries built up through our burning of fossil fuels.

Bambos Charalambous Portrait Bambos Charalambous (Southgate and Wood Green) (Lab)
- Hansard - -

For some low-income countries, one of the biggest factors is debt through private creditors, which I think is greater than the other debt that a lot of those countries owe. Does the hon. Lady agree that the matter of debt owed to private creditors must also be addressed to tackle the need for more funding for climate emergencies?

Ellie Chowns Portrait Ellie Chowns
- Hansard - - - Excerpts

The hon. Member raises an important point. There is a history of multilateral and bilateral efforts by Governments to tackle debt crises, and there is a role for government to play in regulating the private finance sector to prevent vulture finance, effectively, from preying on countries in that way. There is a key need for international co-operation to address that issue, because the lenders are from all over the world. If a country has debt relief through one process, it is crucial that it does not then find itself stuck in a debt crisis in relation to another lender. I would be glad to hear the Minister’s proposals on debt relief.

My third point is that it is essential that international climate finance comes largely in the form of grants, not loans. The UK Government generally have a good record: roughly 85% of the climate finance we have committed has been through the form of grants, and I believe that commitment is in place until 2026. Will the Minister commit to that figure remaining a floor? Will she seek to increase it, so that the vast majority of climate finance is provided in such a way that it does not build up debt repayment problems for the future?

International Engagement

Bambos Charalambous Excerpts
Monday 28th October 2024

(3 months, 3 weeks ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Anneliese Dodds Portrait Anneliese Dodds
- View Speech - Hansard - - - Excerpts

I am very grateful to the hon. Lady for her remarks and, above all, for her work with the Commonwealth Parliamentary Association. Indeed, I commend all Members across the House who are engaged with that very important organisation, which brings parliamentarians together.

The Prime Minister’s resolution to support the Commonwealth could not be clearer. He is the first sitting UK Prime Minister to visit a Pacific island country. That is something we should all celebrate, rather than criticise. That commitment is very clear indeed. I had the absolute privilege of meeting the Prime Minister of Samoa when I was in New York for the UN General Assembly. I was very excited then to hear her talk about how the Commonwealth Heads of Government meeting was likely to run. It was a very successful meeting. We commend her and the whole Commonwealth family on it. I know the Prime Minister is very much of the same mind.

I associate myself with the hon. Lady’s remarks in thanking Baroness Scotland for her leadership, and in commending the wise words of His Majesty, which are always imbued with wisdom. That approach is the one the new UK Government are taking. We believe it is important to focus on the future. That is why, as I said a few moments ago, we prioritised focusing on economic development, young people’s employment, women’s economic empowerment, which is so often the key to growth, and action on the climate and nature crisis. That is what our Commonwealth friends are saying that they want to see in the future. We will stand with them on that, because it is to the mutual benefit of us all.

The hon. Lady asked about the Budget. The UK Government’s position is very clear: we do not want a return to the kind of turbulence that we saw over the past 14 years. Very sadly, we saw in-donor refugee costs in particular rising in a way that was completely uncontrolled, with programmes cut in half. That is not the current UK Government’s approach. We will ensure we have a properly planned approach to international development, because failing to do that is to let down our international partners.

The hon. Lady asked about our position on the UN Security Council. We have been very clear that we need to ensure there is better representation of global south partners, but we will always take our leadership responsibilities on the UNSC very, very seriously indeed. We have been doing that since coming into government.

The hon. Lady asked about Myanmar and abuses of human rights. Again, we have been very clear on the need for action to be taken. We have communicated that many times. We are very concerned about the position of those who have been impacted.

The hon. Lady asked specifically about language in the communiqué that was agreed at the conference about reparative justice. Just to be crystal clear, I am sure everyone in the House would agree that the slave trade was abhorrent. We condemn it, just as previous Labour Governments have done. As the Prime Minister made clear in Samoa, it is important that we start from there, but it is also important that we are just as clear that there has been no change in our policy on reparations. The UK does not pay reparations—I really could not say that more emphatically—and I know she is aware that that is the position of the UK Government.

Finally, the hon. Lady asked about IDA. I will finish on that, Madam Deputy Speaker. The previous Government were not clear about their approach to IDA replenishment. The new Government have been clear. The Prime Minister said at the UN General Assembly that the UK will increase its contribution and we urge other countries to do the same.

Bambos Charalambous Portrait Bambos Charalambous (Southgate and Wood Green) (Lab)
- View Speech - Hansard - -

I welcome my right hon. Friend’s statement. She touched on IDA. IDA needs a minimum of $27 billion from donor countries to help countries at higher risk of debt distress. Can she further elaborate on the discussions she had with international counterparts on IDA replenishment, ahead of IDA21 in early December this year?

Anneliese Dodds Portrait Anneliese Dodds
- View Speech - Hansard - - - Excerpts

I am very grateful to my hon. Friend for raising this issue. IDA is a critical part of the World Bank’s architecture. It is the fund that is focused on the very poorest countries that are most in need of support, but also those which can grow very quickly when they receive that support economically. It is extremely good value: every $1 invested in it results in $3 to $4 for those in the poorest countries. The UK has been clear, as I mentioned, that we will increase our contribution. We are urging others to do the same. Denmark and Spain said that they would do just that, which I think is a vote of confidence in IDA.

World Immunisation Week

Bambos Charalambous Excerpts
Thursday 2nd May 2019

(5 years, 9 months ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Bambos Charalambous Portrait Bambos Charalambous (Enfield, Southgate) (Lab)
- Hansard - -

It is a pleasure to follow the hon. Member for Central Ayrshire (Dr Whitford), who is a fellow member of the all-party group on vaccinations for all.

Let me start by giving some context. Vaccinations have been around for a long time, with evidence showing that the first form of vaccination for smallpox occurred in China approximately 500 years ago, but it was not until 1796, when English physician Edward Jenner published evidence showing that his smallpox vaccine was effective, that vaccinations in the west really took off. Since that time, vaccinations have been hugely successful in preventing numerous infectious diseases. In the past 100 years, we have seen vaccinations successfully prevent diseases such as diphtheria, tetanus, anthrax, cholera, plague and typhoid, and more recently polio, measles, mumps and rubella.

Many of us will remember receiving vaccinations at school and thinking nothing of it, but the diseases that those vaccinations prevented could have killed us had we been born decades previously. It is safe to say that immunisation has stood the test of time as one of public health’s most cost-effective interventions, saving up to 3 million lives every year. It is estimated that between 2011 and 2020, vaccines will avert an estimated 20 million deaths and 500 million cases of illness.

Since its inception in 2000, Gavi, the Vaccine Alliance, has contributed to the immunisation of more than 690 million children and helped to prevent more than 10 million deaths by virtue of its ability to acquire vaccines in bulk and to enable access to those vaccines by the world’s poorest countries. The United Kingdom is one of Gavi’s global partners, and through it UK funding has helped to immunise 76 million children against vaccine-preventable diseases, saving 1.4 million lives over the past 19 years.

There is no doubt that without sustained access to vaccines, disease outbreaks and pandemics would be inevitable. With the annual global cost of a severe pandemic being roughly $570 billion, or approximately 0.7% of global income, vaccinations are the best financial option available for fighting pandemics. The World Health Organisation has estimated that between 2001 and 2020 the economic benefits of vaccination could reach up to $820 billion.

On top of the distribution of and process of providing vaccines, and as well as the benefit of patients’ physical immunity to various diseases, there is also a long-term benefit in the establishment of strong primary and public healthcare systems in places where vaccinations are a new introduction in the fight against diseases. With my hon. Friend the Member for City of Chester (Christian Matheson) and the hon. Member for Erewash (Maggie Throup), I was recently part of a delegation to Ethiopia organised by RESULTS UK to look into how Ethiopia is tackling the prevention of tuberculosis. I was impressed by the health system there, in particular the excellent health extension workers, who provide immunisation in the more rural parts of Ethiopia, such as Bishoftu. They store vaccinations in solar-panelled refrigerators. The public health message conveyed by these dedicated health extension workers and community health workers was clearly working well, as were the distribution hubs that delivered the medicines to the outposts in the most efficient manner possible. The people of Ethiopia can be very proud of how they have reduced infectious diseases, and I am sure that they will strive to eradicate infectious diseases altogether.

Huge progress has been made in the virtual eradication of certain diseases through immunisation. For example, cases of wild polio have been reduced by 99.9% since 1988, down from 350,000 cases in 125 countries to just 33 cases in just two countries in 2018. Despite that, millions of children still miss out on basic vaccines, and one in 10 children around the world still receive no vaccines at all. According to figures from the advocacy organisation RESULTS UK, only 7% of children in the poorest 73 countries receive all 11 of the WHO-recommended vaccines, and almost 40% of unvaccinated children—approximately 8 million of them—live in fragile humanitarian settings.

The success of the prevention of infectious diseases through vaccinations has meant that the world has become a healthier, more prosperous place to live. As infant mortality decreases, there is a risk in presuming that immunisation is a done deal and that political and financial investments could be put to better uses. We must make sure that we are not complacent in assuming that the problem has been solved, as complacency would be incredibly detrimental and risks putting millions of lives at risk. We are already seeing immunisation rates fall across many countries, as they reduce the funding for immunisation once they reach a certain level of reduction of infectious diseases, only to see rates then rise and so have to start again from the beginning.

We have the knowledge, resources and expertise to prevent millions of unnecessary deaths every year, yet in Africa alone more than 30 million children under five suffer from vaccine-preventable diseases every year, and more than half a million of those cases result in death. Disparities in immunisation coverage and equity across and within countries mean that children from the poorest families, from the most remote areas and from marginalised groups continue to be left behind, with only 7% of children in the poorest 73 countries receiving all 11 of the WHO vaccines.

For example, there is still a problem in getting vaccines to children who belong to pastoral, rural communities, because despite some of the best and most ingenious refrigeration techniques, it proves difficult over the last mile to keep the vaccinations at the right temperature so that they do not degrade. It is now essential that global immunisation efforts prioritise reaching those who are left behind and currently receive no vaccines at all. These children must be reached with vaccines and other health interventions to ensure that we meet the sustainable development goals and that the UK meets its “leave no one behind” targets.

A changing world means that a large proportion of under-immunised children are located in middle-income countries or fragile and conflict-affected states. We must ensure that our aid investments are fit for purpose and can reach these children, no matter where they are. The UK should be focused on reaching the poorest children, not the poorest countries. We must also not forget that malnourished children do not respond as well to vaccinations.

To ensure that vaccines are most effective, investment in infrastructure is vital. Strong and functioning health systems are required to deliver vaccines. It is essential that at the same time as investing in immunisation systems, we invest in strengthening health systems. This will enable more vaccines to reach more children and allow for the easier introduction of new vaccines. Gavi must continue and increase its investment in its work to strengthen health systems, which must be tailored to meet countries’ needs, and the UK must ensure that its bilateral work on health systems strengthening complements Gavi’s work. Investing in immunisation delivers on impact beyond immunisation to the whole health system, because reaching every child with free vaccines requires multiple points of contact with a health system and offers the opportunity to increase access to multiple health services, such as nutrition, making vaccines excellent value for money and central to achieving universal healthcare.

Polio funding has had a far-reaching impact by, for example, supporting 70% of global surveillance systems and funding health workers who deliver other essential vaccines and health interventions. But polio eradication efforts could be compromised as countries struggle to mainstream polio essential functions into weak health systems. Domestic resource mobilisation and country ownership are key to managing the transition, yet in the 16 polio-priority countries, the average Government expenditure on routine immunisation within immunisation budgets is just 31%.

The UK must continue to prioritise polio transition as an issue to ensure not only a polio-free world, but that it is working with countries to help them understand and plan for a transition away from polio funding. I ask the Government to redouble their commitments to vaccinations and to make ambitious commitments to financing Gavi and the GPEI in their upcoming replenishments over the next 18 months and remain a leader in the global immunisation efforts.

I also ask the Government to ensure that the focus of global immunisation efforts is on reaching those left behind who currently receive no vaccines at all. We need to ensure that all investment in immunisations is focused on strengthening immunisation systems so that every child receives the full schedule of recommended vaccines.

Great progress has been made in eradicating infectious diseases, but we must not be complacent and we need to ensure that we keep our eye on the ball and do all we can to help those in the hardest to reach and poorest areas to get the vaccinations that they need.

Stewart Malcolm McDonald Portrait Stewart Malcolm McDonald (Glasgow South) (SNP)
- Hansard - - - Excerpts

On a point of order, Madam Deputy Speaker. I thank you for your indulgence and seek the forgiveness of Members present for this extremely worthy debate this afternoon for barging in mid-way through it with this point of order.

Madam Deputy Speaker, you will know that earlier today the Chancellor of the Duchy of Lancaster and the Minister for the Cabinet Office responded on behalf of the Government to an urgent question concerning leaks from the National Security Council. The Minister said several times from the Dispatch Box that the Government would co-operate with any police investigation, but during those proceedings the Metropolitan Police Commissioner, Cressida Dick, made a public statement in which she said that the police could start proceedings of an investigation only if they were requested to do so by the Cabinet Office, the Minister for which was on his feet at that time. He must have known when he was on his feet responding to Parliament’s questions that that was the case—that there could be no co-operation with a police investigation if the Government had no intention of asking the police to proceed with one.

Given that there is a degree of being casual with the facts, shall we say, may I ask you whether the Minister could come back to the House to clarify exactly what the Government’s position is and what their role might be in getting what many in this place believe to be pivotal, which is the police to investigate the entire sorry affair?