(8 years, 8 months ago)
Westminster HallWestminster 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.
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I agree with the hon. Gentleman. It is shameful that a country with such a huge amount of resources locally is not taking its fair share of refugees. Elsewhere, in comparison, Jordan is hosting more than 600,000 Syrians, while Iraq and Egypt are supporting 245,000 and 118,000 refugees from the conflict respectively.
As a member of the Select Committee on Defence, I have had the opportunity in the last few months to go to Jordan, which has an interesting system of integrating people. They are not in refugee camps; they are integrated into society. Jordan should be an example to the rest of the world of how to look after refugees.
That sounds like an interesting model. I am grateful to the hon. Gentleman for interjecting that into the debate, and I would be interested to look at it in more detail.
The point is that, despite the continuing hospitality of those countries and the considerable financial support that has been provided by other countries—and, to be fair, that does include the UK—as the conflict has escalated and the number of people fleeing has increased, the living conditions for refugees have come under ever more pressure. As a result, as we know, some Syrians are seeking safety in Europe. About half of the 1.1 million people who put their lives in the hands of smugglers attempting to cross the Mediterranean last year were Syrian.
The high-level meeting on 30 March has been arranged at the request of Ban Ki-moon, the Secretary-General of the UN, with the aim of securing pledges from countries around the world to create so-called pathways for admission—safe and legal routes—for Syrian refugees. The creation of those safe and legal routes for refugees to reach safety is a vital part of the response to the Syrian crisis. It is precisely the lack of such routes that forces refugees to risk their lives trying to reach Europe and that creates the demand for the unscrupulous people smugglers.
I believe that the answer categorically does not lie in attempts to contain the crisis in those countries that are already providing some kind of refuge to refugees, the vast majority of whom are Syrians. Yet, sadly, I would say that that is exactly what is being attempted through the proposed EU-Turkey deal. The apparent one in, one out element of that deal has been described by the European Council on Refugees and Exiles as being
“as Kafkaesque as it is legally and morally wrong”.
I agree with that assessment.
It is a pleasure to speak in this debate, Mr Crausby. I thank the hon. Member for Brighton, Pavilion (Caroline Lucas) for securing this timely and important debate. What with Russia withdrawing her troops just yesterday, on the fifth anniversary of the first unrest in Syria, massive gains for the anti-immigration Alternative für Deutschland in Germany off the back of Angela Merkel’s asylum policy, and thousands of people still stranded at borders throughout Europe, it is most appropriate that we have the opportunity to discuss these issues today in Westminster Hall.
The Syrian refugee crisis was without doubt one of the defining issues of 2015, and it continues to dominate the news in 2016. As the right hon. Member for Orkney and Shetland (Mr Carmichael) said, it will dominate the agenda for the next 20-odd years, whether we like it or not. Even with the peace talks and the Russian withdrawal, the abhorrent Islamic State, al-Nusra and other jihadist groups have no regard for such a process and continue their genocidal campaigns. Just yesterday, the US House of Representatives voted to condemn ISIL’s campaign of genocide by 392 votes to zero. I think that sums up the feelings of many of us.
We need to find the best way of getting a peaceful resolution between the Syrian Government and opposition. However, although desirable, even that would not stabilise the region. If we want a peaceful solution, it has to be found in Syria. Peace must come from there, for the sake of the refugees. We have all seen the images of what ISIS do: they behead, rape, murder and pillage. It is not hard to understand why any human being would want to get as far away as possible from such abhorrent things. More than 14 million Syrians in the country are in need of help, 7 million of whom are internally displaced. Nearly 5 million have fled abroad, including the hundreds of thousands making their way across Europe. Six-hundred thousand Christians have left Syria because of the “convert or die” ultimatum they have been given. Christians are clearly an ethnic and religious minority that has been targeted by Daesh, and that concerns us greatly. It would be remiss of me not to come to this Chamber and make the plea for my Christian brothers and sisters in Syria.
The hon. Member for Brighton, Pavilion referred in her speech to Lebanon and Jordan, which, as I have said, I had the opportunity to visit as a member of the Defence Committee. With a few exceptions, Jordan has managed to integrate some 1.5 million refugees. Lebanon has taken in 1.2 million, on top of the Palestinians who are already in camps there. The pressure is on those countries, so we need an internal solution to come very clearly out of Syria.
The right hon. Member for Meriden (Mrs Spelman) and the hon. Member for Dwyfor Meirionnydd (Liz Saville Roberts) mentioned the Yazidis in their speeches. All those who met the Yazidi woman yesterday could not fail to be physically and emotionally moved by the incredible stories we heard. Daesh kill all the men and young boys. They kill some of the children. They kidnap and imprison the ladies and young girls and use them as—there is no other way to say it—sexual slaves. They pass them around. We could not see any of the physical scars on the Yazidi woman who told her story yesterday, but we could feel the emotional scars.
I make a plea to the Minister. As those of us who sat through those stories yesterday will know, we need to do two things. The only people who helped the Yazidis when they were in trouble were the Kurds. They gave them physical help, food, medical help and aid, while we in the west—I say this of us all—did nothing. So, first, we need to ensure that the aid that goes into the Kurdish camps and areas under Kurdish control gets to the Yazidis. Turkey has to play its part in that as well. Secondly, as the right hon. Member for Meriden said, we need to follow the example set by Germany when it saved 1,000 Yazidi women.
In January the European Commission’s chief spokesman stated that some 60% of those arriving in the EU as part of the movement of people were indeed economic migrants. We have to recognise that some are economic migrants and some are genuine refugees. I want to put on the record that a leading NATO commander in Europe stated that more than 8,000 ISIL fighters are in the EU. We need to develop a system that can root out the potential criminal elements. If we do not, I am afraid that we have seen what can happen in today’s news about events in Brussels.
As serious as the concerns I have mentioned are, there are success stories. In Northern Ireland we have offered free English lessons to help vulnerable people. The Northern Ireland Assembly has set aside some £20,000 a year for that. In Sweden there are what are referred to as social instruction classes, which educate refugees and help them to understand better what is taking place. That might go some way towards improving integration and ensuring that we do not have another Cologne. It is important that we differentiate between economic migrants and asylum seekers.
We have to help as best we can. We have to look after the Christians and ethnic minorities. We have to look into settling the real problem in Syria, because that is where the solution is. There are examples of where the resettling and integration of refugees has taken place and been done really well, such as in Jordan. I pay tribute to the United Kingdom Government, who, through the Department for International Development and the Minister, have tried very hard to address these issues.
Immanuel Kant said:
“All our knowledge begins with the senses, proceeds then to the understanding, and ends with reason. There is nothing higher than reason.”
Let us do our best to help those who need help.
(8 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I, too, thank the Minister for the statement. Given the arrangements whereby British nationals can enter Brazil without a visa and the ever-expanding tourism industry in the country, does the Minister agree that we need a highly publicised advice campaign on travelling to Brazil so that precautions can be taken in regard to the Zika virus before travel to that country actually takes place?
We keep the situation under review, as it is an important part of the British Government’s responsibility to our citizens. As I said, Foreign Office advice on travel is regularly reviewed in the light of evidence. I encourage the hon. Gentleman to point his constituents to it.
(8 years, 10 months ago)
Westminster HallWestminster 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
I congratulate the hon. Member for Faversham and Mid Kent (Helen Whately) on bringing this matter forward for debate. It is an important issue that cannot be ignored. Everyone has an opinion on it and it is nearly impossible to avoid it. The migrant crisis was one of the defining issues of 2015, because it affected everyone. Whether it is the negative consequences in Cologne or the success stories of relocated refugees settling into their new society, it is a major issue that will take some time to resolve. At the extremes in the UK are those who say we can take no more, and those who say, “Open the door wide.” Somewhere in between we must get a balance, and I think, in fairness, the Government have grasped that to an extent.
More than 13.5 million Syrians need help, of whom 6.5 million are internally displaced, and 4.2 million Syrians have fled abroad, mostly to neighbouring countries in the region. The hon. Member for Enfield, Southgate (Mr Burrowes) spoke of the plight of persecuted Christians, and 600,000 Christians have been displaced in Syria. They went all over the place. Many were given the ultimatum: convert or die. To continue to practise their religious beliefs, they had to leave. We cannot ignore those issues.
Many of those who fled were traumatised, as well, so it is about not just finding a new home but living with the horrors that they have experienced. The Minister has done extremely well, and the Prime Minister has given his commitment. The Government clearly have an objective of addressing the issues, and British DFID funding is very effective.
Syrian nationals were only the fourth largest group of asylum applicants in the year ending September 2015. We need to be careful about the migrant crisis, because it is clear that some illegal immigrants set on purely economic migration are capitalising on the plight of Syrian refugees. Figures from the UNHCR show that about 60% of migrants arriving in the bloc countries are now economic migrants. Slightly more than 10% of Syrians who have fled the conflict have sought protection in Europe, and some 681,700 asylum applications were made between April 2011 and October 2015. I am not a pro-European—you will know that, Mr Gray, as will other hon. Members—but the European Commission has given each resettled Syrian refugee some €6,000, and money can be drawn down. In reality, the numbers that we have are only the tip of the iceberg, and thousands more people are making their way through Europe undocumented.
Regardless of the approach we take, we need to ensure that refugees are processed correctly to give genuine refugees the dignity they deserve and to root out potential criminal elements or security threats, which have clearly happened. Northern Ireland has offered free English lessons, a move that is sure to help vulnerable people to settle and to integrate into their host society. Some 1,000 refugees crossed to Northern Ireland just last year. Those lessons will make life easier for everyone by helping refugees to integrate and offsetting any social or cultural tensions that may arise. They will cost some £20,000 a year and will be a long-term investment, ensuring translation services and covering other expenses associated with providing services to those who cannot speak English, to help integration into Ulster and Northern Irish society. Those who want to learn Ulster Scots can do so, but it is most important that they learn English. Some may want to learn Irish also. The lessons will apply only to refugees and not to economic migrants, a move that will ensure that only those in real need will benefit from lessons at a cost to the public purse. Illegal economic migrants cannot take advantage of the generosity being offered to refugees.
Many churches and charities have been involved, as hon. Members have said. Whenever there is a crisis, people come together and those who can help do help. Churches in Northern Ireland have risen to the challenge, as have charities.
Sweden and other countries have provided social instruction classes, particularly on how to treat women, because it is important to address such issues. Those classes have been successful in helping to educate refugees about how to behave appropriately in western society. We could learn from that innovative approach, which would go some way to improving integration and ensuring we do not have another Cologne.
We have all seen the distressing images of people drowning while desperately trying to cross the Mediterranean. One would have a heart of stone not to have been moved by some of things we have seen. However, the European Commission’s chief spokesman has admitted that the majority of people moving across Europe are in fact economic migrants. We need to ensure that only those in genuine need can avail themselves of services such as the English lessons in Northern Ireland, and that we discourage those who are not in such desperate need from making the perilous and often fatal journey to Europe.
We must address the migration issue in Syria—we cannot address it only here. We are reactive, but we need to be proactive in Syria. The issue will not go away, and as we start to welcome more and more refugees into the United Kingdom the innovative approaches in Northern Ireland that I have mentioned should be shared and discussed in Scotland and across the United Kingdom’s political institutions, to ensure that the resettling and integration of refugees is as efficient and smooth as possible.
I think you will want me to finish, Mr Gray, as many Members want to speak, but I give way to the hon. Member for Dudley North (Ian Austin).
Does the hon. Gentleman agree that British military action in Syria is confined to bombing oil fields, disrupting ISIS and helping to bring the conflict to a conclusion? It is unlikely to result in a wave of more refugees arriving on our shores, as the hon. Member for Paisley and Renfrewshire North (Gavin Newlands) suggested a moment ago.
I thank the hon. Gentleman for his intervention. Obviously he has a particular point of view, and an important one, but when we need a global strategy, we must sometimes do deals with people we do not want to do deals with. We have to look at how best we can come together as a world—NATO, Europe as a whole and the countries bordering Syria—to ensure that some sort of stability is returned to it. If that happens, people can go home again, and I think that is where they really want to be.
(8 years, 10 months ago)
Westminster HallWestminster 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.
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It is a pleasure to speak in this debate, and I congratulate the right hon. Member for Arundel and South Downs (Nick Herbert) on securing it for our consideration. As the Democratic Unionist party’s parliamentary spokesperson on health, and someone who has a particular interest in the issue, I think it is always good to come along and make a contribution. The debate is about the Global Fund to Fight AIDS, Tuberculosis and Malaria, but I am ever mindful that in Northern Ireland we have rising numbers of people with HIV, so there is a problem for us at home, too.
Although much progress has been made in responding to the epidemics, the dual impact of HIV and TB continues to be devastating for millions of people and their families. I have had the opportunity to speak to people with HIV and to the HIV and TB organisations. The combination of both diseases is deadly to those who have them. Of the 1.5 million people killed by TB in 2014, 400,000 were HIV-positive. AIDS-related illnesses claimed 1.2 million lives in 2014, including the 400,000 TB deaths among HIV-positive people. Malaria causes hundreds of thousands of deaths every year, predominantly among young children. I congratulate the Government on how they have responded, because they have done many good things, and their support for the Global Fund is essential in reducing those upsetting statistics. The Global Fund can be part of the drive to eradicate the diseases, but it needs help from Governments across the world.
The Global Fund is also asking the private sector for support. That involves the pharmaceutical companies, and perhaps the Minister can give us some thoughts on the partnerships with them and what they mean. I and other Members have been made aware of the issue of out-of-date drugs being sent to the third world, where people have said, “We would not use them, but we will send them over there.” I have some concern about that, which other Members will share. Can the Minister give us some ideas on that?
We are well aware of the tightening of the purse strings and the finances at home, but we need to be able to respond in a positive fashion. Responding to the Global Fund’s call for additional resources, UNAIDS executive director Michel Sidibé said:
“We have to invest additional resources today to end these epidemics, otherwise the deadly trio will claim millions more lives, as well as costing us more in the long run”.
The Government and the country need to ensure the future success of the Global Fund, so that it can deliver. That of course will not be free, but the Global Fund plan can work to end the pandemic.
The Global Fund has been successful and is ready to continue its lifesaving work, if funded. The statistics on what has happened so far should encourage us, as should what could happen if the Global Fund had more money. Because of the work of the Global Fund partnership, 17 million lives have been saved globally and 8.1 million people living with HIV and AIDS who would not otherwise receive any treatment are receiving antiretroviral therapy. Some 13.2 million people who would not otherwise have been tested for tuberculosis have been treated and 548 million insecticide-treated nets have been distributed by the Global Fund partnership. Those are some of the things that the Global Fund has been able to do, and it could do more if the opportunity was there.
The Global Fund partnership has been working in Nigeria. The number of Nigerians dying of malaria has declined by 60% since 2000, but every year around 250,000 Nigerian children still die from the disease. If we want to do something for more people that is even better, more effective and more long term, we need to ensure that the Global Fund can continue its work. There is a serious return on investment in the Global Fund, but with more funding the partnership can make even greater strides.
(9 years ago)
Westminster HallWestminster 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
My hon. Friend is exactly right, and we have seen the consequences of taking our foot off the pedal in the past. In Zanzibar, malaria was almost eliminated in the 1950s, but it came back with a vengeance. There was another programme in the 1980s, and the foot was taken off the pedal and it came back with a vengeance. The same has happened in Sudan and many other places, so we must deal with that. I think the figures she quoted are accurate, but if we manage to tackle malaria and get to virtual elimination, it will add more than $4 trillion dollars to world GDP, so it is a hugely important investment to make.
Improving health systems is another reason why we have seen progress in many developing countries, with increasing local funding, although some countries really need to step up to their pledges—for instance, the Abuja declaration of committing 15% of budgets to health, which only a few sub-Saharan countries do at the moment, along with unprecedented co-operation, which I have described. We will need all these and more as we face the challenge of the next 15 years, which is to meet the WHO’s global technical strategy for malaria 2016 to 2030.
On top of that, we face two forms of serious resistance: by the malaria parasite to artemisinin-based combination therapies in the Mekong region in south-east Asia, from where resistance to both chloroquine and sulfadoxine-pyrimethamine started and spread to sub-Saharan Africa, which is why it is vital to get on top of this; and by mosquitoes to the insecticides on bed nets, which are becoming resistant to pyrethroids. We also see serious outbreaks where bed net distribution has failed and health systems are weak. I believe my hon. Friend the Member for Mid Derbyshire (Pauline Latham) is going to describe one such instance later in this debate.
The UK is heavily involved in work to counter both those threats, through the Department for International Development’s work and the global fund supported by DFID in Myanmar, working alongside the Government there, and through the work of the Innovative Vector Control Consortium, based in the Liverpool school, in searching for and testing new insecticides for bed nets. The UK has therefore been at the forefront in so many different ways, whether through funding or research—from the London school, the Liverpool school, Dundee, York, Imperial, Keele and other universities, or from business, NGOs, or, above all, people. There are so many I would like to mention, but I will not because of time constraints, but the UK has fantastic scientists in this field at all levels.
Given the effectiveness of UK support for tackling malaria over the last 15 years, will the Minister undertake to do his utmost to maintain that for the future? I am asking the UK not to increase the level of funding, but to maintain current levels. Reaching £500 million a year is a great achievement and others need to come forward to support the UK in this, not least the countries in which malaria is endemic.
The WHO’s roll back malaria framework states that malaria interventions are very good value for money:
“Immunisation is the only public health intervention that has been shown to be more effective than malaria interventions. Beyond the financial return, investments in fighting malaria will have enormous positive effects on agriculture, education and women’s empowerment. They will also contribute significantly to reductions in poverty and the alleviation of inequality.”
Almost exactly the same can be said about the work on neglected tropical diseases. They affect 1.4 billion people—possibly an underestimate—bringing disability and sometimes death. They have a devastating economic impact, yet treating them is cheap and entirely possible. Co-operation plays a vital role, and host Governments have a vital role to play. Many of these diseases can be treated in parallel through local health systems. It makes sense to work together rather than in silos. We saw that when we visited the NTD control programme in Mkuranga district in Tanzania—I went with two other hon. Members in the all-party group on malaria and neglected tropical diseases—where they were tackling lymphatic filariasis, schistosomiasis, soil-transmitted helminth and trachoma all together. Universities also have a vital role to play. In the case of Mkuranga, an important partner was the schistosomiasis control initiative, based in the UK’s Imperial College London. Other universities are very important partners.
In the private sector, we have seen extraordinarily generous donations of drugs. I will list them because it is important that hon. Members understand the scale. Merck and Co. will donate Mectizan—ivermectin—for onchocerciasis and lymphatic filariasis in Africa for as long as it is needed, with no limit. GSK has already donated nearly 2 billion tablets of albendazole for lymphatic filariasis and will continue until elimination, and has also donated 1 billion per annum to de-worm school-aged children. Johnson & Johnson has donated 200 million tablets of mebendazole a year. Pfizer donated 70 million doses of azithromycin for trachoma in 2012 alone. Novartis has donated drugs for leprosy. Eisai, the Japanese company, has donated 2 billion tablets of Diethylcarbamazine for lymphatic filariasis, and E. Merck has donated 20 million doses of praziquantel a year, going up to 250 million tablets a year from 2016 for schistosomiasis. These are huge figures that will substantially reduce the costs of treatment in countries where those diseases are endemic.
There are also product development partnerships. As well as the Medicines for Malaria Venture and the Malaria Vaccine Initiative, we have the Drugs for Neglected Diseases initiative, which focuses on developing new treatments for the most neglected patients suffering from diseases such as human Africa trypanosomiasis, Chagas disease and lymphatic filariasis, as well as paediatric HIV. Again, the UK has taken a leading role. On top of the £50 million committed by the previous Labour Government, a further £195 million was pledged by the coalition. The UK is also the second largest funder of the Drugs for Neglected Diseases initiative, with £64 million donated, second to Gates, who has given $126 million. The one other donor with more than €20 million of donations is Médecins sans Frontières, which has donated €66 million.
The UK has also played a leading role by hosting the London conference—a big conference that set the path for the next few years; we need to find out where we have got to with that—and the declaration on neglected tropical diseases, an important declaration that I want to quote from:
“Inspired by the World Health Organization’s 2020 Roadmap on NTDs, we believe there is a tremendous opportunity to control or eliminate at least 10 of these devastating diseases by the end of the decade”—
that is just over four years away.
“But no one company, organization or government can do it alone. With the right commitment, coordination and collaboration, the public and private sectors will work together to enable the more than a billion people suffering from NTDs to lead healthier and more productive lives—helping the world's poorest build self-sufficiency.”
I thank the hon. Gentleman for giving me a chance to speak in this debate. Obviously the issue is very important. The number of Members present is an indication of that. I have not yet heard—although I am sure he is coming to it—about the vast contributions that faith groups, churches and missionaries make throughout the world to eliminate poverty and help people to work their farms and so on. Almost every church in my constituency of Strangford has a project to give help directly to an area in Africa, the middle east and the far east. Does he recognise the good work that those churches and faith groups do?
I do indeed. I am most grateful to the hon. Gentleman for that intervention. I recognise the huge amount of work done by faith groups and missions around the world. They often run remote hospitals, which even the state health system cannot afford to maintain. I have seen the work that they do. Indeed, my wife ran a public health education programme for 11 years in Tanzania and saw at first hand the work that was done when she worked for the Lutheran Church there.
I will not go through the London declaration in detail, because I want other hon. Members to speak, but I will quote the final words:
“We believe that, working together, we can meet our goals by 2020 and chart a new course toward health and sustainability among the world’s poorest communities to a stronger, healthier future.”
Real progress has been made in the past few years. To take one example of many highlighted by the Overseas Development Institute last year, Sierra Leone made great strides in preventing four of the five diseases that make up 90% of the world’s NTD burden: onchocerciasis, lymphatic filariasis, soil-transmitted helminth and schistosomiasis. In particular, on schistosomiasis, which can lead to death through liver disease and bladder cancer, 562,000 people in Sierra Leone received preventative treatment in 2009. By 2012, that figure had reached 1.4 million, which was 99% of those needing treatment. We have heard of the tragic trials of Sierra Leone in the past year and a half, but it is important that we also recognise the huge amount of work that Sierra Leoneans have done to treat many of these other diseases.
(9 years, 2 months ago)
Commons ChamberI thank the hon. Lady for her intervention.
My city of Glasgow is built on the back of those fleeing crisis: cleared highlanders whose houses were burned down so they could never return; Irishmen and women looking for refuge after the famine; Jewish families from the Baltic fleeing pogroms under the Tsars; and more recent refugees who have come and established themselves in Glasgow, many in my constituency.
I thank the hon. Lady for making such a passionate speech. I have not heard anyone mention—perhaps I just missed it—those countries that have not accepted any refugees, such as Saudi Arabia, Yemen and the United Arab Emirates. Do countries in the region not need to accept people and take some of the pressure off everyone else?
I do not disagree. I think my hon. Friend the Member for Glasgow South (Stewart McDonald) made that point yesterday. Of course I am not saying the United Kingdom is the worst country in the world at taking asylum seekers and refugees. There are countries that are not doing anything and should be doing something.
It is always worth repeating—and I do it now—that Glasgow welcomes refugees and Scotland welcomes refugees. I am probably not going to win many fans today by admitting that for once I was not too upset to see my beloved Scotland football team being beaten on Monday evening. [Hon. Members: “What?”] If that is the response, I think my hon. Friends and the many Scots on the other Benches might feel I have gone a step too far when I admit that part of me even cheered on the team that beat us—I am sorry. In all seriousness, if we had to lose—and it seems that for a change we did—I cannot currently think of a better country to lose to than Germany. The way in which the German Federal Government and, more importantly, the ordinary people of Germany have opened their borders, their homes and their hearts to fellow human beings in desperate need has been nothing short of inspirational. And if my team wants to let them win at football by way of thanks, so be it.
The United Kingdom has the capacity to do so much more in this crisis. The people of the UK have made it clear that they want the Government to do more to save lives. I urge the Government to think about how they would like their response to this humanitarian disaster to be remembered in the history books and to act accordingly.
(9 years, 4 months ago)
Commons ChamberLet us begin our journey in almost any country—certainly far too many countries—on the world’s poorest continent, a continent bordering Europe: that of Africa. We sit in the office of the procurement manager of a Government Department—it matters not which one, for they are all much the same. Outside, not 100 feet away, a mother sits in the stifling heat with her children engaged in whatever business she has, selling mangoes, or coconuts, or smoked fish to passers-by perhaps. She survives and provides for her family on an income of less than a dollar a day. There is no father, for he passed away some time ago from a virus with which many in the developed world live full and long lives. Whether the mother has HIV, whether she will survive to see her sons grow to manhood, neither she nor we know. But our world, and even the world of our procurement manager, is a world wholly unknown to her experience.
In the office in which we sit, the procurement manager, who is tasked with spending donor funds from the developed world, is negotiating a contract for the supply of expensive photocopiers to the Department in which the brother who appointed him is the Minister. His salary is a few thousand dollars a year, a fortune to the vast majority of the citizens he is supposed to serve. Yet below the cuff of his crisp white shirt, we find the essential element of the uniform of the Government procurement manager in any sub-Saharan African country: the gold, diamond-encrusted Rolex, yours for only $40,000 at any good airport en route to the nation in which we find ourselves. How on earth was it paid for? Was it perhaps a gift? No. It was paid for by the official himself from cash given to him, which secured another lucrative Government contract for another supplier—funds paid not to the Government, but to the official himself. It is, we are told, something we must accept; it is the way things are. But it is the way things have been for far, far too long.
Across sub-Saharan Africa, if you want to do business, you must pay to oil the wheels. You must pay if you want to avoid the consequences of laws designed to protect the most vulnerable from the exploitation of the natural resources that lie adjacent to homes. You must pay if you want to drive unmolested past makeshift roadblocks manned by real police officers employed by the state. You must pay for almost any interaction with the officials of the state. For if you do not, you will find your life much more difficult than it needs to be—if, that is, you are fortunate enough to have the cash to ease your path.
If you are rich enough, you can change that; if you are rich enough and you want to—and many businesses do—you can change the laws that inconveniently prevent you from exploiting the resources Africa possesses and, even better, from paying tax on your profits. If you are rich enough, you can always buy yourself out of any trouble you find yourself in.
Corruption in sub-Saharan Africa is therefore endemic; it is part of the way of life; it is how things are. But—and this is the point with which the House needs to be troubled—corruption stifles legitimate investment, kills economic growth, maintains and supports poverty, and because it does all those things, it also threatens the security of this country and of the developed world as a whole.
The poorest people—and it is the very poorest and the most vulnerable in our world that we are talking about—will risk all in an attempt to make their way to the developed world. And some of them, seeing the quality of life we have and they do not, are also ripe for a radicalisation that endangers the security of our citizens overseas and, as we have seen, here at home as well.
I sought permission beforehand to intervene. Does the hon. and learned Gentleman feel that there is perhaps a need for Department for International Development projects that come from the backing of this Government—my and his Government—to be monitored in respect of project delivery for the people on the ground to ensure that they are correct? Does there need to be oversight of DFID projects by the Government to stop corruption?
I am grateful to the hon. Gentleman for his intervention, and he is absolutely right. I shall come on to his point in due course.
Corruption in the developing world has been a hidden problem for too long, though it is now beginning to be brought home to us by the constant threat to our security and by an untrammelled immigration that sees fires set at the entrance to the channel tunnel in France. It is something that requires effort from every Government across the world to challenge, but it is also something that I fear is still too far down the political agenda across the world to be effectively tackled.
Nothing much is changing in terms of advancing the anti-corruption agenda. On 9 December 2013, on international anti-corruption day, the UN Secretary-General pointed out that
“corruption suppresses economic growth by driving up costs, and undermines the sustainable management of the environment and natural resources. It breaches fundamental human rights, exacerbates poverty and increases inequality by diverting funds from health care, education and other essential services. The malignant effects of corruption are felt by billions of people everywhere.”
(9 years, 8 months ago)
Commons ChamberSince 2010 the UK has spent a total of £64 million in the health sector in Sierra Leone, compared with a total of £23 million spent between 2005 and 2010 under the previous Government. I think that a more constructive approach in this sort of discussion is more productive.
A significant number of the service personnel serving in west Africa are from Northern Ireland. Obviously their families and loved ones want them to return safe and healthy. I understand that the incubation period for Ebola can be up to a month. What steps is the Secretary of State taking to ensure that a quarantine period is initiated?
(9 years, 12 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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This is almost a maiden speech again.
People with disabilities make up one of the most marginalised and disadvantaged groups within society throughout the world. Sightsavers estimates that one in five of the world’s poorest people are disabled and that 80% of those people live in developing countries. They are routinely denied their most basic human rights; they are cut off and unable to benefit from mainstream education, employment and health care services. For far too many disabled people, having a disability means they will never receive an education, never have employment and never be independent.
The vast majority of disabled people in developing countries live in extreme poverty. Global efforts to address poverty cannot afford to ignore people with disabilities, yet they are frequently left behind in the international development debate. Estimates by Sightsavers indicate that unemployment among disabled people is as high as 80% in some countries. For disabled children, mortality is as high as 80% in countries where mortality rates for children under five as a whole have decreased to below 20%. Furthermore, 90% of disabled children in developing countries do not attend school.
The millennium development goals, set in 2000, did not explicitly address disability issues at all. One of the goals set was to achieve universal primary education. The deadline for achieving that goal is next year. Significant progress has been made in many parts of the world, but there has been no progress at all for many disabled children. The education goal will not be met because, as Handicap International notes, 19 million disabled children still do not go to school.
Over the next nine months, we must ensure that the sustainable development goals, which will succeed the millennium development goals from September 2015, focus greater attention on those who live with and are affected by disability. World leaders meet in January to begin formal negotiation on the new goals. The UK Government, alongside other Governments, must ensure the retention under the education goal of a target from the Open Working Group outcome document that explicitly targets tackling disparities in provision of education in relation to disability. We must learn lessons from the past, when disabled children were failed when it came to access to education.
We want the UK Government and the Department for International Development to consider disability as a central component of all their development programmes and to target explicitly the needs of disabled people. A good start would be to ensure that all buildings and facilities that DFID funds are accessible to disabled people. Disability has too often been an afterthought; for example, it was only in late 2013 that DFID announced that schools built with its funding would have to be wheelchair accessible.
It is not only in education that global agreements have failed disabled people; being disabled means you are less likely to access health care and less likely to work. In 2012, a joint publication by the World Health Organisation and the Liverpool John Moores university centre for public health reported that a child with a disability is three to four times more likely to be a victim of physical or sexual violence. In nearly all cases, disabled people are the most marginalised, vulnerable and poorest group in developing countries.
Violence against women and girls with a disability is of particular concern. The Violence Against Women with Disabilities Working Group has reported that disabled women are twice as likely to experience domestic violence and other forms of gender-based and sexual violence as non-disabled women and more likely to experience abuse over a longer period of time and to suffer more severe injuries as a result of that violence.
We must recognise that disability is diverse and ensure that we have an explicit focus on all types of disability, including motor and sensory disabilities, and mental health.
In a time of political and economic unrest across the whole world, when disabled people are more marginalised than any other group, it is important that we focus our attention on them. Some 80% of people with disabilities live in developing countries and 20% of those with severe disabilities live in the poorest part of the world. Charities do great work. The Minister, who is newly appointed, is responsive to hon. Members’ opinions. Does the hon. Lady feel, as I and many others outside the Chamber do, that disability issues should be key in the Department’s official role wherever it acts or has influence across the world?
Order. Before the hon. Lady answers, I will help her. Normally, when there is an intervention, we sit down—you did at the end. The intervention was a bit long; they are not normally that long. It is your debate, and you would normally tell me if someone else wished to speak. If other Members do not wish to make a speech I am happy to take interventions, but they should be short and to the point.
I will not be alone in congratulating the hon. Member for Heywood and Middleton (Liz McInnes) on making her mark on this vital subject so early in her parliamentary career. It is a subject in which her predecessor took a particular interest, and I am confident that she will fulfil that role.
As you said, Mr Havard, the hon. Lady occupied the Front Bench inadvertently for a few moments, but I am confident that if merit had anything to do with occupation of the Front Bench she would be on it by right. I am certain that after today’s performance that is just a question of time. I hope that I can reassure her on all the concerns that she has raised, and I hope to reassure the hon. Member for Strangford (Jim Shannon), who is rightly always in his place for these important debates, on the point that he raised. I pay tribute to the Minister for Crime Prevention, my right hon. Friend the Member for Hornsey and Wood Green (Lynne Featherstone) who, when she held this brief, was a real champion for disabled people. She has much to be proud of in her record.
The hon. Member for Heywood and Middleton is right. Of the world’s 1 billion disabled people, 80% live in developing countries. One in seven of the world’s poorest people are disabled. She quoted the figure from Sightsavers for extreme poverty, which is one in five, although I am not sure whether the figure is even higher. The unemployment figure for Burma is 3.5% among the population at large, but 80% of disabled people have no means of providing for themselves. I do not believe that there is any prospect of a reduction in the number of disabled people. Indeed, the thrust seems to be in the opposite direction, and with increasing disasters, more violence, particularly targeting civilians, and ageing populations, we need to take more cognisance of the needs of the disabled.
The hon. Lady was right to say that an opportunity was missed with the millennium development goals and that we must not miss that opportunity again when we review the post-2015 development agenda. I am glad that when the Prime Minister chaired the UN working group on that agenda, it came up with the essential principle that we can eradicate poverty within a generation if, and only if, no one is left behind in respect of their ethnicity, their gender, where they live or their disability. That must be the key principle driving us forward. No one must be left behind. We cannot tackle extreme poverty, or even poverty, without tackling disability. That will be the guiding principle.
Let us assume that we now have a goal to pursue. We will not be able to pursue that goal effectively unless we have data to measure our progress. The hon. Lady pointed out that we only recently had an internationally agreed definition of disability. We are seriously short of data to disaggregate the figure, which we must do to see how people of different ethnicities, in different geographical regions, with disabilities or of different genders are affected. That must be measurable and the singular contribution of my right hon. Friend the Member for Hornsey and Wood Green was driving forward that data revolution. Last month, she co-hosted the UN a conference here in London on that subject. We have been the driving force for that agenda.
Let us assume we have a goal and that we have developed the data to pursue it. What should be the motor? I believe it must be inclusion. Inclusion must be our guide at all times. For too long, disabled people have suffered from a stigma and that must be eradicated. That inclusion, as the hon. Member for Heywood and Middleton said, must include consultation with disabled people on the formulation of the very policies in which they will be included. It is absolutely right that we work with the advocacy groups, and we have done so. “Nothing about us without us” must be the principle for consultation. I am glad that the Department works with the Disability Rights Fund, ADD International and some 400 disability groups.
I was once told quite forcefully and bluntly by a constituent who was severely disabled but nevertheless was organising a community project that she did not want my pity; she wanted help. She wanted help not just so that disabled people could fend for themselves, but so that they could contribute to the community. Our ambition must be that disabled people are not a burden but are an asset to our communities. That gives rise to four implications for policy.
First, prevention remains important. If we can prevent people from becoming disabled, we will be able to concentrate more resources on those who are disabled. The hon. Lady drew attention to the vital issue of maternal health. For every mother who dies in childbirth, 30 will suffer severe disablement. Maternal care and sexual reproductive health is a vital ingredient of the agenda, as is the prevention of disease.
One of my first meetings after assuming my present role was to meet Bill Gates to discuss the GAVI—the Global Alliance for Vaccines and Immunisation—programme to which we are the largest contributor. In 2012-13, we put £139 million into work on preventable disease. It is our objective that from 2011 to 2015 we will have vaccinated 80 million children against preventable diseases and the 2014 report shows that that objective is on track.
Secondly, we must design programmes aimed specifically at disabled people—I make no apology for that—that fit within our overall strategy. For example, in Mozambique, there are resource centres for 24,000 children with special needs, and in Ethiopia, Braille products are being produced for 10,000 children between the ages of four and 17. Our funding to the International Committee of the Red Cross in 2012 allowed it to provide 240,000 people with prostheses, orthoses, wheelchairs and physiotherapy.
Thirdly, having developed programmes specifically for the disabled, we must tailor all our programmes for everyone, so that they take account of the needs of the disabled. The hon. Lady was particularly strong in her remarks about what we need to do in education. I take her point. Accessibility for schools is vital. I am glad that we made our announcement in 2013, and I share her disappointment that that is an agenda that we have got on to only lately, but it is right that we pursue it. It right that we pursue accessibility not just when dealing with schools, but when dealing with water and sanitation, so that disabled people have access.
We are working closely with the Global Partnership for Education, UNICEF and others to ensure that when we are taking forward the education agenda disabled people and their needs and special needs are included, so that they can be identified and assisted.
Is the Minister aware of the campaign that goes on in probably every constituency’s schools for an education for every child? We take petitions to the Prime Minister at 10 Downing street every year. Primary and secondary school-age children show great interest in and knowledge of education provision throughout the world. Does the Minister recognise how good that campaign is?
I do; I have participated in it every year. I have been to schools and collected those petitions. What is more, when I was the Prime Minister’s Parliamentary Private Secretary at Downing street, I was on the receiving end, ensuring that the Prime Minister saw the petitions and responded. Some of them were fantastic art works and quite intricate.
One of the most heartening and enjoyable things to me about my constituency duties is going to schools in June and July to collect those petitions. There is usually a fantastic presentation by the pupils. Each time I go, I tell them that I am heartened and encouraged by their concern for their fellow pupils throughout the world who may either not go to school or go for only part of the day but instead must work or go elsewhere. I tell the pupils that I want them to go home and give their parents the same enthusiasm; because it is taxpayers who, more often than I would want, write to me to complain about the level of international development funding. The children have bought into the idea that the hon. Member for Strangford has raised, and we need their parents to do so as well.
(10 years ago)
Commons ChamberOn 18 June, before the House rose for the summer recess—and in part prompted by the better half of team Phillips then working in the Ministry of Finance in Sierra Leone—I asked my right hon. Friend the Secretary of State for International Development about the then little known issue of an outbreak of Ebola haemorrhagic virus in west Africa. It is a topic I had already mentioned to her informally, as she acknowledged in her response. I wanted to know what the Government were doing to deal with what I described, with a prescience in which I take no pleasure, as a very serious issue for the affected countries and, given the risks to us here, for the citizens of the United Kingdom. So it was that, in June this year, the House received assurances from my right hon. Friend that a great deal was being done, specifically in properly funding the World Health Organisation and in the provision of other support to raise awareness, and to ensure the containment, of the Ebola outbreak.
Five months have passed. When I raised the issue, fewer than a hundred cases a week were being reported to the WHO in the principally affected countries of Guinea, Sierra Leone and Liberia. In the last week of October, more than 3,000 new cases were reported. Not only are there more infections but the rate of infection in most regions of the principally affected countries is accelerating.
These are not mere assertions. They are the data and, if things continue as they are, they tell us the horrifying story of what is going to happen. On 14 October, the WHO assistant director-general, Dr Bruce Aylward, warned the international community that, by December, infection rates may well be running at 10,000 cases a week. The outbreak is, in the words of the WHO,
“the most severe acute public health emergency seen in modern times.”
The WHO is in part responsible for this. The outbreak has laid bare the incompetence of too many of its senior staff appointed because of political influence in Africa, an issue that we will need to tackle when we have dealt with the outbreak.
Initial WHO estimates that the total number of cases could be contained at around 20,000 have therefore proven to be woefully wrong, as just about every epidemiologist said they would when they were first made. If the international community acts now, as it has begun to do, it will be at best months before the outbreak is under control, but there will have been, I venture to suggest, many more than 20,000 cases. Indeed, many tens of thousands of people may be dead.
Clearly, therefore, despite our best efforts, the action that has been taken by us and by our international partners so far has proven ineffectual. So that we are clear, that threatens not only those living in the three principally affected countries and their neighbours—some of the very poorest people in the world—but us here, too.
Although the UK is now playing its part in ensuring that we try to contain the outbreak, the first thing I want to hear from the Minister tonight is what, precisely, he and his colleagues in the Foreign Office are doing to ensure that our international partners are playing their part. In so far as I was not clear in June, I want to be clear now: the issue threatens not just west Africa; it threatens us all. This is only the third time the WHO has declared a disease outbreak as a public emergency of international concern, and if that does not give hon. Members pause for thought, I do not know what will.
I thank the hon. and learned Gentleman for bringing this matter to the House and I did ask beforehand whether I could intervene. Last weekend, I had an opportunity to meet some of the Territorial Army soldiers involved in the medical corps who are going to Sierra Leone. Their job is to show people how to avoid catching the Ebola virus. Due to the lack of vaccination, soldiers have been told to use their “common sense and training” to prevent themselves from becoming sick. Unsurprisingly, their families are deeply concerned, as indeed are the soldiers. I share that concern, and I am sure that the hon. and learned Gentleman does, too.
Of course I share that concern. I think that if soldiers, whether they are reservists or regulars, are being sent to Sierra Leone or, indeed, to any of the affected countries, they must be given proper training so that they do not expose themselves in any way to the possibility of infection.
Although a large section of the media has begun to shift the spotlight to other issues in recent days, I fear, as many do, that things will get worse before they get better. However, there is some good news. Following the Prime Minister’s Cobra meeting to discuss Ebola a month ago, the UK is now helping to lead the international response. That could, of course, have come sooner, but come it has. I understand that we are now one of the largest donors, that we have committed £125 million to the effort, and that we have, in Freetown, not only the Royal Fleet Auxiliary Argus with its hospital facilities, but several hundred military personnel. We have a good reputation in the region, and those heroes—which is what the personnel who have gone to Sierra Leone are—along with everyone else who travels to west Africa to help its people in this dreadful time, deserve our thoughts, our prayers and our support.
No doubt the Minister will tell me whether I am correct, but I assume that France, which I understand is taking the lead in Guinea, and the United States, which I understand is fulfilling a similar role in Liberia, are playing similar roles in the countries where they are leading the efforts. But is that enough? For our part, here in the United Kingdom, it may be, but when we hear of the efforts being made by other countries, it would seem not. The position may well have changed, and I should be glad to hear from the Minister that it has, but to learn that Canada, for instance, has pledged the equivalent of only £18.6 million is profoundly depressing, although it is doubtless a matter for Canadians. We learned this morning that Australia, which had originally given the equivalent of £6.2 million, is now doing rather better, having agreed to commit funds for the construction of a 100-bed treatment centre that the UK is building, but does that mean extra funds, or funds that the UK would have been providing in any event? Perhaps the Minister will tell us.
In September, the Secretary-General of the United Nations indicated that $600 million would be required just to fund the WHO road map to bring the outbreak to an end. No doubt the Minister will wish to update the House on where current international commitments have taken us. However, he will be aware not only that many consider that sum to be an underestimate, but that it is feared that very little of what has been committed appears to have paid for very much in the affected region. It is not just a question of money, or of promises which, all too often, appear to be poorly translated in practice; it is a question of how money is spent.
I thank my hon. and learned Friend the Member for Sleaford and North Hykeham (Stephen Phillips) for bringing this issue to the attention of the House this evening. He is right in his analysis that this is a very severe problem. I estimate that by the end of October, we will already have had some 14,000 cases and approximately 5,000 deaths. The current rate of infection 1.7: in other words, for every one patient presenting with the disease, 1.7 people are going to catch it. That will lead to a doubling of cases within four weeks. So we have had some very alarming suggestions. I believe that the United States Centres for Disease Control and Prevention predicted just short of 1.5 million cases in January.
This is absolutely unprecedented in the history of the disease of Ebola. In the past, Ebola has burnt itself out within a few weeks in isolated settlements. It is therefore essential that we isolate it, and for that we need large numbers of foreign medical teams in order to secure that isolation and treatment of the disease. That is why we are stepping up our efforts, and taking a leadership role in encouraging other countries to do the same, and we will not stop: we will carry on until we have beaten this disease.
On the United Kingdom’s response, we are working in partnership with the Government of Sierra Leone. It is a long partnership, one established when that country came out of conflict. We have sought to encourage it from that conflict, and with economic development; but now, we are in partnership with the Government of Sierra Leone in order to beat this disease.
So what is our response? My hon. and learned Friend said that we have committed £125 million; actually, it is £230 million so far, including the previously announced aid matching of the first £5 million of the appeal launched by the Disasters Emergency Committee. We are deploying some 800 military personnel, together with the Royal Fleet Auxiliary Argus and its three Merlin helicopters.
Our strategy can be summed up as: beds, burials and communities. The hospital in Kerry Town opened for business today. Our ambition is that it will treat some 8,800 patients within six months. We are making available 700 beds. We anticipate that within a few weeks, the Kerry Town facility will provide 80 beds for people in the country, with 20 beds reserved for health care workers. It is essential, if we are continue the flow of health care workers, that they be guaranteed British standards of care.
Some 83 burial teams have been established, with our support, and they are making a profound difference in Freetown. Only a few weeks ago, just 30% of victims were being buried within 24 hours, but we have now reached 100% and that experience is going to be rolled out throughout Sierra Leone. A constituent wrote to me to say that he believed that Ebola was being spread by zombies. I had to disabuse him of his belief in zombies, but the irony is that people are most infective when they are dead. One problem is that certain burial traditions involve intimate skin-to-skin contact and the washing of bodies that are highly infectious. We are therefore having to drive social change so that people can understand how they can honour their dead without being infected by them.
We are driving that social change, which leads me to the subject of communities. It is essential to have community care centres where people with symptoms can present and be isolated until we can establish exactly what they have got. For every, say, eight people who present with symptoms, perhaps only one will need to go to an Ebola treatment centre, having been established as having the disease. The others will recover from a bout of malaria, or whatever it was, and go home. We are currently staffing five community centres, and learning the lessons. Within a few weeks we will have 10 of them up and running and, thereafter, it is our ambition to establish 200.
I made the point earlier that the Territorial Army soldiers and members of the medical corps who are going out to Sierra Leone from the United Kingdom of Great Britain and Northern Ireland to help to deal with the Ebola outbreak were concerned because they had not been given full training to ensure that they, too, did not catch the disease. Can the Minister reassure us that our TA soldiers are going to be safe?
We have 250 personnel who are going out on the Argus specifically to provide the training, so I am confident that the question of training has been addressed. They are going to deliver that training themselves, so I certainly believe that this has been done. If I have got that wrong, I will write to the hon. Gentleman and correct it. This operation is driving social change; it is also a huge logistical operation. It is motivating social change and bringing about the necessary logistical changes to drive the isolation of the disease.