Clean Water and Sanitation (Africa)

Jim Shannon Excerpts

Thursday 21st April 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I beg to move,

That this House has considered clean water and sanitation in Africa.

It is a pleasure to speak in this debate. Let us be honest: Thursday is often referred to in the Backbench Business Committee as the graveyard slot. We are approaching the end of the Adjournment debate in the House, which gives us an idea of how business is moving forward. We in Westminster Hall will be the ones who stay the longest today, because the House will have risen before this debate finishes.

Why have I brought this matter to this Chamber for consideration? Very simply, the reason why we are all here to speak is that we want to improve water aid and sanitation throughout Africa. Right hon. and hon. Members, and the Minister and the shadow Minister, are here to speak, to respond and to take on some of the comments that we make. It is a massive issue in my constituency, probably off the back of the churches and charitable givers. A number of churches in my area are keen to support the digging of wells, for example; we have a charity in Northern Ireland that does nothing else. I will mention some of the groups that we work with, because it is important to at least try to acknowledge all those who participate and help.

Poverty in Africa begins with a lack of clean water. Some 650 million people live without safe water, the equivalent of one in eight people on the planet. That gives an idea of the magnitude of the issue. Some 2.3 billion people, or one in three of the world’s population, do not have access to adequate sanitation. Around 500,000 children under five die every year from diarrhoeal diseases caused by dirty water and poor sanitation. That is more than one child every moment, or 900 children every single day. Clean water sources are often miles from villages, so many able-bodied members of a community are forced to spend hours each day simply finding and transporting water. We know that the impacts go beyond location to the safety of the young girls and ladies who must go to gather water. The trips sometimes take five or six hours and involve long distances, which can leave them vulnerable to attacks, never mind the burden of carrying the water.

The scouts in my constituency in Strangford have been involved in water, sanitation and hygiene projects, which I know others will probably want to mention as well. They have raised money and awareness, participating from afar in the issue of water in Africa. I will also mention the work of one church in my constituency—Movilla Abbey Church of Ireland church—and its Uganda team, although there are many churches there doing such work. The abbey’s primary school, in partnership with the abbey, raised £5,542.38. The children collected pencils, sharpeners, rubbers and rulers, and made loom bands for the pupils whom they would visit at Namansa primary school in Uganda’s Nakasongola district.

The combined amount raised by the project, which also involved the church, climaxed at £22,222.09, a magnificent contribution from the schoolchildren, the church and the local community. We had a wonderful opportunity to hear some of the schoolchildren whom the partnership had helped come to the school and to sing some of their songs. I cannot say I am proficient in the language of Uganda, but we have practised the Ugandan handshake. The Fields of Life project also managed to deliver much-needed equipment for the construction of a kitchen, textbooks, exercise books, hand washing basins and other simple things to help, such as soap. In this debate, we will find out the importance of soap. We wash our hands with soap every day, and probably take it for granted. In Africa, soap could do away with a lot of diseases.

The Sunday school children at the church delivered 232 Bibles. The children came to the school and sang Ugandan songs. One of the phrases that they used was “Webale nnyo”. William McCartney led and supported the team, and Fields of Life made the whole project possible. It was done with the school, the church and the community.

The typical container used for water collection in Africa, the jerry can, weighs more than 40 pounds when completely full. The social and economic effects of the lack of clean water are often the highest priorities when African communities speak of their own development. The World Health Organisation has shown us the issue in economic terms. Every $1 invested in water and sanitation yields an economic return of $3 to $34. More people have a mobile phone than have a toilet. Globally, one third of all schools lack access to safe water and adequate sanitation. In low and middle-income countries, one third of all health care facilities lack a safe water resource. Every 90 seconds, a child dies from a water-related disease.

In Africa and some parts of Asia, women and children can end up walking an average of 3.7 miles a day just to collect water, spending almost six hours finding water and bringing it back—and we waste water back home by letting the taps run. Of course, in Northern Ireland, water is never in short supply, as we have a regular abundance of rain, but in a majority of African countries, particularly in sub-Saharan Africa, less than 50% of the population has access to improved sanitation. I know that the Minister will respond to questions when he replies to the debate. Although some progress has been made, it has mostly been frustratingly slow. Those figures are in stark contrast to the running water that is virtually universal throughout the United Kingdom, and putting them together makes us appreciate how lucky we are.

In the background information provided by officials from the Department for International Development, we can clearly chart some improved water access. The map of Africa on the first page shows a lot of improvement, which is wonderful. In most parts of Africa, access to water has improved, which we welcome. The second page, unfortunately, shows that access to improved sanitation has not matched access to water. We must look towards that as well. Water is an important and scarce commodity in Africa, but it must be matched by sanitation. In his response, will the Minister give us his thoughts on how best to address that important issue?

[Brendan O'Hara (Argyll and Bute) (SNP)]

I congratulate the hon. Gentleman on securing this incredibly important debate. Does he agree that there is nothing more important than access to clean water? It is a disgrace that, in 2016, the lack of it is the biggest killer of children in sub-Saharan Africa. They are 14 times more likely to die of things such as diarrhoea and pneumonia than children in developed parts of the world. It is time that something is done about it.

[Jim Shannon]

I thank the hon. Gentleman for bringing that to our attention. I will touch on those issues now, as they are vital. When we consider water and sanitation, we must consider disease as well. I want to underline some of the issues addressed by the all-party parliamentary group on child health and vaccine preventable diseases, which was formerly chaired by Jim Dobbin, who passed away. Those of us in this House who knew him, even for a short time, were aware of his magnificent contribution. He outlined the issues from his personal experience of visits to Africa with vaccine programmes, where he witnessed at first hand deplorable hygiene and water facilities in hospitals. People can vaccinate and do all sorts of other things, but if they do not have water and sanitation, it is not going anywhere.

The scale of the problem is massive. In 2014, the lack of access to adequate water is estimated to have killed some 3,500 children under five years of age every day. The latest figures show that every year some 600,000 children lose their lives to diarrhoeal diseases, to which the hon. Member for Argyll and Bute (Brendan O'Hara) referred. Most of those deaths are of children less than two years of age in the poorest countries of the world.

Rotavirus is the most important cause of diarrhoeal mortality in children; it is associated with 28% of the deaths from diarrhoea. Despite the advances in treating water poverty, which have saved millions of children’s lives by protecting them against diarrhoeal disease, rotavirus remains the second leading killer of children worldwide.

We have to implement a combination of health, safe water, sanitation and hygiene solutions, and then we can do what the hon. Gentleman said—save more lives. That is part of the purpose of this debate. We can save the lives of children who are still at risk with simple interventions: improved safe water; sanitation; hygiene; exclusive breastfeeding; and vaccines that prevent rotavirus.

I will pose a couple of questions at this stage to the Under-Secretary of State for International Development, the hon. Member for Ruislip, Northwood and Pinner (Mr Hurd), and to his officials who are here. The United Kingdom has a very proud history of providing expertise, resources and global leadership to improve children’s health worldwide. It continues to provide leadership and support to build upon the positive trends. Perhaps the Minister can tell us how we can build upon the success that we have had so far in order to try, with others, to close the clear gap that exists? Can the UK continue to invest in a package of life-saving tools and services, which includes the vaccines, the medicines, the water, the sanitation, the hygiene and the nutrition, too?

What priority and weighting are given to the water, sanitation and hygiene, or WASH, strategies in the upcoming bilateral aid review, which we all know about and which the Minister will hopefully speak about in his response to the debate? Where do the Government sit regarding ongoing support and commitment to the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea, which was introduced by the WHO and UNICEF? How do the Government intend to ensure that

“sustainable management of water and sanitation for all”,

as outlined in sustainable development goal 6, is achieved? What fall-back do they have if that goal is not achieved? Let us consider what happens if we do not get there. What action does the Department for International Development intend to take—I am conscious that this may cross departmental boundaries—in the Nutrition for Growth summit in Rio in August? Has DFID discussed that with stakeholder organisations? If it has, what has been the outcome? Is the Minister yet in a position to state the level of funding that will be provided through the Ross Fund for health interventions, and whether WASH will benefit from the fund? Those are the questions that I wish to pose at this early stage.

Although this issue goes back as far as we can remember, the United Kingdom’s commitment to dealing with it could be significantly better. Investment in water, sanitation and hygiene is extremely cost-effective. According to WaterAid, for every £1 spent we can get £4 in return. In fact, the World Bank has declared that hand-washing with soap is the single most cost-effective intervention. As I mentioned earlier, the Movilla church in Newtownards has sent bars of soap over to Africa, because that is one of the small ways in which we can make a difference.

The lack of sanitation services is estimated to cost the world more than US$250 million per annum. The United Kingdom currently spends some 2% of its bilateral aid budget on water and sanitation, compared with around 13% on education and 19% on health. However, we need to be careful that we are not jumping the gun on this one, as access to clean water and sanitation can often be a prerequisite for success in other development areas such as education and health, and we must acknowledge the overlap between these issues.

Yesterday I had the chance to speak to representatives of some organisations who were keen to add their comments, to help with this debate. When we consider health, water and sanitation, we also have to consider the environment. I will just mark up one thing. Management of habitats is important; it can lead to better water access or worse water access, and to better or worse sanitation. I heard a comment yesterday about Madagascar, where people’s access to water is threatened by habitat destruction over huge areas. The destruction of the African wetlands deprives people of access to drinking water, and threatens livelihoods that depend on water, such as fishing, and the core survival of some people, including some tribes. In Madagascar, deforestation and erosion threaten almost every wetland, and as a result many thousands of people are in trouble and many species could be lost for ever.

I will just mark something else up; it is completely off the line of this debate, but is none the less important. The Wildfowl and Wetlands Trust is trying to help to save the Madagascar Pochard, or the “Mad Pochard” as it is called, which is the world’s rarest duck; I am not sure whether calling it “mad” is a compliment or not. In any case, there are only a few dozen left. The point that I am trying to make is that if something is not done about the water and wetland where that duck lives, it will not be able to provide drinking water for the local people or be used for sanitation, and it will not have any fish living in it either. Again, 6,000 people benefit from that clean water; many livelihoods go with it. That is just a reminder that conservation of nature goes hand in hand with looking after people who depend directly on the natural world.

As I have said, the United Kingdom currently spends some 2% of its bilateral aid budget on water and sanitation, compared with around 13% on education and a large percentage on health. For example, the delivery of quality healthcare in Africa has been seriously hampered by the lack of access to safely managed water. That is why I gave the example from Madagascar.

Sanitation and hygiene also affect practices in healthcare facilities. The WHO and UNICEF estimate that 42% of healthcare facilities in Africa do not have access to a safe water source within 500 metres. According to the WHO, 50% of malnutrition is associated with infections caused by a lack of access to water, sanitation and hygiene.

Globally, malnutrition accounts for some 45% of child deaths, of which a large proportion are within Africa. Children in sub-Saharan Africa are more than four times as likely to die before the age of five than children in developed regions. And after the first month of life, pneumonia and diarrhoea are the leading causes of the death of children under the age of five. Both pneumonia and diarrhoea are inextricably linked to a lack of water, sanitation and hygiene.

We have not had a debate on water aid or sanitation in this Session of Parliament. That is why we have asked for this debate today. First, we aim to raise awareness; secondly, the debate gives hon. Members a chance to participate and add their contributions; and, thirdly, we aim to highlight the issues that we feel are so very important.

Approximately 800,000 children aged between one month and five years died from pneumonia in 2013. Around 1,400 children die every day from preventable diarrhoea, and 58% of diarrhoeal deaths are caused by unsafe water, poor sanitation and poor hygiene. That is incontrovertible evidence that access to clean water and sanitation is essential if we are to see any meaningful development in other areas.

In conclusion, I will just give two examples of what I have talked about; nothing better illustrates the case I am trying to prove than case studies. The first involves child health. The name of the mother is Peggy Mpundu. She is 36 and part of the Mwasha village in Lubwe in Zambia. Peggy recently gave birth to twins, Kapya and Mpundu, in hospital. Two days later, they were discharged as healthy babies. However, one day after returning home, both babies started having problems breathing. Their parents, Peggy and her husband Sylvester, rushed them back into hospital, but tragically they both died that day. Peggy said:

“I was then told that water from shallow wells was harmful for babies.”

That was the same water that she had used for years. She continued:

“Having bathed my children using water from a shallow well just left me with a feeling of guilt and regret. I wish I knew that water could be so harmful”.

That is the true story of Peggy Mpundu.

The second case study is about opportunities for girls. The name of the girl involved is Erika Makalli, from Tanzania; I know that the hon. Member for Stafford (Jeremy Lefroy), who is here today, has particular knowledge of that country. Erika, who is 12, lives in Mbalawala village, in Tanzania. Like so many young girls, she was responsible for collecting water for her family, leaving her little time, if any, to go to school. The Tanzanian Government estimate that 58% of the country’s rural population do not have access to a safe water supply.

Discussing her old routine, Erika said that previously:

“I had to get up at 4 am and walk a long distance to find water. It took two hours and I could only collect a small amount of water to take home. That meant that Mum had to spend most of the day finding water so that we’d have enough to drink and cook with. I used to try and rush to get to school and wouldn’t be able to wash or have any breakfast beforehand. Most of the time I missed school altogether because I was sick or just exhausted. There were so many diseases in this village.”

I am very pleased that two officials from WaterAid are here in Westminster Hall today; they have helped me in preparing for this debate. WaterAid started working in the Mbalawala village two years ago and now there is a tapstand 15 minutes’ walk from Erika’s house and in her school. Erika now attends schools with her friends. Get the water right, get the health right, get the education, give them opportunities—those things follow on from each other. She is a prefect. Discussing the transformation in her life, she said:

“If I still had dirty water I wouldn’t be going to school anymore. I probably wouldn’t have had any real education at all. Also, most of my friends would probably also have died from the diseases we used to get. Life would be miserable. I feel I can at last look forward to a brighter future. Perhaps I will be a health and hygiene teacher when I leave school.”

WaterAid, this House, our Government and all the many other organisations—whoever they may be, and whether they are Churches, individuals or groups—have enabled that to happen.

Dr Lee Jong-wook, the former director general of the World Health Organisation, said:

“Water and Sanitation is one of the primary drivers of public health. I often refer to it as ‘Health 101’, which means that once we can secure access to clean water and to adequate sanitation facilities for all people, irrespective of the difference in their living conditions, a huge battle against all kinds of diseases will be won.”

I conclude with a question for the Minister. I am convinced that his response will be positive and helpful; I have no doubt about that. The contributions we all make show how united the House is on the issue. I will say it again: in this House, we are fortunate to have access to water for all purposes, whether that is washing, cleaning, sanitation or regular showers. Many of us have a shower every morning, but many people elsewhere would just love to have that water. We have it every day. We have to be the voice for the voiceless. We have to speak here on behalf of those who need help, wherever they may be in the world. Can the Minister give us some idea of the Government’s bilateral and multilateral aid reviews? Will he set out and prioritise water and sanitation in the reviews? We need to be ever mindful of the fact that if we start with water and sanitation, then health, education and opportunity follow.

[Andrew Percy (in the Chair)]

The Front Benchers will be called at the usual time. There is plenty of time for the debate, so there is no need for a time limit or anything like that.

--- Later in debate ---

[Pauline Latham]

Absolutely. Congratulations.

I also congratulate the hon. Member for Strangford (Jim Shannon) on securing the debate. It is a shame it happened to come on a Thursday afternoon when everyone is desperate to get home, but it is an important debate. I apologise if I repeat things that he said, but I am completely deaf in one ear and 50% deaf in the other since I had a really bad cold. I cannot clear it. Although I listened as much I could, I did not hear very much of what was said, so my apologies if I repeat anything.

[Jim Shannon]

Is it my accent?

[Pauline Latham]

Just this once, it was not the hon. Gentleman’s accent that confused me, but the fact I could not hear. That is my problem, and I apologise.

Clean water is one of the fundamental things that we expect to have. In this country, we have had it for donkey’s years. but we recently saw the problems in the north-west when water was contaminated for some time. One suddenly realised how much we take it for granted in this country that we can wash and use the washing machine and probably the dishwasher. We can have a shower or bath or clean our teeth with no worries at all. That incident showed the population of Britain that we use a huge amount of water without thinking about it.

For those in a developing country—we know that almost a third of the global population lack access to sanitation facilities and more than 660 million people lack access to clean water—it is a daily problem that they have to live with and deal with. We see so many young people dying under the age of five because they do not have access to clean water or sanitation. We and many other countries accept water as something that we can use at any time, and we should be looking to help the countries affected. Other countries have to look themselves at improving clean water facilities, but it is incredibly difficult. Where does a President or a Government start if people have no decent housing, no clean water, no or few sanitation facilities, no education and no good health facilities?

Without clean water, people cannot have access to education or decent healthcare. I have seen some hospitals where there is no running water—how can a hospital facility have no running water? How can things be kept clean? Even in the Crimean war, Florence Nightingale understood that the one thing needed in a hospital is cleanliness and sanitation. That was a very long time ago, but some countries in Africa do not have that facility, and that is totally shocking.

I am pleased to see that sustainable development goal 6 is the aim of achieving universal access to safe water and sanitation by 2030, but 2030 is not very far away—only 14 years. We have been involved in international development for many years, as have many other countries, non-governmental organisations, charities and individuals, along with diaspora communities that send money back. Why do some Governments appear to have little will to install decent water facilities? It is not difficult to do; it just needs a comprehensive plan.

As a member of the Select Committee on International Development, I have visited many countries in Africa where I have been shocked by the poor facilities that people have to live with. For instance, when we went on a visit to Burundi, we were embedded in a house right out in the sticks for 24 hours with no water and no sanitation. The only place to go to the toilet was where they had literally dug a hole specifically for me to go in. I found that rather embarrassing—not for me, but for them to have to do that. They did it, though, and the joke was that they made a wooden box for me to sit on so that I would not have to squat. They thought that as a westerner, I would not have been able to cope with that. It would not have bothered me, but they have to deal with that all the time, and I do not know that things are that much better now in Burundi. There are a lot of other problems there, but when there is conflict in an area, it makes things harder still, and not just for the people living there. How do Governments, if they are in conflict and there is a civil war, or whatever the situation is, deal with the country’s problems with water and sanitation?

I have spent a lot of my time in Uganda with a friend of mine who was a Member of Parliament there. Sadly, he lost at the last election; I do not think it was quite fair. He was very keen on helping his community have sanitation and water as well as decent health. He is a doctor, so he is very keen on health facilities, but he was struggling. I was able to go to Uganda at the beginning of this year, and I saw for myself the problems with malaria. There is no clean water. I went to a hospital that had no sheets on the bed. The parents and family members who had to go to that hospital with their children had nowhere to go to the loo. It was a state-run hospital, and I think that situation is pretty appalling. Some of the children who were in the hospitals I went to did not have malaria. They might have had dysentery or diarrhoea, which are relatively easy to cure if there is clean water and the right medication.

--- Later in debate ---

[Dr Blackman-Woods]

I was going to acknowledge WaterAid’s work later in my speech, not least because Northumbrian Water, which is based in my constituency, does a lot of work with it. Northumbrian Water has been very energetic in getting MPs in our region to take note of the sort of issues that WaterAid gets involved with.

Since 2000, there have been two rounds of UN-sponsored global international development goals. The first was the millennium development goals, which ran from 2000 to 2015 and aimed to halve the number of people without access to improved drinking water and sanitation. Interestingly, the water target was met but the sanitation target was not met by a considerable amount—about 700 million people. The headline figures mask large geographical variations among countries and between rural and urban populations.

The MDGs have been replaced by the sustainable development goals. SDG 6 relates to what we are talking about this afternoon. We need to take on board the lessons learned from the MDGs, which showed that a donor-led approach on its own is not enough. Work has to be done in partnership with the recipient countries. There can be too much of a focus on short-term targets, rather than long-term viability. The hon. Member for Mid Derbyshire (Pauline Latham) touched on that point when she said that the facilities that are put in might not be appropriate or sustainable. It is really important that there is some sort of community partnership. There was a failure to exploit links with the private sector fully. The focus was on absolute numbers, so the poorest were often neglected because they were not picked out as a group for targeted intervention. I will talk more about SDG 6 in a moment, but it is interesting that it was informed by the lessons learned from the MDGs.

Globally, one in 10 people still has no access to a safe water source, and one in three has no access to proper sanitation. In parts of Africa, a third of the population does not have access to clean water. In Ethiopia alone, 42.2 million people have no access to safe water. There is still a significant problem, which is a big problem for the new SDG goal to meet in 14 years. Yet we know that it is really important. There cannot be societal transformation without proper access to clean water and sanitation. We know that from our own experience. It was only when the UK recognised, from its public health problems, that we needed properly piped water that we got the economic development that moved us on. There was a transformation in our public health, and that is what we want to see in other countries.

We are not only talking about health, because research has shown that, for every $1 spent on water and sanitation, $4 would be generated in increased economic opportunity. It has been estimated that, if everyone had universal access to water and sanitation, there would be $32 billion in economic benefits each year globally, from reductions in healthcare costs and from increased productivity as a result of reduced illness.

Interestingly, more than a quarter of the countries in sub-Saharan Africa are poorer now than they were in 1960. Therefore, foreign aid is going in, but if it is not directed in the right way, we do not necessarily get the development that we would want. The lack of access to clean water and basic sanitation is among the reasons given for the lack of economic development flowing from aid. Some of the biggest challenges are in sub-Saharan Africa: only about 30% of individuals have access to improved sanitation services; and nearly half of all people who use unimproved sources live in the region.

We have already heard this afternoon about some of the health impacts. According to the World Health Organisation, 50% of malnutrition is associated with infections caused by a lack of access to water, sanitation and hygiene. Globally, malnutrition accounts for 45% of child deaths, of which a large proportion is in Africa. A truly stark figure, also mentioned by the hon. Member for Strangford, involves children in sub-Saharan Africa, who are over 14 times more likely to die before the age of five than children in developed regions. The figures speak for themselves and are clear: there is an urgent need to improve access to clean water and good sanitation.

Another thing we have heard this afternoon is that limited access to clean water and good sanitation disproportionately affects women and girls, who are more than twice as likely as men to be responsible for water collection. On average, women and girls in developing countries walk 6 km each day to collect water—time that could be spent in school or at work. In sub-Saharan Africa alone, each day, women spend a combined total of at least 16 million hours collecting drinking water. That is a truly staggering figure.

Additionally, more than half of girls who drop out of primary school in sub-Saharan Africa do so because of a lack of separate toilets and easy access to safe water. However, the issue is to provide not any sanitation, but the right sort of sanitation. I have visited villages in Asia and Africa where money has come through for new sanitation in schools. Toilet blocks were put in, but the schools might as well not have bothered, because the toilets were communal ones, could be too easily accessed by a wide range of people, or had doors that did not close properly—people could look over the top. There was a complete lack of consideration about what actually needed to happen to make the toilets a secure, safe place, in particular for girls, enabling them to stay on at school. So, alas, despite new sanitation facilities, the girls could not continue at school anyway, because they still did not feel safe. So many girls leave education at puberty. Obviously, therefore, co-operation with the local community is necessary, and water sources should be as close as possible to the people who need them.

I will now outline some of the things for which WaterAid is calling, before finishing with a few questions for the Minister. As we know, world leaders committed to reach everyone, everywhere with safe water and sanitation by 2030. That is a wide-ranging goal, with eight objectives, and if they are met that should be a good and helpful step forward. WaterAid, however, has said that Governments must bring about a dramatic and long-term increase in public and private financing for water, sanitation and hygiene to achieve strong, national systems so that there is universal access. Private and public sectors need to co-operate effectively to achieve that universal access. An integrated approach could ensure that improving access to water, sanitation and hygiene services is embedded in plans, policies and programmes on health, nutrition, education, gender equality and employment. Last but not least, pledges made at the 2015 Paris climate summit must be implemented, because they are about the long-term sustainability of water supplies.

Are the Government using their strong voice internationally to push up the international agenda the importance of clean water and sanitation? SDG 6 should become a real priority, so how will progress towards achieving it be monitored internationally? Will the Government use the expertise of the Department for International Development, which works on some very good schemes, to inform best practice everywhere and to ensure that women and girls are prioritised for sanitation and water supply?

[Jim Shannon]

There is much talk in the press maligning DFID projects, or saying that some are not used properly. Sometimes it is good, as the hon. Lady has just done, to focus on some of the excellent work that DFID does and on the projects that are successful. It is good to remind us of such things, because everything is not negative.

[Dr Blackman-Woods]

I echo that point. I urge the Minister to use that good experience to help to roll out best practice elsewhere.

--- Later in debate ---

[Jim Shannon]

I thank all the right hon. and hon. Members who have spoken for their valuable contributions, which I appreciate. I thank the ladies from WaterAid who kindly facilitated our debate with information, and whose knowledge helped us to bring the debate together factually. The hon. Member for Mid Derbyshire (Pauline Latham) spoke with great personal knowledge gained through Select Committee work and the visits she has made. She mentioned having a tin bath, and I am in an age group that means I can remember that as well. I can also remember outside toilets. We have come on a great deal in our own countries, and there is a similar need to move on in Africa.

The hon. Member for City of Durham (Dr Blackman-Woods) mentioned the global goals—on water aid, which has been met, and on water sanitation, which has not. She talked about long-term viability and short-term fixes, and was clear about the need to have a vision and a strategy and to address urgent needs. I thought that she made an important comment when she said that some sub-Saharan countries are poorer today than they were in the ’60s and ’70s, and that addressing water aid and sanitation is even more difficult for them.

The hon. Member for Stafford (Jeremy Lefroy), whose contributions I value, as I do his friendship, gave us examples from Peru and Tanzania, where his wife has done good work, and talked about the importance of health education and treating problems at source. I thought it was great that he gave examples of what can be done with a $2,000 spend. A small investment can give great returns, and I thought it was a tremendous example. Some things that were done 30 or 35 years ago are still working today. He referred to the neglected tropical diseases, and we may want to focus on that over time.

The hon. Member for Kilmarnock and Loudoun (Alan Brown) referred to communities involved in projects, including Scottish Water staff and their project in Zambia. He spoke of young people dropping out of school in Africa because of lack of access to water aid and sanitation, and the need to prioritise poverty eradication projects.

The shadow Minister, the hon. Member for Hackney North and Stoke Newington (Ms Abbott), brought to the debate something we had not considered: the problems stemming from drought that affects Somali tribesmen and their animals in their wanderings across Africa as they follow the water to where the grass is. She wanted to encourage national Governments to act together. She referred to the storage of water and the need to ensure that we access water wherever it is and retain it as best we can.

Some of the interventions were very helpful. I thank the two hon. Members who came in after the start of the debate; they had other engagements. I was aware of that. The hon. Member for Tonbridge and Malling (Tom Tugendhat) referred to the power over water rights and access, which, until he intervened on the Minister, had not been considered in the debate, but it is a vital issue in countries where water is almost the equivalent of oil. Water is of tremendous importance. The hon. Member for Congleton (Fiona Bruce) referred, as she always does in the good work she does on the Select Committee, to the importance of the work within DFID to ensure that the Governments can deliver.

I was impressed by the Minister’s response—I am impressed by him anyway—for which I thank him. We recognise his commitment to his portfolio and to achieving what he wants to achieve, which I believe is what those who have spoken today and those in the House more widely want to achieve. That is important for us.

Water, sanitation and hygiene are enablers for other areas of development, including health and education. That theme ran through all the contributions today. Water, sanitation and hygiene are also highly cost-effective, but only 2% of UK bilateral aid goes towards that. However, I recognise the £800 million the Minister referred to. It is a significant contribution, but if we can do so much with small moneys, that is what we should be trying to do. I would also like water, sanitation and hygiene to be prioritised in the forthcoming aid reviews.

I have been told before that we are not allowed to use props in our speeches, so I am not going to use a prop, but I will refer to this bottle of water. To be truthful, I did not know this until yesterday, but on the labels of the bottles of water in front of us, it says:

“Belu is an ethical bottled water produced in the UK. It is completely carbon neutral. It comes in a lightweight recyclable bottle”

and so on. It then says that 100% of profits go to WaterAid. So, every time we pour a glass of water in this House from any bottle of Belu, we will be supporting WaterAid. WaterAid transforms people’s lives by improving access to safe water, hygiene and sanitation in the world’s poorest communities, and to date Belu has donated more than £1 million to WaterAid. If anyone ever needs a prop, or something to reach to and say, “That’s what WaterAid does”, they can use that bottle.

I thank the Minister, the shadow Minister, and all other Members for their contributions and for highlighting this issue and the position of the people outside the House whom we and the Government want to help.

Question put and agreed to.

Resolved,

That this House has considered clean water and sanitation in Africa.

Sustainable Development Goals

Jim Shannon Excerpts

Wednesday 13th April 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

If there are eight minutes, I have four. It is a pleasure to be called to speak. I congratulate the hon. Member for Bath (Ben Howlett) on setting the scene, and other hon. Members who have made valuable contributions.

I am going to focus on the issues of health and the sustainable development goals, which the Minister will reply to. I know how much progress has been made in responding to epidemics. The dual impact of HIV and TB continues to be devastating for millions of people and their families. Of the 1.5 million people killed by TB in 2014, 400,000 were HIV-positive. AIDS-related illnesses claimed some 1.2 million lives in 2014, which included 400,000 TB deaths among HIV-positive people. Malaria causes hundreds of thousands of deaths every year, predominantly among young children.

To put it in Hansard and on the record, the incidence of HIV and of TB in London has increased; I am not sure whether hon. Members are aware of that. They are probably coming from some of the people who have moved here and maybe their contact with others. We have issues here at home that we need to address, but that is not for this debate.

The Global Fund to Fight AIDS, Tuberculosis and Malaria plays an essential role in reducing these upsetting statistics, and will be part of the drive to eradicate them in future, but it needs help from Governments across the world. The Global Fund is asking Governments, the private sector and other organisations for a total just short of £10 billion for the period 2017 to 2019, which would save millions of lives and avert hundreds of millions of infections and new cases of HIV, tuberculosis and malaria. The debate we had in Westminster Hall yesterday on HIV in women and girls also highlighted that. The Minister responded, as he always does, in a very positive and helpful manner; I am sure he will do the same today.

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.”

We need to be an integral part of the global efforts to eradicate the deadly trio, with the United Kingdom making a positive difference across the globe. Ensuring our commitment to the future success of the Global Fund will deliver that, as well as security and support for a global organisation that makes a positive difference.

When it comes to addressing the deadly trio, perhaps the Minister could give us some idea of what discussions have taken place between DFID and pharmaceutical companies to ensure that some of the very necessary medications and drugs get to where they need to be—at the source of the problems. Of course, that will not be free, but the Global Fund’s plan can work to end this pandemic. The Global Fund has been successful and is ready to continue its life-saving work if funded.

I attended an event today on the persecution of Christians in Nigeria. Tomorrow is the second anniversary of the kidnapping of 200 young girls in Nigeria, to which the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) referred. We have to speak out for women, for diversity and for equality, and on issues such as child marriage. There is a systematic abuse of women and girls, and that issue has to be raised and spoken about today.

Seventeen million lives have been saved globally because of the work of the global partnership; 8.1 million people living with HIV/AIDS who would not otherwise receive any treatment are receiving ARV therapy as a result of the Global Fund; 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. We are trying to address the issue of the number of people dying from malaria. We have a chance in this debate to highlight the issues, and I ask the Government and the Minister to do their best.

HIV: Women and Girls

Jim Shannon Excerpts

Tuesday 12th April 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in this debate and I congratulate the hon. Member for Finchley and Golders Green (Mike Freer) on securing it. Many of us have an interest in this issue. I suspect that many more would be here if it was not for other duties and debates elsewhere, because the issue certainly resonates with us. We are here today because we want to highlight the issue for those in other parts of the world. We are taking steps here in the United Kingdom of Great Britain and Northern Ireland, but we need to encourage countries and Governments to take steps elsewhere.

Worldwide there are some 900 million adolescent girls and young women in the 15 to 24 age group. Despite being 12% of the entire population of the world, too often for cultural or political reasons those young women are left without a voice or any say or control over their own bodies. We are all aware of the issues across the world and the violence against women. Rape seems to be a method of violence and war that some soldiers inflict on women wherever they have the opportunity to do so. We have had many debates in Westminster Hall that have highlighted the rape of women and girls and the brutal, horrible violent acts that take place against them. We recently had a debate on Burma and the Rohingya people.

Across the Sahara and across Africa, rape seems to be a weapon of war and we must highlight this issue. I often say we have to be a voice for the voiceless, and so we do. In this House we have to be a voice for those who have no voice, who do not have anyone to speak up for them, and the debate today is an opportunity to do just that.

Women have limited access to healthcare in developing nations and little or no access to education. Systems and policies skewed against them in some of the more gender-oppressive nations combine to create obstacles that block adolescent girls and young women from knowing how to and being able to protect themselves against HIV. We need a loud awakening of some of the Governments across the world so that they understand what is going on.

Despite the fact that the world is becoming more global, there are still regions in the world where young women and adolescent girls remain at a much higher risk of HIV infection than their male counterparts. It is shocking that, despite this fact being known, there seems to be no real progress, and girls in the age group I referred to still account for a disproportionate number of new infections among the young people living with the infection. There are an estimated 340,000 to 440,000 new HIV infections among young women aged 15 to 24 each year. If that does not shock us, I do not know what does. Despite making up only 12% of the population, they accounted for 60% of all new infections.

Poverty plays a big role, but the elephant in the room, as so often, is that although it is a global issue, there are clear issues in particular regions that exacerbate the case. It is true that some cannot afford access to care, treatment and preventive measures, but more often than not it is the cultural or political treatment of women that means they are unable to access the treatment, care and preventive measures that they need. Fifteen per cent. of women living with HIV are aged 15 to 24, a shocking 80% of whom live in sub-Saharan Africa. We know that that is an extremely impoverished area of the world, but we also know that the culture and policy towards women there is a far cry from the relative gender equality we enjoy here in the west.

Indeed, up to 45% of adolescent girls in those poor regions reported their first sexual experience to be forced. That is another shocking statistic. It is estimated that around 120 million girls worldwide have experienced rape or other forced sexual acts at some point in their life. The magnitude of those figures should shock us all. They remind each and every one of us exactly what the issues are and it is why this debate is so important. From a collection of more than 45 studies from sub-Saharan Africa, it was revealed that such relationships were common between younger women and older male partners, and relationships with large differences in age are associated with unsafe sexual behaviour and the low use of condoms.

Women who experienced violence from a partner were 50% more likely to have contracted HIV than women who had not experienced such violence. In fact, of all the age groups, even married girls and women in the 15 to 24 age group are most affected by spousal physical or sexual violence. Some of the Members who have spoken already, including the hon. Member for Lanark and Hamilton East (Angela Crawley), who spoke just before me, mentioned DFID. Again, the background notes supplied for this debate are very helpful. I want to put this note on the record:

“DFID has committed to putting girls and women at the heart of its development assistance. As well as continuing a focus on women and girls in DFID’s bilateral HIV programmes, more work is required to capture, measure and maximise the HIV related benefits of DFID’s wider work with women and girls.”

Hon. Members who have spoken have expressed some disquiet over the DFID policy in relation to its ever being successful. The Minister always responds in an energetic and knowledgeable way, so I am sure he will be able to indicate and reaffirm DFID’s response. If there is a shortcoming—I perceive that there is—DFID must address that as well.

The note continues:

“Global progress on reducing new infections in women and girls remains a priority for DFID.”

I hope that that is the case. Negative gender stereotypes and harmful norms are equally damaging. Adolescent girls and young women face significant barriers in accessing health services or protecting their own health. Lack of access to comprehensive and accurate information on sexual and reproductive health means that adolescent girls and young women are not equipped to manage their sexual health or to reduce potential health risks. Furthermore, they are less able to negotiate condom use. They have limited access to HIV testing, modern contraception and family planning, and are less able to adhere to HIV treatment. Those facts cannot be ignored.

Queen Nana Adwoa Awindor of Ghana, who chairs the African Queens and Women Cultural Leaders Network, has underscored the important role that cultural and traditional leaders have to play in the fight against HIV and AIDS, saying:

“It is our responsibility to ensure that harmful traditional practices that promote the spread of HIV such as early marriages and female genital mutilation are eradicated”.

What she is saying is, “Change traditions and protect the people.” I hope that today’s debate will in some way do that.

ln sub-Saharan Africa, only 26% of adolescent girls possess comprehensive and correct knowledge about HIV, compared with 36% of adolescent boys. In that context, according to UNICEF, among girls aged 15 to 19 who reported having multiple sexual partners in the previous 12 months, only 36% reported that they used a condom the last time they had sex. There are basic, simple issues that must be addressed by DFID and through the Minister’s Department, but also by the Governments responsible for the countries where HIV and AIDS are epidemic. There is a need for relentless pressure to be exerted, using the international bodies at hand, such as the UN, on the Governments of the countries in question. The things I have talked about are not acceptable in the UK, and we are addressing them; they should not be tolerated anywhere else in the world.

[Patrick Grady (Glasgow North) (SNP)]

It is a pleasure to serve under your chairmanship, Ms Buck. I congratulate the hon. Member for Finchley and Golders Green (Mike Freer) on securing what has been a considered and useful debate on tackling HIV and AIDS in women and girls. I congratulate him too on his work as chair of the all-party group on HIV and AIDS, of which I am a member. There were useful contributions from the hon. Member for Harrow West (Mr Thomas), who brings considerable experience to the debate, my hon. Friend the Member for Lanark and Hamilton East (Angela Crawley)—I shall reflect in particular on some of what she said—and the hon. Member for Strangford (Jim Shannon), who spoke of being a voice for the voiceless. I do not think there is any question of his voice not being heard. He spoke with his usual commitment and passion.

This debate is timely, as has been mentioned, taking place as it does in the context of the adoption of the sustainable development goals. Indeed, some of us will be back tomorrow for a debate on the implementation of those goals in the round. However, today’s debate is a useful opportunity to reflect on the particular issue of tackling HIV and AIDS, for all the reasons that we have heard, in particular the need to make rapid progress now that the goals are agreed. The number of people around the world living with HIV and AIDS continues to rise, despite the progress being made, and indeed partly as a result of it, given the enhanced longevity from treatment—an HIV infection need not be a death sentence per se. Nevertheless, transmission continues to increase and, as we have heard, in particular parts of the world that may affect women and girls disproportionately.

Three themes arise from what we have heard in the debate: general issues and challenges, such as those I have touched on; the steps and strategies needed to tackle those challenges; and the ways in which we fund and prioritise those steps. I will reflect briefly on those, making sure, of course, that the Minister has plenty of time to respond to all the questions that have been asked.

We have heard that HIV/AIDS is the No. 1 killer of women of reproductive age around the world. In our part of the world it is sometimes difficult to comprehend that, because it is not necessarily true in every individual country, or in developed countries such as ours. However, in developing parts of the world it is of particular concern. During the recess I was in Zambia with the Westminster Foundation for Democracy. The overall prevalence of HIV/AIDS in the country is 12.4% of the population—some 500,000 women. Yesterday I welcomed Jacqueline Kouwenhoven, who is Dutch born but is a Member of the National Assembly of Malawi. She is the Member of Parliament for the Rumphi West constituency. In Malawi the prevalence of HIV/AIDS among men is 8.1%, but among women it is 12.9%. That is a pretty stark demonstration of the disparity, and the disproportionate impact that HIV/AIDS has on women, which is reflected in other statistics we have heard in the debate. I think others have discussed how 74% of new HIV infections in 2014 among adolescents in Africa were among girls and women. That is 12,500 new infections every week, and it gives us a sense of the scale of the challenge.

There is a challenge in two respects. First, there is a challenge for the individuals, as HIV/AIDS limits their life chances and lowers their life expectancy, limiting their ability to work, contribute to society and live flourishing, dignified lives of their own. However, there is also a broader development challenge, in the form of a barrier to societal and economic development, starting at household level, because younger children may be taken out of school to provide care or take up income-generating activities. That has a knock-on effect on whole societies. My hon. Friend the Member for Lanark and Hamilton East quoted Scotland’s First Minister, Nicola Sturgeon, on the importance of empowering women fully, as the simplest way for countries to increase their productive potential sustainably. Interestingly enough, the quotation came from a speech given to the Chinese Friendship Association in Beijing in July 2015. As we have come to expect, Nicola Sturgeon is not afraid to be a voice for the voiceless and to speak out, without fear or favour, around the world on issues of gender equality. That goes to the heart of the point made about the need for political leadership—both an holistic response to a holistic challenge, and political leadership to drive that response forward.

The steps needed to tackle the spread of HIV and AIDS among women and girls in particular fall into two key areas. The first is prevention, in its broadest sense. We have heard a lot in the debate about education, including education specifically for awareness—of status, safe practices and cultural barriers. All those things are important, and we have heard about some of the support that the Scottish Government are providing. A particularly interesting example came about through the small grants scheme, which allows the funding of small, innovative programmes. The Yes! Tanzania programme conducted a feasibility study on using its sports facilities to educate young people about the transmission of HIV and AIDS, and used the study to put the lessons into practice. It will deliver both sport and sexual health training to more than 60 community sports coaches, teachers and peer leaders, and through that method will reach more than 2,000 young people in Arusha in Tanzania. Hopefully it will go on to measure the impact of the work.

Using small grant funding can be a useful and innovative way to try out new techniques and to reach young women and men in particular, through forums where they might not traditionally have expected to receive such education. It would be useful to hear the Minister reflect on whether there any lessons he can learn from that kind of thing.

[Jim Shannon]

I would like to reiterate what the hon. Gentleman has said. The Elim Church in my constituency—to give just one example—does fantastic work in Swaziland with young boys and girls who have HIV/AIDS. Some of the good work that the hon. Gentleman has been discussing, and that he asks DFID to do, is also being done by church groups throughout the United Kingdom. I mentioned the Elim Church, but the Presbyterian Church, the Church of Ireland, the Methodists, the Baptists and the Roman Catholic Church all do it as well. It is good to recognise some of the good work that other groups do.

[Patrick Grady]

I am sure we can all give examples from our constituencies or broader areas of interest of specific projects or programmes that have made a difference. An issue relating to some of the broader questions that have been asked about DFID is to do with its different priorities: the way in which it is leveraging the 0.7%, which we all welcome, and how that can be done as effectively and as holistically as possible. Having some flexibility to try to innovate in new areas and support small, dynamic projects is definitely one area for consideration.

There is the important question of education specifically about HIV/AIDS, which we have heard about, but there is a broader question of education as well. Although it is true that, as I have said a number of times—my hon. Friend the Member for Lanark and Hamilton East said it too—there is no silver bullet to global development, educating women and girls is about as close as we can get. Broader access to education—not just education on HIV/AIDS but, more broadly, education that trains and empowers women with the skills they need to take into society—can reverse the negative spiral that I spoke about at the beginning of my remarks. That economic empowerment is crucial.

UNHCR: Admission Pathways for Syrian Refugees

Jim Shannon Excerpts

Wednesday 16th March 2016 Westminster Hall

[Caroline Lucas]

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.

[Jim Shannon (Strangford) (DUP)]

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.

[Caroline Lucas]

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.

--- Later in debate ---

[Jim Shannon (Strangford) (DUP)]

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.

Zika Virus

Jim Shannon Excerpts

Tuesday 2nd February 2016 Commons Chamber

[Mr Hurd]

I am informed by the public health Minister that a 28-day deferral notice has already been communicated, and that she will correspond directly to the hon. Lady on the point she has raised.

[Jim Shannon (Strangford) (DUP)]

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?

[Mr Hurd]

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.

Syrian Refugees: Resettlement

Jim Shannon Excerpts

Wednesday 27th January 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

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.

[Ian Austin]

Will the hon. Gentleman give way?

[Jim Shannon]

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).

[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.

[Jim Shannon]

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.

Global Fund to Fight AIDS, TB and Malaria

Jim Shannon Excerpts

Tuesday 12th January 2016 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

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.

Tropical Diseases

Jim Shannon Excerpts

Tuesday 27th October 2015 Westminster Hall

[Jeremy Lefroy]

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.”

[Jim Shannon (Strangford) (DUP)]

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?

[Jeremy Lefroy]

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.

Humanitarian Crisis in the Mediterranean and Europe

Jim Shannon Excerpts

Wednesday 9th September 2015 Commons Chamber

[Anne McLaughlin]

I 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.

[Jim Shannon (Strangford) (DUP)]

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?

[Anne McLaughlin]

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.

Sub-Saharan Africa (Corruption and the Economy)

Jim Shannon Excerpts

Wednesday 1st July 2015 Commons Chamber

[Stephen Phillips (Sleaford and North Hykeham) (Con)]

Let 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.

[Jim Shannon (Strangford) (DUP)]

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?

[Stephen Phillips]

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.”