Global Dispatches -- World News That Matters

Gene therapy is effective against many diseases and even has the potential to address enduring global health challenges like HIV. However, gene therapy as it currently exists is astronomically expensive to develop and administer. What’s more, the burden of diseases that may be most susceptible to gene therapy, such as sickle cell disease and potentially HIV, is concentrated primarily in the developing world, particularly in sub-Saharan Africa. My guest today, Dr. Boro Dropulic, is working to close that gap and bring these advanced therapies to places where they are needed most. He is the Executive Director of Caring Cross, a nonprofit dedicated to both developing advanced medical cures and making them widely accessible. In our conversation, he explains why these gene therapies are so expensive today and how to make them affordable for health systems in the developing world.    

If you are a regular listener to the podcast and reader of our associated Global Dispatches newsletter, you know that I believe one of the most important issues in the world today is the growing gap between humanitarian needs and the funding available to meet those needs. Climate change and conflicts are causing a surge in the number of people around the world who require a modicum of humanitarian aid to survive. Yet, funding has not kept pace. Far from it. The gap is large and growing. In response to this pressure, one of the largest and oldest international humanitarian organizations, the International Federation of the Red Cross and Red Crescent, is trying something new. While they still rely on traditional donors, mostly wealthier Western countries, they are also experimenting with innovative financing schemes. This includes using insurance in novel ways and exploring how to issue bonds or sell carbon credits to fund their humanitarian work. Joining me to discuss how the IFRC is approaching these complex financial instruments is Nena Stoiljkovic, IFRC's Under Secretary General for Global Relations and Humanitarian Diplomacy. We kick off by discussing why climate change is driving up the costs of humanitarian response and the IFRC's new program to support climate-resilient communities before diving into a longer conversation about the novel ways in which the IFRC plans to finance that, along with its regular disaster response.  

In mid-August, the United States and Switzerland hosted peace talks for Sudan's warring parties. The talks took place outside Geneva at a time when the conflict was exacting a massive toll on the civilian population of Sudan. Just as the talks were getting underway, the UN confirmed a famine in a massive IDP camp in Darfur. Meanwhile, over 10 million people have been displaced by the fighting, making it the largest humanitarian crisis in the world by the numbers. There have been some attempts at international mediation, none of which have stuck. Over the summer, the newly appointed U.S. Special Envoy for Sudan, Tom Perriello, began laying the groundwork for these talks in Switzerland, which only recently concluded. There is obviously still no ceasefire in Sudan, but according to my guest today, Cameron Hudson, Senior Fellow in the Africa Program at the Center for Strategic and International Studies, the talks nonetheless did achieve important progress on getting humanitarian aid to beleaguered populations.    

Ever since the fall of Kabul to the Taliban three years ago, I have periodically checked in with my guest today, Zuhra Bahman. She is the Afghanistan Country Director for Search for Common Ground, an NGO focused on peacebuilding. When the Taliban toppled the Afghan government and asserted control in Kabul, Zuhra Bahman happened to be out of the country on a business trip. However, she was determined to return, and she did. As she explained in our previous conversations, she felt an obligation to influence the direction of her country under Taliban rule, improve the lives of women and girls, and promote local peacebuilding efforts. In our conversation today, I ask her: Has she been successful? More broadly, Zuhra Bahman explains how consistent engagement with the Taliban authorities has led to some incremental gains, and she argues why the international community ought to deal directly and consistently with the Taliban.  

On August 14th, the World Health Organization declared MPOX a "Public Health Emergency of International Concern." This is the highest level of alarm that the WHO can issue to confront a public health crisis, and it was triggered in response to a rapidly spreading outbreak in Central Africa. As my guest, Dr. Eric Toner, explains, this MPOX outbreak is different from the one two years ago due to the fact that this new strain of the virus is both more deadly and more transmissible. Dr. Eric Toner is a senior scholar at the Johns Hopkins Center for Health Security. He explains the differences between the strains and what we know so far about how MPOX is spreading within Central Africa and, more recently, to other continents. We have a lengthy discussion about how to contain the outbreak, which includes deploying effective vaccines. However, the problem is that the supply is limited and controlled by just a handful of vaccine manufacturing companies.

In 1991, Somaliland declared independence from Somalia, but no country has yet to accept Somaliland's sovereignty. That, however, may soon change. On January 1st, Ethiopia and Somaliland entered into a memorandum of understanding that includes Somaliland leasing a coastline and port to landlocked Ethiopia, and in return, Ethiopia would be the first country in the world to formally recognize Somaliland's independence. When news of the MOU came to light earlier this year, it sent shockwaves throughout the Horn of Africa. Somaliland is in the north of Somalia, with a long coastline on the Gulf of Aden and bordering Ethiopia and Djibouti. It has many of the trappings of a state, including its own currency and governing institutions. It is a multiparty democracy and far more stable and less violent than Somalia. Somalia, however, still claims Somaliland—and every country in the world formally considers Somaliland to be part of Somalia. This move by Ethiopia threatens to upend this consensus of the last three decades. Joining me from Hargeisa, the capital of Somaliland, is Guleid Ahmed Jama, a lawyer and researcher. We kick off by discussing Somaliland's unique history before having a long conversation about this Ethiopia deal and what comes next.

Every two years, since 1951, the United Nations has compiled data and estimates about the world's population. These are contained in a report called World Population Prospects, which provides our best estimates about global population and demographic trends. The latest edition of World Population Prospects was released in June, and joining me today is one of the people responsible for putting this report together. John Wilmoth is Director of the Population Division at the UN Department of Economic and Social Affairs. He last joined us two years ago after the previous iteration of this report was released. We will discuss what has changed, or not, from the estimates of two years ago, why we should be paying attention to rapidly aging populations in East Asia, and what we mean by the "demographic dividend" that many countries in Africa are poised to harness.

I caught up with Ndidi Okonkwo Nwuneli at the Aspen Security Forum in mid-July. She is the new President and CEO of the One Campaign, which advocates on behalf of global development, justice, and equal rights, with a particular focus on Africa. I was interested in speaking with her at a major conference dedicated to international security precisely because African security issues are often far from the top concerns of the American foreign policy community. One of the big challenges facing many African countries today is how heavily indebted they are. Many African countries these days are spending far more money servicing debts than on their own economic and social programs. Ndidi Okonkwo Nwuneli explains that this already has international security implications and is bound to get worse unless something changes. We discussed how we can change the narrative around Africa in general and why including Africa in conversations about global security will become increasingly imperative in the future.

The July 28th national elections in Venezuela were supposed to usher in a new era of democracy after 25 years of Chavismo rule. Back in October, President Nicolas Maduro agreed to free and fair elections and, in return, had some US sanctions lifted. He quickly reneged on that deal, barred a popular opposition leader from running, and engaged in other election-related shenanigans. Still, Venezuelans voted in massive numbers, rallying around a lesser-known opposition candidate named Edmundo Gonzalez. But hours after the polls closed, Nicolas Maduro claimed victory, a position backed up by his hand-picked national electoral body. Crucially, Venezuelan authorities have not released a full accounting of the election results, including a paper trail that Venezuela's voting systems use to verify results. This has led to widespread and credible accusations that Venezuela's election was stolen. On the line with me from Caracas is Phil Gunson, a senior analyst for the Crisis Group. We recorded our conversation on August 1st amidst profound political uncertainty in Venezuela. He explains what happened in the lead-up to and immediate aftermath of the elections and how this situation may evolve.

Kamala Harris did not have an extensive foreign policy track record before becoming Vice President. And as Vice President, she did not assume much of a foreign policy portfolio during the Biden Administration. So what could we expect from a Kamala Harris foreign policy? How might it be the same as or different from Joe Biden's foreign policy? And if Harris becomes President, who might assume senior foreign policy roles, such as Secretary of State and National Security Advisor? Joining me to discuss these questions and more is Alexander Ward, a national security reporter who starts at the Wall Street Journal next week and author of The Internationalists: The Fight to Restore American Foreign Policy After Trump, a vital book that tells the story of the first two years of the Biden Administration's foreign policy. We kick off by discussing what role, if any, Harris played in the two major events that Alexander Ward details in his book: the American withdrawal from Afghanistan and Russia's invasion of Ukraine. We then discuss what sort of foreign policy vision can be deduced from Kamala Harris' time as Vice President and Senator from California.