The CommonHealth

In our ongoing series on climate and health, we had the great fortune to enlist a friend and colleague, Noam Unger, Director of the CSIS Sustainable Development and Resilience Initiative, to discuss PREPARE, the President’s Emergency Plan for Adaptation and Resilience. Why did it take so long for adaptation to rise in significance?  PREPARE is “a presidential initiative that is not coming with a big bag of money along with it,” which means its principal focus is coordination around food, water, health, infrastructure, data forecasting, and financing and insurance. What might that achieve? Is it meaningful to compare its prospects with those of PEPFAR? How to build a geostrategic rationale, a program framework, and a mixed constituency for PREPARE incrementally over time? Give a listen to the answers to these questions and more.

Since the start of 2024, several countries in South America have experienced a rapid increase in cases of dengue, a viral disease transmitted by the aedes aegypti mosquito. According to the Pan American Health Organization (PAHO), this year alone at least 18 countries in the Americas have reported cases, with more than 400 deaths. In Peru, at the end of February, the government declared an emergency in 20 districts, setting up makeshift clinics and sending additional financial and human resources to affected areas. Dr. Andrés (Willy) Lescano, who leads the Emerging Infections and Climate Change Research Unit at Cayetano Heredia University in Lima, Peru and was one of the co-authors of the Lancet Countdown on Health and Climate Change 2022 report on South America, explains why it has been so challenging to control aedes aegypti mosquitoes in the region, the extent to which urbanization, global warming, and the el Niño phenomenon are driving the current outbreaks, and steps that can be taken to better prepare the health sector for future crises associated with a changing climate.

In the fourth episode of the CommonHealth Live! series, Vanessa Kerry, World Health Organization (WHO) Director General Special Envoy for Climate Change and Health and Austin Demby, Minister of Health and Sanitation for Sierra Leone join Julie Gerberding, CSIS Bipartisan Alliance for Global Health Security Co-chair and CEO of the Foundation for the National Institutes of Health for a discussion about the intersection of climate change and global health. How do you make new partnerships around climate and health work? What are the expectations for wealthy countries and the United States in particular to find solutions to these challenges? How do you make the case for climate and health in a divisive environment, with scarce financial and political resources? 

Donald G. McNeil, the prize-winning science and health reporter—45 years with the New York Times—unpacks his newly published memoir, The Wisdom of Plagues. It covers his remarkable personal and professional story, his reflections on the travails facing PEPFAR, the stark lessons of Covid, his "radical" prescriptions for the future, and his reflections three years after abruptly departing the NYT. 

In the third episode of the CommonHealth Live! series, World Health Organization (WHO) Senior Advisor Dr. Scott Dowell joins J. Stephen Morrison for a discussion about the Global Health Emergency Corps (GHEC) concept, development thus far, and plans for 2024. What will it take to bring GHEC to life? What might the U.S. role be?

Dr. Sandro Galea, Dean of the BU School of Public Health, discusses his incisive, provocative new book, ‘Within Reason.’ Its central proposition: public health slipped into illiberalism during Covid-19, a “closing of the mind.” Over the course of the book, Dr. Galea unpacks that striking phenomenon: how and why it happened, what it means, and what needs now to happen to correct course? The loss of trust is the most poignant but not the only price. Give a listen!

Joseph Majkut, Director of the CSIS Energy Security and Climate Change Program, unpacks the big picture of COP28 (Dubai, Nov. 30-Dec 13, 2023), both the formal negotiations and the “trade show.” Is the commitment to “transition away” from fossil fuels a truly pivotal moment? What’s the significance of the launch of the "Loss and Damage Fund" especially with regard to tensions between the North and the South? What to make of the day dedicated to health and climate? How to assess UAE leadership? Ultimately, Dubai is not likely to stand shoulder-to-shoulder with Paris and Kyoto. It’s more of a “punctuation mark.” Give a listen!

In the second episode of the CommonHealth Live! series, J. Stephen Morrison speaks with International Rescue Committee (IRC) President and CEO David Miliband about the recently released IRC 2024 Emergency Watchlist. The onset of 2024 has brought with it record levels of humanitarian crises. How and why are global humanitarian crises evolving? How do we address these unprecedented global challenges? What can be done to reduce the impact on affected communities?This event is made possible by the generous support of the Bill & Melinda Gates Foundation. 

Dr. Yanzhong Huang, Council on Foreign Relations and Seton Hall University, argues in the CFR report Negotiating Global Health Security (co-authored with Georgetown Professor Rebecca Katz) that the US-China clash over Covid-19 origins in Wuhan has had a catastrophic impact on US-China relations. A "détente" is now needed. But how is that to be achieved, given the multiple ongoing geopolitical crises? Given what is happening in Congress vis-a-is China? And given that political will at the highest levels is the most significant missing element? “Avoidance” post-Covid has taken root there. Give a listen to hear the answers. 

On the occasion of National Influenza Vaccination Week, former Senate Majority Leader Thomas Daschle, chair of the Coalition to Stop Flu, joins us to discuss the Coalition’s mission and composition, its recent compelling report, ‘The 2022-2023 Influenza Season: Outcomes and Policy Recommendations,’ and the comprehensive legislation it has had a hand in crafting and advancing, The Influenza Act (S. 3219, H.R. 5846 – 118th Congress 2023-2024). Senator Daschle is alarmed by the decline in vaccination levels – a national security threat – combined with the spread of mis and disinformation and the urgent imperative to forge new communications capabilities to rebuild trust and confidence. Trusted messengers, new public-private partnerships, determined and collaborative leadership, additional resources, and hard work: these are essential elements for turning things around. Health equity must also be elevated as a top priority, with a special focus on the elderly, pregnant women, children, and racial and ethnic minorities. Much more work is needed to improve testing capacity and develop new antivirals for flu.