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Madagascar offers opportunities in renewables to investors

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Madagascar is offering interesting opportunities in renewable energies for foreign investors, as energy is said to be a top priority for the government. The strong political will to electrify the country through the use of renewable energy (RE) is demonstrated by prioritisation in the National Development Plan and by the country’s New Energy Policy, NPE (Nouvelle Politique de l’Energie) in 2015, the aim of which is to supply nearly three-quarters of the population with electricity by 2030, with a renewable energy component of 85%, and 20% in mini-grids.

A CPV system brings electricity to Madagascar villagers. Photo credit: newatlas.com
A CPV system brings electricity to Madagascar villagers. Photo credit: newatlas.com

Currently, only 15% of Madagascar’s 24 million inhabitants have access to electricity, and only 6% in rural areas.

The island of Madagascar has great natural potential for renewable energy, such as solar, wind, biomass and, in particular, hydropower, much of which remains untapped. For example, only 2% of a 7,800 MW hydropower potential has been realised. The government seeks to realise this potential as far as possible through greater involvement of the private sector.

In 2015 there were tenders for 13 Hydro-IPPs of 609 MW, nine Hydro-BOTs of 18 MW and two Solar-BOTs of 60 kW. So far this year there have been bids for nine Solar, Wind and Hydro-BOTs of 15 MW. Currently in planning for this year are a further eight Solar-IPPs of 43 MW, 11 Hydro-BOTs of 9 MW and five Solar-IPPs of 20 MW, plus other regional IPP- and BOT tenders.

In September 2016, a delegation of five German companies from the renewable energy sector spent a week in Madagascar’s capital Antananarivo to explore investment opportunities in the country’s electricity sector as part of the project “German Energy Solutions Initiative” commissioned by the German Federal Ministry for Economic Affairs and Energy (BMWi),

During the visit, a seminar on renewable energy based on the implementation of the New Energy Policy was jointly organised by the German Chamber of Commerce based in South Africa and the German International Development Agency (GIZ).

The seminar was attended by representatives of the Ministry of Energy and Hydrocarbons (MEH), the national electricity provider JIRAMA, the Board of Electricity Regulation (ORE), the Rural Electrification Agency (ADER) and the Madagascar group of companies (GEM), as well as private operators in the energy sector.

GIZ – on behalf of the German Federal Ministry for Economic Cooperation and Development, (BMZ) – is supporting electrification in Madagascar through its PERER project, which supports the private sector in developing and implementing investment projects within the context of public-private partnerships with the Ministry and ADER, for example by evaluating offers and ensuring transparency in tender procedures.

By Moritz von Hohenthal, GIZ

Outdoor pollution: Nigeria is world’s sixth deadliest nation

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The World Health Organisation (WHO) has ranked Nigeria as the sixth deadliest country for outdoor air pollution.

The WHO says that, in one year, 46,750 persons died as a result of outdoor pollution in Nigeria
The WHO says that, in one year, 46,750 persons died as a result of outdoor pollution in Nigeria

The UN agency, which in a recent analysis revealed that over a million people died from dirty air within one year, ranks Nigeria only below Ukraine, Pakistan, Russia, India and China. It discloses that, in one year, 46,750 persons died as a result of polluted air Nigeria.

The WHO warned a couple of years ago that tiny particulates from cars, power plants and other sources are killing seven million people worldwide each year.

Now, the health organisation has broken down that figure to a country-by-country level, revealing that, of the worst three nations, 1,032,833 people died from dirty air in China in 2012, 621,138 in India and 140,851 in Russia.

Additionally, while 59,241 died in Pakistan, Ukraine lost 54,507 lives. Nigeria is closely followed by Egypt and Bangladesh, which recorded 43,531 and 37,449 deaths respectively.

In Europe, the UK ranks worse than France, with 16,355 deaths in 2012 versus 10,954, but not as poorly as Germany at 26,160, which has more industry and 16 million more people.

Maria Neria, director of the WHO’s public health and the environment department, said: “Countries are confronted with the reality of better data. Now we have the figures of how many citizens are dying from air pollution. What we are learning is, this is very bad. Now there are no excuses for not taking action.”

Gavin Shaddick, who led the international team that put together the data, stated: “Globally, air pollution presents a major risk to public health and a substantial number of lives could be saved if levels of air pollution were reduced.”

Sixteen scientists from eight international institutions worked with WHO on the analysis, which gathered data from 3,000 locations, using pollution monitors on the ground, modelling and satellite readings.

They looked at exposure to tiny particulates 2.5 microns in size, known as PM2.5s, which penetrate the lungs and are the air pollutant most strongly associated with an increased risk of death. “The real driver of ill health is ultra-fine particles, 2.5s – they have the ability to permeate the membrane of the lungs and enter our blood system,” said Shaddick, who is based at the University of Bath. “Increasingly there is an understanding that there are not just respiratory diseases but cardiovascular ones associated with PM2.5s.”

Globally, 92% of the population breathes air that breaches WHO limits but the world map of deaths caused by PM2.5s changes when looked at per capita. When ranked by the number of deaths for every 100,000 people, Ukraine jumps to the top of the list at 120.

It is followed by eastern European and former Soviet states, and Russia itself, probably due to a legacy of heavy industry in the region. China drops down to 10th, at 76 per 100,000, and India falls to 27th, with 49 per 100,000.

UN to enhance airports’ contributions to sustainable development

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The critical contributions made by airports to the sustainable socio-economic development of urban areas are to be enhanced through a new agreement made by the United Nations via two of its organisations: International Civil Aviation Organisation (ICAO) and the United Nations Human Settlements Programme (UN-Habitat).

At the ICAO World Aviation Forum, ICAO’s Secretary General Dr. Fang Liu and UN-Habitat’s Dr. Aisa Kirabo Kacyira initialled a Memorandum of Understanding that will make important contributions to States’ pursuit of the UN’s Agenda 2030 for Sustainable Development. The initiative has picked five airports located in four different African cities under a pilot project
At the ICAO World Aviation Forum, ICAO’s Secretary General Dr. Fang Liu and UN-Habitat’s Dr. Aisa Kirabo Kacyira initialled a Memorandum of Understanding that will make important contributions to States’ pursuit of the UN’s Agenda 2030 for Sustainable Development. The initiative has picked five airports located in four different African cities under a pilot project

Initialled on Wednesday in Montreal, Canada at the ICAO’s World Aviation Forum by ICAO Secretary General Dr. Fang Liu and UN-Habitat’s Dr. Aisa Kirabo Kacyira, the Memorandum of Understanding between the two United Nations bodies, it was gathered will make important contributions to States’ pursuit of the UN’s Agenda 2030 for Sustainable Development.

“Well-managed, ICAO-compliant airports are crucial to global socio-economic development, providing essential links between the world’s markets and peoples,” ICAO Secretary General Liu remarked. “Supported by the transport corridors that link them, airport and urban development go hand-in-hand, and this partnership with UN-Habitat will help bring renewed focus to the role of modernised aviation infrastructure in ensuring the efficient movement of people and goods.”

ICAO and UN-Habitat have kicked-off their collaboration with a joint pilot project involving five airports located in four different African cities – Addis Ababa, Ekurhuleni, Johannesburg and Nairobi. Their goal is to foster increased cooperation between civil aviation, land, planning and urban development authorities, as well as international organisations, airlines and aircraft manufacturers.

The projected outcome will be new global guidelines for enhancing sustainable development synergies between airports and urban areas.

The ICAO and UN-Habitat agreement will be formally signed at the United Nations Conference on Housing and Sustainable Urban Development (Habitat-III), which will take place between 17- 20 October in Quito, Ecuador.

Habitat-III will also be the occasion of the presentation of the outcomes of the pilot project.

Pioneer green securities exchange goes live

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The Luxembourg Stock Exchange (LGX) on Tuesday introduced the world’s first exchange that will trade nothing but green securities. The exchange intends to act as a gatekeeper for green bonds and other environmentally-focused financial instruments to help reduce ambiguity in the market.

bloombergIt will oblige its issuers to provide “a full set of documentation that is readily available with pre- and post-reporting,” meaning that companies will have to disclose details about their project initially and also after it is complete, Chief Executive Officer Robert Scharfe, said.

“Investors are growing very sceptical about whether green really means green,” Scharfe said. “So we felt that we needed to create an environment where it is clear.”

The green bond market is predicted to reach almost $72 billion this year, up from $48 billion in 2015. It is largely unregulated. Issuers can choose to follow voluntary guidelines such as the Green Bond Principles or the Climate Bond Initiative, but there are no mandatory rules except in China.

There have been some instances of funds raised from climate-friendly debt going to controversial projects. The City of London has pre-emptively assembled a team of lawyers to deal with such cases.

In spite of this, many institutional investors want to shift funds into climate-friendly investments, particularly after the success of the COP21 agreement in Paris last year. The Institutional Investors Group on Climate Change has 120 members with 13 trillion euros ($14.6 trillion) in assets. The organisation tries to identify opportunities and manage risks associated with global warming.

The LGX is seeking to be more than just a green bond exchange. Scharfe envisions environmentally-focused exchange-traded funds and dedicated sustainability funds listing. He also expects green structured products to come to market.

The exchange will not set rules for what makes up a green security. It plans to have instruments with “different shades of green” and allow investors to choose what matches their internal policies, based on the mandatory level of disclosure for issuers. It will also let companies pick how they report this information.

“There will not be a standardised reporting method because there are no standards in the market yet,” Scharfe said. “We decided that rather than determining that reporting needs to be done under a certain form, we are obliging issuers to provide the full set of documentation.”

The Luxembourg Stock Exchange has been working with green bonds since the very beginning. The European Investment Bank issued the first in 2007 and listed it on the exchange. It has the largest number of international green bonds trading in the world, valued at about $45 billion.

By Anna Hirtenstein (@ahirtens), Bloomberg

Why polluters must be made to pay

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It is a known fact that man is a selfish being – even right from the womb. We are always concerned about meeting our needs without considering whose ox is gored. At first, we burned what was above the earth surface which is wood, peat and animal dung. During this time, everything was in control, because energy released could be recaptured immediately by new evergreen plant and quickly disappeared from the atmosphere. But, our predicament started when man discovered advanced means of drilling and piercing through the earth crust to break the giant underground savings account of carbon dioxide (C02) in order to get coal and oil.

Land and air pollution in Dhaka. There have been debates over the fact that the Polluter Pays Principle needs legislative backing for a healthy environment
Land and air pollution in Dhaka. There have been debates over the fact that the Polluter Pays Principle needs legislative backing for a healthy environment

Since we all know that human want is insatiable, we will always wish for more and more after having a desired want satisfied. It would have been better if we did not go into exploration and exploitation of this hidden treasure. Our climate would not have gone crazy if we refused to go the extra mile by raping the earth of its sealed treasures. But, due to our greediness and selfishness, we tend to do all it takes to put profit above humanity and planet earth. This is why we are paying for the consequences of our actions today. The perpetrators of this evil who are the chief polluters must dearly pay the price and be accountable for the damages done to the environment and humanity at large.

Accountability, according to a World Bank publication in 2014, is “the obligation of power-holders to account for and take responsibility for their actions”. Looking at it from the environment angle, the fossil fuel industry happens to be the power-holder and it is a must they pay for damages caused. Many lives have been lost, property worth billions of dollars have been damaged, countless number of species have been endangered, while farmlands have also been destroyed and outbreak of diseases have become rampant.

It is very important the perpetrators of this evil are made to face the wrath of the law and fully take responsibility for the environmental and health hazards they have caused the world. They should be ready to pay for cleanup and healthcare costs. This is the only way we can restore the environment, preserve public health and prevent big polluters from causing more havoc to humanity.

If they, however, refuse to claim responsibility and pay for the damages caused, what would be the fate of millions of people affected yearly by climate change dreadful occurrences? Also, what would be the hope of the millions of people left in deplorable health conditions? What will be the fate of the common man that contributes zero percent to climate change? This and many more are questions that should be running through our minds as true global citizens.

It is apparent that shielding the big polluters from facing the consequences of their action will only create more problems and give impetus to many industries in the future to do more harm to humanity without feeling remorseful. This will also make them to believe that they are superior and above the law. The law they say is no respecter of anybody; be you high, the law is above you and be you low, the law will protect you. We truly believe the law will protect us against the mischievous acts of polluters.

That is why we need to stand up and advocate for the weak and voiceless people of the world, who have continued to suffer the consequences of the damages caused by the polluters. This will give the affected countries and persons sense of belonging and make them realise that we share their pains and predicaments. We must continue to do everything within our reach to make the big polluters and tobacco industry account for and pay for damages they have caused. I believe together we voice, forever we stand to win the fight against polluters.

By Alabede Surajdeen (an environmentalist; alabedekayode@gmail.com; @BabsSuraj)

Campaign on endangered species’ awareness launched

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In support of an ongoing commitment to save the world’s most endangered species, Discovery Communications and the U.S. Wildlife Trafficking Alliance in conjunction with the U.S. Fish and Wildlife Service (USFWS) announced on Wednesday in Johannesburg, South Africa at the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) summit a multiplatform campaign to raise awareness and reduce demand for illegally sold animal products.

John E. Scanlon, Secretary-General, Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES). The new campaign aims at protecting wildlife. Photo credit: cities.org
John E. Scanlon, Secretary-General, Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES). The new campaign aims at protecting wildlife. Photo credit: cities.org

U.S. Fish and Wildlife Director Dan Ashe, U.S. Embassy Charge d’Affaires Jessica Lapenn, CITES Secretary-General John Scanlon, Acting Assistant Secretary Ambassador Judith G. Garber, and Discovery Communications Vice President of Brand and Content, Discovery Networks Central & Eastern Europe, Middle East and Africa, Lee Hobbs revealed on Wednesday an originally created public service announcement narrated by actor Edward Norton encouraging individuals to take action and stop illegal trade and purchase of animal products around the world (The PSA is available at http://APO.af/zAOFvf). This PSA will air on Discovery’s channels in the U.S. next month and locally customised versions will roll out on Discovery’s global networks shortly thereafter.

“Engaging the private sector to help address wildlife trafficking is critical to government efforts,” said Dan Ashe, Director of USFWS. “Finding a way to excite and inspire people about the natural world around them is of the utmost importance for the future of our planet. This public-private partnership with Discovery is a key step in our fight against illegal wildlife trade.”

During the 10 days of the conference, Discovery Communications is featuring a dual-screen Digital Walkway at the entrance to the exhibition hall. Discovery Communications also will bolster its efforts to support the protection of wildlife and habitats by supporting the United Nations’ Wild for Life campaign at CITES.

At its conference booth, Discovery will ask attendees to sign the U.N. Wild for Life pledge and will then photograph attendees and morph their picture with one of eight kindred species: tiger, elephant, helmeted hornbill, orangutan, pangolin, rhino, sea turtle or rosewood. Attendees can get a print and digital version of this rendering to post to social media under the #WildForLife hashtag.

“For more than 30 years, Discovery Communications has been committed to exploring and protecting our planet and shining a light on the world’s most fascinating creatures. We are proud to engage participants and partners at CITES and to support the important work that the Fish and Wildlife Service does as part of the Department of Interior,” said David Zaslav, President and CEO of Discovery Communications. “Discovery is a purpose-driven company and saving endangered species is rooted in our DNA. We are honoured to lend our creative capabilities and global platforms to this compelling cause, ensuring that we can continue to tell the stories of our world’s most iconic species for years to come.”

“Discovery Communications supports all efforts stemming the illegal trade of endangered species products to support species preservation, including here in Africa,” said Discovery Communications Vice President of Brand and Content Lee Hobbs. “We are proud to be at CITES with so many globally minded and impactful dignitaries and advocacy groups who are leading these efforts. We support their work wholeheartedly.”

Asia, Western Pacific most polluted regions – WHO

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A new WHO air quality model confirms that 92% of the world’s population lives in places where air quality levels exceed WHO limits. Information is presented via interactive maps, highlighting areas within countries that exceed WHO limits.

Delhi, India. The WHO report says major sources of air pollution include inefficient modes of transport, household fuel and waste burning, coal-fired power plants, and industrial activities
Delhi, India. The WHO report says major sources of air pollution include inefficient modes of transport, household fuel and waste burning, coal-fired power plants, and industrial activities

“The new WHO model shows countries where the air pollution danger spots are, and provides a baseline for monitoring progress in combatting it,” says Dr Flavia Bustreo, Assistant Director General at WHO.

It also represents the most detailed outdoor (or ambient) air pollution-related health data, by country, ever reported by WHO. The model is based on data derived from satellite measurements, air transport models and ground station monitors for more than 3,000 locations, both rural and urban. It was developed by WHO in collaboration with the University of Bath, United Kingdom.

 

Air pollution’s toll on human health

Some three million deaths a year are linked to exposure to outdoor air pollution. Indoor air pollution can be just as deadly. In 2012, an estimated 6.5 million deaths (11.6% of all global deaths) were associated with indoor and outdoor air pollution together.

Nearly 90% of air-pollution-related deaths occur in low- and middle-income countries, with nearly two out of three occurring in WHO’s South-East Asia and Western Pacific regions.

Ninety-four per cent are due to noncommunicable diseases – notably cardiovascular diseases, stroke, chronic obstructive pulmonary disease and lung cancer. Air pollution also increases the risks for acute respiratory infections.

“Air pollution continues take a toll on the health of the most vulnerable populations – women, children and the older adults,” adds Dr Bustreo. “For people to be healthy, they must breathe clean air from their first breath to their last.”

Major sources of air pollution include inefficient modes of transport, household fuel and waste burning, coal-fired power plants, and industrial activities. However, not all air pollution originates from human activity. For example, air quality can also be influenced by dust storms, particularly in regions close to deserts.

 

Improved air pollution data

The model has carefully calibrated data from satellite and ground stations to maximize reliability. National air pollution exposures were analysed against population and air pollution levels at a grid resolution of about 10 km x 10 km.

“This new model is a big step forward towards even more confident estimates of the huge global burden of more than six million deaths – one in nine of total global deaths – from exposure to indoor and outdoor air pollution,” said Dr Maria Neira, WHO Director, Department of Public Health, Environmental and Social Determinants of Health. “More and more cities are monitoring air pollution now, satellite data is more comprehensive, and we are getting better at refining the related health estimates.”

 

Interactive maps

The interactive maps provide information on population-weighted exposure to particulate matter of an aerodynamic diameter of less than 2.5 micrometres (PM2.5) for all countries. The map also indicates data on monitoring stations for PM10 and PM2.5 values for about 3000 cities and towns.

“Fast action to tackle air pollution can’t come soon enough,” adds Dr Neira. “Solutions exist with sustainable transport in cities, solid waste management, access to clean household fuels and cook-stoves, as well as renewable energies and industrial emissions reductions.”

Firm defeats activists in Uganda deforestation suit

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The High Court of Uganda has cleared Bidco Africa Limited against claims of deforestation in the Vegetable Oil Development Programme in Kalangala district.

Bidco CEO, Vimal Shah
Bidco CEO, Vimal Shah

Bidco is a manufacturer of edible oils, fats and hygiene care products. Established in 1985 the company has manufacturing units in Kenya, Tanzania and Madagascar and a footprint in 16 African countries.

The public interest case filed by three environmental groups alleged that Bidco coerced the Government through the National Forestry Authority to de-gazette forest reserves on Bugala Island for the growing of oil palm.

The court rejected this claim.

“The defendants have never asked the Government of Uganda to de-gazette any forest reserve as claimed in the plaint, no forest reserve has been de-gazetted as a result. The land was provided on Lease to Bidco by the government for the project was not a de-gazetted forest, therefore, the issue of de-gazzetation should not have arisen,” Judge J. W Kwesiga said in his ruling.

The court also rejected the claim of deforestation.

“None of the defendants (Bidco) have entered or cleared any forest reserve and claims to the contrary are false,” the judgment continues.

In the ruling, the court said it could not find any evidence that the company’s activities violated the right to a clean healthy environment.

“The plaintiff should have further produced evidence to establish that growing of palm trees would be harmful to clean and healthy environment rather than being accredit to a clean and healthy environment by growth of palm trees.”

The court said the lawsuit was unnecessary and the environmental groups could have acquired the truth by simply contacting the company.

Martin Lugambwa Chairman of the Kalangala Oil Palm Growers Association welcomed the ruling.

“This is great news. Let them leave us to enjoy the fruits of Oil Palm with our families. Our lives have changed, our children are going to good schools and we are happy. Let them leave us alone.”

Nelson Basalidde the General Manager of the Palm Growers Trust echoed the sentiment.

“The court has validated what we have always said and known. The forest reserves on the island are intact. There have been four separate environmental impact assessments. I think we need to focus on the remarkable transformation that is happening in the lives of small holder farmers and the economic impact on the Island.

Bidco Uganda Managing Director Kodey Rao who testified during the trial also lauded the ruling.

“This project has gone out of its way to maintain the environment and transform the community. The small holder farmers are happy and the community is happy. Kalangala has become a beacon for progress. We thank the court for making the truth known.”

The Vegetable Oil Development Project benefits 1800 farmers in Kalangala district, Bugala, Uganda and is a partnership of Bidco Uganda, the Government of Uganda and the International Fund for Agriculture IFAD.

The farmers reportedly get loans over a period of four years to plant and nurture oil palm until they begin harvesting.

Carbon prices too low to adequately reduce emissions

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Current carbon prices are falling short of the levels needed to reduce greenhouse gas emissions driving climate change, but even moderate price increases could have a significant impact, according to new OECD research.

Current carbon prices are falling short of the levels needed to reduce greenhouse gas emissions
Current carbon prices are falling short of the levels needed to reduce greenhouse gas emissions

Effective Carbon Rates: Pricing CO2 through taxes and emissions trading systems” presents new data on effective carbon rates on CO2-emissions for energy use across six economic sectors in 41 countries – 34 OECD member countries and seven partner economies: Argentina, Brazil, China, India, Indonesia, Russia and South Africa. The report finds that there is a major gap between current carbon pricing policies and what is needed to ensure that carbon is priced even at the lower-end estimate of real climate costs – EUR 30 per tonne of CO2.

The effective carbon rate (ECR) is the sum of specific taxes on energy use, carbon taxes and prices of tradable emissions permits, where these apply. Taxes are included on the basis of their economic effects rather than their stated policy intent, meaning that excise taxes are part of the ECR.

Across all sectors and countries, the average effective carbon rate (ECR) amounts to just EUR 14.4 per tonne of CO2, of which 93.1% are excise taxes, 1.3% are carbon taxes, and 5.6% are emissions trading systems.

Going beyond average rates, the report introduces a new indicator – the carbon pricing gap – which measures the extent to which ECRs per unit of emissions fall short of pricing emissions at the low-end estimate of the cost of carbon. The indicator first considers, for each tonne of emissions, the difference between the price it actually faces and EUR 30 per tonne of CO2; second, it aggregates these gaps for all units of emissions priced at less than EUR 30 per tonne, and compares this to the counterfactual case where all emissions would be priced at EUR 30 per tonne. The result is the carbon pricing gap, expressed as a percentage.   The current carbon pricing gap is 80.1% across the 41 countries surveyed.

The report also calculates the indicator for a scenario under which carbon rates and sectoral coverage are increased to the level of the median country rate and coverage in each economic sector.  In this case, if all countries matched the efforts being achieved by the upper half of countries surveyed, the carbon pricing gap drops from 80.1% to 53.1%.

“This new data shows that even moderate collective action to increase carbon prices can make a significant impact in putting countries on a pathway to a low carbon transition,” said OECD Secretary-General Angel Gurría. “Pricing carbon, through taxes or emissions trading systems, is one of the most effective tools for reducing CO2 emissions and tackling climate change. Prices can and do trigger reductions of energy use, improvements in energy efficiency and a shift towards cleaner forms of energy. The challenge is in getting the prices right,” Mr Gurría said.

Other main findings for the 41 countries surveyed – which represented 80% of world emissions in 2012 – include:

  • Across all sectors, ECRs are zero for 60% of emissions from energy use. The rates are above EUR 30 per tonne of CO2 – a very conservative estimate of the damage to the climate per tonne of emissions – for just 10% of emissions.
  • The ECR for carbon emissions from energy use outside of road transport is zero for 70% of emissions. It is above EUR 30 per tonne of CO2 for just 4% of emissions.
  • Rates are higher in road transport, where 46% of CO2-emissions in the 41 countries face a rate of more than EUR 30 per tonne of CO2-emissions.
  • Rates vary strongly across countries. The 10 countries with the highest effective carbon rates represent 5% of the 41 countries’ carbon emissions, whereas the 10 countries with the lowest rates – which include several large countries – account for 77% of emissions.

Excise taxes are by far the main component of ECRs in all sectors. Emissions trading systems raise average rates in industry and electricity but hardly at all in transport. Carbon taxes only raise ECRs marginally.

Kenya in landmark unveiling of child-friendly TB drugs

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The Kenya Ministry of Health announced on Tuesday the launch of appropriately dosed, child-friendly tuberculosis (TB) medicines, making the country the first country in the world to roll out these products nationally. The improved medicines are easier for caregivers to give and for children to take, and are expected to help improve treatment and child survival from TB.

Kenya Cabinet Secretary for Health, Dr Cleopa Mailu
Kenya Cabinet Secretary for Health, Dr Cleopa Mailu

“Kenya is playing a leading role in the fight against childhood TB by being the first to introduce improved TB medicines for children,” explained Kenya’s Cabinet Secretary for Health Dr Cleopa Mailu. “Now, with the appropriate treatments, we can make rapid progress in finding and treating children with TB so we can achieve a TB free generation.”

Tuberculosis still remains a major killer of children. According to the World Health Organisation (WHO), at least 1 million children suffer from TB each year and 140,000 children die of this preventable, treatable and curable disease. In 2015, Kenya reported nearly 7,000 cases of TB in infants and children, with those under age five at greatest risk of having severe forms of TB and dying from the disease.

Previously, caregivers had to cut or crush multiple, bitter-tasting pills in an attempt to achieve the right doses for children. This made the six-month treatment journey difficult for children and their families, contributing to treatment failure and death from the disease.

The treatments now being introduced are the first to meet the WHO’s guidelines for childhood TB treatment. They are not new drugs, but improved formulations that come in the correct doses, require fewer pills, are flavoured and dissolve in water.

The development of the medicines was overseen by TB Alliance, an international not-for-profit organisation, and was funded by UNITAID and other partners.

“These new treatments won’t have an impact until they reach the children that need them,” said Dr Cherise Scott, Director of Pediatric Programmes, TB Alliance. “We are proud to partner with the Government of Kenya, the first of many countries, as they work to translate the potential of these medicines into lives saved.”

“No child should die of TB, yet for too long, we have not had the medicines to mount a sustainable response against childhood TB,” said Mr Robert Matiru, Director of Operations for UNITAID. “UNITAID’s investment in addressing this problem should help equip countries, healthcare workers, and families with the tools they need to rise to the challenge.”

Starting October 1, 2016, all children in Kenya who will be initiated on TB treatment will be given the improved formulation. “Childhood TB is a problem that can be solved when we choose to act,” said Dr Enos Masini, Head of Kenya’s National Tuberculosis, Leprosy and Lung Disease Programme.

Children often get TB from infected persons in their environment. This can be at home, at school or in any other place where children spend their time. Children should be taken to the nearest health facility to receive a TB diagnosis if they have a cough, fever, night sweats, reduced playfulness, or if they fail to gain weight. If any member of the household is diagnosed with TB, all other household members should be tested for TB, especially children. TB testing and treatment is free at all public health facilities in Kenya.

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