Sudan

Lord Alton of Liverpool Excerpts

Monday 29th February 2016 Lords Chamber

[Baroness Verma]

My Lords, US financial sanctions are a matter for the US Government. We continue to support efforts to improve the effectiveness of UN-targeted sanctions in Darfur and the EU arms embargo that remains in place across Sudan.

[Lord Alton of Liverpool (CB)]

My Lords, given that the Human Rights Watch organisation has said that in the Two Areas of Blue Nile and South Kordofan, civilians, including children, were,

“burned alive or blown to pieces after bombs or shells landed on their homes”,

and given what has already been said about Darfur, where between 200,000 and 300,000 people have been killed and 2 million displaced, will the noble Baroness tell us why the International Criminal Court has failed so miserably to bring to justice Omar al-Bashir and others charged with the crime of genocide?

[Baroness Verma]

My Lords, the UK continues to raise a range of human rights issues with the Government of Sudan, including the issues raised by the noble Lord. We are a big supporter of the International Criminal Court and will continue to make clear to the Government of Sudan and the international community that we expect compliance with the arrest warrant for President Bashir.

Syria

Lord Alton of Liverpool Excerpts

Monday 8th February 2016 Lords Chamber

[Lord Alton of Liverpool (CB)]

My Lords, within the past half hour a Yazidi woman gave evidence here in the House about the plight of the minorities in the region. The Minister will know that the European Parliament passed a resolution last week declaring these events to be genocide. The Parliamentary Assembly of the Council of Europe has done the same. What effort was made at the conference to prioritise the needs of groups such as the Yazidis, the Christians, the Shabaks and others who have suffered this genocide? Although everyone has suffered in this conflict, these people are peculiarly and specifically targeted because of their ethnicity or religion. What is being done to assist them?

Will the Minister return to the question that the noble Baroness, Lady Northover, put to her about events in the province of Aleppo today? Around 100,000 people are amassed on the border with Turkey. Because of the aerial bombardment by the Russians, these people’s lives are in the balance, but they are not being allowed over the border. What are we doing to persuade Turkey to open the border to give safe refuge to those people?

[Baroness Verma]

My Lords, on the question of the minority groups within Syria, there have been horrific attacks by violent extremists on Christians and other religious minorities within Syria. As the noble Lord is aware, all our UK-funded humanitarian assistance is distributed on the basis of need alone, to ensure that civilians are not discriminated against on the grounds of race, religion or ethnicity. We prioritise reaching the most vulnerable across Syria, and that includes all groups. Of course, it is a challenging environment; these are incredibly complex, difficult areas to navigate, but I take the noble Lord’s point. Of course, where we can, we will work closely with the NGOs on the ground to get aid to as many people as possible.

The noble Lord mentioned the latest indications about the numbers of people being displaced from Aleppo. We know that many of them are sheltering in the border area, with more people on the move. We are exploring all options on how we can ensure that their humanitarian needs are met.

International Development Policies

Lord Alton of Liverpool Excerpts

Thursday 19th November 2015 Lords Chamber

[Lord Alton of Liverpool (CB)]

My Lords, I thank my noble friend for initiating this debate and join others in congratulating the noble Lord, Lord Barker of Battle, on his maiden speech today.

In parenthesis, because this has been a theme that has emerged in the course of the debate, all experience shows that if you tackle poverty then population falls naturally. If you launch population control programmes, you may end up with coercive policies such as those in China, where there are now 40 million more men than women and where we have seen gendercide—policies aided and abetted by the West and development programmes.

However, I shall focus my remarks on an issue that I raised two weeks ago with the Minister when she was good enough to meet a small delegation of Fiona Bruce MP and myself. We expressed particular concern that British aid is not being used effectively to combat the rise of radical Islamist agendas and that, like our refugee policy, this is not being targeted to reach persecuted minorities, such as Yazidis and Christians, who are suffering genocide and crimes against humanity. All around the world, as we are all too acutely aware, an ideological hatred of difference is driving a systematic campaign of persecution, deportation and exodus, degrading treatment including sexual violence, enslavement, barbaric executions, and attempts to destroy history and culture that is not its own.

I ask your Lordships to think of some of the countries that receive UK aid. The biggest recipient is Pakistan. This year it will receive £405 million, making £1.17 billion since 2011. How do we ensure that funding for education is spent on the right things? Here the noble Baroness, Lady Flather, and I would agree: think of young Malala, targeted simply because, as a girl, she wanted an education. Think about how the funding is being spent on promoting intolerance in the curriculum. The Minister will recall some of the examples I gave her, not least in some textbooks that give children choices about which would be the best way to execute homosexuals. This is feeding the minds of young people.

How do we ensure that Pakistan’s beleaguered minorities receive help? Last week I chaired two days of evidence sessions here in Parliament, where we heard how exactly a year ago a mob of 1,200 people forced two children to watch as their Christian parents were burned alive. Pakistan has imposed the death penalty on a mother of five, Asia Bibi, for so-called blasphemy. It still has to bring to justice the murderers of Shahbaz Bhatti, the country’s Minister for Minorities who was assassinated; only last night we heard from his brother, Dr Paul Bhatti, who was here in the Palace talking about some of the other excesses committed not just against Christians but against Shias, Hindus and Ahmadis. This is a country where churchgoers have been murdered in their pews. How is our aid programme making a difference there?

Or take Eritrea, which is in receipt of a $300-million aid programme handed over to the Afwerki regime by the European Union, to which we have contributed. The United Nations said in June that Eritrea is a country which is likely to have carried out gross human rights violations. Some 5,000 people leave Eritrea every month. A total of 350,000 people, 10% of the population, have fled. This is a huge development question. It also leads to an exodus of people in Mediterranean passages and some also, of course, being beheaded by ISIS.

The House of Commons International Development Select Committee is currently conducting an inquiry into the Syrian refugee crisis. It was recently told by a witness that aid is not reaching the Christians or Yazidis because those are too frightened to go into the UN-registered camps. How does the Minister respond to that? DfID could usefully become proactive in promoting a debate about Article 18, the right to believe, not to believe or to change your belief. Think of recent events with secularists in Saudi Arabia or Bangladesh. Look at the link between prosperous societies and those that uphold freedom of religion and belief. These are crucial questions and should be at the heart of our aid programmes. It may salve our conscience to give money, but it has to be effective.

Sudan: Bombardment of Civilians

Lord Alton of Liverpool Excerpts

Wednesday 4th March 2015 Lords Chamber

[Baroness Northover]

We have consistently stressed the need for the United Nations to be engaged in the two areas. Obviously, there are challenges when the United Nations is not allowed into the areas that it should be. When I was in Sudan about a month ago, we were pressing on the Government there that, if the United Nations wants to get in and feels that it is safe to, it should be able to. We pressed for the Security Council statement on 11 December, which called on all parties to refrain from acts of violence against civilians. The newly appointed independent expert is working on human rights abuses and we are urging him to take that further forward.

[Lord Alton of Liverpool (CB)]

My Lords, does the Minister recall our exchange on 17 May 2012, when I asked her whether she concurred with the view of Dr Mukesh Kapila, formerly our high representative in Sudan, that the second genocide of the 21st century was unfolding in South Kordofan, Darfur being the first? In her reply she said that,

“it is clear that there have been indiscriminate attacks on civilians and war crimes”.—[Official Report, 17/5/12; col. 526.]

In the nearly three years that have elapsed since then, during which an estimated 2,500 bombs have been dropped on civilian targets, why has the international community totally failed to prevent this horrific carnage, failed systematically to collect the evidence, failed to establish an international committee of inquiry, and failed to hold anyone to account for these atrocities?

[Baroness Northover]

I do remember that exchange and I remember the discussions we had after that question as well—as no doubt the noble Lord does—and the sensitivity of what we did in trying to make sure that we were able to get humanitarian organisations in, which we are seeking to do. We are extremely concerned to make sure that that access is there. It is indeed a very challenging situation and we would hold both sides to account. Certainly, in terms of what the Government of Sudan have been doing, we have enormous concerns and address this through the human rights activities that I was talking about.

Developing World: Maternal and Neonatal Mortality

Lord Alton of Liverpool Excerpts

Thursday 15th January 2015 Lords Chamber

[Lord Alton of Liverpool (CB)]

My Lords, we are all greatly indebted to my noble friend Lady Hayman for instigating this debate and for the way that she introduced it. As she told us, my noble friend is chair of the external advisory group of the Liverpool School of Tropical Medicine’s Centre for Maternal and Newborn Health. Her work for the school has given it very great encouragement. For more than 30 years I have been privileged to be associated with the work of the school and serve as an honorary vice-president. The centre designs and implements innovative healthcare packages, and offers unique expertise in research and in developing evaluation frameworks. It works collaboratively and strategically with Governments and global agencies, saving the lives of women in countless countries, along with the lives of their babies.

Professor Nynke van den Broek, who is head of the Centre for Maternal and Newborn Health, graphically sets out the scale of the challenges that face developing countries in reducing maternal and neonatal mortality. She says that an estimated 300,000 women die each year from complications in pregnancy and childbirth and—as the noble Baroness, Lady Tonge, said a few moments ago—this represents a decline. The school says it is about 45% overall since 1990. However, this should not lead us to any kind of complacency because it still equates to a woman dying every 90 seconds, or 800 women a day. There are also at least 2.6 million stillbirths every year and an additional 2.9 million neonatal deaths. At least 43% of deaths in children under five occur in the first month of life.

The World Health Organization says that 99% of all maternal deaths occur in developing countries. Inevitably, this loss of life is at its most acute in rural areas and—as the right reverend Prelate the Bishop of Derby said—in poorer communities. UNICEF reminds us that more than 50% of women still deliver without the assistance of skilled health personnel, with 80% of maternal deaths caused by direct obstetric causes. Pivotal to addressing this shocking and avoidable loss of life is the challenge of improving the health and nutrition of mothers and providing access to good-quality support services for mothers-to-be and newborns, before and after birth.

At a personal level, two decades ago I was struck by what a difference those factors could make. While working in Namibia, my sister gave birth to my niece at 32 weeks’ gestation. My niece weighed less than two pounds and no baby as small as that had previously survived in Namibia. I was told that important to her survival was her mother’s breast milk and the antibodies it contains, but obviously she was too small to be able to suckle. There was no electric breast pump available at the hospital. I was able to buy one and ship it out. How different the outcome would have been if she had been living in the bush or a remote village without access to resources. That is surely the challenge we have to address.

Consider this tale of two countries: 2013 data highlight UK maternal mortality rates as standing at eight deaths in every 100,000, with three neonatal deaths for every 100,000 live births. By contrast, in Zimbabwe—visited by my noble friend—there are 470 maternal deaths in every 100,000 and 39 neonatal deaths for every 100,000. The vast majority of stillbirths, newborn deaths and maternal deaths occur around the time of birth and in developing countries. Ultimately, the health and survival of babies depends on the health and survival of mothers and that requires resources.

It has, of course, been crucial that millennium development goals 4 and 5 have helped to shape the agenda for action to improve these health indicators. That progress has been made is borne out in the report Financing Global Health 2013 from the Institute for Health Metrics and Evaluation. It noted a welcome increase of nearly 18% in development assistance for maternal, newborn and child health. Although I join others in congratulating DfID on the role it has played in this, nevertheless the spending per live birth remained at just £32 per child.

Even where death does not occur, failure to provide resources and care at this crucial moment in a woman’s life can have, as we have heard, long-term consequences. For each maternal death, an estimated 20 to 30 women live but suffer lifelong morbidity including a fistula, which my noble friend Lord Patel has done so much work to tackle and was mentioned by my noble friend Lady Hayman. In addition, there is chronic infection, anaemia and infertility. The Liverpool School of Tropical Medicine is currently working with the World Health Organization to develop new tools to provide more detailed data—something that DfID might want to support.

Improving the availability and quality of data helps to capture and understand the reasons for maternal and neonatal deaths, and to develop the necessary initiatives to prevent deaths. Digging deeper into the currently available statistics, it starts to become clear where we should concentrate our resources and our efforts. Baseline surveys under the Liverpool School-led and DfID-funded Making it Happen programme show that across 11 countries early newborn care packages are simply not consistently available. Out of 749 hospitals and health centres, only 173 were able to provide the required emergency obstetric care package, which is 23.1% or less than one in four. A study of reasons for unavailability of the care package shows that in 17% to 75% of cases there was lack of functioning equipment; in 13% to 17% of cases the reason was lack of a staff cadre—doctors or senior midwives—able to lead the team or provide the more technical aspects of care; and in 2% there was a reported lack of drugs. Not surprisingly, then, sub-Saharan Africa accounts for 62% of all maternal deaths, followed by south Asia with 24%.

As my noble friend Lord Patel reminded us, two countries stand out: Nigeria and India. India accounts for 17% and Nigeria 14% of the total. The right reverend Prelate told us of his experiences in India. It is one of the world’s greatest nations, yet in its treatment of women, from conception to death, India justifies its title as the land of paradoxes. A 2012 report by the United Nations Department of Economic and Social Affairs found that the ratio of boy to girl deaths is severely skewed. Between 2000 and 2010, 100 girls aged one to five died for every 56 boys. Putting that into plain language, an Indian baby girl is almost twice as likely as an Indian boy to die before the age of five, and the problem seems to be getting worse. In 1961, 976 girls were born for every 1,000 boys, and in 2011 that number was 914. The horror stories that have filled Indian papers, describing bodies of baby girls decomposing in heaps by refuse pits or being discovered in their scores in rubbish bins, should rouse our consciences, and I should like to hear from the Minister when we last raised this issue with the Government of India.

Another country that stands out and, because of Ebola, is much on our minds is Sierra Leone. It is estimated to have the highest ratio of maternal deaths, with 1,100 per 100,000 live births. This estimate was made in 2013 and the situation then was bad enough, but obviously, with the inevitable decline in the infrastructure in Sierra Leone today, the situation is getting worse. I hope that the Minister will be able to say something about that.

Are we involved in the formulation of new development goals to ensure continued global advocacy and to ensure that action is under way? A proposed new goal is universal health coverage. Surely a universal gold standard, strengthening health systems worldwide and ensuring that care for mothers and babies is available, accessible and affordable, is one that the United Kingdom should be championing.

As we look at best and worst practice, do we ask what was done well, what was not done well, how care can be improved in the future and how much involvement there is of users and providers? Are we working to see the better development of perinatal audit and cause classification for maternal deaths, and the introduction of an urgently needed system to identify the cause of, and contributing factors to, stillbirth? I hope that my noble friend’s initiative today will help us to achieve some of those life-saving objectives. I am indebted to her for giving us the opportunity to contribute to this debate.

Syrian Refugees

Lord Alton of Liverpool Excerpts

Tuesday 13th January 2015 Lords Chamber

[Baroness Northover]

My noble friend is absolutely right. We are deeply concerned about the impact of the crisis on Syrian children. As he probably knows, we helped to launch—and gain international support for—UNICEF’s No Lost Generation initiative. We have allocated £82 million to provide protection, trauma care and education for affected children. In response to the other points in the Question, we are in close consultation with authorities in host countries on the legal status of refugees and the importance of self-reliance through income generation.

[Lord Alton of Liverpool (CB)]

My Lords, the Minister will have seen reports not only of Syrian refugees dying on the high seas trying to escape, but, this weekend, of refugees dying of the cold in Lebanon, where there are 400,000 in the Bekaa valley alone. Has she seen the request by the United Nations refugee agency for an urgent, immediate response to that crisis? Will she also tell us how many refugees we have been able to accept in the United Kingdom, given the United Nations’ request that over 100,000 need to be accepted by developed nations, and following yesterday’s welcome decision by Canada to accept a further 10,000?

[Baroness Northover]

There are immense pressures on the Syrian refugees. In terms of the challenges of winter, the United Kingdom has contributed £32 million towards what is called “winterisation”—that is, the provision of warm blankets, tents, shelters, stoves and so on. As regards admission to the United Kingdom, a number of people have come through the vulnerable persons relocation scheme, but we have in addition given sanctuary to more than 3,800 Syrian nationals and their dependants.

India

Lord Alton of Liverpool Excerpts

Wednesday 26th November 2014 Grand Committee

[Lord Alton of Liverpool (CB)]

My Lords, no one has done more to keep the issues of caste, untouchability and the Dalits before your Lordships’ House than my noble and right reverend friend Lord Harries of Pentregarth. Earlier this year I was very privileged, as I feel I am again today, to share a platform with him at a conference here in London that looked at the issue of caste.

To prepare for that conference, I read Dhananjay Keer’s admirable biography of Dr Babasaheb Ambedkar, who was the architect of the Indian constitution, which the noble Lord, Lord Dholakia, just referred to. He was born into a family of untouchables in 1891, and he said:

“Untouchability is far worse than slavery, for the latter may be abolished by statute. It will take more than a law to remove the stigma from the people of India. Nothing less than the aroused opinion of the world can do it”.

In the speeches we have heard already in this debate, we have heard the aroused conscience of the world. No one, therefore, is attacking the state of India. It has done a great deal to try to address this question. My noble and right reverend friend quoted Dr Manmohan Singh, and many illustrious Indian politicians have done their best to try to tackle this problem, but the sheer scale of it is what has struck me most in the contributions we have heard so far.

It was Ambedkar who, while still a young man, aged just 20, pointed to perhaps the best way forward in dealing with this issue. He said:

“Let your mission be to educate and preach the idea of education to those at least who are near to and in close contact with you”.

As other noble Lords have said, education is the key to addressing the poverty and exploitation of Dalits in India. Education provides the knowledge, skills and qualifications that have the potential to help Dalits escape the cycle of poverty and exploitation.

The Indian Government have made considerable efforts to address this, not least through the right to education Act 2009, and initiatives such as Sarva Shiksha Abhiyan, which aims for universal access and retention, the bridging of gender and social gaps in education and the enhancement of learning levels. Enrolment, attendance and retention levels have improved, but there are still significant issues around attendance and drop-out rates, particularly among Dalit children. The Human Rights Watch report, “They Say We’re Dirty”: Denying an Education to India’s Marginalized, which was published earlier this year, highlights the number of Dalit children who drop out of education and the persistence of discriminatory practices in the classroom. The report calls for better tracking of pupils and greater efforts to ensure social inclusion.

I will develop that point about non-attendance at school because it plays into the arguments that we are discussing in the context of the Modern Slavery Bill and human trafficking. The economic pressure on marginalised groups gives families little choice but to require their children to work or even in some instances in effect to sell their children. Dalit Freedom Network, a trafficking prevention organisation, estimates that Dalits are 27 times more likely to be trafficked or to be trapped in bonded labour than anyone else in India. The organisation supports 100 schools, providing education to more than 25,000 children, mainly from the Dalit and tribal communities. It estimates that if the children were not in their schools, some 30% to 40% would be trafficked or in bonded labour.

Although enrolment levels have improved in Indian schools, there are still issues around obtaining school places, particularly where there is an insistence on identity documents. Some Dalits have had immense difficulty in getting hold of ID. There is a particular issue around children of Devadasis or Joginis—temple prostitutes—almost all of whom are Dalits. The nature of this practice means that their mothers do not have husbands, so when the school insists on having the name of the child’s father, the children are unable to provide this, and as a result, they are refused places. The authorities also need to focus not simply on enrolment but on retention of every child in school until at least the age of 14. A system to track and monitor children is essential, along with a protocol for identifying those who have dropped out or are at risk of dropping out.

Although current thinking in development often calls for education in the local language—and I will be interested to hear from the Minister on DfID’s thinking about this—there are particular reasons why Dalit leaders have asked for English-medium education. English is still the language of opportunity in India. It is the language of higher education, government, trade and commerce and the legal system. Why else would children of high-caste families be sent to have private English-medium education? In the district of Banka, Bihar, the Dalit community has constructed a temple for,

“the Goddess English hailing her as a deity of liberation from poverty, ignorance and oppression”.

The goddess stands on a computer monitor, a symbol perhaps of economic advancement. I would be intrigued to hear from the Minister whether this is an approach that we are supporting. I hope it is.

I would also like to talk briefly about Dalits and the freedom of religion and belief. Article 18 of the Universal Declaration of Human Rights insists that it is the right of anyone to hold the religion of their choice. Over the past several hundred years, many Dalits have changed their faith in order to come out of oppression and discrimination based on caste. Ironically, only untouchable Hindus, Sikhs and Buddhists are considered “scheduled castes” and therefore registered castes with entitlements to state support, such as protective mechanisms under various pieces of legislation and quotas for places at university and for employment in government services. Freedom of religion is a value for society as a whole. It is universally agreed that the internal dimension of a person’s religion or belief should enjoy absolute protection. Have the Government spoken with the new Indian Government about whether they uphold Article 18?

Mahatma Gandhi said,

“Our struggle does not end so long as there is a single human being considered untouchable on account of his birth”.

India is incredible and amazing. It is one of the greatest countries in the world today. What is amazing and incredible is that there could still be untouchability, now, in the 21st century.

Ebola

Lord Alton of Liverpool Excerpts

Thursday 6th November 2014 Lords Chamber

[Lord Alton of Liverpool (CB)]

My Lords, in her powerful opening speech the noble Baroness, Lady Kinnock, referred to the tragic legacy of the number of orphans who will be left in these west African countries as a result of the Ebola epidemic. Last week I attended an international conference which highlighted the plight of the world’s orphans. The number of orphans worldwide is already estimated to be around 150 million and, compounded by HIV/AIDS, we know that many of those are in Africa. If the WHO’s estimate is correct that more than 1 million people in west Africa will die from Ebola, and that by Christmas there will be 10,000 Ebola orphans, the noble Baroness, Lady Kinnock, is right to have made this a key question in her remarks. I hope that when the Minister comes to reply, she will tell us how we can develop a long-term plan for the care of those orphans.

I would like to ask the Minister a number of other questions, some of which I have raised previously with the Government. How have they responded to the motion on Ebola passed by the BMA last month, especially its call for the provision of more protective clothing and the training of staff? Is she in discussion with the BBC World Service to see how it can sustain and expand its excellent African initiative to disseminate public health information about the disease? Can the Minister also tell us—I have raised this point with her on the Floor of the House before—what response the Prime Minister received from the 27 European leaders to whom he wrote asking them to step up their donations after it was revealed that the Swedish furniture manufacturer, IKEA, had given a bigger donation than the Governments of Spain, Norway and Luxembourg combined? Can she say whether the first part of the 700-bed facility which we are constructing in Sierra Leone opened on schedule at the end of last month; and when the rest of the facility will be functional? Are they keeping under review the use of merchantmen and cruise ships as potential hospital ships capable of providing immediate beds and isolation? Is she truly satisfied that British personnel can be cared for adequately in west Africa rather than being flown home, should they contract the virus? Given its successful use in the case of the British nurse flown home after being infected with Ebola, are there sufficient supplies of ZMAP available to immediately treat others, or are those supplies exhausted?

Among all the things that can be said about Ebola, it represents a major setback to development. I hope the Government will reconsider their opposition to putting universal healthcare at the heart of global development, for without such provision the festering conditions in places such as Monrovia and Freetown are a perfect breeding ground for the further spread of epidemics of this kind.

Ebola

Lord Alton of Liverpool Excerpts

Wednesday 22nd October 2014 Lords Chamber

Asked by

[Lord Alton of Liverpool]

To ask Her Majesty’s Government what is their assessment of the international response to Ebola.

[Baroness Northover (LD)]

My Lords, the UK has been at the forefront of responding to the Ebola outbreak. We are leading the international response in Sierra Leone with more than £125 million in assistance committed already. We are urging our international partners to scale up their support for the worst-affected nations and to contribute to the UN trust fund.

[Lord Alton of Liverpool (CB)]

My Lords, in the light of disclosure that the Swedish furniture manufacturer, IKEA, has provided more funds than Spain, Luxembourg and Norway combined in responding to the Ebola crisis, will the Minister tell us what response the Prime Minister has had from the letter that he sent to 27 European leaders last week asking them to increase their contribution to match that of the generous response of the United Kingdom? Will the Government raise with the international community the possibility of providing hospital ships to relieve the acute shortage of beds in west Africa? Will the brave British personnel risking their lives routinely every day be flown home for treatment should they be unfortunate enough to contract the virus?

[Baroness Northover]

The Government are extremely active at the moment in seeking assistance internationally. The European Council is coming up and the Prime Minister will attend. He has sought €1 billion from European countries. All embassies across Europe are very active in seeking funds for this extremely important and pressing crisis. The key thing about hospital ships is to make sure that there is capacity in Sierra Leone rather than seeing capacity as being offshore. In terms of being flown home, as my noble friend Lord Howe said the other day, sometimes it is not in the best interests of a patient to be flown home. The important thing is to make sure that if we have medical staff working there they are supported there if that is judged to be clinically the most effective way to look after them.

Health: Ebola

Lord Alton of Liverpool Excerpts

Wednesday 15th October 2014 Lords Chamber

[Baroness Northover]

The noble Lord is absolutely right; he was absolutely right to put down this Question. The situation has indeed got a lot worse since he did so. If this does not make the case for aid in terms of our own self-interest, as well as a moral case, I do not know what does. The epidemic is moving rapidly ahead of us in west Africa, as he points out, and he talks about a tipping point. The United Kingdom is leading a major effort to tackle the disease in Sierra Leone; the United States is doing that in Liberia and Guinea, and France is doing that in Guinea. However, a lot more needs to be done internationally and the UN is absolutely right about the need for unprecedented global action. The noble Lord is right about that.

[Lord Alton of Liverpool (CB)]

My Lords, has the Minister seen the comments of the director-general of the World Health Organisation, Dr Margaret Chan? She said that this is,

“unquestionably the most severe acute public health emergency in modern times … I have never seen a health event threaten the very survival of societies and governments … I have never seen an infectious disease contribute so strongly to potential state failure”,

and that,

“the whole world is put at risk”.

Will the Minister detail to the House the ways in which this country, admirable though our efforts in Sierra Leone are with the provision of 700 beds, is bringing together the international community to fight a disease that is already predicted to take the lives of 1 million people in west Africa?

[Baroness Northover]

The noble Lord is right, and so is Margaret Chan. The noble Lord will no doubt be reassured to know that the Foreign Secretary is chairing a COBRA meeting on EU co-operation this afternoon—in fact, as we speak. It is extremely important to get that international engagement. The Prime Minister will chair another meeting of COBRA tomorrow at 3 pm. We have sought to galvanise international reaction to this. As the noble Lord said, it is absolutely critical that we do so.