(2Â years, 10Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Fleur Anderson (Putney) (Lab)
It is a pleasure to serve under your chairship, Mr Vickers.
I congratulate my hon. Friend the Member for Slough (Mr Dhesi) on securing this very important debate and on such a well-informed and impassioned speech, which outlined the absolute reason for urgent action on debt cancellation.
I start my contribution by declaring an interest. Before being elected to this place, I was a Jubilee 2000 campaigner back in the 1990s, along with others, and I was then a trustee for the Jubilee Debt Campaign, which is now Debt Justice. As a campaigner for Christian Aid, then for Methodist aid and then for the Catholic Agency for Overseas Development or CAFOD, I led ordinary people in protests up and down the country. Those people all absolutely understood the stranglehold that debt repayments have over so many Governments that would otherwise use that money to educate girls, invest in clean water and sanitation, tackle climate change, and invest in infrastructure such as roads to increase trade and boost the economy.
Together, across the country, we wrote to MPs. Yes, I used to be one of those people who wrote to MPs, sending in postcards. We held protests in our towns and villages, and made endless amounts of red chains to symbolise the need to be free of unjust chains of debt. In 1998, 100,000 people circled Birmingham to make a human red chain to influence the G8 that was meeting there. In 2001, we went to Genoa. I remember coachload after coachload of all ages, sometimes very elderly. There were parishioners, people from faith groups across the country, going to Genoa for the G8, because they were so determined to make the change. In 2005, we marched through Edinburgh, and celebrated when the previous Labour Government made huge inroads, taking the lead in brokering a deal that cancelled £4 billion of debt of the world’s poorest countries.
Jubilee 2000 was a huge joint global campaign that led ultimately to the cancellation of more than £100 billion of debt owed by 35 of the world’s poorest countries. I saw the difference it made on the ground. Having campaigned for the reduction under the IMF’s heavily indebted poor countries initiative, I was delighted to see a teachers’ house in a village in Zambia bearing the huge letters HIPC. Enabled by debt-reduction payments, that house provided teachers for a whole generation, boosting opportunities and the economy, all from debt reduction.
But where are we now? There simply has not been the same UK leadership on this since 2010. That has been a glaring missed opportunity, which undermines any warm words the Minister might be about to say on leading on sustainable development goals. I welcome the Select Committee on International Development report on debt relief in low-income countries, published in March this year, but I do not welcome as much the lukewarm response from the Government.
I also welcome the inclusion of debt in many places in the international White Paper, published yesterday, and agree with its assessment that high and rising debt vulnerability poses a significant development challenge. There needs to be more focus on debt reduction for the world’s most fragile and conflict-risk states. That is vitally linked to climate finance but, again, will there really be the significant action we need to see following that White Paper?
Lower-income countries have been facing increasingly high debt over recent years, with external debt payments increasing by 150% between 2011 and 2023. They have now reached their highest levels in 25 years. There are currently 54 countries in debt crisis, including many in Africa, such as Zambia, Ghana, Mozambique and Kenya. As the thousands of people from across the country who took action in the Jubilee 2000 campaign on debt know, those current unsustainable debt levels have a serious impact on the lives of millions of people across the continent, and on any chance of achieving the sustainable development goals.
A reported 72% of the sustainable development goals to achieve poverty eradication are off track. According to the UN, they are “woefully off track”, dangerously so. The increasing amount of unsustainable debt is one of the major reasons for that. Many countries were forced to reduce public spending during the pandemic, to keep up with debt payments. That is spending on education, health, water and sanitation. Lower-income countries spend five times more on debt repayment than on addressing the climate crisis.
Countries have had no choice but to turn to fossil fuels to generate the funds needed to meet their colossal debt repayments. I will be at COP28 in a few weeks’ time with a delegation of MPs, and I will make this case to those attending from across the globe. I look to the Government to make the same case and the links. I hope the Minister will say something about the link between debt cancellation and climate finance, which is essential.
The Government could show global leadership and rectify flaws, especially in the common framework agreed by the G20. Four countries have now applied to the common framework, but none has received any debt cancellation so far. Zambia applied in February, but there is a gap of a mechanism to induce private creditors to accept the same terms as other creditors, which leads to disastrous impasses; it is a frozen system. Zambia has ÂŁ6.3 billion of debt and, in the words of my hon. Friend the Member for Slough, is in that debt doom loop. Yet the UK is in a unique position to strengthen the legal framework to ensure the participation of private creditors, as 90% of the bonds issued by countries eligible for the common framework are governed by English law. The UK could pass legislation to incentivise private creditors to take part in debt relief. Two possible legislative options are to replicate the Debt Relief (Developing Countries) Act 2010 and to extend UK corporate law on debt restructuring so Governments can restructure their debts in a similar way to companies. There are ways to fix the issue, but as it is currently set up, it just will not be the answer to debt cancellation that it should be.
I end by asking the Government and the Minister to take the action needed to end the debt crisis. Specifically, will the Minister commit to consulting on new legislation to compel private creditors to participate in debt relief to tackle the debt crisis in lower-income countries?
(2Â years, 10Â months ago)
Commons ChamberI do not think it fair to say that I was avoiding the question. I was making the point, which I know the hon. Gentleman will understand, that Britain was one of the first countries to support the ICC—it was not supported by Russia, China or America, as I recall—so Britain’s support and enthusiasm for the work of the ICC should not be in doubt.
Fleur Anderson (Putney) (Lab)
It is heartbreaking to hear of the fear and terror that caused 1.5 million people in Gaza to be displaced. Does the Minister agree that, for the 1.5 million Palestinians who had to flee, the right to return to their homes is vital for long-term peace, especially given the history in the region? Has the Minister raised that in his diplomatic meetings, and what response has he received?
We all hope that, eventually, the position in Gaza will be radically different from what it is today, and that the two-state solution will be implemented. The two-state solution means that Israel is able to live behind secure borders and the state of Palestine emerges, so the answer to the hon. Lady’s question is a fairly qualified yes.
(2Â years, 11Â months ago)
Commons ChamberI have spoken to the Brazilian Foreign Minister about the text of the Security Council resolution, and we are liaising closely with the Brazilians and others, but I will not be able to give a commitment on our voting decision until the text is closed and the negotiations have been concluded.
Fleur Anderson (Putney) (Lab)
When I visited Israel and Palestine three weeks ago with a group of MPs, we met aid workers and health workers who say their last goodbyes to their families every morning because they do not know whether they will return. There is an urgent need to support them, and the UK public are being very generous in response to appeals. In the absence of humanitarian corridors—and I support him in arguing for them—can the Foreign Secretary update the House on efforts to work with UK-based agencies that are on the ground in Gaza to support the provision of mobile health clinics, medicines, food and water there?
The distribution plan for the initial ÂŁ10 million that the Prime Minister announced on Monday is still being worked on, but I can assure the hon. Lady that we are have very close relationships with non-governmental organisations and aid organisations based in the UK and operating in Gaza and the region. We will of course be liaising with them both in terms of getting an updated understanding of the situation on the ground and of maximising our support to the Palestinian people.
(2Â years, 11Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Fleur Anderson (Putney) (Lab)
It is a pleasure to serve under your chairship in this very important debate, Mrs Latham. I congratulate the hon. Member for Hendon (Dr Offord), my co-chair in the all-party parliamentary group for water, sanitation and hygiene, on securing this debate.
I declare an interest as co-chair of the all-party parliamentary group. I also spent seven years working for WaterAid before I became a Member of Parliament. That was not because it was the only job available to me at the time. I wanted to work for WaterAid, campaigning with people around the world for clean water, sanitation and hygiene, and deliberately did so because I had worked in development for many years before that and seen that WASH is fundamental to tackling poverty and achieving equality—to achieving what the British public want to see achieved from the support they give to international development. WASH and conflict are the two biggest issues that undermine progress in development.
As co-chair of the all-party parliamentary group, I am glad of this opportunity to talk about the global crisis, the rise of antimicrobial resistance, the impact on women and WASH at home and in the UK, and how investing in that will tackle poverty and inequality, and yield results far into the future. As previous contributors to the debate have said, 1.9 billion people live in severely water-scarce areas, and that number is growing all the time. It is a climate crisis. Also, 2.2 billion people do not have access to clean water and sanitation. That undermines our progress on so many of the sustainable development goals, and not only No. 6, which is dedicated to that issue, but those on climate, health, gender equality, food security, conflict and economic growth, so it is vital that we get this right.
The World Health Organisation has reported that two thirds of healthcare facilities in the world’s 46 least developed countries do not have access to hygiene facilities. Let us just pause to think about that. If my local hospital, St George’s, did not have water, it would be closed. It would not be open and would just not be seen as an acceptable place to offer healthcare. However, healthcare facilities around the world do not have water. That leads to a new-born baby dying every minute from infection caused directly by a lack of safe water and a clean environment.
Last week, I had the pleasure of becoming a grandmother. My granddaughter is in an incubator at the moment in a special care baby unit and it breaks my heart to think that she would not have access to hygiene. It is so important. We are terrified of that baby getting infected. Yet there are mothers around the world giving birth in places that are not hygienic and they do not have the healthcare facilities they need. It is not a matter of living in a hot country or one where it is difficult to access water. This is about political choice. Water can be provided to all those healthcare facilities and communities with the right amount of political will, support and focus.
In recent years, we have been on a steep decline in both investment and leadership on WASH. That is having a detrimental impact on the delivery of lifesaving basic services. Since 2018, UK aid for water and sanitation has been cut by two thirds and, shockingly, the total share of the aid budget going to water supply and sanitation was barely 1% in 2021. That does not tally, and as the hon. Member for Hendon said, there is a mismatch with what the UK public would like to see done with UK aid. They can understand that if a water supply is cut off, within hours and days people are absolutely desperate. They do not know what to do; their lives are turned upside down. The UK public understand how vital water is, but Government aid funding just does not seem to be in step with that.
Like others, I want to highlight the vital issue of antimicrobial resistance, which will be the leading cause of death in the UK by 2050, according to the Government’s own statistics. The current lack of water, sanitation and hygiene services in healthcare facilities increases infection, disease and death rates. The level of contamination means that antibiotics need to be used more often as a regular form of prenatal care in many countries and over longer periods of time, causing their effectiveness to be reduced in the long run. The World Bank has reported that if the current trend continues, antimicrobial resistance could push up to 28 million people into poverty by 2050, with global increases in healthcare costs predicted to range from $300 billion to more than $1 trillion by the same year.
The all-party parliamentary groups for water, sanitation and hygiene and the all-party parliamentary groups on antibiotics have produced a report on that subject called “Prevention first”. We took evidence from the World Health Organisation and from experts around the world about the need to curb the spread of antibiotic resistance. We found that a lack of hygiene means
“that doctors and nurses are unable to wash their hands before and after touching patients, new mothers are unable to clean themselves or their babies,”
and health workers are unable to clean as much as they would want to. Also, patients do not have a safe and hygienic toilet in their healthcare facilities. That causes repeated disease outbreaks that need to be treated with antibiotics, which contributes to the ever-increasing resistance.
Despite our inaction so far, there is a way to avoid this catastrophe—this ticking time bomb. Investing in WASH now, especially in low-resource nations, can go a long way towards containing the spread of antimicrobial resistance and save countless lives in the decades to come. It is such a good value-for-money investment and could be the huge step change that we need.
Another area is clearly gender equality. Women and girls have been said to be the priority for UK aid for many years now, under successive Ministers. Women make up 70% of the world’s healthcare workers and 90% of the world’s nurses, so the lack of WASH in healthcare facilities disproportionately impacts women, who are working in those facilities. Women face unique needs at times of pregnancy and childbirth; they need that clean and safe environment. Having access to WASH facilities prevents up to 1.4 million maternal and neonatal sepsis-related deaths each year—such preventable deaths, and such heartbreaking stories.
Equally distressing is the impact that the lack of WASH is having on women’s trust in healthcare. A White Ribbon Alliance survey of 1.2 million people from 114 countries found that women’s second highest priority was access to water, sanitation and hygiene. We have heard from previous contributors about the effect that this has on education. Walking to fetch water often takes away from time spent in schools. Having to care for sick relatives and family members takes time away from education, and I have met girls around the world who have to spend one week a month missing school when they are having their periods because they do not have toilets in their schools. That impacts on their education.
However, there are also good stories about WASH. I am constantly thinking about the women I have met in many towns and villages around the world whose lives were changed when they got access to water and sanitation. Their lives were changed; they became leaders in their communities; they were able to go out to work; their families were well and healthy. WASH can enable an enormous amount of women’s empowerment.
I want to be direct and tell anyone who may believe that this is an issue for other countries to worry about, and that it remains a problem of little consequence to the UK, that they are wrong. Unless we invest in WASH abroad, we will see a significant, prolonged and costly impact here at home. The most resistant infections treated by the NHS originated elsewhere in the world. Healthcare-acquired infections already cost the NHS at least ÂŁ2.1 billion a year, and that will go up as infections become increasingly resistant to antibiotics. So while I am delighted to have the Minister here, we really need a Health Minister here, to accept the impact that this will on the NHS here.
To conclude, I was pleased to learn from the Minister for development, the right hon. Member for Sutton Coldfield (Mr Mitchell), that FCDO officials worked hard to lobby for the inclusion of water, sanitation and hygiene language in the political declarations at the recent UN high-level meetings on universal health coverage and pandemic preparedness and response. We also had several meetings with the Minister in advance of those meetings. But it was disappointing not to see the vital importance of WASH reach the messaging in UK Ministers’ speeches and press releases. They are constantly saying that WASH is a priority, but that does not come out at the highest level at the moment it is needed.
Can the Minister ensure support for WASH at the most senior level and ensure that these undervalued issues are given the political priority they deserve at future international events? Given that WASH is a top priority for MPs and the public, and is so clearly in Britain’s own best interests, will he commit to prioritising investment in water, sanitation and hygiene services across the developing world, and to say, “What about WASH?” in all development projects?
How do the Government plan to increase the prominence of antimicrobial prevention measures in any future WASH investments? Will the Foreign, Commonwealth and Development Office be restoring UK official development assistance funding for WASH—which has fallen by two thirds between 2018 and 2021—as part of its women and girls strategy? I thank hon. Members very much for this debate, and I look forward to the Minister’s responses.
(3Â years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Fleur Anderson (Putney) (Lab)
It is an honour to serve under your chairship, Mr Sharma, and to be called in this important debate. I congratulate the hon. Member for Carshalton and Wallington (Elliot Colburn) on securing it. Given the upcoming elections in Pakistan and the increasing discrimination against the Ahmadis because of them, the timing of the debate could not be better.
Pakistan is a wonderful, beautiful country with whom the UK has a strong relationship. When I visited earlier this year on a delegation with the all-party parliamentary group for international freedom of religion or belief, we were warmly welcomed by Ministers, the Speaker of the Assembly, organisations and many residents. We want the best for Pakistan and feel that this discrimination against one particular community is holding back the country. That is why we care so much.
The Ahmadiyya Muslims are a very important part of my community. There are many thousands in Putney, Southfields and Roehampton. We have many celebrations together, and I see them living out their motto—love for all, hatred for none—on a daily basis. Before I went to Pakistan, I heard from many constituents about the persecution they felt, but seeing it for myself was shocking. I saw persecution and discrimination faced every single day in schools, at work, on the streets, in law courts, in shops, and even in cemeteries. Since the Lahore massacre of 94 people in 2010, most women and children that I met had not attended the mosque for fear of violence.
The 1973 Pakistan constitution enshrines freedom of religion and belief and says that
“every citizen shall have the right to profess, practice and propagate his religion”.
The test of that constitution is when it gets difficult—when there are differing beliefs or theologies. That is when it matters even more that human rights are protected. Ahmadis cannot turn to the democratic system to defend their rights, because they are not allowed to vote or stand for Parliament. They cannot turn to the justice system either. Fifty Ahmadi Muslims are currently in prison solely on account of their faith. Eid festival celebrations this year led to massive police raids to the homes of Ahmadi people who were just practising their faith, with 12 Ahmadis arrested for visiting family and friends to take part in the celebrations.
I urge the Government to press the Government of Pakistan to do the following: allow all Ahmadis to vote in the upcoming elections; release all Ahmadi Muslim prisoners of conscience; revoke the anti-Ahmadi measures and laws taken by Bar councils and Bar associations in Pakistan to target Ahmadi Muslim lawyers; provide protection to all citizens of Pakistan against religious-based violence; and repeal the draconian anti-Ahmadi laws and blasphemy laws that are being used to deny freedom of religion and legitimise violence against religious communities in Pakistan. Finally, the Government should sanction anti-Ahmadi preachers and reject any visa applications from them to visit the UK.
I am grateful for that intervention. The right hon. Gentleman will know that the UK has a long-standing relationship with Pakistan, underpinned, as has been described today, by our deep shared history and cultural links. We build on that relationship to advocate for the most vulnerable in Pakistan society, calling out repression in public and in private at the highest levels.
In January, the Minister for development and Africa, my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell), underlined the need for Pakistan to ensure the safety and religious freedom of the Ahmadiyya Muslim community when he met the then Prime Minister, Shehbaz Sharif. The Minister for South Asia, Lord Ahmad, spoke with Pakistan’s former Minister for Human Rights, Mian Riaz Hussain Pirzada, in June to raise the persecution of religious communities, including Pakistan’s deeply troubling blasphemy laws. He also emphasised the importance of promoting respect for all religions during his meeting with then Foreign Minister, Bilawal Bhutto Zardari, in December.
It is crucial that the voices of marginalised religious communities are heard. Everyone in Pakistan, including Ahmadi Muslims, must be able to fully participate in Pakistan’s upcoming elections, as has been described today by colleagues. We therefore continue to urge the Government of Pakistan to uphold these constitutional principles of equality. Lord Ahmad has written to Pakistan’s caretaker Foreign Minister, Jalil Abbas Jilani, to urge the Government to ensure that all Pakistan’s citizens can exercise their democratic rights. The Foreign Minister has replied, assuring us of the Government’s commitment to the safety and security of all Pakistani citizens, regardless of their religious affiliation. Prime Minister Kakar said publicly on 21 August that the state and its laws will stand with oppressed groups, including Ahmadi Muslims, when they are under attack. It is vital that those words are followed through with concrete action.
The UK Government will continue to work with the Government of Pakistan on peaceful, credible and inclusive elections over the coming months. It is crucial that our advocacy continues to be informed by the lived experience of the community we seek to protect. In May, the UK political counsellor visited Rabwah, home to 95% of Pakistan’s Ahmadi Muslims, to gain a deeper insight into the challenges faced by the community. Our high commissioner continues to raise those issues in her calls with senior Government officials, religious leaders and politicians.
Alongside that diplomatic advocacy, our programmes in Pakistan are focused on improving the lives of Pakistan’s most vulnerable citizens. Our Aawaz II programme brings together community leaders and minority representatives to promote tolerance in the Khyber Pakhtunkhwa and Punjab provinces. Our hate speech and disinformation programme works to protect marginalised religious communities and women against hate speech online—an important issue that was raised in the debate. Through the FCDO’s Magna Carta and John Bunyan funds, we have supported research projects to improve our understanding of the challenges that these communities face.
Of course, we cannot tackle such a complex issue alone. We work in concert with our like-minded diplomatic partners, and we continue to use our influence to spur the international community to action. I would like to recognise the work of the International Religious Freedom or Belief Alliance, ably chaired by my hon. Friend the Member for Congleton (Fiona Bruce), which has been active in raising the plight of Ahmadi Muslims. In March 2022, the alliance called on states to end the discrimination faced by the Ahmadiyya Muslim community, and to defend their right to freedom of expression and freedom of religion or belief.
Last July, we hosted an international conference on freedom of religion or belief, bringing together 100 Government delegations, 800 faith and belief leaders, human rights experts and NGOs, to agree action to protect those freedoms. During the conference, the Minister responsible for human rights, Lord Ahmad, announced new funding to support those who defend religious freedom, including those who are targeted for their fearless activism. As a result of the conference, 47 Governments, and international organisations and other entities pledged to take action to support those fundamental rights.
In January, we used our platform at the United Nations in Geneva to shine a light on the issue, and we continue to hold Pakistan to account, for instance by using our statement at Pakistan’s universal periodic review adoption in July to publicly urge the Pakistani authorities to ensure the safety and religious freedom of Ahmadi Muslims.
I would like to assure my hon. Friend the Member for Carshalton and Wallington and all colleagues who participated in this important and powerful debate that the FCDO works in close partnership with the Home Office and across Government on all these important issues.
Fleur Anderson
Will the list include something about visas for hate preachers coming to the UK? Will that issue be looked into?
I am glad that the hon. Lady raised that, as did the hon. Member for Glasgow Central (Alison Thewliss)—she is not in her place now, but she notified me that she would be leaving. I am pleased to report that we do consider that when visas are issued. Our immigration laws allow us to screen and prevent such people on that basis. I am glad she made that point: we have the capacity to stop such people, and we will use it if necessary.
The UK has a proud history of providing protection for those who need it, through our safe and legal routes, as I mentioned. We continue to welcome refugees and people in need through our global resettlement schemes, working in conjunction with the UN High Commissioner for Refugees.
Let me conclude by reaffirming that the UK stands in solidarity with the persecuted Ahmadi Muslims in Pakistan and all around the world. We will continue our energetic diplomatic advocacy and our programmes. We are grateful for the contributions of all Members on this important issue in this debate.
(3Â years, 2Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Fleur Anderson (Putney) (Lab)
It is a pleasure to serve under your chairship, Mr Twigg. I thank the hon. Member for Ealing, Southall (Mr Sharma) for securing this important debate. It is very well timed, as Ministers are agreeing the statements that will go forward to the three high-level meetings on universal health coverage, pandemic prevention, preparedness and response, and tuberculosis, which will all be happening in New York during the same week in September. As co-chair of the all-party parliamentary group for water, sanitation and hygiene, I will focus my remarks on the issues of water sanitation and hygiene as they pertain to the three high-level meetings, and on how we can mark the huge step change ahead by using the meetings to galvanise global commitment to improve health and wellbeing for all and accelerate progress towards universal health coverage globally.
The timing of this debate is very important, because the meetings will result in a number of political declarations that are currently being negotiated by member states. I know that the UK public want to see our Government taking a leadership role in the high-level meetings in order to bring about change in people’s lives, both in the UK and across the world. I thank the Minister for Development, the right hon. Member for Sutton Coldfield (Mr Mitchell), for recently attending a joint meeting of the all-party parliamentary groups for water, sanitation and hygiene, on HIV and AIDS, on malaria and neglected tropical diseases, and on global tuberculosis to talk about a lot of issues that will be discussed at the high-level meetings.
We are so grateful in this country for the NHS, whose 75th anniversary we celebrated just last week, but as we are increasingly entwined in health globally, progress in the NHS can only be helped by progress around the world. The pandemic showed us that in the most stark way. Universal health coverage, which includes water, sanitation and hygiene, will not only save many lives in countries around the world, but save lives here and mean that we are less at risk from future global health disasters.
Two thirds of healthcare facilities in the world’s least developed countries, and half of those globally, do not have access to hygiene facilities. To put that in perspective, if my local hospital or GP surgery did not have running water it would be closed down, yet half of facilities around the world do not have that access to safe water. One result is that every minute a newborn dies from infection caused by a lack of safe water and an unclean environment. Healthcare workers and patients increasingly turn to antibiotics in the absence of clean water, resulting in the misuse of antibiotics and increased resistance.
Antimicrobial resistance directly caused 1.27 million deaths globally in 2019 and contributed to an additional 4.95 million. That makes it a bigger killer than HIV/AIDS or malaria. By 2050, the death toll is predicted to have climbed to 10 million deaths annually. The UK Government have predicted that antimicrobial resistance will be the leading cause of death in the UK by 2050. The Lancet has called it an “overlooked pandemic”. But it can be addressed right now through increased water, sanitation and hygiene in healthcare facilities around the world, which would save lives immediately: it is a good value-for-money investment and could be the huge step change that we need to see.
The common thread running through all three high-level meetings is the need to prevent and treat infections effectively. Infection prevention and control, and the vital necessity of water, sanitation and hygiene, are essential to preventing infections in the first place. Treatment is, of course, important, and if the infections are bacterial, antibiotics are vital, so we need to protect the antibiotics that we have.
Recently, the APPG for water, sanitation and hygiene and the APPG on antibiotics produced a report called “Prevention first”. We took evidence from the World Health Organisation and experts around the world about the need to curb the spread of antibiotic resistance. We found that a lack of hygiene means that doctors and nurses are unable to wash their hands before and after touching patients; new mothers are unable to clean themselves or their babies; and health workers and patients do not have a safe and hygienic toilet in their healthcare facilities. That causes repeated disease outbreaks, which need to be treated with antibiotics, contributing to that resistance around the world.
Not only would greater water, sanitation and hygiene save lives immediately, but it would buy us time to develop new drugs and protect our scientific investments. It has the power to achieve safer primary healthcare services and improve health outcomes. There are lives that could have been saved by the simple act of washing, having clean water and being cared for in a clean environment by people who have washed their hands, yet women are still giving birth in environments that do not have clean water, and healthcare workers are suffering disproportionately as a result. Ensuring that all healthcare facilities in the 46 least developed countries have access to reliable water, sanitation and hygiene will cost the equivalent of just 3% of health spending in these countries. That can be a key topic at the high-level meetings.
Investment in global WASH should be seen as an insurance policy to protect UK public health, the NHS and our scientific investment, because most resistant infections treated by the NHS originated elsewhere in the world, particularly in low and middle-income countries. Tackling that problem is critical to UK public health and protecting our NHS. Healthcare-acquired infections already cost the NHS at least ÂŁ2.1 billion a year, and that cost will go up as infections become increasingly resistant to antibiotics. Better alignment on antimicrobial resistance action between the Foreign, Commonwealth and Development Office and the Department of Health and Social Care could maximise our impact on UK and global health outcomes.
In a world of so many seemingly intractable problems, it is clear that with more investment, action and political resolve in the high-level meetings we can solve the financing gap for WASH in healthcare facilities by the end of the decade. Healthcare leaders can afford to collectively mobilise the annual $355 million in domestic financing and $600 million in external financing needed to support those countries. That would save millions of lives and make universal health systems dependable. There is a clear price tag, and it is not unaffordable. We must adequately fund WASH in healthcare facilities to tackle antimicrobial resistance.
As a result of the previous high-level meetings and lots of in-country work by local campaigns, many countries have costed roadmaps for WASH in healthcare facilities in place and ready to be funded. They have worked out exactly what needs to be done, but political leadership in those countries and by the UK and other allies is urgently needed. The UK Government have led on the issue previously and are well placed to drive it globally.
The UK Government recognise the necessity of improved WASH services globally to promote global health, but the steep decline in UK bilateral aid for WASH—a cut of about 80%—raises concerns about the UK’s commitment to the sector. For most of our constituents, it is a no-brainer that the UK Government should fund aid for clean water services and hygiene, but the UK Government are not backing their commitment up with financing.
I have several questions for the Minister as we face these three important high-level meetings on universal health coverage, pandemic preparedness and tuberculosis. The first is simple: who is going? Who will be representing the UK Government—representing us—at each of the high-level meetings? I and many others here and across the country hope that there will be high-level attendance at the meetings.
Secondly, will the Government prioritise WASH in healthcare facilities in meetings with peers from low-income countries during the high-level meetings to encourage domestic investment in that area as a cost-effective, high-impact investment to advance global health security and strengthen progress towards universal health coverage?
Thirdly, will the Government identify opportunities to host bilateral meetings or small roundtable events around the high-level meetings to bring together like-minded donor Governments, global health initiatives and private finance partners to discuss investment and actions to achieve universal access to WASH in healthcare facilities? We must show leadership in the actions we take around the high-level meetings.
Finally, will the Government make antimicrobial resistance and WASH in healthcare facilities a key priority within the UK’s negotiating points and ministerial speeches at the three high-level meetings? Will they protect and strengthen WASH in healthcare facilities language in the political declaration documents?
I am grateful to be able to raise the issues that matter to constituents across the country. We have an important opportunity ahead. With several weeks to go before these meetings, now is the time to build these issues into achievements so that we can be proud of the UK’s leadership at the meetings in September.
(3Â years, 2Â months ago)
Commons ChamberMy right hon. Friend raises an important point. My Department has discussed that with the Home Office. Indeed, I have discussed it with the Minister for Security, my right hon. Friend the Member for Tonbridge and Malling (Tom Tugendhat). I reassure her and the House that he takes the actions of the organisations that she has mentioned very seriously indeed. We wish to ensure that the Charity Commission also full discharges its duty to ensure that any organisation under its remit is not used to harass or persecute foreign nationals, or indeed British people, here in the UK.
Fleur Anderson (Putney) (Lab)
Issues faced by Iranian citizens, especially women, are raised with me frequently by constituents in Putney, Southfields and Roehampton. I have been stopped in the street many times to talk about this issue. British-Iranian dual national Morad Tahbaz has already been mentioned in the statement. He remains arbitrarily detained in terrible conditions in Iran, almost four years after he was sentenced in 2019. Could the Foreign Secretary say more to the House about the last time he raised Morad’s case with his Iranian counterparts? What strategy is in place to secure his release, difficult though that is?
The last time I had face-to-face contact with a representative of a Minister of the Iranian regime was in 2021, but my officials regularly raise consular issues, including detainees, with our Iranian counterparts. I can assure her and the House that this remains a priority. I have met Morad Tahbaz’s family on a number of occasions and the Minister for the region, Lord Ahmad, met them very recently—I think within the last few weeks. This remains a priority for us, and I can assure the hon. Lady that we will continue to work with the United States of America, as he is a trinational, to bring about his permanent release and ability to come home and rejoin his family.
(3Â years, 2Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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I entirely agree and thank the hon. Member for his intervention. We need to continue to work on this and take action across the board, so that these things do not happen again.
Bosnia was a horrific reminder of the vulnerability of ordinary people. It made me question how that could happen on our doorstep when the world had pledged “Never again” after the second world war. I also questioned what chance ethnic minority communities have in Europe if the xenophobic claims of ethnic superiority could prevail among white indigenous people who have been assimilated, integrated and lived together for hundreds of years. For me, Srebrenica demonstrates where the hatred and the dehumanisation of others can lead. Only when we reflect on those lessons can we truly strengthen our resolve to stand up to hatred in our own society.
Fleur Anderson (Putney) (Lab)
I welcome the debate and commend all those who called for it. I worked in Bosnia during and after the war, and visited the site of the Srebrenica memorial to the genocide of more than 8,000 people in July 1995.
My hon. Friend refers to saying, “Never again”. Does she agree that when we say “Never again”, we must demonstrate the commitment to keeping peace in the region, opposing genocide denial and opposing the Serb separatism of Milorad Dodik and other politicians, and take pride in the work our embassy has done to support the Srebrenica memorial and to support local organisations working for peace in the region?
My hon. Friend is absolutely right that we need to be vigilant. Especially in the western Balkans, as she has rightly said, issues of ethnic nationalism are arising, and the Serbians are trying to hide the fact that this event ever happened. I am grateful for the fact that the United Kingdom is the only European country to commemorate the Srebrenica genocide, although I will come later to the lack of resources and the funding cuts that have been made. I thank our Government and our country for recognising the event and for being the world leader in commemorating the Srebrenica genocide.
While much has been achieved in building a cohesive society in the UK, there is more work to be done. According to Home Office figures released last year, police recorded hate crime in England and Wales has risen consistently over the past several years. I know the Minister will agree that standing up to hatred and intolerance in the UK remains extremely necessary and should be a priority for Departments.
The Minister will be aware of the vital work done by the charity Remembering Srebrenica, which was set up 10 years ago with the support of the then Prime Minister, David Cameron. The charity has established 11 regions, as well as other bodies across the UK, and has gone from holding one memorial event at Lancaster House in 2013 to holding nearly 2,000 annual community actions in schools, town halls, mosques, synagogues, churches, community centres and police stations to bring communities together in a collective act of remembrance. Remembering Srebrenica has educated nearly 150,000 young people through its educational resource and teacher training programmes about Srebrenica, and has appointed community champions who work together to unite communities in order to work against hate and to build a safer, stronger community.
As part of the charity’s work to commemorate the genocide each year, it selects a theme that speaks to communities here in the UK. For 2023, the theme is “Together We Are One”, which is particularly potent when we remind ourselves that Bosnia and Herzegovina is well known for being a melting pot of cultures and identities in which Muslims, Christians and Jews have lived side by side for centuries. Many colleagues will know that the capital, Sarajevo, is known to have been the Jerusalem of Europe, and it is the only European city with a mosque, a Catholic church, an Orthodox church and a synagogue in the same neighbourhood.
However, after the break-up of Yugoslavia, nationalist leaders who played on identity politics rose to power across the region. Those ultra-nationalist forces promoted hatred and division with the agenda of creating a greater Serbia, but only with ethnically pure Serbs. One of the most well-known integrated societies in Europe imploded. The theme “Together We Are One” underlines why we have a responsibility to do everything we can to combat divisive rhetoric, by focusing on the things that unite us together as one.
This year’s theme also reminds us to remain vigilant against the forces of hatred that seek to “other” groups as being negatively different—the narrative of us and them, or where one group dehumanises and denies the humanity of another, and the dominant group is taught to see the target group as less than human and not belonging to their community or society.
(3Â years, 2Â months ago)
Commons ChamberOn our efforts around the dam, we have committed a significant amount of resources—£60 million of additional humanitarian assistance, with an impact on 32,000 people around the dam. We are confident that our approach has been generous and effective. The hon. Lady asked a pertinent question about the proceeds of the sale of Chelsea football club, which are now in a non-governmental structure. Work is being done at pace to ensure that the proceeds can be deployed in Ukraine as soon as possible.
Fleur Anderson (Putney) (Lab)
I draw the House’s attention to my entry in the Register of Members’ Financial Interests.
I echo other Members’ steadfast support and commend the success of the conference in bringing so many together to support Ukraine’s long-term recovery. I met many Ukrainian MPs at cross-party meetings and talked about the economic counter-offensive that we can join. I echo the comments made by other Members about not just freezing but seizing assets. Some $300 billion of Russian state central bank assets have been frozen by western Governments. The EU, Canada and the US are moving forward with legislation on that, so what steps is the Minister taking within the Group of Seven to use those funds to rebuild Ukraine? Russia must pay for the damage and destruction it is causing.
I thank the hon. Lady for her supportive words. She is absolutely right. The economic counter-offensive is hugely important in tandem with our tremendous military efforts to support our Ukrainian friends. On seizing and deploying frozen assets, clearly we pay attention to and co-ordinate with allied nations in their approaches. We will consider their approaches as we forge our own lawful path towards deploying this capital.
(3Â years, 2Â months ago)
Commons ChamberThat is a good question because the regional impacts are very significant. All countries in the region are a focus of our humanitarian efforts and investment by the UK international development fund. We hope that that, twinned with our diplomacy and the very active diplomatic efforts of our Minister for Africa and Development, my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell)—he has recently been in Ethiopia and Egypt, for example—can bear fruit.
Fleur Anderson (Putney) (Lab)
We stand here many times to remember and commemorate genocides, and we say, “Never again,” but genocides are not inevitable. Twenty years after the Darfur genocide, unthinkable crimes are taking place. The Government were warned repeatedly about the atrocity risks in Sudan. Will the Minister pledge today to ensure that atrocity prevention training is given and informs all of our work in all of our country teams?
The hon. Lady makes a good point and I am sure the Minister for Africa will look at exactly that.