SciDev.Net

The Millennium Development Goals (MDGs) practically define health efforts in the 21st century, but they virtually ignore non-communicable diseases such as mental health, say these authors. This is despite evidence that mental health disorders are among the most important cause of sickness and disability and even premature mortality. The authors argue that tackling mental health problems will be vital to achieving the MDGs, and three in particular — eradicating poverty, reducing child mortality, and improving maternal health.

Poverty and hunger are well-recognised risk factors for mental health, but mental health also makes it harder for people to escape the hunger trap. Mothers who are depressed during pregnancy and post natally, are more likely to have underweight babies; not only that, the illness means these mothers are more likely to stop breastfeeding and less likely to ensure their children are properly immunised than mothers without depression.

The authors advocate that strengthening basic health-care systems should be holistic. For example, developing countries need more and better-trained health workers but they should not only know how to deliver babies but also how to counsel new mothers. HIV/AIDS programmes, as another example, should ensure that individuals not only have good access to antiretrovirals but also to treatment for depression if they need it.

Schizophrenia is relatively rare — affecting 1% of the world's population — but is arguably one of the most severe mental illnesses. Diagnosing and treating it can be hard enough in developed countries; the challenges are magnified in developing nations with inadequate health systems; few trained staff; and pervasive social stigma. So how best to treat it? In this debate, three psychiatrists offer their different viewpoints.

Vikram Patel, at the London School of Hygiene and Tropical Medicine, says the shortage of mental health specialists means that the most effective way of spreading the expertise around might be for non-specialist health workers or community representatives to be trained to bear the brunt of providing first-line mental health services. Saeed Farooq, at Pakistan's Lady Reading Hospital, argues that the principles of the WHO's DOTS TB programme, in which patients are given an uninterrupted supply of medication taken under close supervision, could be used to treat schizophrenia. The rationale is that missing medication for schizophrenia, which can be common given the cognitive impairment associated with the illness, has serious consequences and can lead to much higher risks of relapse. R. Thara, director of the Schizophrenia Research Foundation, Chennai, India, advocates tackling stigma by offering proper treatment. In India at least, he says, the mystification of mental illness is intensified by a lack of awareness about schizophrenia and also by "magico-religious" beliefs. Effective treatment that shows the symptoms to be an illness rather than a religious curse is the best antidote to stigma, he says.

The way discussions about biotechnology are framed is also dealt with, concluding that innovative, new techniques are required to create a rational dialogue with the public.

Antibiotics are used to prevent or treat disease or to encourage growth in animals intended for human consumption. Opinion is divided over the potential of the practice to cause health problems in people. This forum presents different perspectives from human and animal medicine experts.

The remarkable variation of views indicates the complexity of the debate. For some, there is no doubt that antibiotic use in animals causes resistance in people; for others, the link is present but unclear; and for the rest, not nearly enough is known to start taking action, and they suggest monitoring the situation. All agree, though, that whether in animals or people, antibiotics should be used with caution.

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In this paper, G. Pascal Zachary, an experienced development journalist, discusses the challenges to quality development reporting from both developed and developing countries.

He explores the different interpretations of what development is, whether it is positive or negative and how journalists can and should navigate different opinions and ideologies to produce objective pieces, be they in print, web, radio or television.

Though not with specific reference to science journalism, Zachary discusses many issues that are common to all forms of development journalism: issues of free speech, corruption, sensationalism, condescension, the influence of the media, and the importance of giving a voice to the voiceless — the poor that development is trying to reach.

Many of the challenges are shared by Western and developing country journalists alike, others are more specific. Zachary provides suggestions on how these challenges can be overcome, with six other development journalists giving their views on his guidance and adding recommendations of their own.

In this manifesto, John Mathews, professor of strategic management at Australia's Macquarie University, challenges development organisations to reconsider their position on biofuels. He says countries should follow Brazil, China and India in forging a "new pathway of industrial development", based around biofuels.

Mathews argues that although China and India are seen as big polluters, they, together with Brazil, are actually paving the way for developing nations to invest in renewable energy.

He outlines practical steps for creating renewable energy industries, citing Brazil — the world's leading producer of biofuels — as an example. Mathews sets out 10 arguments for biofuels in the developing world.

Innovation systems perspectives on agricultural research and technological change are fast becoming a popular approach to the study of how society generates, disseminates, and utilises knowledge. It provides an opportunity to study and explore complex relationships between the many agents and institutions that make up an innovation system. Early applications of the innovation systems framework to developing-country agriculture suggest opportunities for more intensive and extensive analysis.

This paper analyses these applications and suggests several ways of strengthening the mode of inquiry and quality of analysis. This paper will be of interest to science and technology policy analysts and policymakers in developing countries seeking to apply innovative concepts to agriculture.

This report looks at the future consequences of climate change in the greater Himalayan region. Experts predict that global climate change will lead to major shifts in the strength and timing of climate systems affecting the region, and expect this to intensify in mountain areas.

The authors focus on changes in glaciers, permafrost and avalanches, as well as the implications for water supplies, ecosystems and hazards such as glacier lake outbursts and how these threaten regional populations.

The authors emphasise that because the poor and marginalised are likely to suffer the earliest and most, identifying changes in the environment likely to affect them is of utmost importance.

The authors highlight the need to work on policies and strategies — in land use, water management, disaster management, energy consumption and human health — in order to improve the adaptive capacities of communities at risk. They argue that community-led adaptive strategies and capacities, as well as substantial efforts to reverse the human drivers of climate change, are needed.

International efforts to address climate change tend to focus on mitigation — the reduction of greenhouse gas emissions. Another response is adapting to the unavoidable impacts caused by past emissions. Yet adaptation plays a minor role in UN climate negotiations — this report argues that it must be considered on an equal footing with mitigation.

After an introduction to the history of adaptation, the report outlines key policy issues and summarises international adaptation efforts to date. It proposes three potentially complementary approaches to future international efforts on adaptation; using the UN Framework Convention on Climate Change to enforce adaptation, integrating adaptation with development and providing climate 'insurance'.

It asks how adaptation can be given greater attention internationally. Its premise is that adaptation requires a concerted effort that benefits from international cooperation. But this is a contested notion.

This document's authors say the development of plant-derived vaccines is straightforward, and that their production could "easily and economically be established in developing countries".

Drawing on consultations with international experts, they examine the elements needed to realise the advantages of plant-derived vaccines for developing countries, emphasising the need for public–private collaboration.

An important requirement, they say, would be to effectively keep drug-producing transgenic plants out of the food supply. How the plant material is processed, packaged and stored is also important.

The document provides an overview of these and other issues, and will be useful to policy analysts, entrepreneurs and decision-makers exploring the potential of plant-derived vaccines.

Technology transfer is considered instrumental in building capacity in developing countries, especially for meeting energy needs. This paper offers advice on how relationships between investors and communities can foster effective and efficient transfer of technologies.

Technology transfer must be relevant to local development; thus, community and business partners must establish their needs. The paper also illustrates how important assurance mechanisms, transaction costs and trust are in creating a successful technology transfer project. The key lessons include feasibility assessments, to minimise transaction costs while maximising assurance mechanisms, and to raise awareness of local politics.

This paper examines the dynamics of technological learning during the process of industrialisation. It focuses on the case of South Korea and draws policy implications for developing countries.

The paper shows that as South Korea transformed itself from an agrarian economy to a newly industrialised one, it relied initially in acquiring foreign technologies and then started duplicating these imported technologies. It then moved to more sophisticated creative imitations and only later was able to introduce original innovations. The paper concludes that developing countries have much to learn from South Korea by developing policy initiatives that integrate several elements of the Korean experience such as export promotion, human resources development programmes, and incentives for complementary technology transfer and indigenous R&D efforts.   

The authors of this paper analyse how science and technology contributes to poverty alleviation and economic development and examine how these issues have been addressed in the World Bank’s work.

The paper emphasises that development is increasingly dependent on a nation's ability to understand, interpret, select, adapt, use, transmit, diffuse, produce, and commercialise scientific and technological knowledge. The paper concludes that whereas the accelerating pace of knowledge for development provides both new opportunities for and threats to socio-economic growth, most developing countries remain unprepared for these changes. This has implications for the policies of the World Bank which should, the paper suggests, pay more attention to building up science and technology capacity in developing countries in four policy areas, namely, human resources development and education, the private sector, the public sector and information technologies.

This paper is the result of the study examining the potential for carbon mitigation in developing countries.  It considers country-specific areas with potential for avoiding deforestation,  deforestation through assisted regeneration, and adoption of sustainable agricultural practices.

The analysis in this paper estimates that over the next ten years, forty-eight major tropical and subtropical developing countries could potentially reduce the atmospheric carbon burden by about 2.2 billion tonnes. Assuming a price of $10 per tonne of carbon and a discount rate of 3%, the authors suggest that this would generate a net present value of about $16.1 billion for these countries collectively. However, realising such potential would require substantially greater policy support and investment in sustainable land uses than is currently the case.

While somewhat technical, and weak on the sociological and institutional impacts of carbon projects, this paper provides a useful example of the calculations involved in estimating economic benefits of carbon sequestration projects.

This CICERO working paper focuses on policy issues associated with carbon sinks and provides a good overview of the potential and costs involved in implementing the land use,  land use change and forestry options under the Kyoto Protocol.

After a brief background section on the relevant articles of the Protocol, the paper estimates the capacity of the world’s forests for carbon uptake, and projects the associated costs of doing so. While the paper reveals significant variations between the gain and cost, it is suggested that sequestration projects in developing countries are far less expensive than in the North.

This accessible paper includes some technical details on methods for carbon accounting. It also provides a useful section on the outcomes and implications of climate negotiations.

In 2002, the Pew Initiative on Food and Biotechnology held a conference bringing together representatives from the biotechnology, pharmaceuticals and food industries, government regulators, scientists and public interest groups to consider the use of transgenic plants as cost-effective "biofactories" for producing pharmaceuticals.

Participants considered the possible risks posed to human and animal health and the environment, by the potential for cross-pollination between pharma crops and wild relatives or crops destined for food or feed. The conference also looked at the steps being taken by the biotechnology industry and US government regulators to control these risks, and discussed whether these are sufficient, both to address the risks and to secure public confidence.

Some insights were particularly relevant to developing countries. Whereas scientists once expected to see the development of pharma crops that could be consumed directly by people (e.g. "edible vaccines"), the need to ensure correct dosage and quality control means that some level of processing will be necessary. This, together with the need for rigorous regulation and effective segregation of pharma crops, will place high demands on technical capacities and regulatory agencies in developing countries.

In this paper - which is targeted at national-level policy makers - the author explores the complex issue of traditional knowledge protection, and deems its protection to be necessary on utilitarian grounds.

The author argues that attempts to define traditional knowledge (TK) should focus on demarcating the nature of contribution that such knowledge could have to industrial research and development. The emphasis on the nature of the information itself serves as the best parameter of what the limits of "community/communities" are, and what sort of knowledge ought to be protected and made contractible through an intellectual property right.

The most effective options to protect traditional medicinal knowledge - the focus of the paper -  appear to be those of trade secrecy or a system of community intellectual property rights. Categories of TK that do not fall within such criteria could be documented into databases to prevent third parties from claiming patents on already existing knowledge.

But a well defined right is only the first step in empowering communities. A large onus rests on the design of institutions that will put this right into an enforceable framework. These institutions would have two tasks: to represent communities effectively and to provide rules of contract formation that take into account the difficulties of dealing with information as a resource. The author acknowledges that the effective operation of such institutions may not be at all easy to achieve.

The author draws on various perspectives presented in the literature on intellectual property rights, food, farming, biodiversity, and the Trade-Related Aspects of Intellectual Property Rights (TRIPS) and related agreements. He highlights the policy questions for developing countries by TRIPS, examines the key ethical, economic, environmental and social issues surrounding its provisions, and considers the possible contributions of overseas development assistance.

The report concludes that the TRIPS agreement could either undermine food security and biodiversity or enhance it, depending upon the relative effects of the various provisions — the costs and benefits are not clear cut nor are they likely to be equally distributed. The author recommends that until the influence of intellectual property rights on agriculture and biodiversity are better understood, flexibility within the TRIPS agreement should be retained.

The paper is written for policy makers, primarily in developing countries, in agriculture, environment and trade and those responsible for ensuring policy coherence across government departments.

This report outlines the conclusions and recommendations of an international expert working group. Representatives from the national academies of sciences in Brazil, China, India, Mexico, the UK, and the USA, and the Third World Academy of Sciences came together to consider GM technology in a global context, and its possible impacts on food security, public health and the environment.

The authors recognise a role for GM technology in the production of food that is more nutritious and stable in storage, and that might enable the delivery of specific health advantages to consumers. Such technologies, they argue, should be made freely available to farmers in developing countries.

The report calls for cooperative efforts between the public and private sectors to develop GM-derived technologies that will benefit consumers worldwide, and argues that governments should set up suitable public health regulatory systems to ensure that food derived from this technology is as safe as that derived from non-GM methods. In addition, the authors recommend a thorough investigation of any environmental impacts, both positive and negative, of the cultivation of GM crops as compared with conventional agriculture.

A balanced and informative report with a global perspective, with particular emphasis on the needs developing nations.

A detailed discussion paper that presents a human rights approach to intellectual property rights. The paper was submitted to the UN Committee on Economic, Social and Cultural Rights for its discussion on "The right of everyone to benefit from the protection of the moral and material interests resulting from any scientific, literary or artistic production of which he is the author", which took place in Geneva in November 2000.

The paper starts with the premise that the manner in which creative works, cultural heritage, and scientific knowledge are turned into property has significant human rights implications. Various international human rights instruments have enumerated the right of an author, creator, and inventor to some form of recognition and benefit from their intellectual products — including the International Covenant on Economic, Social and Cultural Rights Article 15 (1) (c).

Recent trends underscore the need for a human rights approach to intellectual property; as various economic actors rush to stake claims over creative works and forms of knowledge — for example, through the provisions of the international agreement on Trade-Related Aspects of Intellectual Property Rights — human rights are being trampled. The author warns that unless human rights advocates provide an effective intellectual and organisational counterweight to economic interests, the intellectual property landscape will be reshaped in the years ahead without adequate consideration of the impact on human rights.