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Q&A: Cancer in the developing world

Reporter Joanne Silberner spoke to GlobalPost about her recent reporting on cancer in Uganda, Haiti, and India.
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A large pink ribbon hangs from the North Portico of the White House on October 26, 2009 in Washington, DC. While the US has fought against cancer for decades, the disease's new battleground, reports PRI, is the developing world. (Mark Wilson/Getty Images)

This week, Public Radio International’s The World launched a special series called “Cancer’s New Battleground – the Developing World.” 

The five-part series, reported by Joanne Silberner, explores cancer in Uganda, Haiti, and India, and looks at the challenges to fighting cancer that are unique to the developing world. Silberner is a freelance reporter and artist-in-residence at the University of Washington in Seattle, and she covered health issues for NPR for 18 years.

She spoke to GlobalPost about why she pursued this story and what she learned from her reporting.

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Op-Ed: Empowering youth to own their futures

At the Global Youth Forum, which takes place in Bali this week, young leaders and experts on youth from around the world will come together to form the international development agenda for the future.
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Executive Director of UNFPA Babatunde Osotimehin delivers his speech during the Global Youth Forum in Nusa Dua on Bali island on December 4, 2012. The ICPD Beyond 2014 Global Youth Forum is held from December 4-6. (Sonny Tumbelaka/AFP/Getty Images)

Suzanne Petroni directs the Gender, Population and Development program at the International Center for Research on Women. She serves on the board of directors of Advocates for Youth and sits on the International Steering Committee for the ICPD Global Youth ForumMeredith Waters is a senior at George Washington University majoring in public health and was selected by the United Nations as a Respondent for the Global Youth Fourm in Bali. She is also a member of the International Youth Leadership Council at Advocates for Youth.

Half of the world’s population is under 30 years old, and these youth comprise the most well-informed and well-connected generation the world has ever known.

We have the fortune of joining nearly 1,000 of these youth in Bali, Indonesia this week - not sightseeing, but formulating the international development agenda for the future.

As the world heads toward the twentieth anniversaries of the major international development conferences of the 1990s and the conclusion of the Millennium Development Goals in 2015, the United Nations has brought together young leaders and experts on youth from around the world for the ICPD Global Youth Forum

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Clinton's blueprint for an 'AIDS-free generation,' via storify

On November 29, Secretary of State Hillary Clinton released a "PEPFAR Blueprint." here is what the plan lays out and some initial reactions via social media.

In the fight against AIDS, report shows progress worldwide

A report released by UNAIDS shows a 20 percent decrease in new HIV infections in the last decade.
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Volunteers lay out the AIDS Quilt on the National Mall. (Karen Bleier/AFP/Getty Images)

The goal of an “AIDS-free generation” has become a little more realistic, according to the 2012 World AIDS Day report released on November 20 by UNAIDS.

The report, titled “Results," found that between 2001 and 2011, HIV incidence in 25 countries declined by more than 50 percent and decreased by 20 percent worldwide. Since 2005, the number of AIDS-related deaths has declined by almost one-third.

Much of this improvement is concentrated in Africa, which is more severely affected by the epidemic than any other continent. Since 2001, the report found, new HIV infections have decreased by 73 percent in Malawi, 50 percent in Zimbabwe, and 41 percent in South Africa and Swaziland.

“The pace of progress is quickening,” said Michel Sidibé, Executive Director of UNAIDS, in a press release. “What used to take a decade is now being achieved in 24 months.”

The 2012 International AIDS Conference in July marked some of the first real conversations about beginning to end the epidemic, and Chris Collins, vice president and director of public policy at amfAR, pointed to the beginning of the end of AIDS as one of the conference’s biggest takeaways. Now the question is, he said, how to accomplish this goal and assess our progress in a concrete way.

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A Dangerous Job: Fighting against female genital mutilation in Liberia

For those fighting against female genital mutilation in Liberia, the road is challenging and often dangerous.

MONROVIA, Liberia — Phyllis Kimba's house in Monrovia burned down in March, three days after she spoke at the UN in New York against female genital mutilation (FGM) in Liberia. Soon after, Liberian journalist Mae Azango was threatened with death and mutilation and went into hiding after her FGM exposé appeared on the front page of a national newspaper.

International and Liberian proponents of a ban on the clitoral excisions might take hope in the Liberian gender minister's call this spring, in the wake of Azango's story, for suspension of the practice. But in spite of the minister's words and the West African nation's 2007 ratification of the Maputo Protocol requiring legislated bans on FGM, the message delivered on November 13 by Liberia’s Internal Affairs Minister Blamoh Nelson is clear: don't hold your breath.

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Press in Peril: A Liberian reporter fights to write truth about female genital mutilation

After reporting on female genital mutilation in Liberia, Mae Azango was forced to flee her home after repeated threats of violence.
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Liberian journalist Mae Azango stands outside the offices of Front Page Africa in Monrovia, Liberia. (Ethan Baron/GlobalPost)

MONROVIA, Liberia — I never thought covering women's issues would become dangerous. That was until I reported on female genital mutilation (FGM) and the activities of my country's secret society for women, Sande, which operates "bush schools" where the cutting is done.

My story was published March 8, 2012, International Women's Day, on the front page of the paper where I work. The first threats came to my editor on the day the article appeared. I was outside Monrovia working in a rural area. She called me and said, "Mae, you have to leave right away because I have received numerous phone calls threatening to drag you to the Sande bush and have you cut."

I went home that day. When I walked in, a tenant who rents from me said, "So, you wrote this story exposing us. You shouldn't have done it. You had no business to write the story. If you go to any rural area you will never return to Monrovia alive."

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Q&A with PATH: An update on malaria

Dr. Kent Campbell, director of the Malaria Control Program at PATH, spoke with GlobalPost about achievements in the fight against malaria and what is needed to bring transmission to zero.
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Dr. Kent Campbell, director of the Malaria Control Program at PATH (PATH/Courtesy)

Dr. Kent Campbell is the director of the Malaria Control Program at PATH, which is focused on developing evidence-based national malaria control programs in Africa. From 2004 through 2008, he served as the program director for the MACEPA (Malaria Control and Evaluation Partnership in Africa) program at PATH. He has more than 30 years of leadership experience in malaria control and international public health, and he was recently awarded the Le Prince Medal from the American Society of Tropical Medicine and Hygiene. He spoke with GlobalPost about achievements in the fight against malaria and what is needed to bring transmission to zero.

Q: How long have you been working with malaria in global health?

A: I’ve been working in global health since I was in my residency at Harvard in 1972, so that makes it almost 40 years. I began working at the Center for Disease Control when I was serving as a public health service officer. I had an opportunity in that two-year fellowship program at the CDC to work in West Africa on a disease called Lassa fever. That was quite an experience— in fact, I got very sick and it looked like I had Lassa fever. But, as they say, I did survive.

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In Sandy’s wake, experts offer solutions to Haiti’s food crisis

Haiti is in a rough spot. But these three directors are working to get the country back to its roots... literally.
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A child holds an infant in a tent city following Hurricane Sandy, October 30, 2012 in the Canape-vert suburb of Port-au-Prince. Haiti's tent cities, and the country at large, face a food crisis caused by natural disasters but also years of deforestation and reliance on foreign aid. (THONY BELIZAIRE/AFP/Getty Images)

As those who have been working on the ground will tell you, Haiti’s agricultural history has been as rocky as much of its once-arable soil now is. For a country that employs over 50 percent of its population in agriculture, it is almost unfathomable that between 50 and 80 percent of its total food supply is imported.

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The dark side of economic sanctions

Who bears the brunt Western economic sanctions?
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Iranian women buy medicine from a pharmacy in Tehran on October 21, 2012. (Atta Kenare/AFP/Getty Images)

Humanitarian concerns led the US Office of Foreign Assets Control to revise some key elements of Iran’s economic sanctions last month, allowing American companies to export medical supplies to Iran. Medicine shortages have affected an estimated six million Iranians, according to the Center for Research on Globalization.

In a UN report released on October 5, General Secretary Ban Ki Moon said that the sanctions were adversely affecting humanitarian efforts in Iran. “Even companies that have obtained the requisite license to import food and medicine are facing difficulties in finding third-country banks to process the transactions," he wrote.

The story of Western economic sanctions with unintended consequences is quite common. Here’s a list of cases around the world where sanctions tipped the scale against civilians:

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Q&A with WHO: In the fight against TB, we've reached a crossroads

Mario Raviglione, director of the World Health Organization's Stop TB Department, tells GlobalPost why the fight against TB is at a crossroads.
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Mario Raviglione (World Health Organization/Courtesy)

In October, the World Health Organization (WHO) released its 2012 Global TB Report, which announced that the fight against tuberculosis is at a crossroads.

The report found that 51 million people have been successfully treated for tuberculosis in the last 17 years. Medical breakthroughs and technological advancements have brought successes, including a new diagnostic tool that can test for TB in 100 minutes, and development of the first new TB drugs in more than 40 years, which could be on the market in 2013.

But WHO also points to funding gaps in both research and treatment, which amounts to a total of $4.4 billion.

GlobalPost spoke with Mario Raviglione, director of WHO’s Stop TB Department, about why the funding gap exists, what would help reduce it, and what’s at stake as we choose a path forward.

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