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The world is today more fractured than at any time since the Cold War, with a new fortress narrative now emerging. But is it really possible for countries to reap the benefits of globalization and shun the responsibilities that come with a globalized economy, while avoiding the consequences of doing so?

 

Globalism may have fallen out of favour with some, but the forces driving it are not likely to be so easily swayed. Formidable trends will continue to drive both globalization and globalism, and in doing so will bring new challenges that will threaten us all by, among other things, making it harder to prevent the spread of deadly infectious disease. So, in the face of such growing threats to global health security, it should become increasingly clear that putting national interests first doesn’t always mean focusing all your attention at home.

This week, Bangladesh had planned to start sending Rohingya refugees back to Myanmar. Now the deal has been postponed because of logistical problems.

 

The refugees themselves have opposed the plan.

 

"They'll kill us," says Sonah Meah, 30. "If I go, they'll kill me."

 

Sitting on a straw mat in his shelter in the Hakimpara refugee camp, Meah says he was tortured and left for dead by the Myanmar military in August of last year. He says soldiers accused him of being part of an armed group called the Arakan Rohingya Salvation Army — a charge he denies.

Onchocerciasis, which is a disease caused by the filarial worm Onchocerca volvulus, is transmitted from individual to individual by Simulium black flies that breed in fast flowing rivers. The millions of larvae (microfilariae) released by the adult parasites invade skin and eyes where they can cause severe manifestations, including blindness. International control programmes for onchocerciasis have been implemented since the 1970s. Insecticide spraying to eliminate the vector was supplemented by, and ultimately replaced from the 1990s by, mass administration of ivermectin, a drug which kills microfilariae and prevents their release by the adult worms for several months.

 

 

 

 

 

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Yale University

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Global Health & Innovation Conference at Yale on

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