My Lords, I pay tribute to the noble Baroness for her thoughtful address, in which she made a number of extremely important comments. Like her, I much look forward to the maiden speech of the right reverend Prelate shortly. I want to talk about climate change and then go on to focus more specifically on malaria.
The COP 26 conference was a great success. The Glasgow climate pact, with 90% of the world’s economies committed to net-zero targets, was a remarkable step forward. The House is well aware that developing countries disproportionately are affected by the impacts of climate change, severe weather events, rising sea levels, and disruption to agriculture and water sources. Indeed, at that time, the developed nations reinforced the pledge to provide £79 billion to developing countries annually. This was followed by the recent COP 28—two COPs later—where nearly every country in the world agreed to move away from fossil fuels after 28 years of international climate negotiations. It was a world first getting fossil fuels into a UN climate agreement; again, those in need were recognised.
Of course, I am a great expert in international climate events because I was a bag-carrier at the first international climate conference, in 1989, when Mrs Thatcher was fighting the ozone layer. She was doing so because the British Antarctic scientists had said that there was a gap in the ozone layer—had it been the Spanish, French or German Antarctic survey, I am not so sure how energetic she would have been. But it was the model, and it was rigorously science-based. It was very much the hallmark of British development policy. It was about industrial collaboration and innovation. It was about public relations and an NGO campaign, as well as international action. I would say that that formula has not changed greatly.
I said that I wanted to speak in particular about malaria, one of the world’s oldest and deadliest diseases. It still kills a child every minute, yet it is relatively cheap and easy to address. In the 19th century, Louis Pasteur, the great pioneering French chemist and microbiologist, said:
“It is within the power of man to eradicate infection from the earth”.
But that power has so far eradicated only two infectious diseases: smallpox and rinderpest. Polio is coming closer. The Global Malaria Eradication Programme began in 1955 but was later abandoned. During the 1980s and 1990s, with increased insecticide and drug resistance, and a general deterioration of primary health services, the burden of malaria increased substantially in Africa.
The launch of the Global Fund to Fight AIDS, Tuberculosis and Malaria has been a great initiative. Supported by seed funding from the Bill & Melinda Gates Foundation, it has now had five directors. I must declare an interest because Sir Richard Feachem, the fund’s first executive director, was appointed by my organisation, along with around 40 other appointments. It has not used us again—I do not know what that means. This has been a wonderful development. We saw mortality fall by 50% between 2000 and 2015. Of course, Covid has set us back, but 25 countries achieved three consecutive years of zero locally acquired malaria between 2020 and 2021.
There is more that we all have to do, but, as the noble Baroness pointed out, with the UN sustainable development goals, the end of the malaria epidemic by 2030 is definitely achievable. I think that we all welcome the Government’s £1 billion contribution to the seventh replenishment of the global fund, supporting vital tools to combat malaria: the distribution of 86 million mosquito nets, 450,000 seasonable malaria chemo prevention treatments, and treatment and care for 18 million people.
British research, innovation and technology have all played a part. I accept that financial resource is always a great help and I appreciate the problems of limited budgets, but I do not think that anybody should underestimate the leadership of Britain in pioneering initiatives and in tackling global health and development issues. It is the leadership, the science base, the collaborative approach and the consistency that can ensure that we play a real part in reducing climate change and assisting developing nations further.
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