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U.N. relief officials and aid organizations are bracing for what they fear could be a cataclysmic second phase of the pandemic: spreading in the close-quarters encampments of the world’s more than 25 million refugees and another 40 million internally displaced people.

More than 3 billion people lack access to hand-washing facilities, depriving them of one of the most effective first lines of defense against the spread of the coronavirus, according to UNICEF

the effort to ramp up an international aid response is being hampered by the quest to ensure the safety of international staff. Those concerns have been amplified by the announcement last week that David Beasley, the executive director of the Rome-based World Food Program, had been infected with the coronavirus. Some international relief agencies have recalled senior field officers, fearing they could be infected.

Konyndyk, who worked on the response to the Ebola epidemic in West Africa for the U.S. Agency for International Development, said that U.N. and relief agencies are having to balance ensuring the health of their own staff with delivering care to needy communities.

“You would have a hard time designing a more dangerous setting for the spread of this disease than an informal IDP settlement,” he said. “You have a crowded population, very poor sanitation … very poor disease surveillance, very poor health services. This could be extraordinarily dangerous … and I don’t think that’s getting enough global attention yet.”

In conflict-riven countries from Afghanistan to South Sudan to Yemen, dismal health care infrastructures are already overburdened after years of fighting

After five years of war, with millions of people on the brink of famine, Yemen’s population is more vulnerable to a coronavirus outbreak than those of most other countries. The conflict has left most of the country’s population effectively immunocompromised,

“For many population groups, living in overcrowded conditions, social distancing is a challenge or impossible,” according to the Assessment Capacities Project report. Many countries that host refugee camps, such as Afghanistan and Bangladesh, are likely to be overwhelmed by the health needs of their own citizens. Nations with weak health systems “may struggle to screen, test, and contain the epidemic for the host population let alone the refugees,”

In Gaza, the U.N. Relief and Works Agency (UNRWA), which provides primary care for about 70 percent of the territory’s more than 1.8 million people, is bracing for the likely arrival of the coronavirus in one of the most densely populated place in the world. The U.N. agency—which the Trump administration defunded last year and has sought to dismantle—has some 22 medical clinics in Gaza, putting it on the front lines of the defense of the coronavirus.

“I’m told that there are 60 ICU beds in the hospitals,” Matthias Schmale, the director of Gaza’s UNRWA operations, told Foreign Policy. “If there is a full-scale outbreak the hospital sector won’t cope.”

The leaders of major relief organizations are pressing donors to grant them greater flexibility to redirect funding from existing programs that are likely to be paralyzed by the pandemic and use that money for programs—including clean water and sanitation projects—that could help stem the crisis.

“As bad as it is now in the well-organized and affluent north, with health systems, good sanitation, and big infrastructure, imagine how it will be when it will hit crowded camps with refugees and displaced people,” said Egeland, who spoke by telephone from quarantine in Norway.

sweeping U.S. and U.N. economic sanctions imposed on governments in Iran, North Korea, and Venezuela are hampering relief efforts.

Egeland acknowledged that most U.N. sanctions regimes, including those for Iran and North Korea, include exemptions for the import of humanitarian goods. But the sanctions have scared financial institutions from providing vital financial services to relief agencies. “Not a single bank had the guts to transfer money, because they were all afraid to be sued by the U.S. government,”

The World Health Organization announced earlier this year that more than $675 million will be required through April—including $61 million for its own activities—to mount an international campaign against the virus. Though WHO’s Director-General Tedros Adhanom Ghebreyesus said recently that more money would be needed. On Feb. 17, UNICEF issued an urgent request for $42.3 million to support the coronavirus response. It will be used to reduce transmission of the virus by promoting distance learning for kids who can’t attend school and public information aimed at shooting down misinformation.

Guterres, meanwhile, expressed concern that the pandemic could claw back decades of efforts to raise international health standards and to scale back the most extreme levels of poverty, and undercut U.N. sustainable development goals, which are designed to improve the standard of living around the world by the year 2030.

“COVID-19 is killing people, as well as attacking the real economy at its core—trade, supply chains, businesses, jobs,” Guterres said. “Workers around the world could lose as much as $3.4 trillion.”

“We need to focus on people—the most vulnerable, low-wage workers, small and medium enterprises,” Guterres said. “That means wage support, insurance, social protection, preventing bankruptcies and job loss. That also means designing fiscal and monetary responses to ensure that the burden does not fall on those who can least afford it. The recovery must not come on the backs of the poorest—and we cannot create a legion of new poor. We need to get resources directly into the hands of people.”

“We have lost our best colleagues, people who can’t be replaced easily,” she said. “Coronavirus is also killing the morale of medical staff.”

The loss of five gynaecologists and midwives will also have a disastrous impact in a country where one in every 260 women die during pregnancy or childbirth.

the number of Yemenis facing high levels of acute food insecurity is forecast to increase from 2 million to 3.2 million over the next six months – about 40% of the population

cholera crisis is partly a result of the effects of climate change but also a consequence of the civil war

the war has damaged two-thirds of water treatment plants, half of pumping stations and one-third of water towers.

Turkey has justified stopping the pumping of the station, claiming it was due to the cutting off of electricity by the SDF, which controls the power station in al-Darbasiyah, which feeds the Ras al-Ain and Tal Abyad regions.

"We demanded several times that Alouk station come under international auspices and that a UN flag be raised on it in order [for it] not to be bombarded and interrupted," Sarhan said. "The conflict between Turkey, Russia, the SDF and Assad should not be at the expense of vulnerable people."

“Our concerns are not about the spread of cholera within cities, but its spread within the camps, which are an incubator environment for infectious diseases due to the weak humanitarian response in them,”

examples of water-related conflicts, for instance between Israelis and Palestinians over aquifers, between Egypt and other nations sharing the Nile, or between Iran and Afghanistan over the Hirmand River

Nations such as Israel have limited water use, for instance by shifting to less water-intensive crops or recycling. Olives or dates need less water, for instance, than oranges

annual spending on improving water supplies and sanitation in developing nations should be raised by about $11 billion a year. Every dollar spent would yield an economic return of $3 to $4, it estimated.

About 4,500 children die of water-related diseases every day - the equivalent of 10 jumbo jets falling out of the sky with no survivors

“Foreign aid for development is not huge,” explains Francesco Castelli, a professor of infectious diseases at the University of Brescia. “OECD countries have pledged to invest 0.7 percent of their GDP for development activities, but most of them are far from reaching this level of aid.” Even what is given is often made less effective by corruption, poor management and following the priorities of the donors rather than the people in the affected countries. “Pumping money in a given country is not at all the best way to prevent migration,” he says. “Development needs decades to happen, not yearly projects.”

Some European Union member states, Carrasco Heiermann says, are already dependent on immigration. Last year, the EU’s “old-age dependency ratio” — the number of people over 65 compared to the number of people in the working-age population — hit record highs, with only three working-age people for every elderly person. In order to maintain their economies and support systems, the EU may have to rely on outside migration.

draconian yet lazy algorithms have systematically shut down voices of dissent – and pulled unsuspecting social media users down with them

I interviewed @OfficialAmro1, a user affected by mass suspensions with over 265K followers and 115K tweets. He was suspended without cause and added, “I don’t even curse.”To which I foolishly replied, “Cursing would not suspend your account, particularly if directed against a public figure. Incitement will.”“No, now it does,” he replied. He also added that if you criticize a figure loyal to the Arab regimes, you can get your account locked or suspended.

many of those suspensions had a common denominator: being critical of the Egyptian government

suspensions seemed to have happened around late September and lasted from one day to a few days. In many cases Twitter had responded that they had suspended the accounts by mistake. The accounts affected varied from having a few followers to hundreds of thousands

a trending anti-Sisi hashtag disappeared suddenly in July 2018, and then later on in 2019. It didn’t help either to find that an officer in the British Army information warfare unit was head of editorial in Twitter for the MENA region.

accusations are not limited to Egypt but the entire region who have a sense that being critical of their governments was met with punitive measures by Twitter against them

The 'hateful conduct' policy as defined by Twitter states: You may not promote violence against or directly attack or threaten other people on the basis of race, ethnicity, national origin, sexual orientation, gender, gender identity, religious affiliation, age, disability, or serious disease.Analyzing the message contents that were flagged for hateful conduct I saw that most did not violate Twitter’s rules. Soon I began to discover that what @OfficialAmro1 had told me was true. The content I was seeing contained profanity. But that wasn’t the whole story.Arabic curse words are used often. I sampled around a little under 50 claims, with over 30 screenshots that contain Twitter’s email identifying the violating tweet. It was clear that profanity alone was not causing the suspensions.

Tragically funnier still are those who were joking around with their friends using their usual language that has profanities @ism3lawy_ ended up cursing Egypt’s Zamalek football club and for that his account was suspended permanently along with that of one of his friends. In a separate conversation, his friend @EHAB_M0 was also joking around with his friends and eventually got a permanent suspension.

Within seconds of my post, the algorithm identified the curse words and locked my account for 12 hours. It was my first violation ever. The irony of documenting this as a reply to the platform’s account is probably lost on them.

the most dangerous and disconcerting of my findings is that the appeal system in Twitter for MENA is broken.

Even things like talking about prostitution can get you banned

There is an element of guardianship that is present in despotic Arab regimes, and that moral guardianship is reflected in the algorithm by Twitter as was shown through the numerous examples above.

With my limited access to Twitter’s data, I have found nearly 20 accounts probably wrongfully and permanently suspended. I imagine hundreds or even thousands more have been kicked off the platform.

“Thank you for trying to help make Twitter a free space once again.”

Some 35 million migrants are employed in the six Gulf Cooperation Council countries, in Jordan, and in Lebanon, and incidences of exploitation are well documented

“The situation here is serious,” Narendra said, describing the lockdown in part of the Industrial Area. “I have been frequently speaking with workers who are in lockdown areas. Employers aren’t allowing people out to buy food, and companies are not providing food. We don’t have any rights to ask for support.”

While Qatar has now shut down all public spaces, construction workers are still working on a variety of projects despite the fact that hundreds of cases of the coronavirus have spread among their communities

the true burden of disease among migrant workers is unknown. The government doesn’t give figures on what portion of the infected are migrant workers. And some migrants fear coming forward to report their symptoms.

Research published last year in the journal Cardiology explored the relationship between heat exposure and the deaths of more than 1,300 Nepali workers over a nine-year period until 2017. The climatologists and cardiologists found a strong correlation between heat stress and young workers dying of cardiovascular problems in the summer months

At the heart of the abuse faced by migrant workers has been Qatar’s kafala system, which legally binds foreign workers to their employers, restricting workers’ ability to change jobs and preventing them from leaving the country without their employers’ permission—a practice that has been described as modern slavery. In October 2019, the government announced reforms that would allow migrant workers to change jobs and leave Qatar without employer consent. Thus far, only the second reform has been implemented. And while campaigners laud the progress, enforcement of laws remains spotty, and there’s little clarity on when further reforms will be rolled out.

Most workers sleep in dormitories, sharing rooms with up to 10 people and sharing kitchens and bathrooms with dozens more. When they head to work on the construction sites, it is on overcrowded buses. In response, the government recently announced it would reduce bus capacity by half, that construction workers would work a maximum six hours a day, that workers’ accommodation would be limited to four people, and that all accommodation sites would be sanitized and information on hand-washing and hygiene would be provided. Whether this is just rhetoric remains to be seen.