Pacific Standard July-August 2013 Cover

Should the U.S. Govern Lagos? Dhaka? Kinshasa?

The Real Population Bomb

From 1950 to 2015, as projected by the United Nations, the population of Lagos will rise from 1 million to 25 million; Dhaka, from 400,000 to 22.8 million; and Kinshasa, from 200,000 to 10.5 million. These are among the places the authors of the new book The Real Population Bomb describe as “Category 5 Megacities.” In a riff on Paul Ehrlich’s 1968 classic, Peter Liotta and James Fiskel argue that exponential urban growth is a danger to human survival. The problem, however, is not simple overpopulation but massive suffering and chaos in places where corruption and poverty ... Read More

What Happens to All Those Hotel Soap Bars?

In 1994, on his second trip to the United States, Derreck Kayongo was staying at a Philadelphia hotel when he noticed that every bar of soap he’d use in the morning was replaced magically with a new one by the time he returned that evening. “I asked the concierge what they did with the partially used bars, and he actually told me they threw them away!” Though Kayongo grew up in a well-to-do family — his father, in fact, owned a soap factory in Uganda — the 42-year-old Ugandan native ended up living as a refugee with his family in Kenya after Idi Amin came to power. “That was the ... Read More

Humanitarian Aid: Moving the Dialogue Toward Prevention

This past year, as with the years before, the international news has been replete with stories of humanitarian disasters. War, drought, flood, earthquake, disease — there are constantly populations in crisis, constantly people for whom the difference between life and death lies in the response of the outside world. Perhaps it has always been this way. One thing that has changed, however, is who is doing the responding. Where disaster relief had once been overwhelmingly funded and provided by nations, increasingly we have seen that response to humanitarian disasters has been coming from ... Read More

Global Fistula Care Map Aims to Expand Treatment

Global Fistula Care Map

There are many dire medical problems that the first world has the luxury of not worrying much about. Such as obstetric fistula, which tears a hole inside the birth canal. It’s one of the most devastating birth injuries a woman can sustain, but treatable. But that’s often not the case for much of the developing world. There are between 50,000-100,000 cases of obstetric fistula each year worldwide. In 2010, only an estimated 14,000 were treated. Obstetric fistula causes 8 percent of all maternal deaths and, when it’s not fatal, leads to constant incontinence and shame. As we explained ... Read More

Neglected Tropical Diseases Neglected No More?

Even after centuries, it’s hard getting noticed. While they don’t have the name recognition of an epidemic like AIDS (or the Bono star power), neglected tropical diseases, some of which have been around since at least 600 B.C., are the most common serious maladies for the 2.7 billion people on earth who live on less then $2 per day. On January 30 in London, more than a dozen pharmaceutical companies, the governments of the U.S., United Kingdom, and United Arab Emirates, the Bill and Melinda Gates Foundation, the World Bank, and others announced a coordinated push to wipe out or control ... Read More

Malaria Vaccine Gives Debate Shot in the Arm

The fight against malaria has always featured a side controversy over whether the search for a vaccine — which always seemed a little pie-in-the-sky — sucked out some of the oxygen (read money) for more practical efforts like pesticide-infused bed netting. (Writer Karen Schmidt described such things as “Everyday Miracles” for us two years ago.) Given that most diseases that primarily hurt those in the developing world are pretty much ignored in the industrialized world, the dispute by well-meaning people was always a trifle unusual. Then the search for the malaria vaccine was ... Read More

Solar Entrepreneurs’ New Sales Pitch

Solar power has taken root — not in the U.S. where it supplies but 1 percent of the power generated only from renewable sources — but in energy-deprived villages of the developing world. Because costs for electricity in the U.S. are already low, unlike in rural India and Africa, the incentive to turn over to solar is lower for American households. But in poor areas around the world, some communities have skipped an entire generation of coal-powered electricity. Despite the attractiveness of solar cells and solar concentrators lighting up and heating poor villages, solar brings its ... Read More

Save the Poor by Selling Them Stuff — Cheap

The first slide comes up on the white-walled lecture room's double display screens. In capital letters, it declares: "EMPATHY." The 40-odd Stanford students gathered in a semicircle of plastic chairs on the cement floor blink at the screen, awaiting explanation. Almost all of them are pursuing graduate degrees in some form of engineering or business — disciplines known more for unemotional logic and bare-knuckle competitiveness than getting in touch with someone else's feelings. Erica Estrada, a recent Stanford mechanical engineering grad with long, loose black hair, clicks to the next ... Read More

Computer Error?

There's no question that the idea of One Laptop per Child is appealing. It has whiz-bang technology, support from the glitterati of Silicon Valley and the World Economic Forum, and emotional resonance — giving poor children something we all know and value — on its side. And for quite a while, progress looked good. If the project hadn't hit the threshold it aspired to — a $100 laptop computer that would work in Third World countries without comprehensive electrical grids — it had produced a widely praised first model and received orders for several hundred thousand laptops from ... Read More