Richard Fuller

GAHP Secretariat:

Blacksmith Institute

475 Riverside Drive

New York, NY 10035

+1 212 647 8330

fuller@blacksmithinstitute.org

www.gahp.net

Disclaimer: The views expressed in this paper/presentation are the views of the author and do not necessarily reflect the views or policies

of the Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB does not guarantee the

accuracy of the data included in this paper and accepts no responsibility for any consequence of their use. Terminology used may not

necessarily be consistent with ADB official terms.

Why does GAHP exist?

Pollution is

the single largest

cause of death

in the developing

world.

Pollution vs. Various Diseases

Millions of deaths2012

8

0

2

4

6

10

Source: WHO and GAHP databases

Deaths From Pollution

Millions of deaths2012

8

0

2

4

6

10

Source: WHO and GAHP databases

Why does GAHP exist?

Pollution is responsible for

one in every seven

deaths in the

world.

Pollution is a Risk Factor, not a Disease

Pollution causes diseases, which in turn cause

death and disability.

Diseases pollution causes include:

- Cardiovascular disease

- Cancer

- Respiratory disease, infections

- Other

Deaths from pollution are additional deaths i.e. extra people that die above normal

death rates for these diseases.

Global Alliance on Health and Pollution (GAHP)

A collaborative coordination of agencies

and governments

ADB is founding member, along with World

Bank, UN agencies

29 members and a dozen observers,

and growing

GAHP Members partial list

World Bank

Government Members

LMICs:

- Mexico

- Ghana

- Indonesia

- Cameroon

- Madagascar

- Peru

- Senegal

- Chile

- Uruguay

- Tajikistan

- Nigeria

- Mali

- Philippines

Others adding rapidly

GAHPs Purpose

Raising broad awareness

of the issue

Coordinating resources

and technical assistance

to LMICs for pollution

and public health

Monitoring and

performance

of projects

GAHP First Stages of Growth

Established July 2012

Blacksmith Institute Secretariat

Startup Funding European Commission ($6.8M) and World Bank (DGF, $2M)

About $5 million annual budget (2014)

Many pilot projects underway countries learn by doing

ADB Contributions GAHP development

TA India, $250k in 2003

RETA, $900k in 2005

JFPR for Indonesia and Philippines - $1.6 million

in 2014

PMEH Trust Fund at World Bank in development

in 2014

GAHP Progress to date

Objective:

Raise broad awareness

of pollution and health

impacts

Raising Awareness

GAHP reports: Poisoned Poor, Worlds Worst Pollution Places

Presentations at international events, including

the Sustainable Development Goals

Public campaigns on the Brown Agenda

Partnering with UNEP

Social Media Twitter, Facebook

Major media, documentaries, other

GAHP Progress to date

Objective:

Coordinating resources

and technical assistance

in LMICs

Programs in Developing Countries

Currently 25 countries with targeted programs

- Argentina, Armenia, Azerbaijan, Belarus,

Bolivia, China, Georgia, Ghana, India,

Indonesia, Kenya, Kazakhstan, Kyrgyzstan,

Madagascar, Mexico, Mongolia, Peru,

Philippines, Vietnam, Senegal, Somaliland,

Tajikistan, Tanzania, Ukraine, Uruguay

Focus on land, soil, and water contamination

Programs in Developing Countries

GAHP programs

(toxic sitessoil and water)

- Site Identification

- Government training

and prioritization

- Pilot Projects

Ten Key Types of Toxic Sites

Lead Battery recycling

and smelters

Mercury Artisanal gold mining

Chromium Tanneries and industry

Heavy metals Mine drainage

Pesticides Storage and misuse

Chemical weapons

residuals

Industrial estates

runoff

Hazardous waste

dumpsites

E-waste

Uranium processing

Toxic Site Identification Program

More than 3,200 sites have been identified and assessed on-site

Implementing Solutions

Supporting

solutions modeling

successes in the

West from the

last five decades.

Learn by doing.

Project Examples Lead

Senegal:

Lead Remediation in Dakar

18 children died from lead

poisoning from lead

acid battery recycling. Multi-

stakeholder intervention

cleaned up the neighborhood,

conducted awareness raising

and alternative livelihood

training.

Project Examples Mercury

Indonesia, Philippines:

Promoting Mercury-Free

Gold Mining

Direct smelting practices

that yield more gold without

using mercury are being

tested and promoted.

Project Examples Emergency response

Nigeria:

Emergency Intervention

in Zamfara

>400 children died from lead

poisoning from artisanal gold

mining. International multi-

stakeholder intervention

trained local government in

health monitoring,

remediation, and miner

training.

Project Examples Pesticides

Pesticides Somaliland

Coordination between FAO,

Ministry of Agriculture, local

authorities, technical experts,

others

Leaking storage of pesticides

near refugee camp very significant exposure to local

population to Dieldrin, Aldrin

Repackaging, destruction

and soil remediation

GAHP Progress to date

Objective:

Measurement and

monitoring of projects

Monitoring and Performance

Focus on Health metrics in GAHP database

DALY year of life lost through disability or death

Measurement systems for each project

- Cost effectiveness

- Peer reviewed publications

- Burden of disease

GAHPs Future

Incorporation in process

Planning for

establishment as an

international agency

similar to GAVI

or the Global Fund

Finance projects,

implemented by members

Education campaign

For Consideration - ADB

Project review could include toxic sites database

check

- Benefit from ADB investment

- Safeguard against public health exposures

Consider Pollution Infrastructure pipeline

- ROI in health = economic return

Consider research on pollution economics

Consider Pollution Trust Fund