That is a very important point that our Select Committee absolutely needs to scrutinise, because it would be illegal to badge that spending wrongly. We have a duty to ensure that our taxpayers know that our spending is transparent and in the right place. It is really important that we do not mis-badge it, because otherwise we will lose the trust of a lot of countries around the world.
As the right hon. Member for Leeds Central said, we know that there will be more and more migration because of climate change. People are not going to stay in a country that is drought-ridden. They cannot feed their cattle. They cannot be the nomads they were before, going off to find fresh pastures and then coming back in a circle, as the nomadic tribes in Kenya used to do. People cannot do that if they have no food for their cattle. For that important reason we need to tackle climate change, but I fear that the reduction to 0.5% means we will have less opportunity to do so, and that means there will be more migration. Indeed, I believe there will be more and more migration, not just for drought and climate change reasons but for reasons of conflict. So many people are fleeing their countries, either because of civil war or because of attempts to annihilate certain populations. They have to escape, because that is the general public’s normal response to terrifying situations.
However, I do not intend to focus on the overall aid budget in my short speech. Instead, I want to comment briefly on the important issue of neglected tropical diseases, including malaria. They are called neglected tropical diseases because people forget about them. A couple of weeks ago, I, too, was in Rwanda for the Kigali summit, which aimed to tackle the problems of malaria and neglected tropical diseases, and which was a very successful event. Governments, the private sector and philanthropists all pledged to help to accelerate the global fight to beat these deadly diseases, with commitments made at the summit totalling more than $4 billion.
However, there is much more to be done. In 2020 alone, an estimated 627,000 people died of malaria—a staggering number. More than 1.7 billion people required treatment and care for neglected tropical diseases over the course of that year. Often, the impact of covid-19 was to disrupt community care and preventive programmes, meaning that the number of people receiving treatment for NTDs fell by 33% in 2020. There is a simple and cheap cure for many of these diseases, and we must not lose sight of that.
While I was in Rwanda, I attended a programme run by the UK-funded National Institute for Health and Care Research about podoconiosis, a neglected tropical disease that causes dreadful pain and suffering, generally among farmers and those who spend a lot of time in contact with irritant soils without wearing shoes. The microbe gets into their bodies and causes them terrible problems. NTDs such as podoconiosis are widespread in huge parts of the world, and funds for research and prevention are needed not only from a humanitarian and ethical perspective, but from an economic one. For those people’s communities and families, these diseases can lead to long-term poverty, hunger and starvation because they can prevent people from working. For example, podoconiosis patients lose 45% of their productive working days to the disease. Research on treatment and prevention can keep people economically active, and able to maintain their lifestyles and their jobs.
Investment in tackling NTDs—that is just one small example—and malaria has huge positive knock-on effects throughout the local economy. The UK funding is providing real benefit for podoconiosis patients through research into treatment options, genetic research, education and more, enabling sufferers to live healthier, happier and more productive lives. I urge the Minister to consider people who suffer from the disease, because it is horrendous.
The UK has a strong legacy of investment in the elimination and control of NTDs—it is supporting the Rwandan Government’s ambition to eliminate podoconiosis by 2024—and it is critical that we maintain that legacy. This is an example of the UK helping the world’s poorest to live happy, healthy, economically active lives. That helps the economy and the education of women and girls, giving them the good future that many do not have at the moment. That programme in Rwanda has been funded, but others have been hit by the international development funding cuts. For example, the Ascend programme countries still need support to reach their elimination goals.
I encourage the Minister to consider the forthcoming year’s spending and to invest as much as we can in NTDs, and in particular in preventing malaria. That is doable; we can eliminate malaria, and it is so important that we contribute significantly to that. The shift in spending under the international development strategy away from multilateral programmes and towards bilateral funding threatens many of the programmes that aim to combat NTDs and malaria. I would therefore be delighted if the Minister could today confirm an ambitious commitment to the forthcoming seventh replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria and neglected tropical diseases.
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