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The Best & Worst Human Rights Developments of 2012 -By Mary McGuire | Freedom House

New year 2013

Today is the first day of the new year, 1 January 2013. Before embarking on the new year, I wanted to share a list compiled by Freedom House that reflects back on some of last year’s human rights developments. How did the world do following an eventful 2011?

Unfortunately, the bad seemed to outweigh the good this year, as many authoritarians held on to power and continued upheaval in the Middle East threatened to derail any democratic progress. Internal conflicts in a number of African countries boiled over, and the bulk of the former Soviet Union appeared to be moving in the wrong direction. Meanwhile, widely hailed political achievements in countries like BurmaEgypt and Georgia were complicated by negative twists.

Ongoing ethnic conflicts in Burma have undercut a recent democratic opening that was significant enough to allow the first visit by a U.S. president. Relatively free and competitive elections in Egypt have been overshadowed by continued unrest and authoritarian maneuvers by President Mohamed Morsi. In Georgia, what was considered a historic democratic transfer of power has been potentially jeopardized by what some regard as politically motivated prosecutions of former ruling party officials.

Though this list is far from exhaustive, the following were some of the best and worst human rights developments in 2012.

BEST 

LGBTI Victories in the Western Hemisphere:

Equality LandslideThere were several important victories in the battle for LGBTI rights in 2012, particularly in the United States and Latin America. A U.S. president voiced public support for gay marriage for the first time, and three states — Washington, Maryland and Maine — passed laws allowing same-sex marriage, bringing the total number of states with such rules to nine. In addition, the first openly gay woman was elected to the U.S. Senate. In Argentina, where same-sex marriage has been legal since 2010, the Senate passed legislation that allows gender to be legally changed without medical or judicial approval, and includes sex-change surgery and hormone treatment in government health insurance plans. The same month, Chile passed an anti-discrimination law that penalizes all forms of discrimination. Although not specifically written to protect LGTBI rights, the measure was spurred by the brutal killing an openly gay man. Even Cuba has jumped on the bandwagon, electing its first transgender person to municipal office. Same-sex marriage is also legal in Canada and some parts of Mexico. Sadly, for all of the progress seen in this hemisphere, the situation for LGBTI people has actually worsened in much of Eurasia and Africa.

Passage of the Magnitsky Act:

Russia’s human rights decline made it an easy choice for this year’s “worst” list, but one development is worthy of celebration — the passage by the U.S. Congress of the Magnitsky Act. The legislation is named after Russian lawyer Sergei Magnitsky, who died in jail after exposing a multi-million dollar fraud by Russian officials. It will place visa bans and asset freezes on Russian officials involved in human rights abuses. The bill received overwhelming bipartisan support as part of a larger measure that normalizes trade relations with Russia and Moldova. President Obama signed the legislation on December 14 despite harsh objections from the Kremlin. This law could set a precedent for how the United States and other free societies address gross human rights violations around the world. The European Parliament has endorsed the adoption of similar legislation.

Conviction of Charles Taylor:

In April, former Liberian president Charles Taylor became the first former head of state to be convicted of war crimes since World War II. He was sentenced in May by a UN-backed special tribunal to 50 years in prison for his role in a decade-long civil war in Sierra Leone. He was specifically found guilty of aiding and abetting the “commission of serious crimes including rape, murder, and destruction of civilian property” by rebel forces in that country. Taylor stepped down as Liberian president in 2003 amid serious domestic challenges to his rule and international calls for his resignation. His departure ended 14 years of intermittent civil war that had killed some 200,000 Liberians. He sought asylum in Nigeria, but was eventually handed over to the special tribunal.

Survival of the Tunisian Revolution:

TunisiaWhile the freely elected transitional authorities in Tunisia have been buffeted by public frustration with high unemployment and pressure from conservative Islamists, the country has not yet suffered the fate of many of its neighbors in the aftermath of the 2011 Arab Spring. Varying degrees of instability and repression persist in Libya, Egypt, Bahrain, Yemen and particularly Syria, but Tunisia has made slow if uneven gains in its democratic transition. The constitutional drafting process is creeping forward without the bitter conflicts seen in Egypt, and the ruling Ennahda party, which was at one time a radical Islamist faction, has largely followed through on its commitment to govern moderately and work peacefully with secular parties. As the country approaches the two-year anniversary of the revolution, however, economic struggles have led to anti-government protests, one of which left nearly 200 people wounded, and support for the ruling coalition has definitively waned. The constitution is two months overdue, and there have been some concerning violations of press freedom. Despite these challenges, Tunisia continues to provide a positive example to the wider region.

WORST

Civil War in Syria:

Photo: Manu Brabo

The civil war in Syria is the worst human rights and humanitarian catastrophe in the world today. The latest estimates put the death toll at 42,000, with no end in sight. According to the Committee to Protect Journalists, an alarming number of reporters — 28 — have been killed while covering the conflict in 2012. President Bashar al-Assad’s regime has been on the verge of collapse for months, with many of his top advisers defecting or fleeing the country, yet he has vowed to remain in Syria, dead or alive. It is not even clear that his removal alone would end the fighting. Meanwhile, attacks by government forces on civilians in rebel-held areas are unceasing, and there are now concerns that the military is arming missiles with chemical weapons. Some rebel groups in the fragmented opposition have resorted to kidnapping and retribution killings, raising serious questions about postwar governance. No amount of diplomacy or international pressure has succeeded in convincing Russia to stop providing arms to government forces, or China to back broad-based demands for al-Assad to step down. And there is simply no political will within the United States or the rest of NATO to hasten the end of the conflict through direct intervention.

Devastation in Congo:

Congo

Over the past century, the Democratic Republic of the Congo, one of the most resource-rich countries on the African continent, has been gutted by a combination of colonialism, corrupt and ineffective government, ethnic conflict and a succession of armed militias and rebel groups that have raped and pillaged their way through the countryside, often using conscripted child soldiers. As many as five million people have died since the late 1990s. The fraudulent 2011 reelection of feckless president Joseph Kabila was followed by the mutiny of hundreds of ethnic Tutsi soldiers, who then formed the March 23 (M23) rebel movement, widely believed to be funded by neighboring Rwanda. In November, M23 invaded and took control of Goma, a provincial capital with a population of 1 million, leading nearly 140,000 people to flee their homes. The international community has largely turned a blind eye to the country’s seemingly endless crisis, perhaps because there does not appear to be an easy solution. On a positive note, international pressure forced M23 to vacate Goma after just a few weeks, and the United States and Britain, which had long tolerated Rwanda’s denials that it was contributing to the unrest, cut military aid to the country as a result of overwhelming evidence to the contrary. But these steps on their own appear unlikely end the fighting.

Coup and Extremism in Mali:

Mali

As in Congo, the horrific human rights situation in Mali was not caused by any single event. Rather it was a cascade of disasters that included a military coup, a reinvigorated Tuareg separatist movement, an influx of hard-line Islamist militants and the combined effects of long-term drought, poverty and corruption. This perfect storm has created a humanitarian crisis that demands international action. Northern Mali is now controlled by militant groups that blend radical Islam with transnational crime. These militants have quickly introduced a crude imitation of Sharia, banning music, destroying historic sites deemed “un-Islamic,” and summarily punishing alleged crimes like alcohol use and adultery. There are widespread reports of rape and forced marriage, as well as the recruitment of child soldiers. According to the latest UN report, over 200,000 people are currently displaced. The international community, deeply concerned by these violations as well as the broader security threat posed by such a sizeable haven for terrorists, has pressured what remains of the Malian government to overcome its internal divisions and prepare for an international invasion to reclaim the rebel-held north.

Russia’s Precipitous Decline:

Russia protestersSince Vladimir Putin’s tightly controlled reelection as president in March, the political situation in Russia has become increasingly dismal, with some experts comparing it to the Soviet era. As part of an escalating clampdown on anti-corruption activists and political opponents, the government has enacted numerous pieces of legislation that will have a harmful impact on human rights and the functioning of civil society. Most disturbingly, one new law requires civil society organizations that receive foreign funds to register as “foreign agents” or face possible criminal charges. In a related development, USAID was forced by the Russian government to withdraw from the country. Expanded definitions of “treason” and “espionage” in the penal code have opened the door for authorities to round up government critics as well as citizens who consult with foreign firms or simply monitor human rights abuses. Other repressive measures have recriminalized libel, curbed Internet freedomoutlawed “homosexual propaganda,” and imposed additional restrictions on public gatherings. Independent voices, some within the government, who have tried to speak out against this wave of legislation have been expelled, arrested or otherwise muzzled.


Repression in Bahrain, Other Gulf States:

Bahrain 2After an independent report commissioned by Bahrain’s King Hamad uncovered widespread human rights abuses committed during the violent suppression of a protest movement in February 2011, the government promised to implement the recommended reforms. That was a year ago. Not only has the regime failed to enact anything other than minor cosmetic changes, seemingly designed to mollify the international community, it has also continued on a path of repression. Impunity for the security forces and censorship persist, and dozens of human rights activists remain imprisoned, including 2012 Freedom Award winners Abdulhadi al-Khawaja and his daughter Zainab. In recent weeks, the government has stepped up the pressure, banning “unlicensed” demonstrations and stripping 31 opposition members of their citizenship. Journalists and human rights groups, including Freedom House, have been repeatedly denied entry to the country to report on these abuses. Sadly, Bahrain is not the only Gulf state in decline. Several neighboring governments have begun to make some alarming moves to silence their critics. Deportations, travel bans and unexplained detentions, as well as disturbing new legal restrictions freedom of expression, have been seen in the United Arab Emirates. A ban on “unlicensed” peaceful demonstrations was passed in Kuwait. And Oman has jailed dozens of people for making critical comments about the regime.

The Menace of Blasphemy Laws:

The online dissemination of an offensive film that mocked Islam and sparked violent anti-American riots and protests in more than two dozen countries served as a reminder of the pernicious nature of laws that prohibit blasphemy in many parts of the world. These laws, which ban insults to religions and religious figures, not only have a chilling effect on free expression but are often used to justify violence, repress religious minorities, and settle personal grudges rather than combat intolerance. According to a Freedom House special report, there is no evidence that restricting speech reduces religious intolerance. In fact, the evidence shows that prohibitions on blasphemy actually lead to a wide range of human rights abuses. This does not prevent some Islamic leaders from using global bodies like the United Nations to push for international norms that prohibit blasphemy. In 2011, after enormous advocacy efforts by human rights groups and a number of countries including the United States, Canada and much of Europe, the push for this kind of legislation was replaced by a more circumspect call for the promotion of religious tolerance and dialogue. Sadly, these moderating efforts were endangered this year by yet another flare-up of religious outrage.

Reprint: The Best & Worst Human Rights Developments of 2012 -By Mary McGuire | Freedom House.

*This piece originally appeared on Freedom House’s blog, Freedom at Issue. To read the original, click here .

Related: Most Popular Human Rights Topics on Twitter in 2012 | HRW

 

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World Refugee Day: Over 43.7 Million Displaced Worldwide!

GENEVA, June 20 – A UNHCR report released today reveals deep imbalance in international support for the world’s forcibly displaced, with a full four-fifths of the world’s refugees being hosted by developing countries – and at a time of rising anti-refugee sentiment in many industrialized ones.

UNHCR’s 2010 Global Trends report shows that many of the world’s poorest countries are hosting huge refugee populations, both in absolute terms and in relation to the size of their economies. Pakistan, Iran and Syria have the largest refugee populations at 1.9 million, 1.1 million and 1 million respectively.

Pakistan also has the biggest economic impact with 710 refugees for each US dollar of its per capita GDP (Gross Domestic Product), followed by Democratic Republic of the Congo and Kenya with 475 and 247 refugees respectively. By comparison, Germany, the industrialized country with the largest refugee population (594,000 people), has 17 refugees for each dollar of per capita GDP.

Overall, the picture presented by the 2010 report is of a drastically changed protection environment to that of 60 years ago when the UN refugee agency was founded. At that time UNHCR’s caseload was 2.1 million Europeans, uprooted by World War Two. Today, UNHCR’s work extends to more than 120 countries and encompasses people forced to flee across borders as well as those in flight within their own countries.

he 2010 Global Trends report shows that 43.7 million people are now displaced worldwide – roughly equalling the entire populations of Colombia or South Korea, or of Scandinavia and Sri Lanka combined. Within this total are 15.4 million refugees (10.55 million under UNHCR’s care and 4.82 million registered with the UN Relief and Works Agency for Palestine Refugees), 27.5 million people displaced within their own country by conflict, and nearly 850,000 asylum-seekers, nearly one fifth of them in South Africa alone.

Particularly distressing are the 15,500 asylum applications by unaccompanied or separated children, most of them Somali or Afghan. The report does not cover displacement seen during 2011, including from Libya, Côte d’Ivoire and Syria.

“In today’s world there are worrying misperceptions about refugee movements and the international protection paradigm,” said António Guterres, UN High Commissioner for Refugees. “Fears about supposed floods of refugees in industrialized countries are being vastly overblown or mistakenly conflated with issues of migration. Meanwhile, it’s poorer countries that are left having to pick up the burden.”

Reflecting the prolonged nature of several of today’s major international conflicts, the report finds that the refugee experience is becoming increasingly drawn-out for millions of people worldwide. UNHCR defines a protracted refugee situation as one in which a large number of people are stuck in exile for five years or longer.

In 2010, and of the refugees under UNHCR’s mandate, 7.2 million people were in such a situation – more than at any time since 2001. Meanwhile only 197,600 people were able to return home, the lowest number since 1990.

Some refugees have been in exile for more than 30 years. Afghans, who first fled the Soviet invasion in 1979, accounted for a third of the world’s refugees in both 2001 and in 2010. Iraqis, Somalis, Congolese (Democratic Republic of the Congo) and Sudanese were also among the top 10 nationalities of refugees at both the start and end of the decade.

Global Trends 2010 – Populations of concern © UNHCR

“One refugee without hope is too many,” said High Commissioner Guterres. “The world is failing these people, leaving them to wait out the instability back home and put their lives on hold indefinitely. Developing countries cannot continue to bear this burden alone and the industrialized world must address this imbalance. We need to see increased resettlement quotas. We need accelerated peace initiatives in long-standing conflicts so that refugees can go home.”

Despite the low level of refugee returns last year, the situation for people displaced within their own countries – so-called internally displaced people, or IDPs – showed some movement. In 2010, more than 2.9 million IDPs returned home in countries including Pakistan, the Democratic Republic of the Congo, Uganda and Kyrgyzstan. Nonetheless even with these return levels, at 27.5 million people the global number of internally displaced was the highest in a decade.

A further but harder-to-quantify group that UNHCR cares for is stateless people, or people lacking the basic safety net of a nationality. The number of countries reporting stateless populations has increased steadily since 2004, but differences in definitions and methodologies still prevent reliable measurement of the problem.

In 2010, the reported number of stateless people (3.5 million) was nearly half of that in 2009, but mainly due to methodological changes in some countries that supply data. Unofficial estimates put the global number closer to 12 million. UNHCR will be launching a worldwide campaign in August this year to bring better attention to the plight of the world’s stateless and to accelerate action to help them.

Reprint © UNHCR/Electronic Publishing Unit

 

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Migration

Almost everywhere on the world, migration is a hot topic. Most of the time the debate about migration is fierce and charged with prejudices and fears. At the political level, this has far-reaching consequences, ranging from electoral victories of populist right-wing parties to the increasing isolation policy of Europe and the United States. But what exactly is migration? What are its causes? And what are problems and opportunities?

Video by Joern Barkemeyer and Jan Kuenzl

 
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Posted by on December 20, 2011 in Immigration, News

 

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Jailing Undocumented Immigrants is a Lucrative Business –By Gabriel Lerner | HuffPost

LOS ANGELES — At dawn on July 19, nearly 40 Immigration and Customs Enforcement (ICE) and Homeland Security Investigations (HSI) agents burst into the home home of Carmen Bonilla, 44. The agents were searching for “Robert” an alleged drug dealer, but ended up terrifying Bonilla and her son Michael, 16, daughter Josefina, 23, daughter-in-law Leticia, 28, and two of her granddaughters.

According to Jessica Dominguez, the family’s lawyer, and Jorge Mario Cabrera, spokesperson of the Coalition for Human Immigrant Rights of Los Angeles (CHIRLA), the family was subjected to “different levels of physical and verbal abuse,” including screaming, “kicking, beating and aggression.” Their treatment was documented last week by HuffPost LatinoVoices’ Jorge Luis Macías.

What happened to the Bonillas has happened to thousands of immigrant families. Immigration authorities — both local police and federal ICE agents — have embarked on a program to seek out “criminal illegal aliens” and, whether they find them or not, have often rounded up entire families for deportation.

Even though the Bonilla family members do not have criminal records, they face removal proceedings before an immigration judge. The family was able to find legal representation and general public support, enabling their release from ICE custody, but undocumented immigrants who are less lucky are routinely sent to prisons and detention centers where ICE will process their paperwork and decide whether they may be released.

“If they have a criminal record, particularly a drug or security-related conviction, or a felony or violent crime, or crime of moral turpitude, they will likely have to remain in custody until their trial before the [immigration judge],” explained Aggie R. Hoffman, an immigration attorney.

The Department of Homeland Security pays between $50 to $200 per day per person to local, county and state prisons to house apprehended aliens. A few years ago, a series I wrote for La Opinión showed how prisons in general, and California’s prisons in particular, benefit from the largesse of the federal government and vie for a piece of this lucrative business. At that time, I visited a detention center in Lancaster, Calif., run by the Sheriff of Los Angeles, where immigrants rounded up in raids were housed until their deportation or legal proceedings. The process is supposed to take just a few days, but some of the detainees rushed to tell me that they had been kept there for more than two years.

“This happens frequently because the courts are so backlogged; not enough judges to hear the cases of those being held”, explained Hoffman.

But the incarceration trend is not limited to public prisons. Thanks to a concerted lobbying push from the corrections industry, growing numbers of undocumented immigrants could end up in private detention facilities.

Over the past three years, immigration politics has seen more restrictive legislation at the state level and the unprecedented enforcement of current laws by the Obama administration. Together, the laws and the stepped up enforcement have the potential to bring tens of thousands of individuals into for-profit jails.

The recent animated video “Immigrants for Sale” by the activist group Cuéntame illustrates some facts behind the connection between the ongoing crackdown on illegal immigration and the for-profit corrections industry.

The video follows the trail of money and political power behind this piece of the national immigration debate. Its creators say it’s an attempt to uncover what lies behind the positions and ideologies in a discussion in which statements and accusations made at maximum volume have long replaced the open exchange of ideas and opinions.

Excerpt, read: Jailing Undocumented Immigrants Is Big Business –By Gabriel Lerner| HuffPost

 

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Deportation of Gay Man to Uganda Deferred…For Now | HuffPost

Robert Segwanyi

A Ugandan man in Britain who says he is gay and a victim of torture has had his deportation from the UK deferred at the last minute after fears that he could face persecution on his arrival back.

A human rights organization had petitioned Kenya Airways to stop the deportation which was due to take place at 20:00 on Thursday at Heathrow airport, after the Home Office said he had no right to remain in the country.

“Robert’s removal was deferred by the Home Office in a message to his lawyer less than a hour before he was due to be flown to Kampala. An earlier request to a judge for an injunction to stop the removal was refused,” his campaigners said on Thursday.

“This is a battle victory – but we have not won the war. The Home Office can still refuse to accept the fresh evidence and his asylum claim and issue new removal instructions. However his supporters will fight this and will argue that Robert’s mental state and his post-traumatic stress means he should be released from detention, as well as that his claim must be given a proper hearing.”

Campaigners and lawyers had argued that Segwanyi would face harsh measures, including ‘mob justice’ if he is sent back to his homeland.

Excerpt, read: Britain Defers Deportation of ‘Gay Man’ To Uganda After Petition | HuffPost UK

 

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In Father’s Memory, Antonio Bravo Fights to Stay in Britain –By Nina Bernstein | NYT

Antonio Bravo, in Armley, England, at the grave of his father, Manuel, who killed himself in 2005 in an effort to avert Antonio’s deportation (Photo: Andrew Testa for the International Herald Tribune)

CLAPHAM, England — The boy was 13 when a dawn immigration raid abruptly ended his father’s four-year quest for political asylum in Britain. By nightfall of that day in 2005, father and son were hundreds of miles from home, locked in the privately run Yarl’s Wood Immigration Removal Center here, scheduled for deportation to their native Angola in the morning.

Instead, shortly after midnight, the despondent father, Manuel Bravo, 35, walked to a stairwell with a bed sheet and hanged himself. The note he left said why: so that his orphaned boy could stay in Britain.

Indeed, the law did not allow immigration authorities to deport an orphan who had no one waiting for him. A British family the Bravos knew through church took the boy, Antonio, home to Armley, the working-class suburb of Leeds where they had settled in 2001.

Antonio, now 19, is an apprentice electrician who aspires to be an engineer. Not far from his father’s hilltop grave, he shares a century-old house with five British roommates and regularly visits the family who raised him. “I want to make my dad proud and not feel like he gave his life away for no reason,” he said.

But next month, Antonio faces the threat of deportation all over again. Under changing laws, instead of qualifying for citizenship this year, as he expected, he is not eligible to apply. His temporary residence permit, granted on humanitarian grounds, is expiring with no clear path to renewal.

Excerpt, read: In Father’s Memory, Fighting to Stay in Britain –By Nina Bernstein | NYT

 

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In Pursuit of Justice: Progress of the World’s Women | Guardian UK, United Nations

How many women hold seats in parliaments around the world? Which countries have laws against domestic violence, including marital rape? The flagship report of the UN’s newest agency – UN Women – published on Wednesday, takes a close look at women’s legal rights around the world.

The 2011 Progress of the World’s Women: In Pursuit of Justice report is a global survey of women’s access to justice – looking both at legislation passed by governments and the steps taken (or not taken) to implement those laws. The “paradox” confronted by the report is that despite the recent and rapid expansion of women’s legal entitlements, what is written in the statute books does not always translate into real progress on equality and justice on the ground.

The report looks at which countries have passed special legislation on women’s political rights and economic opportunities and on women’s reproductive health and rights. It looks at which countries have laws against domestic violence, sexual harassment and marital rape. It catalog data on development indicators related to women, and looks country-by-country at women’s participation in politics.

Women's legal rights interactive. Click image to see the map (Photo: Guardian).

The survey pulls out the case of Rwanda as an example of progress. Rwanda has the world’s highest share of women in top decision-making posts: 51% of parliamentarians and half of its supreme court judges are women. According to the report: “The presence of women in parliament has been a pivotal factor in achieving progressive legal reform on land, marriage and inheritance.” And beyond pushing through new legislation, the report says Rwanda’s women parliamentarians have also played a crucial role in implementing these new laws – taking their male colleagues on nationwide tours to monitor the application of laws and help change attitudes on women’s rights.

Some highlights from the report:

• 139 constitutions guarantee gender equality, 117 countries have equal pay laws, and 115 countries guarantee women’s equal property rights
• globally, 53% of working women are in vulnerable employment and women are paid up to 30% less than men in some countries
• 125 countries outlaw domestic violence, but 127 countries do not explicitly criminalize rape within marriage
• around the world, 603 million women live in countries where domestic violence is not considered a crime and more than 2.6 billion live in countries where marital rape is not a criminal offense
• 61 countries severely restrict women’s rights to abortion
• 50 countries have a lower legal age of marriage for women than for men
• Rwanda has the highest share of women in parliament (51%), followed by Sweden (45%). In the UK, only 21% of parliamentarians are women, and in the US that figure is down to 17%
• the first woman elected to parliament was in Finland, in 1907

Boosting the number of legislators who are women is one of the key recommendations of the report and is also a key indicator for the millennium development goal on gender equality. The UN Women report suggests using quotas to increase numbers do so. Of the 28 countries that have reached or exceeded 30% of women’s representation in national parliaments, at least 23 have used quotas.

Excerpt, read:  UN Women Justice Report: Get the Data | Guardian UK

 

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Indonesian Maid Beheaded in Saudi Arabia | Al Jazeera (Video)

Indonesia has recalled its ambassador to Saudi Arabia in response to the execution of an Indonesian maid after being convicted of murdering her Saudi employer. The incident has sparked protests in Jakarta and calls for an explanation from Riyadh.

In the past 20 years, a total of 303 migrant workers from Indonesia have been sentenced to death in Saudi Arabia and Indonesia has managed to help only 12 of its citizens escape execution. Al Jazeera’s Syarina Hasi-buan reports from Jakarta.

 

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30 Years of AIDS –By Fauci & Folkers | The Advocate

“The global HIV/AIDS epidemic is an unprecedented crisis that requires an unprecedented response. In particular it requires solidarity — between the healthy and the sick, between rich and poor, and above all, between richer and poorer nations. We have 30 million orphans already. How many more do we have to get, to wake up?” ~Kofi A. Annan, Fmr. Sec. General of the United Nations

Thirty years ago, the first five cases of what is now known as the acquired immune deficiency syndrome were reported in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report. The amount of knowledge gained since then has been extraordinary, and the pace at which research findings have been translated into lifesaving treatments and tools of prevention is unprecedented, although much remains to be done with regard to delivering the fruits of this research to the people who need them most.

The discovery of the human immunodeficiency virus as the cause of AIDS in 1983-1984 was followed by an understanding of how HIV leads to AIDS; the natural history and epidemiology of the disease; the creation of a diagnostic blood test; and the development over the years of more than 30 antiretroviral drugs. The approval of the first protease inhibitors in 1995-1996 paved the way for powerful, multi-drug antiretroviral therapy. The many combination regimens now available using different classes of antiretroviral drugs have dramatically improved the quality of life and extended the life expectancy of people with HIV. An HIV-infected person properly treated with this combination therapy — and provided other needed care and services — now can expect to live for decades after being diagnosed.

Antiretroviral treatment regimens also can prevent HIV infection. When given to pregnant HIV-infected women and their newborns, these drugs have been enormously successful in preventing mother-to-child transmission of HIV. Moreover, just three weeks ago, a rigorous, controlled clinical trial conducted in nine countries confirmed another potent way to apply treatment as prevention.

The study results were striking: Among more than 1,700 heterosexual couples in which one partner was HIV-infected and the other was not, starting combination antiretroviral therapy immediately in the infected partner when blood tests indicate his or her immune system is still strong resulted in a 96% reduction in HIV transmission to the uninfected partner, compared with deferring treatment until the same tests showed the immune system to be weaker.

This recent report confirms that combination therapy not only benefits the infected individual but also can reduce the risk of transmitting the virus to others. By confirming that this type of therapy can do double duty as treatment and prevention, this study has energized the medical, public health, and activist communities. In addition to its role in protecting babies from infection, “treatment as prevention” to block sexual transmission now can be added to our toolkit of proven HIV prevention interventions, which also includes behavioral modification, condom distribution, the provision of clean needles and syringes to injection drug users, medically supervised adult male circumcision, and other approaches.

Meanwhile, other recent progress in HIV research gives us hope that we soon will have additional prevention tools. Notably, a once-a-day pill combining two antiretroviral drugs was shown to reduce the risk of HIV acquisition in men who have sex with men (MSM), and an antiretroviral-based, vaginally applied gel did the same for heterosexual women.

Although a protective HIV vaccine remains elusive, we are encouraged by the recent demonstration that a vaccine tested in Thailand provided modest protection against HIV. Researchers now are examining blood samples and data from the Thai trial to determine how the vaccine prevented HIV infections, information that will help guide efforts to improve on those results.

Scientists also are pursuing many other research avenues, including structure-based vaccine design. With this approach, researchers characterize in exquisite detail key molecules on the HIV virus and use these structures to design new components for next-generation HIV vaccine candidates.

Entering the fourth decade of HIV/AIDS, our task is to build on these advances and deliver scientifically validated interventions to everyone who needs them, both in the United States and abroad. Six in ten HIV-infected people in developing countries who need combination antiretroviral therapy are not receiving it, which puts their health and that of their sexual partners at risk.

Domestically, access to treatment and care also is not optimal. A recent analysis estimated that of the 1.1 million people living with HIV in the United States, approximately 20% are unaware of their infection. And within the entire group of infected people, only about 19% have a viral load that has been driven to undetectable levels by combination therapy. Both at home and globally, greater numbers of HIV-infected individuals need to be identified early in the course of their disease through expanded voluntary HIV testing programs and linkage to appropriate care and antiretroviral treatment.

In addition, prevention programs using proven tools must be dramatically “scaled up,” refined, improved, and made more cost-effective. At the same time, we must continue to develop additional effective prevention strategies.

We also must find innovative approaches to curing HIV/AIDS by eradicating or permanently suppressing the virus in infected people, thereby eliminating the need for lifelong antiretroviral therapy. In this regard, important new research is being undertaken by the National Institutes of Health and other organizations. A robust research effort is critical to address the malignancies, cardiovascular and metabolic complications, and premature aging associated with long-term HIV disease and/or antiretroviral therapy.

Despite these challenges and the huge burden of this modern-day plague, we now look at the fight against HIV/AIDS – and our chances of prevailing – with considerably more optimism than we previously have felt. With the medical and public health tools now or soon-to-be available, controlling and ending the global HIV/AIDS pandemic are feasible goals.

Unfortunately, we are in a difficult situation of considerable global constraints on resources to support this goal. Every effort must be made to efficiently apply existing resources so that proven interventions are delivered in the most cost-effective manner. In addition, public-sector, commercial and philanthropic commitments to HIV/AIDS research and implementation of proven findings must be sustained and strengthened with the investment of additional resources to ensure that HIV treatment and prevention services are universally available to the people who need them, wherever they live.With a global commitment, we can control and ultimately end the HIV/AIDS pandemic. On this commemoration of the 30-year anniversary, let us recommit ourselves to that goal.

This column is provided by Kaiser Health News, an editorially independent news service of the Kaiser Family Foundation, a nonpartisan health-care policy organization that is not affiliated with Kaiser Permanente.

Reprint: 30 Years of AIDS –By Anthony S. Fauci & Gregory K. Folkers |The Advocate

 

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State of the World’s Human Rights – Amnesty International Report 2011

The first four months of 2011 witnessed an unprecedented surge of ordinary people speaking up for their rights and demanding change. Inspired by political upheavals in the Middle East and North Africa, protesters peacefully called for greater freedoms in Sudan and Azerbaijan, while online activists in China urged a ‘Jasmine Revolution’. But the authorities’ repressive attempts to silence these voices through arrests and detentions, ill-treatment and prison sentences continued.

Civilians elsewhere also paid a heavy price for exercising their civil and political rights. Hundreds were killed during Nigeria’s election period in April, and hundreds of thousands of people displaced by post-election violence in Côte d’Ivoire still fear reprisals if they return home.

In contrast, 2011 has seen some victories for international justice, such as the International Criminal Tribunal for the former Yugoslavia’s sentencing of three former generals for crimes committed during the Balkans war. Another step was made on the path towards ending the death penalty, as Illinois became the USA’s 16th abolitionist state.

Yet entrenched human rights abuses and insecurity continued unabated in many countries. In Mexico, 11,000 migrants were abducted during a six-month period alone, and in Colombia, more human rights activists were killed. Amid increased Taliban attacks in Afghanistan, questions about security are also mounting following the killing of Osama Bin Laden in Pakistan.

Worldwide, the struggle for free expression, security and human rights is in sharper focus than ever.

Purchase a copy of State of the World’s Human Rights –Amnesty International Report 2011

 

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