A panel of environmental and human rights activists acted as judges in a People’s Health Tribunal organized by African communities impacted by the operations of extractive corporations Shell and Total Energy. Supported by organizations like Medact, We the People, the People’s Health Movement, #STOPEACOP, and others, they found the corporations guilty of harming the health of people across Africa. Nnimmo Bassey, Jacqueline Patterson, Kanahaus Manuel, and Dimah Mahmoud condemned Shell and Total’s activities, stating that they were “extremely harmful to the livelihoods, health, right to shelter, quality of life, right to live in dignity, quality of environment, right to live free of discrimination and oppression, right to clean water, and right to self-determination.”
This edition of the People’s Health Tribunal was built as activists witnessed extensive greenwashing by the oil and gas industry at COP 27 in Egypt last year. In response, they became even more determined to support the struggles of communities in Africa who are affected by the corporations who attempted to gaslight the public at COP 27.
However, governments in the Global North, where most extractive corporations have their headquarters, still choose to ignore the destruction caused by these industries. In 2022, Shell made a profit of $40 billion, while Total Energy ended the year with US$36 billion in profits. These profits came at the expense of the health and lives of people living in regions where these corporations operate.
Uprooting Set the Ground for Total’s LNG Operations in Mozambique
Decades of exploitation of African land have resulted in devastating consequences, including air pollution, water contamination, deforestation, violence, land grabbing, and forced migration. People in the Niger Delta and Mozambique experience these things daily. Omar Elmawi, who provided an overview of Total’s impact on Mozambique communities, emphasized that in the current situation, “everyone loses, except Total.” Elmawi said he believed that African countries must take control of their own resources and development to make sure that justice is restored.
In Mozambique, Total Energy’s plan to construct an onshore liquefied natural gas (LNG) facility led to the displacement of hundreds of families dependent on farming. Total’s plans also decimated traditional fishing activities, leaving people destitute. Instead of providing the uprooted communities with adequate living conditions and compensation, the company’s plan resulted in people being left without shelter, living in refugee camps, and exposed to violence.
At the same time, pointed out Elmawi, the company was not shying away from tax evasion, bleeding even more resources out of the country and leaving Mozambique without necessary means to build essential infrastructure.
Similar experiences were echoed by activists from Uganda and South Africa, who bore witness to the baleful behavior of Total Energy and Shell in the face of the communities which they so violently entered. The testimonies also highlighted the environmental impacts being shouldered by the same communities, as floods and storms regularly devastate local food production.
Shell Operations in the Niger Delta
Shell has been furiously extracting resources in the Niger Delta for over 60 years, attracting more companies to exploit the region due to its rich reserves. Videos from villages in the Niger Delta clearly show oil contamination of water sources, while Shell ignores the grievances raised by the communities. With Shell’s arrival, people’s health deteriorated, in addition to the environmental devastation caused by oil and gas extraction. People began suffering from previously uncommon diseases, including blindness, respiratory problems, and kidney disease, according to one of the testimony-givers.
However, the people of the Niger Delta aren’t asking for charity or pity; they are determined to fight for justice and see Shell restore the land it has devastated. In the light of that, Shell’s announcement of divesting from operations in the Niger Delta is seen as inadequate by community members. They view it as an attempt to evade responsibility for the damage caused over the years. After all, they pointed out, Shell would not be giving up on their business—they would be simply selling their assets to someone else.
The judges stressed the need to establish infrastructure for a reparative justice process to achieve true reparation for affected communities. They also called for Shell and Total Energy to halt all plans for expanding existing fossil fuel extraction sites, implement a permanent moratorium on exploring new sites, and cease supporting violence against communities through military, paramilitary groups, or private security forces.
In order to achieve that, it is necessary to constantly bear witness about the destruction caused by extractive corporations. By doing that, the people who spoke about their experiences during the People’s Health Tribunal showed extreme courage and deserved respect, said Nnimmo Bassey. “Staying alive and speaking out is the best we can do,” he said.
People’s Health Dispatch is a fortnightly bulletin published by thePeople’s Health Movement and Peoples Dispatch. For more articles and to subscribe to People’s Health Dispatch, clickhere.
African Stream produced this video report: “The United States Africa Command—or AFRICOM—was founded in 2007. But it’s failed to bring peace and security. Major failures in Somalia, Libya and elsewhere have left many Africans suspecting it exists only to serve U.S. interests.”
Women in Western Sahara, officially the Saharawi Arab Democratic Republic / credit: Saharauiak / Wikipedia
Editor’s Note: This article originally appeared in People’s Dispatch.
Dismissing a now-deleted tweet by Kenyan President William Ruto about rescinding recognition of the Sahrawi Arab Democratic Republic (SADR), the Kenyan foreign ministry clarified on September 16 that it would continue to maintain diplomatic relations with SADR and support its right to self-determination.
Also known as Western Sahara, SADR is a founding member of the African Union (AU) and the continent’s last colony, fighting a war for liberation from Morocco. The Moroccan occupation of most of SADR’s territory since 1975 has been receiving increasing Western support, despite a consensus in international law that Morocco has no legitimate territorial claims over SADR, whose right to self-determination is well-recognized.
But Kenya has emerged as an important ally, championing SADR’s cause over the last decade. Ruto’s decision to change this foreign policy, only a day after his swearing-in ceremony, which was also attended by SADR President Brahim Ghali, was reversed as a result of public backlash and dissonance within the foreign ministry, sources and reports indicate.
“Kenya’s position [on SADR] is fully aligned with… the AU Charter which calls for the unquestionable and inalienable right of a people to self-determination,” read the foreign ministry communique dated September 16, addressing all of Kenya’s missions and directorates.
This communique, which was made public on Monday, September 19, reiterated, “UN Security Council Resolution 690 (1991)… calls for the self-determination of Western Sahara through a free and fair referendum administered by the UN and the AU. Kenya supports implementation of this UN security Council Resolution to the letter.”
Implicitly criticizing the new president’s hasty announcement, the communique signed by principal secretary Ambassador Macharia Kamau added, “It should be equally noted that Kenya does not conduct its foreign policy on Twitter or any other social media platforms, rather through official government documents and frameworks.”
Following a meeting with Moroccan Foreign Minister Nasser Bourita, Ruto had tweeted on September 14, “At State House in Nairobi, received a congratulatory message from His Majesty King Mohammed VI. Kenya rescinds its recognition of the SADR and initiates steps to wind down the entity’s presence in the country.”
While the tweet was soon deleted, Morocco’s foreign ministry released an official statement on its website the same day, announcing: “Following the message of His Majesty King Mohammed VI to the new President of the Republic of Kenya, Mr. William Ruto, the Republic of Kenya has decided to withdraw the recognition of the so-called ‘SADR’ and to initiate the steps to close its representation in Nairobi.”
The statement further claimed that Morocco and Kenya had signed a joint statement agreeing that “in deference to the principle of territorial integrity and non-interference, the Republic of Kenya [had extended] total support to the serious and credible autonomy plan proposed by the Kingdom of Morocco” as the only possible solution to the Sahara issue.
The Kenyan foreign ministry’s communique two days later in effect clarified that the tweet by the president had been arbitrary and had no bearing on the country’s foreign policy. This was a setback to Morocco, which had declared a diplomatic victory over SADR prematurely, before any official announcement by the Kenyan government.
Asked to explain the sudden change in stance and dissonance within the government, Kenya’s Deputy President Rigathi Gachagua told KTN News on Monday, “This was an administration in transition—[having been] only one day in office… We had many visitors, there [were] so many delegations, and communications had to be made.” He said this without specifying which countries’ delegations or visitors had sought for such a communication to be made.
Gachagua stressed that the most important thing was that “a clarification had been made,” and that the country’s position was “that of the United Nations and that of the African Union.”
United States and Israel Allegedly Lobbying Kenya
Even before the election was held in August this year, the United States and the United Kingdom, which were allegedly supporting Ruto’s candidacy, had sought from him a reversal of Kenya’s policy on SADR during his foreign trips, alleged Booker Ngesa Omole, National Vice Chairperson of the Communist Party of Kenya (CPK).
The UN, the AU, the Court of Justice of the European Union and the International Court of Justice all maintain that Morocco has no legitimate territorial claims over SADR. Nevertheless, in late 2020, then-U.S. President Donald Trump had announced his decision to open a consulate in occupied Western Sahara, in effect recognizing it as Moroccan sovereign territory.
After Ruto was declared the president-elect, a presidential delegation from the United States earlier this month and the subsequent Israeli delegation led by its minister of intelligence, had both allegedly brought up Kenya’s policy vis-à-vis SADR in the meetings with Ruto, Omole claimed.
Morocco, which is the second largest exporter of fertilizer in the world, had in the meantime seen a further opening in Ruto’s election promise of providing cheap fertilizers, he explained. With an apparent assurance from Morocco about “providing fertilizers at subsidized prices, Ruto went on national television to announce that he will provide subsidies to all farmers on fertilizers within two weeks time. A day later, he announced he was rescinding SADR’s recognition,” Omole said.
The bulk of the phosphate used in Moroccan fertilizers is extracted from the occupied Western Sahara. “The Moroccan regime uses the resources stolen from Western Sahara to bribe foreign officials to obtain recognition for its illegal occupation of our homeland,” Kamal Fadel, SADR’s Representative to Australia and the Pacific, told Peoples Dispatch.
“Those who receive the stolen goods from Western Sahara are complicit in the war crime of pillage and their involvement is a tacit support to an illegal occupation—one with continuing notorious human rights abuses occurring during a time of armed conflict,” he added.
Pointing out that within an hour of Ruto’s announcement, “Kenyans had jumped on his tweet, attacking him for surrendering sovereign foreign policy to Moroccan bribes,” Omole explained that there is a strong sentiment against what is perceived as a return to old foreign policy.
‘Kenyan Population Supports the Sahrawi People’
“Except for the last 10 years, Kenya has not had a progressive foreign policy. It was always a wait-and-see opportunistic policy, aligning with whichever position brings in most alms from foreign countries. So our relations with Western Sahara had always been strained,” Omole told Peoples Dispatch.
In 2006, Kenyan President Mwai Kibaki had placed diplomatic relations with SADR on “a temporary freeze” only months after first receiving diplomatic credentials from its ambassador. “But the Kenyan masses are always ahead of their governments. There was an uproar here, led by the Kenya Western Sahara Friendship Society (KWSFS),” said Omole, who has been a member of the KWSFS for 20 years.
“This organization has been fostering people-to-people friendship between the two countries. A few times, we have also hosted families from the refugee camps [of the displaced Sahrawis in Algeria]. Kenyan people lobbied the government to condemn Morocco’s occupation,” he explained. Under popular pressure, “Kibaki had to initiate the process to re-establish diplomatic relations with SADR.”
While this was unfolding, Uhuru Kenyatta and William Ruto, who at the time were contesting the 2013 election together as presidential and vice-presidential candidates, were put on trial by the International Criminal Court (ICC). They were tried for charges of crimes against humanity for political violence in the aftermath of the 2007 presidential election. The charges were subsequently dropped.
However, Kenyatta did not take the alleged U.S. and U.K. support for this trial well, Omole claimed. “After he won the election, he went about changing Kenya’s foreign policy against the interests of the West. He pursued alternative trade relations with the East, instead of continuing to rely on the West. He refused to follow Israel’s line and supported Palestine. He opened the SADR’s embassy in Nairobi, and, for the first time, Kenya appointed an ambassador to SADR. For the first time, a Kenyan ambassador presented his credentials to the president of the SADR.”
In the regional and international forums of the AU and the UN, Kenya actively supported the cause of the SADR. “The progressive foreign policy has continued since,” and during this period Kenyan people’s relations and solidarity with the Sahrawi people has deepened, Omole said.
There is a high degree of “awareness among the Kenyan people about the Sahrawi people’s struggle for liberation. It seems our new president was out of touch with the reality that the Kenyan population supports the Sahrawi people, regardless of the divisions that will be sown by governments,” he observed.
Accredited Social Health Activist (ASHA) worker Kavita Magdum monitors the health of infants and children. Here, she weighs one of twins of Hasina Hajukhan / credit: Sanket Jain
Hasina Hajukhan never imagined that returning to her maternal house would turn into a near-death experience. In April, the 28-year-old was seven months pregnant, and her medical parameters were normal. “I was taking extra care to ensure no complications during childbirth,” she told Toward Freedom.
As is customary in many parts of India, pregnant women return to their parents’ homes to give birth. When Hajukhan first reached her mother’s house in Ganeshwadi village of the western Indian state of Maharashtra, she felt nauseated. “It was April’s final week, and I couldn’t even breathe properly,” she recounted. A heat wave had taken hold. “The climate was the stark opposite of what it was in my husband’s village.” In Ganeshwadi, things kept getting complicated with the rising heat. “Every day, I was breathless and would feel dizzy.”
Using a desk fan at the highest speed didn’t help, as it just circulated more hot air. An air conditioning system was something her family could not afford. The tin sheet roof would get extremely hot. During this crucial time, Hajukhan needed rest. However, she spent most of her day stepping out to gasp for cold air. In May’s final week, things got worse. “I felt as if I was going to die,” she recalled, teary-eyed.
Immediately, her mother dialed Ranjana Gavade, an accredited social health activist (ASHA worker), part of a community of 1 million women healthcare workers appointed for every 1,000 people in India’s villages. ASHAs are responsible for more than 70 healthcare tasks, with a particular focus on maternal and child health.
ASHA worker Shubhangi Kamble spends a significant amount of time each day talking to community women to help them understand the impact of climate change on children / credit: Sanket Jain
“I was worried looking at her rapidly deteriorating health and informed my colleagues.” Upon their instructions, Gavade called a government ambulance and swiftly took her to the district hospital, 33 kilometers (20.5 miles) away. Hajukhan gave birth to underweight twins. Her troubles still hadn’t ended when she was discharged after three days. For a month since then, Hajukhan has been trying to ensure her twins gain weight, but all efforts have failed. As a result, they weren’t administered the necessary Bacillus Calmette–Guérin (BCG vaccine used against tuberculosis), Hepatitis B, and Polio vaccines.
The Kolhapur district, where Hajukhan lives, has been reporting recurring floods, heat waves, incessant rainfall, and hailstorms triggered by climate change. She said everything would have been normal had she not returned to her parents’ home to give birth in the heat waves. “My children wouldn’t have had to live such a dangerous life,” she said.
Like in the village of Ganeshwadi, climate change impacts have been delaying children’s immunization schedules throughout India, making them vulnerable to diseases. Research has found that if a child belonged to a district highly vulnerable to climate change, the odds of stunting rose by 32 percent, low weight by 45 percent, anemia by 63 percent and acute malnutrition by 42 percent. An analysis by global nonprofit Save the Children found that, globally, 774 million children are living in poverty and at a high risk of climate-related disasters. Weather disasters ranging from floods to droughts prevent children from obtaining nourishment, causing low weight, and these disasters put a break on children receiving vaccinations on time. Their weakened immune systems, as a result of a lack of proper nourishment in crisis times, make them vulnerable to other diseases. Being sick can halt the necessary immunizations, and these delays have led to a rise in epidemics and diseases.
ASHA worker Shubhangi Kamble often works beyond her duty to ensure every child completes the universal immunization on time. Here, she speaks to a woman to help her understand how climate change can impact her son’s health / credit: Sanket Jain
How Floods Impact Universal Immunization
Snehal Kamble, 24, a resident of Maharashtra’s flood-prone Arjunwad village, remembers the year 2019 in meticulous detail. “A day before the floods, I was preparing to go to my parent’s house.” Five months pregnant, she was looking for iron folic acid tablets. “Instead, all of us went to a flood relief camp,” she recounted. From there, she moved to another relief camp within a few days, as the water rose further. “During this time, I was worried about my house and belongings,” she said. She fell sick and was away from home for 15 days. “Those were the most difficult days of my life,” she shared. Then in January 2020, she gave birth to a boy named Sangarsh, who has often fallen sick. “When I went to my maternal house, he just couldn’t bear the heat there,” she said. The dehydration and spells of fever he experienced affected his immunization schedule. “His Pentavalent vaccine was delayed by several months because of health ailments,” said ASHA worker Shubhangi Kamble (no relation to Snehal), who has been monitoring this child since birth.
Further, his Measles-Rubella vaccine and Vitamin A dose were also delayed, making him vulnerable to diseases. “Vaccines need to be administered on time,” said Sachin Kamble, a nursing officer at the district women’s hospital in Maharashtra’s Osmanabad district. “Otherwise, it affects a child’s immunity, making them more vulnerable to diseases.”
He pointed out how the lack of vaccinations led to 2,692 cases in 2022 in Maharashtra, which reported the highest measles count in India. That was an eight-fold increase from the previous year. During this time, India reported 12,773 cases. India’s National Family Health Survey (NFHS) said only 31.9 percent of children ages 24 months to 35 months had received a second dose of measles-containing vaccine in 2019-21.
Another healthcare worker, Kavita Magdum, from flood-affected Ganeshwadi village, said that children in her surveying area never fell ill so frequently. She started noticing such stark changes only in the past five years. Upon inspecting this, she found, “Stress caused by the changing climate is leading to this.” For instance, Magdum sees that many children aren’t drinking breast milk, which has impacted their medical parameters. These drastic changes reflect in Indian government statistics, as well. During 2015-16, 58.6 percent of children ages 6 months to 59 months (just under 5 years old) were anemic in India. By 2019-20, this number rose to 67.1 percent. In addition, 32 percent of children nationally remain underweight.
After a year-and-a-half, Snehal’s son started getting better, thanks to Shubhangi’s consistent visits, when she monitored every parameter and ensured the best possible treatment by working hours beyond her duty. “Once the vaccination schedule started falling in place, his health, too, began improving,” Shubhangi shared.
ASHA worker Ranjana Gavade frequently visits Hajukhan’s home to monitor the health of her children / credit: Sanket Jain
Untimely Administration of Vaccines
While climate change is making it difficult for these healthcare workers to complete universal immunization, another challenge is the untimely vaccine administration.
“There are many instances, where vaccines in several villages are just not available,” said Netradipa Patil, leader of more than 3,000 ASHA workers and co-founder of Deep-Maya Foundation, a non-profit that works for women and children. “During such times, it becomes extremely challenging for us healthcare workers to manage everyone.”
Patil has observed that the workload has increased tremendously for all the ASHA workers because of the delay in vaccination. This is because ASHA workers are responsible for immunization, and in case of any discrepancy or error, they are held accountable. Research published in 2016 concluded, “Lack of timely administration of key childhood vaccines, especially DPT3 (the three doses of the Diphtheria, Tetanus and Pertussis vaccine) and MCV (measles-containing vaccine), remains a major challenge in India and likely contributes to the significant burden of vaccine-preventable disease-related morbidity and mortality in children.” Another paper published in 2019 inferred, “The proportion of children with delayed vaccination is high in India.”
In 2021, the World Health Organization found that 25 million children around the world under the age of 1 didn’t receive vaccines, a figure not seen since 2009. “Many children never get the Vitamin A doses on time. These doses are just not available when required,” Patil said, suggesting the Indian government should consult local healthcare workers to arrange vaccination. “We need to reach more and more people, and, currently, looking at the changing climate, we aren’t prepared to do this,” she shared. Patil made simple suggestions like identifying vulnerable children and their locality and monitoring them from the earlier stages, even before the disaster strikes. “Just by proper identification, we can save so many children,” she said.
A woman playing with her child in Maharashtra’s Kolhapur district / credit: Sanket Jain
Rising Undernourishment
Fed up with feeding medications and tonics that didn’t seem to help increase his weight and prevent him from continually falling ill due to the changing weather conditions, Rashi Patil, 23, quit taking her son to the doctor every month after 18 months. “My son just wouldn’t eat anything,” Patil said.
Moreover, the changes in local climatic patterns affected her son’s health, and he often fell sick. Last year, he was hospitalized for a week as his platelets fell and a fever intensified. What followed next were recurring illnesses that delayed his immunization schedule. Because of the fever in March, he wasn’t administered the Pentavalent 1 vaccine (it protects from five life-threatening diseases: Diphtheria, Pertussis, Tetanus, Hepatitis B and Hib [Haemophilus Influenzae Type b]). Her son soon became weak and began recovering only after the vaccine’s administration. All this while, her son struggled with good eating habits. After several trials and errors, Rashi and her husband, Rajkumar, discovered the climate affected their son’s health and eating habits.
“Now, their son makes it a point to eat only outside the house, where he gets some cold air,” says Rashi. “Contrastingly, this was never the case with my elder daughter.”
Toward Freedom reached out to Ganeshwadi’s community health officer, Dr. Prajakta Gurav, regarding what steps her team was taking to deal with delayed immunization. Gurav hasn’t replied as of press time.
The impact of poor diets is more obvious at the national level. For instance, just 11.3 percent of children between the ages of 6 months and 23 months receive an adequate diet. Plus, in 2022, India ranked 107 out of 121 countries on the global hunger index. These numbers further reveal how climate change is exacerbating the existing faultlines.
The problem is not restricted to India. Of the countries at severe risk of being adversely affected by climate change, the report by Save the Children says, “Burundi has the highest rate of stunted children (54 percent), followed by Niger (47 percent), Yemen (46 percent), Papua New Guinea (43 percent), Mozambique (42 percent) and Madagascar (42 percent).”
Research published in PLOS Medicine found that in 22 sub-saharan African countries, drought led to lower chances of completion of BCG (Bacillus Calmette-Guérin), Polio and DPT (diphtheria, tetanus, and pertussis) vaccines. “We took vaccines to the last mile. Now, climate change is eroding progress.”
For Komal Kamble, 30, vaccinating her 2-year-old daughter remains challenging. Her remote mountainous village of Kerle, in Maharashtra’s Kolhapur district, remains inaccessible most of the year.
For the village population of less than 1,100 people, the nearest healthcare facility is 15 kilometers away. Last year, within a week of October rains, the road that connects her village to the nearest hospital was completely under floodwater.
Komal’s daughter couldn’t get proper medical care for two days, worsening her health. Her chest was full of cough, and the fever rose, making things difficult for the agrarian Kamble family. This wasn’t restricted to heavy rainfall, though. Since her birth in 2021, Komal has taken her daughter to a private doctor at least 20 times, spending over Rs 15,000 ($182). Last year, she was feverish and wasn’t given the crucial Japanese encephalitis vaccine, a Vitamin A dose and the Measles-Rubella vaccine. This made her vulnerable to more diseases, challenging the Kamble family.
Healthcare worker Shubhangi Kamble from Arjunwad says that instances of children missing their vaccination are rising rapidly. When she went to find out why this was happening in her village, Arjunwad, she saw that children fell sick during floods and heat waves. “This was the time that coincided with their vaccination schedule, and so many couldn’t get the vaccines,” she shared.
However, a delay in vaccination has caused more problems than she had anticipated.
“Almost every day, at least one parent dials me asking where they should get their children hospitalized,” she said.
Now, every rainfall brings a health issue for Komal’s daughter. “I am tired of going to the healthcare center to hear that my daughter is underweight or sick and can’t be given the vaccine,” Komal said, with frustration in her voice.
Meanwhile, with every climate disaster, it will become increasingly difficult for many families to complete the immunization in time. “I’ve been vaccinating children for over a decade, but things never got this difficult. We took vaccines to the last mile. Now, climate change is eroding progress,” said healthcare worker Kavita Magdum.
Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.
