I recently participated in a simulation of a world conference in HIV/AIDS. Each of the simulation participants selected a nation-state, international government organization, or non-government organization to represent in the conference. Participants were required to maintain their simulation role throughout the conference. I selected the World Bank, in an attempt to illustrate to other participants how that organization works. The following is my opening statement, plan proposal and final vote:
Opening Statement to the Conference:
This evening, before the nation-states of the global stage, our leading private
sector partners, esteemed representatives from leading non-governmental and
international governmental organizations, the entire world comes together as one
village to address one of the most ominous threats to ever face humanity. That
threat is the disease of HIV/AIDS, which stands for an “'acquired
immunodeficiency syndrome' and is a surveillance definition based on signs,
symptoms, infections, and cancers associated with the deficiency of the immune
system that stems from infection with HIV”. [1]
Over 34 million people
around the globe are now living with the disease of HIV/AIDs, and even more
disturbing is the fact that a high percentage of those infected live in
developing countries. While the international community has made great strides
toward achieving United Nations Millennium Goal number 6, the world has
witnessed 2.5 million new cases of HIV in 2011. Alarmingly, 69 percent of the
total new HIV/AIDS infections that occurred in 2011 were in Sub-Saharan Africa,
the most HIV/AIDS affected region in the world today [2]. Behind Sub-Saharan
Africa, the Caribbean is the second most HIV/AIDS affected region in the world
[3]. The fact that we have state leaders from both of these regions of the world
in attendance tonight shows the resolve and dedication of those governments to
battle the decimating epidemic of HIV/AIDS, and the World Bank applauds them
(pause for applause).
In the past decade, the international community has
made great strides in combating the HIV/AIDS epidemic around the globe. In 2011,
the world saw a 24 percent decrease in HIV/AIDS related deaths compared to 2005,
a statistical decrease that equals more than a half million fewer deaths around
the globe (pause for applause) [4]. The World Bank takes extreme pride in being
a leading organization in combating the disease of HIV/AIDS.
In the
first decade of the 21st century, the World Bank, a proud co-sponsor of the
United Nations Programme on HIV/AIDS, and its partners has led the global battle
against the epidemic of HIV/AIDS. In India, the national AIDS program supported
by the World Bank has prevented an estimated 3.5 million infections from a
previously projected 5.5 million infections (pause for applause). In West
Africa’s transport corridor, sexually transmitted infections have decreased by
22 percent through World Bank supported prevention programs (pause for
applause). In Rwanda, programs supported by the World Bank have increased
overall health service utilization by 76 percent (pause for applause). The World
Bank is proud to have provided over 68 million people around the globe with
basic packages of health, nutrition, or population services, and to have
provided 55 million pregnant women with antenatal care, to have provided
antiretroviral therapies to 1.5 million adults and children with HIV, to have
trained 2.2 million health personnel to improve the quality of health services
in developing countries, and to have distributed 813 million condoms for the
prevention of HIV, sexually transmitted diseases, and unwanted pregnancies
(pause for applause) [5].
In spite of all the positive advancements that
the international community has achieved over the past decade, there were 34
million people in 2012 living in the world with HIV/AIDS compared to 29.4
million in 2001. Between the timeframe of 2005 and 2011, while geographical
areas such as the Caribbean saw declines in AIDS related deaths, which as the
second highest AIDS affected region on Earth should see decreases, the
international community has witnessed disturbing increases in Eastern Europe and
Central Asia, with a twenty-one percent increase in AIDS related deaths, and the
Middle East and North Africa, with a seventeen percent increase in AIDS related
deaths [6].
The world is capable of doing more to combat this disease,
and as a global society MUST do more to combat this epidemic. Tonight, before
the international community, the World Bank declares its responsibility and
dedication in increasing efforts for combating the global spread of HIV/AIDS.
The World Bank is prepared to enhance long-term financial and specialized
technical support and knowledge to the countries of the world for effective
prevention of new HIV infections, care and treatment for people living with
HIV/AIDS, and alleviation of social and economic consequences for affected
communities [7].
In the following days, the World Bank looks forward to
meeting with world leaders, along with the leading International Government
Organizations, Non-Government Organizations dedicated to combating HIV/AIDS, and
our private sector partners in order to propose fresh global and regional
programs for reducing the spread of HIV/AIDS around the globe and assisting the
United Nations and the international community in achieving the goals set forth
within the United Nations Millennium Goal number 6 by the year 2015.
Thank you very much. Good night.
1. Joint United Nations
Programme On HIV/AIDS. Fast Facts about HIV, 2008. Accessed on March 19, 2013
from
http://www.unaids.org/en/media/unaids/contentassets/dataimport/pub/factsheet/2008/20080519_fastfacts_hiv_en.pdf
2. World Bank. Overview: HIV/AIDS, 2012. Accessed on March 19, 2013 from
http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTHEALTHNUTRITIONANDPOPULATION/EXTHIVAIDS/0,,contentMDK:21546262~menuPK:376479~pagePK:210058~piPK:210062~theSitePK:376471,00.html
3. Joint United Nations Programme On HIV/AIDS. Global Fact Sheet, World AIDS
Day 2012. Accessed on March 19. 2013 from
http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/20121120_FactSheet_Global_en.pdf
4. Joint United Nations Programme On HIV/AIDS. Global Fact Sheet, World AIDS
Day 2012. Accessed on March 19. 2013 from
http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/20121120_FactSheet_Global_en.pdf
5. World Bank. Overview: HIV/AIDS, 2012. Accessed on March 19, 2013 from
http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTHEALTHNUTRITIONANDPOPULATION/EXTHIVAIDS/0,,contentMDK:21546262~menuPK:376479~pagePK:210058~piPK:210062~theSitePK:376471,00.html
6. Joint United Nations Programme On HIV/AIDS. Global Fact Sheet, World AIDS
Day 2012. Accessed on March 19. 2013 from
http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/20121120_FactSheet_Global_en.pdf
7. World Bank. Overview: HIV/AIDS, 2012. Accessed on March 19, 2013 from
http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTHEALTHNUTRITIONANDPOPULATION/EXTHIVAIDS/0,,contentMDK:21546262~menuPK:376479~pagePK:210058~piPK:210062~theSitePK:376471,00.html
Response to Representative of Pfizer:
Representative of Pfizer,
Since our 2010 announced partnership for the
initiative to help improve healthcare delivery in developing countries, the
World Bank considers it an honor to work with your organization. We look
forward to much progress being achieved during this conference and against the
disease of HIV/AIDS in the years to come. The World Bank proposal that is
scheduled for this evening will certainly rely heavily on the leading
technological edge of the world medical field of Pfizer to supply the developing
states in attendance who are re-dedicating their battle against the current
epidemic of HIV/AIDS.
Sincerely,
World Bank
World Bank and
Pfizer Announce Initiative to Help Improve Healthcare Delivery in Developing
Countries. World Bank/Pfizer press release, 2010. Accessed on March 21, 2013
from
http://www.pfizer.com/files/news/press_releases/2010/pfizer_world_bank_042310.pdf
World Bank Conference Proposal:
Good Evening.
Tonight the World Bank calls on the international
community of the globe, along with the leading international governmental
organizations and non-government organizations, with the support of the global
private sector leaders in the specialized technological and medical fields, to
increase collective and individual efforts in combating the world-wide epidemic
of AIDS/HIV. This evening, the World Bank has reviewed the proposals of each
nation-state in attendance, and the World Bank wishes to commend the nations of
the world in their dedication to humanity. In response to your proposals for
combating and preventing the HIV/AIDS epidemic, the World Bank is prepared to
commit to a reinvigorated effort toward reaching United Nations Millennium Goal
number 6 by the year 2015, or after the deadline should the goal require longer
than the original timeframe.
For nation-states in attendance of the
conference, the World Bank offers its assistance in preventing and combating the
disease of HIV/AIDS within your nation-state borders. For developing countries
in attendance, the World Bank is prepared to initiate domestic programs based on
long-term and short-term credit ratings in order to finance the purchase of the
most advanced technological medical machinery, cutting edge medicines and
vaccines, the top vocational training in health fields, and the most proven
methods in preventive education. In order to develop these humanitarian
bi-lateral programs, negotiations between the World Bank and the individual
member state must be initiated and the World Bank enthusiastically invites this
initiative. For member states still considered in ‘developing’ status, the World
Bank is eager to directly assist and establish a program aimed to prevent and
repel the spread of HIV/AIDS. For ‘non-developing’ state members, the World Bank
and the World Bank Group are prepared to assist in establishing a domestic
program in addressing this most important and urgent area of human concern.
All economic programs developed between the World Bank and member states
in combating HIV/AIDS on a national-domestic level will be conditionally based
on the World Bank’s partnership with Pfizer, a private sector leader in medical
research around the globe. All World Bank funding acquired by member states in
addressing the issues of HIV/AIDS will be required to be utilized through
planned purchasing from Pfizer, a proud partner to the World Bank in endeavors
in humanitarian efforts.
In addition to what the World Bank is offering
each individual nation-state in their efforts, the World Bank proposes that each
member-state of the World Bank agree to contribute $50 million (US) Dollars a
year to the United Nations Programme on HIV/AIDS (UNAIDS) over the next ten
years for collective consolidation and disbursement in HIV/AIDS prevention.
World Bank Members at the conference tonight are: The People’s Republic of
China, Japan, India, Thailand, Malaysia, Vietnam, Myanmar, The Philippines,
Cambodia, Indonesia, and Pakistan.
While it is understandable that each
nation-state requires its own security, and domestic and foreign interests, as
paramount, the issues of the AIDS/HIV epidemic impacting the globe requires a
collective humanitarian effort and economic sacrifice.
In closing, the
World Bank applauds the members of the conference in their efforts towards
meeting United Nations Millennium Goal number 6. Today is the first day toward a
reinvigorated human effort.
World Bank. About World Bank – Member
Countries, 2012. Accessed on March 21, 2013 from
http://web.worldbank.org/WBSITE/EXTERNAL/EXTABOUTUS/0,,contentMDK:22427666~menuPK:8336899~pagePK:51123644~piPK:329829~theSitePK:29708,00.html
World Bank and Pfizer Announce Initiative to Help Improve Healthcare
Delivery in Developing Countries. World Bank/Pfizer press release, 2010.
Accessed on March 21, 2013 from
http://www.pfizer.com/files/news/press_releases/2010/pfizer_world_bank_042310.pdf
Response to Representative of Pfizer:
Representative of Pfizer,
When the World Bank recommends that their member states donate $50 million
dollars a year for ten years, this plan of action is not simply aimed at the
members in attendance at this conference. It is aimed toward every active member
of the World Bank, a total number of 188 nation-state members.
World Bank Closing Conference Vote and Closing Statement:
The World Bank appreciates being allowed to participate in
this historic conference which has displayed the strength of collective national
collaboration and the possibilities of addressing the global issue of HIV/AIDS.
The World Bank views most of the proposals that were unveiled at the conference
as very positive possible steps, and would especially like to support the
following proposals:
- Enhanced dissemination of education on the
disease of HIV/AIDS, the spread of HIV/AIDS, and the available methods of
prevention.
- The establishment, or reinforcement, of national task
forces and domestic laws aimed at the sex and drug trades. Concerning the sex
industry: statistics show that human trafficking is a very serious issue
globally, and that the sex industries in nations such as Thailand, Philippines
and Japan contribute to the spread of HIV/AIDS. On the other hand, these
nation-states do not see the amount of sexual assaults, rapes, or crimes against
children as nations such as the United States and Britain, where prostitution
occurs illegally and is often assailed by law enforcement officers, and the
question of crime rate correlation should be contemplated by domestic
governments. The World Bank supports all efforts for national task forces
created against international and domestic illegal drug trades, especially as
needle injected drugs contribute to the spread of HIV/AIDS. As an alternate for
nation-states facing several problems in these areas, the World Bank recommends
increasing the availability and dissemination of condoms and sterile needles in
order to slow the spread of HIV/AIDS and other diseases associated with sexual
activity and illegal drug usage.
- The availability for free or cost
efficient HIV testing for populations of all economic classes within a nation.
The question left unanswered by the representative of Japan, which will actually
be required to be answered by each individual government to establish such a
program, is how insurance companies unaffiliated to the conference will support
such an initiative or whether the establishing government will be forced to
burden the fiscal costs. In addition, the question of anonymous testing leaves
the issue of possible continued spread of the disease, in some cases
maliciously, by infected citizens not required to register as an infection
citizen. The World Bank supports testing, but would seek an amendment requiring
the registration of infected citizens to host government agencies.
- The
hosting of regional conferences on HIV/AIDS, as proposed by Vietnam in their
proposal for a summit of Southeastern Asian states, is strongly supported by the
World Bank as a proactive way to continue communications, method sharing, and
collaborated efforts.
- Further research on the disease of HIV/AIDS. As
mentioned by the representative of Pakistan, research efforts on the disease of
HIV/AIDS should be a top priority internationally and domestically. The World
Bank agrees with Pakistan that prevention is the top defense position, while
technological research of the disease of HIV/AIDS and new medical treatment
options should be pursued.
The World Bank opposes the following proposal
areas:
- The involvement of religious organizations in state management
efforts for research, prevention or medical care in the areas of HIV/AIDS. The
World Bank recognizes the possibility that religious prejudice toward
homosexuals or non-affiliated religious members could produce a state associated
atmosphere for religious discrimination.
-The World Bank opposes the
proposals calling for private-sector entities, such as Pfizer, to donate or
shoulder too much of the fiscal costs in the ongoing global efforts in medical
treatment, testing, education or prevention. The World Bank feels that all
leading private-sector entities in the medical field should maintain their
capital for future medical research in the fields of HIV/AIDS. In addition, the
problem of HIV/AIDS is not a short-term problem and will be a global and
domestic issue for decades to come. The World Bank believes that each government
must learn to economically budget their resources for the long-term issues, and
views the provision of short-term donations as only delaying the inevitable.
Closing Concerns:
The World Bank’s largest concern at the
conclusion of this conference is the lack of economic/fiscal consideration and
proposal planning. Almost every area proposed during the conference clearly
identified areas that, if conducted properly on the global or national level,
will comprise of extensive economic costs. The World Bank was disappointed in
the lack of economic responsibility during the conference.
As stated in
our opening statement and during our conference proposal, the World Bank stands
ready to work with any nation in making their global and domestic proposals an
economic reality. Again, depending on long-term and short-term credit ratings,
the World Bank, in its dedication to combat HIV/AIDS, is eager to work with any
nation-state that is interested in economic responsibility for the long-term
problem of HIV/AIDS and other diseases.
Thank You and Good Night.