WORLD POPULATION GROWTH ■ ■ International Conference by United Nations in September to discuss global policy, Latest scientific understanding. The human population continues to grow by nearly 100 million people every year, and the next attempt by the world's governments to address the issue will be made at the International Conference on Population and Development (ICPD, Cairo, September 1994). For this, the world’s science academies have worked together to develop the best possible insights into the issue so as to inform the international debate. This note reviews knowledge of the causes and effects of population growth in the context of ICPD. THE CURRENT SITUATION The world's population is over 5,600 million (5.6 billion -B), increasing each year by 1. 7% - approx 95 million people each year (3 per second and 250,000 every day). The UN Population Fund (UNFPA) prepares scenarios for future growth, and in 1984, its 'm edium range' forecast was that global population would stabilise at 10.2B towards the end of the 21st century. However, although world population growth rates fell from 2. 1 % in 1970 to 1. 8% in 1977, there has been little fall since, and it is now predicted that the 10B figure will be reached by 2050. Even this assum es that there will be further substantial and sustained falls in fertility1; if these fail to materialise, the world could be heading for 12.5B people by 2050 and 28B a century later. Som e 95% of the increase in num bers is in less developed coun tries (LDCs), but because of the high per capita con sumption in developed countries (DCs), the lower growth rates there can be of equal or greater importance in som e respects (see later). In the UK sustainable development strategy, U K population is expected to grow from 57. 6M now to ~ 6 1 M in 2012 (6%). Debate in the past has been marred by disagreement over som e of the fundamental causes of high growth rates and their effects on the environment, economic development and quality of life, and significant n um bers of countries did not consider their growth rates too high. The last few years have seen a much broader consensus emerging on the need to address the popu lation question more urgently, and the UN is to convene the IC PD in 1994 to bring together governm ents and non-governmental organisations to address the issues of population, the environm ent and development. In order to advance the scientific consensus on this issue, the science academ ies of the world met in New Delhi in Septem ber 1993 to explore the intertwined 1. The number of children borne by a woman during her life. POST note 52 June 1994 POSTnotes ore intended to give Members on overview of issues arising from science and technology. Members can obtain further details from the PARLIAMENTARY OFFICE OF SCIENCE AND TECHNOLOGY (extension 2840). problems of rapid population growth, resource con sumption, environmental degradation and poverty. This meeting drafted a statement which was supported by 60 academ ies2 which " called on the G overnm ents and international decision-m akers to take incisive action n ow and adopt an integrated policy on population and sustainable developm ent on a global scale". The statem ent set a target of achieving zero population growth within the lifetime of our children; it also recognised the im portance of meeting individual as well as societal needs and set out the policy priorities in the Box. The conference also set out clearly the complex reality of this question. CURRENT SCIENTIFIC INSIGHTS Population and Economic Development In the past, som e have claimed that developm ent is encouraged by more people, since for every new 'mouth' there are two 'hands' to increase production. This is now viewed as out of date and there is m uch evidence that rapid population growth offsets poten tial im prove ments in per capita incom e and food, and forces coun tries to increase consum ption rather than invest in long-term im provem ents in health, education, infra structure and job opportunities. It is generally those countries which have achieved a moderation or cessa tion of population growth which are m ost com petitive internationally. The most com prehensive review of the links between population growth and developm ent was carried out by the US National Research Council and updated at the academ ies’ meeting. This concludes that slowing population growth: • • • increases per capita renewable resources; alleviates pollution & environmental degradation; increases the am ount of capital per worker, thereby increasing output and consum ption per worker; • increases the per capita provision of schooling; • reduces incom e distribution inequalities; • helps alleviate the problem s of urban growth. At the sam e time, slower population growth does not reduce innovation or reduce economies of scale. There is also the em phasis following the 1992 UN C o n f e r e n c e o n E n v ir o n m e n t and D e v e l o p m e n t (U N C E D ) on sustainable development, seen as fa- 2. The Pontifical Academy of Sciences and the African Academy of Sciences did not endorse the Joint statement and Issued their own. P.O.S.T. B r i e f i n g N o t e 52 vouring a more equitable distribution of the determi nants of human well-being, while not exceeding the constraints of the environment and its resources. Exist ing difficulties in defining and implementing a more sustainable way of life can only be made harder by the addition of an extra 100M people each year. In educa tion, rapid growth stretches education services, spend ing per pupil declines, and falls have been observed in both enrolment rates and student achievement in coun tries undergoing large increases in school-aged populations. Such countries also face rapid increases in their labour forces. The number unemployed in LDCs is already estimated to exceed the number employed in developed countries, and the current LDC labour force of ~2B will grow to ~3B by 2000, adding to the pressures on the unemployed to become economic migrants. June 1994 POLICIES TO REDUCE POPULATION GROWTH • • • • • • • Population and the Environment Impacts on the environment take many forms and are linked both to human numbers and industrial develop ment. On Global Warming, concern is over emissions of greenhouse gases, and UNCED urged countries to at least stabilise their emissions of carbon dioxide (C 0 2) at 1990 levels by 2000. Energy consumption is a primary source of C 0 2 and hence population growth in the developed countries is particularly important (the UK annual growth in population is 0.2% and 116,000 peo ple per year, but in terms of the amount of C 0 2emitted this has more impact than Bangladesh's annual growth of 2.4% and 2.7 million people). In addition, 18-33% of worldwide C 0 2 emissions come from deforestation driven in part by expanding populations and ’slash and bum’ agriculture. Other greenhouse gases are also affected by increasing population: rice paddies and domestic cattle - food supplies for 2 billion people in LDCs - are major producers of methane, and nitrous oxide is released by forest burning and agriculture. Urbanisation. Rural poverty and growing populations have led to huge increases in the numbers of people living in large conurbations where water, sanitation, housing, health and education are inadequate. 3.1B people (1.5 times the global population in 1950) are expected to be living in urban areas of LDCs by 2015. Desertification. Some drier lands in both LDCs and DCs are undergoing extreme soil depletion due to over use. Increasing population is adding to pressures through over-grazing and fuelwood collection in mar ginal or fragile land, particularly in parts of sub-Saha ran Africa, the Middle East and Southern Asia, where some 580M people live in absolute poverty. Indeed some LDCs can be seen as caught in a 'demographic trap' whereby the fall in death rates has caused popu lation growth sufficient to outstrip the carrying capac ity of their ecosystems. They are thus in a race to reduce their fertility to a sustainable level before their ecosys tems collapse leading to starvation, migration and • • • • S Equal opport unities for women and men In sexual, social, and economic life so they can make individual choices about family size. Universal access to convenient family planning and health services, and a wide variety of safe and affordable contracep tive options. Encouragement of voluntary approaches to family planning and elimination of unsafe and coercive practices. Clean water, sanitation, broad primary health care, and education. Appropriate governmental policies that recognize longerterm environmental responsibilities. More efficiency and less environmentally damaging practices in the developed world, through a new ethic that eschews wasteful consumption. Pricing, taxing, and regulatory policies that take into account environmental costs, thereby influencing consumption be haviour. The industrialized world to assist the developing world In combating global and local environmental problems. Promotion of the concept of “technology for environment". Incorporation by governments of environmental goals in legislation, economic planning, and priority setting, and in centives for organisations and individuals to operate in environmentally benign ways. Collective action by all countries. ource: Statement by 60 of the World's Science Academies, continued reliance on food aid. Population and Biodiversity A Biodiversity Convention was drawn up at the UNCED conference, and has now been signed by over 150 countries of which 56 (including the UK) have ratified. This has placed greater urgency on understanding the ways in which population pressures may damage habitats, eliminatespeciesand reduce biodiversity. Because the vast majority of the world's estimated 10 million or more species are in tropical forests, recen t reviews focus on the mechanisms through which increasing human numbers and activities contribute to deforestation, soil degradation and species loss. In many areas, forest removal or damage is linked to the demand for resources by the developed world (whether for timber or beef pasture) and needs to be addressed within the context of sustainable development. An increasing amount of deforestation can however be linked to the need to grow more food locally, and the increasing demands on land and water from growing numbers. Thus forest loss is linked statistically to population growth in a survey of 41 countries in the tropics, and the primary agent of forest destruction is now the slash and bum agriculture of the 'shifted cultivator' who migrates to the remaining unoccupied lands to survive. This group has been growing rapidly due to population pressures in already-occupied lands, and is now the main livelihood for perhaps 600M people. P.O.S.T. B r i e f i ng N o 52 As a result of this and other pressures, tropical forests have halved in extent in 40 years and continue to disappear at a fast rate, but (in contrast to Europe and N America) without many of the cleared lands giving a sustainable high yield - either because the tropical soils cannot be transformed to intensive agriculture or because the pace of change is too rapid for institutions to evolve to encourage sustainable use. Thus 70,000 km2 of farmland are aban doned each year, while 150,000 km2 of fresh forest are cleared. The effects on biodiversity are estimated to be to make 27,000 - 90,000 species of plants and animals extinct each year. These rates probably exceed those of previous mass extinctions in the World's past, such as that associated with the demise of the dinosaurs. The Demographic Transition The move from a stable population based on high fertility and mortality to one based on low mortality and low fertility is called the demographic transition. Developed countries have generally made this transi tion, but in LDCs, although there has been a drastic fall in mortality over the last 40 years3, there has been no consistent pattern to subsequent fertility trends (Figure 1). Some countries (e.g. in SE and E Asia) have seen falls in fertility follow rapidly or even precede the fall in mortality from improved health, nutrition etc. Others have seen no appreciable change (e.g. countries of subSaharan Africa, also Iran, Nepal) so that very high population growth rates follow. Many have searched for a simple 'formula' to explain these differences, but for every general rule there have been exceptions - this was looked at in detail by the academies. Some experts used to hold that economic development was the essential precursor to a decline in fertility rates (i.e. 'development is the best contraceptive'). There is however no such automatic linkage. Putting together many studies at regional, country, and local levels leads to the conclusion that fertility declines are generally associated with indices of social development (longev ity, adult (especially female) literacy levels, schooling prevalence), with income a subsidiary factor. Family planning (FP) services are essential, but these may be in response to an existing demand as well as the cause of that demand. Recent comparisons between fertility trends in countries with similar cultures and religions indicate that the importance of clear political leader ship and religious acceptance have been underesti mated. Comparing contrasting official attitudes for and against FP in pairs of countries (e.g. South and North Korea, Bangladesh and Pakistan, Colombia and Mexico, E g y p t/ Tunisia/ Morocco versus A lgeria/ Libya/ Iran / Iraq) demonstrates that Governments can 3. Life expectancy In developing countries has reached 61, compared to 74 In developed countries. In 1950, It was 42 and 64 respectively. June 1994 substantially speed up or delay the demographic tran sition, with drastic effects on the final size of their populations. Analogous comparisons indicate that re ligious leaders in some countries also play a key role. Recent studies have also brought into focus the vicious circle in resource-impoverished environments where, in order to survive in an area where food, fuelwood and water are ever harder to obtain, large families are required - even if this overloads further an environment already incapable of supporting existing numbers. This model is thought to explain the failure to reduce fertility in sub-Saharan Africa and parts of the Indian sub continent, where severe environmental degradation is both a result and a cause of population growth. OveralI Conclusions The overall conclusion of the academies is that while the relationships between human population, economic development, and natural environment are complex and not fully understood, "there is no doubt that the threat to the ecosystem is linked to population size and resource use. Increasing greenhouse gas emissions, ozone depletion and acid rain, loss of biodiversity, deforestation and loss of topsoil, shortages of water, food and fuel indicate how the natural systems are being pushed ever closer to their limits. To deal with the social, economic, and environmental problems, we must achieve zero population growth within the lifetime of our children." This is not to say that population is the only important factor affecting development, the environment, human health, biodiversity etc., but that reducing growth rates and ultimately stabilising or reducing population to a sustainable level are the essential prerequisites for long term progress in these areas. While fast growth contin ues, any short-term success (e.g. through land reforms, democracy, new technologies), will ultimately be ne gated by the increased pressure of greater numbers. The urgency seen by the academies is derived from the demographic momentum inherent in expanding populations. The annual addition of 93M at the begin- P.O.S T. B r i e f i n g N o t e 52 Table 1 MAIN CHAPTERS IN PROPOSED PLAN OF ACTION June 1994 Figure 2 UK POPULATION AID (£M AND AS % TOTAL AID) Interrelationships between population, sustained economic growth and sustainable development. Gender equality, equity and empowerment of women. The family, its roles, rights, composition and structure. Population growth and structure. Reproductive rights, sexual and reproductive health, family planning. Health, morbidity and mortality. Population distribution, urbanisation and Internal migration. International migration. Population and development Information, education, communication. Technology, research and development. National action. International action. International cooperation. ning of this decade will rise to 100M by the end despite a moderate fall in fertility, because of the high propor tion of LDC population under 15. Each year action is delayed increases by 100 million or more the level at which population will ultimately stabilise. Even the 'medium' growth projection (8B by 2020) is dependent on fertility falling from an average of 3.7 children per woman in the LDCs to 2.3 by 2020/5 (in Africa, today’s rate of 5.9 would have to be cut to 3). OPTIONS AT THE ICPD Three sessions of the ICPD Preparatory Committee have already been held, so the main options for the conference's Programme of Action are becoming clearer. The Cairo meeting will negotiate basic principles on which the plan will be based (e.g. freedom of choice through sexual and reproductive health care; reduce unsustainable patterns of production and consump tion; rights for migrants) and develop an agreed text on 16 chapters (see Table 1). The contentious issues in clude definitions (particularly reproductive and sexual health issues where the role of the Vatican is critical if the meeting is to reach agreement by consensus rather than vote), and the question of resource requirements. On the latter point, UNFPA points out that modem contraception accounts for about 85% of the fertility decline in LDCs; the overall prevalence of use has increased from 15% of couples in the 1960s to 51 % today - around 380M users. Nevertheless, some 400 million couples in the LDCs are without access to modem FP services of which at least 120M would use FP if it were available (in Africa, 77% of married women who want no more children are not using contraception). Demand will also double over the next 15 years due to the rapid growth in the number of women reaching child-bearing age. A demand for FP services of many times the current level of provision is thus foreseen. The UN estimates that the current annual spend of $4.5B on FP will need to double or triple by 2000 if demand is to be met. Three-quarters of current ex penditure is by the developing countries concerned, and international development aid has increased little 4. Economic assessments (Lancet, Nov 24,1990,p1294) suggest an Increase of $1.1B In FP expenditure would SAVE $2B in maternal / child care costs and up to $12B In the costs of universal primary education. in real terms and has barely kept up with the growth in the couples of reproductive age. To meet anticipated demand, UNFPA has requested for many years that4% of overseas aid go to population programmes4. At present the average is 1.5%. While some countries have adopted the 4% figure (e.g. Norway), the UK priority given to population programmes would need to rise substantially from its current level (1.6% of develop ment aid) to match (Figure 2). The question of what commitments the DCs and Development Banks will be prepared to make at Cairo to increase support for FP services is thus central to the outcome of the ICPD. As far as contraceptive technologies are concerned, the requirements for an 'ideal' contraceptive are easy to define (cheap, effective, free of side-effects, easy to use) and the market is huge. Despite the availability of a range of options, there is still a need perceived for more effective and easily administered contraception for both women and men. Nevertheless, companies carry out little research, nor are governments very active, so that there is a serious shortage emerging of those trained and able to research in this field. The main centre of activity is the World Health Organisation's programme on Human Reproduction with a budget of $24M (the UK is a major donor to this programme) and some non profit groups also support research (~$16M). This too will be an issue at Cairo. The complex reality of the population question out lined earlier in this note is thus reflected in the complex ity of the ICPD programme and there remain difficult issues to resolve at Cairo, particularly how to mesh religious views on reproductive and sexual health and family planning with today's realities as described in the academies' statement. The ICPD is widely seen as the best opportunity this decade to address this issue, and the academies urge the ICPD to "le t 1994 be remembered as the year when the people of the world decided to act together for the benefit o f future generations''. In this context, the academies point out that because of the high levels of consumption in DCs, the target of zero population growth is just as important to achieve in developed countries as developing countries. Copyright POST, 1994.
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