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Pacific Islands Environment Outlook - UNEP

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22<br />

STATE OF THE ENVIRONMENT<br />

related to living conditions are increasing. For example,<br />

in Fiji the number of new tuberculosis cases is growing<br />

annually; in most of the <strong>Pacific</strong> dengue fever is a major<br />

problem, with periodic epidemics responsible for a<br />

number of deaths. Illnesses related to water supply and<br />

sanitation are prevalent, especially in informal<br />

settlements where dwellers are living in marginal<br />

locations with inadequate waste disposal, potable water<br />

and sanitation.<br />

There is an unequivocal link between diets<br />

changing from traditional island foods and the<br />

incidence of lifestyle diseases throughout the <strong>Pacific</strong><br />

island region. Thirty per cent of all <strong>Pacific</strong> islanders<br />

now live in urban areas, where they are compelled to<br />

eat less nutritious (generally imported) foods. Cardiac<br />

diseases, diabetes and other non-communicable<br />

diseases are the leading causes of death in the region,<br />

with Guam, PNG, Nauru and Fiji leading the rest of the<br />

<strong>Pacific</strong> islands in these aspects of morbidity. Changing<br />

values and habits account for an increasing number of<br />

deaths from suicide and accidents, and for increasing<br />

problems from excessive alcohol consumption and<br />

crime. A handful of countries have reported AIDS<br />

cases; with the exception of four countries, there are<br />

growing numbers of HIV-positive cases (SPREP/<br />

ESCAP 1996) .<br />

The most visible indicators of change in human<br />

settlements in the <strong>Pacific</strong> are the rise in squatter<br />

housing and urban poverty, and the decline in the<br />

quality of the urban environment, especially in<br />

standards of shelter, infrastructure and environmental<br />

management. These issues all point to a growing crisis<br />

that neither communities nor governments have been<br />

able to reverse. The major problems facing urban<br />

centres in the <strong>Pacific</strong> include:<br />

●<br />

●<br />

●<br />

●<br />

serious shortage of land, and conflicts with<br />

traditional land tenure;<br />

falling standards of infrastructure;<br />

an increase in the number of squatter settlements<br />

and informal housing;<br />

poverty, vulnerability and environmental<br />

degradation.<br />

<strong>Environment</strong>al issues are more pressing and urgent in<br />

the <strong>Pacific</strong> urban centres because of the rising<br />

population pressures, often on small and low land<br />

masses; vulnerability of urban areas to sea-level rise<br />

because of their coastal nature; economic and cultural<br />

dependence on the natural environment; prevalence of<br />

natural disasters; and vulnerability of freshwater lenses<br />

on atolls to environmental impacts. <strong>Pacific</strong> countries<br />

note that many of these problems arise from the lack of<br />

urban planning and management which, if well<br />

organized, could mitigate the effects of change in<br />

human settlements.<br />

The standard of living for the region’s urban<br />

dwellers is relatively high when compared with those in<br />

other developing countries, largely the result of the<br />

continued support from traditional networks for and<br />

among people living in urban environments. However,<br />

there are some worrying trends. Although empirical<br />

data are usually sketchy, there are indications of: rising<br />

unemployment, particularly among young people; high<br />

drop-out rates from primary schools; low household<br />

cash incomes; and a growing incidence of substance<br />

abuse and crime (SPC 1998).<br />

Trends forecast to 2010<br />

Urbanization trends in the <strong>Pacific</strong> are likely to continue.<br />

Decentralization and rural resettlement schemes have<br />

been tried with varying success. Despite schemes for<br />

repatriating people to rural areas, not everyone has a<br />

village to return to and thus the problems facing urban<br />

areas will continue to grow. Increasing urban poverty<br />

and environmental degradation are expected to become<br />

more obvious, making urbanization and the resulting<br />

change in the nature of human settlements one of the<br />

major challenges facing <strong>Pacific</strong> communities in the next<br />

decade (UNDP 1996).<br />

A major policy issue is the extent to which aid<br />

spending has been concentrated on islands/areas with<br />

urban concentrations. This partly reflects government<br />

policies that spend aid for the benefit of the<br />

government, so both government and aid become<br />

localized. Consequently, both governments and donors<br />

should be more conscious of outer island development,<br />

focusing on infrastructure and support for the private<br />

sector. However, this needs some care as there are<br />

obvious requirements to assist urban concentrates once<br />

they occur (water supply, roading etc.) and reversal of<br />

population flows is unlikely. Countries with a strong<br />

focus on outer island development are Cook <strong>Islands</strong><br />

and Tuvalu.<br />

These pressures of increasing urbanization and<br />

Westernization will necessitate an increased emphasis on<br />

many issues, including:<br />

●<br />

the critical need for national and regional capacitybuilding<br />

as a platform for the realization of

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