Latest Developments, September 25

In the latest news and analysis…

Diplomatic baby steps
The Jerusalem Post provides a transcript of new Iranian President Hassan Rouhani’s UN speech, in which he indicated a willingness “to engage immediately” in nuclear talks but also called for changes in Western attitudes and policies:

“Coercive economic and military policies and practices geared to the maintenance and preservation of old superiorities and dominations have been pursued in a conceptual mindset that negates peace, security, human dignity, and exalted human ideals. Ignoring differences between societies and globalizing Western values as universal ones represent another manifestation of this conceptual mindset.

The prevalent international political discourse depicts a civilized center surrounded by un-civilized peripheries. In this picture, the relation between the center of world power and the peripheries is hegemonic. The discourse assigning the North the center stage and relegating the South to the periphery has led to the establishment of a monologue at the level of international relations.”

Big signing
The Washington Post reports that the US is set to sign the international Arms Trade Treaty at the UN on Wednesday, though its entry into force still looks a long way off:

“The treaty will go into effect once it is signed and ratified by at least 50 U.N. member states. The United States will be the 89th country to sign the treaty, which was adopted in a 153 to 3 vote, with 20 abstentions, in April.

Only four countries have ratified the treaty — Iceland, Nigeria, Guyana and the Caribbean island state of Antigua and Barbuda. U.S. ratification requires a two-thirds vote of the Senate, where many Republicans and some Democrats are strongly opposed, and the administration is unlikely to submit it in the near future.”

Intervention fever
Le Monde reports that France is currently mulling over three options for a military intervention in the Central African Republic:

“One, the most direct, would involve increasing the number of French soldiers currently in CAR from 450 to about 1,200 for a rapid securitization operation under a UN mandate, but with considerable autonomy. The second would call for increasing the current force to about 750 troops. This reduced mobilization put forward by President François Hollande would see the French contingent provide a support role for the international mission (MISCA) already on the ground with 1,300 soldiers from Cameroon, Congo, Gabon and Chad.
The last option, seen as more of a long-term approach, would keep the number of French soldiers at 450, who would serve as a rapid reaction force capable of increasing its size if needed.” [Translated from the French.]

ICC on Westgate
International Criminal Court Prosecutor Fatou Bensouda has announced her willingness to investigate the deadly attack and siege of an upscale Nairobi mall:

“Such attacks by armed groups upon innocent civilians are contrary to international law and may constitute a crime under the Rome Statute, to which Kenya is a State Party. In expressing her solidarity with the victims, their families and the people of Kenya, and with full respect for the primacy of jurisdiction of the Republic of Kenya, the Prosecutor stands ready to work with the international community and the Government of Kenya to ensure that those responsible for these crimes are brought to justice.”

Blue-helmet crimes
Radio France Internationale reports that UN peacekeepers have been accused of misconduct, including rape, in northern Mali:

“An investigation is underway. According to information obtained by RFI on Tuesday, the rape allegations were made against Chadian soldiers belonging to the group that had left their post in Tessalit for Gao in order to protest that they had not been paid bonuses or relieved by fresh troops. According to the mission’s spokesperson, the suspects remain in custody in Gao.” [Translated from the French.]

Sharing the wealth
The Guardian reports that a town in Switzerland has voted to give a chunk of its “commodity million” to charities in countries where Swiss corporate giant Glencore operates:

“ ‘We hope that people will open their eyes to the danger that raw material extraction will be the next reputational time bomb for Switzerland,’ [Hedingen’s Samuel Schweizer] said. ‘Political leaders have not learned anything from the disaster of [Switzerland’s role at the heart of the] banking industry.’
The Berne Declaration, a non-governmental organisation campaigning against Switzerland’s role in hosting global commodity companies, said: ‘While the decision makers in the capital Berne consider our commodities industry still only a political reputation risk, the landmark decision in the rural-conservative Hedingen shows that on the ground Glencore and their competitors already have a real reputational problem in this country.
‘Remarkably and correctly, the people of Hedingen assume that tax money is not automatically white, clean or legitimate. As citizens, they take responsibility for that which the government still shies away from.’ ”

Vision with teeth
Human Rights Watch has released a new report in which it lays out a post-2015 development agenda that enforces respect for human rights:

“Setting mandatory requirements on corporations to undertake human rights due diligence around their work and publicly report on their human rights, social and environmental impacts, as well as their payments to domestic or foreign governments.
Requiring respect for human rights by international financial institutions, in all their development policies and programs.
Making the post-2015 agenda universal – with commitments applicable to all countries, not just low income ones – and strengthening accountability for delivering on these commitments to inclusive, sustainable, and rights-respecting development.”

Corporate medicine
ONE reports that its co-founder, U2 frontman Bono, has lashed out at the US oil industry for fighting against new rules requiring its overseas activities to become more transparent:

“ ‘We know corruption is killing more kids than TB, AIDS, and malaria put together. There is a vaccine and it’s called transparency,’ said Bono.

‘I’m no cranky anti-corporation critic here,’ Bono said. ‘I implore the people in this room, from Exxon, from Chevron… You can’t have it both ways. You can’t give alms to the poor on one level and have your hands on their throats on another.’ ”

Latest Developments, June 4

In the latest news and analysis…

Signing frenzy
The Associated Press reports that “more than 65” countries signed the UN Arms Trade Treaty on Monday, though the US and other major weapons exporters and importers are not yet among them:

“Signatures are the first step to ratification, and the treaty will only take effect after 50 countries ratify it.

What impact the treaty will have in curbing the global arms trade — estimated at between $60 billion and $85 billion — remains to be seen. A lot will depend on which countries ratify it, and how stringently it is implemented once it comes into force.

There have been some problems in harmonizing the translations of the treaty into the U.N.’s six official languages, and [U.S. Secretary of State John] Kerry said the United States looks forward to signing the document ‘as soon as the process of conforming the official translations is completed satisfactorily.’ Once that happens, the treaty would have to be ratified by the U.S. Senate where it is expected to face an uphill struggle because of opposition from the powerful National Rifle Association.”

State of emergency
The Associated Press reports that protesters in Kyrgyzstan have lifted their blockade of a Canadian-owned gold mine, but “tensions remained high”:

“Hundreds of stone-throwing protesters besieged the Kumtor gold mine, operated by Toronto-based Centerra Gold, for several days, demanding its nationalization and more social benefits. They blocked a road leading to the mine and cut power supplies, prompting the Kyrgyz president to introduce a state of emergency in the ex-Soviet Central Asian nation.

On Friday, more than 50 people were wounded and 80 detained in violent clashes between stone-throwing protesters trying to storm the Kumtor mine’s office and riot police, who fought back with rubber bullets and stun grenades.

Trial date
Reuters reports that the International Criminal Court has announced the trial of Kenya’s Deputy President William Ruto, who faces charges of crimes against humanity, will begin on September 10:

“Ruto has said he would abide by ICC rulings and attend hearings in The Hague if ordered to do so, although he has asked to participate by video link.

The ICC faces growing criticism in Africa, with leaders at an African Union summit in Addis Ababa last week urging the court to refer the cases back to Kenya.”

Legal tug-of-war
Reuters also reports that Libya plans to challenge the International Criminal Court’s demand that the son of former ruler Muammar Gadhafi be handed over for trial in The Hague:

“ ‘We will give what is needed to convince the ICC that Libya is capable of conducting a fair trial in accordance with international standards,’ the state LANA news agency quoted Justice Minister Salah al-Marghani as saying.
Libya has challenged the ICC’s right to put Saif al-Islam on trial on the grounds that since it is planning its own proceedings, the international court in The Hague had no jurisdiction because it should intervene only if the local legal system is not up to the task.”

Much ado
The Guardian’s Claire Provost writes that the debate over whether aid is a good or a bad thing, as manifested most recently in the public spat between Bill Gates and Dambisa Moyo, is largely a distraction from more significant tools in the fight against global poverty:

“Others have pointed out that the question ‘does aid work?’ is quite juvenile (in @rovingbandit’s words, it’s like asking ‘does policy work?’).

Aid, while the only international financial flow dedicated to tackling poverty, pales in comparison with the volume of remittances received – and tax revenues lost – by many African countries. Trade rules and migration policies can have just as large – if not larger – impacts on development.”

Perverted justice
As the trial of Bradley Manning kicked off in a Maryland court on Monday, the Guardian’s Gary Younge blasted America’s treatment of the young man who handed over thousands of diplomatic cables to Wikileaks for “people to see the truth”:

“If the leaks laid bare the hypocritical claim that the US was exporting democracy, then the nature of his incarceration and prosecution illustrate the fallacy of its insistence that it is protecting both freedom and security at home. Manning’s treatment since his arrest in May 2010 has involved a number of serious human rights violations.

But it’s not just about Manning. It’s about a government, obsessed with secrecy, that has prosecuted more whistleblowers than all previous administrations combined. And it’s about wars in which the resistance to, and exposure of, crimes and abuses has been criminalised while the criminals and abusers go free. If Manning is an enemy of the state then so too is truth.”

Fallen tycoon
Agence France-Presse reports that an Italian court has sentenced a Swiss billionaire in absentia to 18 years in prison over the asbestos-related deaths of 3,000 people:

“[Stephan] Schmidheiny, who has been referred to by Forbes magazine as the ‘Bill Gates of Switzerland’ for his philanthropy, had been convicted last year over the Eternit case and sentenced to 16 years in prison.
The appeals court said he was responsible for ‘a permanent health and environment catastrophe’ and had violated work safety rules at his facilities.”

Global blockage
Oxford University’s Thomas Hale, Durham University’s David Held and the University of Massachusetts Amherst’s Kevin Young compare today’s seemingly paralyzed “multilateral order” to a road network whose very success has led to crippling congestion:

“We call this phenomenon gridlock, a basket of trends that is today making international cooperation more difficult, even as deepening globalization and interdependence mean that we need global cooperation now more than ever.

Recognizing that gridlock is a general condition of global politics—not just an issue-specific blockage—is an important step toward designing effective solutions. But at the same time, it militates against a hope in ‘silver bullet’ solutions. The problems facing global cooperation are long-term trends, and the solutions are likely to be equally gradual.”

Latest Developments, April 10

In the latest news and analysis…

Mine on hold
The Globe and Mail reports that a Chilean court has ordered Canadian mining giant Barrick Gold to suspend construction on its “massive” Pascua-Lama project:

“Barrick stock fell 8.6 per cent to a new 52-week low of $24.81 per share on Wednesday after the appeals court said Pascua-Lama should be halted as it reviewed complaints by local communities that the project is polluting groundwater and rivers in the Atacama desert region, one of the driest areas on earth.

A court source in Chile told Reuters that the appeal could take several months, and the dispute will probably end up in the Chilean Supreme Court.

Set at about 5,500 metres above sea level, the project is being built at the peak of the Andes mountain range between Chile and Argentina and is at once lauded as an engineering feat and decried as an environmental scar on ancient and pristine glaciers.”

War without borders
Radio France Internationale reports that France’s three-month old military operations in Mali could spill over into other African countries:

“ ‘We can’t think “Mali.” We have to think “Sahel” and beyond,’ said a French general. ‘Armed groups are going to operate from other countries in the region. In Libya alone, there are nearly 300 katibas. We made the jihadis’ GPS boxes talk and found frequent return trips between the Adrar des Ifoghas and southwestern Libya via the Salvador Pass in northern Niger. What’s more, we overheard conversations at the start of our operation in which al-Shabaab in Somalia offered to help al-Qaeda in the Islamic Maghreb.’ ” [Translated from the French.]

Pakistan’s 99 percent
Foreign Policy’s John Hudson expresses concern over the recent revelation that 98.8 percent of people killed by US drones in Pakistan during the 12-month period ending in September 2011 were not senior al-Qaeda leaders:

“Some advocates of the drone program trust the administration’s judgment, and feel that the White House deeming targets dangerous — even if they had no association with al Qaeda — is sufficient. But for others, the McClatchy report may only confirm allegations that terror suspects are killed with an insufficient degree of background information and oversight.”

A lesser form of justice
The Washington Post reports that senior commanders in the US military could soon lose their “virtually unlimited authority to reduce or overturn” court-martial verdicts:

“Anu Bhagwati, executive director of the Service Women’s Action Network, commended [Defense Secretary Chuck] Hagel but said the Pentagon needed to further reduce the power of senior commanders over the military justice system and give more authority to prosecutors and judges.
‘Unless pretrial decision making around investigation and prosecution of offenses is also removed from the hands of commanders and given to impartial prosecutors, military criminal justice will remain a lesser form of justice,’ she said.”

Who’s Dramane?
MaliWeb reports that Mali’s largest political party has picked Dramane Dembélé, a man who has worked for a number of foreign mining companies, as its presidential candidate in the national election scheduled for July:

“A mining consultant, he was national director of Geology and Mines from 2005 to 2010, head of a Mali-European Investment Bank mining project in 2004, and exploration geologist for private companies, such as CMCX, Barrick Gold and Pangea Goldfield.” [Translated from the French.]

Beyond MDGs
The Guardian reports that a group of European think tanks have said eradicating global poverty will require a broader approach than that of the Millennium Development Goals, which are set to expire in 2015:

“The report called on richer countries to collaborate in areas important to development such as international financial regulation, trade, migration and climate change. In a message to the EU in particular, the report called on member states to live up to the principle of policy coherence on development (PCD).
‘The concept of PCD is central, since it implies that all policies, and not merely development co-operation, should be conducive to development, eg policies in the areas of trade and investment or agriculture and fisheries should promote (or at the very least not thwart) development,’ said the report.”

Majority rules
Drawing on her recent experience of the Arms Trade Treaty talks, Oxfam’s Anna Macdonald argues that requiring consensus for international agreements is a recipe for paralysis:

“The requirement to reach consensus is in principle a means of protecting the rights and voices of even the smallest countries. It’s what can enable small island states and other vulnerable countries to stand their ground in the U.N. climate change negotiations. But too often the consensus rule works to protect the powerful, not the powerless. Big powers love consensus because it gives them veto power.

In a sudden about-face, the United States, the government that had insisted on consensus as the condition for its support throughout the [ATT] negotiating process, switched to calling for a vote as soon a possible.

This may not mean the United States now supports the majority process – but changing horses during the race meant the Americans could use the consensus process to get the text they wanted and then, by supporting the resolution [to take any blocked text to the General Assembly], they could ensure it went to a vote and passed.”

10 minutes
Transparency International drives home just how simple it can be for individuals to set up shell companies “in spite of global regulatory restrictions”:

“In fact, anyone with access to the internet can set up an offshore company. It takes about 10 minutes and consists of little more than a few sheets of paper and a few thousand dollars. This makes it too easy for corrupt individuals to hide their ill-gotten gains.”

Latest Developments, April 6

In the latest news and analysis…

Endless mission
Reuters reports that France’s foreign minister has expressed the desire to have a permanent French military presence in Mali:

“ ‘France has proposed, to the United Nations and to the Malian government, a French support force of 1,000 men which would be permanent, based in Mali, and equipped to fight terrorism,’ [French Foreign Minister Laurent] Fabius said before leaving Bamako after a one-day visit.
A diplomatic source in Paris said France hoped to have the [UN] peacekeeping force approved by the Security Council within three weeks, and to have it deployed by the end of June or early July in time for scheduled presidential elections.
A clause in the U.N. resolution will allow [UN Secretary-General Ban Ki-moon] to request the rapid intervention of France’s 1,000 troops, which would be deployed under a bilateral deal with Mali, the source said.”

Gitmo scolding
The UN News Centre reports that UN human rights chief Navi Pillay has said she is “deeply disappointed” by the failure of the US government to fulfill its promise to close the prison at Guantanamo Bay:

“ ‘Some of [the prisoners] have been festering in this detention centre for more than a decade,’ Ms. Pillay said. ‘This raises serious concerns under international law. It severely undermines the United States’ stance that it is an upholder of human rights, and weakens its position when addressing human rights violations elsewhere.’

‘We must be clear about this: the United States is in clear breach not just of its own commitments but also of international laws and standards that it is obliged to uphold. When other countries breach these standards, the US – quite rightly – strongly criticizes them for it.’ ”

Uranium discontent
Agence France-Presse reports on a protest held by about 2,000 students against French nuclear giant Areva in Niger’s capital:

“Marchers held aloft placards saying ‘No to exploitation and neo-colonialism’ and ‘No to Areva’.
‘The partnership in the mining of uranium is very unbalanced to the detriment of our country,’ said Mahamadou Djibo Samaila, secretary general of the Union of Niamey University Students that organised the protest.

The government of Niger, one of Africa’s poorest countries, complained late last year that its four-decade-old deal with Areva to mine its vast uranium deposits was unfair and should be changed.”

Robot wars
The University of Sheffield’s Noel Sharkey explores the potential limitations and dangers of “fully autonomous robot weapons”:

“Is anyone thinking about how an adaptive enemy will exploit the weaknesses of robot weapons with spoofing, hacking or misdirection?
Is anyone considering how unknown computer programs will interact when swarms of robots meet? Is anyone considering how autonomous weapons could destabilize world security and trigger unintentional wars?
In April this year in London, a group of prominent NGOs will launch a large civil society campaign to ‘Stop Killer Robots.’ They are seeking a new legally binding preemptive international treaty to prohibit the development and deployment of fully autonomous robot weapons.”

Toothless treaty
Former Reuters columnist Bernd Debusmann writes that the recently approved UN arms trade treaty is not at all certain to succeed in “throttling the flow of arms to the world’s killing fields”:

“Russia and China, the world’s second- and fourth-largest arms exporters respectively, abstained. So did 22 other countries that have misgivings about the agreement. Iran, North Korea and Syria – all subject to arms embargoes – voted against.
So did, in a manner of speaking, a domestic American pressure group, the National Rifle Association, whose extraordinary influence on the U.S. Congress is almost certain to result in the senate blocking ratification of the treaty.

The United States is by far the world’s largest arms exporter and if it stayed on the sidelines, along with Russia and China, the Arms Trade Treaty would lack teeth.”

Segregated cities
The Guardian’s Gary Younge argues that the uneven and unfair distribution of wealth in US cities means “chaos will spread randomly and episodically”:

“The problem starts with poverty. Infant mortality rates for black families in Pittsburgh are worse than in Vietnam; male life expectancy in Washington, DC is lower than it is the Gaza Strip.
Poverty rates in some black and Latino neighbourhoods in almost every city are higher than 50%. In some, violence is rampant. By one estimate, between 20% and 30% Chicago school children have witnessed a shooting. The US now has more people in its penal system than the Soviet Union did at the height of the gulag system.”

Poverty makers
Alnoor Ladha and Martin Kirk of /The Rules and Joe Brewer of Cognitive Policy Works argue that global poverty is created by an “industry that includes private companies, think tanks, media outlets, government policies, and more”:

“This isn’t to suggest that there’s a dark, smoky room somewhere in which a small cabal plots to cause immeasurable misery just because they can. This isn’t a conspiracy theory. In truth, it happens in big boardrooms and political conferences, where people create rules and execute strategies to ‘maximise self-interest’ as economists say, by extracting wealth from others. This is largely driven by a maniacal focus on short-term profit or advantage while ignoring one of its primary effects – the impoverishment of hundreds of millions of people. Wilful ignorance, though, as any legal scholar will tell you, is no defence in law. It’s about time we applied the same standard to our economic rules and realities.”

Latest Developments, April 3

In today’s news and analysis…

Huge loophole
Agence France-Presse highlights some of the perceived shortcomings of the Arms Trade Treaty which has been approved by “an overwhelming 154-3 margin” in the UN General Assembly:

“The treaty has no automatic enforcement. However, it seeks to force the weapons industry within accepted boundaries.

However, the Conflict Awareness Project, a non-governmental research organisation, said the treaty left a huge loophole by not directly addressing the role of middlemen in arms dealing networks.
‘Since the broker is the central actor using the cover of legitimate business to divert weapons into the illicit trade, of all actors, this is the one requiring the strictest regulation,’ CAP’s executive director Kathi Lynn Austin said.”

Landmark ruling
The Guardian reports that India’s Supreme Court has ruled against Swiss pharmaceutical giant Novartis whose efforts to obtain a patent for a cancer drug were deemed to constitute an attempt at “evergreening”:

“At stake in the legal battle was not just the right of generic companies to make cheap drugs for India once original patents expire but also access to newer drugs for poorer countries in much of Africa and Asia. India has long been known as the pharmacy of the developing world.

In a statement, the Cancer Patients Aid Association in India (CPAA), which had opposed the patent application, said: ‘We are very happy that the court has recognised the right of patients to access affordable medicines over profits for big pharmaceutical companies through patents. Our access to affordable treatment will not be possible if the medicines are patented. It is a huge victory for human rights.’ ”

Bad image
The Antioquia School of Engineering’s Santiago Ortega Arango writes that Canadian mining companies have recently been the targets of popular protests in “at least 10 countries”:

“Canada is very well represented in global mining conflicts because, in large part, Canada is the home of most of the junior mining companies of the world,” says Ramsey Hart, the Canada program co-ordinator at Mining Watch, an Ottawa-based advocacy group.
The reason for this, he says, is that Canada has a favourable environment for high-risk, speculative investments, the kind that drives international mineral exploration.
Unlike the U.S. Alien Tort Statute, which allows foreign citizens to bring American companies to U.S. courts for abuses committed in a foreign country, there are no mechanisms to hold Canadian companies overseas accountable for their social and environmental policies. ‘We’ve just completely dropped that ball,’ Ramsey says.

New relationship
The Canadian government is celebrating a new “competitive edge for Canadian exporters” as the Canada-Panama Free Trade Agreement goes into effect:

“In less than six years, the Harper government has concluded free trade agreements with nine countries: Colombia, Honduras, Jordan, Panama, Peru and the European Free Trade Association member states of Iceland, Liechtenstein, Norway and Switzerland. In addition, Canada is in ongoing trade negotiations with the European Union, India, Japan and the members of the Trans-Pacific Partnership.

Upon implementation April 1, 2013, Panama will immediately eliminate tariffs on 95 percent of non-agricultural imports and 78 percent of agricultural imports from Canada…

Most of Panama’s remaining tariffs will be eliminated over a period of 5 to 15 years.”

Carbon colonialism
The Nigerian Current reports that the newly formed No REDD in Africa Network blames a UN emissions reduction scheme for “rampant land grabs and neocolonialism”:

“[Reducing Emissions from Deforestation and forest degradation] is a carbon offset mechanism whereby industrialized Northern countries use forests, agriculture, soils and even water as sponges for their pollution instead of reducing greenhouse gas emissions at source.
Nnimmo Bassey, Alternative Nobel Prize Laureate and former Executive Director of ERA/Friends of the Earth Nigeria said that ‘REDD is no longer just a false solution but a new form of colonialism…We launch the No REDD in Africa Network to defend the continent from carbon colonialism.’
In the UN-REDD Framework Document, the United Nations itself admits that REDD could result in the ‘lock-up of forests,’ ‘loss of land’ and ‘new risks for the poor.’ ”

Wrong approach
The University of Utrecht’s Annelies Zoomers and the Broker magazine’s Evert-jan Quak argue that current efforts to rein in land grabbing fail to get at the root of the problem:

“These problems are the result of the commoditisation of nature and neoliberal policies in general, rather than narrowing the causes of the land rush solely to the current food, climate and energy crisis. Land-titling programmes and codes of conducts are therefore a continuation of the same economic principles.
Furthermore, land governance and policies focussing on land grabbing narrow the scope of the problem and the solution to agriculture. However, urban expansion, infrastructure projects, mining, special economic zones, and tourism projects also spark the rush for land and speculative forces to purchase land in rural areas that affect rural communities. Finally, there is no coherence between policies on food security, climate change, biodiversity and poverty eradication. One problem can be solved (for example REDD and REDD+ to tackle carbon emissions by fast reforestation projects) but create others (small farmers losing their land). A much more interdisciplinary way of policy-making should therefore be enforced.”

Bank crimes
MIT’s Simon Johnson argues that when it comes to international money laundering, “complicit bankers have nothing to fear from the US justice system”:

“To be on the safe side, though, miscreants should be sure to use a really large global bank for all their money-laundering needs.
There may be fines, but the largest financial companies are unlikely to face criminal actions or meaningful sanctions. The Department of Justice has decided that these banks are too big to prosecute to the full extent of the law, though why this also gets employees and executives off the hook remains a mystery. And the Federal Reserve refuses to rescind bank licenses, undermining the credibility, legitimacy and stability of the financial system.”

Basic income
The Guardian’s Geoge Monbiot makes the case for everyone, whether rich or poor, to receive a “guaranteed sum” each week:

“A basic income removes the stigma of benefits while also breaking open what politicians call the welfare trap. Because taking work would not reduce your entitlement to social security, there would be no disincentive to find a job – all the money you earn is extra income. The poor are not forced by desperation into the arms of unscrupulous employers: people will work if conditions are good and pay fair, but will refuse to be treated like mules. It redresses the wild imbalance in bargaining power that the current system exacerbates.”