By Keran Wang, Sheryl Rose Reyes and Taisei Ukita
BANGKOK, Thailand, Jan 14 2026 – Take a deep breath.

Did you know that in many countries in Asia and the Pacific, the air we breathe falls short of the safety standards for air quality set by the World Health Organization? While the start of a new year signals new beginnings, it also marks the continuation of the recurring air quality crisis across many countries in the region.

In 2024, 25 of the most polluted cities were in the Asia-Pacific region, with dangerous levels of fine particulate matter (PM2.5) that significantly exceeded the annual maximum levels of 5 micrograms per cubic meter.

Oftentimes, when we think of air pollution, we associate it with car exhaust and factory chimneys belching black smoke. But air pollution is not just the cost of urban development – it is a multi-hazard crisis caused by wildfires, sand and dust storms, and volcanic eruptions that respect no borders. Access to clean air is a human right and countries who contribute the least to air pollution are often the most vulnerable.

Rising temperatures create a vicious cycle: rising heat leads to intensifying wildfires, releasing toxic smoke composed of carbon dioxide, carbon monoxide, and PM2.5 into the air we breathe. Furthermore, heat accelerates the breakdown of waste, generating even more pollutants.

Volcanic eruptions add sulfur dioxide and volcanic ash to the mix, and these pollutants can linger in the atmosphere for months. The result? Climate change exacerbates air pollution, which in turn aggravates the climate crisis — a feedback loop that puts both human health and ecosystems at risk and transforms local hazards into regional challenges.

Can a heavily polluted environment be restored? In principle, yes, but doing so requires transformative change and collective action in our economy and society. Improving urban mobility requires prioritizing efficient public transport, including low-emission vehicles, cleaner, greener alternatives such as walking, cycling, and ride-sharing.

Nature-based solutions, including green cooling corridors, can further improve air quality by lowering surface temperatures and providing buffers against desertification, land degradation, drought, and sand and dust storms.

However, not all sources of air pollution can be addressed through emission reductions alone. There are inherent limits to prevention at the source, particularly for air pollution caused by natural hazards. This requires a shift in focus from mitigation toward adaptation and preparedness.

Earth observation plays a critical role in monitoring, early warning, and informed decision-making. Advanced sensors aboard platforms such as Sentinel-5 Precursor and Geostationary Environment Monitoring Spectrometer (GEMS) detect key atmospheric pollutants including nitrogen dioxide (NO2), sulfur dioxide (SO2), tropospheric ozone, and carbon monoxide at unprecedented spatial and temporal scales.

The collaboration of ESCAP with regional partners for the Pan-Asia Partnership for Geospatial Air Pollution Information exemplifies how satellite data can be integrated with surface observations to create robust monitoring systems. These datasets enable tracking transboundary pollution events, from agricultural fire smoke to volcanic sulfur emissions to urban photochemical smog.

Satellites bridge the existing gaps from ground-based observations, providing authorities with the spatial coverage needed to understand and monitor air pollution and formulate effective policies.

The Clean Air for Sustainable ASEAN project recognizes that addressing the transboundary air pollution crisis requires strengthened monitoring and decision-making capacities enabled by technology-driven solutions. The application, Check Phoon (Thai: Phoon, meaning dust), or the PM2.5 Monitoring System, developed by the Geo-informatics Information and Space Technology Development Agency of Thailand, is an innovative platform that leverages space technology to support air quality monitoring and public health protection by providing real-time, high-resolution PM2.5 concentration data across Thailand.

The application is available in both web-based and mobile applications, and the system integrates satellite data, such as from Himawari, meteorological information, PM2.5 sources including hotspots (active fire detections), and ground-based validation from PM2.5 monitoring stations.

Building on the framework of SatGPT for flood hotspot mapping, an iteration of SatGPT for volcanic hazards has been proposed with potential to support the understanding and management of air pollution linked to volcanic activity. has been proposed with potential to support the understanding and management of air pollution linked to volcanic activity.

The Regional Action Programme on Air Pollution advances air quality management through science-based cooperation, sharing of best practices, and strengthened technical and financial support across ESCAP member States.

Complementing this effort, the Regional Space Applications Programme facilitates the sharing of Earth observation data and expertise that are critical for monitoring air pollution and assessing the impacts.

These initiatives contribute to accessible and actionable geospatial information that strengthens early warning systems, enabling authorities to forecast and quantify air quality with greater precision.

The transboundary nature of air pollution demands a stronger and more urgent call to action. While the Asia-Pacific region has demonstrated remarkable resilience in the face of cascading disasters, regional cooperation must accelerate to match the scale and pace of this evolving crisis.

Keran Wang is Chief of Space Applications Section, ESCAP; Sheryl Rose Reyes is Consultant, Space Applications Section, ESCAP; Taisei Ukita is former Intern, Space Applications Section, ESCAP.

The authors would like to thank Sangmin Nam, Director of the Environment and Development Division of ESCAP, for his contributions to this article.

IPS UN Bureau

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By Ed Holt
BRATISLAVA, Jan 14 2026 – Israel must lift all restrictions on medicine, food and aid coming into Gaza, rights groups have demanded, as two reports released today (Jan 14) document how maternal and reproductive healthcare have been all but destroyed in the country.

In two separate reports released jointly, Physicians for Human Rights (with the Global Human Rights Clinic at the University of Chicago Law School) and Physicians for Human Rights–Israel (PHR-I) show how the war in Gaza has led to rising maternal and neonatal mortality, births under dangerous conditions, and the systematic destruction of health services for women in Gaza.

The reports from the two groups, which are independent organizations, provide both detailed clinical analysis of the collapse of Gaza’s health system and its medical consequences as well as firsthand testimonies from clinicians and pregnant and breastfeeding women in Gaza forced to live and care for their newborns in extreme conditions.

And the organizations say that with conditions improving only marginally for many women despite the current ceasefire, Israel must roll back restrictions placed on aid and immediately help ensure people in Gaza get access to the healthcare they need.

“Israel’s destruction of Gaza’s health infrastructure, combined with untreated malnutrition resulting from restrictions on food and medical supplies, including baby formula, has created an environment in which the fundamental biological processes of reproduction and survival have been systematically destroyed, resulting in known and foreseeable harm, pain, suffering, and death,” Sam Zarifi, Physicians for Human Rights (PHR) Executive Director, said.

“Israel must immediately allow food and essential medical material to enter Gaza with a proper medical plan for helping the besieged population,” he added.

Israeli military operations following Hamas’s attack on Israel on October 7, 2023, have left massive destruction across Gaza, including to healthcare facilities. According to UNICEF, 94 percent of hospitals have been damaged or destroyed.

Destroyed incubators and equipment at the Kamal Adwan Hospital Neonatal Intensive Care Unit in north Gaza, following the targeting and raid of the facility by the Israeli forces in December 2024. Credit: PHR/GHRC

Maternal and reproductive healthcare has suffered. Before the war, Gaza had eight neonatal intensive care units with 178 incubators. Today, the number of incubators has dropped by 70 percent. In the north, there were 105 incubators across three NICUs, now there are barely any functional units remaining, UNICEF told IPS.

It says that the numbers of low birth weight babies have nearly tripled compared to pre-war levels and the number of first-day deaths of babies increased by 75 percent.

The PHR and PHR-I reports paint a similar picture.

The PHR report, which focuses on the period between January 2025 and October 2025 when a ceasefire was agreed, details how between May and June last year, the Palestinian Ministry of Health reported a 41 percent decrease in the birth rate in Gaza compared to the same time period in 2022; there was a significant increase in miscarriages that affected more than 2,600 women, and 220 pregnancy-related deaths that occurred before delivery.

The ministry also reported a sharp increase in premature births and low birth weight cases; over 1,460 babies were reported to be born prematurely, while more than 2,500 were admitted to neonatal intensive care. Newborn deaths also increased, with at least 21 babies reported to have died on their first day of life.

Meanwhile, the PHR-I report includes personal testimonies illustrating the severe problems pregnant women and women with newborns have faced in Gaza during the war, from lacking safe routes to care and being forced to give birth in unsanitary, dangerous conditions to battling hunger and severe food shortages as they try to breastfeed their children.

One woman, Samah Muhammad Abu Mustafa, a 30-year-old mother of two from Khuza’a, Khan Youni, described how when her contractions began in the middle of the night, because there were no vehicles and very few ambulances, which are reserved for shelling or other critical emergencies, she had to walk a long distance through rain. When she eventually reached the hospital, she said it was “horrifying.”

“I swear, one woman gave birth in the corridor, and her baby died. It was very crowded, and the doctors worked nonstop. I felt as though I could give birth at any moment. After giving birth to my eldest daughter, I was told I should not deliver naturally again because my pelvis was too narrow. Despite this, the doctors said I would have to deliver naturally because a cesarean section required anesthesia, and there was not enough available. I stood for three hours until it was finally my turn, without sitting even for a moment,” she said.

But despite the October 2025 ceasefire, massive problems remain with women’s access to and the provision of, maternal and reproductive healthcare in Gaza.

“Maternal health units in Gaza are largely non-functional and face critical shortages of essential medicines, consumables, and equipment,” Lama Bakri, project coordinator in the Occupied Territories Department at PHR-I, told IPS.

“Neonatal and diagnostic equipment remains scarce or blocked, including portable incubators for premature and low-birth-weight newborns. Although some aid has entered since the ceasefire, these gaps are not being addressed at the scale required, and meaningful improvement in the immediate future remains unlikely.”

Malnutrition also remains a serious problem.

“The ceasefire has allowed us to significantly scale up our nutrition response, but we are still treating pregnant and breastfeeding women for acute malnutrition in alarmingly high numbers,” Ricardo Pires, Communication Manager, Division of Global Communications & Advocacy at UNICEF, told IPS.

He said that between July and September 2025 about 38 percent of pregnant women screened were diagnosed with acute malnutrition.

“In October alone, we admitted 8,300 pregnant and breastfeeding women for treatment, about 270 a day, in a place where there was no discernible malnutrition among this group before October 2023,” he added.

UNICEF has documented almost 6,800 children admitted for acute malnutrition treatment in November 2025 compared to 4,700 cases in November 2024. So far, the number of admitted cases more than doubled in 2025 compared to 2024: almost 89,000 admissions of children to date in 2025, compared to 40,000 cases in 2024, and almost none before 2023.

“What we’re seeing is that no child meets minimum dietary diversity standards, and two-thirds of children are surviving on just two food groups or less. Around 90 percent of caregivers reported their children had been sick in the previous two weeks, which compounds the malnutrition crisis,” Pires said.

And there are fears for the longer-term demographic future of Gaza given the damage to maternal and reproductive healthcare.

“For Gaza’s demographic future, the implications are serious. Even with reconstruction, we will be dealing with a generation of children who were scarred before they took their first breath, children who may face lifelong health complications, developmental challenges, and the effects of stunting. The rebuilding must start now, but we should be clear-eyed: the damage to maternal and newborn health will echo for years, potentially decades,” said Pires.

But others say that with cooperation between international actors and the right political will, the situation need not remain so dire.

“To rehabilitate the population after everything that has happened is going to be a real issue, [but] now there is a Board of Peace, the needs of pregnant women and maternal and reproductive healthcare can be prioritized,” Zarifi told IPS.

“The capacity and the will exist among Gazans and Gazan healthcare workers to rebuild the healthcare system, including maternal and reproductive health services,” added Bakri. “The primary obstacle is not technical or professional but political: Israel’s control over Gaza’s borders and the restrictions on the entry of essential equipment, medical supplies, and reconstruction materials. With unrestricted access to what is needed to rehabilitate hospitals, rebuild destroyed units, and restock essential medicines, recovery is entirely feasible. Whether maternal and reproductive healthcare can return to pre-war levels depends on sustained international pressure to allow that access.”

Although some aid has entered since the ceasefire, these gaps are not being addressed at the scale required, and meaningful improvement in the immediate future remains unlikely.

However, while both NGOs like PHR and PHR-I and others, alongside international bodies like the UN, stress that any recovery and reconstruction in Gaza requires the ceasefire to hold and consolidate, repeated violations underline its fragility, and the effect that has on women.

Meanwhile, PHR and PHR-I point out that extreme weather and ongoing Israeli restrictions on medicine and food getting to Gaza to this day continue to severely affect pregnant women, new mothers, and babies. On top of this, Israel has also announced it will bar 37 international aid groups from working in Gaza, potentially compounding the problems.

Bakri said such measures were jeopardizing what small gains had been made since the ceasefire and “raise serious concerns about whether the situation can improve.”

“Even after the ceasefire, while bombardment has decreased, the reality these women face remains catastrophic – not only for their bodies and well-being but for the survival of the entire society,” said Bakri.

Zarifi added, “We are worried that the restrictions placed by Israel on some of the major actors in the humanitarian response will hamper access to assistance for those that need it. We have raised questions with the Israeli government as to why specific medicines are not allowed to be brought into Gaza and they say that they are not stopping them from being brought in but they can be brought in by commercial means. That is hard for people who can barely put any money together. These medicines should definitely be coming in through humanitarian channels.”

He also highlighted how important the issue of accountability is in ensuring any progress is made in rebuilding healthcare in Gaza and also limiting the probability of similar devastation in the future.

Both reports concluded that the harms caused by Israeli attacks are not isolated incidents but part of an ongoing pattern of systematic damage to the health of women and their children in Gaza, amounting to reproductive violence.

Israel has denied this and said that attacks on hospitals in Gaza have been because the medical facilities are being used by Hamas, and it has maintained that its forces adhere to international law.

While under international law healthcare facilities have special protection even in war, and attacks on them are prohibited, that protection is lost if they are deemed to fulfill criteria to be considered military objectives, such as housing militaries and arms.

However, any attack on them must still comply with the fundamental principles of distinction, proportionality and precautions in attack and failure to respect any of these principles constitutes a breach of international humanitarian law, according to the UN.

“These attacks are part of a deliberate policy designed to create a domino effect of suffering. From starvation and militarized aid distribution by the GHF, to lack of access to clean water, repeated displacement orders, living in shelters under continuous bombardment, and exposure to infections, disease, and harsh weather, the attacks on maternal and reproductive healthcare are another piece of this puzzle. Together, these conditions were created to systematically destroy the fabric of life in Gaza and reduce the population’s ability to survive,” said Bakri.

“The Israeli government has justified attacks on healthcare facilities by saying this was a problem caused by Hamas. We haven’t had an indication of this but it might be true. But in any case there has to be an investigation of these incidents and we hope the Israeli government will carry out such an investigation,” said Zarifi.

“But what is really alarming to us is that the norms prohibiting attacks on healthcare have been repeatedly violated, and there are also laws governing the protection of women and children that appear to have been violated. The only thing that makes these norms work is accountability. There has to be accountability for what happened, as it is the only way we can ensure that what has happened won’t happen in other conflicts. Impunity is watched by other actors around the world,” he added.

IPS UN Bureau Report

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