The Tortoise is Breathing
As the 2009 NPT PrepCom drew to a close, one of the African delegates was reported to have quipped “The tortoise is breathing.”
There was little disagreement — among the “diplos” and NGOs alike — that this was a successful PrepCom at a time when success was badly needed. All of the procedural issues were resolved quickly, and without the destructive behavior that had blocked progress since 2000. As a result, the 2010 Review has a forward-looking agenda , and all signs are that the delegates will engage in serious discussions about very specific disarmament and non-proliferation objectives, many of which are reflected in the 13-step action plan adopted in 2000. There is even talk of a five-year plan with measurable goals as an outcome of the 2010 Review that can be evaluated in 2015.
That’s the good news. The disappointment for NGOs and for many delegations was the inability to reach consensus around the recommendations drafted by the Chair. A very strong first draft distributed by Ambassador Chidyausiku at the end of the first week (see “Will the NPT finally open its arms to the Nuclear Weapons Convention?”) had been significantly watered down by the opening of the second week. The explicit reference to the Nuclear Weapons Convention had been removed, as had the clause on halting qualitative improvements of nuclear weapon systems. The rest of the language relating to disarmament came across as much more conditional than it had been in the Chair’s very straightforward first draft.
Almost as soon as the second draft appeared, the divisions in the room between ardent supporters of the first draft — largely from the non-aligned movement — and supporters of the second draft — largely though not exclusively the nuclear weapon states — became apparent. Some states said they could have supported either version, but in a process where consensus rules, the outcome was predictable. The PrepCom ended without agreement on substantive recommendations to the 2010 Review.
That’s not necessarily a bad thing. A set of recommendations to the liking of civil society would have been the icing on the cake, but we can be happy that the cake came out of the oven without falling. The disagreements over substance are real, and the draft recommendations served as a focal point for lively discussions among the delegates — and between delegates and NGOs — for an entire week — something that never happened during the gridlocked years of the Bush administration. The fact that the PrepCom didn’t tie the Review Conference to the weaker language of the revised draft recommendations gives NGOs much more latitude in the coming year to influence the content of the Review.
Pardon my uncharacteristic exuberance, but when I read the following sentence in the just-released draft recommendations to the 2010 NPT Review Conference on the Amtrak train from New York to Boston this afternoon, I nearly jumped out of my seat:
Examine, inter alia, ways and means to commence negotiations, in accordance with Article VI, on a convention or framework of agreements to achieve global nuclear disarmament, and to engage non-parties to the treaty.”
Before you put me into a home for the terminally dull, what that means in plain, non-diplomatic English, is that the Chair of the 2009 PrepCom, Boniface Chidyausiku of Zimbabwe, has done in one sentence what the NGO community has spent 12 mostly dark years trying to accomplish: he has made the Nuclear Weapons Convention part of the NPT work plan. Specifically, he has identified the Convention as the implicit goal of Article VI of the NPT, and has called on states to explore ways to commence negotiations on a Convention, even as they work on strengthening disarmament and non-proliferation objectives to which they have already agreed.
If this sentence survives the second week of the PrepCom and remains in the recommendations forwarded to the Review Conference, all NPT states — including the NPT nuclear weapon states — will be honor bound to engage in a serious discussion of the Convention from this point forward. Moreover, part of their task, spelled out explicitly by the Chair, will be to find creative ways to include the non-NPT nuclear weapon states — India, Pakistan, Israel, and the prodigal DPRK — in the disarmament process.
This does not mean that negotiations on a Nuclear Weapons Convention will begin tomorrow, or even in June 2010. The representatives of the nuclear weapon states at the PrepCom continue to talk about the Convention as something off in the distance, maybe 30 or 40 years from now. We still have a lot of work to do if we’re to convince them that the whole process could come to a conclusion much sooner.
Nevertheless, this is a significant breakthrough. One of the most frequently expressed criticisms of the Nuclear Weapons Convention, other than the feeling among many diplomats that taking it up is premature, is that the NWC somehow competes with or would distract from desperately needed measures to strengthen the NPT. During the formal NGO session on May 6, we rebutted that argument, making it plain that the NWC and the NPT are closely linked and mutually reinforce each other.
“The aim of NWC negotiations,” we told the delegates, “is not to provide an alternative to the NPT, rather to develop an additional instrument that would build upon the NPT and other nuclear non-proliferation and disarmament measures. It would thus be sensible to connect NWC negotiations closely with the ongoing efforts to implement and strengthen the NPT.”
By echoing that point of view in the draft recommendations, and by including it as a prominent element of the proposed action plan on disarmament, Chairperson Chidyausiku has not only validated the single most important goal NGOs brought with them into this PrepCom, but has also shown how essential interim steps can be placed in a comprehensive framework — something else that has been central to NGO arguments in favor of the Convention.
At the very least, well respected members of the diplomatic and parliamentarian communities have been speaking up for the Convention at this PrepCom. Jayantha Dhanapala, a former UN Under-Secretary-General for Disarmament and the current President of the Pugwash Conferences on Science and World Affairs told participants at an IPPNW-sponsored PrepCom workshop that Article VI of the NPT anticipates negotiation of an NWC. He was joined in this assessment by Randy Rydell, a senior political affairs officer in the UN Office of the High Representative for Disarmament Affairs. Rydell’s former boss, Hans Blix, has also endorsed the Convention. Henrik Salander, the new Chair of the Middle Powers Initiative and the Chair of the 2002 NPT PrepCom, has offered some strong words of support as well. Just to name a few.
The nuclear weapon states may be less than ecstatic about this, but the one idea that would completely eliminate nuclear weapons and prohibit them as a matter of international law is starting to get some traction.
The draft recommendations to the 2010 Review reaffirm the importance of the commitments made at the 1995 Review and Extension Conference and the 2000 Review, and acknowledge that those commitments have not yet been fulfilled. What the parties to the NPT should do in 2010, the recommendations state, is set “practical, achievable and specified goals and measures leading to the elimination of nuclear weapons.” Is it just my wishful thinking, or do others hear the desire for a time frame in that?
Among the specific interim steps mentioned are CTBT ratification, negotiation of a fissile materials ban, diminished operational status (which means taking nuclear weapons off hair-trigger alert, at long last), deep and verifiable reductions, irreversibility, and others that were part of the 13-step action plan endorsed in 2000 and that were relentlessly trashed by the Bush administration right through 2008. The recommendation that might actually have the greatest repercussions in the short term, were it to gain acceptance, is that there be no qualitative improvements in nuclear arsenals. Stopping the modernization of nuclear weapons and of the infrastructure to produce warhead components and delivery systems really would make abolition only a matter of time.
We all agree that the NPT is the foundation of nuclear disarmament and non-proliferation, the walls of which would be strengthened by the mortar of a CTBT, a fissile materials treaty, stronger safeguards, and other interim measures. What has eluded the diplomatic imagination up until now is the recognition that the Nuclear Weapons Convention is the capstone of the whole edifice. Maybe that idea is finally starting to sink in.
IPPNW Interview: Xanthe Hall
Xanthe Hall is a disarmament expert and long-time antinuclear campaigner for IPPNW-Germany. Her views are sought and respected on topics ranging from missile defenses to a nuclear-weapons-free Europe. VS asked Xanthe about the current political landscape in Germany and about the prospects for a nuclear-weapons-free world.
IPPNW: European NGOs are demanding that NATO take a hard look at its nuclear weapons policies as it marks its 60th anniversary. What is IPPNW-Germany contributing to this campaign?
XH: IPPNW-Germany is one of the main organizations behind the three-year campaign “our future—nuclear weapon free”—supported by 50 organizations Germany-wide—which aims to get the US nuclear weapons withdrawn from Germany by 2010. Through this campaign we are highlighting in particular the nuclear sharing agreement in NATO, which provides for member states to host US nuclear weapons, to provide logistics and pilots, and to take part in nuclear planning for a potential NATO nuclear attack. When we started this campaign, most people here did not even know that there were still nuclear weapons in Germany. We changed this by having a large demonstration and actions at the Büchel nuclear base last summer. At the 60th anniversary this week in Strasbourg, many of us will be there. We will run a workshop on the nuclear weapons’ issue and talk about how changes in the US and UK nuclear policies might affect NATO nuclear policy, which is up for review again after the Strasbourg meeting. There is a general election in Germany this year, so we are asking candidates to take a definite position on the US nuclear weapons. After the election, we will ask the governing parties (at least one of which will be for the withdrawal) to write it into the coalition agreement that these weapons will be withdrawn. The goal is that by the next NPT Review Conference this decision will have been taken and can be announced, thus adding momentum to the disarmament debate.
IPPNW: You just organized a successful panel on the Nuclear Weapons Convention at the Middle Powers Initiative’s Article VI Forum in Berlin. Are diplomats and government officials more receptive to the Convention than they were a year or so ago? Read more…
IPPNW Interview: Andrew Pinto

Dr. Andrew Pinto is a family physician and a member of Physicians for Global Survival (IPPNW-Canada). He is currently pursuing speciality training in public health at the University of Toronto. This interview relates to his paper that was recently published in Medicine, Conflict and Survival titled “Engaging Health Professionals in Advocacy Against Gun Violence,” as well as his own involvement in violence prevention activities.
IPPNW: Was there something specific that happened that prompted you to become involved in joining IPPNW and working for peace?
AP: I was incredibly fortunate to complete my undergraduate degree at McMaster University, where I met Joanna Santa Barbara, Vic Neufeld, Neil Arya and others who were engaged in “peace through health”. These people became my mentors and continue to advise me today. I had always known that health was influenced by social, economic and political factors, but began to see how to frame problems like war from a public health perspective. Further, I came to understand the links between armed conflict, poverty, underdevelopment and the spread of diseases such as HIV. In my third year, the attacks of September 11, 2001 occurred. I witnessed an outpouring of hatred and a desire for vengeance amongst my fellow students, and the world community blindly joining the “War on Terror”. This was juxtaposed against the 2001 Peace Through Health Conference at McMaster. It was here that I met Dr. Olupot-Olupot, a Ugandan physician. This led to my first research on gun violence and was the beginning of my involvement in advocacy on this issue. I should emphasize that I am still a novice in many ways, and have a great deal more to learn from others about working for peace.
IPPNW: Health professionals have long been involved with advocacy around the social determinants of health, including poverty. Can you tell us what special expertise health professionals bring to the work of preventing violence? Read more…
New Life for Nuclear Disarmament at the UN?
Keynote Address
Coalition for a Strong UN Annual Meeting
April 18, 2009
John Loretz
Program Director, International Physicians for the Prevention of Nuclear War
I think it’s fair to say that a discussion about the prospects for achieving a nuclear-weapons-free world—and the important role the United Nations can and must play in getting us there—couldn’t come at a more opportune time.
I’ve been working on this issue going on 30 years now, and I share the sense of hope and excitement that we now have a US president who has made the elimination of nuclear weapons the policy goal of this country. President Obama has gone so far as to say that the US, as the only country ever to have used a nuclear weapon, has a moral responsibility to lead us to a world without nuclear weapons. He is right, and he’s going to need plenty of courage, persistence, and support to make it happen.
I’d like to refresh our memories about the nature of nuclear weapons, and what’s at stake as long as they continue to fill the world’s arsenals. This is an unavoidable consequence of inviting a speaker from IPPNW, but it’s also an important thing to do whenever the topic relates to these unconscionable instruments of mass extermination.
The 12.5-kiloton bomb detonated in the air over Hiroshima on August 6, 1945 created ground temperatures that reached about 12,600 degrees (F) and incinerated the city. More than 100,000 people died and approximately 75,000 were injured among a population of nearly 250,000.
The 21-kiloton bomb detonated in the air over Nagasaki three days later leveled 2.6 square miles, killed 75,000 people immediately, and left 75,000 terribly injured. The cancers, birth defects, and other generational effects of radiation exposure among survivors and their families in both cities persist to this day.
A similar explosion over New York City today would kill more than a quarter of a million people.
A nuclear war involving only 100 Hiroshima-sized weapons targeted on megacities — something now within the capability of India and Pakistan, for example — would kill 20 million people outright, a number equal to half of all those killed worldwide during the six years of World War II. As if that weren’t horrifying enough, the smoke and soot thrown into the upper atmosphere would cause a sudden global cooling severe enough to disrupt agriculture worldwide for at least a decade. The resulting “nuclear famine” among populations already living on the edge of starvation could kill another billion people.
A nuclear war between the US and Russia—whose leaders have persisted up until now in keeping thousands of weapons ready to be launched on missiles in a matter of minutes—would kill hundreds of millions and could trigger a nuclear winter. As remote as that possibility might seem two decades after the end of the Cold War, it has never gone away.
The stakes could not be higher. Increasing knowledge of how to construct nuclear weapons, increasing availability of the materials with which to make a bomb, increasing numbers of people desperate enough to use the bomb, and, most important, a lack of international resolve to fulfill the pledge of disarmament make the use of nuclear weapons inevitable if we do not act decisively.
The bottom line is that sooner or later we will either abolish nuclear weapons, or they will abolish us.
On March 23, IPPNW released a Medical Appeal signed by more than 300 physicians and medical leaders from 39 countries —senior faculty and deans of medical schools, heads of medical associations, health ministers, medical journal editors, and Nobel laureates—calling on President Obama and Russian President Medvedev to confront “this gravest threat to human survival” and to “end the nuclear weapons era once and for all.”
The release of the letter was timed to precede the first meeting of the two leaders at the G-20 summit in London this month, and coincided with an intense period of diplomatic and media interest in the goal of a nuclear-weapons-free world, including the joint US-Russian statement and the subsequent speech by President Obama in Prague, which cemented the dramatic shift in US nuclear policy to which I just referred. These recent events have transformed IPPNW’s work—and that of civil society as a whole—from that of an opposition movement trying to prevent the development of new nuclear weapons and their global spread, to that of advocates for a new, widely shared vision of a world in which nuclear weapons no longer exist.
Now comes the heavy lifting, which includes making important decisions about how to frame the entire project of getting to zero so that individual, incremental steps taken in the short term are clearly seen as parts of a whole, rather than as ends in themselves. Getting down to 1,000 or fewer warheads each in a new US-Russian agreement to replace the expiring START would constitute real progress. But reductions in arsenal size — even deep reductions — need to be treated as a down payment toward the goal of elimination.
At some point, the other nuclear weapon states must become engaged in the process. One possible pathway is closing the gap between the enormous arsenal sizes of the US and Russia and the arsenals of China, France, and the UK, which number in the hundreds. That would be a sign of real good faith and could help kick start negotiations among the five NPT nuclear weapon states. India and Pakistan, who have said two things consistently—that they will not join the NPT as non-nuclear-weapon states and that they would join negotiations on a global nuclear disarmament treaty if the US and Russia make the first move—would find it increasingly difficult to avoid sitting at the table.
A big unanswered question, in my view, is how to engage Israel, which has never acknowledged its nuclear arsenal but, at the same time, has given unmistakable signals that it will not relinquish its nuclear weapons in the absence of a Middle East peace agreement and security guarantees. Experts with whom I’ve consulted believe that multilateral negotiations on a nuclear weapons convention could proceed a long way before this issue would have to be addressed directly.
Working with international lawyers, scientists, and other civil society experts, IPPNW has offered a roadmap toward a nuclear-weapons-free world in the Nuclear Weapons Convention — a comprehensive framework for global nuclear disarmament. The Model Convention we helped to draft has been a working document of the General Assembly since 1997 and majorities of UN Member States have repeatedly voiced their support for it.
A lot will have to change in the UN system if it is to make a constructive contribution to the goal of a nuclear-weapons-free world.
The first resolution of the General Assembly, adopted in 1946, called for “the elimination from national armaments of atomic weapons and of all other major weapons adaptable to mass destruction.”
That urgent task not only remains unfulfilled more than 60 years later, but, with regard to nuclear weapons, it has barely begun. Nuclear arms control and disarmament proposals continue to be offered in a piecemeal, disconnected fashion while existing arsenals are “modernized” and new arsenals come into existence. Procedural disputes have been used as stalling tactics.
The UN Conference on Disarmament, the world’s sole multilateral disarmament negotiating body, is engaged in no negotiations. The UN First Committee sends dozens of strongly worded resolutions on different aspects of nuclear disarmament to the General Assembly each year, and each year the General Assembly adopts them and moves to the next item on its agenda.
NPT Review Conferences and Preparatory Committee sessions have been dominated by debates about whether disarmament or non-proliferation should come first, when the Treaty obliges Member States to pursue both simultaneously.
Former Secretary-General Kofi Annan made this point eloquently in 2006, at the conclusion of his term: “[T]hese two objectives –- disarmament and non-proliferation -– are inextricably linked, and…to achieve progress on either front we must also advance on the other.…It would be much easier to confront proliferators, if the very existence of nuclear weapons were universally acknowledged as dangerous and ultimately illegitimate.”
In making that assertion, Secretary-General Annan reiterated the view of the International Court of Justice, which, 10 years earlier, had advised the General Assembly that all states had an obligation, under international law, “to pursue in good faith and bring to a conclusion negotiations leading to nuclear disarmament in all its aspects under strict and effective international control.”
Secretary-General Ban Ki-Moon, who told the Conference on Disarmament in January 2008 that it must “rekindle the ambition and sense of common purpose that produced its past accomplishments,” has more recently called the Nuclear Weapons Convention “a good point of departure” for negotiations.
I’d now like to take a closer look at the two UN bodies with primary responsibility for working on nuclear disarmament — the First Committee and the Conference on Disarmament — and end with the Non-Proliferation Treaty, which is coming up for a pivotal five-year review in May 2010.
First Committee
The UN has six specialized committees that meet each year during regular General Assembly sessions, and that return to the GA with recommended resolutions. The very first resolution adopted by the General Assembly in 1946 called for “the elimination from national armaments of atomic weapons and of all other major weapons adaptable to mass destruction.”
In keeping with the priority given to that first resolution, the GA made its First Committee responsible for disarmament and international security. Every year, the General Assembly adopts dozens of First Committee resolutions by majority vote or by consensus.
Unlike the Conference on Disarmament, the First Committee is not a negotiating body. Its purpose is to facilitate discussion, compromise, and consensus building, and to help states reach common understandings about the value of disarmament proposals and the most effective and acceptable ways to pursue them.
Unfortunately, the First Committee shares one trait in common with the CD: its discussions rarely seem to get anywhere because of the rigidity of its process, and the relative ease with which states can block consensus. The FC offers delegates an opportunity to be flexible and creative, and to consider security issues from each other’s perspectives rather than just from their own. Yet delegations too often remain entrenched in their own governments’ policies and security doctrines and are unwilling to deviate from hardened positions. Rather than engage in real debate, therefore, the First Committee has largely degenerated into what Reaching Critical Will calls “a resolution-generating machine, from which repetitive, redundant resolutions are tabled and voted on year after year.”
The 63rd session of the General Assembly was no different, in that regard, from those of the recent past. The GA last December adopted 57 First Committee resolutions on w e a p o n s o f mass destruction, conventional weapons, and regional disarmament and security, including 22 resolutions on nuclear disarmament and non-proliferation issues.
In the latter category were resolutions on the risk of nuclear proliferation in the Middle East, decreasing the operational readiness of nuclear weapons, a ban on new types of weapons of mass destruction, nuclear disarmament (that is, the complete elimination of nuclear weapons), a nuclear weapons convention, reducing nuclear danger, the central role of the NPT in achieving a nuclear-weapon-free world, nuclear-weapons-free zones, entry into force of the CTBT, and a UN conference to eliminate nuclear dangers.
The GA adopted all these important resolutions by large-to-overwhelming majorities. For the most part, the yeas and nays depicted the fault lines on these issues between the nuclear weapon states and their allies (whether willing or reluctant) and the non-nuclear-weapon states. The US, for the record, voted against every single nuclear disarmament resolution in 2008, with the exception of two that it sponsored—one to solicit support for Bush administration counter-proliferation programs; and the other to demand compliance with non-proliferation obligations, innocuously worded to mask its ulterior motive, which was to send a message to Iran. (Not surprisingly, Iran and several other members of the non-aligned movement abstained.)
Many of us in the NGO community were perplexed by the vote of support for the nuclear weapons convention, mention of which was embedded in a resolution reiterating the unanimous conclusion of the International Court of Justice that there is an obligation under international law for states to pursue nuclear disarmament in good faith and, in particular, to commence multilateral negotiations leading to an early conclusion of a convention to eliminate nuclear weapons. That resolution got 127 votes. The Model Convention is a working document of the GA and of the NPT. Yet to this day NGOs get nothing but resistance to our requests for substantive discussion of the Convention among governments and UN diplomats. We plan to confront this situation head on at the upcoming NPT PrepCom, as I’ll explain in a bit.
All of the First Committee resolutions, once adopted, essentially went back into the hopper for resubmission during the 64th session.
A properly functioning First Committee could do a lot to advance creative thinking about disarmament and to promote good faith implementation of disarmament and non-proliferation obligations. A more effective and accountable First Committee should be high on the list of goals for strengthening the UN and reforming its institutions.
Conference on Disarmament
The CD came out of the General Assembly’s First Special Session on Disarmament in 1978, and was created to fill the need for a single multilateral negotiating forum on disarmament issues, including nuclear disarmament. The CD’s rules require decision making by consensus, which is frequently given as the reason why the only successfully concluded disarmament treaties in the subsequent 30 years have taken place outside the CD.
The last time the CD took a decision to negotiate on a substantive issue—fissile materials—was in 1998. Those negotiations never started. Since 2000, the CD has declared its intent to focus on four core issues: nuclear disarmament, a fissile materials ban, prevention of an arms race in outer space, and negative security assurances. The word “focus” may be a bit of a reach, because the CD has been in gridlock during this entire decade, and has not even been able to agree on a program of work, let alone conduct actual negotiations on any of these issues.
The hangup on the fissile materials ban has centered on the problem of verification — not disagreements over how to verify compliance with a treaty in a technically sound and politically acceptable way, but disputes over whether verification should even be a subject of negotiations. The Bush administration said that a fissile materials ban could not be verified (more to the point, it was not about to countenance the idea of intrusive inspections in the US itself), but said it was willing to negotiate a treaty without verification measures—an approach similar to that taken in the deeply flawed Moscow Treaty (SORT) negotiated by the US and Russia in 2000. Not surprisingly, most other CD members have rejected this notion, consensus has not been achievable, and the discussion has gone in circles.
The Comprehensive Test Ban Treaty was a different kind of example of the dysfunctionality of the CD. After consensus on the draft CTBT was blocked in the CD by India and Iran in 1996, Australia, with the support of 127 state co-sponsors and NGOs such as IPPNW, brought a CTBT resolution to a special session of the General Assembly, where it was approved by an overwhelming 158 to 3 vote. Even liberated from CD deadlock, the CTBT has yet to enter into force.
(Interestingly, one of the more divisive issues within the CD has been the role of civil society and, in particular, the influence of NGOs. NGOs, as a rule, have not been allowed to address the CD for several years, although this is common practice in other UN forums, including the First Committee and NPT Reviews and Preparatory Committee meetings.)
The situation has degenerated to the point where the head of one delegation to the Conference on Disarmament recently referred to “the cycle of hope, missed opportunities, and despair” that has characterized the CD’s work for many years. Some have gone so far as to suggest that the CD is actually an obstacle to nuclear disarmament, because it stands in the way of efforts to promote alternative negotiating forums.
Some useful ideas have been proposed for breaking the deadlock in the CD and getting things back on track. The Blix Commission and others have recommended that the CD conduct its normal business by two-thirds majority voting, and that it adopt veto-free procedures. Another suggestion is that the CD restrict itself in the short term to some single achievable piece of work, so that it can have a success on which to build. Hope is also being expressed that a change in US attitudes and behavior under the Obama administration will open up new possibilities for productive work in the CD, with or without changes in operational norms. We’ll get a sense of that soon enough.
Non-Proliferation Treaty
In a couple of weeks, the parties to the NPT will gather at UN headquarters in New York for the third and final Preparatory Committee for the 2010 NPT Review. This is a critical meeting for a number of reasons. Frustrations over non-compliance with Article VI of the Treaty have reached a breaking point; anger over the nuclear double standard and erosion of confidence in the non-proliferation regime—with Iran and North Korea as the current focal points; and a growing sense among NGOs that the Treaty is being exploited by the proponents of global nuclear energy expansion have all contributed to a widely shared belief that the NPT is at a crossroads.
The Treaty has always had its problems, but they have gotten worse over the last decade after a brief period of raised expectations. At the 1995 NPT Review and Extension Conference, the parties agreed “to pursue systematic and progressive efforts to reduce nuclear weapons globally, with the ultimate goal of eliminating those weapons.” They went further in 2000, committing themselves to an “unequivocal undertaking” to eliminate nuclear weapons, and endorsing specific benchmarks spelled out in a 13-step action plan. By the way, each of these benchmarks — including entry into force of the Comprehensive Test Ban Treaty, a ban on the production of fissile materials for nuclear weapons, reduced operational status, a diminished role for nuclear weapons in security policies, and the continued development of verification capabilities, among others — is an integral part of the Model Nuclear Weapons Convention.
With the arrival of a neoconservative regime in the US, all that changed. During the PrepComs for the 2005 Review, the US not only walked away from the commitments made in 1995 and 2000, but shamelessly blocked any mention of their existence from subsequent reports. The US was not alone in causing trouble, but the other NPT member states did not — or did not want to — confront John Bolton and his Bush-appointed successors. The 2005 Review failed, and the attitude of many delegations during the first two PrepComs for 2010, it seems to me, was to deliberately run out the clock on the Bush administration and to quietly develop proposals that might receive a better reception from his successor. That’s where we are right now, and the NGOs preparing to descend on Conference Room 4 in two weeks are waiting with bated breath for evidence of a meaningful change for the better.
The Member States of the United Nations set out to achieve a nuclear-weapons-free world in the 20th century, and failed to reach that goal. This failure can be traced back, in part, to the fact that the General Assembly did not insist upon the commencement of negotiations on a time bound schedule.
In contrast, Mayors for Peace, under the leadership of Hiroshima Mayor Taditoshi Akiba, has called for the elimination of all nuclear weapons by 2020 — the 75th anniversary of the US atomic bombings of Hiroshima and Nagasaki. This goal—endorsed by IPPNW — is achievable if negotiations on a Nuclear Weapons Convention commence no later than the conclusion of the 2010 NPT Review.
We face an enormous challenge, even in a political climate where the elimination of nuclear weapons has moved into mainstream thinking about global security policy. Those who favor a nuclear-armed world—as long as they can decide who gets to own nuclear weapons and who does not—are already starting to push back from their exile in right-wing think tanks. A United Nations that overcomes its institutional shortcomings, and becomes an effective champion of a world without nuclear weapons, can play an important role in getting us to the long-awaited end of this road.
Zero Nuclear Weapons is the New Benchmark
The leaders of the world’s two largest nuclear powers have committed themselves and their countries to achieving a nuclear-weapons-free world. That pledge, made by presidents Barack Obama and Dmitri Medvedev at their April 1 meeting in London—and elaborated by President Obama in a policy-transforming speech in Prague on April 5— must be the benchmark against which all progress to reduce the threat of nuclear destruction is now measured.
Presidents Medvedev and Obama have outlined a course of near term actions that, if negotiated successfully, will bring us closer to the goal of global nuclear disarmament than at any time since the end of the Cold War. Over the next few months, we will find out how high they plan to set the bar.
For example, arms control experts have suggested that the goal of negotiations on a new treaty to replace the expiring START 1 could be a reduction to no more than 1,000 warheads on each side. This would be undeniable progress. A reduction to 500 warheads, however, would be an eye-catching demonstration of the intention to reach zero. It could also stand as a good faith challenge to the other nuclear weapon states, whose arsenals already number in the hundreds or fewer, to commence negotiations on a comprehensive agreement to rid the world of all nuclear weapons.
The US and Russian leaders also promised “to work together to fulfill our obligations under Article VI” of the Non-Proliferation Treaty (NPT). For most of the near-40-year history of the NPT, the nuclear weapon states have paid lip service to their nuclear disarmament commitment under Article VI, while doing everything possible to avoid compliance. As a result, the patience of the non-nuclear-weapon states—and their willingness to comply with their own non-proliferation obligations—has been strained to the breaking point. With a crucial five-year review of the NPT scheduled for 2010 and a final preparatory meeting coming up in New York next month, solid evidence of this fresh intent to comply with Article VI will be essential.
The joint statement contained a familiar but important list of measures to reduce reliance on nuclear weapons and to make their spread less likely. Among these are entry into force of the Comprehensive Test Ban Treaty, the negotiation of a ban on production of fissile materials, and stepped-up efforts to prevent terrorists and other non-state actors from acquiring nuclear weapons. An unambiguous decision to end the development of all new US and Russian nuclear weapons—both warhead designs and delivery systems—would send a clear signal to the rest of the world that eliminating these instruments of mass extermination is not just a goal, but a plan.
For several years, Russian anger at the prospect of US missile defense deployments in Europe and the rapid expansion of NATO, matched by US objections that Russia has not done more to hold Iran accountable to its non-proliferation obligations, had all but derailed progress in bilateral relations, and had threatened to escalate into a new arms race. That both leaders seem willing to step back from confrontation on these issues, to consider each other’s perspectives, and to seek mutually acceptable solutions comes as a breath of fresh air. The long-overdue removal of US nuclear weapons from European bases, a moratorium on the installation of missile defense components, and assurances from Moscow that it will not modernize its missile delivery systems would go a long way toward rebuilding eroded trust.
The lesson of the US atomic bombings of Hiroshima and Nagasaki was that a single nuclear weapon could destroy an entire city. During the Cold War, we came face-to-face with the horrifying realization that the explosion of thousands of nuclear weapons in a war between the US and the former Soviet Union would have destroyed humanity itself. That threat has not gone away. New scientific research has shown that even 100 Hiroshima-size warheads, exploded over major cities, would cause a sudden global cooling, the disruption of agriculture worldwide, and could lead to the deaths of a billion people who already live on the margins of starvation.
The stakes are far too high to risk the use of these weapons by accident or miscalculation. For this reason, the US and Russia should take all their missiles off high alert. That step could be taken immediately, with a simple presidential directive.
Presidents Obama and Medvedev concluded their first meeting by stating that “Now it is time to get down to business and translate our warms words into actual achievements of benefit to Russia, the United States, and all those around the world interested in peace and prosperity.”
To resounding and well-deserved applause in Prague, President Obama acknowledged that the US, “as the only nuclear power to have used a nuclear weapon…has a moral responsibility to act.” Making sure he and the leaders of the other nuclear weapon states act together to make this new vision a reality is both a responsibility and an opportunity that may not come our way again.
The large majorities who have said they want to live in a world without nuclear weapons will support Presidents Medvedev and Obama as they “get down to business.” At the same time, we should make clear our expectation that their pledge to free the world from the threat of annihilation by the most destructive weapons ever created will soon take the form of a comprehensive plan for getting to zero.
A nuclear-weapons-free world: Champions, detractors, and the urgency of getting to zero—Part 3
A new medical appeal for a nuclear-weapons-free world
“What do doctors have to do with nuclear war?” That’s invariably the first question I get when I say I work for IPPNW.
For the 300 or so prominent physicians who have just signed a letter calling on US President Obama and Russian President Medvedev to partner up and rid the world of nuclear weapons, the answer to that question is self evident: the consequences of a nuclear war—the overwhelming numbers of casualties, the horrific nature of the injuries among survivors, the destruction of hospitals and other health facilities, the cancers and genetic damage carried over into future generations—would leave them helpless to respond.
Physicians understand that they must work to prevent what they can’t treat. So for almost 50 years they have been pleading with world leaders—those who have their fingers directly on the nuclear button and those without their own bomb who, regardless, can’t protect their citizens from a catastrophe unleashed by others—that the only way to prevent nuclear war is to eliminate these instruments of mass extermination altogether. From the physician’s perspective, the prognosis is simple: either we will abolish nuclear weapons or they will abolish us.
The letter released on March 23, 2009—about a week before the first meeting between presidents Obama and Medvedev, in London for the G-20 summit—was not signed by the pediatrician at the neighborhood clinic (although IPPNW now invites her to endorse it, along with every other pediatrician and cardiologist and obstetrician and radiologist and oncologist and general practitioner and medical student and public health expert and on and on). Among the signatories are health ministers, deans of medical schools, presidents of national medical associations, emeritus professors, and heads of hospitals from 39 countries. A few survived the atomic bombings of Hiroshima and Nagasaki. All of them want to make sure that there is never another Hiroshima or Nagasaki.
This appeal is the latest expression of revulsion against nuclear weapons in a decades-long medical movement that was called into existence by those first bombings. Albert Schweitzer published his “Declaration of Conscience” in 1957 and told the world that “the end of further experiments with atom bombs would be like the early sunrays of hope which suffering humanity is longing for.” Benjamin Spock educated doctors and parents about the health effects of nuclear testing, and helped organize mass protests throughout the 1960s. The US Institute of Medicine, the British Medical Association, the Russian Academy, the WHO, and other major research institutions published the data that would form the scientific basis of IPPNW’s campaigns in the 1980s and 90s.
Some of that research told us that the explosion of one or two thousand nuclear weapons in a war between the US and the Soviet Union would have led to a nuclear winter and the collapse of the fundamental ecosystems on which human life and society depend. The US and Russia still have more than enough nuclear weapons kept at the ready today to precipitate that catastrophe and destroy everyone on Earth.
Now we’ve learned that even 100 Hiroshima-size warheads, exploded over megacities, could cause a sudden global cooling, the disruption of agriculture worldwide, and the deaths of a billion people who already live on the margins of starvation. That’s after killing tens of millions of people outright.
What more do we need to know? If 100 bombs can kill a billion people, can any reason for continuing to rely on them outweigh the shame and hypocrisy of owning them at all?
That’s what these leaders in global medicine are asking presidents Obama and Medvedev to consider when they meet in London and in the months ahead, as they discuss their options in leading us to a nuclear-weapons-free world. Two of the physicians who have signed the medical appeal—Bernard Lown and Evgueni Chazov—helped persuade Mikhail Gorbachev to become an abolitionist when they met with him in 1985. Gorbachev and Ronald Reagan came heartbreakingly close to an agreement to get rid of all their nuclear weapons when they met in Reykjavik in 1986. The times (and, more to the point, their advisers) were against them.
In 2009, the leaders of the two largest nuclear powers don’t have to be persuaded that the future depends on the elimination of nuclear weapons. They have said so themselves. What they seem to need is a practical roadmap—which already exists in the form of the Model Nuclear Weapons Convention—and the confidence that if they act decisively, a grateful world will embrace their action. The physicians’ letter, delivered today, can be seen as a confidence-building measure—part of the growing public chorus of voices calling for sanity and courage at an opportune time.
The text of the letter and a list of signatories is at www.ippnw.org.
Academic medicine question peace through health
Academic Medicine has provided an interesting opportunity to discuss peace through health in their “Question of the Year”:
“How should academic medicine contribute to peace-building efforts around the world?”
http://journals.lww.com/academicmedicine/Fulltext/2009/01000/2009_Question_of_the_Year.1.aspx
The deadline for submission is May 1. Dr. Andrew Pinto of IPPNW’s PGS in Canada is hoping to put something together and would like comments from colleagues.
What do you think?
Prescription for a Healthy, Secure Planet
April 3rd – 5th, 2009
New York City
Medical students and physicians from around the nation will be gathering in New York City in April for a groundbreaking conference on how public health professionals can help heal our planet. Join us!
Details
When: Friday, April 3rd – Sunday, April 5th, 2009
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Where: Mount Sinai School of Medicine, New York City, NY
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Who: medical students, nursing students, public health students, physicians, public health professionals, community members interested in environmental health and security issues
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Speakers include: Dr. Paul Epstein-Associate Director of the Center for Health and the Global Environment at Harvard Medical School , Joe Cirincione– President of Ploughshares Fund, Peggy Shepard– Executive Director of WEACT for Environmental Justice, Dr. Phil Landrigan– Chairman of Community and Preventative Medicine at Mount Sinai, Dr. Vic Sidel-Professor of Family & Social Medicine at Albert Einstein School of Medicine, Dr. Barry Levy– Adjunct Professor of Public Health at Tufts University School of Medicine, and many other renowned medical, policy experts.
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Conference Highlights: Tour of the United Nations on Friday afternoon, performance of Damaged Care-The Musical Comedy about Health Care in America, keynote addresses by Dr. Paul Epstein, Joe Cirincione, and Peggy Shepard, screening of “Scarred Lands and Wounded Lives” and subsequent discussion with film producers.
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Topics Include: the public health impact of global warming and how health professionals can respond, how to “green” hospitals and healthcare, health and the new energy economy, combating environmental toxins, preventing the use of nuclear weapons through their global elimination, violence and health, medical activism.
More Information
Register Here

The team at www.askyourlawmaker.org spoke with US Senator John F. Kerry (D-MA) on February 6, 2009. During the interview he was asked:
What priority do you give to the goal of a nuclear-weapons-free world? What steps would you propose for moving all the nuclear weapon states, including the US, toward abolition of nuclear weapons? Do you believe the US should halt programs to produce new nuclear weapons and challenge the other nuclear weapon states to do the same?
His answer is now public record thanks to the new project www.askyourlawmaker.org.
To listen to Senator Kerry’s response, please click here.



