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  • Author: Luigi Bonatti
  • Publication Date: 09-2017
  • Content Type: Special Report
  • Institution: Atlantic Council
  • Abstract: In The Euro’s Difficult Future – Competitiveness Imbalances and the Eurozone’s North-South Divide author Luigi Bonatti, a professor of economics at the University of Trento in Italy, stresses that the existing North-South competitiveness divide creates growing tensions between member countries and fuels hostility towards European Union institutions. The paper illustrates why this competitiveness divide is structural, cannot be tackled by macroeconomic policies, and could threaten the euro’s survival.
  • Topic: International Affairs
  • Political Geography: Europe
  • Author: Dimiter Toshkov
  • Publication Date: 07-2017
  • Content Type: Special Report
  • Institution: Atlantic Council
  • Abstract: To many, the European Union (EU) is a complex entity overburdened by rules. In The European Union Could Be Simple, Inclusive, or Effective. Pick Two., author Dimiter Toshkov, an associate professor at the Institute of Public Administration at Leiden University, presents the structural dilemma facing the EU: accommodating the diverse interests of twenty-eight member states while delivering effective policies for over 510 million citizens in a simple way.
  • Topic: International Affairs
  • Political Geography: Europe
  • Author: Luigi Bonatti
  • Publication Date: 09-2017
  • Content Type: Special Report
  • Institution: Atlantic Council
  • Abstract: In The Euro’s Difficult Future – Competitiveness Imbalances and the Eurozone’s North-South Divide author Luigi Bonatti, a professor of economics at the University of Trento in Italy, stresses that the existing North-South competitiveness divide creates growing tensions between member countries and fuels hostility towards European Union institutions. The paper illustrates why this competitiveness divide is structural, cannot be tackled by macroeconomic policies, and could threaten the euro’s survival.
  • Topic: International Political Economy
  • Political Geography: Europe
  • Author: Seth Kaplan
  • Publication Date: 12-2016
  • Content Type: Special Report
  • Institution: Atlantic Council
  • Abstract: Eritrea is often in the news for all the wrong reasons: its high rates of migration to Europe (it has sent more refugees to Europe in recent years than any other African nation), its conflicts with neighboring Ethiopia and Djibouti, and controversy over its mandatory and indefinite national service conscription program. Human rights activists, in particular, have long singled out the country for criticism, calling it “the North Korea of Africa.” The inappropriateness of that comparison is increasingly recognized—but misunderstandings about the nature of the Eritrean regime continue to abound.
  • Topic: Migration, Refugee Crisis
  • Political Geography: Africa, Europe, Eritrea
  • Author: Maxine Builder
  • Publication Date: 01-2015
  • Content Type: Working Paper
  • Institution: Atlantic Council
  • Abstract: Growing rates of antimicrobial resistance (AMR) pose a threat to public health that could undo many of the medical advances made over the last seventy years, eroding the global medical safety net and posing a significant threat to national security. Diseases once eliminated by a single course of antibiotics show drug resistance, often to several different classes of drugs. Some of the implications of increasing rates of AMR are intuitive, such as longer duration of illness, extended hospital stays, and higher rates of mortality. But other effects of a postantibiotics world are less obvious, such as the inability to perform life-saving operations or the ability for a simple scratch on the arm to kill. Humanity could soon find itself living in a reality in which communicable diseases such as tuberculosis, cholera, pneumonia, and other common infections cannot be controlled. This potentially catastrophic problem still can be abated, and the global health community, including the World Health Organization (WHO), has highlighted AMR as a priority in global health. But all sectors of the international community, not simply those in public health, need to take immediate steps to reverse the current trends and eliminate the systematic misuse of antimicrobial drugs, especially in livestock, and restore the pipeline of new antimicrobial drugs. The significant health and economic costs of AMR are difficult to quantify due to incomplete data that often underreports the extent of the problem, since there are no standard metrics or consensus on methodology to measure rates of AMR. But even the piecemeal statistics that exist paint a bleak picture. In a 2013 report, the US Centers for Disease Control and Prevention (CDC) reports at least two million Americans acquire serious infections to one or more strains of AMR bacteria annually, and at least 23,000 people die of these infections.1 A 2008 study estimated the excess direct costs to the US medical system attributable to AMR infections at $20 billion, with additional estimated productivity losses to be as high as $35 billion.2 With the increase in resistant infections and continuing rise in medical costs, the cost to the American medical system no doubt also has increased. This trend is not a uniquely American problem; it is truly global in scope. The European Union (EU) reports about 25,000 deaths annually due to drug-resistant bacteria, at an overall, combined cost of $2 billion in healthcare costs and productivity losses.3 There were over 14.7 million incidents of moderate-to-severe adverse reactions to antibiotics each year between 2001 and 2005 in China. Of these, 150,000 patients died annually.4 The most recent available data on China estimates that treatment of AMR infections during that same time period cost at least $477 million, with productivity losses of more than $55 million each year.5 A 2005 study of the United Kingdom (UK) found that the real annual gross domestic losses due to AMR were between 0.4 and 1.6 percent.6 Although slightly outdated, this estimate may be a useful guide in assessing the global impact of AMR, and given the trend of increasing resistance, it is likely that the impact will also increase accordingly. That said, it is prudent to repeat that the disparities in the quality of data reporting standards across China, the United States, the United Kingdom, and the European Union make it difficult to directly compare the severity of the impacts AMR has on each entity. The primary cause of AMR globally is antibiotic overuse and misuse, be it from doctors inappropriately prescribing antibiotics to treat viral infections or individuals seeking over-the-counter antibiotics for self-treatment. But another driver, less obvious than overuse in humans, is the use of antimicrobials in livestock, and the ratio of use in animals as compared to humans is astounding. In the United States, about 80 percent of all antibiotics are consumed in either agriculture or aquaculture. Generally, these drugs are administered to livestock as growth promoters and are medically unnecessary. Resistance in livestock quickly spreads to humans, and many community-acquired infections are the result of a contaminated food supply. Although most infections are acquired in the community, most deaths attributed to resistant infections occur in healthcare settings, and healthcare-acquired (or nosocomial) infections are another driver of AMR. At this point, AMR does not pose an immediate and direct threat to national security. Rather, this is a creeping global security crisis. If current trends continue, these drugs upon which the world relies will lose effectiveness. The gains made in fighting infectious diseases will be reversed, and a wide range of routine surgeries and easily treatable infections will become much more dangerous and deadly. This will cause the health of the world's working population to deteriorate, and the economic productivity and social cohesion of the globe to decline. At any time, a “black swan” event—triggered by an outbreak of drug-resistant tuberculosis, cholera, or pneumonia, for example—could prove catastrophic, endangering the fabric of societies and our globalized economy, forcing a stop to international trade and travel to prevent further spread. The issue of AMR is a tragedy of the commons in which individual incentives lead to the overuse and eventual destruction of a shared resource. International cooperation is required to walk back from this ledge and avoid a postantibiotics world, even though it is impossible to completely reverse the damage already done.
  • Topic: Health, National Security, Infectious Diseases, Health Care Policy
  • Political Geography: United States, China, United Kingdom, America, Europe
  • Author: Amy Hawthorne, Frances G. Burwell, Danya Greenfield
  • Publication Date: 01-2015
  • Content Type: Policy Brief
  • Institution: Atlantic Council
  • Abstract: A new Atlantic Council report warns against the tendency of Europe and the United States to sideline political and economic reform in the Middle East while they pursue urgent security priorities in this turbulent region. Instead, the transatlantic partners should forge a shared strategy to encourage political systems that can protect Arab citizens' basic rights, provide security, deliver broad prosperity, and mitigate violent extremism.
  • Political Geography: United States, Europe, Middle East
  • Author: Alan Riley
  • Publication Date: 11-2015
  • Content Type: Policy Brief
  • Institution: Atlantic Council
  • Abstract: Germany may be seeking to expedite the construction of Russia's Nordstream 2 pipeline by shielding the controversial project from tough the laws of the European Union (EU), according to a transcript of talks between Russian President Vladimir Putin and German Energy Minster Sigmar Gabriel, Atlantic Council Senior Fellow Alan Riley writes in "Nordstream 2: Too Many Obstacles, Legal, Economic, and Political to Be Delivered?".
  • Topic: Energy Policy, International Law, International Trade and Finance, Natural Resources, European Union
  • Political Geography: Russia, Europe
  • Author: Nicholas Dungan
  • Publication Date: 01-2014
  • Content Type: Working Paper
  • Institution: Atlantic Council
  • Abstract: Competitiveness encompasses all the factors that will serve to make a society, an economy, and a country successful in the globalized world of the twenty-first century. France and the United States rank among the most competitive countries overall, but both have seen their position decline in recent years in key attributes of competitiveness.
  • Topic: Economics, International Cooperation, Bilateral Relations
  • Political Geography: United States, Europe, France
  • Author: Blythe Lyons
  • Publication Date: 05-2014
  • Content Type: Working Paper
  • Institution: Atlantic Council
  • Abstract: US national security is enhanced by energy security. The United States is enjoying a unique opportunity to bolster its energy security by increasing domestic production of oil and gas resources. The recent explosion in domestic unconventional production will allow an expanded bandwidth of US responses to the turmoil in the Middle East and Europe. If further exploited, the move toward energy self-sufficiency also gives the United States a cushion to reassess its global strategic policies. Expanding the domestic resource base further provides the United States with an industrial advantage in global commerce.
  • Topic: Energy Policy, International Trade and Finance, National Security, Oil
  • Political Geography: United States, Europe, Middle East
  • Publication Date: 07-2014
  • Content Type: Working Paper
  • Institution: Atlantic Council
  • Abstract: Ukraine is once again at a potential turning point in its young history. It missed the opportunity at independence and during the Orange Revolution to make a decisive break with an authoritarian past and move decisively toward an open, market-oriented society. Yet Ukrainian civil society remained vibrant and late last year once again spoke out against the country's authoritarian and corrupt leaders. As a result of the protests from an enraged citizenry, then-President Viktor Yanukovych fled the country for Russia.
  • Topic: Security, Territorial Disputes, Governance, Reform
  • Political Geography: Russia, Europe, Ukraine