Paul Farmer is a tireless campaigner against the world's "stupid deaths." His hands-in-the-dirt work on behalf of diseases that afflict the poorest of the poor in places like Haiti and Rwanda was chronicled in the 2003 NYT bestseller, Mountains Beyond Mountains. He's also eloquent voice for health care as a human right.

Paul Farmer took a break from his humanitarian work in Rwanda to contribute this convincing essay on NPR's Weekend Edition last Saturday.

Photo: greenhem (flickr)

Plastic bags have long been associated with litter and waste. The world uses tens of billions of plastic bags every year – bags that end up hanging from trees, traveling along freeways, escaping garbage cans and waste dumps.

Plastic-bag recycling rates are extremely low – about 1 to 3 percent worldwide, according to Reusablebags.com.

While plastics have helped us in many ways – medical advances, for one – by now we are seeing an increasing amount of wasteful uses. The mass production and ubiquitousness of plastic bags has hit a nerve in many developing countries. Lawmaking bodies in every region of the world have begun to regulate the use of plastics — and some are even banning the use of plastic bags outright.

Here's a partial list:

India. In August 2005, the state of Maharashtra initiated a bag ban after bags "blocked sewage and drainage systems during record monsoon rains," according to The Guardian. "Flooding and landslides killed more than 1,000 people in the state.” Anyone seen with a plastic bag can be fined 1,000 rupees, or about $25.

Kenya. The East African nation has enforced new regulations banning production and distribution of light-density bags, according to Nairobi's Business Daily (as reported by allAfrica.com). Three years ago, Kenyan researchers had appealed for a ban, and Nobel Peace Prize winner Wangari Maathai had argued that plastic bags can lead to malaria, because discarded bags left outside can fill with rainwater and breed disease-carrying mosquitoes.

Uganda and Tanzania. Kenya's neighbors also banned the use of all disposable one-use plastic bags nationwide. One Ugandan blogger wrote that “This seemingly radical step has a direct connection to human health and also to environmental well-being of citizens across Africa. Apart from the fossil fuel usage needed in their production, plastic bags have a remarkable ability to pollute across borders.”

China. Authorities announced that by this June, one-use plastic bags will be outlawed in the hope that residents will return to their old habit of using cloth bags and baskets. "Beijing residents appeared to take the ban in stride, reflecting rising environmental consciousness and concern over skyrocketing oil prices," reports National Geographic.

Some developed nations also have taken drastic steps to reduce the impact of plastics. Ireland, for example, imposed a 33-cent tax in 2002. It worked quickly to depress demand. According to the New York Times, the use of plastic bags dropped 94 percent within weeks.

A Brazilian anti-poverty program known as Bolsa Familia ("Family Fund") is getting attention from governments around the world, writes the Economist. Modeled on a similar program in Mexico, this conditional cash transfer program has been tested successfully in several other Latin American countries, and the World Bank is now looking to start similar programs in Eastern Europe.

In the Brazilian version of the program, poor families with children receive direct transfers of around 70 reals (about $35) a month, on the condition that their children stay in school and have regular health checkups. According to the World Bank, this relatively simple and modest program is unique in that it can help reduce both current and future poverty and inequality in Brazil.