Articles for tag: Dekolonisierung, Global Health, WHO

Decolonization Through Decolonial Reforming

Many stakeholders agree that the WHO has not been able to adequately address the political and social problems, global health emergencies triggered or exacerbated by epidemics and pandemics, malnutrition, and access to clean water in recent years. Against this backdrop, there is a widespread call for more equity and solidarity in the global health system. Most of the proposals concerning the reform of the WHO deal with the possible goals and outcomes of such a reform. However, it is just as important to consider how such a reform should be carried out so that the ambitious goals are not compromised by the implementation process itself.

1. April 2024

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One Health – One Welfare – One Rights

The projected WHO Pandemic Agreement, as currently under negotiation, will most likely contain a detailed prescription of a One Health approach (Art. 1(d) and Art. 5 of the INB negotiating text of 30 October 2023). This contribution examines the legal potential of a One Health approach for laws and policies towards animals raised, kept, and slaughtered for providing meat, milk, fur, and other body products for human consumption. My main argument will be that, taken seriously, the idea of One health defies a hierarchy between the health of humans, animals, and ecosystems. The inner logic of One Health is to exploit the positive feedback loops between safeguarding human, animal, and ecosystem health. This approach should modify the still prevailing unreflected and unchecked prioritisation of measures in favour of human health at the expense of and to the detriment of animal health and life. I will illustrate my claim with two policy examples.

1. April 2024

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The Future of Pathogen Access and Benefit Sharing under International Law

The sharing of pathogen samples and their associated genetic sequence data (GSD) is crucial for global pandemic prevention, preparedness and response. It enables global surveillance, risk assessment and the research and development of pandemic-related products. The sharing of related benefits is also seen as key to ensuring more equitable global access to the fruits of science. These issues, collectively known as Pathogen Access and Benefit Sharing (PABS), remain a major point of contention in the ongoing Pandemic Agreement negotiations. In this post, I explore potential scenarios regarding the establishment or absence of the new PABS System, and their implications under international law.

29. März 2024

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Power and Distribution in Global Health Governance

Since at least the 1980s, private actors and market-based mechanisms have played an increasingly important role in the provision of public goods and services and the pursuit of public policy objectives in general. A market approach is also widely used in the field of public health. In effect, the PPP approach, as illustrated by COVAX, can work to structurally protect the interests of (a majority) of the high-income countries. While PPPs in global health may do a lot of good things, their private law, contractualist nature and structures safeguard formal state sovereignty and voluntarism, predominantly benefitting high-income donor countries

28. März 2024

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Closing the Accountability Gap

In their latest ‘WHO transformation’ (which began in 2017), the WHO hired at least six consulting firms, praised by the Director-General as the ‘best firms in the world’. Despite their prominent role in WHO processes and reform efforts, there is a clear accountability gap in their role at WHO. Consultant engagement contributes to a trend towards informal governance and public-private collusions in an organization that looks less and less like a public authority.

27. März 2024

The Silent Disintegration of Global Health Governance?

With an estimated 6,9 million deaths and with its enormous scale of economic, social and political collateral damages, the COVID-19 Pandemic has created excessive momentum for re-considering the rules and procedures governing global health – or has it? In this blog contribution, I will discuss the promises and pitfalls of current law-making and law-amending efforts that seek to strengthen pandemic governance post COVID-19 by reflecting on three distinct features of global health as an area of international cooperation.

26. März 2024

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Towards Equity and Decolonization?

The COVID-19 pandemic exposed systemic problems in the global health system. It revealed that the global health system perpetuates global health inequalities rather than effectively reducing them: The international community, particularly the countries of the Global North, failed to make COVID-19 vaccines widely available to the populations of the world's poorest countries. This blog debate takes stock of the reform debate about a just and decolonizing transformation of the health system. Bringing together scholars from various disciplines, the contributions of this debate ask what a fair global health system could look like and what role the law plays in it.

26. März 2024

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The Covid-19 Pandemic, the Failure of the Binary PHEIC Declaration System, and the Need for Reform

The COVID-19 pandemic has raised unprecedented challenges for the global health framework and its long-term consequences are not yet in full sight. The alarm mechanism based on the declaration of Public Health Emergency of International Concern (PHEIC), in particular, has been severely tested. As underlined by some scholars, a reform of the PHEIC’s mechanism would not solve the core issues of the alert and response system behind the IHRs, that do have mainly a political dimension.

2. November 2021

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Towards Member-driven International Pandemic Lawmaking

The COVID-19 pandemic has blatantly exposed the flaws of the World Health Organization (WHO) and its International Health Regulations (IHR) in addressing cross-border communicable diseases. We argue that the IHR is ill-designed: its rules and mechanisms are disproportionately tied to the Director General’s (DG) exercise of power, rendering insufficient member access to and participation in core decision-making and greater tendency of regulatory capture.

26. Oktober 2021

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Masks, vaccines, and investment promises

When the WHO declared a pandemic on March 11, 2020, the spread of the virus was already under control in China. Ever since Beijing has been engaging in widespread health diplomacy. China aims to promote the image of China as a “responsible great power” and of Western states in as powers in decline that are unable to provide solutions for complex international affairs.

28. Mai 2021

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