scholarly journals Health, security and foreign policy

2006 ◽  
Vol 32 (1) ◽  
pp. 5-23 ◽  
Author(s):  
COLIN McINNES ◽  
KELLEY LEE

Over the past decade, health has become an increasingly important international issue and one which has engaged the attention of the foreign and security policy community. This article examines the emerging relationship between foreign and security policy, and global public health. It argues that the agenda has been dominated by two issues – the spread of selected infectious diseases (including HIV/AIDS) and bio-terror. It argues that this is a narrow framing of the agenda which could be broadened to include a wider range of issues. We offer two examples: health and internal instability, including the role of health in failing states and in post-conflict reconstruction; and illicit activities. We also argue that the relationship between global public health, and foreign and security policy has prioritised the concerns of the latter over the former – how selected health issues may create risks for (inter)national security or economic growth. Moreover the interests of the West are prominent on this agenda, focusing (largely though not exclusively) on how health risks in the developing world might impact upon the West. It is less concerned with the promotion of global public health.

Author(s):  
Midhun Mohan ◽  
◽  
Hugo Layard Horsfall ◽  
Davi Jorge Fontoura Solla ◽  
Faith C. Robertson ◽  
...  

Abstract Background Traumatic brain injury (TBI) and stroke have devastating consequences and are major global public health issues. For patients that require a cerebral decompression after suffering a TBI or stroke, a decompressive craniectomy (DC) is the most commonly performed operation. However, retrospective non-randomized studies suggest that a decompressive craniotomy (DCO; also known as hinge or floating craniotomy), where a bone flap is replaced but not rigidly fixed, has comparable outcomes to DC. The primary aim of this project was to understand the current extent of usage of DC and DCO for TBI and stroke worldwide. Method A questionnaire was designed and disseminated globally via emailing lists and social media to practicing neurosurgeons between June and November 2019. Results We received 208 responses from 60 countries [40 low- and middle-income countries (LMICs)]. DC is used more frequently than DCO, however, about one-quarter of respondents are using a DCO in more than 25% of their patients. The three top indications for a DCO were an acute subdural hematoma (ASDH) and a GCS of 9-12, ASDH with contusions and a GCS of 3-8, and ASDH with contusions and a GCS of 9-12. There were 8 DCO techniques used with the majority (60/125) loosely tying sutures to the bone flap. The majority (82%) stated that they were interested in collaborating on a randomized trial of DCO vs. DC. Conclusion Our results show that DCO is a procedure carried out for TBI and stroke, especially in LMICs, and most commonly for an ASDH. The majority of the respondents were interested in collaborating on a is a future randomized trial.


2021 ◽  
pp. 273-290
Author(s):  
Carmel Williams ◽  
Alison Blaiklock ◽  
Paul Hunt

In this chapter, we explain how human rights, including the right to health, are important for global public health. We introduce key human rights concepts and principles, and illustrate three approaches to the right to health: judicial, policy, and empowerment. We propose that human rights and public health are natural allies with a complementary and supportive relationship. We describe the meaning of the right to the highest attainable standard of health and its place in international, regional, and national laws. We outline ten key elements of the right to health and how the right can be operationalized in public health practice. We demonstrate this with two case studies of critically important global public health issues—climate change and children’s health, and overseas development assistance—as well as one of an emerging challenge in health, the digitization of health through Big Data.


2017 ◽  
Vol 8 (4) ◽  
pp. 658-685
Author(s):  
Mark L FLEAR

AbstractCritiques of global public health security (GPHS) and proposed solutions tend to overlook the potential of the individuals and groups that are subject to and governed by GPHS – “the governed” – to contribute their “on the ground” knowledge and experience to decision-making in order to improve regulatory responses. This article argues for the development of a more reflexive approach as a way of ensuring the epistemic integration of these knowledges with the scientific-technical knowledges that currently dominate decision-making processes. I identify human rights as the conceptual lens that is most likely to enable reflexivity by the governed and regulators, and understanding and communication between them. The governed can use perceived or actual breaches of human rights to articulate “on the ground” knowledges as institutional risks to reputation and standing and, in turn, threaten the production and legitimation of organisational identity, socio-political orders and projects of rule. The particular sensitivity of regulators to these risks could compel epistemic integration. This more reflexive approach to GPHS promises to improve the knowledge base, efficacy, accountability and legitimacy of decision-making at multiple levels: WHO, EU, national and “on the ground”.


2016 ◽  
Vol 48 (1) ◽  
pp. 46-62 ◽  
Author(s):  
Stephen L Roberts ◽  
Stefan Elbe

How do algorithms shape the imaginary and practice of security? Does their proliferation point to a shift in the political rationality of security? If so, what is the nature and extent of that shift? This article argues that efforts to strengthen global health security are major drivers in the development and proliferation of new algorithmic security technologies. In response to a seeming epidemic of potentially lethal infectious disease outbreaks – including HIV/AIDS, Severe Acute Respiratory Syndrome (SARS), pandemic flu, Middle East Respiratory Syndrome (MERS), Ebola and Zika – governments and international organizations are now using several next-generation syndromic surveillance systems to rapidly detect new outbreaks globally. This article analyses the origins, design and function of three such internet-based surveillance systems: (1) the Program for Monitoring Emerging Diseases, (2) the Global Public Health Intelligence Network and (3) HealthMap. The article shows how each newly introduced system became progressively more reliant upon algorithms to mine an ever-growing volume of indirect data sources for the earliest signs of a possible new outbreak – gradually propelling algorithms into the heart of global outbreak detection. That turn to the algorithm marks a significant shift in the underlying problem, nature and role of knowledge in contemporary security policy.


JAMA ◽  
2007 ◽  
Vol 298 (11) ◽  
pp. 1268
Author(s):  
Joan Stephenson

2016 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Taimi Nauiseb ◽  
Joan.M Kloppers

Although there are many ‘health days’ to promote important public health issues, many of which are supported by different institutions. Global public health campaigns offer great potential to raise awareness and understanding about health issues. There are many world days observed throughout the year related to specific health issues or conditions.The School of Public Health conducted yearly a health day in the beginning of March or April of each year. According to Clinicians handbook (1998) explains check -up as a clinical preventive services usually delivered by primary health care clinicians to persons with no signs and symptoms of illness as part of a routine health care process. Central to the periodic health examination.


2017 ◽  
Vol 8 (4) ◽  
pp. 613-625 ◽  
Author(s):  
Hylke DIJKSTRA ◽  
Anniek DE RUIJTER

AbstractThe European Union is increasingly moving toward an integrated policy approach, which also acknowledges linkages between public health and (external) security policy. This introduction to the Special Issue sets out a research agenda on the emerging health-security nexus. It analyses recent policy developments with respect to the public health and security, and discusses interactions along the health-security nexus in the context of the European Union. It suggests drivers behind the integrated approach and it critically examines the health-security nexus from the perspective of effectiveness and legitimacy.


2006 ◽  
Vol 34 (1) ◽  
pp. 31-42 ◽  
Author(s):  
Collins O. Airhihenbuwa

African identity must be central to research on African health and development. This article focuses on three primary themes for advancing a different vision for understanding health issues in Africa. The first is the need to deconstruct conventional assumptions and theories that have been used to frame public health problems and solutions in Africa. The second is to insist that identity be central to how we frame issues of health and behavior in general and in Africa in particular. The third is the importance of the notion of “social cultural infrastructure” in defining African ways of knowing to guide public health research and intervention in Africa. Finally, the metaphor of the “African gate” is used to illuminate these themes while drawing on examples from an HIV- and AIDS-related stigma research in South Africa and its implications for addressing the critical global public-health issues of today.


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