Through the Rule of Law Looking Glass

2021 ◽  
Vol 18 (3) ◽  
pp. 307-334
Author(s):  
Gian Luca Burci ◽  
Jennifer Hasselgård-Rowe

Abstract Transposing rule of law principles from the national to the international level, in particular to international organizations, still raises questions and can be problematic. However, rule of law considerations play an important role when international organizations exercise a substantial amount of public authority and may directly affect states as well as individuals. The World Health Organization (WHO), unlike other international organizations, has a constitutional mandate to prevent and respond to international acute emergencies in the form of disease outbreaks and pandemics. Its main normative tool is the 2005 International Health Regulations (IHR), that represent a breakthrough from past instruments but also raise questions and challenges that can be effectively analyzed from a rule of law perspective. This approach applies in particular to ambiguities in important parts of the IHR affecting their relevance and effectiveness; lack of clarity for processes leading to sensitive executive decisions; the absence of compliance assessment mechanisms resulting in lack of accountability for states parties; and an inadequate inclusion of human rights guarantees. The analysis is extended beyond WHO’s functions, to the impact of COVID-19 on the organization’s governance as well as its internal management.

Author(s):  
Sara E. Davies

In a world of fast-paced, globalised travel and trade, early detection of communicable disease outbreaks has become ever more important to prevent the rapid spread of disease. To facilitate surveillance and reporting, detection and communication must be as fast paced as the movement of the outbreak. This sense of urgency has prompted a pivot to technology as the best solution to keep up with the spread of disease. Reliance on a variety of state and nonstate informants with access to surveillance platforms to report potential disease outbreak events to the World Health Organization (WHO) has led to its formal recognition in the revised International Health Regulations (IHRs). However, as this chapter discusses, the inclusion of nonstate reports in disease surveillance and reporting remains a practical and political challenge.


2007 ◽  
Vol 12 (23) ◽  
Author(s):  
Collective Editorial team

On 15 June 2007, the revised International Health Regulations (IHR) will come into force. Agreed by the World Health Organization (WHO) in 2005, the revised IHR provide a multilateral legal framework for how the WHO’s 193 Member States handle disease outbreaks and other emergencies.


Author(s):  
Petr Ilyin

Especially dangerous infections (EDIs) belong to the conditionally labelled group of infectious diseases that pose an exceptional epidemic threat. They are highly contagious, rapidly spreading and capable of affecting wide sections of the population in the shortest possible time, they are characterized by the severity of clinical symptoms and high mortality rates. At the present stage, the term "especially dangerous infections" is used only in the territory of the countries of the former USSR, all over the world this concept is defined as "infectious diseases that pose an extreme threat to public health on an international scale." Over the entire history of human development, more people have died as a result of epidemics and pandemics than in all wars combined. The list of especially dangerous infections and measures to prevent their spread were fixed in the International Health Regulations (IHR), adopted at the 22nd session of the WHO's World Health Assembly on July 26, 1969. In 1970, at the 23rd session of the WHO's Assembly, typhus and relapsing fever were excluded from the list of quarantine infections. As amended in 1981, the list included only three diseases represented by plague, cholera and anthrax. However, now annual additions of new infections endemic to different parts of the earth to this list take place. To date, the World Health Organization (WHO) has already included more than 100 diseases in the list of especially dangerous infections.


2018 ◽  
Vol 9 (1) ◽  
pp. 99
Author(s):  
José Daniel Cáceres Pinto

Resumen: Organismos internacionales coinciden que el cambio climático representa una amenaza para el ser humano, particularmente para su salud. Entidades como la Organización Mundial de la Salud (OMS) y voces de la comunidad científica han venido advirtiendo sobre los efectos que las distor­siones climáticas están teniendo sobre la propagación de enfermedades cuyos vectores dependen de su entorno. Sectores vitales para el desarrollo social como la distribución del agua, la agricultu­ra, y la sanidad pública se están viendo cada vez más amenazados por la vorágine climatológica. Sin embargo, persiste una indiferencia silenciosa en diferentes segmentos sociales que consideran el Cambio Climático como un problema abstracto o simplemente algo muy sobre sus capacidades de resolución. Desactivar este desafecto, concienciar a la población general y movilizar a la toma de acción han sido unos de los retos que diversos actores sociales han asumido. Uno de los casos de éxito que más llama la atención ha sido el uso de encuadres de salud. El siguiente artículo di­secciona el impacto que el Cambio Climático tiene y presenta el caso sobre el uso de la promoción de la salud en EEUU para concienciar sobre la problemática ambiental.Palabras clave: Salud; Cambio Climático; encuadres; mensaje.Abstract: International organizations agree that climate change poses a threat to the human being, parti­cularly to his health. Entities such as the World Health Organization (WHO) and voices from the scientific community have been warning about the effects the climatic distortions are having on the propagation of illnesses which vectors depend on their surroundings. Vital sectors for social development such as water distribution, agriculture, and public health are progressively seeing themselves more threatened by the climatic maelstrom. Nevertheless, an indifferent silence per­sists in different social segments who consider Climate change as an abstract problem or simply something out of their reach to resolve. Deactivating this disaffection, raising awareness in the ge­neral population and mobilize to take action have been some of the challenges social actors have undertaken. One particular success story that grabs the attention is the use of health frames. The following article dissects the impact that Climate Change has and presents the case of the use of health promotion in the USA to raise awareness about the environmental problem.Keywords: Health; Climate Change; Frames; Message.


Author(s):  
Frank Mahoney ◽  
James W. Le Duc

Multinational collaborations on international outbreak investigations and response have a long history. Development of the World Health Organization (WHO) in 1948 was closely linked to efforts by the global community to prevent, detect, and respond to outbreaks of international concern. Through the International Health Regulations (IHR) of 2005, a legally binding instrument requiring countries to report certain outbreaks and public health events, WHO outlined a strategy for disease threat response. Efforts by global partners to strengthen cooperation have evolved over the years, including roles and responsibilities of WHO, its Member States, and other partners. Among the challenges faced by Member State and WHO in implementing the IHRs are limited funding to support staffing and operational support as well as sometimes conflicting multijurisdictional decision-making. The response to recent outbreaks provides evidence that much work remains to be done to strengthen IHR mechanisms.


Author(s):  
Roojin Habibi ◽  
Steven J. Hoffman ◽  
Gian Luca Burci ◽  
Thana Cristina de Campos ◽  
Danwood Chirwa ◽  
...  

Abstract The International Health Regulations (ihr), of which the World Health Organization is custodian, govern how countries collectively promote global health security, including prevention, detection, and response to global health emergencies such as the ongoing covid-19 pandemic. Countries are permitted to exercise their sovereignty in taking additional health measures to respond to such emergencies if these measures adhere to Article 43 of this legally binding instrument. Overbroad measures taken during recent public health emergencies of international concern, however, reveal that the provision remains inadequately understood. A shared understanding of the measures legally permitted by Article 43 is a necessary step in ensuring the fulfillment of obligations, and fostering global solidarity and resilience in the face of future pandemics. In this consensus statement, public international law scholars specializing in global health consider the legal meaning of Article 43 using the interpretive framework of the Vienna Convention on the Law of Treaties.


Proceedings ◽  
2020 ◽  
Vol 45 (1) ◽  
pp. 3
Author(s):  
Evanson Z. Sambala ◽  
Tiwonge Kanyenda ◽  
Chinwe Juliana Iwu ◽  
Chidozie Declan Iwu ◽  
Anelisa Jaca ◽  
...  

Background: Prior to the 2009 pandemic H1N1, and the unprecedented outbreak of Highly Pathogenic Avian Influenza (HPAI) caused by the H5N1 virus, the World Health Organization (WHO) called upon its Member States to develop preparedness plans in response to a new pandemic in humans. The WHO Member States responded to this call by developing national pandemic plans in accordance with the International Health Regulations (IHR) to strengthen the capabilities of Member States to respond to different pandemic scenarios. In this study, we aim to evaluate the quality of the preparedness plans in the WHO African region since their inception in 2005. Methods: A standard checklist with 61 binary indicators (“yes” or “no”) was used to assess the quality of the preparedness plans. The checklist was categorised across seven thematic areas of preparedness: preparation (16 indicators); coordination and partnership (5 indicators); risk communication (8 indicators); surveillance and monitoring (7 indicators); prevention and containment (10 indicators); case investigation and treatment (10 indicators) and ethical consideration (5 indicators). Four assessors independently scored the plans against the checklist. Results: Of the 47 countries in the WHO African region, a total of 35 national pandemic plans were evaluated. The composite score for the completeness of the pandemic plans across the 35 countries was 36%. Country-specific scores on each of the thematic indicators for pandemic plan completeness varied, ranging from 5% in Côte d'Ivoire to 79% in South Africa. On average, preparation and risk communication scored 48%, respectively, while coordination and partnership scored the highest with an aggregate score of 49%. Surveillance and monitoring scored 34%, while prevention and containment scored 35%. Case investigation and treatment scored 25%, and ethical consideration scored the lowest of 14% across 35 countries. Overall, our assessment shows that pandemic preparedness plans across the WHO African region are inadequate. Conclusions: Moving forward, these plans must address the gaps identified in this study and demonstrate clarity in their goals that are achievable through drills, simulations and tabletop exercises.


1952 ◽  
Vol 6 (1) ◽  
pp. 27-50 ◽  
Author(s):  
Charles S. Ascher

The International Health Conference, convened by the United Nations in New York in the summer of 1946, adopted a Constitution for a World Health Organization. It set up an Interim Commission of persons designated by eighteen named states to prepare for the First World Health Assembly and to carry on tasks inherited from previous international organizations. Unexpected delays in ratifications of the Constitution obliged the Interim Commission to operate for two years. WHO has thus been free to shape its destiny only from the time of the First World Health Assembly in the summer of 1948; it began its work formally as of September 1, 1948. The activities from 1946 to 1948 were largely determined by heritages from earner organizations; these, indeed, dominated the first program of WHO. The intervening three years have witnessed new trends, which some observers applaud and others view with doubt, if not alarm. It may be fruitful at this time to record some of these trends, to note the pressures which caused them and their implications for WHO's program and work-plan.


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