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05 April 2024

Access and Benefit-Sharing Isn’t Equity

It is unsurprising that equity has featured so prominently in the Pandemic Treaty negotiations – the Treaty is a direct response to the COVID-19 pandemic, which was characterised by gross inequality between high-income and LMICs. For all the talk at the start of the Treaty negotiation process of equity, of doing things differently in the future, it appears that very little will change. If it works, and there are very good reasons to believe that it will not work, it will at best make sure that a small proportion of vaccines end up where they need to be, and the rest will continue to go to the highest bidder, regardless of need, equity, or justice. Continue reading >>
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01 April 2024

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. Continue reading >>
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26 March 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. Continue reading >>
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18 August 2022

Future-Proofing Global Health Governance Through the Proposed Pandemic Treaty

It is clear that humanity is not prepared for the next pandemic; the global health governance architecture requires fundamental change in order to get us to that point. If humanity is to be prepared for the next pandemic, we must fix the deep rooted, structural inequalities which are embedded within our global health system. The pandemic treaty is an opportunity to do this, but on the basis of the present proposals, and the manner in which the treaty is being developed, it is clear that the treaty will fall far short of such expectations. Continue reading >>
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15 August 2022

Pathogen Dematerialisation as an Existential Threat to Global Health Justice

Rapid levels of growth and development within the field of synthetic biology pose an undeniable threat to equity and global health justice as a result of the rise in the dematerialisation of pathogen samples. Until fairly recently, it was impossible to detach physical virus samples from the information they contained - the sample was the information - but technological advancements have allowed for the dematerialisation of pathogen samples to occur on a global scale. Whilst there are undoubtedly benefits to be derived from dematerialisation, it poses an existential threat to those international agreements which are underpinned by access and benefit sharing agreements. Continue reading >>
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04 November 2021

Editorial: Can a Pandemic Law-Making Exercise Promote Global Health Justice?

Amid the unfolding „moral catastrophe“ of COVID-19, and across the entries in this symposium, we see a clamor for any pandemic law-making exercise to promote more justice in global health. However, this universally-embraced imperative masks a wide array of divergent views about the nature and sources of inequalities in global health, and in turn what should be done if we were to think beyond a narrow pragmatism of the moment. Continue reading >>
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20 September 2021

International Pandemic Lawmaking

The SARS-CoV-2 pandemic has brought global health structures into sharp relief: it exposed the gross inequalities and inequities of health care access, as well as the symbiosis between human rights, health care, politics, economics, and the law. This symposium, “International Pandemic Lawmaking: Conceptual and Practical Issues,” was convened with two primary aims: to shed light on the inequities and imbalances exposed by global pandemic response, and to advocate recommendations on which principles should guide the framing and drafting of a potential international instrument on pandemic preparedness and response. Continue reading >>
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28 May 2021

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. Continue reading >>
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27 March 2020

The WHO After Corona: Discretionary Powers for the Next Pandemic?

Imagine the World Health Organization (WHO) had declared the outbreak of the mysterious lung ailment in the Chinese city of Wuhan a potential public health emergency of international concern already in late December 2019. It might have been just in time to halt the spread of the disease which by now has become a supreme global emergency of unforeseen proportions. Continue reading >>
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