Martin R
Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, UK.
Public Health. 2009 Mar;123(3):247-54. doi: 10.1016/j.puhe.2009.01.002. Epub 2009 Mar 4.
The European Union (EU) is composed of 27 states with widely varying histories, economies, cultures, legal systems, medical systems and approaches to the balance between public good and private right. The individual nation states within Europe are signatories to the International Health Regulations 2005, but the capacity of states to undertake measures to control communicable disease is constrained by their obligations to comply with EU law. Some but not all states are signatories to the Schengen Agreement that provides further constraints on disease control measures. The porous nature of borders between EU states, and of their borders with other non-EU states, limits the extent to which states are able to protect their populations in a disease pandemic. This paper considers the role that public health laws can play in the control of pandemic disease in Europe.
欧盟由27个国家组成,这些国家在历史、经济、文化、法律体系、医疗体系以及公共利益与私人权利平衡的处理方式等方面存在广泛差异。欧洲的各个民族国家都是《2005年国际卫生条例》的签署国,但各国采取控制传染病措施的能力受到其遵守欧盟法律义务的限制。部分(而非全部)国家是《申根协定》的签署国,该协定对疾病控制措施施加了进一步限制。欧盟国家之间以及它们与其他非欧盟国家边境的开放性,限制了各国在疾病大流行时保护其民众的能力。本文探讨了公共卫生法律在欧洲控制大流行性疾病中所能发挥的作用。