American University, Washington College of Law.
J Law Med Ethics. 2010 Fall;38(3):629-39. doi: 10.1111/j.1748-720X.2010.00516.x.
The time is ripe for innovation in global health governance if we are to achieve global health and development objectives in the face of formidable challenges. Integration of global health concerns into the law and governance of other, related disciplines should be given high priority. This article explores opportunities for health policymaking in the global response to climate change. Climate change and environmental degradation will affect weather disasters, food and water security, infectious disease patterns, and air pollution. Although scientific research has pointed to the interdependence of the global environment and human health, policymakers have been slow to integrate their approaches to environmental and health concerns. A robust response to climate change will require improved integration on two fronts: health concerns must be given higher priority in the response to climate change and threats associated with climate change and environmental degradation must be more adequately addressed by global health law and governance. The mitigation/adaptation response paradigm developing within and beyond the United Nations Framework Convention on Climate Change provides a useful framework for thinking about global health law and governance with respect to climate change, environmental degradation, and possibly other upstream determinants of health as well.
如果我们要在面对严峻挑战的情况下实现全球健康和发展目标，那么全球卫生治理的创新时机已经成熟。应高度重视将全球卫生问题纳入其他相关学科的法律和治理之中。本文探讨了在应对气候变化的全球行动中进行卫生决策的机会。气候变化和环境恶化将影响天气灾害、粮食和水安全、传染病模式以及空气污染。尽管科学研究已经指出全球环境与人类健康的相互依存关系，但政策制定者在整合其对环境和健康问题的方法方面行动迟缓。要对气候变化做出有力回应，需要在两个方面进行改进：在应对气候变化的过程中必须更加重视健康问题，并且必须通过全球卫生法律和治理更充分地应对与气候变化和环境恶化相关的威胁。在联合国气候变化框架公约内外发展的缓解/适应应对模式为思考气候变化、环境恶化以及可能的其他健康上游决定因素方面的全球卫生法律和治理提供了一个有用的框架。
