Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, P.O. Box, CH-4002, Basel, Switzerland ; University of Basel, P.O. Box, CH-4003, Basel, Switzerland ; NomoGaia, 1900 Wazee Street, Suite 303, Denver, CO 80202 USA ; NewFields, LLC, Denver, CO 80202 USA.
Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610 USA.
Infect Dis Poverty. 2014 Nov 3;3(1):39. doi: 10.1186/2049-9957-3-39. eCollection 2014.
Global health institutions have called for governments, international organisations and health practitioners to employ a human rights-based approach to infectious diseases. The motivation for a human rights approach is clear: poverty and inequality create conditions for infectious diseases to thrive, and the diseases, in turn, interact with social-ecological systems to promulgate poverty, inequity and indignity. Governments and intergovernmental organisations should be concerned with the control and elimination of these diseases, as widespread infections delay economic growth and contribute to higher healthcare costs and slower processes for realising universal human rights. These social determinants and economic outcomes associated with infectious diseases should interest multinational companies, partly because they have bearing on corporate productivity and, increasingly, because new global norms impose on companies a responsibility to respect human rights, including the right to health.
We reviewed historical and recent developments at the interface of infectious diseases, human rights and multinational corporations. Our investigation was supplemented with field-level insights at corporate capital projects that were developed in areas of high endemicity of infectious diseases, which embraced rights-based disease control strategies.
Experience and literature provide a longstanding business case and an emerging social responsibility case for corporations to apply a human rights approach to health programmes at global operations. Indeed, in an increasingly globalised and interconnected world, multinational corporations have an interest, and an important role to play, in advancing rights-based control strategies for infectious diseases.
There are new opportunities for governments and international health agencies to enlist corporate business actors in disease control and elimination strategies. Guidance offered by the United Nations in 2011 that is widely embraced by companies, governments and civil society provides a roadmap for engaging business enterprises in rights-based disease management strategies to mitigate disease transmission rates and improve human welfare outcomes.
全球卫生机构呼吁各国政府、国际组织和卫生专业人员采用基于人权的方法来应对传染病。采取人权方法的动机很明确:贫困和不平等为传染病的滋生创造了条件,而这些疾病反过来又与社会生态系统相互作用,导致贫困、不平等和屈辱。政府和政府间组织应关注这些疾病的控制和消除,因为广泛的感染会延迟经济增长,并导致更高的医疗保健成本和更慢的实现普遍人权的进程。这些与传染病相关的社会决定因素和经济后果应该引起跨国公司的关注,部分原因是它们对企业的生产力有影响,而越来越多的新的全球规范要求公司承担尊重人权的责任,包括健康权。
我们回顾了传染病、人权和跨国公司之间界面的历史和近期发展。我们的调查还补充了在传染病高发地区开展的公司资本项目的实地洞察,这些项目采用了基于权利的疾病控制策略。
经验和文献为企业在全球业务中应用人权方法来实施卫生方案提供了长期的商业案例和新兴的社会责任案例。事实上,在一个日益全球化和相互关联的世界中,跨国公司有兴趣并在推进基于权利的传染病控制策略方面发挥着重要作用。
政府和国际卫生机构有新的机会招募企业商业行为体参与疾病控制和消除战略。联合国在 2011 年提供的指导意见得到了广泛的认可,为企业参与基于权利的疾病管理策略提供了路线图,以减轻疾病传播率并改善人类福利成果。