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被迫迁移与全球健康责任 评“界定与践行全球健康:以日本和难民危机为例”。

Forced Migration and Global Responsibility for Health Comment on "Defining and Acting on Global Health: The Case of Japan and the Refugee Crisis".

机构信息

Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.

Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.

出版信息

Int J Health Policy Manag. 2017 Jul 1;6(7):415-418. doi: 10.15171/ijhpm.2016.146.

Abstract

Forced migration has become a world-wide phenomenon in the past century, affecting increasing numbers of countries and people. It entails important challenges from a global health perspective. Leppold et al have critically discussed the Japanese interpretation of global responsibility for health in the context of forced migration. This commentary complements their analysis by outlining three priority areas of global health responsibility for European Union (EU) countries. We highlight important stages of the migration phases related to forced migration and propose three arguments. First, the chronic neglect of the large number of internally displaced persons (IDPs) in the discourses on the "refugee crisis" needs to be corrected in order to develop sustainable solutions with a framework of the Sustainable Development Goals (SDGs). Second, protection gaps in the global system of protection need to be effectively closed to resolve conflicts with border management and normative global health frameworks. Third, effective policies need to be developed and implemented to meet the health and humanitarian needs of forced migrants; at the same time, the solidarity crisis within the EU needs to be overcome. These stakes are high. EU countries, being committed to global health, should urgently address these areas.

摘要

在过去的一个世纪里,被迫迁移已成为一种全球性现象,影响到越来越多的国家和人民。从全球健康的角度来看,这带来了重要的挑战。Leppold 等人批判性地讨论了日本在被迫迁移背景下对全球健康责任的解释。本评论通过概述欧盟国家的全球健康责任的三个优先领域,对他们的分析进行了补充。我们强调了与被迫迁移相关的迁移阶段的重要阶段,并提出了三个论点。首先,需要纠正在“难民危机”论述中对大量国内流离失所者的长期忽视,以便在可持续发展目标框架内制定可持续的解决方案。其次,需要有效地填补全球保护体系中的保护空白,以解决与边境管理和规范的全球卫生框架的冲突。第三,需要制定和实施有效的政策,以满足被迫移民的健康和人道主义需求;同时,需要克服欧盟内部的团结危机。这些利害关系很高。致力于全球健康的欧盟国家应紧急解决这些领域。

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