Chattu Vijay Kumar
Public Health and Primary Care, Faculty of Medical Sciences, The University of the West Indies, Trinidad, Tobago.
J Family Med Prim Care. 2017 Jul-Sep;6(3):463-467. doi: 10.4103/jfmpc.jfmpc_75_17.
The 2014 Ebola epidemic was the largest in history, affecting Guinea, Liberia, Sierra Leone, Nigeria, and Mali in West Africa. The International Health Regulations are legally binding in 194 countries including all the member states of WHO "to prevent, protect against, control, and provide a public health response to the international spread of disease." Since the Caribbean Community region heavily depends on tourism, a single case of the disease anywhere in the region could have serious negative consequences for the rest of the region's tourism industry. Global health diplomacy brings together the disciplines of public health, international affairs, management, law, and economics and focuses on negotiations that shape and manage the global policy environment for health. The regional institutes such as Caribbean Public Health Agency should play a more proactive and pivotal role in the creation of regional response teams in all the island nations collaborating with the departments of public health and epidemiology at the regional campuses of The University of the West Indies. The role of global health diplomacy and its practice should be encouraged to reach a consensus among the stakeholders considering the threat to the health security in the region. There is a need for the cadre of global health diplomats who has a critical understanding of health and also the practice of diplomacy since such serious health issues have implications at the global level in this globalized world.
2014年埃博拉疫情是历史上规模最大的一次,影响了西非的几内亚、利比里亚、塞拉利昂、尼日利亚和马里。《国际卫生条例》对包括世卫组织所有成员国在内的194个国家具有法律约束力,“以预防、防范、控制疾病的国际传播并提供公共卫生应对措施”。由于加勒比共同体地区严重依赖旅游业,该地区任何地方出现一例这种疾病都可能给该地区其他地方的旅游业带来严重负面影响。全球卫生外交将公共卫生、国际事务、管理、法律和经济学等学科汇聚在一起,专注于塑造和管理全球卫生政策环境的谈判。诸如加勒比公共卫生局这样的区域机构应在所有岛国建立区域应对小组方面发挥更积极和关键的作用,这些小组要与西印度群岛大学区域校区的公共卫生和流行病学部门开展合作。鉴于该地区卫生安全面临的威胁,应鼓励全球卫生外交的作用及其实践,以便在利益相关者之间达成共识。鉴于在这个全球化的世界中如此严重的卫生问题会在全球层面产生影响,因此需要一批对卫生和外交实践都有深刻理解的全球卫生外交官骨干队伍。