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人类世时代的大流行:“全球健康”是答案吗?

Pandemics in the age of the Anthropocene: Is 'planetary health' the answer?

作者信息

David Pierre-Marie, Le Dévédec Nicolas, Alary Anouck

机构信息

Département Médicaments et Santé des populations, Faculté de pharmacie, Université de Montréal, Montréal, Canada.

Département de Management, HEC Montreal, Montréal, Canada.

出版信息

Glob Public Health. 2021 Aug-Sep;16(8-9):1141-1154. doi: 10.1080/17441692.2021.1893372. Epub 2021 Feb 26.

Abstract

Some observers have described the coronavirus pandemic as an 'Anthropocene disease,' thereby highlighting its connection with this new ecological era that is characterised by the considerable pressure human activities are exerting on ecosystems and the consequences on public health, society and the environment. This article focuses on the recent emergence of the 'Planetary Health' paradigm. Launched by the Rockefeller Foundation and the medical journal , Planetary Health is one of the most ambitious attempts in recent years to systematize global health in the Anthropocene. While recognising the interest and necessity of reflecting on human health and the health of the planet, this article aims to show, however, that the Planetary Health paradigm is problematic and aporetic for two reasons. First, because it is based on a scientistic and depoliticised conception of the Anthropocene, which obscures capitalism's responsibility for the contemporary global and, especially, ecological crisis. Second, because this conception leads to a promotion of solutions that are essentially based on the financialization and technoscientific management of the living world - precisely the underlying cause of the degradation of ecosystems and living conditions that created the Anthropocene in the first place. A different kind of 'planetary health' remains possible and desirable.

摘要

一些观察家将新冠疫情描述为一种“人类世疾病”,从而凸显了它与这个新生态时代的联系,这个时代的特征是人类活动对生态系统施加了巨大压力,以及对公众健康、社会和环境造成的后果。本文关注“行星健康”范式的近期出现。“行星健康”由洛克菲勒基金会和医学期刊发起,是近年来将人类世的全球健康系统化的最雄心勃勃的尝试之一。然而,在认识到思考人类健康和地球健康的意义和必要性的同时,本文旨在表明,“行星健康”范式存在问题且自相矛盾,原因有二。其一,因为它基于一种对人类世的科学主义和去政治化观念,这种观念掩盖了资本主义对当代全球尤其是生态危机的责任。其二,因为这种观念导致推行的解决方案本质上基于对生物世界的金融化和技术科学管理——而这恰恰是最初造成人类世的生态系统退化和生活条件恶化的根本原因。另一种不同的“行星健康”仍然是可能且可取的。

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