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作为加强全球卫生安全手段的大流行条约:处于关键节点的全球卫生外交。

Pandemic treaty as an instrument to strengthen global health security: Global health diplomacy at its crux.

作者信息

Chattu Vijay Kumar, Mol Rajani, Singh Bawa, Reddy K Srikanth, Hatefi Arian

机构信息

Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India.

Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada.

出版信息

Health Promot Perspect. 2024 Mar 14;14(1):9-18. doi: 10.34172/hpp.42744. eCollection 2024 Mar.

Abstract

BACKGROUND

The World Health Assembly (WHA), on 1 December 2021, unanimously agreed to launch a global process to draft and negotiate a convention, agreement, or other international instrument under the World Health Organization's (WHO's) constitution to strengthen pandemic prevention, preparedness, and response. We aimed to explore the role of global health diplomacy (GHD) in pandemic treaty negotiations by providing deep insight into the ongoing drafting process under the WHO leadership.

METHODS

We conducted a narrative review by searching Scopus, Web of Sciences, PubMed, MEDLINE, and Google Scholar search engine using the keywords "Pandemic Treaty," OR "International Health Regulations," OR "International conventions," OR "International treaties" in the context of recent COVID-19 pandemic. Besides, we included articles recommending the need for GHD, leadership and governance mechanisms for this international treaty drafting approved by the WHA.

RESULTS

Amid the COVID-19 pandemic, the concept of GHD bolstered the international system and remained high on the agendas of many national, regional and global platforms. As per Article 19 of the WHO constitution, the Assembly established an intergovernmental negotiating body (INB) to draft and negotiate this convention/ agreement to protect the world from disease outbreaks of pandemic potential. Since GHD has helped to strengthen international cooperation in health systems and address inequities in achieving health-related global targets, there is a great scope for the successful drafting of this pandemic treaty.

CONCLUSION

The pandemic treaty is a defining moment in global health governance, particularly the pandemic governance reforms. However, the treaty's purpose will only be served if the equity considerations are optimized, accountability mechanisms are established, and a sense of shared responsibility is embraced. While fulfilling treaty commitments might be complex and challenging, it provides an opportunity to rethink and build resilient systems for pandemic preparedness and response in the future.

摘要

背景

2021年12月1日,世界卫生大会(WHA)一致同意启动一个全球进程,以起草并谈判一项依据世界卫生组织(WHO)章程制定的公约、协定或其他国际文书,以加强大流行预防、防范和应对工作。我们旨在通过深入洞察在世卫组织领导下正在进行的起草过程,探讨全球卫生外交(GHD)在大流行条约谈判中的作用。

方法

我们通过在Scopus、科学网、PubMed、MEDLINE和谷歌学术搜索引擎中检索,使用关键词“大流行条约”或“国际卫生条例”或“国际公约”或“国际条约”,结合近期新冠疫情进行了叙述性综述。此外,我们纳入了推荐全球卫生外交必要性的文章,以及世界卫生大会批准的该国际条约起草的领导和治理机制。

结果

在新冠疫情期间,全球卫生外交的概念强化了国际体系,并且在许多国家、区域和全球平台的议程上占据重要位置。根据世卫组织章程第19条,大会设立了一个政府间谈判机构(INB),以起草并谈判这项公约/协定,保护世界免受具有大流行潜力的疾病爆发影响。由于全球卫生外交有助于加强卫生系统方面的国际合作,并解决在实现与卫生相关的全球目标方面的不平等问题,因此成功起草这项大流行条约具有很大空间。

结论

大流行条约是全球卫生治理,特别是大流行治理改革中的一个决定性时刻。然而,只有优化公平考量、建立问责机制并树立共同责任意识,该条约的目标才能实现。虽然履行条约承诺可能复杂且具有挑战性,但它提供了一个机会,让我们重新思考并构建未来大流行防范和应对的弹性系统。

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