A global public health convention for the 21st century
Duff J.H. Liu A. Saavedra J. Batycki J.N. Morancy K. Stocking B. Gostin L.O. Galea S. Bertozzi S. Zuniga J.M. Alberto-Banatin C. Dansua A.S. del Rio C. Kulzhanov M. Lee K. Scaglia G. Shahpar C. Ullmann A.J. Hoffman S.J. Weinstein M. Szapocznik J.
June 2021Elsevier Ltd
The Lancet Public Health
2021#6Issue 6e428 - e433 pp.
As shown by COVID-19, infectious diseases with a pandemic potential present a grave threat to health and wellbeing. Although the International Health Regulations provide a framework of binding legal obligations for pandemic prevention, preparedness, and response, many countries do not comply with these regulations. There is a need for a renewed framework for global collective action that ensures conformity with international regulations and promotes effective prevention and response to pandemic infectious diseases. This Health Policy identifies the necessary characteristics for a new global public health security convention designed to optimise prevention, preparedness, and response to pandemic infectious diseases. We propose ten recommendations to strengthen global public health governance and promote compliance with global health security regulations. Recommendations for a new global public health security convention include greater authority for a global governing body, an improved ability to respond to pandemics, an objective evaluation system for national core public health capacities, more effective enforcement mechanisms, independent and sustainable funding, representativeness, and investment from multiple sectors, among others. The next steps to achieve these recommendations include assembling an invested alliance, specifying the operational structures of a global public health security system, and overcoming barriers such as insufficient political will, scarcity of resources, and individual national interests.
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Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, United States
AHF Global Public Health Institute, University of Miami, Miami, FL, United States
Political Sciences and International Relations, Florida International University, Miami, FL, United States
Murray Edwards College, University of Cambridge, Cambridge, United Kingdom
Georgetown University Law Center, Washington, DC, United States
School of Public Health, Boston University, Boston, MA, United States
Berkeley School of Public Health, University of California, Berkeley, CA, United States
Instituto Nacional de Salud Publica, Cuernavaca, Mexico
International Association of Providers of AIDS Care, Washington, DC, United States
Manila, Philippines
Accra, Ghana
School of Medicine, Emory University, Atlanta, GA, United States
Department of Population Health and Social Sciences, Kazakhstan School of Public Health, Almaty, Kazakhstan
Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
House of Representatives, Buenos Aires, Argentina
Vital Strategies, Resolve to Save Lives Initiative, New York, NY, United States
University Hospital of Würzburg, Würzburg, Germany
Bundestag, Berlin, Germany
Global Strategy Lab, York University, Toronto, ON, Canada
AIDS Healthcare Foundation, Los Angeles, CA, United States
Department of Public Health Sciences
AHF Global Public Health Institute
Political Sciences and International Relations
Murray Edwards College
Georgetown University Law Center
School of Public Health
Berkeley School of Public Health
Instituto Nacional de Salud Publica
International Association of Providers of AIDS Care
Manila
Accra
School of Medicine
Department of Population Health and Social Sciences
Faculty of Health Sciences
House of Representatives
Vital Strategies
University Hospital of Würzburg
Bundestag
Global Strategy Lab
AIDS Healthcare Foundation
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