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Our Shared Vulnerability to Dangerous Pathogens.

Lawrence O Gostin1

  • 1O'Neill Institute for National and Global Health Law, Georgetown University, Washington DC, USA.

Medical Law Review
|April 19, 2017
PubMed
Summary

Global health security is underestimated, leading to underinvestment in pandemic preparedness. A

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Area of Science:

  • Global Health Security
  • Infectious Disease Epidemiology
  • Public Health Policy

Background:

  • The international community consistently underestimates the threat posed by rapidly spreading pathogens.
  • Historical precedents like SARS, Ebola, and Zika demonstrate a recurring pattern of global unpreparedness.
  • Underestimation by governments and institutions leads to insufficient investment in pandemic preparedness.

Purpose of the Study:

  • To outline a strategic pathway for enhanced preparedness and rapid response to infectious disease threats.
  • To advocate for a strengthened global health security system through sustained investment and leadership.

Main Methods:

  • Analysis of historical global health threats and current vulnerabilities.
  • Proposal of a multi-faceted approach to pandemic preparedness.
  • Conceptualization of a 'security dividend' to fund global health security improvements.

Main Results:

  • Underinvestment in preparedness results in significant human and economic costs.
  • Key components for a robust system include resilient national health systems, strong international institutions (e.g., World Health Organization), and R&D investment.
  • A strong legal and governance framework, including International Health Regulations, is essential.

Conclusions:

  • A proactive and comprehensive approach is necessary to mitigate the impact of future pandemics.
  • Sustained financial and institutional investment, coupled with strong leadership, is crucial for global health security.
  • Implementing a 'security dividend' can provide the necessary resources to rebuild and strengthen the global health security infrastructure.
Keywords:
Global Health CrisisGlobal Health GovernanceGlobal Health SecurityInternational Health RegulationsSecurity DividendWorld Health Organization

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