一个健康的全球和区域治理以及对全球健康安全的影响
Azza Elnaiem1, Olaa Mohamed-Ahmed2, Alimuddin Zumla3
1Royal Free London NHS Foundation Trust, London, UK.
Lancet (London, England)
|January 22, 2023
概括
全球卫生安全需要综合的"一个健康"方法,解决分散的治理和预防方面的投资不足. 克服人类,动物和环境健康之间的隔离对于疫情准备至关重要.
科学领域:
- 全球卫生安全
- 一个健康治理
- 多边卫生架构
背景情况:
- COVID-19 疫情揭示了全球卫生安全和准备方面的失败.
- 分散的治理结构阻碍了有效的"一健康"合作.
- 人类,动物和环境卫生部门之间仍然存在分离.
研究的目的:
- 探索全球健康治理中的挑战.
- 分析有效卫生安全合作的障碍.
- 建议加强"一个健康"的方法.
主要方法:
- 探索一个健康治理的四个关键挑战.
- 分析国际法律制度和国家主权.
- 审查融资机制和权力动态.
- 通过案例研究来说明:强制许可,得湖盆地水资源和东非沙漠虫.
主要成果:
- 这些挑战包括部门隔离,法律制度的局限性,权力不对称以及预防的资金不足.
- 案例研究强调了这些挑战的全球和区域层面.
- 一个健康议程仍然由人类和动物健康专家主导,忽视了社会生态驱动因素.
结论:
- 应对气候变化和生物多样性丧失等社会生态驱动因素对于预防健康紧急情况至关重要.
- 一个有效的健康需要可执行的立法,投资,能力建设和跨部门的整合.
- 建议全球社区采取12项行动, 加强卫生安全.
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