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GLOBAL HEALTH AND HUMAN SECURITY

GLOBAL HEALTH AND HUMAN SECURITY. Lincoln C. Chen, MD President, CMB Foundation Institute for International Education, New York City May 14, 2010. Commission. Presentation. Commission Report Health and HS Why HS important to health? How health benefits from HS?

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GLOBAL HEALTH AND HUMAN SECURITY

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  1. GLOBAL HEALTH AND HUMAN SECURITY Lincoln C. Chen, MD President, CMB Foundation Institute for International Education, New York City May 14, 2010

  2. Commission

  3. Presentation • Commission Report • Health and HS Why HS important to health? How health benefits from HS? • Critique, development, process • Strengthening global governance

  4. “Human Security Now” • People-centered, not just nations • Human rights + human development • Threats: conflict + poverty • Actors: govts + business + civil • Strategy: protection + empowerment

  5. Conceptual Development • YEAR CONCEPT DEVELOPMENT HEALTH • Palme Commission 0 • 1992 Common Security Forum x • (Japan Tokai University) • 1994 Human Development Report x • (UNDP) • 1999 Human Security Network X • 2003 UN Commission on Human Security x • (Japan+)

  6. Health Linkages • “Intrinsic” to security Survival-life “ultimate security” • “Instrumental” for security Functioning; choice, freedom • Which health problems? Scale, Urgency, Intensity, Externalities

  7. Linkages

  8. Health-Security Challenges • Health and Conflict • Epidemics • Diseases of Poverty

  9. Health & Conflict War and disease Interactions Casualties Germ weapon “State failure” HIV/AIDS Health Protection = Security Protection

  10. Contagion, Crisis & Fear Agent threat Swine flu, SARS Contagion & lethality Fear, panic Cost - SARS $60b Political instability Dual Use – public health infrastructure Health and military defense

  11. Diseases of Poverty Health inequities Justice and security ODA ODA and health Global health Priority diseases Health systems

  12. Critiques • Too vague, too broad • “Securitization of health” Easy Health & conflict Medium Epidemics Tough Diseases poverty • R2P very different International health regulations Rule of law

  13. Commission Process • Evidence or Advocacy based? Knowledge and promotion • Action driven or conceptually sound Bottom-up and top-down Human development • Anticipating the future IPR – “viral sovereignty”

  14. G8 Toyako Hokkaido July 2008 • Japan Takemi Working Group • Health and Human security • Tokyo keynote Julio Frenk Epidemiologic security Health care security Financial security

  15. Global Governance Human Security Principle and framework Application diverse contexts Shared ethics & values Global solidarity Governance Systems Institution architecture? UN, WHO, NGOs, business Incentive for cooperation? Reporting and control “Viral sovereignty” Shared goals? “my” versus “our” security HS = human right

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