Vital Signs

By Fidler, David P. | The World Today, February 2009 | Go to article overview
Save to active project

Vital Signs


Fidler, David P., The World Today


Health issues have a roller-coaster ride on the international agenda. Rising alarm about rampant viruses or bio-terrorism is just as rapidly overtaken by more topical pressing concerns like climate change or financial meltdown. What are the obstacles to health assuming its rightful place in global policy?

iNTEGRATING HEALTH INTO FOREIGN POLICY IS A controversial and serious political issue of the highest order. In the United States, with a new president, the fight to shape the health-foreign policy relationship has been underway during the transition. One set of high profile recommendations from the Committee on the US Commitment to Global Health sought to influence how US foreign policy should advance health in years to come. The recommendations failed, however, to mention issues that had made health more important to US foreign policy over the past decade - the threats of bioterrorism and pandemic influenza.

Nor did they refer to theWorld Health Organization's (WHO) International Health Regulations 2005 - one of the most important recent developments in the health-foreign policy area. These Regulations established a radically new approach to dealing with international public health emergencies and strengthening global health securtiy.

Instead, the recommendations emphasised the United NationsMillennium Development Goals, attempted to raise the profile of non-communicable diseases in US foreign policy, and framed health primarily as a matter of humanitarian values rather than national self-interest.

The group that made the recommendations was attempting to shift the debate towards a different vision of health as foreign policy.Whether this succeeds remains to be seen, but the effort highlighted the contested nature of the topic.

Although health has long been a foreign policy issue, it had been largely neglected. Its emergence in the past ten to fifteen years forced officials to manage a transformed relationship in real time without any experience or tried-and-tested templates. As Chatham House has recognised with the launch of its Centre on Global Health and Foreign Policy, a more rigorous understanding of the health and foreign policy relationship is needed.

HEALTH AND FOREIGN POLICY

This requires an understanding of how foreign policy incorporates health. Analytically, foreign policy serves specific functions:

* Ensuring national security, for example through military power;

* Protecting national economic power and well being by opening foreign markets, for instance;

* Fostering the development of strategically important countries through development assistance; and

* Supporting human dignity using humanitarian aid and human rights.

Health has risen in foreign policy prominence because health problems, especially infectious disease threats, began to affect the functions of foreign policy:

* Security. Experts have identified bioterrorism and pandemic infectious diseases, such as bird flu, as threats to national and international security.

* Economic power. The costs of global diseases, including damage from responses to such threats, like restricting trade flows, have made countries more aware of these problems as a matter of their national interest.

* Development. The impact of epidemics and pandemics on development efforts has caused a re-examination of the relationship between health and development. Policymakers have begun to situate health closer to the center of development strategies, for example its importance in the Millennium Development Goals.

* Human dignity. Crises, especially HIV/AIDS, have produced new interest in the human rights aspects of health.

MY PROBLEM, YOUR PROBLEM

In addition to recognising how health became more important to foreign policy, we need to understand certain features of health as a foreign policy problem.

Arguments for more foreign policy attention for health often emphasise how interdependent countries are.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited article

Vital Signs
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?