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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

GLOBAL HEALTH AND HUMAN SECURITY

Lincoln C. Chen, MD

President, CMB Foundation

Institute for International Education,

New York City

May 14, 2010

presentation
Presentation
  • Commission Report
  • Health and HS

Why HS important to health?

How health benefits from HS?

  • Critique, development, process
  • Strengthening global governance
human security now
“Human Security Now”
  • People-centered, not just nations
  • Human rights + human development
  • Threats: conflict + poverty
  • Actors: govts + business + civil
  • Strategy: protection + empowerment
conceptual development
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+)
health linkages
Health Linkages
  • “Intrinsic” to security

Survival-life “ultimate security”

  • “Instrumental” for security

Functioning; choice, freedom

  • Which health problems?

Scale, Urgency, Intensity, Externalities

health security challenges
Health-Security Challenges
  • Health and Conflict
  • Epidemics
  • Diseases of Poverty
health conflict
Health & Conflict

War and disease

Interactions

Casualties

Germ weapon

“State failure”

HIV/AIDS

Health Protection = Security Protection

contagion crisis fear
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

diseases of poverty
Diseases of Poverty

Health inequities

Justice and security

ODA

ODA and health

Global health

Priority diseases

Health systems

critiques
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

commission process
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”

g8 toyako hokkaido july 2008
G8 Toyako Hokkaido July 2008
  • Japan Takemi Working Group
  • Health and Human security
  • Tokyo keynote Julio Frenk

Epidemiologic security

Health care security

Financial security

global governance
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