Decolonization Through Decolonial Reforming
Many stakeholders agree that the WHO has not been able to adequately address the political and social problems, global health emergencies triggered or exacerbated by epidemics and pandemics, malnutrition, and access to clean water in recent years. Against this backdrop, there is a widespread call for more equity and solidarity in the global health system. Most of the proposals concerning the reform of the WHO deal with the possible goals and outcomes of such a reform. However, it is just as important to consider how such a reform should be carried out so that the ambitious goals are not compromised by the implementation process itself.
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One Health – One Welfare – One Rights
The projected WHO Pandemic Agreement, as currently under negotiation, will most likely contain a detailed prescription of a One Health approach (Art. 1(d) and Art. 5 of the INB negotiating text of 30 October 2023). This contribution examines the legal potential of a One Health approach for laws and policies towards animals raised, kept, and slaughtered for providing meat, milk, fur, and other body products for human consumption. My main argument will be that, taken seriously, the idea of One health defies a hierarchy between the health of humans, animals, and ecosystems. The inner logic of One Health is to exploit the positive feedback loops between safeguarding human, animal, and ecosystem health. This approach should modify the still prevailing unreflected and unchecked prioritisation of measures in favour of human health at the expense of and to the detriment of animal health and life. I will illustrate my claim with two policy examples.
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Closing the Accountability Gap
In their latest ‘WHO transformation’ (which began in 2017), the WHO hired at least six consulting firms, praised by the Director-General as the ‘best firms in the world’. Despite their prominent role in WHO processes and reform efforts, there is a clear accountability gap in their role at WHO. Consultant engagement contributes to a trend towards informal governance and public-private collusions in an organization that looks less and less like a public authority.
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