04 April 2024
To Bind or Not to Bind
While the majority of the contributions to this blog symposium tackle issues of global justice, distributive justice and the impact of a decolonial perspective on global health law, our approach might seem to stand out at first sight: Our contribution is interested in the legal form the new Pandemic Agreement will take. Attention to the formal dimension of the reform process might seem remote from the substantive issues of the other contributions. However, we would like to argue in this short piece that the decision for a certain legal architecture can very well have repercussions on the question to what extent the new instrument can deliver on its promise to pursue equity and hence to arguably overcome divisions still entrenched in the international community. Continue reading >>
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01 April 2024
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. Continue reading >>
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29 March 2024
The Future of Pathogen Access and Benefit Sharing under International Law
The sharing of pathogen samples and their associated genetic sequence data (GSD) is crucial for global pandemic prevention, preparedness and response. It enables global surveillance, risk assessment and the research and development of pandemic-related products. The sharing of related benefits is also seen as key to ensuring more equitable global access to the fruits of science. These issues, collectively known as Pathogen Access and Benefit Sharing (PABS), remain a major point of contention in the ongoing Pandemic Agreement negotiations. In this post, I explore potential scenarios regarding the establishment or absence of the new PABS System, and their implications under international law. Continue reading >>28 March 2024
Power and Distribution in Global Health Governance
Since at least the 1980s, private actors and market-based mechanisms have played an increasingly important role in the provision of public goods and services and the pursuit of public policy objectives in general. A market approach is also widely used in the field of public health. In effect, the PPP approach, as illustrated by COVAX, can work to structurally protect the interests of (a majority) of the high-income countries. While PPPs in global health may do a lot of good things, their private law, contractualist nature and structures safeguard formal state sovereignty and voluntarism, predominantly benefitting high-income donor countries Continue reading >>
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26 March 2024
Towards Equity and Decolonization?
The COVID-19 pandemic exposed systemic problems in the global health system. It revealed that the global health system perpetuates global health inequalities rather than effectively reducing them: The international community, particularly the countries of the Global North, failed to make COVID-19 vaccines widely available to the populations of the world's poorest countries. This blog debate takes stock of the reform debate about a just and decolonizing transformation of the health system. Bringing together scholars from various disciplines, the contributions of this debate ask what a fair global health system could look like and what role the law plays in it. Continue reading >>
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