Making the World Safer and Fairer in Pandemics

IF 2.3 3区 哲学 Q1 ETHICS Hastings Center Report Pub Date : 2023-12-22 DOI:10.1002/hast.1538
Lawrence O. Gostin, Kevin A. Klock, Alexandra Finch
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Abstract

Global health has long been characterized by injustice, with certain populations marginalized and made vulnerable by social, economic, and health disparities within and among countries. The pandemic only amplified inequalities. In response to it, the World Health Organization and the United Nations have embarked on transformative normative and financial reforms that could reimagine pandemic prevention, preparedness, and response (PPPR). These reforms include a new strategy to sustainably finance the WHO, a UN political declaration on PPPR, a fundamental revision to the International Health Regulations, and negotiation of a new, legally binding pandemic agreement (popularly called the “Pandemic Treaty”). We revisit the cavernous shortcomings of the global Covid-19 response, explain potentially transformative legal reforms and the ethical values that underpin them, and propose actionable solutions to advance both health and justice.

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让世界在大流行病中更安全、更公平。
长期以来,全球卫生的特点是不公正,某些人群被边缘化,并因国家内部和国家之间的社会、经济和卫生差距而变得脆弱。大流行病只会扩大不平等。为此,世界卫生组织和联合国已着手进行变革性的规范和财政改革,以重新构想大流行病的预防、准备和应对(PPPR)。这些改革包括为世卫组织提供可持续资金的新战略、联合国关于 "大流行病预防、控制和应对 "的政治宣言、对《国际卫生条例》的根本性修订,以及就一项新的、具有法律约束力的大流行病协议(俗称 "大流行病条约")进行谈判。我们重新审视了全球 Covid-19 应对措施的严重缺陷,解释了潜在的变革性法律改革和支撑这些改革的伦理价值,并提出了促进健康和正义的可行解决方案。
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来源期刊
Hastings Center Report
Hastings Center Report 医学-卫生保健
CiteScore
3.50
自引率
3.00%
发文量
99
审稿时长
6-12 weeks
期刊介绍: The Hastings Center Report explores ethical, legal, and social issues in medicine, health care, public health, and the life sciences. Six issues per year offer articles, essays, case studies of bioethical problems, columns on law and policy, caregivers’ stories, peer-reviewed scholarly articles, and book reviews. Authors come from an assortment of professions and academic disciplines and express a range of perspectives and political opinions. The Report’s readership includes physicians, nurses, scholars, administrators, social workers, health lawyers, and others.
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