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One Health and Pathogen Sharing: Filling the Gap in the International Health Regulations to Strengthen Global Pandemic Preparedness and Response 一个健康和病原体共享:填补国际卫生条例的空白,加强全球大流行防范和应对
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010006
S. Negri, Mark Eccleston-Turner
The covid-19 pandemic and other major public health emergencies of international concern occurred in the last 20 years remind us of the close interconnections between human, animal, and environmental health and the need for collaborative and multisectoral approaches to address complex health threats. These outbreaks also serve to highlight the importance of timely sharing of pathogens, which are used to characterise the causative agent of an outbreak, understand its spread, and develop diagnostics, antiviral treatments, and vaccines. Despite their relevance to preparedness and response, neither One Health nor pathogen sharing are grounded within the International Health Regulations (ihr). This paper analyses the existing institutional and normative gaps within the ihr, including examining how other regimes within the international legal landscape have sought to ‘fill the gaps’. We explore possible solutions and make proposals to strengthen interinstitutional cooperation and coordination through mechanisms alternative to ihr reform or a global pandemic treaty.
过去20年发生的新冠肺炎大流行和其他国际关注的重大突发公共卫生事件提醒我们,人类、动物和环境健康之间存在密切联系,需要采取合作和多部门方法来应对复杂的健康威胁。这些疫情也有助于强调及时共享病原体的重要性,病原体用于表征疫情的病原体,了解其传播,并开发诊断、抗病毒治疗和疫苗。尽管它们与准备和应对有关,但“一个健康”和病原体共享都不在《国际卫生条例》的范围内。本文分析了国际人权文书中现有的制度和规范空白,包括研究国际法律格局中的其他制度如何寻求“填补空白”。我们探索可能的解决方案,并提出建议,通过替代ihr改革或全球流行病条约的机制加强机构间合作与协调。
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引用次数: 3
The World Health Organization, International Health Regulations and Human Rights Law 世界卫生组织、国际卫生条例和人权法
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010002
L. Forman, S. Sekalala, B. Meier
This article examines the influence of human rights law on infectious disease control through the World Health Organization (who) International Health Regulations (‘IHR’). The who’s evolving work to mainstream human rights in global health governance strongly influenced the 2005 revision of the ihr, framing a new balance between health and human rights in public health emergencies. The 2005 ihr make respect for human rights a central principle and integrate human rights standards in explicit and implicit ways. Yet these reforms also fail to reflect economic, social and cultural rights, inadequately connect to the UN human rights system, and leave unresolved significant legal issues with major impacts on human rights. These weaknesses have been exposed by the covid-19 pandemic, as national pandemic responses have tested who’s authority under the ihr and disproportionately and unjustifiably restricted a range of human rights. Resolving these gaps will require both normative and institutional reforms that bring together human rights and global health governance, including through broader rights-based partnerships amongst international organizations.
本文通过世界卫生组织(世卫组织)《国际卫生条例》考察了人权法对传染病控制的影响。世卫组织将人权纳入全球卫生治理主流的不断发展的工作强烈影响了2005年修订的《国际卫生条例》,在突发公共卫生事件中确立了卫生与人权之间的新平衡。2005年《国际卫生条例》将尊重人权作为一项中心原则,并以明示和隐含的方式整合了人权标准。然而,这些改革也未能反映经济、社会和文化权利,与联合国人权系统没有充分联系,对人权产生重大影响的重大法律问题尚未解决。covid-19大流行暴露了这些弱点,因为国家大流行应对措施考验了世卫组织根据《国际卫生条例》的权威,并不成比例地和不合理地限制了一系列人权。解决这些差距需要进行规范和体制改革,将人权和全球卫生治理结合起来,包括通过国际组织之间更广泛的基于权利的伙伴关系。
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引用次数: 1
Strengthening the Monitoring of States’ Compliance with the International Health Regulations 加强对各国遵守《国际卫生条例》情况的监测
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010007
Pedro A. Villarreal, Roojin Habibi, Allyn L. Taylor
The current article aims to undertake a retrospective and a prospective analysis of compliance monitoring under the International Health Regulations of 2005 (ihr (2005)). First, different theoretical understandings of compliance are discussed. The study then focuses on a ‘triad’ of obligations under the ihr (2005): 1) to timely and effectively notify the World Health Organization (who) of events that may constitute public health emergencies of international concern (Article 6 ihr); 2) to notify and justify additional health measures restricting international travel and trade in response to events elsewhere (Article 43 ihr); and, 3) to build minimum core capacities required to conduct pandemic surveillance and response activities (Article 5 ihr). The retrospective analysis revisits the fate of past and current mechanisms of compliance monitoring under the ihr (2005). Lastly, a prospective formulation builds upon the elements of the retrospective analysis, sketching a possible way forward for monitoring of compliance with the ihr (2005).
本文旨在对《2005年国际卫生条例》(ihr(2005))下的遵守情况监测进行回顾性和前瞻性分析。首先,讨论了对顺从的不同理论理解。然后,该研究侧重于《国际卫生条例(2005)》规定的"三重"义务:1)及时有效地将可能构成国际关注的突发公共卫生事件通知世界卫生组织(世卫组织)(《国际卫生条例》第6条);2)通报和证明为应对其他地区的事件而采取的限制国际旅行和贸易的额外卫生措施(《国际卫生条例》第43条);3)建立开展大流行监测和应对活动所需的最低限度核心能力(《国际卫生条例》第5条)。回顾性分析回顾了《国际卫生条例(2005)》下过去和当前遵守情况监测机制的命运。最后,前瞻性表述建立在回顾性分析的基础上,概述了监测《国际卫生条例(2005)》遵守情况的可能前进方向。
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引用次数: 2
The International Health Regulations as a who Constitutional Instrument: Internal Governance and Regime Interactions 作为世卫组织宪法工具的国际卫生条例:内部治理与制度互动
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010001
G. Burci, S. Negri
The International Health Regulations (ihr) have been severely tested by the covid-19 pandemic. Recent reviews have identified a number of gaps and challenges and proposed improvement, but the Regulations should be analysed in their context as a constitutional instrument deeply embedded in who’s governance to better understand their systemic strengths and weaknesses. The ihr embody a managerial model of health governance that aims at depoliticizing international response to health emergencies and coordinating it on the basis of expertise and persuasion. The political crisis accompanying the covid-19 pandemic, however, reveals the need for a different and more political approach that injects states in the governance of the ihr following models tested by other international agreements. It also highlights the need for a more effective framework of cooperation and coordination that builds upon who’s practice of inter-institutional cooperation but complements it through institutional consultation structures involving directly states parties.
《国际卫生条例》受到了2019冠状病毒病大流行的严峻考验。最近的审查发现了一些差距和挑战,并提出了改进建议,但应将《条例》作为一项深入世卫组织治理的宪法文书,在其背景下进行分析,以更好地了解其系统性优势和劣势。《国际卫生条例》体现了一种卫生治理的管理模式,其目的是使对突发卫生事件的国际反应非政治化,并在专业知识和说服的基础上进行协调。然而,伴随2019冠状病毒病大流行而来的政治危机表明,需要采取一种不同的、更具政治性的方法,让各国按照经其他国际协定检验的模式参与《国际卫生条例》的治理。它还强调需要建立一个更有效的合作与协调框架,以世卫组织机构间合作的做法为基础,并通过直接涉及缔约国的机构协商结构对其进行补充。
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引用次数: 1
Introduction to a Special Issue on Reforming the International Health Regulations 国际卫生条例改革特刊简介
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010009
G. Burci, L. Forman, S. Hoffman
This special issue of the International Organizations Law Review is dedicated to the potential reform of the International Health Regulations (IHR)? It may be surprising to readers of this journal that a whole issue is focusing on a normative instrument rather than directly on an international institution. This choice may be explained by many factors that render the IHR a particularly interesting instrument at the crossroads of international law, the law of international organizations, and complex governance questions on how to produce a global public good such as the protection of humankind from the ravages of infectious diseases. The World Health Organization (WHO ), as the institutional custodian and manager of the IHR, has progressively and holistically integrated the latter into its governance as a component of its broader health emergency functions. The IHR -the primary legal instrument to prevent and control the international spread of disease -has also inevitably become a normative benchmark for other international institutions, thus raising delicate questions of regime complexity and coordination.2 The COVID-19 pandemic has amplified and exacerbated these issues and projected them to the highest level of international politics.(3)
《国际组织法评论》的这期特刊专门讨论《国际卫生条例》的潜在改革?这本杂志的读者可能会感到惊讶的是,整期杂志都在关注一项规范性文书,而不是直接关注一个国际机构。这一选择可以由许多因素来解释,这些因素使《国际卫生条例》成为国际法、国际组织法和关于如何产生全球公共产品(如保护人类免受传染病破坏)的复杂治理问题的十字路口的一项特别有趣的文书。世界卫生组织(世界卫生组织)作为国际卫生条例的机构保管人和管理者,已逐步将国际卫生条例全面纳入其管理,作为其更广泛的卫生应急职能的一个组成部分。《国际卫生条例》作为预防和控制疾病国际传播的主要法律文书,也不可避免地成为其他国际机构的规范性基准,从而提出了制度复杂性和协调性的微妙问题。2新冠肺炎大流行放大并加剧了这些问题,并将其投射到国际政治的最高层面。(3)
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引用次数: 1
Mending Dispute Resolution under the International Health Regulations 根据《国际卫生条例》解决争端
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010008
S. Hoffman, Roojin Habibi, Pedro A. Villarreal, Sophie Campbell
International dispute resolution not only aims to redress wrongdoings, but also to deter states from violating obligations. Approaching the International Health Regulations (ihr) from this viewpoint and using recent global health crises as examples, this paper argues that dispute resolution must be strengthened in the ihr in order to protect global health security. While a diverse range of dispute resolution mechanisms exist in other legal regimes, this paper proposes that a three-pronged architecture consisting of a guidance mechanism, formal adjudicative mechanism, and recourse to the icj and binding arbitration would provide for the most efficient and timely response to a dispute between states parties. Importantly, this architecture can be used both prior to and during a global health crisis, and could incentivize states parties towards solidarity in the global public health response.
国际争端解决不仅旨在纠正不法行为,还旨在阻止各国违反义务。本文从这一角度探讨《国际卫生条例》,并以最近的全球卫生危机为例,认为必须加强《国际卫生规则》中的争端解决,以保护全球卫生安全。虽然其他法律制度中存在各种各样的争端解决机制,但本文提出,由指导机制、正式裁决机制、诉诸国际法院和具有约束力的仲裁组成的三管齐下的架构将为缔约国之间的争端提供最有效、最及时的回应。重要的是,这种架构可以在全球卫生危机之前和期间使用,并可以激励缔约国在全球公共卫生应对中团结一致。
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引用次数: 0
The World Health Organization’s Emergency Powers: Enhancing Its Legal and Institutional Accountability 世界卫生组织的紧急权力:加强其法律和机构问责制
IF 0.7 Q2 LAW Pub Date : 2022-06-29 DOI: 10.1163/15723747-19010003
Mark Eccleston-Turner, Pedro A. Villarreal
This paper evaluates the powers – both legal and non-legal – which the World Health Organization has at its disposal in an emergency. We demonstrate that the Director-General’s emergency decision-making powers are of concern for the relationship between the organization and Member States. We further question to whom it owes accountability as an international institution, and how to enhance it. Existing literature shows how the legal responsibility of international organizations for wrongful acts constitutes one type of accountability. Internal and external institutional inquiries into the who’s decision-making, though not deriving in legal responsibility, also represent distinct models of accountability. Against this backdrop, the article looks at past and ongoing events where the who Director-General’s emergency decision-making powers gave way to different modes of accountability, both within and beyond the organization. We provide concluding remarks focused on the need for enhanced accountability in the who’s exercise of emergency decision-making powers.
本文评估了世界卫生组织在紧急情况下可支配的合法和非合法权力。我们表明,总干事的紧急决策权关系到本组织与会员国之间的关系。我们进一步质疑它作为一个国际机构应向谁承担责任,以及如何加强责任。现有文献表明,国际组织对不法行为的法律责任是如何构成一种责任的。对世卫组织决策的内部和外部机构调查虽然不是源自法律责任,但也代表了不同的问责制模式。在此背景下,本文回顾了过去和正在发生的事件,世卫组织总干事的紧急决策权让位于组织内外的不同问责模式。我们提供的结论性意见集中于加强世卫组织行使紧急决策权的问责制的必要性。
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引用次数: 0
‘With Great Power Comes Great Responsibility’: Implied Obligations and the Responsibility to Protect “权力越大责任越大”:隐含的义务和保护的责任
IF 0.7 Q2 LAW Pub Date : 2022-06-23 DOI: 10.1163/15723747-20220002
Niamh Kinchin
The General rules of interpretation in the Vienna Convention on the Law of Treaties (vclt) do not only apply to treaties; they also apply to the constitutions of International Organizations (io). A holistic approach to treaty interpretation that combines a textual application of the vclt with a teleological approach to the constitution’s “object and purpose” responds to the need to consider it as a living instrument. However, traditional treaty interpretation is less able to respond to an io’s need to behave as an organization with values and responsibilities that reflect contemporary expectations of accountability. Such challenges could be addressed through the adoption of an extended teleological approach, being the extension of the doctrine of implied powers to implied obligations. The application of implied obligations to the ‘responsibility to protect’ transforms it from a norm to binding legal duty and in doing so, addresses accountability gaps in international governance.
《维也纳条约法公约》的一般解释规则不仅适用于条约;它们也适用于国际组织的章程。将vclt的文本应用与宪法“目的和宗旨”的目的论方法相结合的条约解释的整体方法,回应了将其视为一种活的文书的必要性。然而,传统的条约解释无法满足io作为一个具有反映当代问责制期望的价值观和责任的组织的行为需求。这种挑战可以通过采用一种扩展的目的论方法来解决,即将默示权力理论扩展到默示义务。对“保护责任”适用隐含义务将其从一种规范转变为具有约束力的法律义务,从而解决了国际治理中的问责差距。
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引用次数: 0
The Uneasy Coexistence of Expertise and Politics in the World Health Organization 世界卫生组织专业知识与政治的不安共存
IF 0.7 Q2 LAW Pub Date : 2022-03-24 DOI: 10.1163/15723747-20220001
L. Gruszczynski, M. Melillo
The World Health Organization (WHO) has attracted an unprecedented level of criticism over its handling of the response to the COVID-19 pandemic. To enhance its legitimacy and better prepare for a future pandemic, various proposals to reform the WHO and the International Health Regulations have been made. Against this background, this article seeks to contribute to the ongoing discussions by investigating the nature of WHO’s work and its activities. Starting from the premise that much of the criticism stems from the uneasy coexistence of politics and expertise in WHO’s work, this article analyses some of the most controversial aspects of WHO’s initial response to the COVID-19 pandemic: (i) the alleged leniency towards China; (ii) the delay in declaring a public health emergency of international concern (PHEIC); and (iii) the delay in recommending the use of face masks for the general population. The article shows that politics infiltrates WHO activities in different ways, influencing even the processes that are conventionally seen as purely technical and science-based. At the same time, it argues that the influence of politics in WHO’s work should not be seen as some kind of atrophy, but should rather be considered a natural element that should be managed rather than dreaded.
世界卫生组织(世界卫生组织)在应对新冠肺炎疫情方面受到了前所未有的批评。为了加强其合法性并更好地为未来的大流行病做好准备,提出了改革世界卫生组织和《国际卫生条例》的各种建议。在此背景下,本文试图通过调查世界卫生组织工作及其活动的性质,为正在进行的讨论做出贡献。本文从许多批评源于世界卫生组织工作中政治和专业知识的不稳定共存这一前提出发,分析了世界卫生组织应对新冠肺炎疫情的初步措施中一些最具争议的方面:(一)所谓的对中国的宽大处理;(ii)延迟宣布国际关注的公共卫生紧急状态(PHEIC);以及(iii)延迟建议普通人群使用口罩。文章表明,政治以不同的方式渗透到世界卫生组织的活动中,甚至影响到传统上被视为纯粹技术和科学的进程。同时,它认为,政治在世界卫生组织工作中的影响不应被视为某种萎缩,而应被认为是一种自然因素,应该加以管理,而不是令人恐惧。
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引用次数: 3
Through the Rule of Law Looking Glass 透过法治的镜子
IF 0.7 Q2 LAW Pub Date : 2021-12-20 DOI: 10.1163/15723747-18030002
G. Burci, Jennifer Hasselgard-Rowe
Transposing rule of law principles from the national to the international level, in particular to international organizations, still raises questions and can be problematic. However, rule of law considerations play an important role when international organizations exercise a substantial amount of public authority and may directly affect states as well as individuals. The World Health Organization (WHO), unlike other international organizations, has a constitutional mandate to prevent and respond to international acute emergencies in the form of disease outbreaks and pandemics. Its main normative tool is the 2005 International Health Regulations (IHR), that represent a breakthrough from past instruments but also raise questions and challenges that can be effectively analyzed from a rule of law perspective. This approach applies in particular to ambiguities in important parts of the IHR affecting their relevance and effectiveness; lack of clarity for processes leading to sensitive executive decisions; the absence of compliance assessment mechanisms resulting in lack of accountability for states parties; and an inadequate inclusion of human rights guarantees. The analysis is extended beyond WHO’s functions, to the impact of COVID-19 on the organization’s governance as well as its internal management.
将法治原则从国家一级转移到国际一级,特别是转移到国际组织,仍然会引起问题,而且可能会产生问题。然而,当国际组织行使大量公共权力时,法治考虑发挥着重要作用,并可能直接影响国家和个人。与其他国际组织不同,世界卫生组织(世界卫生组织)的宪法授权是预防和应对疾病暴发和大流行病形式的国际紧急情况。其主要规范工具是2005年《国际卫生条例》,这是对过去文书的突破,但也提出了可以从法治角度有效分析的问题和挑战。这种方法尤其适用于影响其相关性和有效性的《国际卫生条例》重要部分的歧义;导致敏感行政决策的程序缺乏明确性;缺乏履约评估机制,导致缔约国缺乏问责制;以及没有充分纳入人权保障。该分析超出了世界卫生组织的职能范围,涉及新冠肺炎对该组织治理及其内部管理的影响。
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引用次数: 0
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International Organizations Law Review
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