A comparison of the institutional management of the H1N1 influenza pandemic and the Ebola virus disease epidemic in West Africa Why we have not learned the lesson when preparing and responding to Public Health Emergency of International Concern?
Why is it that after so many lessons-learned workshops and organizational failures we still have not learned the lesson when preparing and responding to PHEIC? We argue that we have not adequately reformed the global health architecture to deal with public health threats. Hence, we claim that both f...
محفوظ في:
| الحاوية / القاعدة: | URI:https://journals.openedition.org/faceaface, |
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| المؤلف الرئيسي: | |
| التنسيق: | Article ou chapitre numérique |
| منشور في: |
Face à face
2020
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| الموضوعات: | |
| الوصول للمادة أونلاين: | Accès Université d'Orléans et IFPM |
| الملخص: | Why is it that after so many lessons-learned workshops and organizational failures we still have not learned the lesson when preparing and responding to PHEIC? We argue that we have not adequately reformed the global health architecture to deal with public health threats. Hence, we claim that both failure and success in the handling of major epidemics have to do predominantly with the institutional design of international organizations. In other words, we confer an explicative role to learning but we circumscribe it to the choice of a certain institutional design. After all, we still do not know under what circumstances a certain institutional arrangement is more likely to arise and solve a particular problem. We depart from the assumption that states purposefully choose between different institutional arrangements, because they regard one or the other as more convenient for dealing with new conditions or new problems. In the case of the biosecurity domain, we argue that the choice is restricted to two institutional arrangements: transgovernmental networks (TGNs) or multilateral treaties linked to intergovernmental organizations. We also maintain that under certain conditions actors deliberately opt for TGNs because they consider them as more effective arrangements as evidenced during the 2009 A(H1N1) influenza pandemic. |
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