Implications from COVID-19 for future pandemic global health governance.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: England NLM ID: 9516420 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-0691 (Electronic) Linking ISSN: 1198743X NLM ISO Abbreviation: Clin Microbiol Infect Subsets: MEDLINE
    • Publication Information:
      Publication: 2015- : London : Elsevier
      Original Publication: Paris : Decker Europe, c1995-
    • Subject Terms:
      COVID-19*/epidemiology ; COVID-19*/prevention & control ; Global Health* ; Pandemics*; Humans ; International Cooperation ; Public Health/legislation & jurisprudence ; SARS-CoV-2/physiology ; World Health Organization
    • Abstract:
      Background: Limitations of current global health governance revealed during the COVID-19 pandemic can inform the ongoing deliberations of an international treaty on pandemics.
      Objectives: To report on WHO definitions for governance and the enforcement of treaties in the context of a proposed international treaty on pandemics.
      Sources: This narrative review was based on keyword searches related to public health, global health governance, and enforcement in PubMed/Medline and Google Scholar. Snowballing for additional articles followed the keyword search review.
      Content: WHO lacks a consistent definition of global health governance. Moreover, in its current state, the proposed international treaty on pandemics lacks articulated compliance, accountability, or enforcement mechanisms. Findings reveal that humanitarian treaties often fail to achieve their aims absent clear enforcement mechanisms. The proposed international treaty on public health is garnering a range of perspectives. Decision-makers should evaluate whether a globally aligned definition of global health governance is needed. Decision-makers should also consider whether the proposed international treaty on pandemics should be opposed if it lacks sufficiently clear compliance, accountability, and enforcement mechanisms.
      Implications: To our knowledge, this narrative review is believed to be the first of its kind to search scientific-oriented databases regarding governance and international pandemic treaties. The review includes several findings that advance the literature. These findings, in turn, reveal two key implications for decision-makers. First, whether an aligned definition for governance addressing compliance, accountability, and enforcement mechanisms is needed. Second, whether a draft treaty lacking enforcement mechanisms should be approved.
      (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
    • Contributed Indexing:
      Keywords: Accountability; COVID-19; Enforcement; Global health governance; Health policy; Pandemics; Public health; Public policy; Strategies
    • Publication Date:
      Date Created: 20230403 Date Completed: 20240424 Latest Revision: 20240508
    • Publication Date:
      20240508
    • Accession Number:
      PMC10065870
    • Accession Number:
      10.1016/j.cmi.2023.03.027
    • Accession Number:
      37011809