This essay considers the management of infectious disease through the prism of recent Ebola epidemics on the African continent. A review of country experiences suggests that securing working relationships among multiple actors within a global infrastructure of collaborative health governance offers a productive means for redressing viral spread. It is further argued that as various domains and sectors of the international system become more tightly interlaced to face common health threats, the ability to grow what Galtung referred to as “positive peace” increases. In this context, positive peace is conceptualized as bonds of support emerging from crisis settings that expand politically, socially and economically beyond disease events. Ultimately these bonds chasten a variety of forms of violence. This is opposed to “negative peace,” which reflects an absence of personal violence. The recent history of Ebola in Africa offers observers the opportunity to explore these themes in greater detail, and provides evidence of efforts to build infrastructure that can create more peaceful, mutually beneficial relationships on the common ground of pursuing public health. It also displays how direct human aggression rooted in long standing structural and cultural chains of violence can interrupt, impede and even destroy such efforts, ultimately leading to the possible letting loose of an illness that could reach transnational and even pandemic proportions.

中文翻译：

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非洲埃博拉的协作公共卫生管理

本文通过近期非洲大陆埃博拉疫情的棱镜来考虑传染病的管理。对国家经验的回顾表明，在全球协作卫生治理基础设施内确保多个参与者之间的工作关系为纠正病毒传播提供了一种富有成效的手段。有人进一步认为，随着国际体系的各个领域和部门变得更加紧密地交织在一起以面对共同的健康威胁，实现加尔通所说的“积极和平”的能力也在增加。在这种情况下，积极和平被概念化为危机环境中出现的支持纽带，在政治、社会和经济方面超出疾病事件范围。最终，这些纽带惩戒了各种形式的暴力。这与“消极和平，”这反映了没有个人暴力。埃博拉在非洲的近期历史为观察者提供了更详细地探索这些主题的机会，并提供了建立基础设施的努力的证据，这些基础设施可以在追求公共卫生的共同基础上建立更加和平、互利的关系。它还表明，植根于长期存在的结构性和文化暴力链中的直接人类侵略如何能够中断、阻碍甚至破坏这些努力，最终导致可能导致可能达到跨国甚至大流行的疾病肆虐。在追求公共卫生的共同基础上建立互利关系。它还表明，植根于长期存在的结构性和文化暴力链中的直接人类侵略如何能够中断、阻碍甚至破坏这些努力，最终导致可能导致可能达到跨国甚至大流行的疾病肆虐。在追求公共卫生的共同基础上建立互利关系。它还表明，植根于长期存在的结构性和文化暴力链中的直接人类侵略如何能够中断、阻碍甚至破坏这些努力，最终导致可能导致可能达到跨国甚至大流行程度的疾病肆虐。