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A global public health convention for the 21st century
The Lancet Public Health ( IF 50.0 ) Pub Date : 2021-05-06 , DOI: 10.1016/s2468-2667(21)00070-0
Johnathan H Duff 1 , Anicca Liu 1 , Jorge Saavedra 2 , Jacob N Batycki 1 , Kendra Morancy 3 , Barbara Stocking 4 , Lawrence O Gostin 5 , Sandro Galea 6 , Stefano Bertozzi 7 , Jose M Zuniga 8 , Carmencita Alberto-Banatin 9 , Akua Sena Dansua 10 , Carlos Del Rio 11 , Maksut Kulzhanov 12 , Kelley Lee 13 , Gisela Scaglia 14 , Cyrus Shahpar 15 , Andrew J Ullmann 16 , Steven J Hoffman 17 , Michael Weinstein 18 , José Szapocznik 1
Affiliation  

As shown by COVID-19, infectious diseases with a pandemic potential present a grave threat to health and wellbeing. Although the International Health Regulations provide a framework of binding legal obligations for pandemic prevention, preparedness, and response, many countries do not comply with these regulations. There is a need for a renewed framework for global collective action that ensures conformity with international regulations and promotes effective prevention and response to pandemic infectious diseases. This Health Policy identifies the necessary characteristics for a new global public health security convention designed to optimise prevention, preparedness, and response to pandemic infectious diseases. We propose ten recommendations to strengthen global public health governance and promote compliance with global health security regulations. Recommendations for a new global public health security convention include greater authority for a global governing body, an improved ability to respond to pandemics, an objective evaluation system for national core public health capacities, more effective enforcement mechanisms, independent and sustainable funding, representativeness, and investment from multiple sectors, among others. The next steps to achieve these recommendations include assembling an invested alliance, specifying the operational structures of a global public health security system, and overcoming barriers such as insufficient political will, scarcity of resources, and individual national interests.



中文翻译:

面向 21 世纪的全球公共卫生公约

正如 COVID-19 所示,具有大流行潜力的传染病对健康和福祉构成严重威胁。尽管《国际卫生条例》为大流行的预防、准备和应对提供了具有约束力的法律义务框架,但许多国家并未遵守这些规定。需要为全球集体行动建立一个新的框架,以确保符合国际法规并促进有效预防和应对大流行性传染病。该卫生政策确定了新的全球公共卫生安全公约的必要特征,该公约旨在优化对大流行传染病的预防、准备和应对。我们提出十项建议,以加强全球公共卫生治理,促进遵守全球卫生安全法规。对新的全球公共卫生安全公约的建议包括赋予全球管理机构更大的权力、提高应对流行病的能力、对国家核心公共卫生能力的客观评估系统、更有效的执行机制、独立和可持续的资金、代表性以及来自多个行业的投资等。实现这些建议的下一步包括组建一个投资联盟,明确全球公共卫生安全系统的运营结构,以及克服政治意愿不足、资源稀缺和个人国家利益等障碍。对新的全球公共卫生安全公约的建议包括赋予全球管理机构更大的权力、提高应对流行病的能力、对国家核心公共卫生能力的客观评估系统、更有效的执行机制、独立和可持续的资金、代表性以及来自多个行业的投资等。实现这些建议的下一步包括组建一个投资联盟,明确全球公共卫生安全系统的运营结构,以及克服政治意愿不足、资源稀缺和个人国家利益等障碍。对新的全球公共卫生安全公约的建议包括赋予全球管理机构更大的权力、提高应对流行病的能力、对国家核心公共卫生能力的客观评估系统、更有效的执行机制、独立和可持续的资金、代表性以及来自多个行业的投资等。实现这些建议的下一步包括组建一个投资联盟,明确全球公共卫生安全系统的运营结构,以及克服政治意愿不足、资源稀缺和个人国家利益等障碍。对国家核心公共卫生能力、更有效的执法机制、独立和可持续的资金、代表性和来自多个部门的投资等的客观评估系统。实现这些建议的下一步包括组建一个投资联盟,明确全球公共卫生安全系统的运营结构,以及克服政治意愿不足、资源稀缺和个人国家利益等障碍。对国家核心公共卫生能力、更有效的执法机制、独立和可持续的资金、代表性和来自多个部门的投资等的客观评估系统。实现这些建议的下一步包括组建一个投资联盟,明确全球公共卫生安全系统的运营结构,以及克服政治意愿不足、资源稀缺和个人国家利益等障碍。

更新日期:2021-05-27
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