International Legal Issues of National Sovereignty and Authority that Impact Global Health Security Open Access

Abstract

The International Health Regulations (IHR) 2005, serve as an overarching role in global health security (GHS); they are designed to prevent, detect, and respond to international threats. In the wake of past international health crises, (i.e., H1N1 influenza [2009], Ebola [2013], MERS-CoV [2014], Zika [2016], and SARS-CoV-2 [2019]) the IHR (2005) strives to compel a robust, coordinated global response but has been criticized. It became clear that the current global legal infrastructure was unequipped for global security (GHS). Understanding the history, development, and evolution of the IHR provides necessary context for the global community to prepare for any future crises. I looked at the intersection between the IHR and domestic health systems and how a synergistic relationship is required to enhance GHS. At the core is to amend IHR (2005) to strengthen GHS and reinforce global preparedness at a global scale while maintaining the delicate balance to preserve national sovereignty and authority.

Table of Contents

Chapter 1: Introduction 1

1.1 Emergence of the International Health Regulations 1

1.2 Evolution of the IHR 2

1.3 Relevant Legal Instruments and Processes 4

Chapter 2: Literature Review and Gap Analysis 7

2.1 IHR’s Underpinnings for Global Pandemic Responses 7

2.1.1 2009 H1N1-Influenza 7

2.1.2 2016 Zika Virus 8

2.1.3 COVID-19 Pandemic 9

2.2 Sovereignty and Global Security10

2.2.1 The Security-Development Nexus 11

2.2.2 Viral Sovereignty 11

2.3 Flattening the Infodemic Curve 12

2.3.1 Infodemic Crisis 12

2.3.2 Impact of “Fake News” 13

Chapter 3: Case Study 15

Chapter 4: Vision for the Future 15

Chapter 5: Actions 19

Chapter 6: Conclusions 22

References 23

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Keyword	International Health Regulations Coordination Global Governance Multisectoral Collaboration Public Health Sovereignty Public Health Surveillance Global Health Security
Committee Chair / Thesis Advisor	McNabb, Scott , Emory University

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