The biomedical securitization of global health

Abstract Background The COVID-19 outbreak has shifted the course in the global health debate further towards health security and biomedical issues. Even though global health had already played a growing role in the international policy agenda, the pandemic strongly reinforced the interest of the med...

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Main Authors: Jens Holst, Remco van de Pas
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Globalization and Health
Subjects:
Online Access:https://doi.org/10.1186/s12992-023-00915-y
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author Jens Holst
Remco van de Pas
author_facet Jens Holst
Remco van de Pas
author_sort Jens Holst
collection DOAJ
description Abstract Background The COVID-19 outbreak has shifted the course in the global health debate further towards health security and biomedical issues. Even though global health had already played a growing role in the international policy agenda, the pandemic strongly reinforced the interest of the media, the general public and the community in cross-border infectious diseases. This led to a strengthening of the already dominant biomedical understanding of global health and the securitization of health in foreign policy. Methods This paper critically provides a narrative, iterative review of the health security literature available to date, with a special focus on the development of the currently prevailing concept of health security and the dual trend towards the securitization and biomedicalization of global health. Findings In a world increasingly determined by power asymmetries, unequal distribution of opportunities and resources, and inadequate governance structures, securitizing health has become a key feature of global governance. Health security is predominantly based on a concept that neglects the global burden of disease determined by non-communicable conditions rather than by infectious diseases. Moreover, it exhibits a trend towards biomedical solutions and neglects root causes of global health crises. Conclusions As important as health security is, the underlying concept driven by biomedical and technocratic reductionism falls short. It widely neglects the social, economic, political, commercial and environmental determination of health. Beyond improved health care and prevention, health-in-all policies are ultimately required for ensuring health security and reducing one of its main challenges, health inequalities within and between countries. Global health security must first and foremost seek to guarantee the universal right to health and therefore emphasise the social, economic, commercial and political determination of health.
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spelling doaj.art-1efd1e6c25e345bfa7455fdf7900e6192023-03-22T12:40:41ZengBMCGlobalization and Health1744-86032023-03-011911910.1186/s12992-023-00915-yThe biomedical securitization of global healthJens Holst0Remco van de Pas1Department of Health Sciences, Fulda University of Applied SciencesDepartment of Public Health, Lecturer Global Health Policy, Institute of Tropical Medicine, AntwerpAbstract Background The COVID-19 outbreak has shifted the course in the global health debate further towards health security and biomedical issues. Even though global health had already played a growing role in the international policy agenda, the pandemic strongly reinforced the interest of the media, the general public and the community in cross-border infectious diseases. This led to a strengthening of the already dominant biomedical understanding of global health and the securitization of health in foreign policy. Methods This paper critically provides a narrative, iterative review of the health security literature available to date, with a special focus on the development of the currently prevailing concept of health security and the dual trend towards the securitization and biomedicalization of global health. Findings In a world increasingly determined by power asymmetries, unequal distribution of opportunities and resources, and inadequate governance structures, securitizing health has become a key feature of global governance. Health security is predominantly based on a concept that neglects the global burden of disease determined by non-communicable conditions rather than by infectious diseases. Moreover, it exhibits a trend towards biomedical solutions and neglects root causes of global health crises. Conclusions As important as health security is, the underlying concept driven by biomedical and technocratic reductionism falls short. It widely neglects the social, economic, political, commercial and environmental determination of health. Beyond improved health care and prevention, health-in-all policies are ultimately required for ensuring health security and reducing one of its main challenges, health inequalities within and between countries. Global health security must first and foremost seek to guarantee the universal right to health and therefore emphasise the social, economic, commercial and political determination of health.https://doi.org/10.1186/s12992-023-00915-yGlobal healthSecuritySecuritizationGlobalizationInequalityBiomedical reductionism
spellingShingle Jens Holst
Remco van de Pas
The biomedical securitization of global health
Globalization and Health
Global health
Security
Securitization
Globalization
Inequality
Biomedical reductionism
title The biomedical securitization of global health
title_full The biomedical securitization of global health
title_fullStr The biomedical securitization of global health
title_full_unstemmed The biomedical securitization of global health
title_short The biomedical securitization of global health
title_sort biomedical securitization of global health
topic Global health
Security
Securitization
Globalization
Inequality
Biomedical reductionism
url https://doi.org/10.1186/s12992-023-00915-y
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