RESUMO
Background: Health security as a domain has gained tremendous importance in the recent past. Emerging and re-emerging diseases globally, coupled with the derailment of the determinants of health mainly the socio-political environment, has made health security a cross-cutting entity in diverse fields including International Relations (IR). With the ongoing global polycrisis, the health-related issues which were previously sidelined as a concept of less strategic importance in the IR field, are now contributing to the shift of the world order. This has instilled an increased participation of IR scholars in the discussions and debates on health security concerns. The field of IR contains numerous theoretical lenses through which scholars analyze such situations, policies, and systems of the world. Methods: In this paper, we use a scoping review method to inspect how IR theories have been applied in analyzing health security concerns. Results: We observed that various diverging IR theories have been used to deliberate on states' actions in tackling the recent pandemic and have also been prescriptive about the changing notions of multilateralism and international governing organizations. Realism, liberalism, and securitization were among the most frequently applied IR theories in the context of health security discussions. Conclusions: This work provides an impetus to enhance the interaction among interdisciplinary teams leading to evolving solutions that can address issues of global importance in the contemporary world.
Assuntos
Diplomacia , Humanos , Saúde Global , Internacionalidade , Cooperação InternacionalAssuntos
Diplomacia , Humanos , Saúde Global , Liderança , Cooperação Internacional , Política PúblicaAssuntos
Inteligência Artificial , Diplomacia , Aquecimento Global , Agências Internacionais , Pesquisa , Inteligência Artificial/tendências , Diplomacia/legislação & jurisprudência , Aquecimento Global/prevenção & controle , Aquecimento Global/legislação & jurisprudência , Pesquisa/organização & administração , Pesquisa/tendênciasRESUMO
BACKGROUND: For many countries confronting a future pandemic, the initial vaccines available will come from abroad. Public hesitancy to receive these foreign vaccines is important, as it may create an incentive for governments to forego procuring them for public use. We investigate the influence of the vaccine's country of origin on public support for government procurement during the early stages of a pandemic and examine whether endorsements from the WHO can mitigate such biases. METHODS: In the summer of 2023, we carried out a survey experiment of 1,110 U.S. residents where we asked respondents to rate their support for vaccine purchasing policies for 20 hypothetical vaccines (13,320 evaluations). We varied the vaccine's country of origin and its endorsement status from the WHO, while also randomizing other vaccine attributes. RESULTS: Compared to foreign vaccines from countries Americans see favorable (e.g., Germany, the United Kingdom), those originating from less favorable countries (e.g., China, Russia), garnered lower support for government procurement. Our causal mediation analysis indicates that this country-of-origin effect is primarily driven by participants' sentiments toward the vaccine. Surprisingly, WHO endorsement does little to mitigate the effect of the vaccine's country of origin. These findings are consistent across various sample subsets and considerations of vaccine quality. CONCLUSION: Our study advances previous work on vaccine country-of-origin effects by assessing its impact on policy preferences for procuring initial vaccines from overseas (as opposed to uptake intentions), identifying a mechanism by which vaccine favoritism occurs, and documenting that neither personal disease susceptibility nor vaccine quality fully mitigates country of origin effects. We conclude by discussing why the study of "vaccine diplomacy" ought to not only include interstate dynamics governing vaccine purchasing and availability but also consider vaccine-producing countries' more general reputations.
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Diplomacia , Vacinas , Humanos , Pandemias/prevenção & controle , Vacinas/uso terapêutico , China , Governo , VacinaçãoRESUMO
This study examines how various environmental and economic variables contribute to environmental degradation. Industrialization, trade openness, and foreign direct investment are among the variables, as are environmental diplomacy, environmental diplomacy secure, and renewable energy consumption. Therefore, the data covers the years 1991-2020, and our sample includes all 19 countries and two groups (the European Union and the African Union). The research used the Pesaran CD test to determine cross-section dependency, CIPS and CADF test to determine stationarity, the Wald test for hetrodcedasasticity and the Wooldridge test for autocorrelation; therefore, VIF for multicollinearity, Durbin and Hausman to analyze the endogeneity. It also employed Westerlund's cointegration test to ensure cross-sectional dependence, Wald test for group-wise heteroscedasticity, Wooldridge test for autocorrelation, VIF for multicollinearity, and Durbin and Hausman for endogeneity. The two-step system generalized method of moments (GMM) is used to estimate the results and confirm the relationship between independent variables (Industrialization, trade openness, FDI, environmental diplomacy, secure environmental diplomacy, and renewable energy) and dependent variables (Environmental Degradation) in G20 countries. Therefore, Industrialization, trade openness, foreign direct investment, ecological diplomacy, and renewable energy consumption significantly impact ecological degradation. Environmental diplomacy is crucial to combat degradation and stimulate global collaboration. G20 nations enact strict environmental restrictions to tackle climate change and encourage economic growth.
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Diplomacia , Estudos Transversais , Dióxido de Carbono , Energia Renovável , Desenvolvimento Econômico , Investimentos em SaúdeAssuntos
Conflitos Armados , Diplomacia , Cooperação Internacional , Política , Ciência , Regiões Árticas , Conflitos Armados/história , Diplomacia/ética , Diplomacia/história , Diplomacia/organização & administração , Diplomacia/tendências , Cooperação Internacional/história , Cooperação Internacional/legislação & jurisprudência , Federação Russa , Ciência/ética , Ciência/história , Ciência/organização & administração , Ciência/tendênciasRESUMO
Background: Health diplomacy is one of the emerging avenues for academics where foreign policy dynamics and global health meet. Its relevance has augmented especially after the COVID-19 pandemic that brought the world to a halt. International organization and national entities that are responsible for health governance as well as its socio-economic determinants have been increasingly involved in the negotiations for a collective action towards a better health infrastructure and preparedness. However, the approach to health diplomacy seems to vary with whether health is looked through diplomacy lens or vice versa. Thus, inculcating adequate and appropriate competencies of both fields to conduct negotiations for health while keeping national interests and international commitments intact is imperative. Methods: This study investigates 50 programmes/courses that have been currently offered around the globe to understand the competencies that have been identified as essential for a health diplomat. We examined four aspects: i) geographical distribution of programme/course (ii) the type of global health diplomacy programme being offered and their duration (iii) mode of teaching and (iv) cross-cutting themes that the programme offers. Results: We found that the courses/programmes have been mostly provided by the countries of the Global North who play a key part in international negotiations. Although there were diverse types of certifications identified, they can be classified into two groups - core health diplomacy and inclusive health diplomacy programmes. The health diplomacy training is preferred to be provided in-person due to the nature of the work. Conclusions: While competencies for health governance and international relation have been dominant among the current programmes, other cross-cutting themes such as economics, politics, law, public policy, crisis management, environment and public health have been considered essential. The article concludes with a proposal of a framework to streamline the sectors and the competencies that is required in health diplomats.
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Diplomacia , Humanos , Fortalecimento Institucional , Pandemias , Política , Saúde PúblicaRESUMO
2023 marks the 25th anniversary of the Good Friday Agreement, which led peace in Northern Ireland. As well as its impact on peace and reconciliation, the Good Friday Agreement has also had a lasting positive impact on cancer research and cancer care across the island of Ireland. Pursuant to the Good Friday Agreement, a Memorandum of Understanding (MOU) was signed between the respective Departments of Health in Ireland, Northern Ireland and the US National Cancer Institute (NCI), giving rise to the Ireland - Northern Ireland - National Cancer Institute Cancer Consortium, an unparalleled tripartite agreement designed to nurture and develop linkages between cancer researchers, physicians and allied healthcare professionals across Ireland, Northern Ireland and the US, delivering world class research and better care for cancer patients on the island of Ireland and driving research and innovation in the US.
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Diplomacia , Neoplasias , Médicos , Humanos , Neoplasias/epidemiologia , Irlanda do Norte/epidemiologia , Pessoal de SaúdeRESUMO
Globally, barriers to the widespread adoption of robotic surgery have worsened existing inequities in surgical care between low- and middle- income countries (LMICs) and high-income countries (HICs). This article advocates for the creation of sustainable robotic surgery programs in LMICs by drawing from ethical and philosophical theories, including preference utilitarianism, procedural justice, structural violence, and human rights. On this basis, robotic telesurgery is proposed as a form of global health diplomacy (GHD) between LMICs and HICs, and particular emphasis is placed on considerations in robotic surgery GHD program negotiations between LMICs and HICs and on political and ethical questions related to the transnational use of artificial intelligence.
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Diplomacia , Procedimentos Cirúrgicos Robóticos , Humanos , Saúde Global , Inteligência Artificial , Justiça SocialAssuntos
Clima , Conservação dos Recursos Hídricos , Diplomacia , Aquecimento Global , Povos Indígenas , Adolescente , Humanos , Diplomacia/métodos , Diplomacia/tendências , Conservação dos Recursos Hídricos/métodos , Conservação dos Recursos Hídricos/tendências , Aquecimento Global/prevenção & controleRESUMO
Governments face challenges in resolving complex health and social policy conflicts, such as the community water fluoridation (CWF) impasse in Calgary. Track Two diplomacy, informal dialogues facilitated by an impartial third party, is proposed to address these issues amid epistemic conflict and declining public trust in fellow citizens, science, and government. This study examined Track Two diplomacy's application in Calgary's CWF policy conflict. Collaborating with policymakers and community partners, the research team explored a Track Two-CWF process and conducted 21 semi-structured interviews with policymakers, scholars, practitioners, observers, and civil society representatives. Data interpretation explored contextual factors, conflict transformation potential, and design features for a Track Two process. A conflict map revealed factors contributing to impasse: the polarizing nature of a binary policy question on fluoridation; disciplinary silos; failed public engagement; societal populism; societal lack of disposition to dialogue; individual factors (adverse impact of conflict on stakeholders, adherence to extreme positions, issue fatigue, apathy, and lack of humility); together with policy-making factors (perceived lack of leadership, lack of forum to dialogue, polarization and silos). Participants suggested reframing the issue as nonbinary, involving a skilled facilitator, convening academics, and considering multiple dialogue tracks for a Track Two process. The first theory of change would focus on personal attitudes, relationships, and culture. Participants expressed cautious optimism about Track Two diplomacy's potential. Track Two diplomacy offers a promising approach to reframe intractable public health policy conflicts by moving stakeholders from adversarial positions to jointly assessing and solving problems. Further empirical evidence is needed to test the suggested process.
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Diplomacia , Humanos , Fluoretação , Política Pública , Atitude , CanadáRESUMO
The COVID-19 pandemic has laid bare some profound challenges facing the preservation of Canada's single-payer, publicly administered healthcare system. At the same time, it may have presented an opportunity to take bold action on system reform. Part of that opportunity may lie in linking recent developments in intergovernmental diplomacy (termed bilateral federalism) with the growing emphasis on value-based healthcare initiatives coming out of some of the provinces. Bilateralism may be a means to steer reform efforts toward a value-based healthcare system that can articulate pan-Canadian values while accommodating provincial asymmetry in a highly decentralized federation like Canada.
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COVID-19 , Diplomacia , Humanos , Reforma dos Serviços de Saúde , Pandemias , Cuidados de Saúde Baseados em Valores , Canadá , COVID-19/epidemiologia , Atenção à SaúdeRESUMO
BACKGROUND AND AIM: Understanding the characteristics of global policy actors and the political context in which they address diplomatic issues in the field of NCDs can play an important role in advancing NCD-related goals. The purpose of this study was to identify and analyze the network of global health actors in the field of NCDs in Iran. METHODS: This study was conducted in 2020 using a qualitative methodology and framework analysis. In-depth semi-structured interviews were conducted with subject-matter experts from all levels of diplomacy, including global, regional, and national, who had managerial, administrative, and academic experience. FINDINGS: A total of 21 interviews were conducted with individuals who met the inclusion criteria. Following the framework of the World Health Network, the findings were divided into three general areas: the features of the network and the actors; the policy environment; and the characteristics of the issue. CONCLUSION: A successful and sustainable program to combat NCDs requires the participation of multiple actors from governments, the private sector, and civil society at international, national, and local levels. The Global Network for Prevention and Control of NCDs should enhance the effectiveness of NCDs policies by highlighting the need to simultaneously improve the internal factors of the network, including relationships among the actors; external factors, including the policy environment; and the complex nature of NCDs.
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Diplomacia , Doenças não Transmissíveis , Humanos , Saúde Global , Política de Saúde , Formulação de Políticas , Doenças não Transmissíveis/prevenção & controleRESUMO
This special issue explores the power that images with a techno-scientific content can have in international relations. As we introduce the articles in the collection, we highlight how the study of this influence extends current research in the separate (but increasingly interacting) domains of history of science and technology, and political science. We then show how images of different types (photographs, cartoons and plots) can inform inter-state transactions through their public appeal alongside the better-studied dialogic practices of the diplomatic arena. Finally, we offer an analysis of the interlacing of different diplomatic tracks based on words and images and conclude that, in contrast with words, images conflate agency and argument, therefore creating opportunities to inform transactions and negotiations which their designers may not have even intended.
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Diplomacia , Saúde Global , Política , Internacionalidade , TecnologiaRESUMO
Since the 1980s, psychiatrists, psychologists, and diplomats have proposed psychoanalytic theories to inform peacemaking in international relations through Track II negotiations, defined as unofficial meetings among influential stakeholders with access to government policymakers. These contributions have focused on initiating or maintaining Track II negotiations (Aggarwal et al., 2023). In this article, we apply psychoanalytic concepts to the problem of restarting negotiations that have previously failed. This study introduces theories based on a dialogue that a cultural psychiatrist trained in South Asian Studies moderated with the past directors of India's and Pakistan's foreign intelligence agencies to consider how both countries could recommence negotiations. The two former directors have participated together in five Track II initiatives between India and Pakistan. All three authors reviewed best practices for addressing impediments to Track II negotiations and how Track II negotiations may be reinstituted once stalled. We did this in a far-reaching discussion devoted to the psychology of peacemaking. We introduce the theories of trust as interpersonal authenticity, the normalization of conflicts, the back channel as a process to work through diplomatic resistance, and negotiator selection criteria. Our theories and method present new ways to apply psychoanalytic concepts to diplomacy.
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Diplomacia , Humanos , Internacionalidade , Teoria Psicanalítica , ÍndiaRESUMO
Joseph Needham occupies a central position in the historical narrative underpinning the most influential practitioner-derived definition of 'science diplomacy'. The brief biographical sketch produced by the Royal Society and the American Association for the Advancement of Science sets Needham's activities in the Second World War as an exemplar of a science diplomacy. This article critically reconsiders Needham's wartime activities, shedding light on the roles played by photographs in those diplomatic activities and his onward dissemination of them as part of his self-fashioning. Images were important to the British biochemist, and he was an avid amateur photographer himself, amassing a unique collection of hundreds of images relating to science, technology and medicine in wartime China during his time working as director of the Sino-British Science Co-operation Office. These included ones produced by China's Nationalist Party-led government, and by the Chinese Communist Party. Focusing on these photographs, this article examines the way Joseph Needham used his experiences to underpin claims to authority which, together with the breadth of his networks, enabled him to establish himself as an international interlocutor. All three aspects formed essential parts of his science diplomacy.