Ebola Again Shows the International Health Regulations Are Broken: What Can Be Done Differently to Prepare for the Next Epidemic?
Identifieur interne : 000533 ( PubMed/Corpus ); précédent : 000532; suivant : 000534Ebola Again Shows the International Health Regulations Are Broken: What Can Be Done Differently to Prepare for the Next Epidemic?
Auteurs : Trygve Ottersen ; Steven J. Hoffman ; Gaëlle GrouxSource :
- American journal of law & medicine [ 0098-8588 ] ; 2016.
English descriptors
- KwdEn :
- Epidemics (prevention & control), Global Health, Hemorrhagic Fever, Ebola (epidemiology), Hemorrhagic Fever, Ebola (prevention & control), Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Influenza, Human (prevention & control), Information Dissemination, International Cooperation, Public Health, Public Health Surveillance, World Health Organization.
- MESH :
- epidemiology : Hemorrhagic Fever, Ebola, Influenza, Human.
- prevention & control : Epidemics, Hemorrhagic Fever, Ebola, Influenza, Human.
- Global Health, Humans, Influenza A Virus, H1N1 Subtype, Information Dissemination, International Cooperation, Public Health, Public Health Surveillance, World Health Organization.
Abstract
Epidemics are among the greatest threats to humanity, and the International Health Regulations are the world's key legal instrument for addressing this threat. Since their revision in 2005, the IHR have faced two big tests: the 2009 H1N1 influenza pandemic and the 2014 Ebola epidemic in West Africa. Both exposed major shortcomings of the IHR, and both offered profound lessons for the future. The objective of this Article is twofold. First, we seek to compare the lessons learned from H1N1 and Ebola for reforming the IHR in order to test the hypothesis that they are similar. Second, we seek to examine the barriers to implementing these lessons and to identify strategies for overcoming those barriers. We find that the lessons from H1N1 and Ebola are indeed similar, and that opportunities to act on lessons from H1N1 were woefully missed. We identify many political barriers to global collective action and implementation of lessons for the IHR. On that basis, we describe strategies to overcome these barriers, which will hopefully be deployed now to reform the IHR before the policy window following Ebola closes, and before the inevitable next epidemic comes. The emerging threat of the Zika virus underscores that we have no time to waste.
DOI: 10.1177/0098858816658273
PubMed: 29086649
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pubmed:29086649Le document en format XML
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Hoffman, Global Strategy Lab, Centre for Health Law, Policy & Ethics, Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Groux, Gaelle" sort="Groux, Gaelle" uniqKey="Groux G" first="Gaëlle" last="Groux">Gaëlle Groux</name><affiliation><nlm:affiliation>BSc, Contact information: Gaëlle Groux, Global Strategy Lab, Centre for Health Law, Policy & Ethics, Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:29086649</idno><idno type="pmid">29086649</idno><idno type="doi">10.1177/0098858816658273</idno><idno type="wicri:Area/PubMed/Corpus">000533</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000533</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Ebola Again Shows the International Health Regulations Are Broken: What Can Be Done Differently to Prepare for the Next Epidemic?</title><author><name sortKey="Ottersen, Trygve" sort="Ottersen, Trygve" uniqKey="Ottersen T" first="Trygve" last="Ottersen">Trygve Ottersen</name><affiliation><nlm:affiliation>MD PhD, Contact information: Trygve Ottersen, Oslo Group on Global Health Policy, Department of Community Medicine and Global Health, University of Oslo, Oslo, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Hoffman, Steven J" sort="Hoffman, Steven J" uniqKey="Hoffman S" first="Steven J" last="Hoffman">Steven J. Hoffman</name><affiliation><nlm:affiliation>BHSc JD MA PhD, Contact information: Steven J. Hoffman, Global Strategy Lab, Centre for Health Law, Policy & Ethics, Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Groux, Gaelle" sort="Groux, Gaelle" uniqKey="Groux G" first="Gaëlle" last="Groux">Gaëlle Groux</name><affiliation><nlm:affiliation>BSc, Contact information: Gaëlle Groux, Global Strategy Lab, Centre for Health Law, Policy & Ethics, Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada.</nlm:affiliation></affiliation></author></analytic><series><title level="j">American journal of law & medicine</title><idno type="ISSN">0098-8588</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Epidemics (prevention & control)</term><term>Global Health</term><term>Hemorrhagic Fever, Ebola (epidemiology)</term><term>Hemorrhagic Fever, Ebola (prevention & control)</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Information Dissemination</term><term>International Cooperation</term><term>Public Health</term><term>Public Health Surveillance</term><term>World Health Organization</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Hemorrhagic Fever, Ebola</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Epidemics</term><term>Hemorrhagic Fever, Ebola</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Global Health</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Information Dissemination</term><term>International Cooperation</term><term>Public Health</term><term>Public Health Surveillance</term><term>World Health Organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Epidemics are among the greatest threats to humanity, and the International Health Regulations are the world's key legal instrument for addressing this threat. Since their revision in 2005, the IHR have faced two big tests: the 2009 H1N1 influenza pandemic and the 2014 Ebola epidemic in West Africa. Both exposed major shortcomings of the IHR, and both offered profound lessons for the future. The objective of this Article is twofold. First, we seek to compare the lessons learned from H1N1 and Ebola for reforming the IHR in order to test the hypothesis that they are similar. Second, we seek to examine the barriers to implementing these lessons and to identify strategies for overcoming those barriers. We find that the lessons from H1N1 and Ebola are indeed similar, and that opportunities to act on lessons from H1N1 were woefully missed. We identify many political barriers to global collective action and implementation of lessons for the IHR. On that basis, we describe strategies to overcome these barriers, which will hopefully be deployed now to reform the IHR before the policy window following Ebola closes, and before the inevitable next epidemic comes. The emerging threat of the Zika virus underscores that we have no time to waste.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29086649</PMID><DateCompleted><Year>2018</Year><Month>05</Month><Day>08</Day></DateCompleted><DateRevised><Year>2018</Year><Month>05</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0098-8588</ISSN><JournalIssue CitedMedium="Print"><Volume>42</Volume><Issue>2-3</Issue><PubDate><Year>2016</Year><Month>05</Month></PubDate></JournalIssue><Title>American journal of law & medicine</Title><ISOAbbreviation>Am J Law Med</ISOAbbreviation></Journal><ArticleTitle>Ebola Again Shows the International Health Regulations Are Broken: What Can Be Done Differently to Prepare for the Next Epidemic?</ArticleTitle><Pagination><MedlinePgn>356-392</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0098858816658273</ELocationID><Abstract><AbstractText>Epidemics are among the greatest threats to humanity, and the International Health Regulations are the world's key legal instrument for addressing this threat. Since their revision in 2005, the IHR have faced two big tests: the 2009 H1N1 influenza pandemic and the 2014 Ebola epidemic in West Africa. Both exposed major shortcomings of the IHR, and both offered profound lessons for the future. The objective of this Article is twofold. First, we seek to compare the lessons learned from H1N1 and Ebola for reforming the IHR in order to test the hypothesis that they are similar. Second, we seek to examine the barriers to implementing these lessons and to identify strategies for overcoming those barriers. We find that the lessons from H1N1 and Ebola are indeed similar, and that opportunities to act on lessons from H1N1 were woefully missed. We identify many political barriers to global collective action and implementation of lessons for the IHR. On that basis, we describe strategies to overcome these barriers, which will hopefully be deployed now to reform the IHR before the policy window following Ebola closes, and before the inevitable next epidemic comes. The emerging threat of the Zika virus underscores that we have no time to waste.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ottersen</LastName><ForeName>Trygve</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>MD PhD, Contact information: Trygve Ottersen, Oslo Group on Global Health Policy, Department of Community Medicine and Global Health, University of Oslo, Oslo, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoffman</LastName><ForeName>Steven J</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>BHSc JD MA PhD, Contact information: Steven J. Hoffman, Global Strategy Lab, Centre for Health Law, Policy & Ethics, Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Groux</LastName><ForeName>Gaëlle</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>BSc, Contact information: Gaëlle Groux, Global Strategy Lab, Centre for Health Law, Policy & Ethics, Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Law Med</MedlineTA><NlmUniqueID>7509572</NlmUniqueID><ISSNLinking>0098-8588</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D058872" MajorTopicYN="N">Epidemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014943" MajorTopicYN="Y">Global Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019142" MajorTopicYN="N">Hemorrhagic Fever, Ebola</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D033181" MajorTopicYN="N">Information Dissemination</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007391" MajorTopicYN="Y">International Cooperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011634" MajorTopicYN="N">Public Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062486" MajorTopicYN="N">Public Health Surveillance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014944" MajorTopicYN="N">World Health Organization</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>5</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>5</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29086649</ArticleId><ArticleId IdType="doi">10.1177/0098858816658273</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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