Unhealthy geopolitics: can the response to COVID-19 reform climate change policy?

被引:30
作者
Voo, Teck Chuan [1 ]
Reis, Andreas A. [2 ]
Thome, Beatriz [3 ]
Ho, Calvin W. L. [4 ]
Tam, Clarence C. [5 ]
Kelly-Cirino, Cassandra [6 ]
Emanuel, Ezekiel [7 ]
Beca, Juan P. [8 ]
Littler, Katherine [2 ]
Smith, Maxwell J. [9 ]
Parker, Michael [10 ]
Kass, Nancy [11 ,12 ]
Gobat, Nina [13 ]
Lei, Ruipeng [14 ]
Upshur, Ross [15 ]
Hurst, Samia [16 ]
Munsaka, Sody [17 ]
机构
[1] Natl Univ Singapore, Ctr Biomed Eth, Blk MD 11,10 Med Dr 02-03, Singapore 117597, Singapore
[2] WHO, Hlth Eth & Governance Unit, Geneva, Switzerland
[3] Univ Fed Sao Paulo, Prevent Med Dept, Sao Paulo, Brazil
[4] Univ Hong Kong, Fac Law, Hong Kong, Peoples R China
[5] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
[6] Fdn Innovat New Diagnost, Geneva, Switzerland
[7] Univ Penn, Dept Med Eth & Hlth Policy, Philadelphia, PA 19104 USA
[8] Univ Desarrollo, Ctr Bioet, Santiago, Chile
[9] Western Univ, Fac Hlth Sci, London, ON, Canada
[10] Univ Oxford, Wellcome Ctr Eth & Humanities, Oxford, England
[11] Johns Hopkins Univ, Berman Inst Bioeth, Baltimore, MD USA
[12] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[13] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England
[14] Huazhong Univ Sci & Technol, Sch Philosophy & Ctr Bioeth, Wuhan, Peoples R China
[15] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[16] Univ Geneva, Inst Eth Hist & Humanities, Geneva, Switzerland
[17] Univ Zambia, Sch Hlth Sci, Lusaka, Zambia
关键词
ETHICS;
D O I
10.2471/BLT.20.280701
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The geopolitics of pandemics and climate change intersect. Both are complex and urgent problems that demand collective action in the light of their global and trans-boundary scope. In this article we use a geopolitical framework to examine some of the tensions and contradictions in global governance and cooperation that are revealed by the pandemic of coronavirus disease 2019 (COVID-19). We argue that the pandemic provides an early warning of the dangers inherent in weakened international cooperation. The world's states, with their distinct national territories, are reacting individually rather than collectively to the COVID-19 pandemic. Many countries have introduced extraordinary measures that have closed, rather than opened up, international partnership and cooperation. Border closures, restrictions on social mixing, domestic purchase of public health supplies and subsidies for local industry and commerce may offer solutions at the national level but they do not address the global strategic issues. For the poorest countries of the world, pandemics join a list of other challenges that are exacerbated by pressures of scarce resources, population density and climate disruption. COVID-19's disproportionate impact on those living with environmental stresses, such as poor air quality, should guide more holistic approaches to the geopolitical intersection of public health and climate change. By discussing unhealthy geopolitics, we highlight the urgent need for a coordinated global response to addressing challenges that cannot be approached unilaterally.
引用
收藏
页码:155 / 161
页数:7
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