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Social Determinants of Health

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From:
Richard Carpiano <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 5 Jun 2008 19:15:03 -0700
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FYI... Rich

***********************************************************************

*The Politics of Global Health Governance: *

*United by Contagion*

* *

*Mark W. Zacher and Tania J. Keefe*

*Published by Palgrave Macmillan, **New York**, 2008*

This new and important volume focuses on changes global health 
governance and the factors that have shaped the nature of governance. It 
examines governance strategies concerning the surveillance of infectious 
diseases, emergency medical controls over outbreaks, rules that inhibit 
the spread of diseases across borders, financial and material assistance 
to facilitate long-term health programs, and international legal reforms 
that promote improvements in access to health programs.

Global health governance was very weak from the birth of the 
International Sanitary Regulations in 1903 through the 1980s; however 
significant improvements have occurred since the 1990s. These 
improvements especially concern progress in disease surveillance and the 
growth of collaborative arrangements to increase funding for emergency 
and long-term programs.

The key factors that have been responsible for improvements in global 
health collaboration have been: (1) the emergence in new infectious 
diseases such as HIV/AIDS, Ebola, and SARS and the continued existence 
of well recognized diseases such as malaria and TB; (2) improvements in 
medicines and medical technologies; (3) an increase in governmental, 
intergovernmental, and non-governmental sources of funding; and (4) a 
marked increase in collaboration among diverse health institutions, 
particularly the establishment of public-private partnerships. One need 
only think of the growth of the Bill and Melinda Gates Foundation and 
its cooperation with diverse institutions to appreciate the 
transformation in this aspect of global health governance. The 
multiplication of diverse health institutions and linkages among diverse 
organizations has been central to the revolution in global health 
governance. Also, it is important to recognize that perceptions of 
multiple effects on improved health on a wide range of values that have 
supported stronger global governance.

*Comments by Global Health and Politics Experts*

* *

“A growing number of scholars now recognize the relevance of global 
health issues to the understanding and practice of international 
relations. This book adds to this growing body of work, applying liberal 
functionalist theory to the global governance of infectious disease 
outbreaks. As well as enriching the study of global health governance, 
the authors seek to draw important lessons for strengthening collective 
action in a rapidly changing world.” *– **Kelley Lee**, Head, Public and 
Environmental Health Research Unit, **London** **School** of Hygiene and 
Tropical Medicine*.

Human and microbial competition for a niche in a rapidly globalizing 
world is tackled by this multidisciplinary analysis of the politics of 
the global health governance. Informed by nineteenth century history 
when great pandemics swept across Europe and North America and aimed at 
our common future, this important book will help us understand how we 
must accelerate international cooperation to ensure health security for 
all.”--*Lincoln** Chen**, President of the **China** Medical Board of 
**New York**, and Research Associate and Founder, Global Equity 
Initiative, **Harvard** **University*

“This is an impressive and important book. It probes issues that are all 
too rarely investigated, and it does so incisively and thoroughly. As 
the analysis makes clear, the problems of global health are enormous and 
at the same time they are probed here clearly and fully. Readers are 
bound to feel enlightened and rewarded.”--*James N. Rosenau, University 
Professor of International Affairs, The **George** **Washington** 
**University*

“Using the lens of international relations and trends in infectious 
disease the authors take an in-depth look at past and current global 
health governance, and based on lessons learned they suggest ways of 
shaping the global health architecture in this era of interdependence. 
This book is essential reading for policy makers, practitioners and 
students interested in the emerging discipline of global health 
diplomacy which focuses on this nexus between international affairs and 
global health.”-- *Nick Drager, Director of the Department of Ethics, 
Equity, Trade and Human Rights at the World Health Organization*

Table of contents: Overview and Analytical Framework* History and 
Evolution of Global Health Governance * Disease Containment: 
Surveillance Systems, Emergency Responses and Trans-border Regulations * 
Disease Control: The Transformation of Health Assistance Programs * 
Disease Cures: Legal Aspects of Essential Medicines * Conclusion and 
Analysis

Mark W. Zacher is Professor Emeritus of Political Science at the 
University of British Columbia. He was Director of the Center of 
International Relations and is presently Research Associate in the Center.

Tania J. Keefe is Research Associate in the Centre of International 
Relations at the University of British Columbia


-- 
__________________________________
Richard M. Carpiano, PhD, MA, MPH
Assistant Professor, Department of Sociology
Michael Smith Foundation for Health Research Scholar
University of British Columbia
6303 NW Marine Drive, Room 2216
Vancouver, BC CANADA V6T 1Z1
(P) 604.822.3845
(F) 604.822.6161
E-mail: [log in to unmask]
Webpage: http://faculty.arts.ubc.ca/rcarpiano 

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