GLOBAL HEALTH SECURİTY MANAGEMENT

Abstract

In the globalizing world, population growth, environmental threats, increasing epidemics, and increasing burden of non-communicable diseases negatively affect the public health capacities of countries. Globalization causes epidemics that occur anywhere to spread rapidly to other countries and strain health systems. These situations require global interventions to ensure health security. In recent years, the development of health systems that can detect, prevent, and respond to epidemics has become more critical than ever. Global health security refers to the international efforts to improve the public health capacities of countries and constitutes the health dimension of security on a worldwide scale. A collaborative approach is required to ensure global health security. For this reason, developing various policies and strategies that will increase the public health capacities of countries, ensuring inter-sectoral cooperation, and developing health systems that can respond to both epidemics and non-communicable diseases are among the activities to be implemented to achieve global health security. This study aims to examine the literature on global health security in detail. In this context, health security, global health security, global health security, global health security agenda, global health security index, international health regulation, and global health security for non-communicable diseases were mentioned.

Keywords

• Global Health Security
• Globalization
• Health Security

KÜRESEL SAĞLIK GÜVENLİĞİ YÖNETİMİ

Öz

Küreselleşen dünyada nüfusun artması, çevresel tehditler, salgınların artması ve bulaşıcı olmayan hastalıkların artan yükü ülkelerin halk sağlığı kapasitelerine olumsuz etkide bulunmaktadır. Küreselleşme, herhangi bir yerde ortaya çıkan salgınların, diğer ülkelere hızlı şekilde yayılmasına ve sağlık sistemlerinin zorlanmasına neden olmaktadır. Bu durumlar, sağlık güvenliğinin sağlanması için küresel müdahaleleri gerektirmektedir. Son yıllarda salgınları tespit edebilen, önleyebilen ve müdahale edebilen sağlık sistemlerinin geliştirilmesi tüm zamanlardan daha önemli hale gelmiştir. Küresel sağlık güvenliği, ülkelerin halk sağlığı kapasitelerinin geliştirilmesine yönelik küresel çabaları ifade etmekte olup, küresel çapta güvenliğin sağlık boyutunu oluşturmaktadır. Küresel sağlık güvenliğini sağlamak işbirlikçi bir yaklaşım gerekmektedir. Bu nedenle, ülkelerin halk sağlığı kapasitelerini artıracak çeşitli politika ve stratejiler oluşturması, sektörler arası iş birliği sağlaması, hem salgınlara hem de bulaşıcı olmayan hastalıklara yönelik yanıt verebilecek sağlık sistemlerinin geliştirilmesi küresel sağlık güvenliğine ulaşma noktasında uygulanacak faaliyetler arasında yer alır. Bu çalışmada küresel sağlık güvenliğine yönelik literatürün ayrıntılı bir şekilde incelenmesi amaçlanmıştır. Bu kapsamda sağlık güvenliği, küresel sağlık güvenliği, küresel sağlık güvenliği gündemi, küresel sağlık güvenliği indeksi, uluslararası sağlık tüzüğü, bulaşıcı olmayan hastalıklara yönelik küresel sağlık güvenliği konularına değinilmiştir.

Anahtar Kelimeler

• Küresel Sağlık Güvenliği
• Küreselleşme
• Sağlık Güvenliği

References

1. Andrus, J. K., Aguilera, X., Oliva, O., and Aldighieri, S. (2010). Global health security and the International Health Regulations. BMC public health, 10(1), 1–4. https://doi.org/10.1186/1471-2458-10-S1-S2
2. Armstrong-Mensah, E. A., and Ndiaye, S. M. (2018). Global Health Security Agenda Implementation: A Case for Community Engagement. Health Security, 16(4), 217–223. https://doi.org/10.1089/hs.2017.0097
3. Balabanova, D., McKee, M., Mills, A., Walt, G., and Haines, A. (2010). What can global health institutions do to help strengthen health systems in low income countries?. Health research policy and systems, 8, 22. https://doi.org/10.1186/1478-4505-8-22
4. Calvo, J. (2020). The 2014 Global Health Security Agenda. Journal of Biosecurity, Biosafety, and Biodefense Law, 11(1). https://doi.org/10.1515/jbbbl-2020-0008
5. Chang, C. L., and McAleer, M. (2020). Alternative Global Health Security Indexes for Risk Analysis of COVID-19. International journal of environmental research and public health, 17(9), 3161. https://doi.org/10.3390/ijerph17093161
6. CDC (2022c). International Health Regulations (IHR). Erişim: 29.11.2022, https://www.cdc.gov/globalhealth/healthprotection/ghs/ihr/index.html
7. CDC. (2022a). What is the global health security agenda? Erişim: 22.11.2022, https://www.cdc.gov/globalhealth/security/what-is-ghsa.htm
8. CDC. (2022b). Key Achievements of GHSA. Erişim: 16.11.2022, https://www.cdc.gov/globalhealth/resources/factsheets/5-years-of-ghsa.html

9. Chiu, Y. W., Weng, Y. H., Su, Y. Y., Huang, C. Y., Chang, Y. C., and Kuo, K. N. (2009). The nature of international health security. Asia Pacific journal of clinical nutrition, 18(4), 679–683.
10. Dye, C., Bartolomeos, K., Moorthy, V., & Kieny, M. P. (2013). Data sharing in public health emergencies: A call to researchers. Bulletin of the World Health Organization, 94(3), 158–158. https://doi.org/10.2471/BLT.16.170860
11. Frenk, J. (2009). Strengthening health systems to promote security. The Lancet, 373(9682), 2181–2182. https://doi.org/10.1016/S0140-6736(09)60002-7
12. Frenk, J., & Gómez-Dantés, O. (2017). False and real, but avoidable, dichotomies – Authors’ reply. The Lancet, 390(10095), 648.
13. GHS Index. (2021). Reports & Data. Erişim: 06.12.2022, https://www.ghsindex.org/report-model/
14. Global Health Security Agenda. (2018). Global Health Security Agenda (GHSA) 2024 Framework. Erişim: 01.12.2022, https://globalhealthsecurityagenda.org/wp-content/uploads/2020/06/ghsa2024-framework.pdf
15. Gostin, L. O., and Phelan, A. (2014). The Global Health Security Agenda in an Age of Biosecurity. JAMA, 312(1), 27. https://doi.org/10.1001/jama.2014.4843
16. Gronvall, G., and Inglesby, T. (2014). Special Issue on the Global Health Security Agenda. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 12(5), 219–220. https://doi.org/10.1089/bsp.2014.0731
17. Hatefi, A., Allen, L. N., Bollyky, T. J., Roache, S. A., and Nugent, R. (2018). Global susceptibility and response to noncommunicable diseases. Bulletin of the World Health Organization, 96(8), 586–588. https://doi.org/10.2471/BLT.17.206763
18. Hoffman, S. J. (2010). The evolution, etiology and eventualities of the global health security regime. Health policy and planning, 25(6), 510–522. https://doi.org/10.1093/heapol/czq037
19. Horton, R. (2017). Offline: NCDs—why are we failing?. The Lancet, 390(10092), 346. https://doi.org/10.1016/S0140-6736(17)31919-0
20. Horton, R., and Das, P. (2015). Global health security now. The Lancet, 385(9980), 1805–1806.
21. Inglesby, T., and Fischer, J. E. (2014). Moving Ahead on the Global Health Security Agenda. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 12(2), 63–65. https://doi.org/10.1089/bsp.2014.3314
22. Jessica B. A., and Nuzzo, J. B. (2021). Global Health Security Index: Advancing Collective Action and Accountability Amid Global Crisis. Erişim: 01.11.2022, https://www.ghsindex.org/wpcontent/uploads/2021/12/2021_GHSindexFullReport_Final.pdf
23. Kamradt-Scott, A., Teo, Y. Y., and Katz, R. (2022). Singapore Statement on Global Health Security. BMJ global health, 7(6), e009949. https://doi.org/10.1136/bmjgh-2022-009949
24. Kennedy, E. D., Morgan, J., and Knight, N. W. (2018). Global Health Security Implementation: Expanding the Evidence Base. Health security, 16(S1), S1–S4. https://doi.org/10.1089/hs.2018.0120
25. Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., … Ahn, S. Y. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2095–2128. https://doi.org/10.1016/S0140-6736(12)61728-0
26. Magnusson, R. S. (2007). Non-communicable diseases and global health governance: enhancing global processes to improve health development. Globalization and Health, 3(1), 1–16. https://doi.org/10.1186/1744-8603-3-2
27. Magnusson, R. S. (2010). Global health governance and the challenge of chronic, non-communicable disease. Journal of Law, Medicine & Ethics, 38(3), 490–507. https://doi.org/10.1111/j.1748-720X.2010.00508.x
28. Morgan, J., Kennedy, E. D., Pesik, N., Angulo, F. J., Craig, A. S., Knight, N. W., and Bunnell, R. E. (2018). Building Global Health Security Capacity: The Role for Implementation Science. Health security, 16(S1), S5–S7. https://doi.org/10.1089/hs.2018.0119
29. Morhard, R., and Katz, R. (2014). Legal and Regulatory Capacity to Support the Global Health Security Agenda. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 12(5), 254–262. https://doi.org/10.1089/bsp.2014.0023 Piachaud, J. (2008). Global health and human security. Medicine, Conflict, and Survival, 24(1), 1–4.
30. Quinn, J. M., Haggenmiller, C., Wilson, J. M., McNamara, T., Goebbels, S., Hansen, J.-C., … Sullivan, R. (2019). Conference Report: Global Health Security Alliance (GLoHSA), a Product of the World Health Summit. Disaster Medicine and Public Health Preparedness, 1–3. https://doi.org/10.1017/dmp.2019.118
31. Ravi, S. J., Meyer, D., Cameron, E., Nalabandian, M., Pervaiz, B., and Nuzzo, J. B. (2019). Establishing a theoretical foundation for measuring global health security: a scoping review. BMC public health, 19(1), 954. https://doi.org/10.1186/s12889-019-7216-0
32. Ravi, S. J., Warmbrod, K. L., Mullen, L., Meyer, D., Cameron, E., Bell, J., Bapat, P., Paterra, M., Machalaba, C., Nath, I., Gostin, L. O., James, W., George, D., Nikkari, S., Gozzer, E., Tomori, O., Makumbi, I., and Nuzzo, J. B. (2020). The value proposition of the Global Health Security Index. BMJ global health, 5(10), e003648. https://doi.org/10.1136/bmjgh-2020-003648
33. Rushton, S. (2011). Global Health Security: Security for whom? Security from what? Political Studies, 59(4), 779–796. https://doi.org/10.1111/j.1467-9248.2011.00919.x
34. Saha, A., and Alleyne, G. (2018). Recognizing noncommunicable diseases as a global health security threat. Bulletin of the World Health Organization, 96(11), 792–793. https://doi.org/10.2471/BLT.17.205732
35. Spicer, N., Agyepong, I., Ottersen, T., Jahn, A., and Ooms, G. (2020). 'It's far too complicated': why fragmentation persists in global health. Globalization and Health, 16(1), 60. https://doi.org/10.1186/s12992-020-00592-1
36. The Lancet Infectious Diseases. (2014). Addressing the global health security agenda. The Lancet Infectious Diseases, 14(4), 257. https://doi.org/10.1016/S1473-3099(14)70719-4
37. University of Washington. (2022). Implementation Science. Erişim: 10.12.2022, https://globalhealth.washington.edu/focus-area/implementation-science
38. WHO. (2015). Report of the Ebola interim assessment panel. Erişim: 02.12.2022, https://www.who.int/publications/m/item/report-of-the-ebola-interim-assessment-panel---july-2015
39. WHO. (2020). The 6th Global Health Security Agenda Ministerial Meeting “Bridging Cooperative Action for Global Health Security” 18-20 November 2020 Virtual Meeting Hosted by the Royal Thai Government. Erişim: 08.12.2022, https://extranet.who.int/sph/sites/default/files/Report/GHSA/Final_6th_GHSA_MM_Report_18-20_Nov_2020.pdf
40. WHO. (2021). e-Spar, State Party annual Report. Erişim: 05.12.2022, https://extranet.who.int/e-spar#capacity-score
41. WHO. (2022a). International Health Regulations. Erişim: 29.11.2022, https://iris.who.int/bitstream/handle/10665/246107/9789241580496-eng.pdf?sequence=1
42. WHO. (2022b). IHR Emergency Committees. Erişim: 29.11.2022, https://www.who.int/teams/ihr/ihr-emergency-committees
43. WHO. (2022c). Noncommunicable Diseases. Erişim: 04.12.2022, https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases