全球卫生安全治理范式转型:理论、制度与挑战  

Theoretical Framework,Institutional Aspects,and Challenges in the Transformation of Global Health Security Governance Paradigm

作　　者：陈颖健[1] CHEN Yingjian

机构地区：[1]上海政法学院

出　　处：《武大国际法评论》2024年第4期20-36,共17页Wuhan University International Law Review

基　　金：国家社科基金重大项目“重大突发公共卫生事件的国际法问题研究”(20&ZD201)的阶段性成果之一。

摘　　要：全球卫生安全治理传统范式将大流行病视为对国家安全的外部威胁,呈现出重控制轻预防和过度关注国家利益的特征,无法有效应对全球卫生危机。全球卫生安全治理范式转型要以新全球卫生安全观作为理论基础,采用深预防的方式应对全球卫生威胁;彰显全球主义的特质,保护人类的共同健康利益。谈判中的《世卫组织大流行协定》采用了可持续安全范式和基于人类利益的合作范式,初步实现全球卫生安全治理范式转型。但是,其全球主义愿景受到了国际卫生领域占主导地位的国家主义决策的挑战,发达国家和发展中国家就一些关键性问题还存在较大分歧,已经达成初步协议和已有初步趋同意见的条款也存在不足。The traditional paradigm of global health security governance treats pandemics as external threats to national security,emphasizing control over prevention and focusing excessively on national interests,which fails to effectively address global public health crises.The transformation of global health security governance should be based on a new paradigm that embraces a theory of global health security,employing proactive measures to tackle global health threats.It should emphasize globalism to protect the shared health interests of humanity.The Proposal for the WHO Pandemic Agreement adopts sustainable security paradigms and cooperation based on human interests,aiming to initiate a transformation in global health security governance.However,its globalist vision faces challenges from nationalist decisions dominating the international health field.Developed and developing countries still have significant disagreements on critical issues,and the texts that initially achieved agreement and convergence still have some drawbacks.

关 键 词：全球卫生安全 国际卫生条例 世卫组织大流行协定 全球治理 

分 类 号：R19[医药卫生—卫生事业管理] D99[医药卫生—公共卫生与预防医学]