HUMAN SECURITY AND HUMAN HEALTH

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HUMAN SECURITY AND HUMAN HEALTH

• Lincoln C. Chen, MD
• April 2, 2004

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Human Security Now

• People-centered, not just states
• Security, rights, and development
• Threats broadened conflict/poverty
• Actors expanded govt, business, civil
• Strategy
• Empowerment bottom up
• Protection top down

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Security Health Linkages

• Intrinsic
• Human survival, human health core of security
• Human life is the heart of security
• Instrumental
• Good health enables functioning
• Health permits choice, freedom
• Health in military history
• Which health problems? Criteria
• Scale
• Urgency
• Intensity
• Externalities

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Linkages
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Health Recommendations

• Peace and equitable development
• Knowledge-base
• Access to information, knowledge
• Intellectual property for human security
• Socially-driven
• Public health systems for priority diseases
• Primary health community-based
• Global health security

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Questions?

• A. The case of health in human security?
• Focused vs broad?
• Urgent vs long-term?
• B. Health and the politics of securitization
• State vs stakeholder?
• Constituency resonance
• C. Track recommendations?
• 1. Health and state security
• 2. Security from epidemics e.g. SARS
• 3. Health security among poor

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Scope and Time
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Leading Causes Death
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Violence-related Deaths
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Health Crises in Selected Countries
Source World Health Report 2003, Human
Development Report 1994.
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HIV/AIDS Next Wave?
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B. Politics of Securitization

• Securitization
• Prioritization
• Public resource allocations
• Sustainable development
• Broad, long-term, beyond specific fields
• Principle, value-base
• Constituency resonance
• Democratic practice in security?
• International cooperation?

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Government Budgets ( GDP 1995)
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C1. Health and State Security

• History of war and disease
• Health, colonialism, WWII
• Multiple interactions
• Conflict casualties direct/indirect
  now/future
• State failure and health failure
• HIV and crisis of governance
• Germs as weapons anthrax
• Dual use
• Health protection as security protection

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C2. Epidemics SARS

• SARS (and Avian Flu)
• Viruses - ecologic and evolutionary threat
• Epidemic lethality
• Contagion fears, panic, disruption
• Economic costs SARS 60 b
• Political instability China, Thailand
• Protection public health infrastucture
• Parallel to military defense

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C3. Health Security Among Poor

• Poor people sickness and death
• Development or security challenge?
• Exclude
• Humanitarian, but not security threat
• Include
• Interdependence of human security
• Pathways of externalities, e.g. terrorism
• Poverty greatest human security threat