SARS, Governance and the Globalization of Disease

by Fidler, David P.

• ISBN13: 9781403933263
• ISBN10: 140393326X
• Format: Hardcover
• Copyright: 2004-07-16
• Publisher: Palgrave Macmillan

Summary

SARS, Governance and the Globalization of Disease provides a comprehensive and original analysis of the historic global SARS outbreak of 2003. David P. Fidler constructs a political pathology of the SARS outbreak, analyzes the government responses to it, places these responses in historical context and assesses the implications of the successful management of the outbreak for handling future pathogenic threats that will arise. The book includes a detailed description of the outbreak and governance responses to it, as well as a focused analysis of China's role in the outbreak.

Author Biography

David P. Fidler is Professor of Law and Ira C. Batman Faculty Fellow at Indiana University.

Table of Contents

Tables and Figures	x
Foreword by Dr David L. Heymann	xi
Preface	xvi
Abbreviations	xvii
1 Introduction: The Importance of the SARS Outbreak	1	(10)
The coughs heard round the world	1	(2)
An epidemic of 'firsts'	3	(3)
SARS and the governance of global infectious disease threats	6	(1)
SARS as the first post-Westphalian pathogen	7	(1)
A political pathology of SARS	8	(3)
Part I Westphalian and Post-Westphalian Public Health	11	(58)
2 Of Germs and Borders	13	(8)
Pathogens without passports	13	(3)
The politics of passports	16	(2)
Pathogens within politics	18	(3)
3 Public Health and the Westphalian System of International Politics	21	(21)
Introduction	21	(1)
The world according to Westphalia	21	(1)
The Westphalian system	22	(1)
Westphalian governance principles	23	(2)
The politics of Westphalian governance	25	(1)
Westphalian public health	26	(6)
Westphalian public health in action: The International Health Regulations	32	(3)
The collapse of the classical regime	35	(6)
From Westphalian public health towards what?	41	(1)
4 Public Health in the Post-Westphalian System of Global Politics	42	(27)
Microbes on the march	42	(4)
The shock of the new: Crafting post-Westphalian Public health	46	(2)
New process, new substance	48	(2)
Beyond state-centrism: Global health governance	50	(7)
Beyond the national interest: Global public goods for health	57	(3)
Revision of the International Health Regulations: The de-Westphalianization of the classical regime	60	(8)
Post-Westphalian worries	68	(1)
Part II The SARS Outbreak and Post-Westphalian Public Health	69	(123)
5 Brief History of the Global SARS Outbreak of 2002-03	71	(35)
An epidemic unfolds before the global society	71	(1)
Sometime before November 2002: Animal to human, Guangdong Province?	71	(2)
November 2002 to February 2003: Outbreak in Guangdong Province	73	(3)
February 2003: Guangdong, Hong Kong, Hanoi	76	(1)
March 2003: A world-wide health threat	77	(10)
April 2003: The crisis deepens	87	(12)
May 2003: Turning the corner	99	(5)
June 2003: `Stopped dead in its tracks'	104	(2)
6 China Confronts Public Health's `New World Order'	106	(26)
How the victory was won	106	(1)
China: Epidemiological and governance epicenter	107	(1)
China, SARS, and Westphalian public health	107	(7)
Westphalian sovereignty v. global health governance	114	(12)
National interest v. global public goods for health	126	(3)
SARS, China, and Taiwan	129	(1)
Conclusion	130	(2)
7 Beyond China: Lessons from SARS for Post-Westphalian Public Health	132	(24)
Introduction	132	(1)
Strengthening global health governance on infectious diseases	132	(13)
The power of global public goods for health	145	(3)
Elevating public health as a national political priority	148	(3)
Reinforcing the public health-human rights linkage	151	(4)
All's well that ends well?	155	(1)
8 SARS and Vulnerabilities of Post-Westphalian Public Health	156	(30)
The other side of the Rubicon	156	(1)
Crossing prior Rubicons: The fate of previous governance innovations in international infectious disease control	157	(5)
Rubicons not crossed: The limited applicability of WHO's new global alert power	162	(4)
Stagnation after crossing: The sustainability of Post-Westphalian governance	166	(4)
Crossing with baggage: Public health's Westphalian core	170	(4)
Realpolitik over the Rubicon: Post-Westphalian public health and the great powers	174	(5)
Germs don't recognize Rubicons: Confronting the axis of illness	179	(7)
9 Conclusion: Governing Infectious Diseases in Globalized Anarchy	186	(6)
The tipping point	186	(3)
The new way of working	189	(3)
References	192	(17)
Index	209