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Blair Peterson

The Challenges of Global Health Governance - Council on Foreign Relations - 2 views

  • The outbreak of pandemic influenza A (H1N1) found countries scrambling for access to vaccines, an unseemly process that led the World Health Organization to call for a new "global framework" on equitable influenza vaccine access.
Blair Peterson

Global Response to Ebola Highlights Challenges - 1 views

  • A senior European diplomat in Geneva involved in health issues, who was not authorized to speak publicly, lamented the limited international response. “The scale of the epidemic is what the international community is still not getting,” the diplomat said. “It’s becoming obvious that what you need is to scale up by a factor of 20. There’s not enough international coordination and imagination going into this.”
  • uba sent 165 doctors and nurses last week, China has expanded a medical team deployed there, and British personnel are scouting sites for at least five new centers and 700 additional beds that will bring the total closer to the World Health Organization’s target of about 1,300 beds.
  • United States delivers on a pledge to provide up to 17 100-bed units, said Dr. Ian Norton, who is coordinating foreign medical teams for the W.H.O. In Guinea, the W.H.O. says there are four treatment centers working with 160 beds available, with 100 more beds needed.
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  • The World Food Program, acting beyond its core mandate as the United Nations agency responsible for fighting hunger, is also joining the drive, planning to build up to 30 Ebola treatment centers capable of handling 3,000 patients, said Denise Brown, the agency’s regional director for West Africa.
  • American troops are already on the ground in Liberia to build treatment centers, and Britain announced on Wednesday that it would send about 600 military personnel to Sierra Leone to build units and train local staff members. But it remains unclear who will manage and operate the units.
  • After Typhoon Haiyan devastated the Philippines at the end of 2013, the W.H.O. had the support of 151 aid agencies. Six months into the Ebola crisis in three countries, only four medical organizations are on the ground.
Blair Peterson

Night of the Living Wonks - 1 views

  • The specter of an uprising of reanimated corpses also poses a significant challenge to interpreters of international relations and the theories they use to understand the world. If the dead begin to rise from the grave and attack the living, what thinking would -- or should -- guide the human response?
  • For our purposes, a zombie is defined as a reanimated being occupying a human corpse, with a strong desire to eat human flesh
  • Because they can spread across borders and threaten states and civilizations, these zombies should command the attention of scholars and policymakers.
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  • If the dead begin to rise from the grave and attack the living, what thinking would -- or should -- guide the human response?
  • How would all those theories hold up under the pressure of a zombie assault? When should humans decide that hiding and hoarding is the right idea?
  • Zombie stories end in one of two ways -- the elimination/subjugation of all zombies, or the eradication of humanity from the face of the Earth.
  • If it is true that "popular culture makes world politics what it currently is," as a recent article in Politics argued, then the international relations community needs to think about armies of the undead in a more urgent manner.
  • There are many varieties of realism, but all realists start with a common assumption: that anarchy is the overarching constraint of world politics. Anarchy does not necessarily mean chaos or disorder, but rather the absence of a centralized, legitimate authority.
  • In a world of anarchy, the only currency that matters is power -- the material capability to ward off pressure or coercion, while being able to influence others.
  • How would the introduction of flesh-eating ghouls affect world politics? The realist answer is simple if surprising: International relations would be largely unaffected.
  • To paraphrase Thucydides, the realpolitik of zombies is that the strong will do what they can and the weak must suffer devouring by reanimated, ravenous corpses.
  • States could also exploit the threat from the living dead to acquire new territory, squelch irredentist movements, settle old scores, or subdue enduring rivals. The People's Republic of China could use the zombie threat to justify an occupation of Taiwan. Russia could use the same excuse to justify intervention in its near abroad. The United States would not be immune from the temptation to exploit the zombie threat as a strategic opportunity. How large would the army of the Cuban undead need to be to justify the deployment of the 82nd Airborne?
  • All liberals nevertheless share a belief that cooperation is still possible in a world of anarchy. Liberals look at world politics as a non-zero-sum game. Working together, whether on international trade, nuclear nonproliferation, or disease prevention, can yield global public goods on a massive scale.
  • The 2009 film Zombieland is about the articulation of and adherence to well-defined rules for surviving in a zombie-infested landscape.
  • 'The only thing that will redeem mankind is cooperation.' I think we can all appreciate the relevance of that now."
  • Provided that the initial spread of zombies did not completely wipe out governments, the liberal expectation would be that an international counterzombie regime could make significant inroads into the problem. Given the considerable public-good benefits of wiping the undead from the face of the Earth, significant policy coordination seems a likely response.
  • Quasi-permanent humanitarian counterzombie missions, perhaps under United Nations auspices, would likely be necessary in failed states. Liberals would acknowledge that the permanent eradication of flesh-eating ghouls is unlikely.
  • Instead, neocons would recommend an aggressive and militarized response to ensure human hegemony. Rather than wait for the ghouls to come to them, they would pursue offensive policy options that take the fight to the undead. A pre-emptive strike against zombies would, surely, be a war against evil itself.
  • "An outbreak of zombies infecting humans is likely to be disastrous, unless extremely aggressive tactics are employed against the undead.… [A] zombie outbreak is likely to lead to the collapse of civilization, unless it is dealt with quickly."
  • They would inevitably lump reanimated corpses with other human threats as part of a bigger World War III against authoritarian despots and zombies -- an "Axis of Evil Dead." This would sabotage any attempt at broad-based coalition warfare, hindering military effectiveness in a Global War on Zombies (GWOZ).
  • Powerful states would be more likely to withstand an army of flesh-eating ghouls. The plague of the undead would join the roster of threats that disproportionately affect the poorest and weakest countries.
  • Realism predicts an eventual live-and-let-live arrangement between the undead and everyone else.
  • Liberals predict an imperfect but nevertheless useful counterzombie regime.
  • Neoconservatives see the defeat of the zombie threat after a long, existential struggle.
Blair Peterson

One Year Later, Ebola Outbreak Offers Lessons for Next Epidemic - NYTimes.com - 0 views

  • The effort has been messy, inefficient and expensive, often lagging the epidemic’s twists in tragic ways.
  • Despite difficulty filling positions, the W.H.O. now reports that it has more than 700 people working at 77 field sites, the largest emergency response in its history.
  • Charities with no background treating Ebola patients began running hospitals specialized for Ebola care, some of which were built by militaries and others staffed by hundreds of personnel from China and Cuba who were also facing Ebola for the first time and trying to overcome language challenges.
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  • “The level of resourcefulness and dedication shown by Sierra Leoneans involved in the front lines is the most extraordinary civic mobilization action I’ve ever seen in my country,” said O. B. Sisay, director of the situation room at the National Ebola Response Center in Freetown, which formerly housed a special war crimes court. “To some extent that has helped cement a sense of nationhood here.”
  • Reforms have been proposed, but agencies have been slow to acknowledge their mistakes publicly and reckon with them, decreasing the chances that change will occur.
  • InterAction, an alliance of United States-based relief and development groups. “I sat in on a lot of discussions of InterAction in the fall over insurance and medical evacuation.”
  • million budget has been raised so far, a W.H.O. spokeswoman said.
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