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Forum shifting in global health security

Wenham, Clare ORCID: 0000-0001-5378-3203 (2024) Forum shifting in global health security. Bulletin of the World Health Organization, 102 (2). 123 – 129. ISSN 0042-9686

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Identification Number: 10.2471/BLT.23.290480


Global health security is an increasingly complex regime. The failures of global governance and norms of cooperation during the coronavirus disease 2019 (COVID-19) pandemic and the re-entrenchment to nationalist policy-making have created impetus for new governance arrangements, institutions and policy development. These changes include amendments to the International health regulations (IHR), development of a pandemic convention or accord, convening of the High-Level Meeting on Pandemic Preparedness and Response, establishment of the Pandemic Fund, and development of the medical countermeasures platform, among others. These various developments claim to be in synergy with each other, but understanding of regime complexes and forum shifting from international relations reveal the power dyna mics which underlie these processes. I use these concepts to demonstrate how states are transferring negotiations from one institutional location to another in search of more favourable outcomes, or are creating strategic uncertainty within negotiations to avoid future accountability. I further highlight three risks posed by these developments: (i) an increasingly complex landscape for global health security; (ii) erosion of the World Health Organization’s authority in global health security; and (iii) dominance of high-income state positions within these negotiations.

Item Type: Article
Official URL:
Additional Information: © 2024 The Author
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine
Date Deposited: 16 Oct 2023 14:12
Last Modified: 07 Apr 2024 00:15

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