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The Politics of Public Health Emergencies of International Concern

Bibliographic Data

ID6146983
AuthorsBarbara Frossard Pagotto (Universidade de São Paulo), Mark Eccleston-Turner (0000-0002-2589-0738, King's College London)
Year2024
Volume4
Issue4
Publication date2024-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Studies Quarterly (JOURNAL)
Journal identifiersISSN: 2634-3797 • E-ISSN: 2634-3797
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/isagsq/ksae083
OpenAlexW4404562542
LanguageEN
Citations received2
References cited35

The declaration of a Public Health Emergency of International Concern (PHEIC) was created by the International Health Regulations (2005) and is WHO's highest level of alert for a health emergency. PHEICs are declared by the WHO Director-General on the basis of a recommendation provided by the International Health Regulations (IHR) Emergency Committee. This paper challenges the orthodox thinking around PHEIC declarations, using a methodological approach that has not been used in this space, through a series of interviews with those involved in the PHEIC declaration process. This paper provides vital insights into the PHEIC process, allowing us to fully understand what happens “in the room” during these deliberations, something which until now, has not been possible. We argue that the PHEIC declaration, and the Emergency Committee's role in this process, is not a politically neutral technocratic one, as is commonly claimed by WHO, but a highly politicized process that is driven by a range of factors beyond the criteria set down in IHR. We show that the PHEIC is informed by health surveillance practices that operate within the colonial construction of “global health security,” which is clearly embedded within every level of the PHEIC declaration process

Environmental health · Political science · Politics · Public health · Global Security and Public Health · Health and Conflict Studies · Medicine · Nursing · Viral Infections and Outbreaks Research · Law · Public Administration

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    Open Access•Nelson Aghogho Evaborhene•Globalization and Health•2026

  • How have PHEIC determinations changed since the Covid-19 pandemic? A document analysis of 101 WHO International Health Regulations Emergency Committees’ statements

    Open Access•Kevin Hemmat, Michelle Amri et al.•BMC Public Health•2025

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  • An analysis of International Health Regulations Emergency Committees and Public Health Emergency of International Concern Designations

    Open Access•Lucia Mullen, Christina Potter et al.•BMJ Global Health•2020

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Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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