Deborah Gleeson
Dados Biográficos
| ID | 287426 |
|---|---|
| NOME | Deborah Gleeson |
| PRENOMES | Deborah |
| SOBRENOME | Gleeson |
| ASSINATURA | GLEESON D |
| AFILIAÇÕES | La Trobe University |
| ORCID | 0000-0001-8021-9130 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAÇÕES | 52 |
| TOTAL COMO AUTOR | 41 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2007 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Trade as a Global Health Law Space Amid a Crisis in Multilateralism
The current trend of growing state disengagement from global governance institutions—seen as a threat to the World Health Organization—is not unfamiliar to the World Trade Organization (WTO). Over the past two decades, multilateral trade negotiation channels have increasingly given way to more selective partnerships, built around preferential alliances and strategic markets outside established global platforms. These alliances have taken shape th…
Alcohol industry arguments about mandatory pregnancy warning labels
BACKGROUND: Pregnancy warning labels on alcohol containers have been recommended to prevent harm to breastfeeding infants and the developing foetus, but are yet to be widely implemented globally. In 2020, a joint Australia-New Zealand governmental agency adopted a mandatory pregnancy warning label to be implemented by 2023, replacing a voluntary pregnancy warning promoted by an industry public relations agency. But alcohol industry lobbying remai…
Commercial practices of the arms industry and implications for global public health
BACKGROUND: The arms industry and the global trade in weapons pose significant direct and indirect risks to population health and equity. While health-harming industries such as tobacco, alcohol, and ultra-processed foods have been extensively examined with a commercial determinants of health lens, the commercial strategies of the arms industry remain critically underexplored in public health research. To address this gap, we conducted a scoping …
Globalization and health in an emerging new world order
Adverse commercial determinants of health in low- and middle-income countries
Research on the Commercial Determinants of Health (CDoH) has primarily focused on high-income countries and large commercial entities, with limited scholarly literature addressing the practices of smaller commercial entities in low- and middle-income countries (LMICs). However, LMICs face the greatest public health challenges resulting from harmful commercial activities, and most commercial entities in these countries are small and medium-sized e…
An analysis of framing mechanisms used in alcohol industry submissions to an Australian national parliamentary inquiry
The aim of this study is to analyse alcohol industry submissions to an Australian national parliamentary inquiry to understand the industry arguments and their implications for alcohol policy-making, and to test, for the first time, the applicability of Campbell and colleagues’ typology of framing mechanisms to alcohol industry submissions. We undertook a directed content analysis to code policy positions and arguments made by industry actors in …
A chance for countries to support Ireland's world‐leading cancer warning labels for alcohol containers
Ireland has regulated for all packaged alcohol products to include a health warning that states that ‘there is a link between alcohol and fatal cancers’. This warning is being opposed in the World Trade Organization by 12 member states who are raising that the warning is an unnecessary barrier to trade. The World Health Organization is supporting Ireland. Countries should not oppose Ireland's warning which is defensible from legal and public heal…
Protecting Access to Medicines After Cambodia Graduates From Least Developed Country Status
Cambodia is a least developed country (LDC); however, it may graduate from the LDC status by 2029 Membership in the World Trade Organisation, will require Cambodia to provide patent protection for medicines that meet standard criteria. This qualitative policy analysis examines Cambodia's readiness for LDC graduation in terms of protecting access to medicines and explores how it can prepare to mitigate the impact of graduation on access to medicin…
Stockpiling moral panics
People often respond to existential threats by stocking up on items they deem essential for survival. At the onset of COVID-19, Australians were among the fastest and most ardent to bulk buy supplies – especially toilet paper – leading to widespread shortages and tense scenes in supermarkets nationwide. In this article, we examine online and print news media representations of bulk buying behaviours at this time. Results highlight that the media …
The potential impact of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership on Thailand’s hepatitis C treatment program
BACKGROUND: Thailand has expressed interest in joining the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP), a twelve-country plurilateral trade agreement whose original incarnation included the United States of America (USA). When the USA withdrew from this agreement, key intellectual property clauses relevant to pharmaceuticals were suspended. These could be reinstated should the CPTPP Parties decide to do so. METHO…
Public health advocacy strategies to influence policy agendas
Influencing the global governance of alcohol
In 2020, the Secretariat of the World Health Organization (WHO) conducted an open consultation, with public submissions, for the purpose of developing an Alcohol Action Plan to “strengthen implementation” of the WHO's 2010 Global Strategy to Reduce the Harmful Use of Alcohol. The consultation process and public submissions provided an opportunity to critically examine alcohol industry perspectives and arguments in relation to the global governanc…
Global inequities in access to Covid-19 health products and technologies
This paper presents a political economy analysis of global inequities in access to COVID-19 vaccines, treatments, and diagnostic tests. We adapt a conceptual model used for analysing the political economy of global extraction and health to examine the politico-economic factors affecting access to COVID-19 health products and technologies in four interconnected layers: the social, political, and historical context; politics, institutions, and poli…
The victims, villains and heroes of 'panic buying
Societies often respond to a crisis by attributing blame to some groups while constructing others as victims and heroes. While it has received scant sociological attention, 'panic buying' is a critical indicator of such public sentiment at the onset of a crisis, and thus a crucial site for analysis. This article traces dynamics of blame in news media representations of an extreme period of panic buying during COVID-19 in Australia. Analysis revea…
What is the impact of intellectual property rules on access to medicines? A systematic review
Alcohol labelling rules in free trade agreements
Alcoholic beverages in trade agreements
Alcohol is the only substance commonly used for intoxication that is not subject to an international agreement regulating its trade in the interest of public health and welfare [1]. Rather, it is commonly dealt with in international trade as an ordinary item of consumption and, indeed, is subject to fewer international regulations, for instance, on labelling of ingredients, than other foodstuffs [2]. In recent decades, the production and distribu…
Industry submissions on alcohol in the context of Australia's trade and investment agreements
The political economy of restricting marketing to address the double burden of malnutrition
Objective: To draw lessons from Fiji regarding the challenges and opportunities for policy initiatives to restrict (i) food marketing to children and (ii) marketing of breast milk substitutes, to inform policy for the double burden of malnutrition. Design: Qualitative political economy analysis of two policy case studies. Setting: Fiji. Participants: Eleven key informants from relevant sectors, representing public health, economic and consumer in…
Usmca 2.0
The USMCA (NAFTA 2.0), although signed over a year ago, went through several months of renegotiation of certain of its new rules that the Democrat-controlled US Congress wanted altered or strengthened. In December a ‘Protocol of Amendment’ was agreed upon and signed by the three Parties (the USA, Mexico, and Canada). A number of tough, new measures governing pharmaceuticals were revised or deleted, making it potentially easier for generic competi…
Usmca (Nafta 2.0)
BACKGROUND: In late 2018 the United States, Canada, and Mexico signed a new trade agreement (most commonly referred to by its US-centric acronym, the United States-Mexico-Canada Agreement, or USMCA) to replace the 1994 North American Free Trade Agreement (NAFTA). The new agreement is the first major trade treaty negotiated under the shadow of the Trump Administration's unilateral imposition of tariffs to pressure other countries to accept provisi…
Analyzing the impact of trade and investment agreements on pharmaceutical policy
BACKGROUND: Trade and investment agreements negotiated after the World Trade Organization's Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) have included increasingly elevated protection of intellectual property rights along with an expanding array of rules impacting many aspects of pharmaceutical policy. Despite the large body of literature on intellectual property and access to affordable medicines, the ways in which …
Nutrition policy-making in Fiji
Many low- and middle-income countries experience a double burden of malnutrition and nutrition-related noncommunicable diseases (NCDs). Existing scholarship highlights adverse impacts of neoliberalism on nutrition, including the influence of laissez-faire economics on reshaping food systems and neoliberalism’s ideological emphasis on personal responsibility for healthy lifestyles. Yet how nutrition policy-makers in the Global South experience and…
An exposé of the realpolitik of trade negotiations
Objective: To explore the formal and informal ways in which different actors involved in shaping trade agreements pursue their interests and understand the interactions with nutrition, in order to improve coherence between trade and nutrition policy goals. Design: The paper draws on empirical evidence from Australian key informant interviews that explore the underlying political dimensions of trade agreements that act as barriers or facilitators …
Strengthening Aboriginal and Torres Strait Islander health policy
Objective: To examine key factors influencing the prioritisation of food and nutrition in Aboriginal and Torres Strait Islander health policy during 1996–2015. Design: A qualitative policy analysis case study was undertaken, combining document analysis with thematic analysis of key informant interviews. Setting: Australia. Participants: Key actors involved in Aboriginal and Torres Strait Islander health policy between 1996 and 2015 ( n 38). Resul…
Negotiating Tensions in Developing Organizational Policy Capacity
This article explores how organizational policy capacity can be developed, drawing on a study conducted in a large human services agency in Australia. Building policy capacity within government agencies is widely acknowledged as important for successfully responding to complex policy problems. The existing literature suggests a range of strategies for building organizational capacity. Findings from interviews with policy workers support the princ…
Global inequities in access to Covid-19 health products and technologies
This paper presents a political economy analysis of global inequities in access to COVID-19 vaccines, treatments, and diagnostic tests. We adapt a conceptual model used for analysing the political economy of global extraction and health to examine the politico-economic factors affecting access to COVID-19 health products and technologies in four interconnected layers: the social, political, and historical context; politics, institutions, and poli…
Governance and policy capacity in health development and implementation in Australia
This article examines policy capacity in the context of Australian health authorities in relation to the challenges confronting policy workers and senior managers in these agencies. The article reports the challenges identified by our informants in relation to political structures, roles and responsibilities of other portfolios and governments, interactions between policy officials and with the minister and the minister's office, whole of governm…
A network approach to policy framing
The victims, villains and heroes of 'panic buying
Societies often respond to a crisis by attributing blame to some groups while constructing others as victims and heroes. While it has received scant sociological attention, 'panic buying' is a critical indicator of such public sentiment at the onset of a crisis, and thus a crucial site for analysis. This article traces dynamics of blame in news media representations of an extreme period of panic buying during COVID-19 in Australia. Analysis revea…
A conceptual framework for investigating the impacts of international trade and investment agreements on noncommunicable disease risk factors
We developed a conceptual framework exploring pathways between trade and investment and noncommunicable disease (NCD) outcomes. Despite increased knowledge of the relevance of social and structural determinants of health, the discourse on NCD prevention has been dominated by individualizing paradigms targeted at lifestyle interventions. We situate individual risk factors, alongside key social determinants of health, as being conditioned and const…
The Trans Pacific Partnership Agreement, intellectual property and medicines
The final text of the Trans Pacific Partnership Agreement (TPP), agreed between the 12 negotiating countries in 2016, included a suite of intellectual property provisions intended to expand and extend pharmaceutical company exclusivities on medicines. It drew wide criticism for including such provisions in an agreement that involved developing countries (Vietnam, Peru, Malaysia, Mexico, Chile and Brunei Darussalam) because of the effect on delayi…
Micro macro integration
The idea of micro macro integration (MMI) provides a useful framework for thinking about primary healthcare (PHC) and community development in health (CD). PHC and CD are important strategies for addressing the structural determinants of health. They are each based on a powerful logic and have a significant body of support. However, while exemplary, even inspiring, instances of practice are common, attempts to replicate models of good practice (o…
Negotiating Tensions in Developing Organizational Policy Capacity
This article explores how organizational policy capacity can be developed, drawing on a study conducted in a large human services agency in Australia. Building policy capacity within government agencies is widely acknowledged as important for successfully responding to complex policy problems. The existing literature suggests a range of strategies for building organizational capacity. Findings from interviews with policy workers support the princ…
Reducing the Impacts of Development on Wildlife
The rapidly increasing number of threatened flora and fauna species worldwide is one of the chief problems confronting environmental professionals today. This problem is largely due to the impact humans have had on land use through development (e.g. agricultural, residential, industrial, infrastructure and mining developments). The requirement for developers to implement measures to reduce the impacts of development on wildlife is underpinned by …
Reducing the Impacts of Development on Wildlife
The rapidly increasing number of threatened flora and fauna species worldwide is one of the chief problems confronting environmental professionals today. This problem is largely due to the impact humans have had on land use through development (e.g. agricultural, residential, industrial, infrastructure and mining developments). Reducing the Impacts of Development on Wildlife contains a comprehensive range of practical measures to assist others to…
A new generation of trade policy
Trade poses risks and opportunities to public health nutrition. This paper discusses the potential food-related public health risks of a radical new kind of trade agreement: the Trans Pacific Partnership agreement (TPP). Under negotiation since 2010, the TPP involves Australia, Brunei, Canada, Chile, Japan, Malaysia, Mexico, New Zealand, Peru, Singapore, the USA, and Vietnam. Here, we review the international evidence on the relationships between…
Patently obvious
The Trans-Pacific Partnership Agreement (TPPA) is a regional trade agreement being negotiated by 12 countries, including New Zealand and the United States of America (USA). The patent-holding pharmaceutical industry (the Industry) has lobbied for enhanced intellectual property protections and rules affecting pharmaceutical pricing and reimbursement in the TPPA. These provisions would likely reduce access to affordable medicines. This paper report…
Governance and policy capacity in health development and implementation in Australia
This article examines policy capacity in the context of Australian health authorities in relation to the challenges confronting policy workers and senior managers in these agencies. The article reports the challenges identified by our informants in relation to political structures, roles and responsibilities of other portfolios and governments, interactions between policy officials and with the minister and the minister's office, whole of governm…
The Trans Pacific Partnership Agreement and access to HIV treatment in Vietnam
In the Trans Pacific Partnership (TPP) Agreement negotiations, the USA successfully pursued intellectual property (IP) provisions that will affect the affordability of medicines, including anti-retrovirals (ARV) for HIV. Vietnam has the lowest GDP per capita of the 12 TPP countries and in 2013 provided ARVs for only 68% of eligible people living with HIV. Using the current Vietnamese IP regime as our base case, we analysed the potential impact of…
Policy coherence, health and the sustainable development goals
The international community, comprised of national governments, multilateral agencies and civil society organisations, has recently negotiated a set of 17 sustainable development goals (SDGs) and 169 targets to replace the Millennium Development Goals, which expired in 2015. For progress in implementing the SDGs, ensuring policy coherence for sustainable development will be essential. We conducted a health impact assessment to identify potential …
Shaping the discourse
The Trans Pacific Partnership agreement (TPP), emblematic of the new generation of free trade agreements, is a regional agreement among 12 Pacific Rim countries. This paper reports on a study into how the food industry has framed issues in an effort to influence the TPP. We undertook a thematic analysis of the issues raised in publicly available submissions by the food industry to the trade negotiating bodies of four TPP countries: Australia, New…
The Trans Pacific Partnership Agreement, intellectual property and medicines
The final text of the Trans Pacific Partnership Agreement (TPP), agreed between the 12 negotiating countries in 2016, included a suite of intellectual property provisions intended to expand and extend pharmaceutical company exclusivities on medicines. It drew wide criticism for including such provisions in an agreement that involved developing countries (Vietnam, Peru, Malaysia, Mexico, Chile and Brunei Darussalam) because of the effect on delayi…
A network approach to policy framing
Moderating the impact of patent linkage on access to medicines
BACKGROUND: The inclusion of patent linkage mechanisms in bilateral and plurilateral trade and investment agreements has emerged as a key element in the United States' TRIPS-Plus intellectual property (IP) negotiating agenda. However, the provisions establishing patent linkage mechanisms in several agreements appear to reflect a degree of ambiguity, potentially enabling some flexibility in their implementation. In this study, we reviewed the feat…
Overlaying structure and frames in policy networks to enable effective boundary spanning
The literature on the evidence-policy nexus has been dominated in recent years by technocratic approaches such as ‘knowledge translation’. Attention is beginning to return, however, to political science for its insights into the distribution of power, which are key to understanding how policy is made, particularly in the health sphere. Policy network theory, which suggests that policy outcomes are shaped by the interactions between actors in a ne…
A conceptual framework for investigating the impacts of international trade and investment agreements on noncommunicable disease risk factors
We developed a conceptual framework exploring pathways between trade and investment and noncommunicable disease (NCD) outcomes. Despite increased knowledge of the relevance of social and structural determinants of health, the discourse on NCD prevention has been dominated by individualizing paradigms targeted at lifestyle interventions. We situate individual risk factors, alongside key social determinants of health, as being conditioned and const…
Usmca (Nafta 2.0)
BACKGROUND: In late 2018 the United States, Canada, and Mexico signed a new trade agreement (most commonly referred to by its US-centric acronym, the United States-Mexico-Canada Agreement, or USMCA) to replace the 1994 North American Free Trade Agreement (NAFTA). The new agreement is the first major trade treaty negotiated under the shadow of the Trump Administration's unilateral imposition of tariffs to pressure other countries to accept provisi…
Analyzing the impact of trade and investment agreements on pharmaceutical policy
BACKGROUND: Trade and investment agreements negotiated after the World Trade Organization's Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) have included increasingly elevated protection of intellectual property rights along with an expanding array of rules impacting many aspects of pharmaceutical policy. Despite the large body of literature on intellectual property and access to affordable medicines, the ways in which …
Nutrition policy-making in Fiji
Many low- and middle-income countries experience a double burden of malnutrition and nutrition-related noncommunicable diseases (NCDs). Existing scholarship highlights adverse impacts of neoliberalism on nutrition, including the influence of laissez-faire economics on reshaping food systems and neoliberalism’s ideological emphasis on personal responsibility for healthy lifestyles. Yet how nutrition policy-makers in the Global South experience and…
An exposé of the realpolitik of trade negotiations
Objective: To explore the formal and informal ways in which different actors involved in shaping trade agreements pursue their interests and understand the interactions with nutrition, in order to improve coherence between trade and nutrition policy goals. Design: The paper draws on empirical evidence from Australian key informant interviews that explore the underlying political dimensions of trade agreements that act as barriers or facilitators …
Strengthening Aboriginal and Torres Strait Islander health policy
Objective: To examine key factors influencing the prioritisation of food and nutrition in Aboriginal and Torres Strait Islander health policy during 1996–2015. Design: A qualitative policy analysis case study was undertaken, combining document analysis with thematic analysis of key informant interviews. Setting: Australia. Participants: Key actors involved in Aboriginal and Torres Strait Islander health policy between 1996 and 2015 ( n 38). Resul…
Trade and nutrition policy coherence
Objective: Maximising synergies and minimising conflicts (i.e. building policy coherence) between trade and nutrition policy is an important objective. One understudied driver of policy coherence is the alignment in the frames, discourses and values of actors involved in the respective sectors. In the present analysis, we aim to understand how such actors interpret (i.e. ‘frame’) nutrition and the implications for building trade–nutrition policy …
Usmca 2.0
The USMCA (NAFTA 2.0), although signed over a year ago, went through several months of renegotiation of certain of its new rules that the Democrat-controlled US Congress wanted altered or strengthened. In December a ‘Protocol of Amendment’ was agreed upon and signed by the three Parties (the USA, Mexico, and Canada). A number of tough, new measures governing pharmaceuticals were revised or deleted, making it potentially easier for generic competi…
Alcohol labelling rules in free trade agreements
Alcoholic beverages in trade agreements
Alcohol is the only substance commonly used for intoxication that is not subject to an international agreement regulating its trade in the interest of public health and welfare [1]. Rather, it is commonly dealt with in international trade as an ordinary item of consumption and, indeed, is subject to fewer international regulations, for instance, on labelling of ingredients, than other foodstuffs [2]. In recent decades, the production and distribu…
Industry submissions on alcohol in the context of Australia's trade and investment agreements
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