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Lancet. 2015 May 9;385(9980):1884-901. doi: 10.1016/S0140-6736(15)60858-3.

Global health security: the wider lessons from the west African Ebola virus disease epidemic.

Author information

1
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK; Centre on Global Health Security, London, UK. Electronic address: david.heymann@lshtm.ac.uk.
2
China Medical Board, Cambridge, MA, USA.
3
Japan House of Councillors, Tokyo, Japan.
4
Indiana University Maurer School of Law, Bloomington, IN, USA.
5
Division of Global Health Protection, Atlanta, GA, USA.
6
Center for Global Health, Atlanta, GA, USA.
7
US Centers for Disease Control and Prevention, Atlanta, GA, USA.
8
Vitality Institute, New York, NY, USA; World Economic Forum Global Agenda Council on Ageing, Geneva, Switzerland.
9
Heartfile, Islamabad, Pakistan.
10
International Longevity Centre (ILC) Global Alliance and ILC-Brazil, Rio de Janeiro, Brazil; New York Academy of Medicine, NY, USA; HelpAge International, London, UK.
11
UNICEF/UNDP/World Bank/WHO Special Programme on Research and Training in Tropical Diseases (TDR), World Health Organization, Geneva, Switzerland; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
12
Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
13
Public Health Program, Open Society Foundations, New York, NY, USA.
14
O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA.
15
New Partnership for Africa's Development, Pretoria, South Africa.
16
Department of Government, Harvard University, Cambridge, MA, USA.
17
Chatham House, Royal Institute of International Affairs, London, UK; Department of Politics, University of Sheffield, Sheffield, UK.
18
Chatham House, Royal Institute of International Affairs, London, UK.
19
Chatham House, Royal Institute of International Affairs, London, UK; Tribhuvan University, Kathmandu, Nepal.
20
Centre on Global Health Security, London, UK.
21
Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Cambridge, MA, USA; Earth Institute, Columbia University, New York, NY, USA.
22
Institute for Health Policy, Colombo, Sri Lanka.

Abstract

The Ebola virus disease outbreak in West Africa was unprecedented in both its scale and impact. Out of this human calamity has come renewed attention to global health security--its definition, meaning, and the practical implications for programmes and policy. For example, how does a government begin to strengthen its core public health capacities, as demanded by the International Health Regulations? What counts as a global health security concern? In the context of the governance of global health, including WHO reform, it will be important to distil lessons learned from the Ebola outbreak. The Lancet invited a group of respected global health practitioners to reflect on these lessons, to explore the idea of global health security, and to offer suggestions for next steps. Their contributions describe some of the major threats to individual and collective human health, as well as the values and recommendations that should be considered to counteract such threats in the future. Many different perspectives are proposed. Their common goal is a more sustainable and resilient society for human health and wellbeing.

PMID:
25987157
DOI:
10.1016/S0140-6736(15)60858-3
[Indexed for MEDLINE]
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