Columbia International Affairs Online: Policy Briefs

CIAO DATE: 07/2010

Cooperation and Tension in Regional and Global Infectious Disease Surveillance

Leonard S. Rubenstein

June 2010

United States Institute of Peace

Abstract

• Globalization of infectious disease transmission has led to international and regional initiatives to improve surveillance and response. The World Health Organization’s revised International Health Regulations provide a more robust legal framework for outbreak investigations. New regional networks are strengthening collaborative approaches to prevention of pandemics even in parts of the world where political tensions usually run high. • To fulfill the promise of these new mechanisms, the United States should integrate capacity development for disease surveillance into its global health strategy, including providing greater investment in laboratories, training and technical assistance for low-income countries. • Effective international cooperation has not extended to creating a system for equitable distribution of vaccines, resulting in vast disparities in availability of vaccines between richer and poorer countries. As a result, political tensions between wealthy and low-income countries have increased. Unless inequity is addressed, global health security will not advance.