The International Health Regulations: The Governing Framework for Global Health Security

Milbank Quarterly, Vol. 94, No. 2, pp. 264-313, 2016

51 Pages Posted: 13 May 2016  

Lawrence O. Gostin

Georgetown University - Law Center - O'Neill Institute for National and Global Health Law

Rebecca Katz

George Washington University - Milken Institute School of Public Health

Date Written: May 12, 2016

Abstract

The International Health Regulations (IHR) are the governing framework for global health security yet require textual and operational reforms to remain effective, particularly as parallel initiatives are developed.

The World Health Organization (WHO) is the agency charged with oversight of the IHR, and its leadership and efficient functioning are prerequisites for the effective implementation of the IHR.

We reviewed the historical origins of the IHR and their performance over the past 10 years and analyzed all of the ongoing reform panel efforts to provide a series of politically feasible recommendations for fundamental reform.

This article offers proposals for fundamental reform — with politically feasible pathways — of the IHR, their operations and implementation, WHO oversight, and State Party conformance.

Keywords: International Health Regulations, Global Health Security, World Health Organization Reform, Crisis Management, Emergency Response

Suggested Citation

Gostin, Lawrence O. and Katz, Rebecca, The International Health Regulations: The Governing Framework for Global Health Security (May 12, 2016). Milbank Quarterly, Vol. 94, No. 2, pp. 264-313, 2016. Available at SSRN: https://ssrn.com/abstract=2779092

Lawrence O. Gostin (Contact Author)

Georgetown University - Law Center - O'Neill Institute for National and Global Health Law ( email )

600 New Jersey Avenue, NW
Washington, DC 20001
United States
202-662-9038 (Phone)
202-662-9055 (Fax)

Rebecca Katz

George Washington University - Milken Institute School of Public Health ( email )

2, 950 New Hampshire Ave NW
Washington, DC 20052
United States

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