Control of Communicable Diseases as a Global Public Good

Abstract

The article aims at giving a comprehensive overview on controlling communicable diseases (CCD) and discusses the implications of providing CCD as a global public good (GPG). After a short introductory summary of the history of CCD, Sections "PUBLIC (COMMON) GOODS" and "GLOBAL PUBLIC GOODS" offer a concise definition of the concepts of "public goods" and "global public goods". Sections "INTERNATIONAL HEALTH REGULATIONS (1969–2005) AS A GPG" and "IHR (2005) AND CCD" critically analyse the International Health Regulations (IHR) (2005) as a means to provide CCD as a GPG, and argues that it falls short of that goal as (a) many countries are not able to provide the "Core Capacity Requirements for Surveillance and Response" because of severe deficits of their health systems, (b) the IHR do not include HIV/AIDS, tuberculosis, malaria, etc. which are a constant threat in infested regions (and to international transmission) and may be called "chronic infectious diseases" and (c) ignore the issue of fighting antimicrobial resistance. Therefore, full global health security (accepting the highest attainable standard of health as a human right) needs an integrated CCD which implied that CCD is provided as a GPG, including minimal standards of health everywhere, a "One-Health" approach, and the perspective of "Health in All Policies" (Section "TOWARDS AN INTEGRATED CONTROL OF COMMUNICABLE DISEASES AS A GPG"). Section "FINANCE OF CCD" discusses the dimension of financing CCD as a GPG and poses the question whether an enhanced transnational norm-building and solidarity can be expected. Improving CCD is not only one step towards the goal of "one healthy world", but also depends on a comprehensive improvement of health services.