McInnes, C., Lee, K. (2006). Health, security and foreign policy. Review of International Studies, 32 (1), 5-23. RAE2008Over the past decade, health has become an increasingly important international issue and one which has engaged the attention of the foreign and security policy community. This article examines the emerging relationship between foreign and security policy, and global public health. It argues that the agenda has been dominated by two issues ? the spread of selected infectious diseases (including HIV/AIDS) and bio-terror. It argues that this is a narrow framing of the agenda which could be broadened to include a wider range of issues. We offer two examples: health and internal instability, including the role of health in failing states and in post-conflict reconstruction; and illicit activities. We also argue that the relationship between global public health, and foreign and security policy has prioritised the concerns of the latter over the former ? how selected health issues may create risks for (inter)national security or economic growth. Moreover the interests of the West are prominent on this agenda, focusing (largely though not exclusively) on how health risks in the developing world might impact upon the West. It is less concerned with the promotion of global public health.Peer reviewe

This article uses an analysis of the securitization of HIV/AIDS as a basis for proposing three contributions to securitization theory. Beginning with an examination of some of the key debates which have taken place between the Copenhagen School and its critics, the article goes on to argue that the process of securitizing HIV/AIDS was in fact significantly more complex than has been generally recognized and, crucially, that a more nuanced reading of this case highlights a number of issues that are not well captured by the existing securitization theory literature. The first is that securitization can be a multi-level process, with distinct securitizing actors and audiences at each level. The second is that securitization can best be understood as a continuum rather than a binary condition, and that different members of an audience may place an issue at varying points along this spectrum. The third contribution we seek to make is an intervention in the debate over the role of empirical evidence in securitization, suggesting that claims about 'empirical reality' form a crucial part of securitizing speech acts, but that where doubts subsequently arise over the evidence for this 'reality', securitization can be undermined, a dynamic that we show in practice in the HIV/AIDS case.

This article examines how pandemic influenza has been framed as a security issue, threatening the functioning of both state and society, and the policy responses to this framing. Pandemic influenza has long been recognised as a threat to human health. Despite this, for much of the twentieth century it was not recognised as a security threat. In the decade surrounding the new millennium, however, the disease was successfully securitised with profound implications for public policy. This article addresses the construction of pandemic influenza as a threat. Drawing on the work of the Copenhagen School, it examines how it was successfully securitised at the turn of the millennium and with what consequences for public policy.

Research funded under ERC Ideas grant 230489 GHG Volume 7, Supplement 2, 2012 Special Issue: Framing Global Health GovernanceWith the emergence of global health comes governance challenges which are equally global in nature. This article identifies some of the initial limitations in analyses of global health governance (GHG) before discussing the focus of this special supplement: the framing of global health issues and the manner in which this impacts upon GHG. Whilst not denying the importance of material factors (such as resources and institutional competencies), the article identifies how issues can be framed in different ways, thereby creating particular pathways of response which in turn affect the potential for and nature of GHG. It also identifies and discusses the key frames operating in global health: evidence based medicine, human rights, security, economics and development.Peer reviewe

HIV/AIDS is one of the greatest single causes of death and suffering on the planet. Over the last decade the societal impact of HIV/AIDS has been widely discussed in terms of national and international security. This article assesses the securitizing move and suggests that HIV/AIDS was only partially securitized at best and both the political consensus and strength of evidence were overestimated. It argues for greater nuance in our understanding of the link between HIV/AIDS and security, and the effects of its securitization, suggesting that neither is straightforward, and both are subject to case sensitivities.