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The public health challenges of moving dangerous substances across jurisdictions have led to a renewed international focus on the importance of the health perspective in the Basel Convention on Transboundary Movement of Hazardous Wastes and their Disposal. This paper systematically reviews the health dimensions of the Basel Convention and the ways in which the Convention can be strengthened. It analyses the limits of the health objective of the Convention in promoting public health and the environment and the potential for optimising it. The paper argues that an examination of the Convention's substantive, procedural, and institutional and implementation mechanisms highlights its failure to fully achieve its potential for health protection. Parties to the Convention have initiated measures to address this issue, but the design and functioning of the Convention itself constrain the full achievement of health goals, which in turn undermines the protection of human health and the environment. To optimise the health promotion, the author argues for an adaptive governance framework by bolstering the governance mechanisms of the Convention and the Secretariat, strengthening health cooperation between international health agencies and improving domestic implementation of the Convention by its Member States.

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State centred discourse on international law and human rights often diminishes the obligations of global health institutions in international law to advance health related human rights and as sites for the progressive development and implementation of health rights. The constitution of the World Health Organization (WHO) provides an expansive role for human rights protection and promotion in realizing public health, but WHO has faced hurdles in effectively carrying out this role. Current scholarship continues to underscore the normative challenges facing WHO concerning its limited use of international law including human rights to promote health. This article goes a step further and explores the evolving international legal and institutional basis for WHO’s future direction in strengthening the governance of human rights. It revisits WHO’s evolving and expanding human rights mandate, challenges and prospects within WHO law, the broader United Nations law, policy and practice as well as general international law. Despite the limitations, WHO has evolving institutional mechanisms rooted in international law that comprise a pivotal site for human rights normative and operational work at the global, regional and domestic levels. The article examines these mechanisms and suggests concrete ways and options in which WHO can advance health rights.

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