During the last decades of the twentieth century it became increasingly apparent that the inter-relationship between globalisation and health is extremely complex. This complexity is highlighted in debates surrounding the re-emergence of infectious diseases, where it is recognised that the processes of globalisation have combined to create the conditions where once localised, microbial hazards have come to pose a threat to many western nations. By contrast, in an emerging literature relating to the epidemic of non-communicable diseases, and reflected in the WHO 'Global strategy on diet, physical activity and health', it is the so-called 'western lifestyle' that has been cast as the main threat to a population's health. This paper explores critically global responses to this development. Building on our interest in questions of governance and the ethical management of the healthy body, we examine, whether the global strategy, in seeking to contain the influence of a 'western lifestyle', also promotes contemporary 'western-inspired' approaches to public health practices. The paper indicates that a partial reading of the WHO strategy suggests that certain countries, especially those outside the West, are being captured or 'enframed' by the integrative ambitions of a western 'imperial' vision of global health. However, when interpreted critically through a post-colonial lens, we argue that 'integration' is more complex, and that the subtle and dynamic relations of power that exist between countries of the West/non-West, are exposed.
IntroductionOn May 22, 2004 the 192-member World Health Assembly, the main decisionmaking body of the World Health Organization (WHO), endorsed a 'Global strategy on diet, physical activity and health'. As Dr Lee Jong-wook, the DirectorGeneral of WHO, announced, "This is a landmark achievement in global public health policy" (WHO, 2004. Emphasis added). Such a reference to the global reach of the strategy is significant as it appears to endorse further the idea that the 'global' has replaced the 'national' in public health discourse. Indeed, the belief that public health has transcended national borders and boundaries is reflected in the current literature. Much of this literature can be organised into three distinct areas: the history of the transformation from national to global public health (see Loughlin and Berridge, 2002;Bashford, 2006;Brown, Cueto and Fee, 2006); the links between globalisation and the (re)emergence of infectious diseases in the West (see Garrett, 1995Garrett, , 1996Heymann and Rodier, 2001;Ali and Keil, 2006); and, the association between westernisation and the global transfer of risks factors for so-called 'diseases of comfort' (see Yach and Bettcher, 1998;McMichael and Beaglehole, 2000;Beaglehole and Yach, 2003).This globalising of public health discourse was the focus of previous research by the authors (see Brown and Bell, 2007). In this work we argued that the WHO Manuscript