THE EUROPEAN UNION AND HEALTH SECURITY IN THE CONTEXT OF THE COVID-19 PANDEMIC

  • Slađana Ćurčić Fakultet bezbednosti Univerziteta u Beogradu
Keywords: European Union, health security, COVID-19 pandemic, crisis

Abstract


The paper considers health security in the European Union, before and during the COVID-19 pandemic, through the analysis of the EU strategic-normative, political and institutional framework in this area. The aim was to determine whether the changes in the field of public health at the EU level, induced by the COVID-19 pandemic, contributed to defining a clear approach of the Union to health security and to strengthening its global role in this field. Although the concept of health security is still subject to different and broad interpretations, its practical importance comes to the fore primarily in periods of health crises. Thus, at the EU level, pandemics and epidemics of infectious diseases, as well as threats from bioterrorism, have stimulated more intensive reflections on health security in a theoretical, political and practical sense. Therefore, in this paper health security is analyzed with a focus on infectious diseases as one of the serious and emerging health threats. Methodologically, the paper is based on content analysis, first of all academic literature on health security, the most important strategic documents, health policies and mechanisms of the EU. The analysis showed that the health security field at the EU level has not yet been developed to such an extent that we could talk about a coherent approach to health security, that reflects a collective (European) vision. Namely, that approach varies from the humanocentric paradigm, which is embodied in the Union's commitment to human rights, human development and the general health needs of “ordinary” people, to the traditional, state-centric one, which came to the fore through the unilateral actions of the members during the COVID-19 pandemic. Finally, awareness of the need for a broader, common approach to serious health threats, became clearer after dealing with the consequences of this isolationist policies of the member states.Therefore, we still couldn’t talk about global EU actorness in this area, despite the Union's expressed desire for a leadership role, especially stimulated by the COVID-19 pandemic. Namely, the COVID-19 crisis simultaneously shed light on numerous vulnerabilities and shortcomings of the EU health security regime and opened the way for reforms and improvements in this area. Taking into account that the COVID-19 crisis caused both geopolitical consequences and a crisis in international relations, this is an additional reason for strengthening the position of the EU in global health governance. Therefore, at this moment, the changes in the EU, prompted by COVID-19 can be seen as just one more step on the way to strengthening the future position of the EU in global health security.

References

Akenroye, Ayodele Olawale. 2010. “HIV/AIDS as a human security threat in West Africa.” Master thesis. University of Manitoba: Faculty of Law. 

Albert, Craig, Amado Baez, and Joshua Rutland. 2021. “Human security as biosecurity: Reconceptualizing national security threats in the time of COVID-19.” Politics and the Life Sciences 40 (1): 83-105. doi: https://doi.org/10.1017/pls.2021.1. 

Aldis, William. 2008. “Health security as a public health concept: a critical analysis.” Health Policy and Planning 23 (6): 369-375. doi:  https://doi.org/10.1093/heapol/czn030.

Amon, Joseph J. 2015. “Health security and/or human rights?” In Routledge Handbook of Global Health Security, eds.  Simon Rushton and Jeremy Youde, 293-303. New York: Routledge.

Anderson, Jamie. 2006. “The Looming Threat of an Avian Flu Pandemic: Concepts of Human Security.” PhD diss. Boston College: Department of International Studies.

Baldwin, David A. 1997. “The concept of security.” Review of international studies 23(1): 5-26. doi: https://doi.org/10.1017/S0260210597000053.

Bengtsson, Louise, Stefan Borg, and Mark Rhinard. 2019. “Assembling European health security: Epidemic intelligence and the hunt for cross-border health threats.” Security Dialogue 50 (2): 115-130. doi:  https://doi.org/10.1177/0967010618813063. 

Bergner, Susan. 2023. “The role of the European Union in global health: The EU’s self-perception(s) within the COVID-19 pandemic.” Health Policy 127 (1): 5-11. doi: https://doi.org/10.1016/j.healthpol.2021.10.006.

Boin, Arjen, and Mark Rhinard. 2022. “Crisis management performance and the European Union: the case of COVID-19.” Journal of European Public Policy, 1-21. doi: https://doi.org/10.1080/13501763.2022.2141304. 

Brooks, Eleanor, Anniek de Ruijter, and Scott L. Greer. 2020. “COVID-19 and European Union health policy: From crisis to collective action.” In  Social policy in the European Union: state of play 2020. Facing the pandemic,  eds.  Bart Vanhercke, Slavina Spasova, and Boris Fronteddu,  33-52. Brussels: European Trade Union Institute [ETUI] and European Social Observatory [OSE]. 

Ciotti, Massimo. 2013. “Health security and disease detection in the European Union.” In  Biopreparedness and Public Health: Exploring Synergies, eds. Iris Hunger,  Vladan Radosavljevic, Goran Belojevic, and Lisa D. Rotz, 55-73. Dordrecht: Springer.  

Council of the European Union. 2003. European security strategy: a secure Europe in a better world. Brussels: General Secretariat of the Council of the EU. https://www.consilium.europa.eu/media/30823/qc7809568enc.pdf, last accessed 17 February 2023.

Council of the European Union. 2016. A Global Strategy for the European Union's Foreign and Security Policy: Shared Vision, Common Action: A Stronger Europe. Brussels: Council of the EU. https://www.eeas.europa.eu/eeas/global-strategy-european-unions-foreign-and-security-policy_en, last accessed 17 February 2023.

Davies, Sara. 2010. Global Politics of Health. Cambridge: Polity Press.

Decision (EU) No 1082/2013 of the European Parliament and of the Council of 22 October 2013 on serious cross-border threats to health, OJ L 293, 5.11.2013, p. 1–15. https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32013D1082&from=EN, last accessed 27 February 2023. 

Dijkstra, Hylke, and Anniek De Ruijter. 2017. “The health-security nexus and the European Union: toward a research agenda.” European Journal of Risk Regulation 8 (4): 613-625. doi: https://doi.org/10.1017/err.2017.34. 

Elbe, Stefan. 2006. “Should HIV/AIDS be securitized? The ethical dilemmas of linking HIV/AIDS and security.” International studies quarterly 50 (1): 119-144. doi: https://doi.org/10.1111/j.1468-2478.2006.00395.x.

Elbe, Stefan. 2010. “Pandemic security.” In The Routledge Handbook of New Security Studies, ed. Peter J. Burgess, 163–172. London: Routledge.

Elbe, Stefan. 2011. “Pandemics on the radar screen: Health security, infectious disease and the medicalisation of insecurity.” Political Studies 59 (4): 848–866. doi: https://doi.org/10.1111/j.1467-9248.2011.00921.x. 

Elbe, Stefan, and Nadine Voelkner. 2015. “The medicalization of insecurity.” In Routledge Handbook of Global Health Security, eds.  Simon Rushton and Jeremy Youde, 71-80. New York: Routledge.

European Centre for Disease Prevention and Control [ECDC]. n.d. ”What we do.” Last accessed 28. February 2023. https://www.ecdc.europa.eu/en/about-us/what-we-do.

European Commission [EC]. 2019. ”Speech by President-elect von der Leyen in the European Parliament Plenary on the occasion of the presentation of her College of Commissioners and their program.” Last accessed 28. February 2023. https://ec.europa.eu/commission/presscorner/detail/es/speech_19_6408. 

European Commission [EC]. 2022. EU Global Health Strategy-Better Health For All in a Changing World. Luxembourg: Publications Office of the European Union. https://health.ec.europa.eu/system/files/2023-02/international_ghs-report-2022_en.pdf,  last accessed 24 February 2023. 

European Commission [EC]. n.d.  ”European Health Union: Protecting the health of Europeans and collectively responding to cross-border health crises.” Last accessed 28. February 2023. https://commission.europa.eu/strategy-and-policy/priorities-2019-2024/promoting-our-european-way-life/european-health-union_en. 

European Commission [EC]. n.d. ”Health Security Committee (HSC).” Last accessed 28. February 2023.  https://health.ec.europa.eu/health-security-and-infectious-diseases/preparedness-and-response/health-security-committee-hsc_en. 

European Commission [EC]. 2007. Together for Health–A Strategic Approach for the EU: 2008-2013. Brussels: European Commission. https://ec.europa.eu/commission/presscorner/detail/en/IP_07_1571, last accessed 26 February 2023. 

European Commission [EC]. 2009. Health Security in the European Union and Internationally. Brussels: European Commission. http://www.asset-scienceinsociety.eu/sites/default/files/commission_staff_healthsecurity_en.pdf, last accessed 24 February 2023. 

European Union External Action Service [ЕЕAS]. 2020a. ”COVID-19-Lessons and Implications for EU Security And Defence.” Last accessed 28. February 2023.  https://www.eeas.europa.eu/eeas/covid-19-lessons-and-implications-eu-security-and-defence_en. 

European External Action Service [EEAS]. 2020b.  ”EU HRVP Josep Borrell: The Coronavirus pandemic and the new world it is creating.” Last accessed 28. February 2023. https://www.eeas.europa.eu/eeas/eu-hrvp-josep-borrell-coronavirus-pandemic-and-new-world-it-creating_en. 

Eylemer, Sedef, and Níhal Kirkpinar Özsoy. 2021. “The European Union’s Response to COVID-19 as an Existential Threat.” International Journal of Contemporary Economics and Administrative Sciences 11 (2): 489-515. doi: https://doi.org/10.5281/zenodo.5831858. 

Fraundorfer, Markus, and Neil Winn. 2021. “The emergence of post‐Westphalian health governance during the Covid‐19 pandemic: the European Health Union.” Disasters 45 (1): 5-25.  doi: https://doi.org/10.1111/disa.12511.

Iqbal, Zaryab. 2006. “Health and human security: The public health impact of violent conflict.” International Studies Quarterly 50 (3): 631-649. doi: https://doi.org/10.1111/j.1468-2478.2006.00417.x. 

Jones, Alexei, Katja Sergejeff, Andrew Sherriff, Chloe Teevan, and Pauline Veron. 2020. “The challenge of scaling up the European Union’s global response to COVID-19.”  Briefing note No. 116. The Netherlands: European Centre for Development Policy Management [ECDPM].

Kamradt-Scott, Adam, and Colin McInnes. 2012. “The securitisation of pandemic influenza: Framing, security and public policy.” In “Framing Global Health Governance”, supplement issue,  Global Public Health: 13-28. doi: https://doi.org/10.1080/17441692.2012.725752.

Kickbusch, Ilona, and Anniek De Ruijter. 2021. “How a European health union can strengthen global health.” The Lancet Regional Health–Europe 1 (2021): 1-2. doi: https://doi.org/10.1016/j.lanepe.2021.100025. 

Kittelsen, Sonja. 2013. “The EU and the securitization of pandemic influenza.” PhD diss. Aberystwyth University: Department of International Politics. 

Kliem, Frederick. 2021. “ASEAN and the EU amidst COVID-19: overcoming the self-fulfilling prophecy of realism.” Asia Europe Journal  19 (3): 371-389. doi: https://doi.org/10.1007/s10308-021-00604-8. 

Lavallée, Chantal. 2021. “The European Union’s two-fold multilateralism in crisis mode: Towards a global response to COVID-19.” International Journal  76 (1): 17-29. doi: https://doi.org/10.1177/0020702020987. 

McInnes, Collin. 2015. “The many meanings of health security.” In Routledge Handbook of Global Health Security, eds.  Simon Rushton and Jeremy Youde, 7-17. New York: Routledge.

McInnes, Colin, and Simon Rushton. “HIV/AIDS and securitization theory.” European Journal of International Relations 19 (1): 115-138. doi: 10.1177/1354066111425258. 

Milani, Carlos R. S. 2020. “COVID-19 between Global human security and ramping authoritarian nationalisms.” Geopolítica(s), especial: 141-151. doi: https://dx.doi.org/10.5209/geop.69283. 

Molnár, Anna, Lili Takács, and Éva Jakusné Harnos. 2020. “Securitization of the COVID-19 pandemic by metaphoric discourse during the state of emergency in Hungary.” International Journal of Sociology and Social Policy 40 (9/10): 1167-1182. doi:  https://doi.org/10.1108/IJSSP-07-2020-0349.

Newman, Edward. 2022. “COVID-19: A human security analysis.” Global Society 36 (4): 431-454. doi: https://doi.org/10.1080/13600826.2021.2010034

Nurhasanah, Siti, Marthen Napang, and Syaiful Rohman. 2020. “Covid-19 as a non-traditional threat to human security.” Journal of strategic and global studies 3 (1): 54-68. doi: https://doi.org/10.7454/jsgs.v3i1.1028. 

Regulation (EU) 2022/2371 of the European Parliament and of the Council of 23 November 2022 on serious cross-border threats to health and repealing Decision No 1082/2013/EU, OJ L 314, 6.12.2022, p. 26–63. https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32022R2371&from=EN, last accessed 28 February 2023. 

Reiners, Wulf Hannes. 2015. “The Institutionalisation of Infectious Disease Control in the European Union: The Effects of the Securitisation of BSE/TSEs and SARS.” PhD diss. University of Cologne: Faculty of Economics and Social Sciences.

Rubin, Olivier, and Erik Bækkeskov. 2020. “Expert-led securitization: The case of the 2009 pandemic in Denmark and Sweden.” Politics and governance 8 (4): 319-330. doi: https://doi.org/10.17645/pag.v8i4.2982.

Rushton, Simon. 2011. “Global health security: security for whom? Security from what?” Political Studies 59 (4): 779-796. doi: https://doi.org/10.1111/j.1467-9248.2011.00919. 

Šehović, Annamarie B. 2019. “Towards a new definition of health security: a three-part rationale for the twenty-first century.” Global public health 15 (1): 1-12. doi: https://doi.org/10.1080/17441692.2019.1634119. 

Stoetman, Adája. 2021. “European startegic autonomy: seizing the momentum.” Clingendael magazine. Last accessed 28 February 2023. https://www.clingendael.org/publication/european-strategic-autonomy-seizing-momentum. 

Stoeva, Preslava. 2020. “Dimensions of health securitya conceptual analysis.” Global challenges 4 (10): 1-12. doi:  https://doi.org/10.1002/gch2.201700003. 

The Treaty of Lisbon, OJ C 306, 17.12.2007, p. 1-271. http://publications.europa.eu/resource/cellar/688a7a98-3110-4ffe-a6b3-8972d8445325.0007.01/DOC_19,  last accessed 27 February 2023.

Treaty of Amsterdam amending the Treaty on European Union, the Treaties establishing the European Communities and certain related acts, OJ C 340, 10.11.1997, p. 1–144. https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:11997D/TXT&from=EN, last accessed 27 February 2023.

Treaty on European Union [TEU], OJ C 191, 29.7.1992, p. 1–112. https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:11992M/TXT&from=EN, last accessed 27 February 2023.

U.S. National Intelligence Council, Special Report: National Intelligence Estimate: The Global Infectious Disease Threat and Its Implications for the United States, January 2000,  https://www.wilsoncenter.org/sites/default/files/media/documents/publication/Report6-3.pdf,  last accessed 10 February 2023. 

United Nations Development Program [UNDP], Human Development Report, 1994, https://hdr.undp.org/system/files/documents/hdr1994encompletenostatspdf.pdf, last accessed 15 February 2023. 

United Nations Security Council [UNSC], S/RES/1308 (2000), Resolution 1308 (2000) Adopted by the Security Council at its 4172nd meeting, on 17 July 2000, file:///C:/Users/OsobaX/Downloads/S_RES_1308(2000)-EN.pdf, last accessed 10 February 2023.

Waldeck, Benjamin. 2021. “Let me be absolutely clear: this cannot be business as usual-A Case Study of the Securitisation of SARS-CoV-2 in the European Union.”  Bachelor thesis. Malmö University: Faculty of Culture and Society. 

Weir, Lorna, and Eric Mykhalovskiy. 2010. Global public health vigilance: creating a world on alert. New York: Routledge.

Wolff, Sarah, and Stella Ladi. 2020. “European Union responses to the covid-19 pandemic: Adaptability in times of permanent emergency.” Journal of European Integration 42 (8): 1025-1040. doi: https://doi.org/10.1080/07036337.2020.1853120. 

World Health Organisation [WHO], The world health report 2007: a safer future: global public health security in the 21st century, 2007, https://apps.who.int/iris/bitstream/handle/10665/43713/9789241563444_eng.pdf?sequence=1&isAllowed=y, last accessed 24 February 2023. 

Yang, Hai. 2022. “ ‘We are at war’: securitisation, legitimation and COVID-19 pandemic politics in France.” Contemporary Politics, 1-21. doi: https://doi.org/10.1080/13569775.2022.2118426. 

Published
2023/05/10
Section
Scientific papers