Biosecurity: Friend or Foe for Public Health Governance?

  • David P. Fidler


The annals of public health record many milestones in the evolution of this area of the governance of human affairs. The development of bacteriology in the late nineteenth and early twentieth centuries represents one of these transformational events that changed the theory and practice of public health forever. Other seminal changes include the emergence of international cooperation on public health in the late nineteenth and early twentieth centuries, the development of antibiotics and vaccines in the mid-twentieth century, and the convergence of public health and the human rights movement in the second half of the twentieth century. This chapter analyzes another transformational moment in public health as a governance activity — the emergence of biosecurity.


Fault Line Protection Intervention International Public Health Policy World Dangerous Pathogen 
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  1. 1.
    Office of Homeland Security, National Strategy for Homeland Security (Washington, DC: The White House, 2002).Google Scholar
  2. 2.
    For discussion, see D.P. Fidler, ‘Public Health and National Security in the Global Age: Infectious Diseases, Bioterrorism, and Realpolitik’, George Washington International Law Review, 35 (2003): 787;Google Scholar
  3. and D.P. Fidler, ‘Fighting the Axis of Illness: HIV/AIDS, Human Rights, and US Foreign Policy’, Harvard Human Rights Journal, 17 (2004): 99.Google Scholar
  4. 3.
    M.K. Kindhauser (ed.), Global Defence Against the Infectious Disease Threat (Geneva: WHO, 2002).Google Scholar
  5. 4.
    J.F. Hutchinson, Champions of Charity: War and the Rise of the Red Cross (Boulder, CO: Westview Press, 1996), p. 126.Google Scholar
  6. 5.
    Medical Museum of the Armed Forces Institute of Pathology, Yellow Fever (Washington, DC: Armed Forces Institute of Pathology, 1964), p. 1. See also Stern, this volume, chapter 7.Google Scholar
  7. 6.
    P.H. Manson-Bahr, History of the School of Tropical Medicine in London (London: Lewis, 1956), p. 31 (observing that, in the late 1890s, British political officials and physicians realized that ‘[i]nstruction in tropical medicine was urgently necessary in this country as it was the centre of a great and growing tropical Empire’).Google Scholar
  8. 7.
    Military efforts to address venereal disease had, for example, consequences for the spread of such diseases in civilian populations. See L.A. Hall, ‘“War Always Brings It On”: War, STDs, the Military, and the Civilian Population in Britain, 1850–1950’ in R. Cooter, M. Harrison and S. Sturdy (eds), Medicine and Modern Warfare (Amsterdam: Rodopi, 1999), p. 205.Google Scholar
  9. 8.
    P.J. Weindling, Epidemics and Genocide in Eastern Europe 1890–1945 (Oxford: Oxford University Press, 2000), pp. 51–2, 58.Google Scholar
  10. 11.
    J. Miller, S. Engelberg and W. Broad, Germs: Biological Weapons and America’s Secret War (New York: Simon & Schuster, 2001), pp. 62–3.Google Scholar
  11. 12.
    E. Fee and T.M. Brown, ‘Preemptive Biopreparedness: Can We Learn Anything from History?’, American Journal of Public Health, 91 (2001): 721.CrossRefGoogle Scholar
  12. 13.
    On the history of these efforts, see N.M. Goodman, International Health Organizations and Their Work, 2nd edn (London: Churchill Livingstone, 1971)Google Scholar
  13. and N. Howard-Jones, The Scientific Background of the International Sanitary Conferences 1851–1938 (Geneva: WHO, 1975).Google Scholar
  14. 14.
    Constitution of the World Health Organization, 22 July 1946, in World Health Organization, Basic Documents 40th edn (Geneva: WHO, 1994), pp. 1–18.Google Scholar
  15. 17.
    See, for example, Institute of Medicine, Microbial Threats to Health: Emergence, Detection, and Response, M.S. Smolinski, M.A. Hamburg and J. Lederberg (eds) (Washington, DC: National Academy Press, 2003).Google Scholar
  16. 18.
    For a seminal analysis of human security, see United Nations Development Programme, Human Development Report 1994 (New York: UNDP, 1994), p. 22.Google Scholar
  17. 19.
    United Nations, Report of the Secretary-General’s High-Level Panel on Threats, Challenges, and Change — A More Secure World: Our Shared Responsibility (New York: UN, 2004).Google Scholar
  18. 23.
    D.P. Fidler, ‘Health as Foreign Policy: Between Power and Principle’, Seton Hall Journal of Diplomacy and International Relations 6 (2005): 179–94.Google Scholar
  19. 26.
    L. Garrett, Betrayal of Trust: The Collapse of Global Public Health (New York: Hyperion, 2000), pp. 584–5.Google Scholar
  20. 27.
    See, for example, E.H. Carr, The Twenty-Years’ Crisis, 1919–1939: An Introduction to the Study of International Relations (London: Macmillan, 1939), pp. 41–62.Google Scholar
  21. 28.
    Trust for America’s Health, Ready or Not? Protecting the Public’s Health in the Age of Bioterrorism (Washington, DC: Trust for America’s Health, 2004).Google Scholar
  22. Chemical and Biological Arms Control Institute, Fighting Bioterrorism: Tracking and Assessing US Government Programs (Washington, DC: CBACI, 2004).Google Scholar
  23. 30.
    The White House, Biodefense for the 21st Century (Washington, DC: The White House, 2004), p. 2.Google Scholar
  24. 31.
    See generally D. Koplow, Smallpox: The Fight to Eradicate a Global Scourge (Berkeley: University of California Press, 2003).Google Scholar
  25. 33.
    See, for example, H.W. Cohen, R.M. Gould and V.W. Sidel, ‘The Pitfalls of Bioterrorism Preparedness: The Anthrax and Smallpox Experiences’, American Journal of Public Health 94 (2004): 1667–71.CrossRefGoogle Scholar
  26. 34.
    L. Goodman, ‘Biodefense Cost and Consequence’, Journal of Clinical Investigation 114 (2004): 2–3.CrossRefGoogle Scholar
  27. 37.
    B. Hirschler, ‘Call for New Manhattan Project to Fight Bioterror’, Reuters, 27 January 2005.Google Scholar

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© David P. Fidler 2007

Authors and Affiliations

  • David P. Fidler

There are no affiliations available

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