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  1. Article ; Online: The Legal Determinants of Health

    Lawrence O. Gostin

    International Journal of Health Policy and Management, Vol 10, Iss 1, Pp 1-

    How Can We Achieve Universal Health Coverage and What Does it Mean?

    2021  Volume 4

    Abstract: How can we keep people – wherever they live – healthy and safe? Among all global health initiatives, universal health coverage (UHC) has garnered most political attention. But can UHC (as important as it is) actually achieve the two fundamental ... ...

    Abstract How can we keep people – wherever they live – healthy and safe? Among all global health initiatives, universal health coverage (UHC) has garnered most political attention. But can UHC (as important as it is) actually achieve the two fundamental aspirations of the right to health: keeping people healthy and safe, while leaving no one behind? There is a universal longing for health and security, but also a deep-seated belief in fairness and equity. Can UHC achieve both health and equity, or what I have called, “global health with justice?” What makes a population healthy and safe? Certainly, universal and affordable access to healthcare is essential, including clinical prevention, treatment, and essential medicines. But beyond medical care are public health services, including surveillance, clean air, potable water, sanitation, vector control, and tobacco control. The final and most important factor in good health are social determinants, including housing, employment, education, and equity. If we can provide everyone with these three essential conditions for good health (healthcare, public health and social determinants), it would vastly improve global health. But we also need to take measures to leave no one behind. To achieve equity, we need to plan for it, and here I propose national health equity programs of action. Society’s highest obligation is to achieve global health, with justice.
    Keywords universal health coverage ; global health ; public health ; equity ; justice ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Kerman University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Global Health

    Lawrence O. Gostin

    Annals of Global Health, Vol 85, Iss

    Shared Obligations and Mutual Respect

    2019  Volume 1

    Abstract: The commentary provides support for the article “Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health” by Rowthorn et al. Gostin supports the paper’s assertion that anyone participating in health care activities in ... ...

    Abstract The commentary provides support for the article “Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health” by Rowthorn et al. Gostin supports the paper’s assertion that anyone participating in health care activities in any setting (both at home and abroad) must abide by applicable laws and regulations. Engaging in such work without doing so reflects an outdated – and destructive – model of aid that presupposes and imposes an inherently unequal relationship that thwarts the goals and values of global health. He concludes that there can be no double standards and no ethical or legal values that apply in rich nations but not in countries that host health care volunteers.
    Keywords Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher Ubiquity Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Climate Change, Public Health and Human Rights

    Benjamin Mason Meier / Flavia Bustreo / Lawrence O. Gostin

    International Journal of Environmental Research and Public Health, Vol 19, Iss 13744, p

    2022  Volume 13744

    Abstract: Climate change poses a cataclysmic threat to public health and human rights [.] ...

    Abstract Climate change poses a cataclysmic threat to public health and human rights [.]
    Keywords n/a ; Medicine ; R
    Language English
    Publishing date 2022-10-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Mandatory vaccination

    Lawrence O. Gostin

    Israel Journal of Health Policy Research, Vol 7, Iss 1, Pp 1-

    understanding the common good in the midst of the global polio eradication campaign

    2018  Volume 4

    Abstract: Abstract Background The detection of wild poliovirus in Israeli sewage in May 2013 led the health authorities to vaccinate children with OPV (Oral Polio Vaccine). Shelly Kamin-Friedman explored the legal and ethical dimensions of this policy. This ... ...

    Abstract Abstract Background The detection of wild poliovirus in Israeli sewage in May 2013 led the health authorities to vaccinate children with OPV (Oral Polio Vaccine). Shelly Kamin-Friedman explored the legal and ethical dimensions of this policy. This commentary makes three claims: (1) Mandatory vaccination is a valid exercise of the state’s police powers to protect the common good. (2) A disease eradication campaign is a sufficient ground for the exercise of those powers. (3) The state is obliged to use the least restrictive/invasive measure to achieve community-wide vaccine coverage, but need not use less effective measures; further, determining which measure is most effective is a fact-specific determination. Goals This commentary offers grounds to support state powers to protect the public’s health and safety. It shows why governments have both the duty and power to safeguard the collective good. State powers also have limits, whose boundaries are determined by the public health necessity. If the state is reasonably using the least restrictive intervention to achieve an important public health objective, it is well within the limits of its authority. Method The commentary uses legal and ethical norms and evidence to support its conclusions. Main findings and conclusion Governments have a duty and power to achieve population-based vaccine coverage sufficient to stem the spread of infectious diseases, including in isolated geographical areas with high numbers of individuals claiming religious and/or conscientious exemptions to vaccine requirements. Governments are obliged to reasonably seek the least restrictive/invasive measure to achieve valid public health objectives; and governments are not obliged to use less effective measures simply because they are voluntary or less invasive. Finding the most effective, least invasive intervention is fact-specific. The essence of public health law is to recognize the state’s power and duty to safeguard the public’s health and safety, and to establish and enforce limits on ...
    Keywords Polio ; Public health law ; Police powers ; Common good ; Autonomy ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Subject code 340
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: “Big” Food, Tobacco, and Alcohol

    Belinda Reeve / Lawrence O. Gostin

    International Journal of Health Policy and Management, Vol 8, Iss 7, Pp 450-

    Reducing Industry Influence on Noncommunicable Disease Prevention Laws and Policies; Comment on “Addressing NCDs: Challenges From Industry Market Promotion and Interferences”

    2019  Volume 454

    Abstract: The food, tobacco and alcohol industries have penetrated markets in low- and middle-income countries (LMICs), with a significant impact on these countries’ burden of noncommunicable diseases (NCDs). Tangcharoensathien and colleagues describe the ... ...

    Abstract The food, tobacco and alcohol industries have penetrated markets in low- and middle-income countries (LMICs), with a significant impact on these countries’ burden of noncommunicable diseases (NCDs). Tangcharoensathien and colleagues describe the aggressive marketing of unhealthy food, alcohol and tobacco in LMICs, as well as key tactics used by these industries to resist laws and policies designed to reduce behavioural risk factors for NCDs. This commentary expands on the recommendations made by Tangcharoensathien and colleagues for preventing or managing conflicts of interest and reducing undue industry influence on NCD prevention policies and laws, focusing on the needs of LMICs. A growing body of research proposes ways to design voluntary industry initiatives to make them more effective, transparent and accountable, but governments should also consider whether collaboration with health-harming industries is ever appropriate. More fundamentally, mechanisms for identifying, managing and mitigating conflicts of interest and reducing industry influence must be woven into – and supported by – broader governance and regulatory structures at both national and international levels.
    Keywords conflicts of interest ; noncommunicable disease ; law ; policy ; industry influence ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2019-07-01T00:00:00Z
    Publisher Kerman University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: The International Health Regulations (2005), the threat of populism and the COVID-19 pandemic

    Kumanan Wilson / Sam Halabi / Lawrence O. Gostin

    Globalization and Health, Vol 16, Iss 1, Pp 1-

    2020  Volume 4

    Abstract: Abstract The global response to the COVID-19 pandemic has laid bare weaknesses and major challenges in the international approach to managing public health emergencies. Populist sentiment is spreading globally as democratic nations are increasing their ... ...

    Abstract Abstract The global response to the COVID-19 pandemic has laid bare weaknesses and major challenges in the international approach to managing public health emergencies. Populist sentiment is spreading globally as democratic nations are increasing their support for or electing governments that are perceived to represent “traditional” native interests. Measures need to be taken to proactively address populist sentiment when reviewing the IHR (2005) effectiveness in the COVID-19 pandemic. We discuss how populism can impact the IHR (2005) and conversely how the IHR (2005) may be able to address populist concerns if the global community commits to helping states address public health threats that emerge within their borders.
    Keywords Health policy ; International health ; Populism ; Public aspects of medicine ; RA1-1270 ; covid19
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Tuberculosis, human rights, and law reform

    Matthew M Kavanagh / Lawrence O Gostin / John Stephens

    PLoS Medicine, Vol 17, Iss 10, p e

    Addressing the lack of progress in the global tuberculosis response.

    2020  Volume 1003324

    Abstract: Mathew Kavanagh and co-authors discuss law reform in the global tuberculosis response. ...

    Abstract Mathew Kavanagh and co-authors discuss law reform in the global tuberculosis response.
    Keywords Medicine ; R
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: A critical juncture for human rights in global health

    Benjamin Mason Meier / Luciano Bottini Filho / Judith Bueno de Mesquita / Roojin Habibi / Sharifah Sekalala / Lawrence O. Gostin

    PLOS Global Public Health, Vol 3, Iss

    Strengthening human rights through global health law reforms

    2023  Volume 12

    Keywords Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Human Rights for Health across the United Nations

    Benjamin Mason Meier / Lawrence O. Gostin

    Health and Human Rights, Vol 21, Iss 2, Pp 199-

    2019  Volume 204

    Keywords Public aspects of medicine ; RA1-1270 ; Social history and conditions. Social problems. Social reform ; HN1-995
    Language English
    Publishing date 2019-12-01T00:00:00Z
    Publisher Harvard FXB Center for Health and Human Rights
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Tapping the Power of Soda Taxes

    Sarah A. Roache / Lawrence O. Gostin

    International Journal of Health Policy and Management, Vol 7, Iss 7, Pp 674-

    A Call for Multidisciplinary Research and Broad-Based Advocacy Coalitions – A Response to the Recent Commentaries

    2018  Volume 676

    Keywords Global Health Law ; Public Health Law ; Soda Taxes ; Sugar-Sweetened Beverage Taxes ; Diet-Related Diseases ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2018-07-01T00:00:00Z
    Publisher Kerman University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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