Global health (security), immigration governance and Covid-19 in South(ern) Africa: An evolving research agenda.

Global health (security), immigration governance and Covid-19 in South(ern) Africa: An evolving research agenda.
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DOI:
10.1016/j.jmh.2021.100040
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发表时间:
2021
影响因子:
4.6
通讯作者:
Maple N
Maple N
中科院分区:
其他
文献类型:
--
作者:
Vearey J;de Gruchy T;Maple N

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Covid-19大流行清楚地提醒人们,与移民和卫生领域相关的政治紧张局势,凸显了民族主义、种族主义和仇外心理在决定传染病应对措施方面发挥的核心作用。全球卫生、移民治理和全球卫生安全议程的模糊性早已被人们认识到。然而,迫切需要更好地了解影响这些纠葛的政治因素,特别是在低收入和中等收入国家应对 Covid-19 的背景下。这包括但不限于围绕针对 Covid-19 的包容性社会、政治和医疗应对措施的直接担忧;疫苗民族主义——全球和国家层面;并呼吁“疫苗护照”。为此,我们利用南部非洲发展共同体 (SADC) 的背景——人口流动程度高、传染病负担重——来探索应对 Covid-19 的措施。我们解析了围绕移民管理的紧张局势,以及主权如何影响建立区域性、协调一致的移民和健康应对措施的尝试,并考虑这如何影响全球健康目标的进展。我们最初以南非为重点,在之前探索全球卫生、移民治理和南共体全球卫生安全议程模糊性的工作基础上,并借鉴了该地区正在进行的移民和卫生治理研究。这包括探索移民和 Covid-19 的当前和不断发展的研究,该研究于 2020 年 3 月在南部非洲发现第一例 Covid-19 病例时启动。这些发现的目的是促进一个新的、不断发展的研究议程,为在全球不平等程度最高的地区制定和实施适当的流行病应对措施提供信息。为此,不断发展的研究议程应满足当前的需求。我们建议,在南部非洲发展共同体,优先研究应侧重于提高我们对以下方面的理解:(1) 在 Covid-19 背景下影响移民与卫生治理结构之间联系(脱节)的政治因素,以及如何在大流行背景下克服这些因素; (2) “疫苗护照”制度对南部非洲发展共同体地区内外人员流动的动机和影响。这需要一个反应性的、跨学科的区域研究网络。在研究资金越来越难以获得的背景下,这需要创新、非正式的协作参与。
The Covid-19 pandemic provides a stark reminder of the political tensions associated with the field of immigration and health, highlighting the central role that nationalism, racism and xenophobia play in determining responses to communicable diseases. The blurring of global health, immigration governance, and the global health security agendas has long been recognised. However, an improved understanding of the politics influencing these entanglements, specifically within the context of the Covid-19 response in low- and middle-income country contexts, is urgently needed. This includes – but is not limited to – the immediate concerns surrounding inclusive social, political and medical responses to Covid-19; vaccine nationalism – at both global and national levels; and calls for ‘vaccine passports’. To this end, we draw on the Southern African Development Community (SADC) context – one associated with high levels of diverse population movements and a large burden of communicable diseases – to explore responses to Covid-19. We unpack tensions surrounding the management of migration and the ways in which sovereignty impacts attempts at building regional, coordinated responses to migration and health, and consider how this affects progress towards global health targets. With an initial focus on South Africa, we build on previous work exploring the blurring of global health, immigration governance, and the global health security agendas in SADC, and draw from ongoing research on the governance of migration and health within the region. This includes current and evolving research exploring migration and Covid-19, initiated in March 2020 when the first cases of Covid-19 were identified in Southern Africa. The aim is for these findings to catalyse a new and evolving researh agenda to inform the development and implementation of appropriate pandemic responses in a region associated with some of the highest levels of inequality globally. To this end, an evolving research agenda should be responsive to current needs. We suggest that, in SADC, priority research should focus on improving our understanding of (1) the political factors influencing the (dis)connections between migration and health governance structures in the context of Covid-19, and how to overcome these in the context of a pandemic; and (2) the motivations for and implications of a ‘vaccine passport’ system on movement within and beyond the SADC region. This requires a reactive, cross-disciplinary, regional research network. In a context where funding for research is increasingly inaccessible, this requires innovative, informal, collaborative engagement.
DOI: 10.7196/samj.2020.v110i11.15286
发表时间: 2020-11-01
期刊: SAMJ: South African Medical Journal
影响因子: --
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DOI: 10.1080/01419870.2020.1851382
发表时间: 2020-12-31
影响因子: 2.5
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