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Legal Preparedness as a Foundation of Global Health Security

Published online by Cambridge University Press:  09 June 2025

Benjamin Mason Meier*
Affiliation:
University of North Carolina at Chapel Hill, Chapel Hill, United States
Ntiense A. Inyang
Affiliation:
University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, United States
Katherine Ginsbach
Affiliation:
Georgetown University O’Neill Institute for National and Global Health Law, Washington, United States
Ana Ayala
Affiliation:
Georgetown University O’Neill Institute for National and Global Health Law, Washington, United States
Sandro Bonfigli
Affiliation:
Italian Ministry of Health, General Directorate for Preventive Health, Italy
Maria Chiara Campisi
Affiliation:
International Development Law Organization https://ror.org/02zjw6262 , Rome, Italy
Emanuele Cesta
Affiliation:
https://ror.org/01ttmqc18 Italian Medicines Agency , Product Quality and Pharmaceutical Crime Counteracting Office, Rome, Italy
Ryan Doerzbacher
Affiliation:
University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, United States
Tina Endericks
Affiliation:
UK Health Security Agency https://ror.org/00vbvha87 , London, United Kingdom
Sam Halabi
Affiliation:
Georgetown University O’Neill Institute for National and Global Health Law, Washington, United States
Soawapak Hinjoy
Affiliation:
https://ror.org/03rn0z073 Ministry of Public Health , Nonthaburi, Thailand
Erin Jones
Affiliation:
University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, United States
Stefania Negri
Affiliation:
University of Salerno Department of Legal Sciences, School of Law, Fisciano, Italy
Sonam K. Shah
Affiliation:
The University of North Carolina at Chapel Hill School of Law, Chapel Hill, United States
*
Corresponding author: Benjamin Mason Meier; Email: bmeier@unc.edu

Abstract

The Global Health Security Agenda (GHSA) provides a foundation in global health law to support legal preparedness across nations. This column examines the legal authorities necessary to meet the objectives of the GHSA Legal Preparedness Action Package and advance national law reforms to prevent, detect, and respond to public health emergencies.

Information

Type
Columns: Global Health Law
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of American Society of Law, Medicine & Ethics

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Footnotes

About This Column Benjamin Mason Meier and Lawrence O. Gostin serve as the section editors for Global Health Law. Professor Meier is a Professor of Global Health Policy at the University of North Carolina at Chapel Hill and a Senior Scholar at the O’Neill Institute for National and Global Health Law. Professor Gostin is University Professor at Georgetown University and the Founding Linda D. & Timothy J. O’Neill Professor of Global Health Law at Georgetown University Law Center and Director of the World Health Organization Collaborating Center on National and Global Health Law. This column features timely analyses and perspectives on law, policy, and justice in global health.

References

Gostin, L.O. et al., “The Legal Determinants of Health: Harnessing the Power of Law for Global Health and Sustainable Development,” Lancet 393, no. 10183 (2019): 18571910, https://doi.org/10.1016/S0140-6736(19)30233-8.Google ScholarPubMed
Gostin, L.O. & Wiley, L.F., Public Health Law: Power, Duty, Restraint (University of California Press 2016); L.O. Gostin & B.M. Meier, Global Health Law & Policy: Ensuring Justice for a Healthier World (Oxford University Press 2023).Google Scholar
Bennett, B., Freckelton, I.R. & Wolf, G., COVID-19, Law and Regulation: Rights, Freedoms, and Obligations in a Pandemic (Oxford University Press 2023); J. Atiles & D. Whyte, “Reproducing Crises: Understanding the Role of Law in the COVID-19 Global Pandemic,” Law & Policy 45, no. 3 (2023): 238–52, https://doi.org/10.1111/lapo.12193; International Federation of Red Cross and Red Crescent Societies, Law and Public Health Emergency Preparedness and Response: Lessons from the COVID-19 Pandemic (2021), https://www.ifrc.org/document/law-and-public-health-emergency-preparedness-and-response-lessons-covid-19-pandemic.CrossRefGoogle Scholar
Ayala, A. et al., “Using Legal Preparedness to Minimize Liability Barriers to Accessing Pandemic Vaccine and Medical Countermeasures,” Bill of Health (Oct. 24, 2022), https://blog.petrieflom.law.harvard.edu/2022/10/24/using-legal-preparedness-to-minimize-liability-barriers-to-accessing-pandemic-vaccine-and-medical-countermeasures/; A. Ayala et al., “Advancing Legal Preparedness Through the Global Health Security Agenda,” Journal of Law, Medicine & Ethics 50, no. 1 (2022): 200–03, https://doi.org/10.1017/jme.2022.34.CrossRefGoogle Scholar
Moulton, A.D. et al., “What Is Public Health Legal Preparedness?,” Journal of Law, Medicine & Ethics 31, no. 4 (2003): 672–83, https://doi.org/10.1111/j.1748-720X.2003.tb00126.x.CrossRefGoogle ScholarPubMed
Meier, B.M. et al., “Global Health Law,” in Public Health Law: Concepts and Case Studies, eds. Ransom, M.M. & Valladares, L.M. (2020).Google Scholar
Marks-Sultan, G. et al., “National Public Health Law: A Role for WHO in Capacity-Building and Promoting Transparency,” Bulletin of the World Health Organization 94, no. 7 (2016): 534–39, https://doi.org/10.2471/BLT.15.164749.CrossRefGoogle Scholar
Meier, See et al., supra note 6Google Scholar
Kyriakidis, A., Zahariadis, N. & Papadopoulos, I., “A Legislation-Based Database for COVID-19 Non-Pharmaceutical Interventions,” International Review Public Policy 4, no. 3 (2022): 356–76; B. Toebes, L. Forman & G. Bartolini, “Toward Human Rights-Consistent Responses to Health Emergencies: What Is the Overlap between Core Right to Health Obligations and Core International Health Regulation Capacities?,” Health & Human Rights 22, no. 2 (2020): 99–111, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762896/.10.4000/irpp.3120CrossRefGoogle Scholar
Maliqi, B. et al., “Prepared Health Systems Provide Quality Care at All Times,” British Medical Journal 380 (2023).Google ScholarPubMed
Hodge, J.G., Dunning, L.T. & Piatt, J.L., “State Public Health Emergency Powers in Response to COVID-19,” American Journal of Public Health 113 (2023): 275–79.10.2105/AJPH.2022.307158CrossRefGoogle ScholarPubMed
Aginam, O., Global Health Governance: International Law and Public Health in a Divided World (University of Toronto Press, 2005).10.3138/9781442675377CrossRefGoogle Scholar
Gostin, L.O., Global Health Law (Harvard University Press, 2014).Google Scholar
Fidler, D.P., International Law and Infectious Diseases (Clarendon Press, 1999).10.1093/oso/9780198268512.001.0001CrossRefGoogle Scholar
Gostin, L.O., & Meier, B.M., “Introducing Global Health Law,” Journal of Law, Medicine & Ethics 47, no. 4 (2019): 788793.10.1177/1073110519897794CrossRefGoogle ScholarPubMed
Gostin, L.O., Habibi, R. & Meier, B.M., “Has Global Health Law Risen to Meet the COVID-19 Challenge? Revisiting the International Health Regulations to Prepare for Future Threats,” Journal of Law, Medicine & Ethics 48, no. 2 (2020): 376–81; World Health Organization, Report of the Review Committee Regarding Amendments to the International Health Regulations (2005) (World Health Organization, 2023).Google ScholarPubMed
Meier, B.M. & Finch, A., “Seventy-Five Years of Global Health Lawmaking under the World Health Organization: Evolving Foundations of Global Health Law through Global Health Governance,” Journal of Global Health Law 1, no 1 (2024): 2649.10.4337/jghl.2024.01.02CrossRefGoogle Scholar
World Health Organization, International Health Regulations (2005).Google Scholar
Ebola: What Lessons for the International Health Regulations, Lancet 384 (9951): 1321 (2014).10.1016/S0140-6736(14)61697-4CrossRefGoogle Scholar
Bell, E. et al., “Joint External Evaluation—Development and Scale-Up of Global Multisectoral Health Capacity Evaluation Process,” Emerging Infectious Diseases 23, Suppl 1: 3339 (2017).10.3201/eid2313.170949CrossRefGoogle ScholarPubMed
World Health Organization, IHR (2005) Monitoring and Evaluation Framework: Joint External Evaluation Tool (World Health Organization, 2018); A.N. Menon, E. Rosenfeld & C.A. Brush, “Law and the JEE: Lessons for IHR Implementation,” Health Security 16, no. S1 (2018): S-11–S-17.Google Scholar
World Health Organization, WHO Joint External Evaluation Tool: International Health Regulations (2005) — Third Edition (World Health Organization 2022).Google Scholar
Phelan, A.L. et al., “Global Health Reform Must Continue amid New Infectious Disease Threats,” British Medical Journal 386 (2024): 1601.10.1136/bmj.q1601CrossRefGoogle ScholarPubMed
Habibi, R., Eccleston-Turner, M., & Burci, G.L., “The 2024 Amendments to the International Health Regulations: A New Era for Global Health Law in Pandemic Preparedness and Response?,” Journal of Law, Medicine & Ethics 53, S1 (2025).10.1017/jme.2025.16CrossRefGoogle Scholar
Meier, B.M., Habibi, R. & Gostin, L.O., “A Global Health Law Trilogy: Transformational Reforms to Strengthen Pandemic Prevention, Preparedness, and Response,” Journal of Law, Medicine & Ethics 50, no. 3 (2022) 625627.Google ScholarPubMed
Harman, S., “Norms Won’t Save You: Ebola and the Norm of Global Health Security,” Global Health Governance 10, no. 1 (2016): 1116.Google Scholar
Burkle, F.M., “Global Health Security Demands a Strong International Health Regulations Treaty and Leadership from a Highly Resourced World Health Organization ,” Disaster Medicine and Public Health Preparedness 9, no. 5 (2015): 568580.10.1017/dmp.2015.26CrossRefGoogle Scholar
Gostin, L.O., “Good Science + Good Ethics = Good Law: Five Rules for Epidemic Preparedness,” The Milbank Quarterly 93, no. 1 (March 2015): 1923.10.1111/1468-0009.12100CrossRefGoogle ScholarPubMed
Meier, B.M. et al., “Examining National Public Health Law to Realize the Global Health Security Agenda,” Medical Law Review 25, no. 2 (2017): 240269.10.1093/medlaw/fwx020CrossRefGoogle ScholarPubMed
Global Health Security Agenda, Legal Preparedness Action Package, available at https://globalhealthsecurityagenda.org/legal-preparedness/.Google Scholar
Ayala, A. et al., “Global Health Security Agenda Legal Preparedness Package,” presentation at Legal Mapping as a Tool for Legal Preparedness: Lessons from Korea, Washington, D.C., United States, March 10, 2023, available at https://oneill.law.georgetown.edu/events/legal-mapping-as-a-tool-for-legal-preparedness-lessons-from-korea/Google Scholar
Global Health Security Agenda, “Action Packages,” available at https://globalhealthsecurityagenda.org/action-packages/.Google Scholar
“Defining Legal Preparedness in the Context of Public Health Emergencies,” Global Health Security Agenda, https://globalhealthsecurityagenda.org/legal-preparedness-2/.Google Scholar
Kavanagh, M.M. et al., “Global Policy Surveillance: Creating and Using Comparative National Data on Health Law and Policy,” American Journal of Public Health 110, no.12 (2020): 18051810.Google ScholarPubMed
Negri, S. et al., “Strengthening Legal Preparedness and Response within the Global Health Emergency Framework: The Role of the GHSA Legal Preparedness Action Package,” Journal of Global Health Law 1, no. 1 (2024) 88105.10.4337/jghl.2024.01.05CrossRefGoogle Scholar
“The New Seoul Declaration on the Global Health Security Agenda,” Global Health Security Agenda, https://globalhealthsecurityagenda.org/the-new-seoul-declaration-on-the-global-health-security-agenda/.Google Scholar
International Development Law Organization, Preventing Pandemics Through the Rule of Law: Strengthening Countries’ Legal Preparedness for Public Health Emergencies (International Development Law Organization, 2023): 2324.Google Scholar
74th World Health Assembly, Strengthening WHO Preparedness for and Response to Health Emergencies (WHA 74.7), May 2021, para. 7.Google Scholar
See 74th World Health Assembly supra note 43: para. 8–9.Google Scholar
Lafond, C. et al., “Policy Evaluation Research: Measuring the Independent Variables. Evaluation Review 24, no. 1 (2000): 92101.10.1177/0193841X0002400104CrossRefGoogle ScholarPubMed
See Kavanagh, supra note 35.Google Scholar