A disaster diplomacy perspective of acute public health events

Conceptions of acute public health events typically assume that they are tackled exclusively or principally through technical and medical solutions. Yet health and politics are inexorably linked. To better understand this link, this paper adopts a disaster diplomacy perspective for analysing and assessing the impacts of acute public health events on diplomatic outcomes. Two gaps in understanding disaster-health-politics connections are addressed: (i) how health interventions can impact diplomatic endeavours, especially for (ii) acute public health events. Three diverse case studies are interpreted from a disaster diplomacy perspective: Cuba's medical diplomacy, China and Severe Acute Respiratory Syndrome (SARS), and polio vaccination. Disaster diplomacy permits deeper investigation and analysis of connections amongst health, disaster, and diplomatic activities by viewing efforts on acute public health events as being political through disaster risk reduction (beforehand) and disaster response (during and afterwards). Understanding improves how health interventions affect diplomacy and on disaster diplomacy's limitations.

Disasters in conflict areas: finding the politics

Despite some 50 years of research, relatively little is known about how disasters in conflict areas are created and discursively framed, and how information on them is publicly consumed. The emphasis in disaster studies has remained on establishing causal linkages, demonstrating the way in which natural hazard-related disasters result in deepening conflict, or ushering in peace. Furthermore, it has been accepted that disaster risk reduction is the state's responsibility. The strengths and limitations of these approaches are examined prior to a political reimagining of disasters in conflict areas. The absence of 'politics' from the wider debate on disasters in conflict areas is not just a benign oversight, but is in fact the politics of disasters in conflict areas. A politics that does not engage with the processes and outcomes of pursuing dominant agendas, such as neoliberal orthodoxy and state imperial control, in areas and communities vulnerable to natural hazards and political conflict needs to be recognised and challenged.