Civil–military cooperation in the management of infectious disease outbreaks: a scoping review

Janse, Jacobine; Kalkman, Jori Pascal; Burchell, George L.; Buma, Adriaan Pieter Cornelis Christiaan Hopperus; Zuiderent‐Jerak, Teun; Bollen, Myriame; Timen, Aura

doi:10.1136/bmjgh-2022-009228

Cited by 3 publications

(2 citation statements)

References 66 publications

(231 reference statements)

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“…The dominant perception of health security as a defence against acute health threats openly reflected in high-level political statements about the “war on COVID-19” [ 51 ], is consistent with the (historical) involvement of defence forces in epidemic disease control [ 52 ]. In many countries, the military provided active and highly visible logistical support to the health sector in COVID-19 vaccination campaigns [ 53 ].…”

Section: Blurred Lines Between Hard and Soft Security Practicesmentioning

confidence: 90%

The biomedical securitization of global health

Holst

Pas

2023

Global Health

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Background The COVID-19 outbreak has shifted the course in the global health debate further towards health security and biomedical issues. Even though global health had already played a growing role in the international policy agenda, the pandemic strongly reinforced the interest of the media, the general public and the community in cross-border infectious diseases. This led to a strengthening of the already dominant biomedical understanding of global health and the securitization of health in foreign policy. Methods This paper critically provides a narrative, iterative review of the health security literature available to date, with a special focus on the development of the currently prevailing concept of health security and the dual trend towards the securitization and biomedicalization of global health. Findings In a world increasingly determined by power asymmetries, unequal distribution of opportunities and resources, and inadequate governance structures, securitizing health has become a key feature of global governance. Health security is predominantly based on a concept that neglects the global burden of disease determined by non-communicable conditions rather than by infectious diseases. Moreover, it exhibits a trend towards biomedical solutions and neglects root causes of global health crises. Conclusions As important as health security is, the underlying concept driven by biomedical and technocratic reductionism falls short. It widely neglects the social, economic, political, commercial and environmental determination of health. Beyond improved health care and prevention, health-in-all policies are ultimately required for ensuring health security and reducing one of its main challenges, health inequalities within and between countries. Global health security must first and foremost seek to guarantee the universal right to health and therefore emphasise the social, economic, commercial and political determination of health.

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Section: Blurred Lines Between Hard and Soft Security Practicesmentioning

confidence: 90%

The biomedical securitization of global health

Holst

Pas

2023

Global Health

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“…Recent studies argue that the Covid-19 pandemic has been a pivotal moment in, for instance, global health military practice (e.g. Gibson-Fall 2021, see also Janse et al 2022). 21 This has seemingly led to an upsurge in studies of it, and certain scholars treating it as a new field of civil-military interaction Kalkman 2019).…”

Section: Prerequisites For Civil-military Cooperation In the Internat...mentioning

confidence: 99%

Rethinking Civil-Military Collaboration: A Relational Practice Approach to Total Defense in Sweden

Deiaco

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This thesis stems from the research problem that, despite extolling the validity of relational dependencies for understanding civil-military collaboration, the interdisciplinary scholarship is notably lacking in empirical depth regarding the underlying relational dynamics in actual activities. The aim of the monograph is therefore to explore the underlying relational dynamics of civil-military collaboration. Drawing on Pierre Bourdieu’s relational approach to practice – and more specifically his thinking tools of field, capital and habitus – the thesis provides an empirically rich analysis of how Sweden’s total defense is practiced. By interviewing and observing various practitioners, I analyze how the development and organization of total defense as a field and various sub-fields, the distribution of symbolic, cultural and economic capital, and officials’ (un)shared dispositions, or habitus, reveal various seldom studied underlying relational dynamics of civil-military collaboration. The results indicate that struggles between military and civil crisis management officials organized around the stake of how total defense should be practiced are grounded in two competing logics of practice: one military and one civil crisis management. The study concludes that these logics of practice constitute particular relational dynamics at play, and struggles that shape civil-military collaboration beyond previous research that lists certain established well-known prerequisites for civil-military collaboration. This conclusion can help researchers and practitioners avoid treating the prerequisites for collaboration as merely instrumentalist, while they inherently embody underlying relational dynamics.

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