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Political discourse, military and securitization of health nexus: contemporary security challenges and the military role in public health security

Вања Роквић
Владимир В. Ајзенхамер

Сажетак

The purpose of this paper is to provide answers to the questions why health is viewed through the lens of national and international security, and what might be the potential role of the armed forces in strategic response to health security challenges. Relying on theoretical settings of Foucault’s discourse studies and securitization concept developed by the Copenhagen School of security studies, authors will try to illuminate the nexus between political discourse, military and securitization of health. The analysis of the political and academic discourse has found that with regard to security the most important health challenges are considered the occurrence and spread of infectious diseases, especially HIV/AIDS, and the ability to make use of biological agents as weapons. As the most important reasons why health is viewed through the lens of security are considered to be major economic losses incurred due to health crises, high mortality rates, migration, the impact of health crises on the armed forces and peacekeeping operations. The paper concluded that the armed forces play a role in the public health security through monitoring and early warning, through epidemiological and laboratory opportunities for early detection of new epidemics or pathogens, as well as through providing assistance after major natural disasters. The paper analyzes the public health and security in the Republic of Serbia, and it was concluded that it is necessary to undertake more efforts in recognizing health as a field of national security, and health risks as the risks of security.

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Референце

    • Altman, D. (2003) „AIDS and Security”.  International Relations, 17(4): 417-427
    • Ambrosio, T. (2006) “The geopolitics of demographic decay: HIV/AIDS and Russia’s great-power status”. Post-Soviet Affairs, 22(1): 1-23
    • Balzacq, T. ed. (2011) Securitization Theory: How Security Problems Emerge and Dissolve, London and New York: Routledge.
    • Beck, U. (2006)”Living in the world risk society”. Economy and Society, 35 (3): 329-345
    • Burgess, P. J. (ed.) (2010) The Routledge Handbook of New Security Studies. London & New York: Routledge.
    • Buzan, B., Waever, O., de Wilde, J. (1998) Security: A New Framework for Analysis, Lynne Rienner Publishers, Inc.: Boulder and London.
    • Cabinet Office (2015) National Risk Register of Civil Emergencies 2015 Edition, [online]. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/419549/20150331_2015-NRR-WA_Final.pdf [accessed 11 December 2016].
    • Cavelty, M.D., Mauer, V. (eds.) (2010) The Routledge Handbook of Security Studies. London and New York: Routledge.
    • Davies, S. E. (2008) Securitizing Infectious Disease. International Affairs. 84(2): 295-313.
    • Elbe, S. (2002) “HIV/AIDS and the Changing Landscape of War in Africa”. International Security, 27 (2): 159-177.
    • Elbe, S. (2005). “AIDS, Security, Biopolitics”. International Relations, 19(4): 403–419.
    • Elbe, S. (2010) Security and Global Health, Cambridge: Polity Press.
    • Ejdus, F. (2012) Međunarodna bezbednost – teorije, sektori i nivoi, Beograd: JP Službeni glasnik i Beogradski centar za bezbednosnu politiku.
    • Feldbaum, H., Lee, K., Patel, P. (2006) “The National Security Implications of HIV/AIDS”. Plos Medicine, 3(6): 774–778.
    • Ferguson, D. (2015) Migrants may bring epidemics, warns Polish president, RawStory , [online]. Available at:
    • https://www.rawstory.com/2015/10/migrants-may-bring-epidemics-warns-conservative-polish-president/ [accessed on February 13 2017]
    • Fidler, D. (2003)  “Public Health and National Security in the Global Age: Infectious Diseases, Bioterrorism, and Realpolitik”, Articles by Maurer Faculty Paper, 416: 787-856.
    • Fidler, D. P. (2005) “Health as Foreign Policy: Between Principle and Power”. Whitehead Journal of Diplomacy and International Relations, 6(2): 179–194.
    • Fouire, P. (2014) “AIDS and Security in the Twenty-First Century”. In:  Kirton, J. et al. (eds.)   Moving Health Sovereignty in Africa: Disease, Governance, Climate Change. Farnham:  Ashgate Publishing Limited. p.43.
    • Frangoul, A. (2014) Counting the costs of a global epidemic, [online]. Available at:
    • http://www.cnbc.com/2014/02/05/counting-the-costs-of-a-global-epidemic.html[accessed on 21Jun  2019]
    • Fuko, M. (2019)  Poredak diskursa, drugo i dopunjeno izdanje, Beograd: Karpos.
    • Fuko, M. (1998) Arheologija znanja, Beograd: Plato.
    • Homeland Security Council (2005) National Strategy for Pandemic Influenza, [online]. Available at: https://www.cdc.gov/flu/pandemic-resources/pdf/pandemic-influenza-strategy-2005.pdf [accessed on 01 December 2016].
    • Hughes, C. W., Meng, L. Y. (2011) Security Studies: A Reader.  London and New York: Routledge.
    • Institut za Javno zdravlje Srbije „Dr Milan Jovanović Batut“ (2016a)  Infоrmаciја о акtuеlnој еpidеmiоlоšкој situаciјi grоznicе Zаpаdnоg Nilа nа tеritоriјi Rеpubliке Srbiје u 2016. Gоdini [online]. Available at: http://www.batut.org.rs/index.php?content=1443 [accessed on 12 July 2019].
    • Institut za Javno zdravlje Srbije „Dr Milan Jovanović Batut“ (2016b) Svetski AIDS dan: „Testiranje је u mоdi. Tеstirај sе nа HIV!” [online]. Available at: http://www.batut.org.rs/index.php?content=1490[accessed on 21 July 2019].
    • Institut za Javno zdravlje Srbije „Dr Milan Jovanović Batut“ (2016c) Uputstvo za nadzor, prevenciju i kontrolu malarije, posebno u populaciji migranata, na teritoriji Republike Srbije, 2016. godine, [online]. Available at:
    •  http://www.batut.org.rs/download/aktuelno/uputstvoMalarija.pdf [accessed on 21 July 2019].
    • Institut za Javno zdravlje Srbije „Dr Milan Jovanović Batut“ (2018)  Еpidеmiоlоšка situаciја grоznicе Zаpаdnоg Nilа u Srbiјi dо 28.8.2018., [online]. Available at:
    • http://www.batut.org.rs/index.php?content=1763 [accessed on 09 August 2019]
    • Jeftić, Z., Rokvić, V., Ristanović, E. (2015) “The Role of the Serbian Armed Forces in Humanitarian Health Action and Against Biological Threats”. The Review of International Affairs, LXVI (1157): 74 – 85.
    • Kamradt-Scott, A., McInnes, C. (2012) “The securitization of pandemic influenza: Framing, security and public policy”. Global Public Health, 7(2): 95-110.
    • Kellman, B. (2010) “Emerging dangers of biological weapons”. In:  in Cavelty, M.D., Mauer, V. (eds.), The Routledge Handbook of Security Studies,  London and New York: Routledge. pp 232-243.
    • Lean, G. (2005) Bird flu ‘as grave a threat as terrorism’, The Independent, [online]. Available at: http://www.independent.co.uk/environment/birdflu-as-grave-a-threat-as-terrorism-496608.html [accessed on 30 November 2016].
    • Levin, J. (2006) HIV/AIDS at the G8 Summit, [online]. Available at:  http://natap.org/2006/HIV/071806_03.htm [accessed on 10 January 2017].
    • Licina, D. (2006) “The Military Sector’s Role in Global Health: Historical Context and Future Direction”. Global Health Governance, VI (1).
    • Makinis, K. (2012) “Zdravlje”. U: Vilijams, P. (ur.) Uvod u studije bezbednosti, Beograd: Fakultet bezbednosti i JP Službeni glasnik. str.358-377.
    • Maclean, S.J. (2008) “Microbes, Mad Cows and Militaries: Exploring the Links between Health and Security”. Security Dialogue 39(5): 475–494.
    • McInnes, C.(2014) “The many meanings of health security”. In: Rushton, S., Youde, J. (eds.) Routledge Handbook of Global Health Security, London & New York: Routledge.
    • Mils, S. (2019) “Šta je diskurs?“. In: Fuko, M. Poredak diskursa, drugo i dopunjeno izdanje, Beograd: Karpos, pp. 49-64.
    • NATO (2002) AJP-4.10, Allied Joint Medical Support Doctrine, [online].  Available at: http://www.shape.nato.int/resources/site6362/medica-secure/publications/ajp-4.10(a).pdf [accessed on 11 December 2016].
    • National Security Strategy of the Republic of Serbia (2009), [online]. Available at: http://www.voa.mod.gov.rs/documents/national-security-strategy-of-the-republic-of-serbia.pdf [accessed on 11 December 2016].
    • Neal, AW. (2009) “Securitization and Risk at the EU Border: The Origins of FRONTEX”, Jornal of Common Market Studies,  47: 333-356.
    • O’Manique, C., Fouire, P. (2010) “Security and health in the twenty-first century”. In: Cavelty, M.D., Mauer, V. (eds.) The Routledge Handbook of Security Studies. London and New York: Routledge. pp. 243-255.
    • Peoples, C., Vaughan-Williams, N. (eds.) (2015) Critical Security Studies An introduction, 2ndedition, Oxon: Routledge.
    • Price-Smith, A. T. (2002)  The Health of Nations: Infectious Disease, Environmental Change, and Their Effects on National Security and Development, Cambridge: MIT Press.
    • Rokvić, V., Jeftić Z. (2015) “Health issues as security issues”. Vojno delo, 6: 53-69.
    • Rokvić, V. (2016) “Sekuritizacija zdravlja: da li je javno zdravlje pitanje nacionalne bezbednosti u Republici Srbiji”. Međunarodni problemi, 2-3:225-241.
    • Rokvic, V., Jeftic, Z., Ajzenhamer, V. (2016) “ Public health in Serbia through the lens of security”.  IJPH 45(9): 1136-1145.
    • Rushton, S.  (2011) “Global Health Security: Security for Whom? Security from What?”. Political Studies, 59(4): 779-796.
    • Scholz, N. (2016) The public health dimension of the European migrant crisis, European Parliamentary Research Service, [online]. Available at: http://www.europarl.europa.eu/RegData/etudes/BRIE/2016/573908/EPRS_BRI(2016)573908_EN.pdf [accessed on 02 December 2016].
    • Schröder, S. (2015) Securitizing Communicable Disease,  A case study of discursive threat-construction during the 2014 Ebola epidemic, [online]. Available at: https://dspace.mah.se/bitstream/handle/2043/20178/PACS_BA_Thesis_SophiaS2015.pdf?sequence=2 [accessed on 03 December 2016].
    • Security Council 4087th Meeting (2000) The impact of AIDS on peace and security in Africa, [online]. Available at: http://www.securitycouncilreport.org/atf/cf/%7B65BFCF9B-6D27-4E9C-8CD3-CF6E4FF96FF9%7D/CC%20SPV%204087.pdf) [accessed 28 November 2016].
    • Singer, P. (2002) “AIDS and International Security”. Survival, 44(1):145–158.
    • Sjöstedt, R. (2008). “Exploring the Construction of Threats: The Securitization of HIV/AIDS in Russia”. Security Dialogue, 39(1): 7–29.
    • Stanarević, S. (2019) Osnovi bezbednosti, Beograd: Univerzitet u Beogradu – Fakultet bezbednosti.
    • Sueker, J. et al. (2010) “Influenza and respiratory disease surveillance: the US military’s global laboratory-based network”. Influenza and Other Respiratory Viruses, 4(3): 155–161.
    • Taylor, I. (2015) China’s Response to the Ebola Virus Disease in West Africa, The Round Table, [online].Available at:  http://www.tandfonline.com/doi/pdf/10.1080/00358533.2015.1005362 [accessed on 01 December 2016].
    • The White House (2015) National Security Strategy, [online]. Available at: http://www.whitehouse.gov/sites/default/files/docs/2015_national_security_strategy.pdf [accessed on 26 November 2016].
    • The U.S. National Intelligence Council (2000) The Global Infectious Disease Threat and Its Implications for the United States, [online].  Available at: https://www.dni.gov/files/documents/infectiousdiseases_2000.pdf [accessed 16 November 2016].
    • The U.S. National Intelligence Council (2008) Strategic Implications of Global Health, [online]. Available at: http://www.state.gov/documents/organization/113592.pdf [accessed on 29 November 2016].
    • The Kremlin (2006) Opening Remarks at State Council Presidium Meeting on Urgent Measures to Combat the Spread of HIV-   AIDS in the Russian Federation, [online]. Available at: http://en.kremlin.ru/events/president/transcripts/23547 [accessed on 16 December 2016].
    • The World Bank (2016) Annual Report 2016, [online]. Available at: http://www.worldbank.org/en/about/annual-report [accessed on 03 December 2016].
    • The US Department of State (1995)
    • The World Bank (2017) Pandemic Preparedness and Health Systems Strengthening Pandemics, which are large disease outbreaks that affect several countries, pose major health, social, and economic risk, [online]. Available at: https://www.worldbank.org/en/topic/pandemics
    • UNAIDS (1998) AIDS and the military: UNAIDS Point of View, [online]. Available at:  http://www.unaids.org/sites/default/files/media_asset/militarypv_en_0.pdf  [accessed on 28 November 2016].
    • United States Department of State (1992) The Global AIDS Disaster: Implications for the 1990s, [online].  Available at: http://www-tc.pbs.org/wgbh/pages/frontline/aids/docs/statedept.pdf [accessed on 22 November 2016].
    • United States Department of State (1995) United States International Strategy on HIV/AIDS. Washington, DC: Department of State Publication. p.40.
    • UN Security Council Resolution 2177 (2014) [online]. Available at: http://www.ifrc.org/docs/IDRL/UN%20SC%20Res.pdf  [accessed on 28 November 2016].
    • Vilijams, P. (ur.) (2012) Uvod u studije bezbednosti. Beograd: Fakultet bezbednosti i JP Službeni glasnik.
    • Van Dijk, D. (2006) “Is the EU policy on illegal immigration securitized? Yes Of Course! A study into the dynamics of institutionalized securitization”, Paper presented at the 3rd Pan-European Conference on EU Politics, Istanbul, September 21-23.
    • Vuković, M. (2004) „Analiza političkog diskrsa“ in Perović, S. (eds.), Analiza diskursa: Teorije i metode, Podgorica: Institut za strane jezike, Univerzitet Crne Gore. pp. 213-248.
    • Watterson, C., Kamradt-Scott, A. (2016) “ Fighting Flu: Securitization and the Military Role in Combating Influenza”.  Armed Forces & Society, 42(1): 145-168.
    • Wilson, J. (1995) “Political Discourse”. In: Schiffrin, D., Tannen, D., Hamilton, H. E. (eds.), The Handbook of Discourse Analysis, Oxford: Blackwell Publishers Ltd. pp. 398-415.
    • Weaver, O. (1995) “Securitization and Desecuritization” in Lipschutz , R.,D. (ed.), On security, New York: Columbia University Press, [online]. Available at: https://www.libraryofsocialscience.com/assets/pdf/Waever-Securitization.pdf  [28.07.2019.]
    • WHO Global Health Observatory Data (2019). Summary of the global HIV epidemic (2018) [online]. Available at: http://www.who.int/gho/hiv/en/ [accessed on 25 November 2016].
    • WHO (2013) Military health services have a major role in supporting public health under IHR, [online]. Available at:  http://www.euro.who.int/en/health-topics/emergencies/international-health-regulations/news/news/2013/0/military-health-services-have-a-major-role-in-supporting-public-health-under-ihr [accessed on 25 November 2016].
    • World Health Organization (2017) Up to 650 000 people die of respiratory diseases linked to seasonal flu each year, [online]. Available at:  https://www.who.int/mediacentre/news/statements/2017/flu/en/ [accessed on 25 November 2016].
    • Институт за јавно здравље Србије “Др Милан Јовановић Батут” (2016)  Извештај о заразним болестима у Републици Србији за 2015. годину, [online]. http://www.batut.org.rs/download/izvestaji/Zarazne%20bolesti%20godisnji%20izvestaj%202015.pdf [accessed on 16 December 2016].
    • Влада РС (2014)  Извештај о елементарној непогоди – поплави која је задесила Републику Србију и мерама које су предузете ради спасавања становништва и одбране угрожених места од полава , [online]. Available at: 2http://www.parlament.gov.rs/upload/archive/files/cir/pdf/akta_procedura/2014/2220-14.pdf [accessed on 13 December 2016].
    • Указ Пресидента Российской Федерации о Стратегии национальной безопасности Российской Федерации (2015) [online]. Available at: http://static.kremlin.ru/media/events/files/ru/l8iXkR8XLAtxeilX7JK3XXy6Y0AsHD5v.pdf [accessed 11 December 2016].
периодика Српска политичка мисао 4/2019 4/2019 UDC 614:355.02 45-75
https://doi.org/10.22182/spm.6642019.3
Линк ка издању часописа Српска политичка мисао - 4/2019