Health as a Global Security Challenge

0,37

MB

84

stron

4080

ID

Center for Strategic and International Studies (CSIS)

2004

rok

Contents

Project Team v

Foreword vii

Introduction 1

Global Change and the Spread of Infectious Disease3

The Outcome: Health and Security at Three Intersections.10

Final Observations .12

Chapter 1: At the Macro Level: Health, Instability, and Conflict13

Health, Instability, and Conflict within States13

Health as a Regional and Global Security Consideration21

Final Observations .26

Chapter 2: At the Micro Level: “Community Warfare” 28

Privation 29

Forced Displacement .32

Psychological Campaigns .34

Final Observations .35

Chapter 3: Biological Weapons 36

The Current Challenge 42

The Bioterrorism Threat45

The Implications of Rapidly Advancing Biotechnology47

iv Contagion and Conflict

Chapter 4: How Do We Respond? What Are the Right Questions? . 52

The Challenge of Balance 52

What Can We Do at the Macro Level? 54

What Can We Do at the Micro Level?. 59

For the Key Actors: Promoting Engagement,. 62

Reconciling Tensions, Fostering Cooperation Final Thoughts 64

Chapter 5: Conclusions and Recommendations. 65

Addressing Health Issues Is in the Security Interest of the United States

Appendix: The “Electronic Delphi” Method 68

Overview. 68

Delphi Method Survey History and Methodology. 68

Study Methodology. 70

Emerging Patterns in Delphi Responses. 70

Findings 72