Stefan Elbe - Academia.edu (original) (raw)

Papers by Stefan Elbe

European Journal of International Relations, 2021

Global health emergencies – like COVID-19 – pose major and recurring threats in the 21st century.... more Global health emergencies – like COVID-19 – pose major and recurring threats in the 21st century. Now societies can be better protected against such harrowing outbreaks by analysing the detailed genetic sequence data of new pathogens. Why, then, is this valuable epistemic resource frequently withheld by stakeholders – hamstringing the international response and potentially putting lives at risk? This article initiates the social scientific study of bioinformational diplomacy, that is, the emerging field of tensions, sensitivities, practices and enabling instruments surrounding the timely international exchange of bioinformation about global health emergencies. The article genealogically locates this nascent field at the intersection of molecularised life, informationalised biology and securitised health. It investigates the deeper political, economic and scientific problematisations that are engendering this burgeoning field. It finally analyses the emergent international instrument...

BMJ Open

IntroductionPrivate sector provision of HIV treatment is increasing in low-income and middle-inco... more IntroductionPrivate sector provision of HIV treatment is increasing in low-income and middle-income countries (LMIC). However, there is limited documentation of its outcomes. This protocol reports a proposed systematic review that will synthesise clinical outcomes of private sector HIV treatment in LMIC.Methods and analysisThis review will be conducted in accordance with the preferred reporting items for systematic review and meta-analyses protocols. Primary outcomes will include: (1) proportion of eligible patients initiating antiretroviral therapy (ART); (2) proportion of those on ART with <1000 copies/mL; (3) rate of all-cause mortality among ART recipients. Secondary outcomes will include: (1) proportion receiving Pneumocystis jiroveci pneumonia prophylaxis; (2) proportion with >90% ART adherence (based on any measure reported); (3) proportion screened for non-communicable diseases (specifically cervical cancer, diabetes, hypertension and mental ill health); (iv) proportio...

Review of International Political Economy

European Journal of International Security

This article advances a new account of security as an intensely relational and ontologically enta... more This article advances a new account of security as an intensely relational and ontologically entangled phenomenon that does not exist prior to, nor independently of, its intra-action with other phenomena and agencies. Security's ‘entanglement’ is demonstrated through an analysis of the protracted security concerns engendered by ‘dangerous’ scientific experiments performed with lethal H5N1 flu viruses. Utilising methodological approaches recently developed in the field of Science and Technology Studies (STS), the article explicates the intensely ‘co-productive’ dynamics at play between security and science in those experiments, and which ultimately reveal security to be a deeply relational phenomenon continuously emerging out of its engagement with other agencies. Recovering this deeper ontological entanglement, the article argues, necessitates a different approach to the study of security that does not commence by fixing the meaning and boundaries of security in advance. Rather,...

Political Studies

How is the rise of global health security transforming contemporary practices of security? To dat... more How is the rise of global health security transforming contemporary practices of security? To date the literature on global health security has sought to trace how the securitisation of global health is affecting the governance of diseases in the international system; yet no-one has analysed-conversely-how the practices of security also begin subtly to change when they become concerned with a growing number of contemporary health issues. This article identifies three such changes. First, health security debates endow our understandings of security and insecurity in contemporary world politics with an important medical dimension. Second, the rise of global health security enables a range of medical and public health experts to play a greater role in the formulation and analysis of contemporary security policy. Finally, health security debates have also encouraged attempts to secure populations through recourse to a growing array of pharmacological interventions and new medical countermeasures. Drawing upon a rich literature in medical sociology, these three transformations in the contemporary practice of security collectively constitute the 'medicalisation of security'. This novel perspective on the rise of global health security also reveals new limitations inherent in the emerging health-security interface-limitations associated not so much with the processes of 'securitisation' already noted in the global health literature, but rather with wider social processes of 'medicalisation'. Awareness of the additional limitations renders the threat of a future pandemic even more serious than is commonly thought.

Review of International Studies

Pharmaceuticals are now critical to the security of populations. Antivirals, antibiotics, next-ge... more Pharmaceuticals are now critical to the security of populations. Antivirals, antibiotics, next-generation vaccines, and antitoxins are just some of the new ‘medical countermeasures’ that governments are stockpiling in order to defend their populations against the threat of pandemics and bioterrorism. How has security policy come to be so deeply imbricated with pharmaceutical logics and solutions? This article captures, maps, and analyses the ‘pharmaceuticalisation’ of security. Through an in-depth analysis of the prominent antiviral medication Tamiflu, it shows that this pharmaceutical turn in security policy is intimately bound up with the rise of a molecular vision of life promulgated by the biomedical sciences. Caught in the crosshairs of powerful commercial, political, and regulatory pressures, governments are embracing a molecular biomedicine promising to secure populations pharmaceutically in the twenty-first century. If that is true, then the established disciplinary view of ...

Sociological Research Online

... However, increased population movements, whether through tourism or migration or as a result ... more ... However, increased population movements, whether through tourism or migration or as a result of disasters; growth in international trade in food ... understanding of security might also be affected or shaped by this 'marriage' to a growing set of global health and medical issues ...

Global Challenges

The international sharing of virus data is critical for protecting populations against lethal inf... more The international sharing of virus data is critical for protecting populations against lethal infectious disease outbreaks. Scientists must rapidly share information to assess the nature of the threat and develop new medical countermeasures. Governments need the data to trace the extent of the outbreak, initiate public health responses, and coordinate access to medicines and vaccines. Recent outbreaks suggest, however, that the sharing of such data cannot be taken for granted – making the timely international exchange of virus data a vital global challenge. This article undertakes the first analysis of the Global Initiative on Sharing All Influenza Data as an innovative policy effort to promote the international sharing of genetic and associated influenza virus data. Based on more than 20 semi-structured interviews conducted with key informants in the international community, coupled with analysis of a wide range of primary and secondary sources, the article finds that the Global Initiative on Sharing All Influenza Data contributes to global health in at least five ways: (1) collating the most complete repository of high-quality influenza data in the world; (2) facilitating the rapid sharing of potentially pandemic virus information during recent outbreaks; (3) supporting the World Health Organization's biannual seasonal flu vaccine strain selection process; (4) developing informal mechanisms for conflict resolution around the sharing of virus data; and (5) building greater trust with several countries key to global pandemic preparedness.

The Adelphi Papers

... According to Deputy Defence Minister Nozizwe Madlala-Routledge, HIV/AIDS poses a threat not o... more ... According to Deputy Defence Minister Nozizwe Madlala-Routledge, HIV/AIDS poses a threat not only to peace and security in South Africa, but for Africa at large: 'South Africa must be able to fulfil its obligations toward its people as well as the international community', and this ...

Politics Trove

This chapter examines the impact of health on security. It first considers how health and human s... more This chapter examines the impact of health on security. It first considers how health and human security are connected via diseases such as HIV/AIDS, malaria, and tuberculosis. In particular, it looks at health security, economic security, and food security. It then describes some recently emerging infectious diseases, such as SARS, influenza pandemic, and Ebola, that are now also recognized as threats to national security. It also discusses diseases that are known to pose narrower threats to bio-security within the context of international efforts to combat terrorism, focusing on disease-causing biological agents such as anthrax, smallpox, and plague. The chapter concludes by contrasting two different ways in which the health–security nexus can be understood. Two case studies are presented, one relating to the impact of HIV/AIDS on the South African National Defence Force, and the other relating to the Aum Shinrikyo cult’s Sarin nerve gas attacks in Tokyo.

Security Dialogue, 2017

How do algorithms shape the imaginary and practice of security? Does their proliferation point to... more How do algorithms shape the imaginary and practice of security? Does their proliferation point to a shift in the political rationality of security? If so, what is the nature and extent of that shift? This article argues that efforts to strengthen global health security are major drivers in the development and proliferation of new algorithmic security technologies. In response to a seeming epidemic of potentially lethal infectious disease outbreaks – including HIV/AIDS, Severe Acute Respiratory Syndrome (SARS), pandemic flu, Middle East Respiratory Syndrome (MERS), Ebola and Zika – governments and international organizations are now using several next-generation syndromic surveillance systems to rapidly detect new outbreaks globally. This article analyses the origins, design and function of three such internet-based surveillance systems: (1) the Program for Monitoring Emerging Diseases, (2) the Global Public Health Intelligence Network and (3) HealthMap. The article shows how each ne...

Third World Quarterly, 2016

Roemer-Mahler, Anne and Elbe, Stefan (2016) The race for Ebola drugs: pharmaceuticals, security a... more Roemer-Mahler, Anne and Elbe, Stefan (2016) The race for Ebola drugs: pharmaceuticals, security and global health governance. Third World Quarterly, 37 (3). pp. 487-506.

Adelphi Papers, Feb 2, 2010