A tale of two U.S. Global health security futures—withdraw or evolve?

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2025-06-19 DOI:10.1016/j.vaccine.2025.127399

Nahid Bhadelia , Craig Spencer , Elizabeth Cameron

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引用次数: 0

Abstract

Rapid detection and response to biological threats are critical to global health security. For decades, the United States has played a leading role in international outbreak response. However, recent U.S. policy shifts, including deep cuts to global health programs, reductions in personnel, and withdrawal from key institutions like the World Health Organization, are weakening disease detection and response systems worldwide. These actions threaten outbreak preparedness, data sharing, research collaboration, and frontline response capabilities, increasing the risk of uncontrolled epidemics with potentially catastrophic consequences.

Diminished U.S. engagement in global health security has created a critical void, weakening disease surveillance, biosecurity, biosafety, outbreak control, and the development and distribution of medical countermeasures. The erosion of American leadership undermines global capacity to detect and respond to emerging threats, increasing the risk of epidemics and pandemics. Rather than retreating, the United States must sustain and strengthen its global health programs, integrating efforts to enhance efficiency and effectiveness, to safeguard both international stability and American pandemic preparedness.

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美国全球卫生安全的两个未来——退出还是发展？

快速发现和应对生物威胁对全球卫生安全至关重要。几十年来，美国在应对国际疫情方面发挥了主导作用。然而，美国最近的政策转变，包括对全球卫生项目的大幅削减，人员的减少，以及从世界卫生组织等关键机构的退出，正在削弱世界范围内的疾病检测和反应系统。这些行动威胁到疫情防范、数据共享、研究合作和一线应对能力，增加了疫情失控的风险，可能造成灾难性后果。美国对全球卫生安全参与的减少造成了一个严重的空白，削弱了疾病监测、生物安全、生物安全、疫情控制以及医疗对策的制定和分发。美国领导地位的削弱削弱了全球发现和应对新出现的威胁的能力，增加了流行病和流行病的风险。美国不应该退缩，而是必须维持和加强其全球卫生项目，整合各项努力以提高效率和效果，以维护国际稳定和美国对流行病的防范。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.