公共卫生与人权

本文是置人权于中国公共卫生场域中的阐释。起因是2004年后——2004年,人权在中国入宪——当人们试图以人权作为转型中中国公共卫生的基础理念时,却发现从旧体制（计划经济体制）走出来的中国公共卫生很难在实际上接受人权：是同样地保护每一个人,还是保护大多数人;是首先着眼于管理,还是强调国家对每一个人的健康权的积极责任,是在中国,公共卫生必须面对的问题。     

The Hermeneutics of Jurisdiction in a Public Health Emergency in Canada

This paper investigates the state of the law in Canada in regards to a public health emergency, and in particular the jurisdictional logic that might come into effect were a public health emergency to occur. Although there has yet to be a national public health emergency in Canada, threats of such crises are likely to arise in the future. It is therefore recognised as necessary to address Canada’s legal preparedness for a public health emergency and evaluate proposed reforms to the legal structure that could facilitate response. This paper contributes to this goal by identifying multiple jurisdictional factors that could inform legal interpretations in a public health emergency. It considers how the legal system and the courts are dealing with public health as a national security issue (political and collective matter) while taking into account s. 7 of the Canadian Charter (individual rights). It also looks at the power of the government defined in the Emergencies Act [1985, c. 22] and a proposed legal reform that would make it easier for the government to act unilaterally in a public health emergency. The paper draws on the legal theory of Robert Cover to analyse the hermeneutics of jurisdiction that characterise legal interpretations of public health in Canada, as well as the relationship between jurisdiction and legal violence that these hermeneutics imply. It then develops a case study of the use of medical triage in a public health emergency to explore the possibility of holding the state liable under private law for harm caused to individuals by public health decisions. The paper concludes by suggesting that the state’s public health power can be conceptualised as a form of legal violence and that the courts in Canada should adopt a jurisgenerative approach to legal interpretation in the area of public health.     

突发公共卫生事件中位置数据的披露:基于健康权和隐私权的视角

位置数据披露在防控新冠病毒(COVID-19)等传染病期间在国家、公共卫生机构及个人层面具有三重价值、成效显赫;但也暴露出健康权与隐私权之间的内在张力.全球范围内存在三种位置数据披露模式:一是模糊地理数据披露模式,即向所有公众公开仅涉及概括性、脱敏性的位置数据信息;二是对特定人群信息披露模式,针对可能的密切接触者等特定...     

Public health powers in relation to infectious tuberculosis in England and France: a comparison of approaches

This article examines the legal responses to infectious tuberculosis in England and France. Given that tuberculosis has re-emerged as a public health threat in both countries, the differing jurisprudence and legal frameworks of disease control in the two jurisdictions warrant examination. Two questions arise in that respect: firstly, what is the role of the State in the protection of public health in the context of tuberculosis, and secondly, to what extent can the law intervene to coerce individuals to undertake health measures for the protection of society at large. These issues reveal the tensions that exist between the individual and public interest. France and England differ greatly in their responses to such tensions. Paradoxically, France, that has traditionally embraced strong State intervention, has been reluctant to curtail individual freedoms for the benefit of public health. Conversely, England, that has tended to be more closely associated with liberalism, has been ready to accept and even promote restrictions to individual freedoms in the collective interest.     

论患者权利类型

患者权利类型的确定是构建患者权利保护体系的理论基础，应分为两大类：患者作为“人”在医疗领域所享有的个体权利和作为“公共卫生体系使用人”的集体权利。前者是患者在接受医疗服务过程中基本人权的实现，包括人格尊严权、不受歧视的权利、私生活和秘密被尊重的权利、生命健康权、获得有质量的医疗服务的权利等。后者则包括患者群体通过自己的社团——患者组织——在卫生法规决策过程中的介入权、在卫生机构中的代表权、在卫生监督部门中的参与权等等，与国家公权力机关共同实现卫生领域的民主，以构建和谐的医患关系及促进医疗水平提高。在现有立法、司法及理论对患者个人权利已逐步承认并加强保障的情况下，认识患者集体权利的实现具有更强的理论意义及实践价值。     

我国公共卫生领域公民权利的法律研究热点及对策

公民权利保护在公共卫生领域法律处于核心地位，目前我国学者对其研究热点主要包括人身自由权、财产权、知情权、隐私权，但研究存在对公共卫生领域公民权利界定不够统一、法律依据不尽准确、研究着眼点有些片面等不足，今后应高度重视公共卫生公民权利的研究，加强研究其体系及其法律渊源，优先现有公共卫生法律体系的完善和配套，积极开展国际比较研究，辨证理解各公民权利之间的相互关系。     

个人发展权探究

个人发展权的实现以生存权与自由权利为保障、以个人能力的扩展与个性的充分发挥为导向,平等地参与发展及公平地分享发展成果是实现个人发展权的主要手段。发展权的个体性特征既有其理论基础也有其现实意义,个人发展权的实现以集体发展权实现为基础,但集体发展权并不必然带来个人发展权的实现。     

发展权主体的法哲学探析

发展权主体归宿之争是法学界围绕发展权所展开的全球性争论的一个关键。本文在全面剖析并批评了关于发展权主体的三种不同学术观点后 ,指出发展权的主体既包括国家、民族之类的由个体的人所组成的集合体 ,但又不应囿于集体主体 ,单个的实在的人更应是发展权的首要的最终的享有者 ;发展权是个体主体与集体主体相对独立又相互沟通的历史产物。     

Connecting Health and Peacebuilding in Theory and Practice

Peace and health have long been connected through significant social structures such as violent conflict and social/economic inequalities and oppression. Peace and health have also been connected through research and action as war and interpersonal violence are recognized as threats to public health and individual welfare. In 1986, the Ottawa Charter for Health Promotion laid out the dependence of health on the presence of “peace, shelter, education, food, income, a stable eco-system, sustainable resources, social justice, and equity.”

Scholars of peace building and community health (including “peace through health”) share an interest in the marriage between theoretical and applied aspects of the discipline, but we lack interdisciplinary thinking through collaborative projects and the development of transdisciplinary theoretical and methodological insights. The opportunity for interprofessional and intellectual exchange can benefit scholars and practitioners focused on each topic. The following outlines the similarities and differences in the fields and identifies where opportunities for symbiosis and support exist.     

Health care of the disadvantaged: the elderly

This paper explores threats to the maintenance and expansion of public commitment to financing health care for the elderly. Threats come from rising costs that increase financial burdens, especially on low-income elderly; efforts to contain costs that may undermine benefits; and financing initiatives that treat the elderly as the sole revenue source for addressing problems in that age group. A review of these threats provides lessons not only for sustaining and improving health care for the elderly, but also for policy toward equally or more disadvantaged groups.     

Public health law in the new century

Public health law is a broad and sometimes nebulous field which has undergone extensive reform and rethinking over the past decade. This article provides a survey of current issues in public health law, highlighting these reforms and the potential for public health legislation to deal with upcoming threats, notably bioterrorism. While recognising the anxieties bioterrorism brings, public health responses must be grounded in a coherent philosophy of risk management. Its administrators must also be aware that large-scale threats to public health are not unprecedented and that past experience can provide an important guide for future strategies.     

Through the Quarantine Looking Glass: Drug-Resistant Tuberculosis and Public Health Governance, Law, and Ethics

The incident in May-June 2007 involving a U.S. citizen traveling internationally while infected with drug-resistant tuberculosis involved the U.S. federal government's application of its quarantine and isolation powers. The incident and the isolation order raised numerous important issues for public health governance, law, and ethics. This article explores many of these issues by examining how the exercise of quarantine powers provides a powerful lens through which to understand how societies respond to and attempt to govern threats posed by dangerous, contagious pathogens. The article considers historical aspects of governmental power to quarantine and isolate individuals and groups; analyzes the current state of quarantine and isolation law in the United States in light of the recent incident with drug-resistant tuberculosis; and explores global aspects of public health governance and law highlighted by this incident.     

行政指导与公共卫生安全

本文针对近年来我国公共卫生安全的现状进行深入思考,围绕行政指导在维护公共卫生安全,尤其是应对突发性公共卫生事件中所起的作用,以及行政主体在实施行政指导行为的过程中所应遵循的原则展开论述,以求对行政指导在构建我国完善的公共卫生安全体系中所发挥的作用能有所裨益。     

Public health and human rights: questions from an epidemic in Prato

This article uses Carlo Cipolla's account of the plague epidemic in Prato in 1630-1631 to identify several key questions in public health. The article goes on to observe that the underlying problems posed for public health by the plague epidemic in Prato are similar, in important respects, to those encountered in addressing contemporary public health concerns. Questions of inequalities in health and socio-economic differentials in mortality; the relationship between economic wellbeing and health; the relevance of access to effective interventions; the significance of knowledge concerning disease aetiology or uncertainty in devising and implementing appropriate interventions; and the role of regulation in controlling public health hazards are as relevant today as in the Renaissance. However, contemporary recognition of the right to the highest attainable standard of health has altered the nature of public health responses. Concern for individuals' and populations' rights to health can be seen to have the potential to inform policies for inequalities in health, for economic development in middle- and low-income countries, for access to health care and essential medicines, and for strategies to regulate and control emerging risks to health.     

集体建设用地市场配置的法律问题研究

在《物权法》实施后,国家对集体土地的征收应当严格限制在公共利益目的范围以内,公共利益目的范围外的建设用地,应当允许集体建设用地直接通过市场进行配置。应当对《土地管理法》第43条进行修改,同时建立由国家严格控制的集体建设用地使用权市场化流转制度。随着集体建设用地使用权的流转,原集体村庄已经完全城市化以后,原集体建设用地所有权应当由国家所有。     

Clinical Trials of Xenotransplantation: Waiver of the Right to Withdraw from a Clinical Trial Should Be Required

Xenotransplantation pits clinical research ethics against public health needs because recipients must undergo long-term, perhaps life-long, surveillance for infectious diseases. This surveillance requirement is effectively an abrogation of the right to withdraw from a clinical trial. Ulysses contracts, which are advance directives for future care, may be an ethical mechanism by which to balance public health needs against limitation of individual rights.     

From International Sanitary Conventions to Global Health Security: The New International Health Regulations

In May 2005, the World Health Organization adopted the new InternationalHealth Regulations (IHR), which constitute one of the most radicaland far-reaching changes to international law on public healthsince the beginning of international health co-operation inthe mid-nineteenth century. This article comprehensively analysesthe new IHR by examining the history of international law oninfectious disease control, the IHR revision process, the substantivechanges contained in the new IHR and concerns regarding thefuture of the new IHR. The article demonstrates why the newIHR constitute a seminal event in the relationship between internationallaw and public health and send messages about how human societiesshould govern their vulnerabilities to serious, acute diseaseevents in the twenty-first century.     

试论国家对健康权与药品知识产权保护制度的平衡简

健康权在任何与健康熙护议题有关的政策上（包括药品知识产权制度）都不可忽略.然而, 《多哈宣言与2003年决议仍未触及药品知识产权保障与健康权冲突的核心问题,这就需要将健康权作为一项政策工具对药品知识产权的影响做补充性的解释.国家保障药物获得权利的义务应根据其实质内涵的多样性与复杂性掺入防卫权的特色；换言之,药品获得权应区分为国家仅有义务渐进实现的受益权与国家有义务立即实现的受益权.这种通过细化国家保障药品获得权的义务,在具有相同重要性的健康权及药品知识产权产生冲突时,便有足够的基础从权利本质审视两者在冲突时的平衡关系是否适当.     

The right to health in public health: is this a new approach?

The international human rights community has frequently reaffirmed the importance of full respect for the right to health. However, there remains a large gap between the standards set out in Art 12 of the International Covenant on Economic, Social and Cultural Rights and the situation prevailing in most countries. While there has been a substantial amount of work done to expand upon the content of the right to health, there has been little consideration of what a right to health means for public health programming generally. This article addresses this issue by considering the compatibility of the essential elements of contemporary public health programming practice with the principles contained in General Comment No 14, para 43(f) (a minimum core obligation of the right to health). The article considers that while both contemporary public health practice and para 43(f) do contain compatible elements, the right to health brings with it new elements of monitoring (through right to health indicators) and accountability, both of which will require new tools to be adopted by the public health sector.     

Barcelona 2002: law, ethics, and human rights. Juggling individual and collective concerns with respect to HIV/AIDS policies

Efforts to prevent the spread of HIV infection sometimes give rise to tensions between individual and collective rights. This article, based on a presentation by Nelson Varas-Díaz (abstract TuOrG1171), explores these tensions in the context of the laws and policies of eight Latin American countries: Costa Rica, Dominican Republic, Ecuador, Guatemala, Honduras, Nicaragua, Panama, and Puerto Rico. The article describes five elements of the response to HIV/AIDS in which tensions between individual and collective rights have surfaced: the participation of people living with HIV/AIDS on national commissions; the ability of HIV-positive persons to access antiretroviral medications; HIV-antibody testing practices; the confidentiality of health information; and the rights and duties of people living with HIV/AIDS. The article concludes that the success of programs designed to prevent the spread of HIV infection depends on the ability of societies and governments to balance the tensions between individual and collective rights.