The Implications of Securitising Health Crises: The Case of Southeast Asia
DOI:
https://doi.org/10.32890/jis2021.17.3Keywords:
Securitization theory, non-traditional security issue (NTS), health security, pandemics, ASEANAbstract
This article examined the consequences of linking health as a regional security issue. Securitisation Theory (hereinafter ST) is an innovative approach to understand how Non-Traditional Security (from now on NTS) is deemed as a posing threat to a referent object. Prioritising NTS issue as a security threat enables the issue to receive a higher degree of importance from policymakers, thereby gathering the resources needed in dealing with the threat. However, addressing NTS issues also bring negative implications; it can divert attention from more concerning issues. This article, therefore, investigated the consequences of securitising health issues at the Southeast Asian level. This was done through triangulating academic materials, ASEAN’s official statements, and semi-structured elite interviews on Southeast Asian health policy discourses between 1967 and 2010. This study argues that while there are some disadvantages to regional efforts in constructing pandemic disease as a regional security threat, the advantages of such a move outweighs the drawbacks, particularly in terms of establishing regional health mechanisms.
References
Abraham, T. (2011). The chronicle of a disease foretold: Pandemic H1N1 and the construction of a global health security threat. Political Studies, 59(4), 797–812. https://doi.org/10.1111/ j.1467-9248.2011.00925.x
Ahmad, A. (2007, March 5). Regional FMD-free zone by 2007. New Straits Times (Malaysia), pp. 1–2. ASEAN+3. (2003, April 26). Joint Statement ASEAN+3 Ministers of Health Special Meeting on SARS Kuala Lumpur, Malaysia. http://asean.org/joint-statement-asean-3-ministers-of-healthspecial-meeting-on-sars-kuala-lumpur-malaysia/
ASEAN. (2000, April 28-29). Declaration of the 5th ASEAN Health Ministers Meeting on Healthy ASEAN 2020 28-29 April 2000 Yogyakarta, Indonesia. http://asean.org/?static_ post=declaration-of-the-5th-asean-health-ministers-meetingon-healthy-asean-2020-28-29-april-2000-yogyakartaindonesia
ASEAN. (2002). 6th ASEAN Health Ministers Meeting on Healthy Lifestyle 14-15 March 2002. http://asean.org/?static_post=6thasean-health-ministers-meeting-on-healthy-lifestyle-14-15march-2002-vientiane-chairman-s-press-statement&category_ id=32
ASEAN. (2005). ASEAN Agreement on Disaster Management and Emergency Response Vientiane, 26 July 2005. https://asean. org/?static_post=asean-agreement-on-disaster-managementand-emergency-response-vientiane-26-july-2005-3 ASEAN. (2006). Nature and Schedule of Contributions by Member Countries to the ASEAN Animal Health Trust Fund (AHTF).http://asean.org/?static_post=agreement-for-theestablishment-of-asean-animal-health-trust-fund
ASEAN. (2009a). ‘Full marks’ for ASEAN in common defense against Influenza A (H1N1) Bangkok, 8 May 2009. http://asean.org/?static_post=press-release-full-marks-for-aseanin-common-defense-against-influenza-a-h1n1-bangkok-8may-2009
ASEAN. (2009b). ASEAN Socio-Cultural Community Blueprint. ASEAN Secretariat. from https://asean.org/wp-content/ uploads/archive/5187-19.pdf
ASEAN. (2010). Roadmap for an HPAI-Free ASEAN Community by 2020. ASEAN Secretariat. https://asean.org/?static_post=hpaiin-asean-strategies-and-success-stories-3
ASEAN. (2015). ASEAN Political-Security Community Blueprint 2025. ASEAN Secretariat. https://aseanmineaction.org/wpcontent/uploads/2018/01/ASEAN-APSC-Blueprint-2025.pdf
ASEAN Secretariat. (2006). Agreement for the Establishment of ASEAN Animal Health Trust Fund. from http://asean. org/?static_post=agreement-for-the-establishment-of-aseananimal-health-trust-fund
ASEAN Secretariat. (2008). The ASEAN Charter. ASEAN Secretariat. https://asean.org/storage/November-2020-TheASEAN-Charter-28th-Reprint.pdfASEAN Secretariat. (2011). Addressing AIDS in ASEAN Region: First Regional Report on HIV & AIDS. https://asean.org/storage/2017/02/1stRegional-Report_Addressing-AIDS-in-ASEAN-region_Final. pdf ASEAN Sectetariat. (2015). HIV in the ASEAN Region Second regional report on HIV & AIDS 2011-2015. https://asean.org/?static_post=hiv-asean-region-second-regionalreport-hiv-aids-2011-2015
Asia-Europe Foundation. (2010). Towards Pandemic Preparedness. https://asef.org/wp-content/uploads/2020/10/1159-2010_09_28_-_ Public_Health_3rd_Scenario-building_Workshop_-_Event_
Report_Final.pdf AusAID. (2007). ASEAN emerging and resurging infections: surveillance and response program. http://www.asean.org/uploads/archive/aadcp/download/ project/rps/010 Brief Summary Web July 07.pdf
Bilgin, P. (2011). The politics of studying securitization? The Copenhagen school in Turkey. Security Dialogue, 42(4–5), 399–412. https://doi.org/10.1177/0967010611418711
Brown, G. W., & Harman, S. (2011). Risk, perceptions of risk and global health governance. Political Studies, 59(4), 773–778. https://doi.org/10.1111/j.1467-9248.2011.00922.x
Buzan, B., Wæver, O., & de Wilde, J. (1998). Security: A new framework for analysis. Lynne Rienner Publishers.
Caballero-Anthony, M. (2006). Combating infectious diseases in East Asia: Securitization and global public goods for health and human security. Journal of International Affairs, 59(2), 105–127.
Caballero-Anthony, M., Cook, A. D. B., Chng, B., & Balen, J. (2013). Health. In M. Caballero-Anthony & A. D. B. Cook (Eds.), Nontraditional security in Asia: Issues, challenges and framework for action (pp. 15–40). Institute of Southeast Asian Studies.
Curley, M. G., & Herington, J. (2011). The securitisation of avian influenza: International discourses and domestic politics in Asia. Review of International Studies, 37(1), 141–166. https://doi.org/10.1017/S0260210510000537
Curley, M., & Thomas, N. (2004). Human security and public health in Southeast Asia: The SARS outbreak. Australian Journal of International Affairs, 58(1), 17–32. https://doi.org/10.1080/1035771032000184737
Deshman, A. C. (2011). Horizontal review between international organizations : Why, how, and who cares about corporate regulatory capture. The European Journal of International Law, 22(4), 1089–1113. https://doi.org/10.1093/ejil/chr093
Elbe, S. (2006). Should HIV/AIDS be securitized ? The ethical dilemmas of linking HIV/AIDS and security. International Studies Quarterly, 50(1), 119–144.
Enemark, C. (2009). Is pandemic flu a security threat? Survival, 51(1), 191–214. https://doi.org/10.1080/00396330902749798
Felix, R. C. (2006). $ 2-MAsean fund to wipe out animal diseases pushed. https://www.philstar.com/business/2006/08/30/355393/2-masean-fund-wipe-out-animal-diseases-pushed
Floyd, R. (2007). Towards a consequentialist evaluation of security: Bringing together the Copenhagen and the Welsh schools of security studies. Review of International Studies, 33(2), 327–350. https://doi.org/10.1017/S026021050700753X
Garrett, L. (2005). HIV and National Security: Where are the Links?https://cdn.cfr.org/sites/default/files/pdf/2005/07/HIV_
National_Security.pdf Gleeson, L. J. (2002). A review of the status of foot and mouth disease in South-East Asia and approaches to control and eradication. Rev Sci Tech, 21(3), 465–475.
Gostin, L. O. (2009). Swine Flu Vaccine: What is Fair? Hastings Center Report, 39(5), 9–10.
Haacke, J., & Williams, P. D. (2008). Regional arrangements, securitization, and transnational security challenges: The African Union and the Association of Southeast Asian Nations compared. Security Studies, 17(4), 775–809. https://doi.org/10.1080/09636410802508014 Hanvoravongchai, P., Adisasmito, W., Chau, P. N., Conseil, A., De Sa, J., Krumkamp, R., Mounier-Jack, S., Phommasack, B.,
Putthasri, W., Shih, Chin-Shui, Touch, S., Coker, R. (2010). Pandemic influenza preparedness and health systems challenges in Asia: results from rapid analyses in 6 Asian countries. BMC Public Health, 10, 322. https://doi.org/10.1186/1471-2458-10322
Hashim, S., & Ron, S. H. K. (2005, October 8). Kebimbangan terhadap selesema burung di ASEAN. Bernama.
Institute for Health Metrics and Evaluation (IHME). (2016). GBD Compare Data Visualization. Retrieved June 20, 2017, from IHME, University of Washington website: http://vizhub. healthdata.org/gbd-compare
Jagan, L. (2001, October 5). Asia warned of AIDS epidemic. BBC. http://news.bbc.co.uk/1/hi/world/asia-pacific/1580333.stm
Jones, L. (2011). Beyond securitization: Explaining the scope of security policy in Southeast Asia. International Relations of the Asia-Pacific, 11(3), 403–432. https://doi.org/10.1093/irap/ lcr002
Kamradt-Scott, A. (2018). Securing Indo-Pacific health security: Australia’s approach to regional health security. Australian Journal of International Affairs, 72(6), 500–519. https://doi.or g/10.1080/10357718.2018.1534942
Koh, K. -L. (2012). Transboundary and global environmental issues: The role of ASEAN. Transnational Environmental Law, 1(01), 67–82. https://doi.org/10.1017/S2047102511000082
Lamy, M., & Kai, H. P. (2012). Southeast Asian cooperation in health: A comparative perspective on regional health governance in ASEAN and the EU. Asia Europe Journal, 10(4), 233–250. https://doi.org/10.1007/s10308-012-0335-1
Liverani, M., Hanvoravongchai, P., & Coker, R. J. (2012). Communicable diseases and governance: A tale of two regions. Global Public Health, 7(6), 574–587. https://doi.org/10.1080/ 17441692.2012.685487
Maier-Knapp, N. (2011). Regional and interregional integrative dynamics of ASEAN and EU in response to the avian influenza. Asia Europe Journal, 8(4), 541–554. https://doi.org/10.1007/ s10308-011-0289-8
McNeil Jr, Donald G. (2017, July 31). Only six nations have evaluated readiness for global pandemic. The New York Times. https://www.nytimes.com/2017/07/31/health/global-pandemicpreparedness.html
Nunes, J. (2015). Is disease a threat to international security? The International Relations and Security Network. Retrieved Novermber 2, 2017, from https://www.files.ethz.ch/isn/192813/ ISN_191980_en.pdf
Nyman, J. (2016). What is the value of security ? Contextualising the negative/positive debate. Review of International Studies, 42(5), 821–839. https://doi.org/10.1017/S0260210516000140
Peoples, C., & Vaughan-Williams, N. (2010). Critical security studies: An introduction. Routledge.
Philavong, B., Villa, L., Caminade, J. R., & Aung, K. D. (2009). ASEAN Secretariat: ASEAN’s pioneering initiative on multisector pandemic preparedness, response. In K. Ungchusak & Y. M. Aye (Eds.), Good practices in responding to emerging infectious diseases: Experience from the ASEAN Plus Three Countries (pp. 125–134). Thailand Ministry of Public Health.
Schierhout, G., Gleeson, L., Craig, A., & Wettenhall, I. (2017). Evaluating a decade of Australia’s efforts to combat pandemics and emerging infectious diseases in Asia and the Pacific: Are health systems stronger? Australian Government Department of Foreign Affairs and Trade.
Selgelid, M. J., & Enemark, C. (2008). Infectious diseases, security and ethics: The case of HIV/AIDS. Bioethics, 22(9), 457–465. https://doi.org/10.1111/j.1467-8519.2008.00696.x
Shimizu, K. (2011). The ASEAN Charter and the ASEAN Economic Community. Econ. J. of Hokkaido Univ., 40, 73–87. Towards a
Safer World. (2014). Multisector Pandemic Preparedness in the ASEAN Region. http://towardsasaferworld.org/sites/default/ files/TASWreportonAsia.pdf
Varkkey, H. M. (2012). The Asean way and haze mitigation efforts. Journal of International Studies, 8, 77–97.
Wæver, O. (1995). Securitization and desecuritization. In R. D. Lipschutz (Ed.), On security (pp. 46–86). Columbia University Press.
Wilkinson, C. (2007). The Copenhagen School on tour in Kyrgyzstan: Is securitization theory useable outside Europe? Security Dialogue, 38(1), 5–25. https://doi.org/10.1177/0967010607075964
World Health Organization. (2003). Cumulative number of reported probable cases of SARS. Retrieved July 21, 2018 from http://www.who.int/csr/sars/country/2003_07_11/en/
World Health Organization. (2011). Comparative analysis of national pandemic influenza preparedness plans. World Health Organization. https://www.who.int/influenza/resources/ documents/comparative_analysis_php_2011_en.pdf?ua=1 World
Health Organization. (2017a). Cumulative number of confirmed human cases of avian influenza A(H5N1) reported to WHO, 2003-2009. World Health Organization. http://www.who.int/ influenza/human_animal_interface/H5N1_cumulative_table_ archives/en/
World Health Organization. (2017b). Disease and injury and causes of death regional estimates, 2000–2012. https://www.who.int/healthinfo/global_burden_disease/estimates_ regional_2000_2012/en/ Xinhua General News Service. (2010, August 10). ASEAN, UN, USAID conduct major international exercise to prepare for severe pandemic. Xinhua General News Service, pp. 1–2.
Youde, J. (2018). The securitization of health in the Trump era. Australian Journal of International Affairs, 72(6), 535–550. https://doi.org/10.1080/10357718.2018.1534936












