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Global Health Governance from the Grassroots

Historically, global health and environmental cooperation has reflected various combinations of top-down and bottom-up measures. To be better prepared for future pandemics, global models and agreements must shape responses that are grounded firmly in local communities and value their engagement, risk ownership, and anxieties.

OXFORD – The World Health Assembly met last week amid a slew of proposals – most recently from the United Nations Independent Panel for Pandemic Preparedness and Response – to create stronger, enforceable global rules for tackling future infectious disease outbreaks. A new global pandemic treaty, more robust and independent international institutions, and an international pandemic financing facility are all in the mix. But a bottom-up strategy might work better.

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