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Chinese Journal of International Law Advance Access originally published online on September 5, 2005
Chinese Journal of International Law 2005 4(2):325-392; doi:10.1093/chinesejil/jmi029
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© The Author 2005. Published by Oxford University Press. All rights reserved

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

David P. Fidler *

In May 2005, the World Health Organization adopted the new International Health Regulations (IHR), which constitute one of the most radical and far-reaching changes to international law on public health since the beginning of international health co-operation in the mid-nineteenth century. This article comprehensively analyses the new IHR by examining the history of international law on infectious disease control, the IHR revision process, the substantive changes contained in the new IHR and concerns regarding the future of the new IHR. The article demonstrates why the new IHR constitute a seminal event in the relationship between international law and public health and send messages about how human societies should govern their vulnerabilities to serious, acute disease events in the twenty-first century.

* Professor of Law and Harry T. Ice Faculty Fellow, Indiana University School of Law—Bloomington; Senior Scholar, Center for Law and the Public's Health, Georgetown and Johns Hopkins Universities (email: dfidler{at}indiana.edu). This article is based on a paper originally prepared for the International Conference on International Law in Public Health: Reflections on the International Health Regulations Revision and Future Implementation, sponsored by the National Taiwan University College of Law and College of Public Health, Taipei, 7–8 January 2005.


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