The New Geopolitics of Disease: Between Global Health and Global Security

This article describes the emergence of a new geopolitics of disease following the end of the Cold War and offers a framework for thinking about it. Three main questions are asked. First, why is disease now a geopolitical issue? Second, how has this new geopolitics emerged? And third, what are the implications of the emergence of disease as a geopolitical issue for the meaning and practice of global health? It is argued that disease is now seen as a geopolitical issue in terms of four main dimensions: destabilisation, sovereignty, the instrumentalisation of health, and geopolitical economy. Second, this new geopolitics has emerged in the context of larger debates about globalisation, development and security, and has emanated primarily from Northern institutions. Third, drawing on critical approaches to security, it is suggested that while the securitisation of health offers certain benefits, it also carries risks. The article identifies a number of critical tensions in the new geopolitics of disease as a way of negotiating these risks and anchoring the concept of global health security in a larger vision of health in an era of globalisation.