Managing borders during public health emergencies of international concern: a proposed typology of cross-border health measures

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dc.contributor.authorLee, Kelley
dc.contributor.authorGrépin, Karen A.
dc.contributor.authorWorsnop, Catherine
dc.contributor.authorMarion, Summer
dc.contributor.authorPiper, Julianne
dc.contributor.authorSong, Mingqi
dc.date.accessioned2021-09-02T17:03:23Z
dc.date.available2021-09-02T17:03:23Z
dc.date.issued2021-06-21
dc.description.abstractThe near universal adoption of cross-border health measures during the COVID-19 pandemic worldwide has prompted significant debate about their effectiveness and compliance with international law. The number of measures used, and the range of measures applied, have far exceeded previous public health emergencies of international concern. However, efforts to advance research, policy and practice to support their effective use has been hindered by a lack of clear and consistent definition. Based on a review of existing datasets for cross-border health measures, such as the Oxford Coronavirus Government Response Tracker and World Health Organization Public Health and Social Measures, along with analysis of secondary and grey literature, we propose six categories to define measures more clearly and consistently – policy goal, type of movement (travel and trade), adopted by public or private sector, level of jurisdiction applied, stage of journey, and degree of restrictiveness. These categories are then brought together into a proposed typology that can support research with generalizable findings and comparative analyses across jurisdictions. Addressing the current gaps in evidence about travel measures, including how different jurisdictions apply such measures with varying effects, in turn, enhances the potential for evidence-informed decision-making based on fuller understanding of policy trade-offs and externalities. Finally, through the adoption of standardized terminology and creation of an agreed evidentiary base recognized across jurisdictions, the typology can support efforts to strengthen coordinated global responses to outbreaks and inform future efforts to revise the WHO International Health Regulations (2005). The widespread use of cross-border health measures during the COVID-19 pandemic has prompted significant reflection on available evidence, previous practice and existing legal frameworks. The typology put forth in this paper aims to provide a starting point for strengthening research, policy and practice.en_US
dc.description.urihttps://doi.org/10.1186/s12992-021-00709-0
dc.identifierhttps://doi.org/10.13016/aeys-vinx
dc.identifier.citationLee, K., Grépin, K.A., Worsnop, C. et al. Managing borders during public health emergencies of international concern: a proposed typology of cross-border health measures. Global Health 17, 62 (2021).en_US
dc.identifier.urihttp://hdl.handle.net/1903/27672
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.relation.isAvailableAtSchool of Public Policyen_us
dc.relation.isAvailableAtPublic Policyen_us
dc.relation.isAvailableAtDigital Repository at the University of Marylanden_us
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)en_us
dc.subjectCOVID-19en_US
dc.subjectCross-border health measuresen_US
dc.subjectBorder managementen_US
dc.subjectTravel measuresen_US
dc.subjectTrade measuresen_US
dc.subjectInternational Health Regulationsen_US
dc.subjectTypologyen_US
dc.titleManaging borders during public health emergencies of international concern: a proposed typology of cross-border health measuresen_US
dc.typeArticleen_US

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