2004 Conference Programme

1. Disease and Security

2. Global Governance: scenarios for the future


1. Disease and Security
    Villa Monastero, Lake Como, Italy, 23 April - 1 May 2004
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The link between war and disease goes back to the beginning of human history and the relationship between these two horsemen of the Apocalypse is unlikely to break soon.  Both have recently, however, undergone important transformations.  In security terms, throughout the 1990s new zones of upheaval appeared, or old ones spread, in parts of Africa, Asia and Europe; even while stability appeared to be consolidated elsewhere, September 11 signalled the appearance of a threat which was novel in being at the same time global and asymmetric.  Meanwhile, in the health field, the appearance over the last decade of new infectious diseases, the revival of threats once thought controlled, the arrival of old diseases in new places, and the appearance of infections immune to all antibiotics have all shaken complacency in the developed world toward this ancient enemy.  Although both these phenomena have been discussed at length, this conference will focus on the often ignored link between them.  Among areas of concern are: the threatened impact of HIV/AIDS on domestic and international security, both in terms of the stability of states to govern populations undergoing possible decimation and in terms of conflict resolution when most combatants, and even peace-keeping troops, are prime vectors for carrying the disease; the effect of the re-appearance of immune resistant diseases in areas where governments are unable to cope; the problems consequent on the swelling size of cities, both in terms of being the location for the rapid spread of diseases once ‘background noise’ in rural areas, and the front-line in dealing with epidemics, as Beijing, Toronto and other cities discovered during the SARS crisis; the threat of bio-terrorism and the possible role of bio-technology in laying waste agricultural economies,  through such easily spread diseases as foot and mouth, as much as through human disease; and the ethical issues which will be raised as epidemics become more difficult to control, such as treatment without patient consent.  Costly domestic policies are necessary to meet these threats, but given their novelty, how can sufficient political will be generated to overcome the bureaucratic inertia of government departments in their separate silos, public distrust of politicians, the reluctance of international donors to move quickly or fully enough, or the complacency or corruption prevalent in many parts of the world? The response to HIV/AIDS is gathering pace, but it has been slow and patchy.  ‘Friction-free economics’ mean that stockpiles of vaccines and other medications are sufficient to meet present needs but not those of a possible future catastrophe.  How can the reserves of these be built up, given the present structure and incentives in the pharmaceutical industries, and how should they be deployed in the event of a disaster?    A crucial security measure would be global disease surveillance.  How can the level of trust be achieved necessary to ensure that is a fully international system?  Urbanisation, global travel, the threat of terrorism, the decline of antibiotic defences, inadequate political preparation – the conditions are right for a ‘perfect storm’ in the prevalence of disease, when its links with security will be all too apparent.  How can we forestall this?

Senior Fellows:
Dr George Poste, Director, Arizona Biodesign Institute, and Del E. Webb Distinguished Professor of Biology, Arizona State University
Dr Christopher Coker, London School of Economics 

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2. Global Governance: scenarios for the future
    Madingley Hall, Cambridge, 21 - 29 October 2004
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Global governance is at a crossroads.  While the challenges to global security and well-being grow ever sharper, the role of the institutions at the heart of global governance is under question as rarely before.  There have been hitherto unfulfilled plans for reform of the United Nations to bring it in line with the changes in the international arena since its inception over half a century ago.  Preparing for the coming decades, what are the different possible directions reform might take?  More immediately, what will be the legacy of those international interventions which have bypassed the authority of the Security Council, in connection with the former Yugoslavia and Iraq?  Special Representatives of the UN Secretary-General already play an ad hoc role where regimes have been overthrown or have collapsed.  Will there be a more general restoration of the U.N.’s trusteeship responsibilities to rebuild stability in occupied or failed states?  In discussions of international relations there has been an increasing emphasis in recent years on international law, but how it might be administered remains highly controversial in a number of ways.  A number of major powers, including the United States, Russia, China, India and Japan, have not endorsed the International Criminal Court. Does this, along with the controversy surrounding the status of those held at Guantanamo Bay, herald a renewed emphasis on sovereign rights and action, or will such impasses be overcome?  There are other areas where global governance has been asserted more unequivocally, as in the WHO’s measures to stem the spread of SARS and in the initiatives it is leading with regard to the HIV/AIDS pandemic.  What are the other challenges which might demand more pro-active responses from UN agencies or other international institutions? Which will best be dealt with by regional organizations? In the case of the environment, one of the great  successes, despite some recent derogation, has been the Montreal Protocol to restrict the use of greenhouse gases, but the Kyoto Protocol remains in doubt, with not only the United States unwilling to ratify it and other states making paper commitments they are unlikely to fulfil. What are the possible directions which global governance might take in this key area of global concern?  In the field of economics, the WTO, with the accession of China, has never had a broader remit, yet  anti-globalization protestors and the stalling of the Doha round have brought its future role into question, at the same time as there is a general re-examination of the approaches and accountability of the World Bank and the IMF.  Can stagnation be avoided and a new consensus  forged, permitting the further development of these institutions? The question of accountability in general may be becoming more urgent, as the model of global governance being the reserve of sovereign states alone appears to some to be inadequate in a world where non-state actors, trans-national corporations and NGOs, are of increasing significance.  Are fault-lines in the international system threatening  the development of global governance, just at a time when there is an ever growing need for it?  How might such tensions best be managed?

Senior Fellow:
Dr Michael Williams, Special Adviser to the UK Foreign Secretary; formerly with the UN and with Amnesty International.

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