Common foreign and security policy

The foreign policies of the European Union and European countries have played an increasingly important role in the politics of global health. On the one hand, policies have defended rather narrow domestic economic interests, mostly in the context of WTO and TRIPS, and in relation to the migration of health workers from the South to Europe. On the other hand, Europe has also begun to address global health as a foreign policy issue in international agreements. For example, the WHO Framework Convention on Tobacco Control would be weaker without the support of European Comission directives on labelling and the Commission's ability to bring all member states to the negotiating table.


Furthermore, in EU statements, health is often mentioned as an important factor for development and for managing globalization. The EU has made great strides in developing a common strategic approach to the management of the two dimensions of global health: development and interdependence. As a starting point, the 2008-2013 EU health strategy acknowledges these two dimensions in its call to strengthen the EU's voice in global health issues; however, it remains to be seen whether all member states will follow suit.

European leaders and foreign ministries have also placed global health issues higher on the agenda and have begun building networks with partner countries outside Europe, such as in the case of the 2007 Oslo Ministerial Declaration on global health, which brought together the foreign ministers of Norway, Brazil, France, Indonesia, Senegal, South Africa and Thailand.

Member states have now agreed, in the European Security Strategy, to develop the EU's civilian and military capabilities in conflict prevention and crisis management. While the details of such policies and their practical implications are still being formulated, joint EU forces, of one sort or another, have been involved in more than 30 international security actions. Most of these actions were in support of the ‘Petersberg Tasks', which featured in the Treaty of Amsterdam and include humanitarian and rescue missions, peacekeeping and peacemaking, and combat forces in crisis management. Emerging EU security policy therefore has health and well-being as a founding principle for action and sees the development of civil society humanitarian and aid capability - through a network of such agencies - as closely allied to security tasks.

The security strategy also considers disease as a global challenge. It states: "In much of the developing world, poverty and disease cause untold suffering and give rise to pressing security concerns... AIDS is now one of the most devastating pandemics in human history and contributes to the breakdown of societies. New diseases can spread rapidly and become global threats."

At European Union level, the need to address health as a foreign policy issue is, therefore, recognized, but this nevertheless raises the historical difficulties that the member states have had in agreeing to a common foreign and security policy. EU institutions have competence in trade, but not in all the other governance areas that foreign policy serves. For the EU, this arrangement creates a division between foreign and trade policies. In addition, EU institutions still have weak formal authority in many areas related to health, which makes integrating health into EU-wide foreign policies difficult, despite the policy directive to consider health in all EU policies, and the EU's mandate to complement and coordinate member state health policies (which breach the increasingly blurred domestic-foreign policy divide).


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