a Rabin
ss4-984, vl New Yor The
2s 2000) 305-182
CHAPTER TWO
From Population to Vital System
NATIONAL SECURITY AND THE CHANGING OBJECT OF PUBLIC HEALTH
Andrew Lakoff
arly 1976, health offi
ad appeared in the United States a
recently become tech
flu threat and the new
of the US. gave
was again focused on the threat of pandemic influenza. This time the threat
ic health officlals had been warning of its danger
1e appear us
of a deadly strain of the
Jor Initiative was possible:
n of the seviousnes of the t
nation of urgency and u
doctors canmot tell us where or whenely to face another pandemic:"* Or, asa concerned
such a pandemic could accus, rather they qu
javelled a 57.1
secretary of health 3s "the most robust proposal ver
1e time." The plan Included funds for disease sure
in pandemic prepared:
lance, stockpiling antiviral medicine, and new methods of vaccine prods
“The details of the administrati
world as overly focused
ently fa fom adequat
andemic occurred, the process
3s For other potential threats, As the
pared from a flu pandemic, the work
tational emergency."*
fora more general form of
we do
le every sector of socety."€ As the secretary
we're not as well prepared as we need to be. We're better prepar
of preparedness. "" The
sates’ onga
pen? How, In ot
about eheeats
et words, did a notm of p ture thought
publ
and how did a certain set of responses to these
echniquesjon to a subject that, un
mostly under the
As Nicholas have shoven, this was by no means the fs
"To under
re Concept of “national
context, as we wi
10 Were concerned with the catastrophic disease threat did not
articulate ietion."* Nor coul
lity of prevention. Rather
nctive way of approaching nreats--one of ongoing,
al disaster
useful to introduce a set ofan
lective security.” Sovereign tates
listinctions an
states ofthe seven
of te
y, andl cafes to practices ox
‘occurring in
Is exemplary knowledge forms include epidemmiot-
ns range From soct
tre development,
interver
nber of current security i
develop knowledge about an enemy or about regularly occurting
her uses techniques of lnaginative ena
about system eulnerab
nent co generat
es. Its interventions are not focused on prote
igure 2.1: Forms Ot
tive Security|
womens ar [ azincontury oth century Mid-20th century
awcicucation | monarchies | stentogene i doense
nonwarive sion Prevention | rrepareainess
fariownaty | a ca
vets oF Aaversios | Regularly occur Unpresicable, |
instars vents potently
i ome rents |
rxewmuany | sttegy Epidemiology, — | imaginative
onm or (sameway | enactment
orenstion | Deterordelend | Disituterik | Gauge nner,
1 against enemy
of one
ng in the 1960s. Its
| elo patty
ly developed to
extended to approach