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Avian influenza: The political economy of disease control in Cambodia

Published online by Cambridge University Press:  18 January 2016

Sophal Ear
Sophal Ear*
Affiliation:
Department of National Security Affairs, U.S. Naval Postgraduate School, 1411 Cunningham Road, Monterey, CA 93943. sear@nps.edu

Abstract

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In the wake of avian flu outbreaks in 2004, Cambodia received $45 million in commitments from international donors to help combat the spread of animal and human influenza, particularly avian influenza (H5N1). How countries leverage foreign aid to address the specific needs of donors and the endemic needs of the nation is a complex and nuanced issue throughout the developing world. Cambodia is a particularly compelling study in pandemic preparedness and the management of avian influenza because of its multilayered network of competing local, national, and global needs, and because the level of aid in Cambodia represents approximately $2.65 million per human case—a disproportionately high number when compared with neighbors Vietnam and Indonesia. This paper examines how the Cambodian government has made use of animal and human influenza funds to protect (or fail to protect) its citizens and the global community. It asks how effective donor and government responses were to combating avian influenza in Cambodia, and what improvements could be made at the local and international level to help prepare for and respond to future outbreaks. Based on original interviews, a field survey of policy stakeholders, and detailed examination of Cambodia's health infrastructure and policies, the findings illustrate that while pandemic preparedness has shown improvements since 2004, new outbreaks and human fatalities accelerated in 2011, and more work needs to be done to align the specific goals of funders with the endemic needs of developing nations.

Keywords

highly pathogenic avian influenza (HPAI)H5N1Cambodiapolitical economydisease controlSoutheast Asia
Type
Research Articles
Information
Politics and the Life Sciences , Volume 30 , Issue 2 , Fall 2011 , pp. 2 - 19
Copyright
Copyright © Association for Politics and the Life Sciences 

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