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Feminist Global Health Security
ox ford studie s in g en der
a nd inte rnational rel ation s
Series editors: J. Ann Tickner, American University, and Laura Sjoberg,
University of Florida
Gender and Private Security in Global From Global to Grassroots: The European
Politics Union, Transnational Advocacy, and
Maya Eichler Combating Violence against Women
This American Moment: A Feminist Celeste Montoya
Christian Realist Intervention Who Is Worthy of Protection? Gender-
Caron E. Gentry Based Asylum and US Immigration Politics
Troubling Motherhood: Maternality in Meghana Nayak
Global Politics Revisiting Gendered States: Feminist
Lucy B. Hall, Anna L. Weissman, and Imaginings of the State in International
Laura J. Shepherd Relations
Breaking the Binaries in Security Studies: A Swati Parashar, J. Ann Tickner, and
Gendered Analysis of Women in Combat Jacqui True
Ayelet Harel-Shalev and Shir Out of Time: The Queer Politics of
Daphna-Tekoah Postcoloniality
Scandalous Economics: Gender and the Rahul Rao
Politics of Financial Crises Narrating the Women, Peace and Security
Aida A. Hozić and Jacqui True Agenda: Logics of Global Governance
Rewriting the Victim: Dramatization as Laura J. Shepherd
Research in Thailand’s Anti-Trafficking Gender, UN Peacebuilding, and the Politics
Movement of Space: Locating Legitimacy
Erin M. Kamler Laura J. Shepherd
Equal Opportunity Peacekeeping: Women, Capitalism’s Sexual History
Peace, and Security in Post-Conflict States Nicola J. Smith
Sabrina Karim and Kyle Beardsley A Feminist Voyage through International
Gender, Sex, and the Postnational Relations
Defense: Militarism and Peacekeeping J. Ann Tickner
Annica Kronsell The Political Economy of Violence
The Beauty Trade: Youth, Gender, and against Women
Fashion Globalization Jacqui True
Angela B. V. McCracken Queer International Relations: Sovereignty,
Global Norms and Local Action: The Sexuality and the Will to Knowledge
Campaigns against Gender-Based Violence Cynthia Weber
in Africa Bodies of Violence: Theorizing Embodied
Peace A. Medie Subjects in International Relations
Rape Loot Pillage: The Political Economy of Lauren B. Wilcox
Sexual Violence in Armed Conflict
Sara Meger
Feminist Global Health
Security
C L A R E W E N HA M
1
3
Oxford University Press is a department of the University of Oxford. It furthers
the University’s objective of excellence in research, scholarship, and education
by publishing worldwide. Oxford is a registered trade mark of Oxford University
Press in the UK and certain other countries.
DOI: 10.1093/oso/9780197556931.001.0001
1 3 5 7 9 8 6 4 2
Printed by Integrated Books International, United States of America
For Scarlett
Contents
Acknowledgements ix
List of Acronyms xiii
Bibliography 207
Index 267
Acknowledgements
This book has been through several iterations. It started whilst I was preg-
nant in 2016 and recognising my good fortune to be pregnant in the UK, safe
from the “threat” of Zika. Due to unforeseen stressors, and a second preg-
nancy of my own, this became a larger theoretical, and considerably longer,
project, with a better result. Taking three years to write a book and reflect on
the issues raised by Zika has allowed me time to consider the outbreak and
feminist knowledge in the context of global health security more broadly. As
I simultaneously become more disillusioned with global health security as a
concept, and in particular as a policy space for women, Zika has offered the
“perfect” viewpoint to assess these concerns, notably those of representation,
the failure to serve those who are most at risk, and the lack of sustainability
in securitized activity. Whilst I don’t assume to have the complete picture,
my only request for this book is that whoever reads it questions the inherent
assumptions of global health security and what is missed when this frame is
applied to a global health issue.
The first thanks must go to all those people who agreed to talk to me as
part of the process, whether formally or informally. It is these conversations
that inspired me, challenged me, and made me reflect over the years. I hope
I have represented our conversations fairly, and any errors are exclusively
mine. This book is the product of several conversations with colleagues,
without which it would have been infinitely inferior. The second big thank
you goes to Sophie Harman and Sara Davies; they allowed me to brainstorm
ideas with them over lunches, drinks, Whatsapps and emails off and on for
three years which has significantly improved this book and kept me motiv-
ated to see it through to the end. Sophie Harman read an earlier iteration
of the first chapters of this book and suggested a significant restructure that
made so much sense. For having friends willing to support and provide such
sage advice, I shall forever be grateful.
A Wellcome Trust funded project “Zika and the Regulation of Health
Emergencies: Medical Abortion in Brazil, Colombia and El Salvador”
(210308/Z/18/Z) facilitated much of the learning for this book. My col-
leagues in this work, Sonia Corrêa, Sandra Valongueiro, Camila Abagaro,
x Acknowledgements
Amaral Arévalo, Katherine Cuéllar, Ernestina Coast and Tiziana Leone were
vital to the development of my thinking, particularly in chapter five, and
I hope that I have done our conversations and advocacy justice. Katherine
sadly died whilst I was finalising this book, and her support in analysing
Colombian health politics, as well as the fun we had in Bogota, Barranquilla
and Cartagena will stay with me and in this book in her memory. I am
grateful for participants at a workshop we hosted as part of this project on the
intersection between health emergencies and reproductive health in Rio de
Janeiro in September 2018.
Moreover, the broader Zika and Social Science network hosted at Oswaldo
Cruz Foundation (Fiocruz) has provided thought provoking discussions
in Brazil and the UK for the last three years. Particular thanks go to Denise
Nacif Pimenta, Gustavo Matta, Carol Nogueira, Juliana Correa and Camila
Pimentel. Further thanks go to other Zika and health security experts Joao
Nunes and Deisy Ventura for discussions on this project during the process
and for a Santander travel grant, which funded an additional visit to Brazil
in 2019.
When I pressed send to submit this manuscript for review in December
2019, I never imagined I would be writing a COVID-19 epilogue. This is only
a small flavour of the important work that I and many others are doing to
understand the gendered effects of coronavirus, and governments’ ensuing
response as part of the Gender & COVID-19 project, with the most fabu-
lous of colleagues: Julia Smith, Rosemary Morgan, Karen Grépin, Sara
Davies, Sophie Harman, Huiyun Feng, Asha Herten-Crabb, Ingrid Lui, Alice
Murage, Connie Gan and Ahmed Al-Rawi, funded by the Canadian Institute
of Health Research, and we have recently embarked on a much bigger pro-
ject across multiple locations with a host of new colleagues including Naila
Kabeer, Sabina Faiz Rashid, Selima Sara Kabir, Antonu Rabbani, Germaine
Furaha, Valerie Mueller, Anne Ngunjiri, Amy Okekunle, Kelley Lee, Denise
Nacif Pimenta, Brunah Schall, Mariela Rocha and Kate Hawkins, funded by
the Bill and Melinda Gates Foundation. The Gender and COVID-19 working
group, which we set up as part of this, has also been a source of thought-
provoking discussion.
My knowledge and critiques of global health security have benefited from
the considerable wisdom of colleagues from the broader global health and
politics field—particularly the first two chapters of this book—and I want
to thank Sonja Kittelsen, Simon Rushton, Colin McInnes, Jeremy Youde,
Owain Williams, Emma- Louise Anderson, Christian Enemark, Adam
Acknowledgements xi
In June 2019, the First Global Health Security Conference (GHS2019) took
place in Sydney, Australia. This was the first major event dedicated purely to
this area of health policy with over 800 policymakers, practitioners and aca-
demics from across the globe meeting to discuss research developments, prac-
tice and future agendas within the field. At this event, there was a “Women in
Global Health Security Breakfast”. A panel had been set up comprising senior
women who have forged careers as epidemiologists, medical doctors or in de-
velopment to offer reflections on being a woman working in the global health
security space. We heard about the challenges of “having a seat at the table” and
the tensions of balancing a career in global health security with managing per-
sonal care responsibilities. The elephant in the room, for me, was the complete
lack of recognition of how our collective work in global health security policy
impacts women worldwide beyond the self-reflexive corridors of global health
security influence. At this event, in which I participated as a woman working
in global health security, I asked the question “but what about the women af-
fected by global health security policy?” and no one seemed to understand
this discrepancy. Representation of women within the practice of global health
security is not the same as addressing the impact of global health security on
women*, yet it has almost become synonymous within global health, headed
by movements such as Women in Global Health and Global Health 50/50
advocating for more diverse and inclusive global health organisations. I do not
suggest that representation within global health security is not important, it
undeniably is, as it is in all fields, but to be in this room, we were by default
privileged to be the “doers, funders or analysts” of global health security and
thus unlikely to suffer the differential impacts of the implementation of global
health security policy as a consequence of our gender.
* In this book I use “woman” and “women” broadly, understanding and acknowledging that
women, non-binary, and trans individuals, as well as adolescents below the age of legal recognition
are impacted.
Feminist Global Health Security. Clare Wenham, Oxford University Press. © Oxford University Press 2021.
DOI: 10.1093/oso/9780197556931.003.0001
2 Feminist Global Health Security
Language: Spanish
Tomo VIII
BOCETOS AL TEMPLE
TIPOS TRASHUMANTES
SEGUNDA EDICIÓN
MADRID
VIUDA É HIJOS DE MANUEL TELLO
1898
Es propiedad del autor.
ADVERTENCIAS
En la que precede al tomo I de esta colección hallará el lector
curioso las razones que el autor ha tenido para desglosar de la
primera edición de los Bocetos, y publicarle en volumen aparte, el
titulado Los hombres de pro.
El motivo por el cual se publican hoy reunidas aquí, contra lo
anunciado en la cubierta del tomo anterior, dos obras que siempre
han estado separadas, es el deseo de que haya la posible igualdad
de tamaños en todos los volúmenes de la colección.
ÍNDICE
Página
Advertencias 5
BOCETOS AL
TEMPLE
La mujer del César 9
Oros son triunfos 135
TIPOS
TRASHUMANTES
Al lector 269
Las de Cascajares 271
Los de Becerril 279
El Excelentísimo Señor 285
Las interesantísimas señoras 291
Un artista 297
Un sabio 307
Un aprensivo 319
Un despreocupado 337
Luz radiante 345
Brumas densas 357
El barón de la Rescoldera 369
El Marqués de la
379
Mansedumbre
Un joven distinguido (visto
389
desde sus pensamientos)
Las del año pasado 403
En candelero 415
Al trasluz 423
BOCETOS AL TEMPLE
LA MUJER DEL CÉSAR