The twentieth century was marked by the proliferation of security regimes, and collective security in particular. Under a collective security arrangement, all states at either a regional or global level agree to resolve their disputes peacefully, collectively oppose acts of aggression, and actively defend those who are victims of such aggression. It is based on the premise that security is indivisible, that is, each state’s security is intricately tied to the security of others, and no nation can be completely secure so long as the territory, independence, and populations of other states are seriously threatened. However, over the past several decades, ethnic conflicts, civil wars, guerrilla insurgencies, and other forms of internal violence have dramatically increased, even as large-scale interstate wars have declined. In addition to these sources of instability and conflict, political repression and extreme human rights abuses by governments against their populations (particularly genocide and ethnic cleansing) often generate massive refugee flows, illegal arms trafficking, and the rise of paramilitary guerrilla armies, all of which could disrupt neighboring states and regional stability. Thus, the concept of security adopted by international and regional regimes over the past few decades has expanded from the threat and use of force for deterrence and enforcement to include nation- and state-building, peacekeeping, and peace-making.
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Security Regimes: Collective Security and Security Communities
Bruce Cronin
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The European Neighbourhood Policy
Meltem Müftüler-Baç
The European Union (EU), following its 2004 big bang enlargement toward the central and eastern European countries Cyprus and Malta found itself facing a new group of neighboring countries (i.e., new borders). In response, the EU devised a new policy, the European Neighbourhood Policy (ENP), adopted in 2004, which encompasses two different geographical regions for the EU’s 16 neighbors: Ukraine, Moldova, Georgia, Armenia, Azerbaijan, and Belarus in the East and Algeria, Egypt, Israel, Jordan, Lebanon, Libya, Morocco, Palestine, Syria, and Tunisia in the South Mediterranean. The ENP aimed to promote political and economic transformation in the EU’s periphery and stabilize the European borders with its key instruments. To do so, Association Agreements together with Deep and Comprehensive Free Trade Agreements, Action Plans, Partnership Priorities, and Single Support Frameworks were adopted. The ENP was revised twice, in 2011 and in 2015, to respond to the ongoing challenges that the EU and its neighboring countries face.
The ENP’s evolution included multicountry, regional plans, the Union for the Mediterranean and the Eastern Partnership, adopted in 2008 and 2009, respectively. The ENP’s effectiveness could be assessed in terms of its ability to stabilize the EU’s neighbouring countries, as well as in promoting political, economic, and governance-related reforms. The ENP’s revisions with the “more for more/less for principle” in 2011 and a stronger EU presence in the region in 2015 with the emphasis on building “resilience” rather than diffusion of European norms and rules were all adopted to enable the realization of its main objectives. However, the variation among the partner countries, the domestic scope conditions, and scope conditions such as the EU’s vertical and horizontal policy incoherence, coupled with the presence of other international actors, constrained the ENP’s effectiveness. The ENP as an attempt to create a “ring of friends” around the EU failed to realize its objectives, and instead the EU is surrounded now with a “ring of fire.”
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Great Power and Foreign Policy
Carla Martinez Machain, Rebecca Kaye, and Jared Oestman
Great powers have traditionally played a major role in the study of foreign policy. From a variety of work on foreign policy analysis, it is known that great powers are more active in their foreign policy than other states in the international system are. Whether the actions are disbursing foreign aid, creating alliances, conflict involvement, or others, studies will often control for great power status, with the underlying expectation being that major powers will be more likely to utilize these foreign policy tools. In fact, when considering relevant dyads in quantitative studies of foreign policy analysis, states have to be contiguous for the dyad to be considered relevant, but an exception is made for dyads containing at least one major power, given the ability of great powers to project their power beyond their borders.
Key literature on the foreign policy behavior of great powers discusses different ways of defining great powers. In particular, the debate over defining great power status has focused on whether a great power should be defined solely on its physical capabilities, or also on intangible factors, such as its foreign policy interests or whether the state is recognized as a great power by others in the international system. Further, there are questions of whether great powers have to be military powers or whether economic superiority is enough to classify a state as a great power. There is also the issue of regional powers: states that are clearly military, economic, and political leaders within a limited geographic region, but not at the global level. Should these states be considered great powers, or should that classification be reserved for global powers?
The literature on great-power foreign policy also discusses cooperative and conflictual behaviors of great powers in the international system. It addresses great power war, focusing on how they are more conflict prone than minor powers, and reviews the issues that drive great powers to engage in conflict, such as positional issues and the intent to shape the international system to their liking. It also discusses a variety of foreign policy actions, both coercive and cooperative, that major powers are more likely to engage in than their minor-power counterparts. In addition, there is much work done on the relationships between great powers and between great powers and minor powers, stressing the competitive nature of major-power interactions and the trade-off between economic and military security and policy concessions that defines major-minor power interactions.
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Policy Entrepreneurs and Foreign Policy Decision Making
Michael Mintrom and Joannah Luetjens
In recent years, significant effort has been applied to understanding and empirically testing the concept of policy entrepreneurship in a range of different settings. Despite these efforts, studies to date have tended to focus on policy entrepreneurs in domestic policy settings. Few have articulated the potential role that policy entrepreneurs play in understanding foreign policy decision-making. Coupled with theories and evidence from the field of foreign policy analysis, the concept of policy entrepreneurship lends itself to analyzing how actors in the foreign policy space draw attention to problems, advance workable proposals, and link outcomes to symbolic values. This article introduces and applies a framework for the analysis of policy entrepreneurs seeking to influence foreign policy decision-making. This framework is then used to underpin illustrative case studies of foreign policy entrepreneurs. The variety of recent scholarly contributions regarding policy entrepreneurs and foreign policy suggests that many more opportunities exist for such work to be conducted in the future. This is an exciting prospect. Valuable, generalizable insights are more likely to emerge from such a collective research enterprise if the various individual contributions are informed by greater conceptual coherence.
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Public Opinion and Foreign Policy
Douglas Foyle
Dramatic changes in the way the public acquires information and formulates its attitudes have potentially altered the opinion and foreign policy relationship. While traditional approaches have treated public opinion on domestic and foreign matters as largely distinct, the culmination of a series of changes may eliminate the effective distinction between foreign and domestic policy, at least in terms of how the American political system operates. All the factors central to the opinion and foreign policy process, such as information acquisition, attitude formation, media effects, the effect of opinion on policy, and presidential leadership now appear to mirror the processes observed at the domestic level.
This analysis reviews historical trends in the literature on public opinion and foreign policy that has focused on the rationality of the public’s opinions, the structure of its attitudes, and its influence on foreign policymaking. The traditional Almond-Lippmann consensus portrayed an emotional public with unstructured attitudes and little influence on foreign policy; however, revisionist views have described a reasonable public with largely structured views on foreign policy that can, at times, constrain and even drive those policies. More recently, the rise of “intermestic” issues, contain both domestic and international elements, such as globalization, inequality, terrorism, immigration, and climate change, have interacted to transform the domestic and international context.
The bulk of this analysis highlights emerging new research directions that should be pursued in light of the changes. First, scholars should continue to evaluate the “who thinks what and why” questions with particular attention to differences between high- and low-information individuals, the effect of misinformation, and information sources. In doing so, research should build on research from non-American contexts that points to the important influences of societal and institutional factors. In addition to continued examination of traditional demographic factors such as partisanship and ideology, additional attention should turn to consider potential genetic and biological foundations of attitudes. Finally, researchers should continue to evaluate how the new media environment, including social media, affects how the public accesses information, how the media provides information, and how political elites attempt to shape both. Given these changes, scholars should consider whether it continues to make sense to treat public opinion dynamics regarding foreign policy as distinct from domestic policy and its implications.
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Public Policy and Foreign Policy Analysis
Frédéric Charillon
As a transdisciplinary puzzle, between international relations and public policy, foreign policy analysis (FPA) owes much to the study of decision-making processes and its early pioneers (Richard Snyder, James Rosenau, Harold and Margaret Sprout . . . ). Formulated and implemented by state agents, foreign policy fully belongs to the field of public policy studies, whose approaches have proved relevant to analyze its formulation. Still, it remains singular for several reasons. In constant interdependence with extraterritorial and mostly unpredictable actors or events, it is more reactive (or at least less proactive) than most domestic policies. Vulnerable to various transnational linkages, foreign policy also leads the analyst to rethink several pillars of public policy studies, such as the role of public opinion, the nature of elites, or the feasibility of evaluation. Its implementation, in particular, depends on the leeway resulting from foreign processes initiated in remote states or societies. Because what is at stake is national identity, reputation, or status, the national interest, and war and peace, the possibility of nonrational, psychologically biased, or even passionate responses to a political problem is higher. The emergence of nonstate actors (nongovernmental organizations, companies, religious groups), substate entities (regions, federated states), and suprastate organizations in international politics is a compelling factor that urges us to rethink foreign policy as public policy. The fading boundaries between domestic and international dimensions, as well as between public and private strategies, have a deep impact on the analysis. The theorization and practice of new kinds of policy networks are likely to be at the heart of future research agendas, both in international relations and public policy studies.
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Environmental Policy and Foreign Policy
John Barkdull
International agreements on environmental issues are the result of the coordination of states’ foreign policies. To understand the international politics of the environment requires attention to the institutional, social, economic, and cognitive factors that determine foreign policies. Although nearly every foreign policy bears on environmental concerns, the focus is on the policies that states adopt centered on humanity’s relationship to the natural world and ecology. Scholarship on environmental policy and foreign policy has not developed distinctive schools of thought. However, organizing scholarship according to a theoretically grounded typology reveals affinities among various scholarly works: systemic, societal, and state-centric approaches can be grouped according to whether they emphasize power, interests, or cognitive factors. Most studies of environmental foreign policy are oriented toward problem solving—identifying discrete problems in existing institutional arrangements and pointing toward solutions to these problems that do not question the institutions fundamentally. This orientation may not be adequate if crossing planetary boundaries leads to environmental challenges so severe that current institutions cannot cope. Climate change poses just such a challenge, and the rising concentration of greenhouse gases in the atmosphere means a future crisis is predictable. Thus, scholars might be best advised to orient toward critical theory, which seeks feasible alternatives to existing arrangements. The study of foreign policy toward the environment would be most useful in helping scholars and policy makers to identify and surmount barriers to transformational changes that would enable humanity to cope with future environmental crisis.
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Public Opinion and US Foreign Relations
Nicholas J. Cull
Public opinion has been part of US foreign relations in two key ways. As one would expect in a democracy, the American public has shaped the foreign policy of its government. No less significantly, the United States has sought to influence foreign public opinion as a tool of its diplomacy, now known as public diplomacy. The US public has also been a target of foreign attempts at influence with varying degrees of success. While analysis across the span of US history reveals a continuity of issues and approaches, issues of public opinion gained unprecedented salience in the second decade of the 21st century. This salience was not matched by scholarship.
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East Asia and Foreign Policy
Enyu Zhang and Qingmin Zhang
The study of East Asian foreign policies has progressed in sync with mainstream international relations (IR) theories: (1) from perhaps an inadvertent or unconscious coincidence with realism during the Cold War to consciously using different theoretical tools to study the various aspects of East Asian foreign policies; and (2) from the dominance of realism to a diversity of theories in studying East Asian foreign policies. Nonetheless, the old issues from the Cold War have not been resolved; the Korean Peninsula and the Taiwan Strait remain two flashpoints in the region, with new twists that can derail regional stability and prosperity. New issues also have emerged and made East Asia most volatile. One issue is concerned with restructuring the balance of power in East Asia, particularly the dynamics among the major players, i.e. Japan, China, and the United States. Regionalism is another new topic in the study of East Asian foreign policies. A review of the current state of the field suggests that two complementary issues be given priority in the future. First, the foreign policy interests and strategies of individual small states vis-à-vis great powers in the region, particularly those in Southeast Asia and the Korean peninsula. Second, what could really elevate the study of East Asian foreign policies in the general field of IR and foreign policy analysis is to continue exploring innovative analytical frameworks that can expand the boundaries of existing metatheories and paradigms.
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Autonomy in Foreign Policy: A Latin American Contribution to International Relations Theory
María Cecilia Míguez
Autonomy is a concept constantly referred to in Latin American foreign policy analysis, especially with respect to Argentina and Brazil. As great powers continue to exert effective control over peripheral economies and their political decision making, autonomy emerges as a possibility for self-determination in the areas where hegemonic powers’ economic, political, and cultural interferences are expressed. Although this is not a new concept, the quest for autonomy within the “global periphery”—and elsewhere too—still remains relevant. Helio Jaguaribe and Juan Carlos Puig’s theoretical approaches are fundamental epistemological contributions to international relations (IR), not only in South America (where the theoretical approach was first developed) but also to the wider IR field outside the mainstream scholarship. In line with global historical changes, autonomy took on some subsequent new meanings, which led to new and heterogeneous formulations that transformed, and in certain cases also contradicted, the very genesis of the idea of autonomy. As a result, the so-called autonomy “with adjectives” emerged within IR peripheral debates. The 21st century witnessed the rebirth of the concept amid the rise of multilateralism and the new Latin American regionalism, which brought its relational character to the fore. Some of the new approaches to autonomy, especially from Brazil, used the concept as a methodological tool to understand the historical evolution of the country’s foreign policy. As such, autonomy and its theoretical reflection remain central to the analyses and interpretations of the international relations of peripheral countries, and it is in this sense that the autonomy can be highlighted broadly as a Latin American contribution to IR discipline. The concept of autonomy has a unique and foundational content referred to the discussion of the asymmetries in the global order. Studying autonomy is critical to understanding peripheral countries’ problems and dynamics.
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The International Politics of Memory
Lina Klymenko
Like the contested remembrance of historical events, collective memory shapes interstate relations, foreign and security policy, and global politics. International relations (IR) scholars studying the relationship between collective memory and international politics link the memory concept to the notions of security, power, language, emotions, gender, identity, trauma, justice, law, and the like. The study of the international politics of memory relies on a plurality of theoretical approaches gained from interdisciplinary works on collective memory. Although collective memory is viewed as a variable influencing foreign policymaking in structural terms within a positivist paradigm in IR scholarship, from an interpretive perspective, collective memory is a practice of remembrance that constitutes a state’s foreign and security policy. Following the advances of the interpretive paradigm in the social sciences, it is expected that more interpretive studies on the international politics of memory will appear. .
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South–South Cooperation in the 21st Century: An Analysis From Latin America
Gladys Lechini and Carla Morasso
During the first decade of the 21st century, the international system underwent a process of transformation in which emerging actors gained prominence, promoting a new stage that enabled the resurgence of South–South cooperation (SSC). The field of international relations approached this phenomenon mainly through studies of international development cooperation, but also from a foreign policy analysis approach. Although at the beginning of the century attention was focused especially on emerging countries like China, India, Brazil, and South Africa, among others, the consolidation of SSC between middle-income countries, particularly in Latin America, gave rise to a broad debate on the distinct identities of the Southern partners. Considering the substantial literature produced, and emphasizing a perspective rooted in Latin America, SSC is analyzed with the goals of contributing to understand SSC from its conceptual formulation, link SSC to foreign policy considerations, and, finally, understand how SSC has affected the International Development Cooperation System.
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Foreign Policy of Colombia
María Catalina Monroy
The study of foreign policy of Colombia has traditionally followed a path of thick description of specific events and generalizations that have transcended from one generation to another. There is a tendency to claim that Colombia’s foreign policy is presidentialist or personalist, of low profile, and excessively pro-American. These are just a few examples of the conventional wisdom that has defined the study of Colombian foreign policy. Although the field of foreign policy analysis is only in its preliminary phase in Colombia, there is a growing interest among students and scholars to analytically examine foreign policy decision-making through multiple levels of analysis. The foreign policy of Colombia is best understood by tracing the direction and alignment of specific foreign policy decisions into respices, meaning “look at” or “upon.” The fact that Colombia has traditionally “looked upon” a foreign entity to formulate foreign policy poses different questions regarding how autonomous foreign policymaking in Colombia really is. On the one hand, the essence of Colombia’s foreign policy has traditionally been found in a juxtaposition of the country’s interests alongside those of the United States. On the other hand, as a consequence of the articulation of this foreign policy partnership between Colombia and the United States, security has been the most recurrent topic in Colombia’s foreign policy agenda-setting, given the problems of illicit drugs, armed conflict, terrorism, and, more recently, peace.
Article
Middle Powers
Marion Laurence
Formal diplomatic recognition of “middle powers” began with the Congress of Vienna, but the concept gained increasing currency after World War II because medium-sized countries like Canada used it to distinguish themselves from smaller states and secure a relatively favorable position in the postwar order. Early definitions of middle powers focused on states that lacked the system-wide influence of great powers but whose resources and capacities were recognized as being more significant than those of small states. The term’s exact meaning remains contested, but early definitions capture three important dimensions of the concept. First, it is inherently relational, from both a material perspective and a social perspective, and often used as a residual category. Some scholars define middle-power status using material factors like geographic size or population, while others emphasize social roles and recognition, but all of these approaches focus on a state’s position, roles, and status relative to other states. Second, the middle-power concept is both state-centric and practitioner-adjacent. National policymakers invoke, reify, and continually reinvent the concept to achieve specific foreign policy objectives. Third, the middle-power concept is bound up with wider debates about global order. Middle powers were long conceptualized as good international citizens and champions of the liberal world order. The rise of “emerging” middle powers raises questions about their orientation toward existing global institutions. Going forward, the most pressing questions about middle powers and their foreign policy behavior will be linked to broader conversations about geopolitical change and the future of contemporary global governance arrangements.
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The European Union’s International Promotion of LGBTI Rights in its Foreign Relations
Markus Thiel
Despite ongoing challenges, the European Union (EU) not only is a major actor on the world stage, but also emphasizes human rights for LGBTI individuals in its internal and external policies, thus setting a powerful example for acceptance and inclusion worldwide. While this establishes the EU as a presumptive normative actor from a liberal human rights perspective, a number of disputes over those rights policies and the way they are promoted have emerged in bilateral relations between the EU and other states in recent years. Given Europe’s colonial history, the fact that the bloc is collectively the world’s largest provider of development assistance, and the volatility of LGBTI human rights defenders, it is important to investigate how the EU and its member states promote LGBTI rights internationally. The EU institutions attempt to jointly formulate and implement guidelines for the external promotion of such rights, though no uniform rights standards exist across the various member states.
The compatibility of EU and member states’ conceptions of LGBTI rights and the more general question of how far the EU is, can, or should be a “normative” agenda-setting power on the world stage are central. This heavily contested but also popular ideational concept glosses over the limited consensus that exists in the EU with regard to many of its policies and the role it should assume in international affairs. Such incoherence is particularly evident in normatively contested and geopolitically intertwined areas like sexual rights and equality (ranging from nondiscrimination based on sexual and gender expression to positive rights of partnership recognition and childcare). To the extent that a common approach on LGBTI rights is developed, one can detect promotion attempts in the external policy areas in which rights promotion is formulated and diffused, namely in development and foreign aid, in enlargement and neighborhood policies, and in exchange with other international organizations. However, these come with their own politicizing issues, so that alternatives to the presently emphasized conditionality and visibility policies may provide a better way forward.
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The Availability Heuristic, Political Leaders, and Decision Making
Michael Cohen
The cognitive and emotional mechanics of the human brain have profound effects on when and what people and political leaders learn, and this can have significant effects on their causal beliefs, preferences, and policies. The existence of the availability heuristic and its biasing effects on political judgment is one of the most robust findings from decades of research in cognitive psychology. The core mechanism involves people being more likely to learn from the phenomena that are most easily recalled by memory, which tend to be dramatic and vivid events, rather than other, often more normatively probative sources. Most applications of this insight to foreign policy decision-making also tend to assume that an actor’s personal experiences will impact what tends to be more or less easily recalled and thus better predict who learns which lesson from which event. This heuristic enables leaders to deal with the vast amount of extant information but also can cause systematic biases in causal inference.
Documenting the availability heuristic and its effects on political decision-making requires (usually archival) data on leaders beliefs’ over long periods of time, from their formative political lessons through decisions and nondecisions when in power, in order to reliably clarify which lessons were in fact learned, when and why a leader learned which lesson from what data point, why that data point happened to be cognitively available, and whether these lessons influenced policy. Ideally, studies should also assess these leaders’ associates where possible to determine whether they learned similar lessons from the same events. Studies can also apply statistical analysis to larger populations of leaders who are likely to have found different events cognitively available. This article focusses on decisions in the realm of foreign policy and international security, although availability certainly plays a role in other domains as well. Decades of scholarship have now shown the relevance of the availability heuristic in U.S., Soviet, Indian, Chinese, and Pakistani grand strategy and foreign policy, approaches to nuclear weapons, and extant alliances and threat perceptions. But much work remains to be done in these cases and elsewhere, as well as in other fields like international political economy and comparative politics.
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Coalition Politics and Foreign Policy
Sibel Oktay
Coalition governments are observed frequently in parliamentary systems. Approximately 70% of all governments in postwar Europe have been one type of coalition or another. Israel has never been ruled by a single-party government in its history. Recently, majoritarian systems like Britain produced coalitions, taking many by surprise.
The prominence of coalitions in parliamentary democracies compels researchers to study them more closely. The Comparative Politics literature investigates, in particular, the dynamics of coalition formation and termination, as well as the domestic policy outputs of coalitions, especially compared to governments ruled by a single party.
Coalitions have generated interest on the International Relations front as well. One avenue of research transcends the “political party” as a building block and conceptualizes coalitions as a “decision unit” by focusing on the group of veto players in a regime’s foreign policy apparatus. Another line of scholarship, situated in the “Democratic Peace” framework, looks at coalitions as a domestic-institutional factor to observe their effects on the likelihood of international conflict.
Departing from the “Democratic Peace” tradition, more recent research in Foreign Policy Analysis rejuvenates the study of coalitions in international politics. This literature not only encourages theory development by scrutinizing why coalitions behave differently than single-parties in the international arena but also bridges the gap between International Relations and Comparative Politics. Emphasizing the organic relationship between domestic politics and foreign policy, foreign policy researchers dissect coalition governments to highlight the role political parties play on foreign policy formulation and implementation. This literature also illustrates the merits of methodological plurality in studying foreign policy. Using a combination of comparative case studies, process tracing, Qualitative Comparative Analysis (QCA) and regression modeling, it sheds light not only on the broader trends that characterize coalition foreign policy but also on the causal mechanisms and contextual factors which often go unaccounted for in purely statistical analyses. The recent advances in role and image theories in Foreign Policy Analysis are expected to influence the study of coalitions and their foreign policies, offering an interpretivist take alongside this positivist trajectory.
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Decision Making Theories in Foreign Policy Analysis
Alex Mintz and Amnon Sofrin
Key theories of foreign policymaking include: the rational actor model, prospect theory, poliheuristic theory, cybernetic theory, bureaucratic politics, and organizational politics; and, at the group level, groupthink, polythink, and con-div. These theories are based on unique decision rules, including maximizing, satisficing, elimination by aspect, lexicographic, etc. A new, two-group model of foreign policy decision-making includes a decision design group and a decision approval group.
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Democratic Domestic Institutions and Foreign Policy
Eric Hamilton
Scholarship on the relationship between domestic institutions and foreign policy is driven by the assumption that a state’s domestic political arrangement can explain important aspects of its foreign policy behavior. Democratic domestic institutions, in particular, are thought to be significant for explaining an important set of outcomes. Research shows, for example, that democracies tend to cooperate with each other; uphold their commitments; make more effective threats; engage in fewer wars with each other (but do fight non-democracies quite frequently); perform better in the wars in which they are involved; and tend to fight wars of shorter duration.
Studying the impact of democratic domestic institutions on foreign policy has developed along two broad lines. The first and most established approach is rooted in the basic distinction between democracies and non-democracies. In this view, democratic institutions constrain leaders in a way that produces distinct democratic foreign policy patterns. This approach has yielded a tremendous amount of research and insight into democratic foreign policy, but also suffers from several important shortcomings. One is that democracy tends to be correlated with a host of other variables, making it difficult to specify what exactly it is about democracy that explains certain foreign policy outcomes. A second and related critique of this approach is that it tends to treat democracy uniformly when in fact there is often great variation in democratic domestic institutions across cases.
A second and more recent approach focuses on the differences among democracies and seeks to explain how this variation, in turn, creates variation in foreign policy behavior. Democracies differ in terms of their underlying institutional arrangements in a variety of ways, including whether they have presidential or parliamentary systems, autonomous or constrained executives, and open or closed institutions to modulate the flow of information between leaders and citizens, among others. Even within a country, there can be a different set of institutional constraints on democratic leaders depending on the given foreign policy instrument they seek to employ. Studying these variations and their impact on policy processes and outcomes provides great promise for further unpacking the relationship between domestic democratic institutions and foreign policy.
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Infectious Disease as a Foreign Policy Threat
Rebecca Katz, Erin Sorrell, and Claire Standley
The last 30 years have seen the global consequences of newly emerging and re-emerging infectious diseases, starting with the international spread of HIV/AIDS, the emergence of Ebola and other hemorrhagic fevers, SARS, MERS, novel influenza viruses, and most recently, the global spread of Zika. The impact of tuberculosis, malaria, and neglected tropical diseases on society are now better understood, including how these diseases influence the social, economic, and political environment in a nation. Despite international treaties and norms, the specter of intentional use of infectious disease remains present, particularly as technological barriers to access are reduced. The reality is that infectious diseases not only impact population health, but also have clear consequences for international security and foreign policy.
Foreign policy has been used to coordinate response to infectious disease events and to advance population health around the world. Conversely, collaboration on infectious disease prevention, preparedness, and response has been used strategically by nations to advance diplomacy and improve foreign relations. Both approaches have become integral to foreign policy, and this chapter provides examples to elucidate how health and foreign policy have become intertwined and used with different levels of effectiveness by governments around the world. As the scope of this topic is extensive, this article primarily draws from U.S. examples for brevity’s sake, while acknowledging the truly global nature of the dynamic between infectious diseases and foreign policy, and noting that the interplay between them will vary between countries and regions.
In 2014, U.S. President Barak Obama called upon global partners to, “change our mindsets and start thinking about biological threats as the security threats that they are—in addition to being humanitarian threats and economic threats. We have to bring the same level of commitment and focus to these challenges as we do when meeting around more traditional security issues”. With world leaders increasingly identifying disease as threats to security and economic stability, we are observing infectious diseases—like no other time in history—becoming an integral component of foreign policy.
