Quarantine Island: Australia's Health Policy and Its Construction of International Law
In: The Australian yearbook of international law, Band 41, Heft 1, S. 299-343
ISSN: 2666-0229
Abstract
This article explores the development of Australia's policy approach towards communicable disease, both domestically and internationally. Drawing on archival records, it considers the methods used by federal and state governments to manage disease in Australia over time, analysing the key beliefs and priorities held by successive governments, and how these reflect Australia's particular character and history. Against these domestic concerns, the article interrogates Australia's approach to global health governance, with a particular focus on the state's contributions to the drafting of major international health instruments on communicable disease.
This analysis reveals the idiosyncratic nature of Australia's health policy and the resulting impact on Australia's contributions to the international legal system. It shows that Australia's approach has consistently relied on the creation and preservation of an impermeable national border. This policy reflects an institutionalised belief, held continually since the early colonial period, that disease must be fully eradicated, and that this is best effected through taking advantage of the country's geographic isolation. Domestically, this conception of disease control results in the adoption of strict quarantine requirements, immigration restrictions and broad discretionary powers regarding the entry of people and goods, while in the international context, Australia supports norms that facilitate its reification of its border.
Accordingly, the article contextualises Australia's health policy across four time periods of global health governance: the first sanitary conferences of the 19th and early-20th centuries, the post-World War II creation of the World Health Organization, the International Health Regulations 2005 revision project, and those Regulations' operation before and during the COVID-19 pandemic. This article's findings reveal the intrinsic connection between the unique domestic concerns of states and their approaches to international negotiations, which stymies the ability to generate effective cooperation globally. It clarifies this relationship and invites reflection on the resulting obstacles to international law's progressive development.