Securitisation across borders: the case of ‘health security’ cooperation in the European Union

Abstract

Global health governance has increasingly become articulated and acted upon in ways that emphasise ‘health security’. This article applies a collective securitisation approach to understand how a particular governance regime has evolved at the European level, one concerned with large-scale ‘threats’ to public health and societies at large. The analysis shows that alongside elite-level securitisation moves, transnational professional networks and bureaucratic actors have also taken part both as securitising agents and audience, with outcomes reflected not only in policy change but also new EU-specific surveillance technologies, institutional structures, and information-sharing platforms. While these developments are partially interlinked with global trends, we show that the EU has gradually institutionalised its own approach to health security. This new status quo is enshrined in a legal framework and set of practices with an all-hazards approach targeting preparedness, early detection and containment of ‘serious cross-border threats to health’ of any origin–beyond infectious disease.