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(Re)locating the border: Pre-entry tuberculosis (TB) screening of migrants to the UK

机译:(重新)确定边界:进入英国的入境前结核病筛查

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This paper investigates the UK government's recent expansion of pre-entry tuberculosis (TB) screening of visa applicants to include migrants from over 80 countries. I will focus on how the offshoring of infectious disease surveillance, often conducted on behalf of the UK government by a third party, has (re)shaped the spatialities of border control. During last two decades, human mobility has increased exponentially, with worldwide passenger traffic carried on scheduled airlines almost trebling to nearly three billion. Nation states have sought to regulate these mobilities in order manage risk and filter out 'threatening' bodies. In particular, states and transnational organisations (such as the EU) are increasingly outsourcing border controls to overseas territories where migrant bodies are screened prior to departure. Yet, although scholars have conceptualised the relocated border in relation to counter-terrorism and national security, there has been less consideration of the effects of these changes on geographies of health security. This paper seeks to address this gap in knowledge through a qualitative case study of the changing geographies of detection and management of TB at (and beyond) the border in view of recent policy announcements by the UK government. I consider extent to which UK health security enactments have resulted in a 'biosec-uritisation' of the offshore border as they continue to be implemented across diverse spatial and political settings. In conclusion, 1 identify the need for further theoretical and empirical investigation into the impact of these measures on the scales of public health governance and spaces of biosecurity and biosurveillance.
机译:本文调查了英国政府最近扩大的签证申请人的入境前结核病(TB)筛查范围,以包括来自80多个国家的移民。我将集中讨论通常由第三方代表英国政府进行的传染病监视离岸,如何(重新)塑造了边境控制的空间。在过去的二十年中,人员流动性呈指数增长,定期航班上的全球客运量几乎翻了三倍,达到近30亿。民族国家试图规范这些活动,以管理风险并过滤掉“威胁性”机构。尤其是,州和跨国组织(例如欧盟)越来越多地将边境管制外包给海外领土,在这些领土上,移徙者在出发前进行检查。然而,尽管学者们已将与反恐和国家安全有关的搬迁边界概念化,但很少考虑到这些变化对卫生安全的影响。鉴于英国政府最近发布的政策,本文旨在通过定性的案例研究来解决这一知识差距,该案例研究是在边界(及边界)以外的结核病检测和管理领域不断变化的情况。我认为,英国医疗安全法规继续在不同的空间和政治环境中实施时,在多大程度上导致了海上边界的“生物安全性感染”。总之,1确定有必要对这些措施对公共卫生治理规模以及生物安全和生物监视空间的影响进行进一步的理论和实证研究。

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