新冠疫情不僅造成全球公共衛生危機，亦凸顯既有國際衛生治理於大流行防範、準備與應對上之制度侷限。為應對早期預警遲滯、跨國協調失靈，以及疫苗與關鍵醫療資源分配不均等問題，國際社會遂於後疫情時代推動《大流行病協定》，並將健康一體納入協定中，使其由過往之政策倡議，進一步進入國際法規範架構之中。
本文以《大流行病協定》之健康一體為研究核心，探討其在協定中之規範定位、制度功能及實踐挑戰。健康一體強調人類健康、動物健康與環境之密切關聯，主張以多部門協作、資訊整合與整體風險治理回應日趨複雜之健康議題。《大流行病協定》透過將健康一體納入相關條款，使其成為大流行防範、準備與應對之重要理念，並為多部門協作、資訊整合及預防性治理提供制度依據。
本文認為，《大流行病協定》雖未使健康一體形成具高度拘束力之法律義務，但其被納入協定後，仍取得一定之條文基礎，並為後疫情時代國際衛生治理提供方向。健康一體之後續發展，亦未必僅取決於協定本身，或可透過融資、技術及區域合作等方式，逐步累積其實踐基礎。

The COVID-19 pandemic exposed major weaknesses in existing international health governance, particularly in pandemic prevention, preparedness, and response. In response to delayed early warning, failures in cross-border coordination, and inequitable access to vaccines and other critical medical resources, the international community promoted the Pandemic Agreement in the post-pandemic era and incorporated One Health into the Agreement, moving it beyond its earlier role as a policy initiative into the framework of international law. This thesis examines the normative status, institutional functions, and practical challenges of One Health under the Pandemic Agreement. It argues that the incorporation of One Health provides a clearer normative foundation in international law and an institutional basis for multisectoral cooperation, information integration, and preventive governance. Although the Pandemic Agreement does not make One Health a highly binding legal obligation, its inclusion in the Agreement still gives One Health a treaty-based textual foundation and provides a broader institutional direction for global health governance in the post-pandemic era. The further development of One Health may not depend solely on the Agreement itself. Its practical foundation may also be gradually built through institutional arrangements such as financing, technical cooperation, and regional collaboration.

中文文獻
書籍
Lawrence O. Gostin（劉汗曦校訂），全球衛生法，1版（2017）。
期刊
牛惠之，論國際衛生條例之發展與潛在爭議，臺大法學論叢，38卷1期，頁111（2009）。
黃芳誼，全球衛生治理（Global Health Governance）的運作與發展，新社會政策，46期，頁90（2016）。
學位論文
吳慈珮，全球新興傳染病控制規範與策略研究－以人畜共通傳染病議題為中心，國立交通大學科技法律研究所碩士論文（2009）。
葉國基，論公共衛生議題在國際法制之發展，國立臺灣海洋大學海洋法律研究所博士論文（2021）。
蔣子鈞，國際公共衛生體系之法律研究，國立中興大學法律學系科技法律碩士班碩士論文（2012）。

英文文獻
書籍
SCHWABE, CALVIN W., VETERINARY MEDICINE AND HUMAN HEALTH (3d ed. 1964).
專書論文
Huang, Yanzhong, The SARS Epidemic and Its Aftermath in China: A Political Perspective, in Learning from SARS: Preparing for the Next Disease Outbreak: Workshop Summary 117-120 (Stacey Knobler ed., 2004).
期刊論文
Achmadi U.F. & Ernawati K., Climate Change, Globalization and Emerging Disease, Challenges and Good Practices for Environmental Health Specialist, 4(2) INT’L J. PUB. HEALTH & CLINICAL SCI. 1, 4-5 (2017).
Abbott, K. & B. Faude, Choosing Low-Cost Institutions in Global Governance, 13 INT’L THEORY 397 (2020).
Baker, R.E. et al., Infectious Disease in an Era of Global Change, 20(4) NAT. REV. MICROBIOL. 193, 198 (2022).
Bullón Caro, C., Legal Elements to Operationalise One Health: From Principles to Practice, 3 RSCH. DIRECTIONS: ONE HEALTH 1 (2025).
Destoumieux-Garzón, D. et al., The One Health Concept: 10 Years Old and a Long Road Ahead, 5 FRONTIERS VETERINARY SCI. 1, 7-10 (2018).
Elnaiem, A. et al., Global and Regional Governance of One Health and Implications for Global Health Security, 401(10377) LANCET 688 (2023).
Emerson, K., Collaborative Governance of Public Health in Low- and Middle-Income Countries: Lessons from Research in Public Administration, 3 BMJ GLOB. HEALTH 1 (2018).
Evaborhene, N. et al., The Pandemic Treaty, the Pandemic Fund, and the Global Commons: Our Scepticism, 8 BMJ GLOB. HEALTH 1, 4 (2023).
Evans, B.R. & F.A. Leighton, A History of One Health, 33(2) REV. SCI. TECH. 413, 415-417 (2014).
Fineberg, Harvey V., Pandemic Preparedness and Response—Lessons from the H1N1 Influenza of 2009, 370(14) NEW ENG. J. MED. 1335 (2014).
Gooding, K., M.P. Bertone, G. Loffreda & S. Witter, How Can We Strengthen Partnership and Coordination for Health System Emergency Preparedness and Response? Findings from a Synthesis of Experience across Countries Facing Shocks, 22 BMC HEALTH SERVS. RSCH. 1, 4 (2022).
Gostin, L., S. Moon & B. Meier, Reimagining Global Health Governance in the Age of COVID-19, 110(11) AM. J. PUB. HEALTH 1615 (2020).
Gostin, L. & Phelan, A. L., The International Health Regulations (Fourth Edition): Advancing Security, Solidarity, and Equity for A Safer and Fairer World, 56(2) Georgetown J. INT’L L. 385 (2025).
Greer, Scott L., What Can Be Done About the Global Far Right’s Threat to Health?, 115(6) AM. J. PUB. HEALTH 870 (2025).
Gruetzmacher, K. et al., The Berlin Principles on One Health—Bridging Global Health and Conservation, 764 SCI. TOTAL ENV’T 1, 3 (2021).
Hoffman, Steven J. & Sarah L. Silverberg, Delays in Global Disease Outbreak Responses: Lessons from H1N1, Ebola, and Zika, 108(3) AM. J. PUB. HEALTH 329, 329 (2018).
Kanchanachitra, C., V. Tangcharoensathien, W. Patcharanarumol & T. Posayanonda, Multisectoral Governance for Health: Challenges in Implementing a Total Ban on Chrysotile Asbestos in Thailand, 3 BMJ GLOB. HEALTH 1, 2 (2018).
Kavanagh, M. et al., Increasing Compliance with International Pandemic Law: International Relations and New Global Health Agreements, 402(10407) LANCET 1097, 1102 (2023).
Mamabolo, M. et al., One Health Economics Approach to Prevention and Control of Zoonotic and Animal Diseases—Considerations for South Africa, 7 ONE HEALTH OUTLOOK 1, 5 (2025).
Mwatondo, A. et al., A Global Analysis of One Health Networks and the Proliferation of One Health Collaborations, 401(10376) LANCET 605 (2023).
Nhamo, G., D. Chikodzi, H.P. Kunene & N. Mashula, COVID-19 Vaccines and Treatments Nationalism: Challenges for Low-Income Countries and the Attainment of the SDGs, 16(3) GLOB. PUB. HEALTH 1, 11 (2021).
Olson, S.H. et al., Ground Zero for Pandemic Prevention: Reinforcing Environmental Sector Integration, 8 BMJ GLOB. HEALTH 1 (2023).
Ortiz-Millán, G., One Health in a Globalized World: Challenges and Responses to Zoonotic Threats, 36(1) GLOB. BIOETHICS 1, 5 (2025).
Phelan, A.L., S. Negri & M. Hesselman, Environmental Health: Towards Synthesis in Global Law and Governance, 53(S1) J. L. MED. & ETHICS 41, 43 (2025).
Richard, Fomboh N. et al., Strengthening Public Health Responses to Infectious Diseases in Low- and Middle-Income Countries through Vaccine Accessibility, Antibiotic Stewardship, and Community Engagement, 18(2) J. DISEASE & GLOB. HEALTH 246, 250 (2025).
Saksena, N., Global Justice and the COVID-19 Vaccine: Limitations of the Public Goods Framework, 16(8-9) GLOB. PUB. HEALTH 1512, 1513 (2021).
Salm, M. et al., Reimagining Global Health: Accelerating Change for a Sustainable Future, 91(1) ANNALS GLOB. HEALTH 1, 3 (2025).
Spicer, N. et al., “It’s Far Too Complicated”: Why Fragmentation Persists in Global Health, 16 GLOB. HEALTH 1, 10 (2020).
Swazo, N.K., M.M.H. Talukder & M.K. Ahsan, Pandemic Vaccines and “The Global Public Good”: A Call for Distributive Justice, 29 MED. HEALTH CARE & PHIL. 5, 11 (2026).
Traore, T. et al., How Prepared is the World? Identifying Weaknesses in Existing Assessment Frameworks for Global Health Security Through a One Health Approach, 401(10377) LANCET 673 (2023).
Turner, Mark, Vaccine Procurement During an Influenza Pandemic and the Role of Advance Purchase Agreements: Lessons from 2009-H1N1, 11(3) GLOB. PUB. HEALTH 322 (2016).
Usher, Ann Danaiya, A Beautiful Idea: How COVAX Has Fallen Short, 397(10292) LANCET 2322, 2324 (2021).
Villanueva, J., T. Kidokoro & F. Seta, Cross-Border Integration, Cooperation and Governance: A Systems Approach for Evaluating “Good” Governance in Cross-Border Regions, 37(5) J. BORDERLANDS STUD. 1047, 1054 (2020).
Villarreal, P., Expanding the Core Foundations of Global Health Law through a Pandemic Agreement, 53(3) J.L. MED. & ETHICS 482 (2025).
Winkler, A. et al., The Lancet One Health Commission: Harnessing Our Interconnectedness for Equitable, Sustainable, and Healthy Socioecological Systems, 406(10502) LANCET 501, 570 (2025).
Wolf-Fordham, S., Integrating Government Silos: Local Emergency Management and Public Health Department Collaboration for Emergency Planning and Response, 50(6-7) AM. REV. PUB. ADMIN. 560, 564 (2020).
Zelli, F. & H. van Asselt, The Institutional Fragmentation of Global Environmental Governance: Causes, Consequences, and Responses: Introduction, 13 GLOB. ENV’T POL. 1, 7 (2013).
Zinsstag, J. et al., Advancing One Human-Animal-Environment Health for Global Health Security: What Does the Evidence Say?, 401(10376) LANCET 591 (2023).
政府與國際組織文件
FAO et al., CONTRIBUTING TO ONE WORLD, ONE HEALTH—A STRATEGIC FRAMEWORK FOR REDUCING RISKS OF INFECTIOUS DISEASES AT THE ANIMAL-HUMAN-ECOSYSTEMS INTERFACE (2008), https://www.fao.org/4/aj137e/aj137e00.pdf.
FAO, UNEP, WHO & WOAH, ONE HEALTH JOINT PLAN OF ACTION (2022-2026): WORKING TOGETHER FOR THE HEALTH OF HUMANS, ANIMALS, PLANTS AND THE ENVIRONMENT (2022), https://www.who.int/publications/i/item/9789240059139.
FAO, UNEP, WHO & WOAH, ONE HEALTH AND THE UNITED NATIONS SUSTAINABLE DEVELOPMENT COOPERATION FRAMEWORK: GUIDANCE FOR UNITED NATIONS COUNTRY TEAMS (2023), https://www.who.int/publications/i/item/WHO-OHI-2023.2.
GENEVA GRADUATE INSTITUTE, WHAT’S NEW IN THE DRAFT PANDEMIC AGREEMENT? (2025), https://repository.graduateinstitute.ch/record/320183/files/Governing_Pandemics_What%27s_New_in_the_Draft_PA_Policy_Brief.pdf.
GHS Index, GLOBAL HEALTH SECURITY INDEX: BUILDING COLLECTIVE ACTION AND ACCOUNTABILITY (2019), https://ghsindex.org/wp-content/uploads/2020/04/2019-Global-Health-Security-Index.pdf.
IPPPR, COVID-19: MAKE IT THE LAST PANDEMIC (2021), https://theindependentpanel.org/wp-content/uploads/2021/05/COVID-19-Make-it-the-Last-Pandemic_final.pdf.
WHO, PANDEMIC INFLUENZA PREPAREDNESS FRAMEWORK FOR THE SHARING OF INFLUENZA VIRUSES AND ACCESS TO VACCINES AND OTHER BENEFITS (2011), https://iris.who.int/server/api/core/bitstreams/4e22d25c-7084-4832-a0ff-667eac7ed714/content.
WHO, TAKING A MULTISECTORAL, ONE HEALTH APPROACH: A TRIPARTITE GUIDE TO ADDRESSING ZOONOTIC DISEASES IN COUNTRIES (2019), https://iris.who.int/server/api/core/bitstreams/00a4190f-ff85-4959-b020-db11bca0565b/content.
WHO, PREVENTING THE NEXT PANDEMIC - ZOONOTIC DISEASES AND HOW TO BREAK THE CHAIN OF TRANSMISSION (2020), https://unsdg.un.org/sites/default/files/2020-07/UNEP-Preventing-the-next-pandemic.pdf.
WHO, WHO HEALTH EMERGENCIES PROGRAMME: PROGRESS AND PRIORITIES (2025), https://cdn.who.int/media/docs/default-source/documents/emergencies/who-health-emergencies-funding-and-priorities-2025.pdf?sfvrsn=2273d4f8_3&download=true.