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Summary Lecture Notes International Health Law | EUR | 2026/27

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Lecture notes for International Health Law at Erasmus Universiteit Rotterdam covering weeks 1-4 of the 2026/2027 academic year. Topics include human rights frameworks (UDHR, ICCPR, ICESCR), the right to health care, the Oviedo Convention on bioethics, informed consent, genetic testing, organ transplantation, vulnerable groups (prisoners, children, elderly), and health emergencies. Essential study material for understanding international and European health law principles, with comprehensive references to treaties, general comments, and key academic sources.

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International Health Law

Inhoudsopgave
International Health Law............................................................................................................................... 1
Literatuur..............................................................................................................................................................1

Week 1, Understanding Human Rights Frameworks.......................................................................................5
Lecture 1...............................................................................................................................................................6
Questions seminar 1.............................................................................................................................................7

Week 2, Right to Health............................................................................................................................... 10
Cases and Assigments working group Right to Health......................................................................................13

Week 3, Biomedicine and Human Rights...................................................................................................... 16
Cases and assignments Lecture 3.......................................................................................................................20

Week 4, Prison Care, health care behind bars and IHR Law...........................................................................21
Cases & assignments Lecture Prisoners and health care access........................................................................27

Week 4b, (Migrant) Children’s right to health...............................................................................................29

Week 5, Disabled persons and the Right to Health........................................................................................ 32
Group assignment Disabled persons..................................................................................................................35

Week 6, Repro rights.................................................................................................................................... 36
Cases and assignments repro rights..................................................................................................................43

Week 7, European Social Charter (ESC)......................................................................................................... 44
Cases and assignments 7................................................................................................................................46
Exam...................................................................................................................................................................48




Literatuur
Week 1

,Treaties:
- Universal Declaration of Human Rights
- International Covenant on Civil and Political Rights
- International Covenant on Economic, Social and Cultural Rights
- Optional Protocol to the International Covenant on Economic, Social and Cultural Rights
General Comments:
- United Nations Human Rights Committee, General Comment 31 of 2004 on the nature of the
legal obligations imposed on states
- United Nations Human Rights Committee, General Comment 29 of 2001 on Article 4
Derogations during a state of emergency
- United Nations Human Rights Committee General Comment 24 of 1994 on Reservations
- United Nations Human Rights Committee General Comment 26 of 1997 on Continuity of
Obligations
Articles, book chapters etc:
- M. Buijsen, ‘Human Dignity and the Concept of Health law’, in A. den Exter (ed.) European
Health Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 3-24.
- E. Riedel, ‘Economic, Social and Cultural Rights’, in C. Krause and M. Scheinin (eds.)
International Protection of Human Rights: A Textbook, Åbo Akademi University Institute for
Human Rights, Turku 2009, p. 129-149. (Canvas) as pdf-file
- André den Exter, Paula Lobato Faria, João V Cordeiro, ‘Adoption of the First Global Pandemic
Agreement: Advancing Preparedness for Future Public Health Emergencies’ (editorial), Port. J
Public Health (2025) June 20, doi: 10.1159/000546833.

Week 2
Treaties etc:
- Article 25 UDHR
- Article 12 ICESCR
- General Comment 14, The Right to the Highest Attainable Standard of Health, 2000
- Article 7 to 10 and 13 ILO C130 Medical Care and Sickness Benefits Convention
- Article 5 International Convention on the Elimination of All Forms of Racial Discrimination
- Article 28 International Convention on the Protection of the Rights of All Migrant Workers
and Members of Their Families
- Article 14 Universal Declaration Bioethics UNESC
- World Medical Association Statement on Access to Health Care
- Article 16 African Charter on Human and Peoples Rights
Articles, book chapters etc:
- A. den Exter, ‘The Right to health Care’, in A. den Exter (ed.) European Health Law
Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 107-132.
- K. Syrett, ‘Healthcare rationing and the Law’, in A. den Exter (ed.) European Health Law
Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 173-196.
- P. Hunt, ‘Interpreting the International Right to Health in a Human Rights-Based Approach to
Health’, Papers in Press 2016. This article can be found at
https://www.hhrjournal.org/2016/12/interpreting-the-international-right-to- health-in-a-
human-rights-based-approach-to-health/
- B. Rumbold et.al., ‘Universal Health Coverage, Priority Setting, and the Human Right to
Health’, in The Lancet 2017 (390), p. 712-714. This article can be found at
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30931-5/fulltext
- A. den Exter, View. The Dutch Critical Care Triage Guideline, Eur.J.Health Law 2020 (495-498)
- A. den Exter, ‘Covid-19: the inequality virus. Towards a more fair and equal
- allocation of vaccines’, book contribution Thessaloniki Press 2023, p. 1-15

,Lecture 3, The Right to Health Care in European Human Rights Law (1) The Biomedicine/Oviedo
Convention

Treaties:
- Convention for the Protection of Human Rights and Dignity of the Human Being with regard
to the Application of Biology and Medicine (Convention on Human Rights and Biomedicine)
- Explanatory report to the Convention on Human Rights and Biomedicine Original versions of
these documents can be found at
https://www.coe.int/en/web/conventions/full-list/-/conventions/treaty/164 and
https://rm.coe.int/CoERMPublicCommonSearchServices/DisplayDCTMContent?docu
mentId=09000016800ccde5
Articles, book chapters:
- A. Garwood-Gowers & S. Olsena, ‘Informed Consent’, in A. den Exter (ed.) European Health
Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 245-272.
- D. Sprumont, P. Borry & M. Shabani, ‘Genetic Testing in Europe. An Overview of the Legal
Framework’, in A. den Exter (ed.) European Health Law Antwerpen/Apeldoorn/Portland:
MAKLU 2017, p. 365-388.
- A. Garwood-Gowers & A. Pereira, ‘Organ and Tissue Human-Human Transplantation’, in A.
den Exter (ed.) European Health Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 391-
418.
- R. Sandland & P. Lobato de Faria, ‘Patients’ Duties: The Missing Element in European
Healthcare Law’, in A. den Exter (ed.) European Health Law Antwerpen/Apeldoorn/Portland:
MAKLU 2017, p. 599-619.
- A. den Exter, Mandatory Vaccination in Child Daycare and Its Relevance to COVID-19, Port J
Public Health, 26 July 2021 https://pure.eur.nl/en/publications/mandatory-vaccination-in-
child-daycare-and-its-relevance-to-covid
- A. den Exter, ARTIFICIAL INTELLIGENCE IN HEALTH CARE AND THE OVIEDO CONVENTION, in
Medical Law, https://doi.org/10.25040/medicallaw2022.02.009

Lecture 4, Lecture and Seminar Vulnerable groups (1) Prisoners, Children, Elderly, Health and Human
Rights

Treaties etc:
- Standard Minimum Rules for the Treatment of Prisoners:
https://www.unodc.org/pdf/criminal_justice/UN_Standard_Minimum_Rules_for
_the_Treatment_of_Prisoners.pdf
- CoE. Recommendation Rec(2006)2 of the Committee of Ministers to member states on the
European Prison Rules https://rm.coe.int/09000016809ee581
- Convention on the Rights of the Child (CRC). An English version of this treaty can be found at:
http://www.ohchr.org
- General Comment No 15 (2013) on The right of the child to the enjoyment of the highest
attainable standard of health (art. 24). This document can be found at:
https://www.refworld.org/docid/51ef9e134.html
- General Comment No 4 (2003) on Adolescent health and development in the context of the
CRC. This document can be found at
http://www.ohchr.org/Documents/Issues/Women/WRGS/Health/GC4.pdf
- Parliamentary Assembly, Committee on Social Affairs, Health and Sustainable Development
Rapporteur: Lord George FOULKES, Human rights of older persons and their comprehensive
care, Report 9 May 2017 https://assembly.coe.int/nw/xml/XRef/Xref-XML2HTML-en.asp?
fileid=23767&lang=en
Rulings:
- Kudla v Poland (ECHR 26 October 2000, app. no 30210/96)

, - Melnik v Ukraine (ECHR 28 March 2006, app. no 72286/01)
- Dickson v UK (ECHR 4 December 2007, app. no 44362/04)
- Rooman v. Belgium ([GC], ECHR 31 January 2019, app. no. 18052/11
- M.A.K. and R.K. v UK (ECHR 23 March 2010, app. no. 45901/05, 40146/06)
Articles, book chapters:
- P. Jacobs, ‘Health Care in Prison’, in A. den Exter (ed.) European Health Law
Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 561-577.
- C. Adolphsen, ‘Children and Health Care’, in A. den Exter (ed.) European Health
Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 541-559.
D. Touwen & A. Hendriks, ‘Ageing & Health Care’, in A. den Exter (ed.) European Health Law
Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 517-539.

Lecture 5, Vulnerable groups (2) Disabled, Health and Human Rights
- Convention on the Rights of Persons with Disabilities. This document can be found at
https://www.un.org/development/desa/disabilities/convention-on- the-rights-of-persons-
with-disabilities.html
- Infosheet no.2, WHO Promoting the rights of people with mental disabilities. This document
can be found at:
https://www.who.int/mental_health/policy/How_to_promote_rights_English.p df?ua=1
- Draft Additional Protocol concerning the protection of human rights and dignity of persons
with mental disorder with regard to involuntary placement and involuntary treatment, as
revised by the 13th DH-BIO (Strasbourg, 23 – 25 May 2018) https://rm.coe.int/inf-2018-7-
psy-draft-prot-e/16808c58a3
Articles, book chapters:
- J. McHale, ‘Mental Health and the ECHR: Human Rights Framing and Changing’, in A. den
Exter (ed.) European Health Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 293-308.
Rulings:
- Nielsen v Denmark (ECHR 23 November 1988, app. no 10929/84)
- L.R. v. North Macedonia (ECtHR 20 May 2020, application no. 38067/15)
- Varbanov v. Bulgaria (ECtHR 5 October 2000, application no. 31365/96)
- Aggerholm v Denmark (ECtHR 15 September 2020 (no. 45439/18)
- VI v Moldova (no. 38963/18) https://strasbourgobservers.com/2024/07/05/systemic-
discrimination-of-intellectually-disabled-children-v-i-v-moldova-paves-the-way/

Lecture 6, Vulnerable groups (3) Women, Health and Human Rights
Treaties etc:
- Convention on the Elimination of All Forms of Discrimination against Women (CEDAW)
An English version of this treaty can be found at: http://www.ohchr.org
General Comments etc:
- General Recommendation 24 on Women and health. This document can be found at
http://www.un.org/womenwatch/daw/cedaw/recommendations/recomm.htm
Rulings:
- Evans v UK (ECHR 10 April 2007, app. no 6339/05)
- V.C v Slovakia (ECHR 8 November, app. no 18968/07)
- A, B and C v Ireland (ECHR 16 December 2010, app. no 25579/05)
Articles, book chapters:
- E. Kismödi, ‘European Sexual and Reproductive Health Law and Human Rights’, in A. den
Exter (ed.) European Health Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 621-646.
- J. Rothmar Herrmann, ‘The Human Embryo and Foetus’, in A. den Exter (ed.) European
Health Law Antwerpen/Apeldoorn/Portland: MAKLU 2017, p. 201-216.
- A. den Exter, Obstetric Violence: Sterilisation without Consent. The Case of Y.P. v. Russian
Federation, EJHL (2023) 1-10

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