El hambre mundial como pandemia no transmisible. Reconstrucción conceptual neutral al agente desde la tríada de Twaddle y el modelo biopsicosocial

Israel Huerta Castillo

doi:10.36105/

Autores/as

Israel Huerta Castillo https://orcid.org/0000-0003-4247-918X

DOI:

https://doi.org/10.36105/

Palabras clave:

bioética, inseguridad alimentaria, sindemias, justicia sanitaria, gobernanza

Resumen

Este artículo examina si el hambre crónica satisface criterios neutrales al agente para su tratamiento como pandemia no transmisible en salud global. Integra la tríada disease–illness–sickness de Twaddle con el modelo biopsicosocial de Engel y operacionaliza “pandemia” mediante seis criterios (extensión transnacional, carga elevada, disrupción socioeconómica, coordinación internacional, externalidades y gobernanza/financiación estables). Se incorpora un anclaje bioético explícito: derecho a la alimentación, justicia distributiva, no maleficencia estructural, solidaridad y responsabilidad intergeneracional. La verificación se apoya en evidencia institucional reciente y literatura sobre nutrición poblacional, determinantes sociales, sindemias y gobernanza. Se derivan paquetes multinivel (comunitario, nacional, global) con financiación contracíclica y vigilancia integrada, y se responden objeciones (dilución, medicalización, terminología, umbrales). Se vincula la propuesta con ODS-2 y la Agenda 2030. Se concluye que el encuadre pandémico neutral al agente no diluye el término, sino que lo refina para la decisión cuando la carga y la disrupción lo exigen.

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