Summary the need for reflection on the ethical issues raised by the spectre of a pandemic influenza outbreak is great our efforts to address the normative aspects of pandemic planning in hospitals have generated interest from other hospitals and from the governmental sector. The aim of this article has been to highlight the importance of an ethical process while planning for the eventuality of a pandemic, and to outline and find ways of addressing the various ethical problems which may come up during the preparedness or response phase of an influenza pandemic. Here that look is focused on ethical issues raised in both the influenza pandemic of 1918-1920 and in more recent outbreaks of emerging infectious diseases as well as on the profound influence that these ethical issues exert on pandemic planning and on international public health law.
1 public health reviews, vol 34, no 1 preface: evolving ethical issues over the course of the aids pandemic anthony s fauci, md1 abstract in the early years of the aids pandemic, one of the major ethical considerations. The obligation of the medical profession to provide treatment in an influenza pandemic stems from the expertise that physicians uniquely possess this expertise enables doctors to provide care that the general public would not be able to provide. The pandemic influenza ethics initiative work group department of health and human services (hhs) and other federal agencies to develop guidance for allocating scarce health and medical resources during a flu pandemic in concert with hhs, the national center for ethics in health care of the department of prevent the spread of infection v. Abstract this paper aims to highlight three ethical considerations related to influenza pandemic planning and response: ethical allocation of scarce resources obligations and duties of healthcare workers to treat patients, and the balance between conflicting individual and community interests.
Influenza pandemic or other public health emergency 1 ethical considerations for decision making regarding allocation of mechanical ventilators the timeliness of this discussion of ethical issues in pandemic influenza was highlighted by the emergence of 2009 pandemic influenza a (h1n1). This document, ethical considerations for decision making regarding allocation of mechanical ventilators during a severe influenza pandemic or other public health emergency, provides ethical considerations that the ethics subcommittee of the advisory committee to the director, centers for disease control and prevention (cdc) proposes to aid in. This chapter presents two parallel principles of ethics: nonmaleficence and beneficence some ethics writers view these principles as inseparable applied to avoid harm infection control and other environmental prac- you have an ethical obligation to pro.
These are a few of the ethical questions that arise fast on the heels of an emerging influenza pandemic for physicians, nurses, and other healthcare professionals (hcps), the questions continue. The eleventh futures forum aimed to review and discuss ethical governance principles and instruments to the who global project on addressing ethical issues in pandemic influenza planning (5) structure of this report eleventh futures forum on the ethical governance of pandemic influenza preparedness the. Cd thics common ethical issues related to hiv/aids s ar am ract 0 607 vol 5 o 6 hiv-positive status, which, in turn, has impeded control of the pandemic19,20 fear of stigmatisation is so profound that hiv/tuberculosis patients reportedly decline antiretroviral. The anticipated onset of a second wave of the h1n1 influenza pandemic could present a host of thorny medical ethics issues best considered well in advance, according to the university of toronto joint centre for bioethics, which today released nine papers for public discussion. 5 a comment on pandemic preparedness while this paper deals primarily with the ethical obligations of institutions and healthcare professionals related to vaccination for seasonal influenza, the same principles and virtues apply to preparing for pandemic influenza.
The role and obligations of health-care workers during an outbreak contributions of the participants at the technical meeting and the global consultation on ethical issues in pandemic preparedness, the members of the four working groups, and particularly the vital input of the further spread of infection to other people reciprocity:. Wiley online library will be unavailable on saturday 27th february from 09:00-14:00 gmt / 04:00-09:00 est / 17:00-22:00 sgt for essential maintenance. Ethical issues and considerations associated with a pandemic involving direct-contact transmission, for example, will not necessarily be adequately anticipated or addressed if the range of ethical issues considered in pandemic plans are circumscribed to those associated with an airborne influenza pandemic.
The first cases of human infection with h5n1 were reported in 1997 in hong kong (18 cases of which specific ethical challenges in pandemic influenza detection and control, (2) explore approaches for addressing these continued discussion about ethical issues in the practice of public health. Meeting the ethical challenges of a severe pandemic influenza d uring a severe pandemic flu, the us department of veterans affairs, veterans would the facility need to do to minimize my risk and help me meet other obligations each presents ethical and logistical challenges issues include cancellation of important services, separation. Ethical responsibilities of health care professionals given the very serious ramifications of limited resources in a disaster and its accompanying decisions and outcomes, there is an ethical responsibility on the part of health care professionals to prepare themselves for decision-making.
Unresolved issues of legal, ethical, and professional considerations of disaster medical response remain a challenge and could hamper the ability of nurses to respond a concerted effort to solving these problems is needed, with nurses and stakeholders at the national, state, and local levels. In light of the recent experience of canadian physicians, nurses, and other hcws on the frontlines of the sars outbreak, we submit that the canadian health care community should lead the charge to address issues of duty to care and ethical obligations in times of public health emergencies. Zika ethics consultation: ethics guidance on key issues raised by the outbreak washington, dc, april 6-7, 2016 there is no treatment or vaccine to prevent infection furthermore, diagnosis of zika virus infection is of women’s capacity to choose goes in tandem with an ethical obligation to support and protect their health.