Hot Topics: Global Ethics
by Sweta Dubey MBBS & Siddhesh Zadey BSMS
For the first time in human history, over 3.9 billion people in about ninety countries around the world were contained in lockdowns as of the first week of April.…Full Article
by Mario Picozzi, MD Ph.D., Federico Nicoli, Ph.D., Paolo Severgnini, MD
The Varese Hospital is located in northern Lombardy and has a total of 582 beds.…Full Article
by Asma Fazal, M.B.B.S, MRCPI, MHSc
To care for children in the neonatal intensive care unit (NICU) and the pediatric intensive care unit (PICU) is not easy because in addition to having an emotionally charged environment with high morbidity and mortality, it has a patient population who is not autonomous.…Full Article
by Father Marcin Ferdynus
The COVID-19 pandemic is unprecedented in scope and beyond anything we have ever experienced. A global plague of unparalleled proportions resulting in health, economic, social and religious consequences, the pandemic has revealed deficiencies in global and domestic health institutions and systems.
by Laura Specker Sullivan, Ph.D. and Dan Rosen, J.D.
As Fairchild et al. describe in a forthcoming issue of the American Journal of Bioethics, the American debate on social distancing regulations has pitted those protesting unacceptable state limitations on individual rights versus those demanding that individual rights to protection create a government obligation.
by Henri-Corto Stoeklé Ph.D., Asmahane Benmaziane M.D., Philippe Beuzeboc M.D., Christian Hervé, M.D., Ph.D.
In a letter published in The American Journal of Bioethics, we wrote “now really isn’t the time for ethical reflections” in the face of COVID-19.
by Fernando Hellmann, Ph.D., Silvia Cardoso Bittencourt, Ph.D., Fabíola Stolf Brzozowski, Ph.D., Mirelle Finkler, Ph.D., Marta Verdi, Sandra Caponi, Ph.D.
by Katharine Wright & Julian Sheather
Pratt et al. highlight important ways in which solidarity between researchers and communities provides both an ethical underpinning, and an ethical goal, for community engagement in global health research.…Full Article
by Charlene Sathi, HBSc, MS and Lydia Dugdale, MD, MAR
When sailors used to become sick at sea, their mates had to decide whether to throw them overboard or isolate them below deck until they could find help in harbor towns.…Full Article
Solidarity and Community Engagement in Global Health Research
The Role of Solidarity in Research in Global Health Emergencies
Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting
Clinical Ethicists Awakened: Addressing Two Generations of Clinical Ethics Issues Involving Undocumented Patients
Impartiality and infectious disease: Prioritizing individuals versus the collective in antibiotic prescription
Health Research Priority Setting: The Duties of Individual Funders
Aligning Research Priorities to Improve Equity: A Challenge for Health Funders
The Rescinding of DACA: What Should Healthcare Professionals and Academics Do? (and Why?)
A Question of Social Justice: How Policies of Profit Negate Engagement of Developing World Bioethicists and Undermine Global Bioethics
What needs to be considered as some governments move towards a “herd immunity approach? What does it mean to have “herd immunity”? How would this affect the population and the future of the pandemic? Here, in this Washington Post piece, John Authers discusses the moral decision in immunity. He brings in concepts of utilitarianism and economic status in the consideration for herd immunity.Full Article
Vaccine development is in contention within the United States, navigating the progress of clinical research and pressures for development from the federal government. Pfizer has announced that the goal is to ask for emergency use in November.Full Article
Once a vaccine is developed and efficacious, how do we get the vaccine to those in need? This effort relies on the COVID-19 Vaccine Global Access (COVAX) initiative which the U.S is not involved in. How can COVAX help vaccines in Africa?Full Article
“Which countries should get a vaccine first? To what degree should helping essential workers, the poor, minorities and the young (or old) affect vaccine distribution?…” A few of many questions to consider when developing methods to distribute. If the vaccine proves to be a highly efficacious intervention, access to the product will be key to closing disparities in health outcomes due to COVID-19 infection.Full Article
The race for a COVID-19 vaccine has been on the forefront of many research pursuits, and bioethics is crucial when considering vaccine development and distribution. Clinical trials progressing through defined phases allow developers to gauge the effect of the vaccine in the larger population and study any effects of long-term utilization. Carl Zimmer of The New York Times provides a look at the early results from the “Sputnik V” vaccine in Russia.Full Article
As the epidemic rages in a violent, embattled region, two important players — the World Health Organization and Doctors Without Borders — clash over how to end it.Full Article
The mosquito-borne virus spread through the island in 2017, but global health officials failed to sound the alarm.
Ten years ago, Renee Bach left her home in Virginia to set up a charity to help children in Uganda. One of her first moves was to start a blog chronicling her experiences.
Among the most momentous: On a Sunday morning in October 2011, a couple from a village some distance away showed up at Bach’s center carrying a small bundle.
“When I pulled the covering back my eyes widened,” Bach wrote in the blog. “For under the blanket lay a small, but very, very swollen, pale baby girl. Her breaths were frighteningly slow. … The baby’s name is Patricia. She is 9 months old.”
Bach went on to write that Patricia had fallen sick three weeks earlier. But her parents had been unable to find anyone closer to home who could cure her.
Then, wrote Bach, “One of their relatives told them about a ‘hospital’ … with a ‘White Doctor.’ ”
Except Bach was not a doctor.Full Article
The year-old outbreak has now reached Goma, a heavily populated city near the border with Rwanda. The W.H.O. will ask experts again to decide whether to issue a declaration that could increase funding to fight the disease spread.Full Article