» Public Health Where the World Finds Bioethics Thu, 23 Oct 2014 21:19:35 +0000 en-US hourly 1 U.N. Group Urges China’s Wealthy to Fight Ebola Mon, 20 Oct 2014 18:11:48 +0000 0 Death From Ebola: What do we do with the deceased? Mon, 20 Oct 2014 05:36:38 +0000 by Craig Klugman, Ph.D.

In the United States in the year 1900, 52.6% of all deaths were due to infectious disease. the number one cause of death. When these patients died, a family member, friend, or member of a burial society washed their bodies and cleaned them. Their families held wakes and funerals in their homes, often laying out the body in the parlor. They would all go to the cemetery and the body would be buried in a family grave.…

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The Great Ebola Race: An appeal to honor the common good Thu, 16 Oct 2014 09:56:04 +0000 by Craig Klugman, Ph.D.

In the time of the black plague, people with symptoms were often placed into separate areas. The sick and symptomatic were separated from the general populace.

When ships came into harbors they were often kept there for weeks until it was assured that they did not carry disease with them.

Cities would close their gates to travels to prevent anyone from arriving who might bring disease as well as to protect travelers from disease when it raged within.…

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Contain AND Extinguish Wed, 15 Oct 2014 01:22:59 +0000 Read More »]]> 0 Why we ignored Ebola until recently Wed, 15 Oct 2014 00:52:30 +0000 by Craig Klugman, Ph.D.

Ebola burst onto the scene in 1976 when a thirty-old man arrived at the Yambuku Mission Hospital in Zaire complaining of severe diarrhea. He left the hospital two days afterwards and was never found again. In the days and weeks that followed, people who were patients or care providers at this facility when he was there all died after experiencing dehydration, fever, vomiting, diarrhea, and bleeding everywhere. The death rate was staggering, as over 80% of affected patients did not recover.…

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Americans have 14 million smoking-related ailments: study Mon, 13 Oct 2014 20:40:59 +0000 0 Lawsuit Against U.N. on the Spread of Cholera Epidemic in Haiti Advances Thu, 09 Oct 2014 22:30:41 +0000 0 Fever Pitch Thu, 09 Oct 2014 11:42:35 +0000 ]]> 0 Jennifer Miller on NPR’s TechNation Sat, 04 Oct 2014 00:17:40 +0000 0 A Primer on Ebola: Ethics, Public Health, and Panic Wed, 01 Oct 2014 20:33:38 +0000 by Craig Klugman, Ph.D.

Ebola is in the news a lot with the diagnosis of the first case on U.S. soil (excluding the 4 cases of health workers who were repatriated from West Africa after falling ill with the disease). Lots of information is flying around the internet and the news media. The ethics of outbreaks is not a new topic and has been written about extensively in this blog as well as elsewhere. Experts in public health ethics have addressed this issue thoroughly.…

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A simple change? The IOM Report on “Dying in America” Thu, 18 Sep 2014 05:15:42 +0000 by Craig Klugman, Ph.D.

Say there was a simple change that could be made to the health care system that would reduce cost, reduce demand, increase patient’s quality of life and satisfaction, address the whole patient and not just the disease, improve care coordination, and increase patient autonomy. All of this is possible, but it requires addressing the problem that in America we do not die as we want to.

This week the Institute of Medicine released its latest report,  Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.…

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How do we talk about enhancement after Ferguson and the death of Michael Brown? Tue, 16 Sep 2014 22:49:23 +0000 by Keisha Ray, Ph.D.

No other area of philosophy has captured my interests like bioethics. Thinking about the ways that we can use health care to justly distribute opportunities and what those opportunities are is my greatest interest. My specific interest in biomedical enhancement stems from my interests in the relationship between health care and opportunities. As health is essential to living the kind of lives that we want to live, I’m always thinking about how traditional practices and advances in health care can help us lead better lives, even when there is nothing medically abnormal about or minds or bodies.…

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Extending the Zadroga Act Thu, 11 Sep 2014 10:56:14 +0000 ]]> 0 Eating is addictive but sugar and fat are not like drugs, study says Tue, 09 Sep 2014 21:53:37 +0000 0 CRISIS ETHICS: Hope for the best, prepare for the worst Thu, 04 Sep 2014 05:52:57 +0000 by Craig Klugman, Ph.D.

An Ebola epidemic rages through Western Africa. Civil unrest and terrorist turmoil rocks Syria/Iraq, Libya, Israel/Gaza, and Ferguson, Missouri. A 6.1 earthquake damages Napa and shakes the entire San Francisco Bay Area. All of these events are examples of crisis—a catastrophic disaster (natural or human-made) that disrupts the regular operating of a region.

In terms of health, a crisis is a “state of being that indicates a substantial change in health care operations and the level of care than can be delivered in a public health emergency, justified by specific circumstances” (IOM, Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response 2012).

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Big Data Peeps At Your Medical Records To Find Drug Problems Tue, 02 Sep 2014 23:57:34 +0000 0 The Boys in the Ban Fri, 29 Aug 2014 12:06:06 +0000 ]]> 0 (Gun) Violence as a Public Health Issue Wed, 27 Aug 2014 01:41:57 +0000 Read More »]]> 0 New recommendations for overweight people with heart risks Tue, 26 Aug 2014 17:17:52 +0000 0 E-Cigarettes Worth Try to Quit Smoking, Heart Group Says Mon, 25 Aug 2014 22:33:02 +0000 0 Fewer Painkiller Deaths in States With Medical Pot Mon, 25 Aug 2014 22:30:15 +0000 0 In Redesigned Room, Hospital Patients May Feel Better Already Fri, 22 Aug 2014 20:06:49 +0000 0 These Medical Apps Have Doctors and the FDA Worried Tue, 19 Aug 2014 14:39:02 +0000 0 New York City council speaker reveals HPV diagnosis to raise awareness Mon, 18 Aug 2014 17:44:47 +0000 0 When unapproved drugs are the only help: A case for compassionate use Mon, 18 Aug 2014 16:00:03 +0000 0 The raging Ebola epidemic in West Africa—will the key lessons be learned? Mon, 18 Aug 2014 04:30:14 +0000 by Arthur Caplan, Ph.D.

Ebola, according to the World Health Organization (WHO) is out of control in West Africa.  The disease, which is transmitted by contact with contaminated blood or body fluids, or by close contact with a dead body infected with the virus, has killed more than 1100 people in Guinea, Sierra Leone, Liberia, and Nigeria.  The number of dead is most likely higher since people were dying in rural villages without being counted. At least another 1000 persons are infected. …

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Ethical considerations for use of unregistered interventions for Ebola virus disease (EVD) Thu, 14 Aug 2014 15:57:48 +0000 0 Big Bad Ebola Tue, 12 Aug 2014 19:15:13 +0000 ]]> 0 WHO consulting ethics experts on experimental Ebola drugs Wed, 06 Aug 2014 17:54:46 +0000 0 Ebola: Are Treatments, Vaccines on the Horizon? Tue, 05 Aug 2014 21:44:29 +0000 0 FDA calls for more specific gluten-free labels Tue, 05 Aug 2014 21:43:17 +0000 0 E-Cigarettes are Less Harmful Than Conventional Cigarettes Fri, 01 Aug 2014 19:26:39 +0000 0 Why Do Women Live Longer Than Men? Fri, 01 Aug 2014 19:25:21 +0000 0 Repeal Prohibition, Again Wed, 30 Jul 2014 21:55:46 +0000 0 The D.O. Is in Now Tue, 29 Jul 2014 15:59:42 +0000 0 Drugs to increase ‘good’ cholesterol may not cut deaths Mon, 28 Jul 2014 20:30:51 +0000 0 Too few U.S. youth getting vaccine for sexually transmitted virus: CDC Thu, 24 Jul 2014 17:20:09 +0000 0 Rates of abdominal obesity leveling off among kids Mon, 21 Jul 2014 17:33:30 +0000 0 Calif. death penalty ruled unconstitutional Wed, 16 Jul 2014 23:06:52 +0000 0 Children Of Gay Parents Are Happier And Healthier Than Their Peers, New Study Finds Tue, 15 Jul 2014 18:20:00 +0000 0 The Principle of Equivalence Reconsidered: Assessing the Relevance of the Principle of Equivalence in Prison Medicine Thu, 10 Jul 2014 19:36:48 +0000 0 San Francisco passes law allowing forced treatment of mentally ill Wed, 09 Jul 2014 18:11:43 +0000 0 Merck Says It Regrets Strong-Arming Italian Researcher Tue, 08 Jul 2014 16:32:34 +0000 0 Doctors Are Examining Your Genitals for No Reason Tue, 01 Jul 2014 17:35:38 +0000 0 Supreme Court Rejects Contraceptives Mandate for Some Corporations Tue, 01 Jul 2014 16:54:26 +0000 0 Fact vs. Fiction: Judge Upholds Barring Unvaccinated Children from Public Schools Fri, 27 Jun 2014 17:31:45 +0000 by Craig Klugman, Ph.D.

Vaccination is one of the great success stories of public health. People who receive vaccinations against disease are far less likely to contract that disease. In 1900, 30.4% of all deaths from infectious disease were to children under the age of 5 and the top three causes of death were pneumonia, tuberculosis and diarrhea-enteritis. By 2010, the only infectious disease in the top ten list was influenza and pneumonia at 9th place. In 2012, 91.4% of adolescents are immunized for measles, mumps & rubella, 92.8% for Hep B, and many others.…

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Watching too much TV could shorten your life Wed, 25 Jun 2014 21:52:28 +0000 0 BPA Alternative May Still Have Endocrine Effects Tue, 24 Jun 2014 17:04:35 +0000 0 Pharmaceutical firms find it hard to exit essential drugs market Tue, 24 Jun 2014 15:30:10 +0000 0 Community Consultation Should Include Social Media Thu, 19 Jun 2014 06:41:24 +0000 by Nuriel Moghavem

A New York Times article published this week describes a clinical trial in Pittsburgh where incapacitated and rapidly exsanguinating gunshot victims have their blood replaced by cold saline for up to an hour in an effort to preserve neurological function and life. This trial has raised many ethical concerns, one of which is whether the community consultation conducted before and during the trial (which is required by federal guidelines) was adequate enough to inform the community about the opt-out trial and to collect extensive feedback from it.…

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