By Sahanika Ratnayake The pandemic seems to have shaken the orthodox understanding of mental health. Instead of seeing mental illnesses — such as depression and anxiety — or psychological distress as being based primarily in the individual and their various patterns of thoughts, behaviours and emotions (the approach favoured by the DSM), the pandemic exposed […]
Category: Pandemic
Why “human challenge” vaccine trials for COVID-19 are morally permissible, but only if we lock down, test, and contact-trace properly
By Ben Bramble We urgently need a vaccine for COVID-19, in order to fully end our lockdowns. The trouble is such vaccines usually take years to develop and test for efficacy and safety. Recently, a number of bioethicists have proposed “human challenge” vaccine trials to speed up the testing process. These involve volunteers receiving a […]
Finding a vaccine against the novel coronavirus: why challenge trials can be ethical even when a lot remains unknown
By Robert Steel, Lara Buchak, Nir Eyal Multiple authors believe that the development of coronavirus vaccines could be substantially accelerated through the use of challenge trials, in which participants are deliberately exposed to the virus. The tremendous loss of life and health and significant social and economic upheaval from ongoing worldwide pandemic make acceleration of […]
Utilizing parents to hand-bag ventilate when resources are scarce: Is it ethical?
By Emily E. Barsky and Sadath Sayeed Amidst the COVID-19 pandemic, many nations are coping with what resource limited settings are all too familiar with—ventilator scarcity. In low-income countries, people— and particularly children— frequently die of reversible, acute respiratory failure due to across-the-board resource scarcity. Some such settings have responded to this by allowing parents […]
COVID-19 is a wake-up call for ethical health communication
By Jamie Carlin Watson Increased understanding of social determinants of health and health literacy have expanded the responsibilities of the medical community from patients in the clinic to citizens at increased health risks. Fulfilling these responsibilities involves, in part, distributing timely and accurate health information that is accessible, understandable, and usable. Though increased commitment to […]
Surgery in COVID-19 Crisis Conditions: Can We Protect Our Ethical Integrity Against the Odds?
By J Macleod, S Mezher and R Hasan Since the dawn of the COVID-19 crisis, drastic changes have swept across many organisations. Healthcare providers are particularly affected by this; which we have experienced first-hand working in cardiac surgery. Working in this constantly evolving situation inevitably leads to uncertainty, inconsistency and even fear despite the best […]
CoViD-19: Time to rethink the RCT and consider more efficient and ethical approaches to clinical knowledge acquisition
By Michael Keane. A recent, much publicized, randomized controlled trial (RCT) demonstrated that the corticosteroid, dexamethasone, reduced mortality from CoViD-19. This was hailed as a practice-changing breakthrough. The authors announced that “RECOVERY is a large, pragmatic, randomized, controlled adaptive platform trial designed to provide rapid and robust assessment of the impact of readily available potential […]
Covid-19: value-based policy making
By Jonathan Michaels. While claiming to be ‘following the science’ politicians in many countries have implemented a range of widely differing policies in relation to Covid-19. This week, the UK government has reopened various parts of the economy in England, including pubs and restaurants, hairdressers and cinemas. Evidence-based decision making is not value-free. In framing […]
Finding the space for ethics during a global crisis
By Mary Hall, Deborah Mbofana, Merryn Ekberg, and Mitch Harper The concept of emergency preparedness is based on the need to act rather than plan, to be able to pick up and run with a ready prepared, detailed plan. In the UK, the Emergency Preparedness and Emergency Response and Recovery sections of The Civil Contingencies […]
Immunity passports – reopening the economy and repackaging racism
By Natalie Kofler and Françoise Baylis In the midst of worldwide protests against anti-Black racism and violent policing, private companies and governments are developing a novel platform for discrimination that would effectively increase the reach of law enforcement into public society – so called, digital “immunity passports”. It all starts with a seemingly innocuous plan […]