By Franklin G. Miller. The Covid-19 pandemic poses policy challenges that may call for controversial measures. Savulescu and Cameron have recently argued in favor of “lockdown “of the elderly as a reasonable alternative to the population-wide lockdowns that have been implemented during the pandemic in various jurisdictions around the world. They claim correctly that such […]
Category: Pandemic
The ethics of State-sponsored and clinical promotion of long-acting reversible contraception
Originally published in the BMJ Sexual and Reproductive Health Blog. By Jeffrey Wale and Sam Rowlands. Global responses to the Covid-19 pandemic offer a good opportunity to re-examine the role of State actors (policymakers, regulatory bodies, clinical commissioning groups, service providers) and healthcare professionals in the promotion of health-related behaviours. Just how far should healthcare […]
Triaging ethical issues during a pandemic: a rough guide
By David Shaw Covid-19 raises dozens of fascinating ethical issues, but you might not know it from looking at the narrow focus of many ethics papers published since the pandemic began. Most of these papers have focused on the issue of allocating scarce resources in intensive care units, because of the anticipated pressure on these […]
How should the risks of infecting research participants with SARS-CoV-2 be assessed?
By Susan Bull, Euzebiusz Jamrozik, Ariella Binik, Michael Parker Vaccine development processes typically take ten to twenty years. The exceptional pace of COVID-19 vaccine research has resulted in early human trials being commenced with vaccine candidates. Calls have been made to conduct controlled human infection studies (CHIs), also known as challenge studies, with SARS-CoV-2 to […]
Ethical oversight during COVID-19: rewriting the norms of research ethics review?
By Anna Chiumento and Lucy Frith One consequence of physical distancing in response to the COVID-19 pandemic has been the rapid suspension or adaptation of ongoing research activity. This presents an opportunity for the research ethics community and researchers to promote ethical oversight that integrates the situated and informed judgement of researchers, rebalancing away from […]
Pandemic priority decisions and triage, from good to ugly
By Hans Flaatten, Michael Beil, and Susannah Leaver. The present COVID-19 pandemic has fuelled discussions regarding the prospects and limitations of treatment in critically ill patients. This commentary describes a framework for understanding pandemic triage ranging from “business as usual” (“good”) to the extreme depletion of all resources (“ugly”). This is illustrated with different stages […]
COVID, Systemic Racism Protests, Anti-Lockdown Protests: Making Sense Of It All
By Austin Lam. A recent article highlighted an uncomfortable yet unassailable issue: “the way the public health narrative around coronavirus has reversed itself overnight seems an awful lot like … politicizing science.” Alternatively, another article frames this political element as itself the impetus to justify protests against systemic racism in the context of racism as […]
Herd immunity and lifting lockdowns: a new trolley problem?
By Ezio Di Nucci How does pursuing herd immunity compare with lifting lockdowns, from an ethical point of view? The (moral) problem with the pursuit of herd immunity under a pandemic such as COVID-19 is that getting more than half of the population infected (the herd immunity threshold is at least 60%), given a CFR […]
Death during COVID-19: Redefining terminal illness
By Samantha W. Stein and Justin T. Clapp IDENTIFYING A GAP IN TRIAGE MODELS As floodwaters rose and resources dwindled inside Memorial Medical Center in the days following Hurricane Katrina, patient Emmett Everett pleaded with nurses: “Don’t let them leave me behind.” Everett sought to be evacuated to the safety of another hospital alongside nearly […]
Supra-institutional transparency: a first step towards recovering from the COVID-19 wound
By Benjamin Herreros, Pablo Gella, Diego Real de Asúa In the wake of the first COVID-19 wave, the latest news media cycles in Spain have been filled with alarming headlines on the need to investigate the triage criteria used during the epidemic. The State’s Attorney’s Office is undertaking preliminary investigations into several hospitals in the […]