PREPARING FOR AN INFLUENZA PANDEMIC: ETHICAL ISSUES
Identifieur interne : 004B34 ( Main/Exploration ); précédent : 004B33; suivant : 004B35PREPARING FOR AN INFLUENZA PANDEMIC: ETHICAL ISSUES
Auteurs : Jaro Kotalik [Canada]Source :
- Bioethics [ 0269-9702 ] ; 2005-08.
English descriptors
- Teeft :
- Antiviral, Antiviral drugs, Blackwell, Blackwell publishing, Canadian pandemic plan, Considerable attention, Contingency plans, Economic losses, Ethical issue, Future pandemic, Health canada, Health care, Health care workers, Hospital beds, Human services, Influenza, Influenza pandemic, Jaro kotalik, Kotalik, Many countries, Mass vaccination, Material resources, Mutual trust, National pandemic plans, National plans, Next pandemic, Optimal response, Pandemic, Pandemic planners, Pandemic planning, Pandemic plans, Planning process, Preparedness, Preparedness measures, Public health, Public health ethics, Resource, Resource allocation, Scarcity, Several concerns, States department, Vaccination, Vaccine.
Abstract
In the near future, experts predict, an influenza pandemic will likely spread throughout the world. Many countries have been creating a contingency plan in order to mitigate the severe health and social consequences of such an event. Examination of the pandemic plans of Canada, the United Kingdom and the United States, from an ethical perspective, raises several concerns. One: scarcity of human and material resources is assumed to be severe. Plans focus on prioritization but do not identify resources that would be optimally required to reduce deaths and other serious consequences. Hence, these plans do not facilitate a truly informed choice at the political level where decisions have to be made on how much to invest now in order to reduce scarcity when a pandemic occurs. Two: mass vaccination is considered to be the most important instrument for reducing the impact of infection, yet pandemic plans do not provide concrete estimates of the benefits and burdens of vaccination to assure everyone that the balance is highly favorable. Three: pandemic plans make extraordinary demands on health care workers, yet professional organizations and unions may not have been involved in the plans’ formulation and they have not been assured that authorities will aim to protect and support health care workers in a way that corresponds to the demands made on them. Four: all sectors of society and all individuals will be affected by a pandemic and everyone's collaboration will be required. Yet, it appears that the various populations have been inadequately informed by occasional media reports. Hence, it is essential that plans are developed and communication programs implemented that will not only inform but also create an atmosphere of mutual trust and solidarity; qualities that at the time of a pandemic will be much needed.
Url:
DOI: 10.1111/j.1467-8519.2005.00453.x
Affiliations:
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Many countries have been creating a contingency plan in order to mitigate the severe health and social consequences of such an event. Examination of the pandemic plans of Canada, the United Kingdom and the United States, from an ethical perspective, raises several concerns. One: scarcity of human and material resources is assumed to be severe. Plans focus on prioritization but do not identify resources that would be optimally required to reduce deaths and other serious consequences. Hence, these plans do not facilitate a truly informed choice at the political level where decisions have to be made on how much to invest now in order to reduce scarcity when a pandemic occurs. Two: mass vaccination is considered to be the most important instrument for reducing the impact of infection, yet pandemic plans do not provide concrete estimates of the benefits and burdens of vaccination to assure everyone that the balance is highly favorable. Three: pandemic plans make extraordinary demands on health care workers, yet professional organizations and unions may not have been involved in the plans’ formulation and they have not been assured that authorities will aim to protect and support health care workers in a way that corresponds to the demands made on them. Four: all sectors of society and all individuals will be affected by a pandemic and everyone's collaboration will be required. Yet, it appears that the various populations have been inadequately informed by occasional media reports. Hence, it is essential that plans are developed and communication programs implemented that will not only inform but also create an atmosphere of mutual trust and solidarity; qualities that at the time of a pandemic will be much needed.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Kotalik, Jaro" sort="Kotalik, Jaro" uniqKey="Kotalik J" first="Jaro" last="Kotalik">Jaro Kotalik</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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