Better late than never: a re-examination of ethical dilemmas in coping with severe acute respiratory syndrome
Identifieur interne : 001006 ( Ncbi/Merge ); précédent : 001005; suivant : 001007Better late than never: a re-examination of ethical dilemmas in coping with severe acute respiratory syndrome
Auteurs : K. L. Ovadia [Israël] ; I. Gazit [Israël] ; D. Silner [Israël] ; I. Kagan [Israël]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2005.
Abstract
At the end of 2002 severe acute respiratory syndrome (SARS) emerged and spread worldwide. The pathogen was unknown, as was its mechanism of transfer, and there was no effective therapy for the disease. There was a large element of hysteria and anxiety in society's reaction to SARS. The initial steps taken to cope with SARS were clear-cut and even dramatic. Decision-making in a time of emergency is associated with a high potential for ethical dilemmas and conflicts. In the course of efforts to cope with a threatening disease, it is important to appraise our activities from an ethical point of view. A retrospective look at this period of time shows that we did not do this. This article examines the ethical aspects of the process undertaken to cope with SARS in our medical centre.
Url:
DOI: 10.1016/j.jhin.2004.12.018
PubMed: 15951058
PubMed Central: 7132470
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L." last="Ovadia">K. L. Ovadia</name><affiliation wicri:level="1"><nlm:aff id="aff1">Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre</wicri:regionArea><wicri:noRegion>Assaf-Ha-Rofeh Medical Centre</wicri:noRegion></affiliation></author><author><name sortKey="Gazit, I" sort="Gazit, I" uniqKey="Gazit I" first="I." last="Gazit">I. Gazit</name><affiliation wicri:level="1"><nlm:aff id="aff1">Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre</wicri:regionArea><wicri:noRegion>Assaf-Ha-Rofeh Medical Centre</wicri:noRegion></affiliation></author><author><name sortKey="Silner, D" sort="Silner, D" uniqKey="Silner D" first="D." last="Silner">D. Silner</name><affiliation wicri:level="1"><nlm:aff id="aff2">Assaf-Ha-Rofeh Medical Centre, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Assaf-Ha-Rofeh Medical Centre</wicri:regionArea></affiliation></author><author><name sortKey="Kagan, I" sort="Kagan, I" uniqKey="Kagan I" first="I." last="Kagan">I. Kagan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre</wicri:regionArea><wicri:noRegion>Assaf-Ha-Rofeh Medical Centre</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Nursing, Tel-Aviv University, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Nursing, Tel-Aviv University</wicri:regionArea><wicri:noRegion>Tel-Aviv University</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Hospital Infection</title><idno type="ISSN">0195-6701</idno><idno type="eISSN">1532-2939</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>At the end of 2002 severe acute respiratory syndrome (SARS) emerged and spread worldwide. The pathogen was unknown, as was its mechanism of transfer, and there was no effective therapy for the disease. There was a large element of hysteria and anxiety in society's reaction to SARS. The initial steps taken to cope with SARS were clear-cut and even dramatic. Decision-making in a time of emergency is associated with a high potential for ethical dilemmas and conflicts. In the course of efforts to cope with a threatening disease, it is important to appraise our activities from an ethical point of view. A retrospective look at this period of time shows that we did not do this. This article examines the ethical aspects of the process undertaken to cope with SARS in our medical centre.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Yin, W" uniqKey="Yin W">W. Yin</name></author><author><name sortKey="Wei Nua, P" uniqKey="Wei Nua P">P. Wei-Nua</name></author><author><name sortKey="Yuan Shi, L" uniqKey="Yuan Shi L">L. Yuan-shi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tzeng, H M" uniqKey="Tzeng H">H.-M. Tzeng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Loutfy, M R" uniqKey="Loutfy M">M.R. Loutfy</name></author><author><name sortKey="Wallington, T" uniqKey="Wallington T">T. Wallington</name></author><author><name sortKey="Rutledge, T" uniqKey="Rutledge T">T. Rutledge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hsin, D H S" uniqKey="Hsin D">D.H.-S. Hsin</name></author><author><name sortKey="Macer, D R J" uniqKey="Macer D">D.R.J. Macer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelson, L J" uniqKey="Nelson L">L.J. Nelson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gostin, L" uniqKey="Gostin L">L. Gostin</name></author><author><name sortKey="Bayer, R" uniqKey="Bayer R">R. Bayer</name></author><author><name sortKey="Fairchild, A L" uniqKey="Fairchild A">A.L. Fairchild</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aginam, O" uniqKey="Aginam O">O. Aginam</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Hosp Infect</journal-id><journal-id journal-id-type="iso-abbrev">J. Hosp. Infect</journal-id><journal-title-group><journal-title>The Journal of Hospital Infection</journal-title></journal-title-group><issn pub-type="ppub">0195-6701</issn><issn pub-type="epub">1532-2939</issn><publisher><publisher-name>The Hospital Infection Society. Published by Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">15951058</article-id><article-id pub-id-type="pmc">7132470</article-id><article-id pub-id-type="publisher-id">S0195-6701(05)00034-4</article-id><article-id pub-id-type="doi">10.1016/j.jhin.2004.12.018</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Better late than never: a re-examination of ethical dilemmas in coping with severe acute respiratory syndrome</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ovadia</surname><given-names>K.L.</given-names></name><xref rid="aff1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Gazit</surname><given-names>I.</given-names></name><xref rid="aff1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Silner</surname><given-names>D.</given-names></name><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Kagan</surname><given-names>I.</given-names></name><email>kaganily@post.tau.ac.il</email><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff3" ref-type="aff">c</xref><xref rid="cor1" ref-type="corresp">*</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre, Israel</aff><aff id="aff2"><label>b</label>Assaf-Ha-Rofeh Medical Centre, Israel</aff><aff id="aff3"><label>c</label>Department of Nursing, Tel-Aviv University, Israel</aff><author-notes><corresp id="cor1"><label>*</label>Corresponding author. Address: Unit of Infectious Diseases, Assaf-Ha-Rofeh Medical Centre, Tzrifin 70300, Israel. Tel.: +972 8 9779048/9; fax: +972 8 9779043. <email>kaganily@post.tau.ac.il</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>13</day><month>6</month><year>2005</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>9</month><year>2005</year></pub-date><pub-date pub-type="epub"><day>13</day><month>6</month><year>2005</year></pub-date><volume>61</volume><issue>1</issue><fpage>75</fpage><lpage>79</lpage><permissions><copyright-statement>Copyright © 2005 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2005</copyright-year><copyright-holder>The Hospital Infection Society</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><title>Summary</title><p>At the end of 2002 severe acute respiratory syndrome (SARS) emerged and spread worldwide. The pathogen was unknown, as was its mechanism of transfer, and there was no effective therapy for the disease. There was a large element of hysteria and anxiety in society's reaction to SARS. The initial steps taken to cope with SARS were clear-cut and even dramatic. Decision-making in a time of emergency is associated with a high potential for ethical dilemmas and conflicts. In the course of efforts to cope with a threatening disease, it is important to appraise our activities from an ethical point of view. A retrospective look at this period of time shows that we did not do this. This article examines the ethical aspects of the process undertaken to cope with SARS in our medical centre.</p></abstract><kwd-group><title>Keywords</title><kwd>SARS</kwd><kwd>Ethical dilemmas</kwd><kwd>Emerging pandemics</kwd><kwd>Decision-making</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Ovadia, K L" sort="Ovadia, K L" uniqKey="Ovadia K" first="K. L." last="Ovadia">K. L. Ovadia</name></noRegion><name sortKey="Gazit, I" sort="Gazit, I" uniqKey="Gazit I" first="I." last="Gazit">I. Gazit</name><name sortKey="Kagan, I" sort="Kagan, I" uniqKey="Kagan I" first="I." last="Kagan">I. Kagan</name><name sortKey="Kagan, I" sort="Kagan, I" uniqKey="Kagan I" first="I." last="Kagan">I. Kagan</name><name sortKey="Silner, D" sort="Silner, D" uniqKey="Silner D" first="D." last="Silner">D. Silner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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