Does Zero-COVID neglect health disparities?


Posted: 2021-11-24 20:00:00
J Med Ethics . 2021 Nov 23;medethics-2021-107763. doi: 10.1136/medethics-2021-107763. Online ahead of print. Affiliations Expand Affiliations 1 School of Medicine, Department of Bioethics & Humanities, University of Washington, Seattle, Washington, USA nsjecker@uw.edu. 2 CUHK Centre for Bioethics, The Chinese University of Hong Kong Faculty of Medicine, Shatin, New Territories, Hong Kong. Item in Clipboard Nancy S Jecker et al. J Med Ethics. 2021. Show details Display options Display options Format J Med Ethics . 2021 Nov 23;medethics-2021-107763. doi: 10.1136/medethics-2021-107763. Online ahead of print. Affiliations 1 School of Medicine, Department of Bioethics & Humanities, University of Washington, Seattle, Washington, USA nsjecker@uw.edu. 2 CUHK Centre for Bioethics, The Chinese University of Hong Kong Faculty of Medicine, Shatin, New Territories, Hong Kong. Item in Clipboard CiteDisplay options Display options Format Abstract Since the World Health Organization (WHO) first declared the novel coronavirus a pandemic, diverse strategies have emerged to address it. This paper focuses on two leading strategies, elimination and mitigation, and examines their ethical basis. Elimination or 'Zero-COVID' dominates policies in Pacific Rim societies. It sets as a goal zero deaths and seeks to contain transmission using stringent short-term lockdowns, followed by strict find, test, trace and isolate methods. Mitigation, which dominates in the US and most European nations, sets targets for community transmission and lifts restrictions once targets are met. This approach takes calculated risks and regards a certain amount of disease and death as ethically justified. Section I examines different societal responses to risk that underlie these different policy approaches. Section II focuses on ethical arguments favouring Zero-COVID and raises health equity objections. Section III proposes a long-term strategy that balances the twin goals of promoting population health and health equity. Keywords: COVID-19; ethics; public policy. © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. Conflict of interest statement Competing interests: None declared. [x] Cite Copy Format: Send To [x]

参考サイト PubMed: covid-19



バイオクイックニュース日本語版:COVID-19特集

バイオクイックニュース日本語版
4月 05, 2021 バイオアソシエイツ

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