Responding to COVID-19: How to Navigate a Public Health Emergency Legally and EthicallyKeywords
Responding to COVID-19: How to Navigate a Public Health Emergency Legally and EthicallyKeywords
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DOI：
10.1002/hast.1090
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发表时间：
2020-03-26
影响因子：
3.3
通讯作者：
Wetter, Sarah A.
中科院分区：
文献类型：
--
作者：
Gostin, Lawrence O.;Friedman, Eric A.;Wetter, Sarah A.
很少有新的或新出现的传染病像新型冠状病毒SARS-CoV-2那样迅速和戏剧性地构成如此重大的伦理挑战。世界卫生组织宣布进入国际关注的突发公共卫生事件，最近又将新冠肺炎列为全球大流行。在撰写本文时，疫情尚未在美国达到顶峰，但社区传播很普遍。随着50名州长宣布全国进入紧急状态，特朗普总统宣布全国进入紧急状态。在接下来的几周里，医院将人满为患，人满为患。当卫生系统超出承受能力时，我们如何从道义上分配稀缺的卫生用品和服务？我们如何确保被边缘化的人口能够获得他们所需要的护理？我们对与家人和社区分离的弱势群体负有哪些道德责任？我们如何在伦理和法律上平衡公共健康和公民自由？
Few novel or emerging infectious diseases have posed such vital ethical challenges so quickly and dramatically as the novel coronavirus SARS-CoV-2. The World Health Organization declared a public health emergency of international concern and recently classified COVID-19 as a worldwide pandemic. As of this writing, the epidemic has not yet peaked in the United States, but community transmission is widespread. President Trump declared a national emergency as fifty governors declared state emergencies. In the coming weeks, hospitals will become overrun, stretched to their capacities. When the health system becomes stretched beyond capacity, how can we ethically allocate scarce health goods and services? How can we ensure that marginalized populations can access the care they need? What ethical duties do we owe to vulnerable people separated from their families and communities? And how do we ethically and legally balance public health with civil liberties?