Ethical Guidelines in Pandemic Influenza: Recommendations of the Ethics Subcommittee of the Advisory Committee of the Director, Centers for Disease Control and Prevention

Ethical Guidelines in Pandemic Influenza: Recommendations of the Ethics Subcommittee of the Advisory Committee of the Director, Centers for Disease Control and Prevention
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DOI:
10.1097/dmp.0b013e3181ac194f
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发表时间:
2009-12-01
影响因子:
2.7
通讯作者:
Levine, Robert J.
Levine, Robert J.
中科院分区:
医学4区
文献类型:
--
作者:
Kinlaw, Kathy;Barrett, Drue H.;Levine, Robert J.

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由于在大流行性流感的规划工作中纳入伦理考虑的重要性,2005年2月,疾病控制和预防中心要求主任咨询委员会的伦理小组委员会制定指南,作为准备和应对大流行性流感的决策基础。伦理委员会被要求就与疫苗和抗病毒药物分配优先级和干预措施的制定相关的伦理考虑提出建议,这些干预措施将限制个人自由并产生社会距离。一般伦理考虑因素,包括确定流行病规划的明确目标:最大限度地加强防范的责任、透明度和公众参与、可靠的科学、对全球社会的承诺、个人自由和社区利益的平衡、伦理决策的多样性和对正义的承诺。这些一般的伦理考虑适用于疫苗和抗病毒药物的分配和社区缓解干预措施的使用问题(灾难医学公共卫生准备2009年,3(增刊2)S185-S192)
Because of the importance of including ethical considerations in planning efforts for pandemic influenza, in February 2005 the Centers for Disease Control and Prevention requested that the Ethics Subcommittee of the Advisory Committee to the Director develop guidance that would serve as a foundation for decision making in preparing for and responding to pandemic influenza Specifically, the ethics subcommittee was asked to make recommendations regarding ethical considerations relevant to decision making about vaccine and antiviral drug distribution prioritization and development of interventions that Would limit individual freedom and create social distancing The ethics subcommittee identified a number of general ethical considerations including identification of clear goals for pandemic planning: responsibility to maximize preparedness, transparency and public engagement, sound science, commitment to the global community, balancing individual liberty and community interests, diversity in ethical decision making, and commitment to justice. These general ethical considerations are applied to the issues of vaccine and antiviral drug distribution and use of community mitigation interventions (Disaster Med Public Health Preparedness 2009,3(Suppl 2) S185-S192)