Reaching out to Ebola victims: Coercion, persuasion or an appeal for self-sacrifice?
Reaching out to Ebola victims: Coercion, persuasion or an appeal for self-sacrifice?
复制标题
DOI：
10.1016/j.socscimed.2015.10.063
复制
发表时间：
2015-12-01
影响因子：
5.4
通讯作者：
Poncin, Marc
中科院分区：
文献类型：
--
作者：
Calain, Philippe;Poncin, Marc
2014-2015年西非埃博拉危机凸显了在实施紧急公共卫生措施时维护人权和共同道德原则的实际局限性。医疗队在实施检疫和隔离方面的作用一直是模棱两可的，特别是当这些措施遭到因暂时停止公民自由而被迫采取的社区的反对时。在与埃博拉受害者接触时，外展团队面临道德困境，胁迫、说服和呼吁自我牺牲之间的界限不明确。对于这些小组，我们提出了一套切实可行的建议，旨在尊重流行病受害者的自主权，缓解社区内的紧张局势。我们认识到，根据疫情爆发的具体阶段或背景，其中一些建议是可以逐步实现的。然而，随着实验性治疗和研究干预的日益普及，权衡患者的自主权与公共利益将成为一项更加紧迫的道德义务。(C)2015作者由爱思唯尔有限公司出版。这是一篇在CC BY-NC-ND许可证下的开放获取文章（http：//creativecommons.org/licenses/by-nc-nd/4.0/）。
The 2014-2015 Ebola crisis in West Africa has highlighted the practical limits of upholding human rights and common ethical principles when applying emergency public-health measures. The role of medical teams in the implementation of quarantine and isolation has been equivocal, particularly when such measures are opposed by communities who are coerced by the temporary suspension of civil liberties. In their encounters with Ebola victims, outreach teams face moral dilemmas, where the boundaries are unclear between coercion, persuasion and appeals for self-sacrifice. For those teams, we propose a set of practical recommendations aimed at respecting the autonomy of epidemic victims and easing tensions within communities. We recognize that some of these recommendations are progressively achievable, depending on the specific stage or setting of an outbreak. Yet with the increasing availability of experimental treatments and research interventions, weighing patients' autonomy against the common good will become an even more pressing ethical obligation. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).