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Pandemic Planning

Bioethics Forum Essay

Pathogens and Humans

In a 1988 essay on pandemics, Nobel laureate Joshua Lederberg wrote, “We have no guarantee that the natural evolutionary competition of viruses with the human species will always find ourselves the winner.”
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Bioethics Forum Essay

WHO-China Report on Covid: Important Step Forward, More to Be Done

The World Health Organization recently released a long-anticipated report on SARS-CoV-2 origins, based on 28 days of field research and site visits in China conducted jointly by 17 international and...
Read WHO-China Report on Covid: Important Step Forward, More to Be Done
Bioethics Forum Essay
white man holding a white sign stating in red lettering "I will never wear a face muzzle, I will never take the vaccine"

Resisting Public Health Measures, Then and Now

One of the most surprising aspects of the Covid-19 pandemic for those of us who teach the history of public health is how unwilling many Americans have been to adopt health measures to protect others. Over the Thanksgiving holiday, tens of millions of Americans traveled, despite the fact that the Centers for Disease Control and Prevention urged them to stay home and the overall death rate from the coronavirus is approaching 300,000. Should recent events make us revisit aspects of the history of public health? And how can these stories inform future public health efforts during pandemics?
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Bioethics Forum Essay

Social-Change Games Can Help Us Understand the Public Health Choices We Face

Before there was the Covid-19 pandemic, there was Pandemic. This tabletop game, in which players collaborate to fight disease outbreaks, debuted in 2007. Expansions feature weaponized pathogens, historic pandemics, zoonotic diseases, and vaccine development races. Game mechanics modelled on pandemic vectors provide multiple narratives: battle, quest, detection, discovery. There is satisfaction in playing “against” disease–and winning. Real pandemic is not as tidy as a game. But can games support understanding about the societal challenges we now face? Yes.
Read Social-Change Games Can Help Us Understand the Public Health Choices We Face
Bioethics Forum Essay

Cracks in the System: Lessons Learned from the Covid-19 Pandemic

The United States leads the world in coronavirus cases and deaths. Although many people have called out the inadequacies of our health care system, Covid-19 has exposed the most significant shortcomings. The need for change can no longer be ignored. Here are three lessons from this pandemic that should be leveraged for change.
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Bioethics Forum Essay

Measure Twice and Cut Once: The Value of Health Care Ethicists in the Pandemic

The major success story of health care ethicists in the pandemic has been their role in establishing ventilator triage policies. But they have more to offer the C-suite of health care institutions.
Read Measure Twice and Cut Once: The Value of Health Care Ethicists in the Pandemic
Bioethics Forum Essay

Beyond the Covid Crisis—A New Social Contract with Public Health

Covid-19 is teaching us the stern lesson that economic well-being and health justice are two sides of the same coin. To weather pandemics and restore the social contact that economic life demands, we need to sign a new social contract with public health.
Read Beyond the Covid Crisis—A New Social Contract with Public Health
Bioethics Forum Essay

Please Don’t (Need to) Use My Work

I helped develop guidelines for the ethical allocation of scarce resources during a public health emergency, such as a pandemic..I hope my contributions have an impact. I especially hope to see my work used since it emphasizes the perspectives of minority and underserved communities, who tend to have less voice in health policy. But now I find myself dreading the use of my work.
Read Please Don’t (Need to) Use My Work
Bioethics Forum Essay
gofundme

Crowdfunding for Covid-Related Needs: Unfair and Inadequate

One-third of all new GoFundMe campaigns in the United States are for COVID-19-related needs. This shows where we have failed as a society. It is a makeshift response to institutional failures and not a fair or sustainable solution to crises.
Read Crowdfunding for Covid-Related Needs: Unfair and Inadequate
Bioethics Forum Essay
quarantine sign

COVID-19 and the Global Ethics Freefall

Since the initial outbreak in Wuhan last December, the national and global responses to COVID-19 have been in ethics freefall.
Read COVID-19 and the Global Ethics Freefall
Bioethics Forum Essay
covid coronavirus

COVID: Collective of Voices in Distress

Read COVID: Collective of Voices in Distress
Bioethics Forum Essay

Coronavirus and the Crisis of Trust

Influenza and coronavirus cause similar symptoms probably through similar modes of transmission. What is unique about coronavirus is that misinformation, missteps, conspiracies, and cover-ups have left their mark on public trust.
Read Coronavirus and the Crisis of Trust
Bioethics Forum Essay
green glowing germ

Responding to Zika: Ethical Challenges of Zoonotic Diseases

The World Health Organization will hold an emergency committee meeting on the pandemic reemergence of Zika virus and the explosive increase in reported cases of congenital microcephaly in Brazil possibly linked to...
Read Responding to Zika: Ethical Challenges of Zoonotic Diseases
Bioethics Forum Essay
woman of color with a white mask and ear cover

Responding to Ebola: Fostering Transparency and Inclusivity

Media reports indicate that seven individuals have received ZMapp to date, two of whom have died. The first recipients were two American health care workers from Liberia who were treated...
Read Responding to Ebola: Fostering Transparency and Inclusivity
Bioethics Forum Essay
old time stopwatch

Lessons from Ebola: Presidential Bioethics Commission Releases Recommendations on Preparedness for Public Health Emergencies

This week the Presidential Commission for the Study of Bioethical Issues released a brief, Ethics and Ebola: Public Health Planning and Response,to the administration and the public on ethical preparedness for...
Read Lessons from Ebola: Presidential Bioethics Commission Releases Recommendations on Preparedness for Public Health Emergencies
Bioethics Forum Essay
doctor with test tubes

Measles, Vaccination, and the Tragedy of the Commons

After having been virtually eliminated in the United States in the year 2000, measles have made a comeback, with nearly 150 cases in 17 states and nearly 30 confirmed cases of the...
Read Measles, Vaccination, and the Tragedy of the Commons
Bioethics Forum Essay
hands holding rosary

Vaccine Exemptions and the Church-State Problem

The current measles outbreak has brought public attention to the ease with which vaccine exemptions are available. As the media continually inform us, 48 states allow for religious exemptions, while...
Read Vaccine Exemptions and the Church-State Problem
Bioethics Forum Essay
medical surgeons performing surgery

Responding to Ebola: Health Care Professionals’ Obligations to Provide Care

As health care institutions in the United States prepare for Ebola patients, many have adopted the policy that those providing hands-on care should come from a pool of volunteers. Given...
Read Responding to Ebola: Health Care Professionals’ Obligations to Provide Care
Bioethics Forum Essay
Surgeon holding scissors

Responding to Ebola: Misplaced Police Powers

A number of states have recently adopted mandatory quarantine measures, including New York and New Jersey, for any individual entering the United States who had direct contact with someone infected with Ebola. This...
Read Responding to Ebola: Misplaced Police Powers
Bioethics Forum Essay
yellow strand of ebola on a purple background

Responding to Ebola: The Question of Quarantine

Dr. Craig Spencer, the first person in New York confirmed to have Ebola, is a clearly dedicated and selfless physician who worked for Doctors Without Borders in West Africa helping...
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Bioethics Forum Essay
blue hands and body glowing under blacklight, showing the germs on their hands and bodies

Responding to Ebola: Questions about Resuscitation

While details of the deaths of patients in Dallas and Madrid from Ebola are not public, their passing prompts questions about resuscitation in individuals infected with the virus. To date,...
Read Responding to Ebola: Questions about Resuscitation
Bioethics Forum Essay
people in scrubs standing in a circle

Responding to Ebola: Retrofitting Governance Systems

In a recent New York Times op-ed, David Brooks observes that governance, in the form of multilateral organizing, is missing from the response to the Ebola epidemic in West Africa. Unfortunately, global...
Read Responding to Ebola: Retrofitting Governance Systems
Bioethics Forum Essay
animated image of orange ebola on a blue background

Responding to Ebola: Organizational Ethics, Frontline Perspectives

Beyond crucial questions of fair access to scarce supplies of the experimental drug ZMapp and to other potentially effective drugs to treat Ebola, commentators from bioethics, public health, journalism, and...
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Bioethics Forum Essay
Syringe going into patients arm

Responding to Ebola: Selected Commentaries on Key Ethical Questions

The Ebola outbreak in West Africa is the largest and deadliest on record, and the crisis is evolving rapidly. More than 2,200 people have been infected in Sierra Leone, Liberia, Guinea, and...
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Bioethics Forum Essay
Person Getting a Shot

New York’s Measles Outbreak: Take Off Your Shoes and Roll Up Your Sleeve

Today’s New York Times reported a rare outbreak of measles in New York City. Because the disease was mostly eradicated by 2000, most clinicians were baffled by the high fevers, rash, and respiratory...
Read New York’s Measles Outbreak: Take Off Your Shoes and Roll Up Your Sleeve
Bioethics Forum Essay

Romanian Orphans: A Reconsideration of the Ethics of the Bucharest Early Intervention Project

Recently I had a Susan Reverby moment. Reverby is the Wellesley historian best known for unearthing the revelations of the Guatemalan syphilis and gonorrhea studies conducted by the United States Public Health...
Read Romanian Orphans: A Reconsideration of the Ethics of the Bucharest Early Intervention Project
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