Chakraborti Chhanda
Department of Humanities and Social Sciences, Indian Institute of Technology, Kharagpur, West Bengal 721 302, India.
Indian J Med Ethics. 2010 Oct-Dec;7(4):216-9. doi: 10.20529/IJME.2010.080.
After the Severe Acute Respiratory Syndrome (SARS) experience in 2003, ethics has found a place in discourses on pandemic planning and public health. It is no longer enough to merely have action strategies in a pandemic plan; both research literature and the World Health Organization recommend that one has to further ensure that the outcome of such action is fair to all concerned, and is in conformity with relevant ethical values and considerations. India's pandemic plan suffers from a glaring omission in this aspect. Taking strategies and responses during the 2009 A H1N1 outbreak in India as instances, this paper identifies the lessons to be learnt from this experience and argues that these raise ethical issues ingrained in pandemic planning which must be addressed. It ends with the suggestion that the Indian health authorities should add an ethical dimension to the national pandemic plan, as has been recommended by the World Health Organization and by post-SARS studies.
在经历了2003年的严重急性呼吸综合征（SARS）之后，伦理学在关于大流行规划和公共卫生的讨论中占据了一席之地。仅仅在大流行计划中有行动策略已经不够了；研究文献和世界卫生组织都建议，必须进一步确保此类行动的结果对所有相关方都是公平的，并且符合相关的伦理价值观和考量。印度的大流行计划在这方面存在明显的疏漏。以2009年印度甲型H1N1流感疫情期间的策略和应对措施为例，本文确定了从这一经历中应吸取的教训，并认为这些教训引发了大流行规划中根深蒂固的伦理问题，必须加以解决。文章最后建议，印度卫生当局应按照世界卫生组织和SARS之后的研究所建议的那样，在国家大流行计划中增加伦理维度。
