Departamento de Medicina Preventiva, Universidade Federal de São Paulo, Rua Botucatu, 740, 4th floor, room 457, São Paulo, SP, 04023-062, Brazil.
Oswaldo Cruz Foundation - FIOCRUZ, Rua Leopoldo Bulhões, 1480 Room 716, Rio de Janeiro, RJ, 21041210, Brazil.
J Bioeth Inq. 2020 Dec;17(4):627-631. doi: 10.1007/s11673-020-10023-w. Epub 2020 Nov 9.
COVID-19 was recognized as a pandemic on March 11, 2020. Nine days later in Brazil, community transmission was deemed ongoing, and following what was already being put in place in various affected countries, restrictive and physical distancing measures that varied in severity across the different states were adopted. Adherence to restrictive and physical distancing measures depends on the general acceptance of public health measures as well as communities' financial leverage. This article aims to explore and discuss ethical facilitators and barriers to the implementation of physical distancing measures within three dimensions: political, socio-economic, and scientific. Furthermore, we would like to discuss ways to ethically promote restrictive and physical distancing measures in a large and unequal country like Brazil. There is an urgent need for transparent, consistent, and inclusive communication with the public, respecting the most vulnerable populations and attempting to minimize the disproportionate burden on them.
2020 年 3 月 11 日，COVID-19 被确认为大流行。九天后在巴西，社区传播被认为仍在继续，在受影响的不同国家已经采取的措施的基础上，巴西采取了不同严重程度的限制性和保持社交距离措施。对限制性和保持社交距离措施的遵守取决于对公共卫生措施的普遍接受程度以及社区的财务杠杆。本文旨在探讨和讨论在政治、社会经济和科学三个层面实施保持社交距离措施的伦理促进因素和障碍。此外，我们还希望讨论如何在像巴西这样一个庞大而不平等的国家中，以合乎道德的方式促进实施限制和保持社交距离措施。与公众进行透明、一致和包容的沟通是当务之急，要尊重最脆弱的人群，并尽量减少对他们的不成比例的负担。
