van Herten J, Bovenkerk B
Department of Philosophy, Wageningen University and Research and Royal Veterinary Association of the Netherlands.
Department of Philosophy, Wageningen University and Research.
Public Health Ethics. 2021 May 25;14(2):180-190. doi: 10.1093/phe/phab012. eCollection 2021 Jul.
The COVID-19 pandemic has shown that zoonotic diseases are a great threat for humanity. During the course of such a pandemic, public health authorities often apply the precautionary principle to justify disease control measures. However, evoking this principle is not without ethical implications. Especially within a One Health strategy, that requires us to balance public health benefits against the health interests of animals and the environment, unrestricted use of the precautionary principle can lead to moral dilemmas. In this article, we analyze the ethical dimensions of the use of the precautionary principle in zoonotic disease control and formulate criteria to protect animals and the environment against one-sided interpretations. Furthermore, we distinguish two possible conceptions of the precautionary principle. First, we notice that because of the unpredictable nature of zoonotic diseases, public health authorities in general focus on the idea of precaution as preparedness. This reactive response often leads to difficult trade-offs between human and animal health. We therefore argue that this policy should always be accompanied by a second policy, that we refer to as precaution as prevention. Although zoonotic diseases are part of our natural world, we have to acknowledge that their origin and global impact are often a consequence of our disturbed relation with animals and the environment.
新冠疫情表明,人畜共患疾病对人类构成巨大威胁。在这样一场大流行期间,公共卫生当局常常运用预防原则来为疾病控制措施辩护。然而,援引这一原则并非没有伦理影响。特别是在“同一健康”战略框架内,该战略要求我们在公共卫生利益与动物和环境的健康利益之间取得平衡,不加限制地使用预防原则可能会导致道德困境。在本文中,我们分析了在人畜共患疾病控制中使用预防原则的伦理层面,并制定标准以保护动物和环境免受片面解读的影响。此外,我们区分了预防原则的两种可能概念。首先,我们注意到,由于人畜共患疾病的不可预测性,公共卫生当局通常侧重于将预防视为一种防备措施。这种被动反应往往会导致在人类和动物健康之间进行艰难的权衡。因此,我们认为这一政策应始终伴随着我们称之为预防即防止的第二项政策。虽然人畜共患疾病是我们自然世界的一部分,但我们必须承认,它们的起源和全球影响往往是我们与动物和环境关系受到干扰的结果。