Assistant Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS), Patna, Bihar, 801 507 INDIA.
Additional Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS), Patna, Bihar, 801 507 INDIA.
Indian J Med Ethics. 2022 Jul-Sep;VII(3):231-236. doi: 10.20529/IJME.2022.039. Epub 2022 Jun 4.
Despite the relative decline in communicable diseases, India witnesses hundreds of outbreaks every year. Including the current Covid-19 pandemic, India has suffered through several major pandemics and large-scale epidemics since 1900s. However, the response to most of the epidemics has been inadequate. The Epidemic Diseases Act, enacted in 1897 (EDA 1897), has been in action since and is based on the science and the socio-political environment of the country in the nineteenth century. India has several legal mechanisms to help contain and control the spread of epidemics, but on different platforms. There has been a paradigm shift in the socio-political milieu as well as scientific advancements in the prevention and control of epidemics. The century-old EDA 1897 has not been effective in containing and controlling such epidemics/pandemics, as has been witnessed during the ongoing Covid-19 pandemic. Hence, it needs to be revised to define an appropriate structural scalar chain, provide clear-cut and unambiguous terms/definitions and guidelines, delineate ethics and human rights, determine the duties and responsibilities of the affected population/community, determine the role of the private health sector, and provide for appropriate punitive measures to deter repeated violations.
尽管传染病的相对发病率有所下降,但印度每年仍会发生数百起疫情爆发。自 20 世纪以来,印度经历了几次重大的大流行和大规模的传染病疫情,包括当前的 COVID-19 大流行。然而,大多数疫情的应对措施都不够充分。1897 年颁布的《传染病法》(EDA 1897)自那时起一直生效,它基于 19 世纪的科学和社会政治环境。印度有几种法律机制来帮助控制和控制传染病的传播,但这些机制是在不同的平台上运作的。社会政治环境以及传染病预防和控制方面的科学进步已经发生了范式转变。有百年历史的 EDA 1897 在控制和控制此类疫情/大流行方面并不有效,正如在当前 COVID-19 大流行期间所看到的那样。因此,有必要对其进行修订,以定义适当的结构性标度链,提供明确和不含糊的术语/定义和指导方针,划定道德和人权界限,确定受影响人群/社区的责任和义务,确定私营医疗部门的作用,并规定适当的惩罚措施以防止重复违规行为。