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全球大流行:公共卫生、人权与生物伦理考量

GLOBAL PANDEMICS: CONSIDERATIONS OF PUBLIC HEALTH, HUMAN RIGHTS, AND BIOETHICS.

作者信息

Loue Sana

机构信息

Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

出版信息

J Intercult Manag Ethics. 2021 Apr 30;4(1):5-17. doi: 10.35478/jime.2021.1.02.

Abstract

Pandemics threaten the health and lives of peoples worldwide, sometimes requiring the imposition of numerous, restrictive public health measures to diminish their impact and preserve health and life. Such measures, however well-intended, have the potential to contravene human rights and raise significant ethical questions at the individual, community, national, and international levels. This article explores the impact of public health measures adopted in an effort to ameliorate the transmission of COVID-19 on access to care, the right to privacy, protection of marginalized communities from discrimination, and violence against women. The discussion of bioethical concerns focuses on resource allocation, the presumed obligation of healthcare workers to provide care, and governmental obligations in the face of a pandemic. The discussion concludes with a review of lessons learned: the need for a coordinated response across levels of government and the private sector, attention to existing structural inequalities that may exacerbate the impact of the pandemic and/or the public health measures adopted to contain the pandemic, the protection of vulnerable and marginalized persons, a clear delineation of and support for workers deemed to be essential, and the provision of relevant training to law enforcement personnel.

摘要

大流行威胁着全世界人民的健康和生命,有时需要实施众多严格的公共卫生措施,以减轻其影响并保护健康和生命。然而,这些措施无论初衷多么良好,都有可能侵犯人权,并在个人、社区、国家和国际层面引发重大的伦理问题。本文探讨了为缓解新冠病毒传播而采取的公共卫生措施对医疗服务可及性、隐私权、保护边缘化社区免受歧视以及针对妇女的暴力行为的影响。对生物伦理问题的讨论集中在资源分配、医护人员提供医疗服务应尽的义务以及面对大流行时政府的义务。讨论最后回顾了所吸取的经验教训:需要政府各级和私营部门进行协调应对,关注可能加剧大流行影响和/或为遏制大流行而采取的公共卫生措施影响的现有结构性不平等现象,保护弱势群体和边缘化人群,明确界定并支持被视为必不可少的工作人员,并为执法人员提供相关培训。

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