scholarly journals 2019冠狀病毒病疫情下的道德議題的初步哲學探索

Author(s):  
Benedict S. B. CHAN

LANGUAGE NOTE | Document text in Chinese; abstract also in English.在2019冠狀病毒疫情之下,至少有兩個公共術生政策的道德議題變得異常重要。第一,現時有不少爭議是關於這些抗疫政策與個人自由的衡突。這是很典型的公共善與個人自由衡突的道德爭論,但疫情令這樣的衡突成為直接而迫切的顧慮。第 二,這個世界在疫情之前已有很多嚴重的不平等問題,但現在有些防疫政策令社會的不平等變得更為嚴重。儘管本文不會為這兩個道德議題給予肯定的解答,但會集中探究在討論這些道德議題的跨學科辯論中,應該用到甚麽道德推論和基礎,並會 詳細解釋以下幾個重要理念。第一,作者會論證,衛生道德人權的理念並不能充分地成為解決這些問題的道德基礎。第二, 不純粹用到權利進路的話,作者會論證應該用到阿馬蒂亞.森的後果評價和能力進路作為道德推論和基礎。第三,這兩個由森提出的理念可以把不同的道德理論和傳統與公共衛生議題連繫起來。作者會以儒家為道德傳統的例子,論證如何以後果 評價、能力進路和儒家當中的一些理念與價值,以此提出一些可能方向,去處理上述兩個道德議題。At least two moral issues of some public health policies have become significant in the COVID-19 pandemic. First, it is arguable that some policies to address the present pandemic conflict with individual freedom. This is a typical moral debate between public good and individual freedom, but the COVID-19 pandemic has made this conflict a more immediate and urgent concern. Second, the world had serious inequality problems prior to the pandemic, and some of the new public health policies have caused more severe social inequalities. Instead of providing definitive answers to these two moral issues, this paper focuses on what types of moral reasoning and foundation should be used in the interdisciplinary debates around these problems. Several ideas are discussed in detail. First, the author argues that the idea of moral human rights to health is not a sufficient moral foundation to solve these problems. Second, the author argues that in addition to the right talk, we should use Amartya Sen’s consequential evaluation and the capability approach as the foundation and moral reasoning. Third, the author argues that these two ideas from Sen can connect different moral traditions with public health issues. The author uses Confucianism as an example of a moral tradition, and argues for possible directions to address the moral issues using ideas and values from consequential evaluation, the capability approach, and Confucianism.DOWNLOAD HISTORY | This article has been downloaded 60 times in Digital Commons before migrating into this platform.

Societies ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
Tor-Ivar Karlsen ◽  
Charlotte Kiland ◽  
Gro Kvåle ◽  
Dag Olaf Torjesen

Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.


JAMIA Open ◽  
2021 ◽  
Author(s):  
Bo Peng ◽  
Rowland W Pettit ◽  
Christopher I Amos

Abstract Objectives We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations. Materials and methods Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations. Results The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and emergency response plans. Discussion Our simulator is powerful, flexible, and customizable, although successful applications require realistic estimation and robustness analysis of population-specific parameters. Conclusion Risk assessment and continuity planning for COVID-19 outbreaks are crucial for the continued operation of many organizations. Our simulator will be continuously expanded to meet this need.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Caló ◽  
B S N Souza ◽  
N D Galvão ◽  
R A G Souza ◽  
J C S Oliveira ◽  
...  

Abstract Background Colorectal cancer has been one of the cancers that most contributed to mortality, in both sexes in the world. In Brazil, cancer is among the top five causes of death and colorectal cancer is ranked on the fifth position. Of the Federative Units belonging to the Legal Amazon, Mato Grosso stands out for the higher adjusted incidence of colorectal cancer for both sexes. Thus, the objective is to characterize deaths from colorectal cancer, according to sociodemographic variables in Mato Grosso from 2000 to 2016. Methods A descriptive study was carried out, using data from the Mortality Information System, made available by the Department of Health of the Mato Grosso State. Deaths of all ages were selected, whose basic cause was identified by the codes from the International Classification of Diseases: (C.18) colon cancer, (C.19) rectosigmoid junction cancer, (C.20) rectal cancer or (C.21) anus cancer. Results Between 2000 and 2016, 31,607 deaths from cancer were registered. Of these, 1,750 (5.6%) were due to colorectal cancer. An increased number of deaths was observed at the end of the period, with a variation from 46 deaths in 2000 from 173 in 2016. Highest frequency was verified in men (51.3%), people aged 60 years or older (59.7%), black (54.6%), married (52.3%) and those with primary education (55.2%). According to Brazilian occupation classification options or those answers filled out on the death certificate, highest frequency were for “Retired” (26.2%), “Housewife” (23.1%), Agricultural/Forestry and Fisheries” (11.3%) and “Production of Industrial Goods and Services” (10.3%). Conclusions This study evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State, and identified priority groups for interventions through public health policies which should include screening and early diagnosis to cope with the disease. Key messages Evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State. Identified priority groups for interventions through public health policies.


2021 ◽  
Vol 17 (2) ◽  
pp. 186-203
Author(s):  
Nathan Genicot

AbstractThe COVID-19 pandemic has given rise to the massive development and use of health indicators. Drawing on the history of international public health and of the management of infectious disease, this paper attempts to show that the normative power acquired by metrics during the pandemic can be understood in light of two rationales: epidemiological surveillance and performance assessment. On the one hand, indicators are established to evaluate and rank countries’ responses to the outbreak; on the other, the evolution of indicators has a direct influence on the content of public health policies. Although quantitative data are an absolute necessity for coping with such disasters, it is critical to bear in mind the inherent partiality and precarity of the information provided by health indicators. Given the growing importance of normative quantitative devices during the pandemic, and assuming that their influence is unlikely to decrease in the future, they call for close scrutiny.


The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S12 ◽  
Author(s):  
Katie Thomson ◽  
Frances Hillier-Brown ◽  
Adam Todd ◽  
Courtney McNamara ◽  
Tim Huijits ◽  
...  

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