scholarly journals Eetilised valikud COVID-19 pandeemia tingimustes

Mäetagused ◽  
2021 ◽  
Vol 81 ◽  
pp. 5-18
Author(s):  
Margit Sutrop ◽  
◽  
Kadri Simm ◽  

The COVID-19 pandemic has caused unprecedented interest in ethics, as societies are confronted with difficult ethical choices: life versus economic well-being, individual freedom versus health, free movement of people versus public health. All democratic societies have witnessed disagreements concerning restrictions to the free movement of people, vaccination policies, and distribution of healthcare resources. The adopted policies and formulated guidelines showed that different countries prioritized values differently. Amongst the most challenging ethical debates during the COVID-19 pandemic were attempts to formulate clinical ethical guidelines on how limited medical resources and services ought to be allocated should the need exceed availability. This article provides an overview of the process of compiling the clinical ethics recommendations for Estonian hospitals concerning the allocation of limited healthcare resources during the COVID-19 pandemic. The article describes the stakeholder involvement, engagements with comparable international documents, main internal debates and lessons learned for the future.

2017 ◽  
Vol 29 (2_suppl) ◽  
pp. 74S-89S ◽  
Author(s):  
Michio Murakami ◽  
Akiko Sato ◽  
Shiro Matsui ◽  
Aya Goto ◽  
Atsushi Kumagai ◽  
...  

The Fukushima nuclear accident in March 2011 posed major threats to public health. In response, medical professionals have tried to communicate the risks to residents. To investigate forms of risk communication and to share lessons learned, we reviewed medical professionals’ activities in Fukushima Prefecture from the prefectural level to the individual level: public communication through Fukushima Health Management Surveys, a Yorozu (“general”) health consultation project, communications of radiological conditions and health promotion in Iitate and Kawauchi villages, dialogues based on whole-body counter, and science communications through online media. The activities generally started with radiation risks, mainly through group-based discussions, but gradually shifted to face-to-face communications to address comprehensive health risks to individuals and well-being. The activities were intended to support residents’ decisions and to promote public health in a participatory manner. This article highlights the need for a systematic evaluation of ongoing risk communication practices, and a wider application of successful approaches for Fukushima recovery and for better preparedness for future disasters.


2020 ◽  
Vol 10 (4) ◽  
pp. 912-914
Author(s):  
Patricia A Kinser

Abstract Mid-career nurse scientists are at risk of burnout and departure from research-focused roles due to a myriad of reasons, including a nationwide faculty shortage, vacant administrative roles, and the challenging extramural funding environment. Retention and success of mid-career scientists in any health-related discipline is essential to maintain educational and research endeavors that are important for public health and well-being. This commentary provides an account of recent efforts to address these issues, from the perspective of a former fellow in the Society of Behavioral Medicine Leadership Institute. Although these efforts are focused specifically on the needs of nurse scientists, the topic is relevant to researchers in any discipline. The intent of this commentary is for others to benefit from the lessons learned and to build upon our current efforts to help mid-career scientists thrive, not just survive.


Author(s):  
Diāna Mežajeva

Mobility of individuals, in certain cases also of patients, has reached the highest level in history and it is permissible for this mobility to continue to grow. The author believes that there are several important reasons for cross-border healthcare: economic well-being of individuals, free movement of services, consumer freedom. The author considers it important to study the concept of cross-border treatment and its historical development in order to understand why the need for cross-border treatment has historically arisen and patient mobility has developed.


2015 ◽  
Vol 1 (3) ◽  
pp. 306-315 ◽  
Author(s):  
Qian Zhang ◽  
Xia He ◽  
Tao Yan

Fecal contamination of coastal recreational water can adversely impact the public health and economic well-being of many coastal communities.


2020 ◽  
Author(s):  
Scott R Sheffield ◽  
Anna York ◽  
Nicole A Swartwood ◽  
Alyssa Bilinski ◽  
Anne Williamson ◽  
...  

COVID-19 created a global public health and economic emergency. Policymakers acted quickly and decisively to contain the spread of disease through physical distancing measures. However, these measures also impact physical, mental and economic well-being, creating difficult trade-offs. Here we use a simple mathematical model to explore the balance between public health measures and their associated social and economic costs. Across a range of cost-functions and model structures, commitment to intermittent and strict social distancing measures leads to better overall outcomes than temporally consistent implementation of moderate physical distancing measures. With regard to the trade-offs that policymakers may soon face, our results emphasize that economic and health outcomes do not exist in full competition. Compared to consistent moderation, intermittently strict policies can better mitigate the impact of the pandemic on both of these priorities for a range of plausible utility functions.


2021 ◽  
pp. 1-8

Összefoglalás. A szabad mozgás és tartózkodás joga az uniós polgárság alapintézményének egyik leglényegesebb eleme. A 2020-ban kirobbant koronavírus világjárvány következtében az Európai Unió tagállamai az Európai Unió történetében először kénytelenek voltak radikális, korábban nem alkalmazott eszközökkel korlátozni a szabad mozgás és tartózkodás jogát annak érdekében, hogy megakadályozzák a vírus terjedését. A tanulmány keretében a COVID–19 világjárvány miatt bevezetett korlátozások alapulvételével annak vizsgálatára kerül sor, hogy a szabad mozgás joga közegészségügyi okból történő korlátozása milyen sajátosságokkal bír más, az Európai Unió alapszerződéseiben ugyancsak nevesített kivételekhez (közrend, közbiztonság) képest. A tanulmány ugyancsak vizsgálja azt a kérdést, hogy az Európai Unió által kibocsátott digitális zöldútlevél (vakcinaigazolvány) a Sinopharm és Szputynik-V vakcinával beoltott uniós polgárok számára is biztosítandó-e az uniós jog rendelkezései alapján. Summary. The right of free movement of EU citizens is the cornerstone of Union citizenship. To control the spread of coronavirus (COVID-19) and to protect the health and well-being of all Europeans, Member States gave a surprisingly quick response, taking unilateral restrictive measures affecting the operation of the internal market in an unprecedented way. On the one hand they have implemented serious travel restrictions at internal borders of the EU. On the other hand, several States have coupled travel bans/restrictions with a temporary reintroduction of border controls at their borders with other Members of the Schengen Area. During the first wave of the pandemic, altogether 17 Schengen States sent notifications regarding the reintroduction of border controls, which is particularly disheartening given that the lifting of EU internal border controls in the Schengen Area is one of the integration’s greatest achievements. There is no doubt that the Member States’ restrictions on free movement detailed in the paper are well-founded from the point of view of both public international law and European law. As to how they should be put into practice: that is another issue. Still, it is the preferential role of free movement as a part of integration that requires a deeper examination of controversial measures to ascertain whether these are in compliance with EU legal principles. Among the elements to be reviewed are proportionality and the prohibition on discrimination. It is beyond doubt that COVID-19 can definitely be regarded as a ‘disease with epidemic potential’ that can justify restrictions on free movement. However, the question arises whether Article 29 TFEU provides for the introduction of public health restrictions with general effect. In other words, does it allow for restrictions not based on individual assessment, as opposed to individual threats to public policy and public security? In answering the above question the paper puts a special emphasis on the delimitation of Member States’ public health and public policy/security justifications. At the time of writing (June 2021) several Member States have already started to issue EU Covid-19 passports. The article also seeks answer to the question whether the Digital Green Certificate could (or, at least, should) be provided for Union citizens vaccinated with Sinopharm or Sputnik-V (vaccines approved by Hungary as a Member State, under European Union law).


2020 ◽  
Vol 31 (4) ◽  
pp. 1037-1051
Author(s):  
Gwendolyn K. Lee ◽  
Joseph Lampel ◽  
Zur Shapira

This virtual special issue (VSI) collects together 19 papers published in Organization Science that explore how organizations learn from crises. The objective is to discuss insights that can help us understand the COVID-19 pandemic crisis, implications that existing research carries for organizations’ abilities to keep hard-earned lessons after the storm passes, and opportunities that the current phenomenon offers for future inquiry in this domain. Organizations, large and small, in scores of countries, have suspended normal operations. To survive, many organizations have adapted by shifting almost all human-to-human interactions online while facing an ethical dilemma and a tense tradeoff between public health and economic well-being. We take stock of the research on organizational learning from crises, summarize useful knowledge for managing the current crisis, and provide directions for future research.


2020 ◽  
pp. 152483992096370
Author(s):  
Joe Bohn ◽  
Stephanie Hogue

The COVID-19 pandemic has disrupted all aspects of life, from health to financial to social. College students in particular have faced difficulties adjusting to an entirely virtual atmosphere, compounding the normal stressors that come with full class loads and transitioning into more independent adult lives. In response to the onset of the COVID-19 crisis, a faculty member at the University of South Florida’s College of Public Health designed impromptu, free dance lessons offered through a virtual video platform to the college and broader community. The lessons were offered with the intent of providing a healthy and engaging environment to help students and others in the community cope with lockdown stress, depression, and anxiety throughout spring and summer 2020. This article summarizes the structure of the intervention, lessons learned throughout implementation, and the broader practice potential during the COVID-19 pandemic and beyond.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260310
Author(s):  
Stacy Endres-Dighe ◽  
Kasey Jones ◽  
Emily Hadley ◽  
Alexander Preiss ◽  
Caroline Kery ◽  
...  

The first case of COVID-19 was detected in North Carolina (NC) on March 3, 2020. By the end of April, the number of confirmed cases had soared to over 10,000. NC health systems faced intense strain to support surging intensive care unit admissions and avert hospital capacity and resource saturation. Forecasting techniques can be used to provide public health decision makers with reliable data needed to better prepare for and respond to public health crises. Hospitalization forecasts in particular play an important role in informing pandemic planning and resource allocation. These forecasts are only relevant, however, when they are accurate, made available quickly, and updated frequently. To support the pressing need for reliable COVID-19 data, RTI adapted a previously developed geospatially explicit healthcare facility network model to predict COVID-19’s impact on healthcare resources and capacity in NC. The model adaptation was an iterative process requiring constant evolution to meet stakeholder needs and inform epidemic progression in NC. Here we describe key steps taken, challenges faced, and lessons learned from adapting and implementing our COVID-19 model and coordinating with university, state, and federal partners to combat the COVID-19 epidemic in NC.


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