1.

Record Nr.

UNINA9910772090503321

Titolo

Pandemic ethics : From COVID-19 to Disease X / / edited by Julian Savulescu, Dominic Wilkinson

Pubbl/distr/stampa

Oxford, England : , : Oxford University Press, , [2023]

©2023

ISBN

0-19-269961-X

0-19-269960-1

Descrizione fisica

1 online resource (356 pages)

Disciplina

616.2414

Soggetti

COVID-19 Pandemic, 2020-

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Intro -- Title page -- Copyright page -- Contents -- Acknowledgement -- Foreword -- Preface -- List of Figures -- Notes on Contributors -- Introduction -- I.2 Freedom -- I.3 Equality -- I.4 Pandemic X -- Part I. Global Response to the Pandemic -- 1. The Great Coronavirus Pandemic: An Unparalleled Collapse in Global Solidarity -- 1.1 Norms of Solidarity -- 1.2 The International Health Regulations: Fracturing of the Global Instrument to Govern Pandemic Response -- 1.3 SARS-CoV-2 Proximal Origin -- 1.4 Failures in Risk Communication and Lost Public Trust in WHO and Public Health Agencies -- 1.5 Failures in Scientific Cooperation -- 1.6 Nationalism, Isolationism, and Science Denial -- 1.7 WHO Caught in the Middle of Two Political Superpowers -- 1.8 Exacerbating the Global Narrative of Deep Inequities -- 1.9 A Failure of Imagination of Global Bodies -- 1.10 How to Solidify Global Cooperation and Equity -- 2. Institutionalizing the Duty to Rescue in a Global Health Emergency -- 2.1 Extreme Nationalism -- 2.2 The Moral Necessity of Institutionalizing Duties of Justice, not Just Duties of Beneficence -- 2.3 A Dynamic Conception of Morality -- 2.4 Extreme Cosmopolitanism -- 2.5 A Positive Cosmopolitan Duty -- 2.6 Institutional Design -- 3. The Uneasy Relationship between Human Rights and Public Health: Lessons from COVID-19 -- 3.1 Introduction -- 3.2 Scope -- 3.3 Content -- 3.4 Common Goods -- 3.5 Democracy -- 3.6 Conclusion --



Acknowledgements -- Part II. Liberty -- 4. Bringing Nuance to Autonomy-Based Considerations in Vaccine Mandate Debates -- 4.1 The Standard Approach: Appeal to the Harm Principle -- 4.2 Application of the Harm Principle to Vaccine Mandate Debates -- 4.3 Mandates and Freedom of Occupation -- 4.4 Just a Prick? Bodily Autonomy, Trust, and Psychosocial Harm -- 4.5 Reasons for Refusal and Implications for Autonomy.

4.6 A Word about the Least Restrictive Alternative-Mandates vs. Nudges and Incentives -- 4.7 Conclusion -- 5. The Risks of Prohibition during Pandemics -- 5.1 Policing Pandemic Risks -- 5.2 Prohibition and Public Health Outcomes -- 5.3 Public Health Hypocrisy -- 5.4 General Principles for Prohibition and Pandemics -- 5.5 Conclusion -- 6. Handling Future Pandemics: Harming, Not Aiding, and Liberty -- 6.1 Introduction -- 6.2 Distinguishing Not Harming from Aiding -- 6.3 How to Weigh Costs to Some against "Benefits" to Others -- 7. Against Procrustean Public Health: Two Vignettes -- 7.1 Introduction -- 7.2 The Ethics of Considering Vaccination Status to Design Public Health Restrictions -- 7.3 The Ethics of Using "Second-Best" Vaccines -- 7.4 Coda: Why Research Remains Imperative -- 7.5 Conclusion -- 8. Ethics of Selective Restriction of Liberty in a Pandemic -- 8.1 Introduction -- 8.2 The Harm Principle and Liberty Restriction -- 8.3 Easy Rescue Consequentialism -- 8.4 Applying Easy Rescue Consequentialism to the Pandemic -- 8.5 Population-Level Consequentialist Assessment -- 8.6 Individual Costs -- 8.7 Resource Use and Indirect Harm -- 8.8 Consistency: Compare with Children -- 8.9 Objections -- 8.10 An Algorithm for Decision-Making -- 8.11 Conclusion -- Part III. Balancing Ethical Values -- 9. How to Balance Lives and Livelihoods in a Pandemic -- 9.1 Introduction -- 9.2 Benefit-Cost Analysis -- 9.3 Social Welfare Analysis -- 9.4 Evaluating Policies: a Numerical Illustration -- 9.5 Conclusion -- 10. Pluralism and Allocation of Limited Resources: Vaccines and Ventilators -- 10.1 Conflicting Values, Conflicting Choices -- 10.2 Pluralism in Pandemics -- 10.3 Challenges to Developing Pluralistic Resource Allocation in a Pandemic -- 10.4 Disease X -- 10.5 Conclusions.

11. Fairly and Pragmatically Prioritizing Global Allocation of Scarce Vaccines during a Pandemic -- 11.1 Background -- 11.2 Pragmatic Challenges -- 11.3 Flattening the Curve -- 11.4 Conclusion -- Acknowledgments -- 12. Tragic Choices during the COVID-19 Pandemic: The Past and the Future -- 12.1 The Two Main Approaches for Resource Allocation: Ethical (USA) versus Medical (Europe) Framework -- 12.2 Outcomes -- 12.3 Lessons for the Future -- 12.4 Conclusion -- Part IV. Pandemic Equality and Inequality -- 13. Ethical Hotspots in Infectious Disease Surveillance for Global Health Security: Social Justice and Pandemic Preparedness -- 13.1 Requirements for Effective Pandemic Preparedness -- 13.2 Global Justice and Infectious Disease Surveillance -- 13.3 Surveillance and Social Justice -- 13.4 Three Tests of Ethical Commitment -- 13.5 Conclusion: Infectious Disease Hotspots Are also Ethical Hotspots -- Acknowledgements -- 14. COVID-19: An Unequal and Disequalizing Pandemic -- 14.1 Introduction -- 14.2 COVID-19: An 'Unequal' Disease? -- 14.3 The Pandemic and the Policy Response to it -- 14.4 Policy and the Pandemic: Some Fallouts -- 14.5 Concluding Observations -- 15. Pandemic and Structural Comorbidity: Lasting Social Injustices in Brazil -- 15.1 Introduction -- 15.2 COVID-19 in Brazil: Background and Pandemic -- 15.3 Making Visible the Intersection of Vulnerabilities: the Effects of COVID-19 in Brazil and its Colonial Entanglements -- 15.4 Poverty as a Risk Factor: the Case of the Pandemic in Slums -- 15.5 Racism and Sexism Aggravating Pandemic Risk: Unemployment,



Hunger, and Domestic Violence -- 15.6 LGBTI+ People in the Pandemic: Isolation and Insecurity -- 15.7 Indigenous Peoples: Socio-environmental and Ethnic-racial Risk in the Pandemic -- 15.8 At-risk Groups: Colonial Vulnerability in Times of Pandemic -- 15.9 Adopting a Decolonial Moral Paradigm.

15.10 The Colonial Past and the Post-pandemic Future -- 16. Fair Distribution of Burdens and Vulnerable Groups with Physical Distancing during a Pandemic -- 16.1 Introduction -- 16.2 Overview of COVID-19 Control Policies in Japan -- 16.3 COVID-19: Older Individuals and Foreigners in Japan -- 16.4 Three Policy Measures to Improve the Welfare of Vulnerable Populations -- 16.5 Adjusting the Public Health Policy for a Future Disease X -- 16.6 Conclusions -- Part V. Pandemic X -- 17. Pondering the Next Pandemic: Liberty, Justice, and Democracy in the COVID-19 Pandemic -- 17.1 Liberty-Restricting Measures -- 17.2 Global Justice -- 17.3 Going Forward -- 17.4 Conclusion -- Index.

Sommario/riassunto

In this timely and vital collection a global team of philosophers, lawyers, economists, and bioethicists review the COVID-19 pandemic and ask not only 'Did our societies make the right ethical choices?' but also 'What lessons must we learn before the next pandemic?'.