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Downloadable Publications


Ethical Considerations in Developing a Public Health Response to Pandemic Influenza
World Health Organization, 2007
The purpose of this document is to assist social and political leaders at all levels who influence policy decisions about the incorporation of ethical considerations into national influenza pandemic preparedness plans. It focuses on priority setting and equitable access to resources, restriction of individuals’ movements as a result of non-pharmaceutical interventions, the respective obligations of health care workers and their employers and governments, and the obligations of countries vis-à-vis each other. The document also addresses the need for transparent and timely sharing of information to improve evidence-based policy design and facilitate public engagement in the decision-making process.


Pandemic Preparedness: The Need for a Public Health- Not a Law Enforcement/National Security- Approach
American Civil Liberties Association, January 2008
This report finds that as fears of a flu pandemic have grown, the Bush administration has pursued a misguided approach to pandemic preparation that relies on a law enforcement/national security approach, rather than a public health approach to the problem, and which exposes Americans to unnecessary risk.


Citizen Voices on Pandemic Flu Choices: A Report of the Public Engagement Pilot Project on Pandemic Influenza
December, 2005
This report describes the convening of a representative group of stakeholders and citizens-at-large, the structure and process of stakeholder and citizen dialogue and deliberations, the decisions made and recommendations that were developed.


Global Consultation on Addressing Ethical Issues in Pandemic Influenza Planning: Summary of Discussions
World Health Organization, 2007
In October, 2006, the Global Consultation on Addressing Ethical Issues in Pandemic Influenza Planning brought together representatives of international organizations, government ministries, academic institutions and WHO Secretariat to consider a broad range of ethical issues related to the development and implementation of pandemic influenza preparedness and response plans. This report summarizes the presentations and discussions regarding the deliberations of four technical working groups. A draft set of ethical considerations based on the previous day's discussions was presented and discussed and will be incorporated into the forthcoming WHO document Ethical Considerations in Pandemic Influenza Planning.


On Pandemics and the Duty to Care: Whose Duty? Who Cares?
BMC Medical Ethics. (2006). 7(5).
This paper examines the role of health care providers during a pandemic flu outbreak and concludes that a social dialogue is needed in order to provide guidelines regarding professional rights and responsibilities, as well as ethical duties and obligations for health care professionals.


Pandemic Planning Puts Ethics in Spotlight
Center for Infectious Disease Research and Policy (May 2006)
This short article examines a sample of the ethical questions pandemic planning raises, and gathers opinions from numerous ethics experts on these controversial issues.


When Patients Request a Prescription for an Antiviral for a Possible Pandemic
Jaro Kotalik, June 2006, American Medical News, 49(21).
This article begins with two scenarios that each consists of patients asking for an antiviral. Kotalik examines the morally complex issue of the tension between a physician's responsibility to patients and the physician's responsibility for public health.


Clinical decision making during public health emergencies: Ethical considerations
Lo, B. & Katz, M.H. (2005). Annals of Internal Medicine. 143, 493-498.
Recent public health emergencies have dramatized the need for restrictive public health measures such as quarantine, isolation, and rationing. What is a physician to do when their patient disagrees with these measures? Physicians will face ethical dilemmas that will weigh the public good versus the will of the individual patient. Healthcare workers need to contemplate how they will respond to such foreseeable dilemmas when patients disagree with public health interventions.


Ethical and Legal Considerations in Mitigating Pandemic Disease: Workshop Summary (Executive Summary)
Stanley M. Lemon, Margaret A. Hamburg, P. Frederick Sparling, Eileen R. Choffnes, and Alison Mack, Rapporteurs, Forum on Microbial Threats. (2007).
In order to focus on the profound ethical and legal issues inherent in various pandemic disease mitigation approaches that are being proposed domestically and internationally, the Institute of Medicine’s Forum on Microbial Threats convened a public workshop and released the workshop summary exploring lessons learned from past pandemics, identifying barriers to equitable and effective responses to future pandemics, and examining opportunities to overcome these obstacles through research, policy, legislation, communication, and community engagement.

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