Pandemics

The largest medical institutions and various ethicists advocate a utilitarian approach in times of public health crises, to maximize benefits for society, in direct conflict with our usual (Kantian) view of respect for people as individuals. A central problem with utilitarianism is that there is no clear way to evaluate moral choices, including in medical decisions. In general, in medicine is respected the Kantian medical ethics. But in a pandemic, when resources are poor, deep choices of life and death must (...) be made. In these situations, the principles of utilitarianism offer the best answer, moving from a patient-centered thinking model to a society-centered thinking model. DOI: 10.13140/RG.2.2.36811.82728. (shrink)

În cazul pandemiei COVID-19, există unele semne ale schimbării de paradigmă, inclusiv dispariția bruscă a ideologiei legate de „ziduri”: ”o tuse a fost suficientă pentru a face dintr-o dată imposibilă evitarea responsabilității pe care fiecare individ o are față de toate ființele vii pentru simplul fapt că este parte a acestei lumi, și a dorinței de a fi parte a ei”. Întregul este întotdeauna implicat în parte, pentru că totul este, într-un anumit sens, în tot și în natură nu există (...) regiuni autonome care să constituie o excepție. Virusul pare să restabilească supremația care a aparținut cândva politicii. Una din virtuțile virusului este capacitatea acestuia de a genera o idee mai sobră de libertate: a fi liber înseamnă a face ceea ce trebuie făcut într-o situație specifică. DOI: 10.13140/RG.2.2.29865.83041. (shrink)

De la existențialismul lui Albert Camus și Sartre, la înlocuirea ritualului de excludere cu mecanismul disciplinar al lui Michel Foucault, o formă ideală de control al autorităților statului a tuturor formelor de ”dezordine”, și modernitatea virală și bioinformaționalism. Și despre ipoteza Gaia, dezvoltată de James Lovelock și susținută în actuala pandemie de Bruno Latour. DOI: 10.13140/RG.2.2.31276.49284.

Cele mai mari instituții medicale și diverși eticieni pledează pentru o abordare utilitaristă în perioadele de crize de sănătate publică, pentru a maximiza beneficiile pentru societate, în conflict direct cu viziunea noastră obișnuită (kantiană) privind respectul față de persoane ca indivizi. O problemă centrală a utilitarismului este că nu există nicio modalitate clară de a evalua alegerile morale, inclusiv în deciziile medicale. În general, în medicină se respectă etica medicală kantiană. Dar în pandemie, când resursele sunt sărace, trebuie făcute alegeri (...) profunde, de viață și moarte. În aceste situații principiile utilitarismului oferă cel mai bun răspuns, cu trecerea de la un model de gândire centrat pe pacient la un model de gândire centrat pe societate. DOI: 10.13140/RG.2.2.28443.69929. (shrink)

După declararea pandemiei COVID-19, Slavoj Žižek a publicat o carte numită „Pandemic!: COVID-19 Shakes the World”, care a declanșat un val de reacții. În carte, el prezintă modul în care media a exploatat fără milă acest subiect, accentuând panica. Multe studii majore au prezis apariția unei astfel de pandemii, dar au fost ignorate de toate guvernele, declarându-le ca fiind exagerate. Žižek crede că actuala pandemie a dus la falimentul actualului capitalism ”barbar”, întrebându-se dacă nu cumva drumul pe care îl va (...) lua omenirea este un neo-comunism (el însuși se descrie ca un „radical de stânga” și un „comunist în sens calificat”). Žižek argumentează aceste idei cu măsurile socio-politice din pandemie ale cancelarului Germaniei, Angela Merkel și a președintelui Franței, și naționalizarea temporară a căilor ferate de către Boris Johnson. ”Chiar și președintele SUA, Donald Trump, a transferat miliarde de dolari americanilor. El a emis apeluri pentru preluarea sectorului privat în ceea ce privește materialele medicale.” DOI: 10.13140/RG.2.2.31451.80167. (shrink)

Social isolation (desocialization) implies a complete or almost complete lack of contact between an individual and society. This can be a problem for people of any age, although the symptoms may differ depending on the age group. Social isolation can include staying home for long periods of time, and lack of face-to-face communication with family, acquaintances, friends, or co-workers. Social isolation can lead to feelings of loneliness, fear of others or negative self-esteem. We cannot exist independently of our relationships with (...) others. One's own humanity is reduced when others are treated without dignity and respect. At the same time, provoking harm to another person can also affect perceptions of oneself. It turns out that a person's humanity depends on the humanity of those around him. DOI: 10.13140/RG.2.2.35832.06405. (shrink)

Les plus grandes institutions médicales et divers éthiciens préconisent une approche utilitariste en période de crise de santé publique, afin de maximiser les bénéfices pour la société, en conflit direct avec notre vision habituelle (kantienne) du respect des personnes en tant qu'individus. Un problème central de l'utilitarisme est qu'il n'y a pas de moyen clair d'évaluer les choix moraux, y compris dans les décisions médicales. En général, l'éthique médicale kantienne est respectée en médecine. Mais dans une pandémie, lorsque les ressources (...) sont pauvres, des choix profonds de vie ou de mort doivent être faits. Dans ces situations, les principes de l'utilitarisme offrent la meilleure réponse, avec le passage d'un modèle de pensée centré sur le patient à un modèle de pensée centré sur la société. DOI: 10.13140/RG.2.2.34596.30088. (shrink)

De l'existentialisme d'Albert Camus et Sartre, au remplacement du rituel d'exclusion par le mécanisme disciplinaire de Michel Foucault, forme idéale de contrôle des autorités étatiques de toutes les formes de « désordre », et à la modernité virale et au bioinformationalisme. Et à propos de l'hypothèse Gaia, développée par James Lovelock et soutenue dans la pandémie actuelle par Bruno Latour. DOI: 10.13140/RG.2.2.20639.18089.

The viruses coexist for approx. 300 million years with the humans. Sometimes viruses can infect people on a large scale. But how was the current pandemic possible? Global warming is causing extreme weather events that have led to an increase in infectious diseases. The new climate can support epidemiological vectors for longer periods of time, creating more favorable conditions for replication and the emergence of new vectors. In the case of emerging infectious diseases, it is considered that there is a (...) border that has already been crossed. Viruses normally have a native area (their "reservoir") from which they should not be pushed out. This creates a dangerous intimacy, with "hotspots" that include locations such as markets, which become real hotbeds of epidemics. DOI: 10.13140/RG.2.2.26974.87364 . (shrink)

Izolarea socială (desocializarea) presupune o lipsă completă sau aproape completă de contact între un individ și societate. Aceasta poate fi o problemă pentru persoanele de orice vârstă, deși simptomele pot diferi în funcție de grupul de vârstă. Izolarea socială poate include șederea acasă pentru perioade îndelungate de timp, și lipsa comunicării față în față cu familia, cunoștințele, prietenii sau colegii de servici. Izolarea socială poate duce la sentimente de singurătate, frica de ceilalți sau stima de sine negativă. Nu putem exista (...) independent de relațiile noastre cu ceilalți. Propria umanitate este redusă atunci când alții sunt tratați fără demnitate și respect. În același timp, provocarea de rău altei persoane poate afecta și percepțiile despre sine. Rezultă că umanitatea unei persoane depinde de umanitatea celor din jurul ei. DOI: 10.13140/RG.2.2.27847.32166. (shrink)

Une brève rétrospective du virus COVID-19 qui a causé la pandémie actuelle, son cycle de vie et son histoire. Réactions, mesures et effets de la pandémie COVID-19. Une présentation des diverses approches philosophiques, avec un accent sur la philosophie de la mort, l'écopsychanalyse, et un appel aux philosophies de Sigmund Freud et Albert Camus. DOI: 10.13140/RG.2.2.35853.36328 .

Suite à la déclaration de la pandémie COVID-19, Slavoj Žižek a publié un livre intitulé « Pandemic!: COVID-19 Shakes the World », qui a déclenché une vague de réactions. Dans le livre, il présente comment les médias ont impitoyablement exploité ce sujet, accentuant la panique. De nombreuses études majeures ont prédit l'émergence d'une telle pandémie, mais ont été ignorées par tous les gouvernements, les déclarant exagérées. Žižek estime que la pandémie actuelle a conduit à la faillite du capitalisme « barbare (...) » actuel, se demandant si le chemin que l'humanité empruntera est un néo-communisme (il se décrit lui-même comme un « radical de gauche » et un « communiste en non qualifié »). Žižek fait valoir ces idées avec les mesures sociopolitiques pandémiques de la chancelière allemande Angela Merkel et du président français, et la nationalisation temporaire des chemins de fer par Boris Johnson. « Même le président américain Donald Trump a transféré des milliards de dollars aux Américains. Il a appelé à la reprise du secteur privé en termes de fournitures médicales. » DOI: 10.13140/RG.2.2.28160.66566. (shrink)

Following the declaration of the COVID-19 pandemic, Slavoj Žižek published a book called "Pandemic!: COVID-19 Shakes the World", which triggered a wave of reactions. In the book, he presents how the media ruthlessly exploited this subject, accentuating the panic. Many major studies have predicted the emergence of such a pandemic, but have been ignored by all governments, declaring them to be exaggerated. Žižek believes that the current pandemic has led to the bankruptcy of the current "barbaric" capitalism, wondering if the (...) path that humanity will take is a neo-communism (he describes himself as a "radical leftist" and a "communist in a qualified sense”). Žižek argues these ideas with the pandemic socio-political measures of German Chancellor Angela Merkel and the President of France, and the temporary nationalization of the railways by Boris Johnson. "Even [US President Donald] Trump transferred billions of dollars to the public. He issued calls to take over the private sector insofar as medical supplies are concerned." DOI: 10.13140/RG.2.2.12914.12484. (shrink)

L'isolement social (désocialisation) implique une absence totale ou presque totale de contact entre un individu et la société. Cela peut être un problème pour les personnes de tout âge, bien que les symptômes puissent différer selon le groupe d'âge. L'isolement social peut inclure le fait de rester à la maison pendant de longues périodes et le manque de communication face à face avec la famille, les connaissances, les amis ou les collègues. L'isolement social peut conduire à des sentiments de solitude, (...) de peur des autres ou de mauvaise estime de soi. Nous ne pouvons pas exister indépendamment de nos relations avec les autres. Notre propre humanité est réduite lorsque les autres sont traités sans dignité et sans respect. Dans le même temps, causer du tort à une autre personne peut également affecter la perception de soi-même. Il s'avère que l'humanité d'une personne dépend de l'humanité de ceux qui l'entourent. DOI: 10.13140/RG.2.2.14145.79203. (shrink)

From the existentialism of Albert Camus and Sartre, to the replacement of the exclusion ritual with the disciplinary mechanism of Michel Foucault, an ideal form of control of state authorities of all forms of "disorder", and viral modernity and bioinformationalism. And about the Gaia hypothesis, developed by James Lovelock and supported in the current pandemic by Bruno Latour. DOI: 10.13140/RG.2.2.34967.80801.

Le biopouvoir fait référence à la pratique des États-nations modernes à travers une explosion de techniques nombreuses et diverses pour parvenir à l'assujettissement des corps et au contrôle des populations. Foucault a utilisé le terme pour désigner spécifiquement les pratiques de santé publique, entre autres mécanismes de régulation. La biopolitique est un concept qui prend en compte la gestion de la vie et des populations d'une région gouvernée. La biopolitique produit une société disciplinaire généralisée et des contrôles réglementaires à travers (...) la biopolitique de la population. Giorgio Agamben déclare que ce qui se manifeste dans cette pandémie, c'est la tendance croissante à utiliser l'état d'urgence comme un paradigme normal de gouvernement. DOI: 10.13140/RG.2.2.31915.87840. (shrink)

In the case of the COVID-19 pandemic, there are some signs of a shift of paradigm, including the sudden disappearance of the wall ideology: a cough was enough to suddenly make it impossible to avoid the responsibility that each individual has towards all living beings for the simple fact that it is part of this world, and of the desire to be part of it. The whole is always involved in part, because everything is, in a sense, in everything and (...) in nature there are no autonomous regions that are an exception. The virus seems to restore the supremacy that once belonged to politics. One of the virtues of the virus is its ability to generate a more sober idea of freedom: to be free means to do what needs to be done in a specific situation. DOI: 10.13140/RG.2.2.20745.67681 . (shrink)

Virușii coabitează de cca. 300 milioane de ani cu oamenii. Uneori, virușii pot infecta oamenii pe scară largă. Dar, cum a fost posibilă actuala pandemie? Încălzirea globală determină fenomene meteorologice extreme care au dus la o creștere a bolilor infecțioase. Noul climat poate susține vectori epidemiologici pentru perioade mai lungi de timp, creând condiții mai favorabile replicării și apariția de noi vectori. În cazul bolilor infecțioase emergente, se consideră că există o graniță peste care s-a sărit deja. Virușii au, în (...) mod normal, o zonă nativă („rezervorul” lor), din care nu ar trebui să fie împinși afară. Se creează astfel o intimitate periculoasă, cu „puncte fierbinți” care includ locații precum piețele, care devin adevărate focare de epidemii. DOI: 10.13140/RG.2.2.16634.11202. (shrink)

Biopower refers to the practice of modern nation-states through an explosion of numerous and diverse techniques for achieving the subjugation of bodies and the control of populations. Foucault used the term to refer specifically to public health practices, among other regulatory mechanisms. Biopolitics is a concept that takes into account the management of the life and populations of a governed region. Biopolitics produces a generalized disciplinary society and regulatory controls through population biopolitics. Giorgio Agamben states that what is manifesting in (...) this pandemic is the growing tendency to use the state of emergency as a normal paradigm of government. DOI: 10.13140/RG.2.2.29380.04488 . (shrink)

O scurtă retrospectivă a virusul COVID-19 care a cauzat actuala pandemie, a cilului său de viață și a istoriei sale. Reacții, măsuri și efecte ale pandemiei COVID-19. O prezentare a diverselor abordări filosofice, cu accent pe filosofia morții, ecopsihanaliză, și apel la filosofiile lui Sigmund Freud și Albert Camus. DOI: 10.13140/RG.2.2.17900.59528.

Les virus coexistent pendant env. 300 millions d'années avec les humains. Parfois, les virus peuvent infecter les gens à grande échelle. Mais comment la pandémie actuelle a-t-elle été possible ? Le réchauffement climatique est à l'origine d'événements météorologiques extrêmes qui ont conduit à une augmentation des maladies infectieuses. Le nouveau climat peut soutenir les vecteurs épidémiologiques pendant de plus longues périodes, créant des conditions plus favorables à la réplication et à l'émergence de nouveaux vecteurs. Dans le cas des maladies infectieuses (...) émergentes, on considère qu'il existe une frontière qui a déjà été franchie. Les virus ont normalement une zone d'origine (leur « réservoir ») d'où ils ne doivent pas être expulsés. Cela crée une intimité dangereuse, avec des « points chauds » qui incluent des endroits comme les marchés, qui deviennent de véritables foyers d'épidémies. DOI: 10.13140/RG.2.2.32255.43688. (shrink)

Bioputerea face referire la practica statelor naționale moderne prin o explozie de numeroase și diverse tehnici pentru realizarea subjugării corpurilor și controlul populațiilor. Foucault a folosit termenul pentru a se referi în mod specific la practicile de sănătate publică, printre alte mecanisme de reglementare. Biopolitica este un concept care ia în considerare administrarea vieții și a populațiilor unei regiuni guvernate. Biopolitica produce o societate disciplinară generalizată și controale de reglementare prin biopolitica populației. Giorgio Agamben afirmă că ceea ce se manifestă (...) în această pandemie este tendința crescândă de a folosi starea de excepție ca o paradigmă normală de guvernare. DOI: 10.13140/RG.2.2.13265.56161. (shrink)

A brief retrospective of the COVID-19 virus that caused the current pandemic, its life cycle and its history. Reactions, measures and effects of the COVID-19 pandemic. A presentation of various philosophical approaches, with an emphasis on the philosophy of death, eco-psychoanalysis, and appeal to the philosophies of Sigmund Freud and Albert Camus. DOI: 10.13140/RG.2.2.14848.25608.

The testimonies of celebrities affect the lives of their many followers who pay attention to what they say. This gives celebrities a high degree of epistemic power, which has come under close scrutiny during the COVID-19 pandemic. This paper investigates the duties that arise from this power. We argue that celebrities have a negative duty of testimonial justice not to undermine trust in authoritative sources by spreading misinformation or directing attention to untrustworthy sources. Moreover, celebrities have a general imperfect duty (...) to try to correct for an unjust distribution of attention by redirecting it to those who deserve it. During a pandemic this may become a perfect one, due to the harm that could be prevented if people follow the advice of experts. Relatedly, we argue that celebrities have an imperfect duty to promote behavior that will reduce the spread of a pandemic. We outline three ways they might do so: they might take on the position of a role model, they may act as a salience magnet or they can direct people’s attention towards others who have taken on these roles. (shrink)

On 26 January 2021, while announcing that the country had reached the mark of 100,000 deaths within 28 days of COVID-19, UK Prime Minister Boris Johnson said that he took “full responsibility for everything that the Government has done” as part of British efforts to tackle the pandemic. The force of this statement was undermined, however, by what followed: -/- What I can tell you is that we truly did everything we could, and continue to do everything that we can, (...) to minimise loss of life and to minimise suffering... -/- Taking these sentiments together, it was hard to avoid the conclusion that the government took responsibility only for doing everything right. Such an admission of responsibility, accommodating no admission of error or wrongdoing, is not really about responsibility at all. Indeed, the UK’s pandemic response has been marked from its earliest days by a shifting of focus from institutional responsibility to personal responsibility for individual UK residents. -/- This paper explores the relationship between these two sites of responsibility—the institutional and the personal—in the context of the sort of pandemic that is ongoing as we write. Section 2 offers some initial definitions and discussions of key terms. Section 3 outlines how these two ideas interact in principle during such emergencies. Section 4 turns to the ‘non-ideal’ implications for personal responsibility of failures of institutional responsibility. While our focus is on the specific context with which we are most familiar, the UK governmental approach, where appropriate we also include examples from other states. (shrink)

In response to the spread of COVID-19, governments across the world have, with very few exceptions, enacted sweeping restrictive lockdown policies that impede citizens’ freedom to move, work, and assemble. This paper critically responds to the central arguments for restrictive lockdown legislation. We build our critique on the following assumption: public policy that enjoys virtually unanimous support worldwide should be justified by uncontroversial moral principles. We argue that that the virtually unanimous support in favor of restrictive lockdowns is not adequately (...) justified by the arguments given in favor of them. Importantly, this is not to say that states ought not impose restrictive lockdown measures, but rather that the extent of the acceptance of these measures is not proportionate to the strength of the arguments for lockdowns. -/- We begin by exploring the case for restrictive lockdowns. We first argue that several of the principles that are used to justify the lockdowns yield unexpectedly revisionary implications for other political problems that many would be unwilling to accept. We then outline what we consider the strongest argument for a lockdown—namely, that its net welfare benefits are great enough to defeat the moral presumption against restricting citizens’ civil liberties to move, work, and assemble. However, we give a number of reasons for doubting that the lockdown’s net welfare benefits are, in fact, sufficiently high to defeat the presumption against it. (shrink)

COVID-19 vaccination of children has begun in various high-income countries with regulatory approval and general public support, but largely without careful ethical consideration. This trend is expected to extend to other COVID-19 vaccines and lower ages as clinical trials progress. This paper provides an ethical analysis of COVID-19 vaccination of healthy children. Specifically, we argue that it is currently unclear whether routine COVID-19 vaccination of healthy children is ethically justified in most contexts, given the minimal direct benefit that COVID-19 vaccination (...) provides to children, the potential for rare risks to outweigh these benefits and undermine vaccine confidence, and substantial evidence that COVID-19 vaccination confers adequate protection to risk groups, such as older adults, without the need to vaccinate healthy children. We conclude that child COVID-19 vaccination in wealthy communities before adults in poor communities worldwide is ethically unacceptable and consider how policy deliberations might evolve in light of future developments. (shrink)

We argue that pandemic and lockdown can be usefully interpreted as transformative experiences, albeit of a sort with interestingly different features to those discussed by L.A. Paul.

The potential for vaccines to prevent the spread of infectious diseases is crucial for vaccination policy and ethics. In this paper, I discuss recent evidence that the current COVID-19 vaccines have only a modest and short-lived effect on reducing SARS-CoV-2 transmission and argue that this has at least four important ethical implications. First, getting vaccinated against COVID-19 should be seen primarily as a self-protective choice for individuals. Second, moral condemnation of unvaccinated people for causing direct harm to others is unjustified. (...) Third, the case for a harm-based moral obligation to get vaccinated against COVID-19 is weak. Finally, and perhaps most significantly, coercive COVID-19 vaccination policies (e.g., measures that exclude unvaccinated people from society) cannot be directly justified by the harm principle. (shrink)

During a pandemic, demand for intensive care often exceeds availability. Experts agree that allocation should maximize benefits and must not be based on whether patients could have taken preventive measures. However, intensive care units are often overburdened by individuals with severe COVID-19 who have chosen not to be vaccinated to prevent the disease. This article reports an experiment that investigated the German public's prioritization preferences during the fourth wave of the coronavirus pandemic. In a series of scenarios, participants were asked (...) to decide on ICU admission for patients who differed in terms of health condition, expected treatment benefits, and vaccination status. The results reveal an in-group bias, as vaccinated individuals preferred to allocate more resources to the vaccinated than to the unvaccinated. Participants also favored admitting a heart attack patient rather than a COVID-19 patient with the same likelihood of benefiting from ICU admission, indicating a preference for maintaining regular ICU services rather than treating those with severe COVID-19. Finally, participants were more likely to admit a patient to intensive care when this meant withholding rather than withdrawing care from another patient. The results indicate that lay prioritizations violate established allocation principles, presaging potential conflicts between those in need of intensive care and those who provide and allocate it. It is therefore recommended that allocation principles should be explained to enhance public understanding. Additionally, vaccination rates should be increased to relieve ICUs and reduce the need for such triage decisions. (shrink)

The shortage conditions created by the COVID-19 pandemic have been changing our ordinary way of life around the world since the beginning of 2020. Such conditions pose a challenge for shaping a cohesive theory of justice—one that takes non-ideal circumstances as necessary for the model. These conditions also interfere with agents’ moral capacity in ways that make it difficult for them to tell what is morally relevant, which impairs their ability to identify what actions are just. To shed light on (...) these problems, I turn to David Hume’s theory of justice as a test case to portray how outer conditions shape an agent’s inner conditions and affect the foundation of our moral perception of what is just. (shrink)

The susceptible-transmissible-removed model is a deterministic compartment model, based on the susceptible-infected-removed prototype. The STR replaces 2 SIR assumptions. SIR assumes that the emigration rate is directly proportional to the infected compartment’s size. The STR replaces this assumption with the biologically appropriate assumption that the emigration rate is the same as the immigration rate one infected period ago. This results in a unique delay differential equation epidemic model with the delay equal to the infected period. Hamer’s mass action law for (...) epidemiology is modified to resemble its chemistry precursor—the law of mass action. Constructing the model for an isolated population that exists on a surface bounded by the extent of the population’s movements permits compartment density to replace compartment size. The STR reduces to a SIR model in a timescale that negates the delay—the transmissible timescale. This establishes that the SIR model applies to an isolated population in the disease’s transmissible timescale. Cyclical social interactions will define a rhythmic timescale. It is demonstrated that the geometric mean maps transmissible timescale properties to their rhythmic timescale equivalents. This mapping defines the hybrid incidence. The model validation demonstrates that the HI-STR can be constructed directly from the disease’s transmission dynamics. The basic reproduction number is an epidemic impact property. The HI-STR model predicts that R0∝ρnB\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\mathcal{R}}_0 \propto \root \mathfrak{B} \of {\rho_n}$$\end{document} where ρn\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\rho_n$$\end{document} is the population density, and B\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\mathfrak{B}}$$\end{document} is the ratio of time increments in the transmissible- and rhythmic timescales. The model is validated by experimentally verifying the relationship. R0\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\mathcal{R}}_0$$\end{document}’s dependence on ρn\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\rho_n$$\end{document} is demonstrated for droplet-spread SARS in Asian cities, aerosol-spread measles in Europe and non-airborne Ebola in Africa. (shrink)

This book contains original essays that look at contagious/infectious disease pandemics and the ethical public policy and administration these have entailed. In particular, the pandemics of the 1918 flu pandemic, HIV in the 1990s, SARS in 2003, Ebola from 2014–2016 and the novel COVID-19 in 2020 are highlighted. The contributions in this work offer the reader insights in these and several other recent pandemics that present differently—either via contagion or mortality rate—and how each should be addressed by countries of various (...) sorts. This book is a must for the ongoing debate on how we should treat public health crises, such as the one we have all just encountered in the novel COVID-19 pandemic. (shrink)

The transition and adaptation of students to higher education involve a wide range of challenges that justify some institutional practices promoting skills that enable students to increase their autonomy and to face the difficulties experienced. The requirements for this adaptation were particularly aggravated by the containment and sanitary conditions associated with coronavirus disease 2019. With the aim of promoting academic success and preventing dropout in the first year, a support program was implemented for students enrolled in two courses in the (...) area of education at a public university in northern Portugal during the first semester of 2020/2021. Three sessions of 50/60 min were implemented, namely, the first session focused on the verbalization of the demands, challenges, and difficulties of the transition, and the second and third sessions focused on the difficulties of academic adaptation and academic performance. Data from a dropout risk screening instrument and from the activities performed during sessions were analyzed. The main results point to student satisfaction with the content and the activities of the sessions and their usefulness. Students report not only high satisfaction levels with HE attendance, but also some emotional exhaustion due to academic activities. The continuity of the program is recommended with some improvements in its planning to ensure a more definitive version of the program in the next two years. (shrink)

Conservative assumptions in medical ethics risk immense harms during a pandemic. Public health institutions and public discourse alike have repeatedly privileged inaction over aggressive medical interventions to address the pandemic, perversely increasing population-wide risks while claiming to be guided by ‘caution’. This puzzling disconnect between rhetoric and reality is suggestive of an underlying philosophical confusion. In this paper, I argue that we have been misled by status quo bias—exaggerating the moral significance of the risks inherent in medical interventions, while systematically (...) neglecting the risks inherent in the status quo prospect of an out-of-control pandemic. By coming to appreciate the possibility and significance of status quo risk, we will be better prepared to respond appropriately when the next pandemic strikes. (shrink)

In recent years, the world knew many challenges concerning the propagation of infectious diseases such as avian influenza, Ebola, SARS-CoV-2, etc. These epidemics caused a change in the healthy balance of humanity. Also, the epidemics disrupt the economies and social activities of countries around the world. Mathematical modeling is a vital means to represent and control the propagation of infectious diseases. In this paper, we consider a stochastic epidemic model with a Markov process and delay, which generalizes many models existing (...) in the literature. In addition, we show the stochastic threshold for the extinction of the disease. Furthermore, numerical examples are discussed to confirm the theoretical result. (shrink)

La pandemia mundial del coronavirus ha supuesto una de las mayores conmociones de nuestra historia reciente y, como tal, parece obligarnos a repensar nuestros modos de organización y formas de vida e, incluso, como se propone aquí, a plantearnos cómo podríamos habitar el colapso. En este escenario incierto y desconocido, la filosofía, con sus múltiples enfoques y subdisciplinas, se presenta como un lugar privilegiado para analizar las vertiginosas transformaciones que han dado lugar a esta “nueva normalidad”. El presente monográfico aglutina (...) una serie de contribuciones realizadas por distintos investigadores e investigadoras de la Universidad de Oviedo, que han tratado de abordar la crisis sanitaria global desde diversas perspectivas filosóficas y humanísticas. Entre los temas que se estudian en estas páginas, figuran los relativos a la gestión de la pandemia y la comunicación científica sobre la misma, las relaciones entre pobreza, salud mental y suicidio o el alcance de la revalorización del mundo rural. También se utilizan las herramientas del análisis biopolítico para examinar la gestión de los cuerpos durante la pandemia a partir de tres ejes distintos: el tratamiento de los enfermos, los nuevos dispositivos de control y la gestión de la pandemia en las instituciones de encierro. Además, varios de los capítulos se ocupan explícitamente de un tema inherente a la mayoría de las reflexiones que componen este volumen: a saber, el de la necesidad de un cuestionamiento profundo de la sociedad occidental contemporánea y la insostenibilidad de su forma de vida. (shrink)

The global pandemic caused by the spread of a novel coronavirus in early 2020 did more than transform the first one-and-a-quarter academic year that fell within its duration. It also transformed higher learning in its research and pedagogy. Like many misfortunes, COVID-19 has brought opportunity for growth and change. No doubt, there are many success stories of philosophers rising to the challenges of our time. In this contribution, I relate my own pandemic story, not as one of success, but rather (...) as a humble attempt to grapple with the question of the post-pandemic philosophy curriculum. What is the place of philosophy in the twenty-first-century university? What might "philosophy" mean in a post-pandemic context... (shrink)

It is widely accepted that a liberal state has a general duty to protect its people from undue health risks. However, the unprecedented emergent measures against the COVID-19 pandemic taken by governments worldwide give rise to questions regarding the extent to which this duty may be used to justify suspending a vaccine rollout on marginal safety grounds. -/- In this chapter, I use the case of vaccination to argue that while a liberal state has a general duty to protect its (...) people’s health, there is a limit to the measures this duty can be used to justify. First, I argue that since every available option involves different risks and benefits, the incommensurability of the involved risks and benefits forbids the prioritisation of a particular vaccine. Second, I argue that given epistemic limitations and uncertainty, policies that favour certain vaccines are not only epistemically ill-founded but also morally unacceptable. I conclude that in a highly uncertain situation such as the unfolding pandemic, the duty a liberal state ought to uphold is to properly communicate the knowns and unknowns to the general public and help people decide which option to choose for themselves. I call this duty the duty to facilitate risk-taking. (shrink)

With the coronavirus pandemic and the Omicron variant once again forcing countries into lockdown, this essay seeks to outline a Foucauldian critique of various legal measures taken by the Danish government to cope with COVID-19 during the first year and a half of the pandemic. The essay takes a critical look at the extra-legal measures employed by the Danish government, as the Danish politicians attempted to halt the spread of the, now almost forgotten, Cluster 5 COVID-19 variant. This situation will (...) serve as a critical point from where to start using Foucault’s writings on life and biopolitics in order to expose various legally problematic governmental decisions that became visible during the handling of COVID-19 in general and the Cluster 5 mutation in particular. Reframing the pandemic within Foucault’s concept of biopolitics, this essay concludes that the state of exception has led to an increase in biopolitical logic, where some lives have come to matter more than others. As a critical counterpoint to this logic, the conclusion suggests that the notion of biocommunism could provide a suitable reconfiguration of communism. A reconfiguration that could mitigate some of the issues related to biopolitics is uncovered earlier in the essay. (shrink)

Bioethics, Volume 36, Issue 6, Page 687-698, July 2022.

John and Curran have convincingly shown that Scanlonian contractualism is a valuable resource for evaluating pandemic response policies, and that we should reject cost–benefit analysis in favour of a contractualist framework. However, they fail to consider the part of contractualism that Scanlon constructed precisely to deal with the question of when the state can restrict individuals from making choices that are harmful to themselves and others: the value of choice view. In doing so, they leave it open for opponents of (...) lockdowns to misuse contractualism to justify mistaken policies. This is because the most powerful contractualist objections to locking down are likely to be based on the VoC. When we apply the value of choice view, we see that a lockdown policy’s justifiability depends on the extent to which particular values of choice are found to be threatened by the policy in question, and what safeguards policy-makers have put in place to increase the value of choice and protect people from the harmful consequences of lockdown. Without the VoC, it is harder to explain why lockdowns, to be non-rejectable, must have certain features. With the VoC, the case for contractualism over cost benefit analysis can be made even stronger. (shrink)

The COVID-19 pandemic has been overwhelming public health-care systems around the world. With demand exceeding the availability of medical resources in several regions, hospitals have been forced to invoke triage. To ensure that this difficult task proceeds in a fair and organised manner, governments scrambled experts to draft triage guidelines under enormous time pressure. Although there are similarities between the documents, they vary considerably in how much weight their respective authors place on the different criteria that they propose. Since most (...) of the recommendations do not come with ethical justifications, analysing them requires that one traces back these criteria to their underlying theories of distributive justice. In the literature, COVID-19 triage has been portrayed as a value conflict solely between utilitarian and egalitarian elements. While these two accounts are indeed the main antipodes, I shall show that in fact all four classic theories of distributive justice are involved: utilitarianism, egalitarianism, libertarianism, and communitarianism. Detecting these in the documents and classifying the suggested criteria accordingly enables one to understand the balancing between the different approaches to distributive justice—which is crucial for both managing the current pandemic and in preparation for the next global health crisis. (shrink)

Background: The coronavirus disease 2019 pandemic is impacting the delivery of healthcare worldwide, creating dilemmas related to the duty to care. Although understanding the ethical dilemmas about the duty to care among nurses is necessary to allow effective preparation, few studies have explored these concerns. Aim: This study aimed to identify the ethical dilemmas among clinical nurses in Spain and Chile. It primarily aimed to identify nurses’ agreement with the duty to care despite high risks for themselves and/or their families, (...) describe nurses’ well-being and describe the associations between well-being and the duty to care. Research design: Cross-sectional self-reported anonymous data were collected between May and June 2020 via electronic survey distribution. Ethical considerations: The Institutional Ethical Review Committees in both countries approved the study. Findings: In total, 345 clinical nurses answered the primary question about the duty to care for the sick. Although in the total sample 77.4% agreed they have a duty to care for the sick, significant differences were found between the Spanish and Chilean samples. Overall, 53.6% of the nurses reported low levels of well-being; however, among those reporting low well-being, statistically significant differences were found between Spanish and Chilean nurses as 19.4% and 37.8%, respectively, disagreed with the statement regarding the duty to care. Discussion: Participants in both countries reported several ethical dilemmas, safety fears, consequent stress and low well-being. These results suggest that prompt actions are required to address nurses’ ethical concerns, as they might affect their willingness to work and psychological well-being. Conclusion: Our findings shed light on the ethical dilemmas nurses are facing related to the duty to care. Not only has the coronavirus disease 2019 pandemic given rise to ethical challenges, but it has also affected nurses’ well-being and willingness to work during a pandemic. (shrink)

The coronavirus disease 2019 (COVID-19) pandemic has brought significant changes to the life of the Christian church in Indonesia. Such changes can degrade the essence of the fellowship of believers. The reality of the COVID-19 pandemic, which became the church's starting point, has triggered a change in the pattern of carrying out its duties and services to the people and their environment. The church can adapt and transform its ministry innovations as a living organisation. The church needs to reinterpret the (...) effectiveness of its presence through adapting new service patterns, namely onsite services to virtual services or hybrid services, to remain relevant to every dimension of rapid change in all aspects. This research study analyses the actualisation of church ecclesiology in the midst and after the pandemic. Using descriptive qualitative methods with interactive data analysis from Miles and Huberman, the following points have been found: (1) virtual ministry as a church reality, (2) a pneumatic encounter spirituality characterises the church, (3) ecclesiology in the context of universal communion and (4) the sacrament as a means of manifesting divine power. CONTRIBUTION: This study provides the concept of collaboration between ecclesiology as a principle and technology as a method. Ecclesiology and technology can realise the ministry of church unity. Collaboration between principles and methods in the church will build a flexible church in all conditions. However, the principles and duties of the church vocation are not neglected. (shrink)

Background Ethical sensitivity is a prerequisite for ethical nursing practices. Efforts to improve nurses’ ethical sensitivity are required to correctly recognise ethical conflicts and for sound decision-making. Because an emerging infectious disease response involves complex ethical issues, it is important to understand the factors that influence public health nurses’ ethical sensitivity while caring for patients with COVID-19, an emerging infectious disease. Objectives This study aims to identify the relationship between nursing professionalism, the organisation’s ethical climate, and the ethical sensitivity of (...) nurses who care for emerging infectious disease patients in Korean public health centres. Further, it sought to identify factors influencing ethical sensitivity and the mediating effect of the organisational ethical climate to inform guidelines and improve ethical sensitivity. Research design This was a cross-sectional descriptive study. Participants and research context Data were collected from February 3 to 8 March 2021. Participants included 167 nurses caring for patients with COVID-19 in public health centres in South Korea. Ethical consideration This study was approved by the Institutional Review Board of the Chung-Ang University and followed the principles of research ethics. Results The factors influencing ethical sensitivity were working at a COVID-19 disease direct response department, nursing professionalism, and organisation’s ethical climate. The organisation’s ethical climate showed a partial mediating effect on the influence of nursing professionalism on ethical sensitivity. Conclusion Our findings show that nurses’ ethical sensitivity can be improved by refining the organisation’s ethical climate and nursing professionalism. (shrink)

Like COVID-19, new infectious disease outbreaks emerge almost annually, and studies predict that this trend will continue due to a variety of factors, including an aging population, ease of travel, and globalization of the economy. In response to episodic public health crises, governments and organizations develop, implement, and enforce policies, procedures, protocols, and programs. The epidemiological triad is both a model of disease causation and fundamentally used to design and deploy such control measures. Here we adapt this model to the (...) workplace setting and use the epidemiological triad to characterize the related ethical challenges in implementing the control measures employers face as a guide for a workplace intervention framework. Through this approach, our aim is to show how an integrated ethical framework, grounded in epidemiological principles, has important implications for how we categorize, understand, and resolve the difficult decisions that emerge in the workplace under pandemic conditions. (shrink)

With the limited initial availability of COVID-19 vaccines in the first months of 2021, decision-makers had to determine the order in which different groups were prioritized. Our aim was to find out what normative approaches to the allocation of scarce preventive resources were embedded in the national COVID-19 vaccination schedules. We systematically reviewed and compared prioritization regulations in 27 members of the European Union, the United Kingdom, and Israel. We differentiated between two types of priority categories: groups that have increased (...) infection fatality rate (IFR) compared to the average for the general population and groups chosen because their members experience increased risk of being infected (ROI). Our findings show a clear trend: all researched schedules prioritized criteria referring to IFR (being over 65 years old and coexisting health conditions) over the ROI criteria (eg occupation and housing conditions). This is surprising since, in the context of treatment, it is common and justifiable to adopt different allocation principles (eg introducing a saving more life-year approach or prioritizing younger patients). We discuss how utilitarian, prioritarian, and egalitarian principles can be applied to interpret normative differences between the allocation of curative and preventive interventions. (shrink)

With the limited initial availability of COVID-19 vaccines in the first months of 2021, decision-makers had to determine the order in which different groups were prioritized. Our aim was to find out what normative approaches to the allocation of scarce preventive resources were embedded in the national COVID-19 vaccination schedules. We systematically reviewed and compared prioritization regulations in 27 members of the European Union, the United Kingdom, and Israel. We differentiated between two types of priority categories: groups that have increased (...) infection fatality rate (IFR) compared to the average for the general population and groups chosen because their members experience increased risk of being infected (ROI). Our findings show a clear trend: all researched schedules prioritized criteria referring to IFR (being over 65 years old and coexisting health conditions) over the ROI criteria (eg occupation and housing conditions). This is surprising since, in the context of treatment, it is common and justifiable to adopt different allocation principles (eg introducing a saving more life-year approach or prioritizing younger patients). We discuss how utilitarian, prioritarian, and egalitarian principles can be applied to interpret normative differences between the allocation of curative and preventive interventions. -/- . (shrink)