Ethical Issues in Pandemic Influenza Planning. CDC Avian Influenza Training . Learning Objective. Understand ethical considerations pertaining to pandemic influenza preparedness and response. Session Overview. General and specific ethical considerations in public health Public engagement
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CDC Avian Influenza Training
“Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family.”
Universal Declaration for Human Rights, Article 25
Fill in the missing words in the following definition of public health ethics:
“Processes to _____, _____, and _____ possible courses of public health action based on ethical principles, stakeholder values, and scientific information”
Answer: B. Clarify, prioritize, justify
Which of the following is NOT one of the 12 principles of public health ethics?
Answer: c. Protecting individual rights over the community is NOT one of the 12 principles.
Priorities favor those who are responsible for provision of health care, public safety and functioning of key aspects of society
To ensure equity in decision making and address need to preserve functioning of society across communities
Responsibility to maximize preparedness to minimize the need for allocation decisions later
Elements of an ideal procedural justice approach:
What important ethical balance needs to be maintained during a pandemic?
Answer: B. Individual liberty (personal freedoms) vs. community interests (public health)
Distribution plans should specify:
Liberty limiting measures should be voluntary and balanced with protection of individual rights:
What are two individual rights which must be protected when liberty limiting measures are put into place? (choose two)
a and c
Fill in the blank from the selections given below the question.
When imposing Community Mitigation Measures (e.g. quarantine), your agency must provide support services such as (1) ____________, take into account the needs of (2)______________, establish (3)_______________ for those affected by liberty limiting measures, and provide (4)________________ about the rationale for these measures.
Answer: (1) a (2) c (3)d (4)b
Categories of persons who should receive vaccine
* Available at: http://www.pandemicflu.gov/vaccine/prioritization.html
U.S. Example Highest Vaccination Priority (Tier 1):
Prioritization will need to be reconsidered once specifics of new pandemic virus are known.
Which category of persons who may be considered during prioritization decisions for vaccination during a pandemic?
Public Health Ethics Resources Results
for Pandemic Influenza
Public engagement: The process of listening to, interacting with, and gaining greater understanding of a group in order to inform the decision making process
Public health ethics: Principles and values that guide actions to promote health and prevent injury and disease in the population
Procedural judicial mechanism: An established fair process by which individuals or groups who feel their rights have been violated can be heard in court
Social distancing: Targeted efforts to reduce interaction between persons at specific or general venues, in order to reduce the probability of disease transmission
Transparency: Providing for openness, communication, and accountability during a process or decision