Ethical challenges in preparing for bioterrorism: barriers within the health care system

American Journal of Public Health
Matthew K Wynia, Lawrence O Gostin

Abstract

Preparedness for bioterrorism poses significant ethical challenges. Although public health ethics and preparedness have received attention recently, health care ethics must also be considered. In epidemics, the health care system assists public health in 3 tasks: detection, containment, and treatment. Detection might fail if all patients do not have access to care, or if physicians do not understand their obligation to report infectious diseases to public health authorities. Containment might fail if physicians view themselves only as advocates for individual patients, ignoring their social obligations as health professionals. Treatment might fail if physicians do not accept their professional duty to treat patients during epidemics. Each of these potential ethical barriers to preparedness must be addressed by physicians and society.

References

Oct 1, 1977·Journal of the History of Medicine and Allied Sciences·D W Amundsen
Sep 1, 1977·International Journal of Epidemiology·R M Prothero
Sep 1, 1992·Social Science & Medicine·J S Brown, S K Tooke
Oct 9, 1987·JAMA : the Journal of the American Medical Association·A Zuger, S H Miles
Mar 4, 1988·JAMA : the Journal of the American Medical Association
Nov 13, 1986·The New England Journal of Medicine·A L SiuR H Brook
Dec 13, 1984·The New England Journal of Medicine·N G Levinsky
Oct 1, 1993·American Journal of Public Health·R Bayer, A Fairchild-Carrino
Jan 1, 1994·Annals of Internal Medicine·K A Sepkowitz
Dec 1, 1993·Social Science & Medicine·G A Gellert
Dec 23, 1995·BMJ : British Medical Journal·M E Wilson
Dec 1, 1996·Annals of Internal Medicine·K A Sepkowitz
Feb 1, 1997·Annals of Internal Medicine·G L Snider
Dec 5, 1997·Academic Medicine : Journal of the Association of American Medical Colleges·R L Cruess, S R Cruess
Jan 26, 1999·JAMA : the Journal of the American Medical Association·M G Bloche
Feb 26, 1999·Science·D A Henderson
Jul 1, 1992·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·D P Slesinger
Nov 30, 1999·The New England Journal of Medicine·M K WyniaL L Emanuel
Jun 30, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·H M Swick
Feb 15, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·T V InglesbyT O'Toole
Jul 28, 2001·The New England Journal of Medicine·A S Khan, D A Ashford
Oct 13, 2001·The New England Journal of Medicine·J M Drazen
Mar 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joel Martin Geiderman
Jun 1, 2002·Science·Matthew K Wynia, Lawrence Gostin
Jun 18, 2002·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Heather H HortonPaula L Kocher
Aug 2, 2002·JAMA : the Journal of the American Medical Association·Lawrence O GostinJon S Vernick
Nov 22, 2002·Health Affairs·Ronald Bayer, James Colgrove
Dec 24, 2002·The New England Journal of Medicine·Samuel A BozzetteMichael A Stoto
Oct 1, 2003·Health Affairs·G Caleb Alexander, Matthew K Wynia
Mar 24, 2004·The American Journal of Bioethics : AJOB·Samuel J Huber, Matthew K Wynia
Apr 9, 2005·The Journal of Medicine and Philosophy·Chalmers C Clark

❮ Previous
Next ❯

Citations

Jul 29, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G Richard Holt
Apr 9, 2005·The Journal of Medicine and Philosophy·Chalmers C Clark
Apr 25, 2007·The American Journal of Bioethics : AJOB·Matthew K Wynia
Sep 20, 2008·The American Journal of Bioethics : AJOB·Heidi MalmRobert Hood
Sep 20, 2008·The American Journal of Bioethics : AJOB·Darren P Mareiniss
Sep 20, 2008·The American Journal of Bioethics : AJOB·Tracey M BaileyThomas J Marrie
Jul 8, 2005·Biosecurity and Bioterrorism : Biodefense Strategy, Practice, and Science·Shane K Green
Mar 21, 2006·Biosecurity and Bioterrorism : Biodefense Strategy, Practice, and Science·Art ClawsonRobert G Brooks
Sep 13, 2007·JAAPA : Official Journal of the American Academy of Physician Assistants·F J Gianola
Dec 29, 2006·BMC Public Health·Boris P EhrensteinBernd Salzberger
Dec 6, 2006·BMC Medical Ethics·Alison K ThompsonRoss E G Upshur
Jul 5, 2008·Critical Care : the Official Journal of the Critical Care Forum·Devanand AnanthamLachlan Forrow
Apr 15, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·G Caleb AlexanderMatthew K Wynia
Jun 26, 2014·Biosecurity and Bioterrorism : Biodefense Strategy, Practice, and Science·Holly A TaylorDaniel J Barnett
Apr 2, 2014·Environment International·Juul GouweloosAnnelieke Drogendijk
Aug 7, 2009·Kidney International·Nancy G KutnerPaul W Eggers
Oct 20, 2009·Vaccine·Gregory A PolandKristin Nichol
Feb 15, 2008·The American Journal of Emergency Medicine·Jacqueline DovgalyukTodd Hansen
Sep 4, 2007·Social Science & Medicine·Cécile M BensimonRoss E G Upshur
Aug 11, 2007·Vaccine·Dorothy E VawterUNKNOWN Pandemic Influenza Ethics Work Group
May 23, 2007·Disaster Management & Response : DMR : an Official Publication of the Emergency Nurses Association·Niklas MacklerSandro Cinti
May 4, 2007·Nursing Forum·Christine Kane-Urrabazo
Apr 29, 2015·Disaster Medicine and Public Health Preparedness·Jeremy SugarmanThomas D Kirsch
Oct 24, 2012·Social Science & Medicine·Cécile M BensimonRoss E G Upshur
Oct 13, 2018·Critical Care Medicine·Thomas J PapadimosJudy E Davidson
Dec 12, 2018·Current Opinion in Anaesthesiology·Rael D Strous, Azgad Gold
Mar 20, 2008·Public Health Reports·Nathan A BostickRobert M Sade
Nov 23, 2006·The Medical Journal of Australia·Adrienne Torda
Mar 2, 2021·Journal of Global Health·Pengfei Zhang, Jinghua Gao
Mar 1, 2019·Current Opinion in Anaesthesiology·Rael D Strous, Azgad Gold

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Bioethics : AJOB
Samuel J Huber, Matthew K Wynia
The Journal of Medicine and Philosophy
Chalmers C Clark
Journal of Urban Health : Bulletin of the New York Academy of Medicine
K QureshiS S Morse
The Journal of Medicine and Philosophy
Chalmers C Clark
© 2022 Meta ULC. All rights reserved