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March 28, 2020

Ethics in Time of Pandemic

There is a constant, unpredictable and everlasting warfare between humans and bacterium. This war occurs not just between human and bug, but actually also engages every living thing on earth, with each of us in a perpetual state of combat against countless bacteria, parasites and viruses.

In his new book, “Epidemics and Society: From the Black Death to the Present,” the historian Frank M. Snowden explores the effect of epidemic diseases and how mass infectious outbreaks have shaped our societies. Mass outbreak of diseases – such as smallpox, cholera, tuberculosis, HIV/AIDS, SARS, and Ebola – have not only influenced public health and medical science, but also transformed the history, warfare, arts, personal relationships and religion.

In a recent interview with the New Yorker, Snowden says, “epidemics like the coronavirus outbreak are a mirror for humanity, reflecting the moral relationships that people have toward one other.”

The Plague in Rome, 17th century. Museo Storico Nazionale Dell'Arte Sanitaria, Rome.

A pandemic raises several challenging ethical issues. According to The World Health Organization, these include: priority of access to healthcare resources with increased demand and possible shortages; obligations of healthcare workers in light of risks to their own health; and the fine balance between reducing disease spread through isolation and travel measures whilst protecting the right of individuals to freedom of movement.

As the US and large swathes of the world reel under the onslaught of the unabated COVID-19 pandemic since weeks, it reveals profound doubts about our preparedness for the next generation of diseases. It’s essential, and never late, to reflect on ethical concerns related to the planning, preparedness, and responses to pandemics.

Some of the vital steps that public health experts suggest we can take in order to respond to a pandemic include maintaining a focus on public health strategies that could be helpful in controlling the infection, providing affected countries with necessary infrastructure support, acting fast to treat infections and reduce their speed, and reviewing scientific and ethical standards for clinical trials for drugs and vaccines.

Equally important, but the hardest, step is to analytically examine the economic and sociopolitical conditions that create the circumstances for such disease outbreaks occur. 
             
Unless we face these structural problems and honestly consider and implement effective policies and strategies, the global problems such as coronavirus will be boundlessly repeated.

Lessons from a pandemic are instructive, but only if we are willing to learn from them.