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1.
Wien Klin Wochenschr ; 132(13-14): 400-402, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-996398

ABSTRACT

Mankind has to prepare for a pandemic with respect to medical and practical aspects, but also with respect to ethical issues. There are various ethical guidelines for managing infectious disease outbreaks, but they do not apply to the specific aspects of the COVID-19 pandemic, since they were formulated after the different kinds of outbreaks of avian influenza and Ebola. Today we are confronted with completely new issues endangering our fundamental human rights. As COVID-19 is spreading all over the world, we are in a desperate situation to find treatment solutions; however, despite the urgency, scientific rules have to be applied as bad science is unethical since it might be harmful for patients. Fake news and alternative facts might not be easily recognized and are also threatening scientific values. Pandemics might be leading to a meltdown of the health system if no measures are being taken constraining fundamental human rights. Tracking of persons is violating human rights as well if not accepted on a voluntary basis. A failure to have safeguards for times of crisis leads to a scarcity of medicinal products and goods resulting in a nationalistic approach and ignorance of international solidarity. And last but not least selective measures and triage in intensive care have to be taught to young physicians and nursing staff in medical schools in order to be prepared in times of an infectious disease outbreak and scarcity of resources.


Subject(s)
Civil Defense , Coronavirus Infections , Human Rights , Pandemics/ethics , Pneumonia, Viral , Betacoronavirus , COVID-19 , Civil Defense/ethics , Coronavirus Infections/epidemiology , Humans , Mass Media , Pneumonia, Viral/epidemiology , Resource Allocation/ethics , SARS-CoV-2 , Truth Disclosure
2.
Lancet Psychiatry ; 7(11): 991-996, 2020 11.
Article in English | MEDLINE | ID: covidwho-731956

ABSTRACT

The COVID-19 pandemic and the World War 2 aerial bombing campaign against the UK between 1939 and 1945 both exposed the civilian population to a sustained threat. Risk, whether from exposure to viral load or the density of the bombing, led to a range of protective measures and behavioural regulations being implemented. The V1 and V2 missiles used in summer and autumn, 1944, functioned as a second wave of bombing, arriving after people believed the danger had passed. Adherence to lockdown and a reluctance to return to work after the lifting of lockdown during the COVID-19 pandemic in the UK were mirrored in the preference for using home-based bomb shelters during the air raids. Heightened sensitivity to risk, or a so-called deep shelter mentality, did not materialise even during the second wave of bomb attacks and some deep bomb shelters were closed because of low occupancy. The most popular protective measures were those that reflected people's preferences, and not necessarily those that provided the greatest safety. As with the COVID-19 pandemic, the public drove government policy as much as they followed it.


Subject(s)
Civil Defense , Coronavirus Infections , Pandemics , Pneumonia, Viral , Psychology, Social , Public Health , World War II , Betacoronavirus , COVID-19 , Civil Defense/ethics , Civil Defense/history , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , History, 20th Century , Humans , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Public Health/ethics , Public Health/methods , SARS-CoV-2 , Social Responsibility , United Kingdom
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