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Ethical Guidelines in Pandemic Influenza: Recommendations of the Ethics Subcommittee of the Advisory Committee of the Director, Centers for Disease Control and Prevention

Published online by Cambridge University Press:  08 April 2013

Abstract

Because of the importance of including ethical considerations in planning efforts for pandemic influenza, in February 2005 the Centers for Disease Control and Prevention requested that the Ethics Subcommittee of the Advisory Committee to the Director develop guidance that would serve as a foundation for decision making in preparing for and responding to pandemic influenza. Specifically, the ethics subcommittee was asked to make recommendations regarding ethical considerations relevant to decision making about vaccine and antiviral drug distribution prioritization and development of interventions that would limit individual freedom and create social distancing. The ethics subcommittee identified a number of general ethical considerations including identification of clear goals for pandemic planning, responsibility to maximize preparedness, transparency and public engagement, sound science, commitment to the global community, balancing individual liberty and community interests, diversity in ethical decision making, and commitment to justice. These general ethical considerations are applied to the issues of vaccine and antiviral drug distribution and use of community mitigation interventions. (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S185–S192)

Type
Special Focus
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2009

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References

REFERENCES

1.World Health Organization. Avian Influenza (“Bird Flu”) Fact Sheet. http://www.who.int/mediacentre/factsheets/avian_influenza/en/index.html#current. Accessed October 9, 2007.Google Scholar
2.World Health Organization. Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO. http://www.who.int/csr/disease/avian_influenza/country/en. Accessed March 11, 2009.Google Scholar
3.Markel, H, Stern, AM, Navarro, JA, et alNonpharmaceutical influenza mitigation strategies, US communities, 1919–1920 pandemic. Emerg Infect Dis. 2006;12:19611964.Google Scholar
4.Department of Health and Human Services. National Strategy for Pandemic Influenza. November 1, 2005. http://www.whitehouse.gov/homeland/nspi.pdf. Accessed October 9, 2007.Google Scholar
5.Gostin, LO.Pandemic influenza: public health preparedness for the next global health emergency. J Law Med Ethics. 2004;32:565573.Google Scholar
6.Childress, JF.Just care: rationing in a public health crisis. Update. 2005;20:17.Google Scholar
7.Kass, NE.An ethics framework for public health and avian influenza pandemic preparedness. Yale J Biol Med. 2005;78:239254.Google Scholar
8.Kotalik, J.Preparing for an influenza pandemic: ethical issues. Bioethics. 2005;19:422431.Google Scholar
9.Gostin, L.Public health strategies for pandemic influenza: ethics and the law. JAMA. 2006;295:17001704.CrossRefGoogle ScholarPubMed
10.Gostin, LO.Medical countermeasures for pandemic influenza: ethics and the law. JAMA. 2006;295:554556.CrossRefGoogle ScholarPubMed
11.Wynia, MK.Ethics and public health emergencies: rationing vaccines. Am J Bioeth. 2006;6:47.CrossRefGoogle Scholar
12.World Health Organization. Addressing Ethical Issues in Pandemic Influenza Planning. http://www.who.int/ethics/influenza_project/en/index.html. Accessed October 9, 2007.Google Scholar
13.University of Toronto Joint Centre for Bioethics Pandemic Influenza Working Group. Stand on Guard for Thee: Ethical Considerations in Preparedness Planning for Pandemic Influenza. November 2005. http://www.jointcentreforbioethics.ca/publications/documents/stand_on_guard.pdf. Accessed March 11, 2009.Google Scholar
14.Minnesota Center for Health Care Ethics. Allocating Pandemic Influenza Vaccines in Minnesota: Recommendations of the Pandemic Influenza Ethics Work Group, September 2006. http://www.stolaf.edu/mnethx/PanFluReport.pdf. Accessed October 9, 2007.Google Scholar
15.New Mexico Department of Health. Pandemic Influenza Emergency Response, Ethics Guidance and Matrix. http://www.health.state.nm.us/ohem/documents/appendix%2012%20ethics%20Web%20Ready.pdf. Accessed October 9, 2007.Google Scholar
16.Keystone Center. Citizen Voices on Pandemic Flu Choices: A Report of the Public Engagement Pilot Project on Pandemic Influenza, December 2005. http://www.keystone.org/spp/health-pandemic.html#community. Accessed November 29, 2007.Google Scholar
17.Keystone Center. The Public Engagement Project on Community Control Measures for Pandemic Influenza: Findings and Recommendations From Citizen and Stakeholder Deliberation Days, May 2007. http://www.keystone.org/spp/health-pandemic.html#community. Accessed November 29, 2007.Google Scholar
18.US Department of Health and Human Services. Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States—Early, Targeted, Layers Use of Nonpharmaceutical Interventions, February 2007. http://www.pandemicflu.gov/plan/community/commitigation.html. Accessed December 14, 2007.Google Scholar
19.US Department of Health and Human Services. Guidance on Allocating and Targeting Pandemic Influenza Vaccine. http://www.pandemicflu.gov/vaccine/allocationguidance.pdf. Accessed November 14, 2008.Google Scholar
20.Beauchamp, TL, Childress, JF.Principles of Biomedical Ethics, 6th ed. New York: Oxford University Press; 2008.Google Scholar
21.Coughlin, SS, Beauchamp, TL.Ethics in Epidemiology, 2nd ed. New York: Oxford University Press; 2008.Google Scholar