Medicine and humanism in the time of COVID-19. Ethical choices
Keywords:
COVID-19, ethics, bioethicsAbstract
The Covid-19 pandemic has been the most defining event of our era. The world of healthcare has experienced first-hand the dramatic situation of treating patients in the face of the dangers of contagion and limited resources. Difficult choices have everywhere been made alongside ethical reflection. Now that, at least in our part of the world, viral infection seems to be broadly on the decline, there is an urgent need for fresh, anthropological, ethical reflection. It is important to avoid being unprepared in the event of further occasions, but above all, to now think in global terms. This is because the pandemic has forced us to recognise the urgency of building alliance in healthcare and a balanced relationship with the environment.
References
GASLINI A DISTANZA (GAD), Course: Pandemia da COVID-19, Webinar–2020. Direttore del Corso e Garante Scientifico: Prof. A. Ravelli e Prof. M. Maghnie in collaborazione con la Scuola di Specializzazione in Pediatria (UNIGE).
Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239–1242.
Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al.; COVID-19 Lombardy ICU Network. Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020 Apr;323(16):1574.
COMITE CONSULTATIF NATIONAL D’ÉTHIQUE, Enjeux éthiques face à une pandémie, 13.03.2020.
COMITE CONSULTATIF NATIONAL D’ÉTHIQUE, Enjeux éthique lors du dé-confinement: Responsabilité, solidarité et confiance 20.05.2020.
THE HASTING CENTER, Ethical Framework for Health Care Institutions & Guidelines for Institutional Ethics Services Responding to the Coronavirus Pandemic, 16.03.2020.
COMITE DE BIOETICA DE ESPAÑA, Informe sobre los aspectos bioéticos de la priorización de recursos sanitarios en el contexto de la crisis del Coronavirus, 25.03.2020.
CONSIGLIO D’EUROPA, Convenzione sui diritti dell’uomo e la biomedicina, 1996.
CONSEIL OF EUROPE – COMMITTEE ON BIOETHICS (DH-BIO), DH-BIO Statement on human rights considereations relevant to the COVID-19 pandemic, 14.04.2020.
PONTIFICIA ACCADEMIA PER LA VITA, Pandemia e fraternità universale. Nota sulla emergenza da Covid-19, 30.03.2020.
SOCIETÀ SVIZZERA DI MEDICINA INTENSIVA, Pandemia Covid-19: triage dei trattamenti di medicina intensiva in caso di scarsità di risorse, 20.03.2020.
COMITATO NAZIONALE PER LA BIOETICA, Raccomandazioni di Etica Clinica per l’ammissione a trattamenti intensivi e per la loro sospensione in condizioni eccezionali di squilibrio tra necessità e risorse disponibili, 08.04.2020
PONTIFICIA ACCADEMIA PER LA VITA, Pandemia e fraternità universale. Nota sulla emergenza da Covid-19, 30.03.2020.
SOCIETÀ SVIZZERA DI MEDICINA INTENSIVA, Pandemia Covid-19: triage dei trattamenti di medicina intensiva in caso di scarsità di risorse, 20.03.2020.
DEUTSCHER ETHIKRAT, Solidarität und Verantwortung in der Corona-Krise, 27.03.2020.
COMITE DE BIOETICA DE ESPAÑA, Informe sobre los aspectos bioéticos de la priorización de recursos sanitarios en el contexto de la crisis del Coronavirus, 25.03.2020.
COMITE CONSULTATIF NATIONAL D’ÉTHIQUE, Enjeux éthiques face à une pandémie, 13.03.2020.
Savulescu J, Vergano M, Craxì L, Wilkinson D. An ethical algorithm for rationing life-sustaining treatment during the COVID-19 pandemic. Br J Anaesth. 2020;125(3):253-258.
A.G. SPAGNOLO, Sicurezza e bioetica ai tempi del Covid-19, Medicina e Morale, 2020/I p.8.
M. RHONHEIMER, La prospettiva della morale. Fondamenti dell’etica filosofica, Armando Editore, Roma 2006 / A. VENDEMIATI, In prima persona. Lineamenti di etica generale, Urbaniana University Press, Roma 2017.
F. TUROLDO, Bioetica e reciprocità, Città Nuova, Roma 2011.
C. VIAFORA, “La pazienza argomentativa. Insegnare etica medica nella Facoltà di Medicina” in Cattorini P. (a cura di), Insegnare l’etica medica. Obiettivi e metodi di valutazione dell’apprendimento, FrancoAngeli/Sanità, Milano 2007.
P. CATTORINI, Bioetica. Metodo ed elementi base per affrontare problemi clinici, Edra, Milano 2016.
G. VIAFORA, Il medico: coronavirus, quando decidemmo chi poteva vivere, www.corriere.it/sette/attualita/ 29.05.2020.
PONTIFICIA ACCADEMIA PER LA VITA, L’humana communitas nell’era della pandemia: riflessioni inattuali sulla rinascita della vita, 22.07.2020.
G. VIAFORA, Il medico: coronavirus, quando decidemmo chi poteva vivere, www.corriere.it/sette/attualita/ 29.05.2020.
Pontificia Accademia per la Vita, L’Humana Communitas nell’era della Pandemia: Riflessioni Inattuali sulla rinascita della Vita, Città del Vaticano, 22 luglio 2020
Pontificia Accademia per la Vita, L’Humana Communitas nell’era della Pandemia: Riflessioni Inattuali sulla rinascita della Vita, Città del Vaticano, 22 luglio 2020
Additional note from previous reference: « Let's consider the chain of connections that links the following phenomena: the increase in deforestation pushes wild animals close to human habitats. Viruses affecting animals, therefore, are transmitted to humans, exacerbating in turn the concreteness of zoonosis, a phenomenon well known by scientists in the spread of diseases. The hyperbolic demand for meat in the countries of the developed world has given rise to huge industrial complexes for the breeding and exploitation of livestock. It is easy to see how these interactions can eventually cause the spread of a virus, through international transports, mass mobility, business travel, tourism, etc.".
D. QUAMMEN, Spillover. L’evoluzione delle pandemie, 2012. Ed. It. Adelphi 2017 (trad. L. CIVALLERI).
PONTIFICIA ACCADEMIA PER LA VITA, L’humana communitas… 1.3.
PONTIFICIA ACCADEMIA PER LA VITA, L’humana communitas… 2.3.
https://medium.com/@tomaspueyo/coronavirus-act-today-or-people-will-die-f4d3d9cd99ca
DEUTSCHER ETHIKRAT, Solidarität und Verantwortung
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