Moral Issues in Pandemic Influenza Planning

Presentation Transcript

Moral Issues in Pandemic Influenza Planning CDC Avian Influenza Training

Learning Objective Understand moral contemplations relating to pandemic flu readiness and reaction

Session Overview General and particular moral contemplations in general wellbeing Public engagement Planning and assets

General and Specific Ethical Considerations in Public Health http://www.cdc.gov/od/science/phec/panFlu_Ethic_Guidelines.pdf

What are Public Health Ethics? An arrangement of standards in view of qualities and convictions which underlie the standards of general wellbeing morals A manual for activities to advance wellbeing and avert damage and illness in the populace Processes to illuminate, organize, and legitimize conceivable courses of general wellbeing activity in light of moral standards

Values and Beliefs "Everybody has the privilege to a way of life satisfactory for the wellbeing and prosperity of himself and of his family." Universal Declaration for Human Rights, Article 25

12 Principles of the Ethical Practice of Public Health Address the key reasons for ailment and necessities for wellbeing Respect singular rights in the group Ensure an open door for group input Empowerment of disappointed Seek data for powerful strategies and projects Provide people group with data

12 Principles of the Ethical Practice of Public Health Act in a convenient way Incorporate an assortment of methodologies and regard differences Enhance physical and social condition Protect privacy Ensure proficient skill Collaborate to manufacture trust and viability

Benefits of Public Health Ethics Build and keep up believability and open trust in your office Foster agreement and resolve esteem clashes in an air of regard Guide choices when there is logical vulnerability and shifting conclusions on the most proficient method to continue Increase attention to the privileges of members and groups in general wellbeing exercises

General Ethical Considerations Identification of general objectives Planning Decision-production Preparedness Use of logical data Global readiness Balance of individual freedom and group intrigues Procedural legal instrument

Question 1 Fill in the missing words in the accompanying meaning of general wellbeing morals: "Procedures to _____, _____, and _____ conceivable courses of general wellbeing activity in view of moral standards, partner values, and logical data" Initiate, bring through, total Clarify, organize, legitimize Examine, acknowledge, pitch Identify, change, advance Answer: B. Illuminate, organize, legitimize

Question 2 Which of the accompanying is NOT one of the 12 standards of general wellbeing morals? Act in an auspicious way Provide people group with data Protect singular rights over the group Enhance physical and social condition Answer: c. Ensuring singular rights over the group is NOT one of the 12 standards.

Identification of Overall Goals Minimize genuine flu related difficulties Preservation of the working of society Priorities support the individuals who are in charge of arrangement of human services, open security and working of key parts of society Centralization of basic leadership expert To guarantee value in basic leadership and deliver need to safeguard working of society crosswise over groups

Planning and Decision-Making Planning A pledge to straightforwardness all through the pandemic flu arranging and reaction forms Decision-production Public engagement and inclusion Public as accomplice all through arranging and basic leadership Particular consideration regarding helpless or underestimated individuals from society

Preparedness Responsibility to expand readiness to limit the requirement for portion choices later Proactive arranging Develop reaction techniques Training of staff Development of basic leadership controls ahead of time of pandemic

Use of Scientific Information and Global Preparedness Sound rules ought to be founded on the best accessible logical data Importance of working with and gaining from worldwide readiness endeavors Not simply to profit U.S. nationals Recognition of regular great and worldwide relationship

Balance of Individual Liberty and Community Interests Follow three directing standards: Adopt slightest prohibitive practices Ensure that limitations are essential and corresponding to require Ensure that those influenced get bolster from the group Involve different open portrayal in characterizing confinements and articulating defense for these limitations

Procedural Judicial Mechanism Elements of a perfect procedural equity approach: Consistency of measures crosswise over individuals and time Impartial and nonpartisan leaders Adequately contemplated choices in light of exact data Assurance that those influenced by choices have a voice in basic leadership and consent to the proposed procedure Clear interchanges with no shrouded plans Revision handle when new data is accessible Process for requests Procedures that are supportable and enforceable

Question 3 What imperative moral adjust should be kept up amid a pandemic? Avoidance versus mediation Individual freedom versus group intrigues State versus Government powers Vaccination versus isolate Answer: B. Singular freedom (individual opportunities) versus group interests (general wellbeing)

Specific Ethical Issues Allocation of rare assets Community alleviation measures

Allocation of Scarce Resources Distribution arrangements ought to indicate: What rare products are included? Who (or what organization) will choose about prioritization and dispersion ? What system will be utilized for question or requests ? Who is qualified to be a beneficiary ? What criteria will be utilized to allocate higher or bring down needs to gatherings of people ?

Community Mitigation Measures Social Distancing Isolation of sick people Quarantine of people presented to sick people Closure of schools, day mind focuses, organizations, open settings, and cancelation of extensive open occasions Alternative work rehearses/plans Limiting travel

Community Mitigation Measures (cont.) Liberty constraining measures ought to be deliberate and adjusted with insurance of individual rights: No unjustifiable intrusions of security Maintain classification of private data Restriction on individual flexibility ought to be impartially connected Avoid an unequal weight being put on particular people or gatherings Protect against disparagement

Community Mitigation Measures (cont.) Ensure that vital bolster administrations (e.g., sustenance, water and other basic administrations) are given to the affected populace Take into record needs of helpless populaces (e.g., the elderly, crippled) Establish bids prepare for those influenced by the freedom restricting measures

Question 4 What are two individual rights which must be ensured when freedom constraining measures are instituted? (pick two) No outlandish attacks of security Restriction on individual opportunity Maintain classification of private data Stigmatization Answer: an and c

Public Engagement

Pandemic Vaccination Program Goals July-Dec 2005 Purpose: Rank objectives for pandemic flu inoculation program Weigh tradeoffs between contending objectives Select objectives considered most critical to accomplish

Pandemic Vaccination Program Public Engagement Results Highest objectives: Assuring the working of society Reducing passings and hospitalizations because of flu

Other Pandemic Vaccination Program Goals Build and keep up the general population's trust Transparent basic leadership Seek open's info Early and clear correspondence and instruction Flexible usage of approach Increase immunization generation limit Develop other general wellbeing measures to shield the general population from sickness Provide assets to different locales of the world

Community Mitigation Measures Oct-Nov 2006 Purpose: Discuss monetary and social tradeoffs related with group alleviation measures Identify challenges with executing these measures Offer answers for the difficulties

Community Mitigation Measures Public Engagement Results Support for early execution of group moderation measures Encouraging wiped out people to remain home Canceling huge open get-togethers Challenges distinguished Ensuring soundness of arranging Minimizing potential financial effects Addressing data needs of the populace Recognizing that social anxieties that will be made

Solutions to Community Mitigation Challenges Full engagement of every single key division being developed of itemized, completely organized arrangement Transparency of arranging procedure Training for influential positions Public training efforts preceding pandemic Connecting people group associations into informal communities Linking suppliers with individuals in need before pandemic

Question 5 Fill in the clear from the determinations given beneath the question. While forcing Community Mitigation Measures (e.g. isolate), your organization must offer help administrations, for example, (1) ____________, consider the requirements of (2)______________, set up (3)_______________ for those influenced by freedom restricting measures, and give (4)________________ about the method of reasoning for these measures. Nourishment, water, basic services Advance communication Vulnerable populaces Appeals handle Sanctuary Answer: (1) a (2) c (3)d (4)b

Pandemic Influenza Vaccine Prioritization Dec 2006 – exhibit Purpose: Discuss prioritization and assignment of pandemic flu immunization Feedback on antibody direction * Categories of people wh