COVID-19

The Covid-19 pandemic has brought to surface new and puzzling manifestations of the culture wars between liberals and conservatives, especially in the US. One such manifestation is the one centered around mask-wearing as a way to protect others from viral infection. In public spaces, mask-wearing has become a signal as to whether one is a liberal or a conservative. Liberals tend to wear the mask and condemn as immoral conservatives, who tend not to wear it. I argue that the liberal (...) attitude does not cohere with liberal theory. I use the issue of the permissibility of abortion and the liberal consensus about it as the benchmark for what a genuine liberal attitude toward mask-wearing should be. (shrink)

When faced with an urgent and credible threat of grave harm, we should take proportionate precautions. This maxim captures the core commitments of the “precautionary principle”. But what is it for a precaution to be “proportionate”? I construct an account of proportionality (the “ARCANE” account) that consists of five fundamental conditions (absolute rights compatibility, reasonable compensation, consistency, adequacy and non- excessiveness) and a tie-breaker (efficiency). I apply this account to two examples from the COVID-19 pandemic (border closures and school closures), (...) arguing that my account captures the key questions on which it is both feasible and important to integrate expert input with democratic input. I close by considering how we might try to manage the risk of future pandemics in a proportionate way. (shrink)

This paper deals with the theme of Atonement. It is a rudimentary paper which has been prepared in a hurry in these trying times; especially for the use of students all over the world during the ongoing pandemic of COVID 19. It deals with the title of Atonement. The article should be cited properly if referred to by anyone. It is made open access since the author believes any knowledge worth sharing should be freely available to all.

Une brève rétrospective du virus COVID-19 qui a causé la pandémie actuelle, son cycle de vie et son histoire. Réactions, mesures et effets de la pandémie COVID-19. Une présentation des diverses approches philosophiques, avec un accent sur la philosophie de la mort, l'écopsychanalyse, et un appel aux philosophies de Sigmund Freud et Albert Camus. DOI: 10.13140/RG.2.2.35853.36328 .

Les virus coexistent pendant env. 300 millions d'années avec les humains. Parfois, les virus peuvent infecter les gens à grande échelle. Mais comment la pandémie actuelle a-t-elle été possible ? Le réchauffement climatique est à l'origine d'événements météorologiques extrêmes qui ont conduit à une augmentation des maladies infectieuses. Le nouveau climat peut soutenir les vecteurs épidémiologiques pendant de plus longues périodes, créant des conditions plus favorables à la réplication et à l'émergence de nouveaux vecteurs. Dans le cas des maladies infectieuses (...) émergentes, on considère qu'il existe une frontière qui a déjà été franchie. Les virus ont normalement une zone d'origine (leur « réservoir ») d'où ils ne doivent pas être expulsés. Cela crée une intimité dangereuse, avec des « points chauds » qui incluent des endroits comme les marchés, qui deviennent de véritables foyers d'épidémies. DOI: 10.13140/RG.2.2.32255.43688. (shrink)

Following the declaration of the COVID-19 pandemic, Slavoj Žižek published a book called "Pandemic!: COVID-19 Shakes the World", which triggered a wave of reactions. In the book, he presents how the media ruthlessly exploited this subject, accentuating the panic. Many major studies have predicted the emergence of such a pandemic, but have been ignored by all governments, declaring them to be exaggerated. Žižek believes that the current pandemic has led to the bankruptcy of the current "barbaric" capitalism, wondering if the (...) path that humanity will take is a neo-communism (he describes himself as a "radical leftist" and a "communist in a qualified sense”). Žižek argues these ideas with the pandemic socio-political measures of German Chancellor Angela Merkel and the President of France, and the temporary nationalization of the railways by Boris Johnson. "Even [US President Donald] Trump transferred billions of dollars to the public. He issued calls to take over the private sector insofar as medical supplies are concerned." DOI: 10.13140/RG.2.2.12914.12484. (shrink)

Bioputerea face referire la practica statelor naționale moderne prin o explozie de numeroase și diverse tehnici pentru realizarea subjugării corpurilor și controlul populațiilor. Foucault a folosit termenul pentru a se referi în mod specific la practicile de sănătate publică, printre alte mecanisme de reglementare. Biopolitica este un concept care ia în considerare administrarea vieții și a populațiilor unei regiuni guvernate. Biopolitica produce o societate disciplinară generalizată și controale de reglementare prin biopolitica populației. Giorgio Agamben afirmă că ceea ce se manifestă (...) în această pandemie este tendința crescândă de a folosi starea de excepție ca o paradigmă normală de guvernare. DOI: 10.13140/RG.2.2.13265.56161. (shrink)

Studiul virușilor ridică întrebări conceptuale și filozofice presante despre natura lor, clasificarea lor, și locul lor în lumea biologică. Un set major de probleme se referă la individualitatea și identitatea diacronică a unui virus: ce anume este virusul, particula virală (virionul) sau întregul ciclu viral? Identificarea corectă a virusului are consecințe ontologice semnificative, legate și de locul și momentul în care încep și se termină entitățile biologice. DOI: 10.13140/RG.2.2.29715.09760.

The largest medical institutions and various ethicists advocate a utilitarian approach in times of public health crises, to maximize benefits for society, in direct conflict with our usual (Kantian) view of respect for people as individuals. A central problem with utilitarianism is that there is no clear way to evaluate moral choices, including in medical decisions. In general, in medicine is respected the Kantian medical ethics. But in a pandemic, when resources are poor, deep choices of life and death must (...) be made. In these situations, the principles of utilitarianism offer the best answer, moving from a patient-centered thinking model to a society-centered thinking model. DOI: 10.13140/RG.2.2.36811.82728. (shrink)

In the case of the COVID-19 pandemic, there are some signs of a shift of paradigm, including the sudden disappearance of the wall ideology: a cough was enough to suddenly make it impossible to avoid the responsibility that each individual has towards all living beings for the simple fact that it is part of this world, and of the desire to be part of it. The whole is always involved in part, because everything is, in a sense, in everything and (...) in nature there are no autonomous regions that are an exception. The virus seems to restore the supremacy that once belonged to politics. One of the virtues of the virus is its ability to generate a more sober idea of freedom: to be free means to do what needs to be done in a specific situation. DOI: 10.13140/RG.2.2.20745.67681 . (shrink)

O retrospectivă a dezbaterilor privind originea vieții: virusul sau celula? Virusul are nevoie de celulă pentru replicare, în schimb celula este o formă mai evoluată pe scara evoluționistă a vieții. Virușii par să fi jucat un rol în evenimente precum originea vieții celulare și evoluția mamiferelor. Chiar și cea mai simplă bacterie este mult prea complexă pentru a fi apărut spontan la începutul evoluției. Ulterior, evoluția a putut produce sisteme din ce în ce mai complexe. Prima celulă adevărată este posibil (...) să fi fost deja un produs al evoluției, rezultată din o comunitate primordială. DOI: 10.13140/RG.2.2.31315.81446. (shrink)

From the existentialism of Albert Camus and Sartre, to the replacement of the exclusion ritual with the disciplinary mechanism of Michel Foucault, an ideal form of control of state authorities of all forms of "disorder", and viral modernity and bioinformationalism. And about the Gaia hypothesis, developed by James Lovelock and supported in the current pandemic by Bruno Latour. DOI: 10.13140/RG.2.2.34967.80801.

De la existențialismul lui Albert Camus și Sartre, la înlocuirea ritualului de excludere cu mecanismul disciplinar al lui Michel Foucault, o formă ideală de control al autorităților statului a tuturor formelor de ”dezordine”, și modernitatea virală și bioinformaționalism. Și despre ipoteza Gaia, dezvoltată de James Lovelock și susținută în actuala pandemie de Bruno Latour. DOI: 10.13140/RG.2.2.31276.49284.

Cele mai mari instituții medicale și diverși eticieni pledează pentru o abordare utilitaristă în perioadele de crize de sănătate publică, pentru a maximiza beneficiile pentru societate, în conflict direct cu viziunea noastră obișnuită (kantiană) privind respectul față de persoane ca indivizi. O problemă centrală a utilitarismului este că nu există nicio modalitate clară de a evalua alegerile morale, inclusiv în deciziile medicale. În general, în medicină se respectă etica medicală kantiană. Dar în pandemie, când resursele sunt sărace, trebuie făcute alegeri (...) profunde, de viață și moarte. În aceste situații principiile utilitarismului oferă cel mai bun răspuns, cu trecerea de la un model de gândire centrat pe pacient la un model de gândire centrat pe societate. DOI: 10.13140/RG.2.2.28443.69929. (shrink)

O scurtă retrospectivă a virusul COVID-19 care a cauzat actuala pandemie, a cilului său de viață și a istoriei sale. Reacții, măsuri și efecte ale pandemiei COVID-19. O prezentare a diverselor abordări filosofice, cu accent pe filosofia morții, ecopsihanaliză, și apel la filosofiile lui Sigmund Freud și Albert Camus. DOI: 10.13140/RG.2.2.17900.59528.

De l'existentialisme d'Albert Camus et Sartre, au remplacement du rituel d'exclusion par le mécanisme disciplinaire de Michel Foucault, forme idéale de contrôle des autorités étatiques de toutes les formes de « désordre », et à la modernité virale et au bioinformationalisme. Et à propos de l'hypothèse Gaia, développée par James Lovelock et soutenue dans la pandémie actuelle par Bruno Latour. DOI: 10.13140/RG.2.2.20639.18089.

A brief retrospective of the COVID-19 virus that caused the current pandemic, its life cycle and its history. Reactions, measures and effects of the COVID-19 pandemic. A presentation of various philosophical approaches, with an emphasis on the philosophy of death, eco-psychoanalysis, and appeal to the philosophies of Sigmund Freud and Albert Camus. DOI: 10.13140/RG.2.2.14848.25608.

Social isolation (desocialization) implies a complete or almost complete lack of contact between an individual and society. This can be a problem for people of any age, although the symptoms may differ depending on the age group. Social isolation can include staying home for long periods of time, and lack of face-to-face communication with family, acquaintances, friends, or co-workers. Social isolation can lead to feelings of loneliness, fear of others or negative self-esteem. We cannot exist independently of our relationships with (...) others. One's own humanity is reduced when others are treated without dignity and respect. At the same time, provoking harm to another person can also affect perceptions of oneself. It turns out that a person's humanity depends on the humanity of those around him. DOI: 10.13140/RG.2.2.35832.06405. (shrink)

Suite à la déclaration de la pandémie COVID-19, Slavoj Žižek a publié un livre intitulé « Pandemic!: COVID-19 Shakes the World », qui a déclenché une vague de réactions. Dans le livre, il présente comment les médias ont impitoyablement exploité ce sujet, accentuant la panique. De nombreuses études majeures ont prédit l'émergence d'une telle pandémie, mais ont été ignorées par tous les gouvernements, les déclarant exagérées. Žižek estime que la pandémie actuelle a conduit à la faillite du capitalisme « barbare (...) » actuel, se demandant si le chemin que l'humanité empruntera est un néo-communisme (il se décrit lui-même comme un « radical de gauche » et un « communiste en non qualifié »). Žižek fait valoir ces idées avec les mesures sociopolitiques pandémiques de la chancelière allemande Angela Merkel et du président français, et la nationalisation temporaire des chemins de fer par Boris Johnson. « Même le président américain Donald Trump a transféré des milliards de dollars aux Américains. Il a appelé à la reprise du secteur privé en termes de fournitures médicales. » DOI: 10.13140/RG.2.2.28160.66566. (shrink)

În cazul pandemiei COVID-19, există unele semne ale schimbării de paradigmă, inclusiv dispariția bruscă a ideologiei legate de „ziduri”: ”o tuse a fost suficientă pentru a face dintr-o dată imposibilă evitarea responsabilității pe care fiecare individ o are față de toate ființele vii pentru simplul fapt că este parte a acestei lumi, și a dorinței de a fi parte a ei”. Întregul este întotdeauna implicat în parte, pentru că totul este, într-un anumit sens, în tot și în natură nu există (...) regiuni autonome care să constituie o excepție. Virusul pare să restabilească supremația care a aparținut cândva politicii. Una din virtuțile virusului este capacitatea acestuia de a genera o idee mai sobră de libertate: a fi liber înseamnă a face ceea ce trebuie făcut într-o situație specifică. DOI: 10.13140/RG.2.2.29865.83041. (shrink)

Izolarea socială (desocializarea) presupune o lipsă completă sau aproape completă de contact între un individ și societate. Aceasta poate fi o problemă pentru persoanele de orice vârstă, deși simptomele pot diferi în funcție de grupul de vârstă. Izolarea socială poate include șederea acasă pentru perioade îndelungate de timp, și lipsa comunicării față în față cu familia, cunoștințele, prietenii sau colegii de servici. Izolarea socială poate duce la sentimente de singurătate, frica de ceilalți sau stima de sine negativă. Nu putem exista (...) independent de relațiile noastre cu ceilalți. Propria umanitate este redusă atunci când alții sunt tratați fără demnitate și respect. În același timp, provocarea de rău altei persoane poate afecta și percepțiile despre sine. Rezultă că umanitatea unei persoane depinde de umanitatea celor din jurul ei. DOI: 10.13140/RG.2.2.27847.32166. (shrink)

După declararea pandemiei COVID-19, Slavoj Žižek a publicat o carte numită „Pandemic!: COVID-19 Shakes the World”, care a declanșat un val de reacții. În carte, el prezintă modul în care media a exploatat fără milă acest subiect, accentuând panica. Multe studii majore au prezis apariția unei astfel de pandemii, dar au fost ignorate de toate guvernele, declarându-le ca fiind exagerate. Žižek crede că actuala pandemie a dus la falimentul actualului capitalism ”barbar”, întrebându-se dacă nu cumva drumul pe care îl va (...) lua omenirea este un neo-comunism (el însuși se descrie ca un „radical de stânga” și un „comunist în sens calificat”). Žižek argumentează aceste idei cu măsurile socio-politice din pandemie ale cancelarului Germaniei, Angela Merkel și a președintelui Franței, și naționalizarea temporară a căilor ferate de către Boris Johnson. ”Chiar și președintele SUA, Donald Trump, a transferat miliarde de dolari americanilor. El a emis apeluri pentru preluarea sectorului privat în ceea ce privește materialele medicale.” DOI: 10.13140/RG.2.2.31451.80167. (shrink)

Le biopouvoir fait référence à la pratique des États-nations modernes à travers une explosion de techniques nombreuses et diverses pour parvenir à l'assujettissement des corps et au contrôle des populations. Foucault a utilisé le terme pour désigner spécifiquement les pratiques de santé publique, entre autres mécanismes de régulation. La biopolitique est un concept qui prend en compte la gestion de la vie et des populations d'une région gouvernée. La biopolitique produit une société disciplinaire généralisée et des contrôles réglementaires à travers (...) la biopolitique de la population. Giorgio Agamben déclare que ce qui se manifeste dans cette pandémie, c'est la tendance croissante à utiliser l'état d'urgence comme un paradigme normal de gouvernement. DOI: 10.13140/RG.2.2.31915.87840. (shrink)

Les plus grandes institutions médicales et divers éthiciens préconisent une approche utilitariste en période de crise de santé publique, afin de maximiser les bénéfices pour la société, en conflit direct avec notre vision habituelle (kantienne) du respect des personnes en tant qu'individus. Un problème central de l'utilitarisme est qu'il n'y a pas de moyen clair d'évaluer les choix moraux, y compris dans les décisions médicales. En général, l'éthique médicale kantienne est respectée en médecine. Mais dans une pandémie, lorsque les ressources (...) sont pauvres, des choix profonds de vie ou de mort doivent être faits. Dans ces situations, les principes de l'utilitarisme offrent la meilleure réponse, avec le passage d'un modèle de pensée centré sur le patient à un modèle de pensée centré sur la société. DOI: 10.13140/RG.2.2.34596.30088. (shrink)

Virușii coabitează de cca. 300 milioane de ani cu oamenii. Uneori, virușii pot infecta oamenii pe scară largă. Dar, cum a fost posibilă actuala pandemie? Încălzirea globală determină fenomene meteorologice extreme care au dus la o creștere a bolilor infecțioase. Noul climat poate susține vectori epidemiologici pentru perioade mai lungi de timp, creând condiții mai favorabile replicării și apariția de noi vectori. În cazul bolilor infecțioase emergente, se consideră că există o graniță peste care s-a sărit deja. Virușii au, în (...) mod normal, o zonă nativă („rezervorul” lor), din care nu ar trebui să fie împinși afară. Se creează astfel o intimitate periculoasă, cu „puncte fierbinți” care includ locații precum piețele, care devin adevărate focare de epidemii. DOI: 10.13140/RG.2.2.16634.11202. (shrink)

The viruses coexist for approx. 300 million years with the humans. Sometimes viruses can infect people on a large scale. But how was the current pandemic possible? Global warming is causing extreme weather events that have led to an increase in infectious diseases. The new climate can support epidemiological vectors for longer periods of time, creating more favorable conditions for replication and the emergence of new vectors. In the case of emerging infectious diseases, it is considered that there is a (...) border that has already been crossed. Viruses normally have a native area (their "reservoir") from which they should not be pushed out. This creates a dangerous intimacy, with "hotspots" that include locations such as markets, which become real hotbeds of epidemics. DOI: 10.13140/RG.2.2.26974.87364 . (shrink)

Biopower refers to the practice of modern nation-states through an explosion of numerous and diverse techniques for achieving the subjugation of bodies and the control of populations. Foucault used the term to refer specifically to public health practices, among other regulatory mechanisms. Biopolitics is a concept that takes into account the management of the life and populations of a governed region. Biopolitics produces a generalized disciplinary society and regulatory controls through population biopolitics. Giorgio Agamben states that what is manifesting in (...) this pandemic is the growing tendency to use the state of emergency as a normal paradigm of government. DOI: 10.13140/RG.2.2.29380.04488 . (shrink)

How could the initial, drastic decisions to implement “lockdowns” to control the spread of COVID-19 infections be justifiable, when they were made on the basis of such uncertain evidence? We defend the imposition of lockdowns in some countries by first, and focusing on the UK, looking at the evidence that undergirded the decision, second, arguing that this provided us with sufficient grounds to restrict liberty given the circumstances, and third, defending the use of poorly-empirically-constrained epidemiological models as tools that can (...) legitimately guide public policy. (shrink)

During the COVID-19 pandemic, nurses experienced tremendous dilemmas including the need to perform their duties in caring for patients while they have concerns about contracting the disease. This study described the moral distress of nurses in-charge of handling COVID-19 patients which can be used as baseline data for intervention programs in overcoming moral distress among nurses. This descriptive, cross-sectional study was conducted with nurses in-charge of handling COVID-19 treatment rooms. Before conducting the survey, ethical approval was obtained from the Medical (...) Faculty of Universitas Hasanuddin. Questionnaires on moral distress for clinical nurses and the demographic data questionnaire were distributed to 128 respondents. These nurses experienced relatively low levels of moral distress despite the fact that they were generally exposed to morally stressful situations. Education background appeared as a factor influencing this condition, in which higher moral distress was mostly experienced by nurses with undergraduate education. (shrink)

Conservative assumptions in medical ethics risk immense harms during a pandemic. Public health institutions and public discourse alike have repeatedly privileged inaction over aggressive medical interventions to address the pandemic, perversely increasing population-wide risks while claiming to be guided by “caution”. This puzzling disconnect between rhetoric and reality is suggestive of an underlying philosophical confusion. In this paper, I argue that we have been misled by status quo bias—exaggerating the moral significance of the risks inherent in medical interventions, while systematically (...) neglecting the (objectively greater) risks inherent in the status quo prospect of an out-of-control pandemic. By coming to appreciate the possibility and significance of status quo risk, we will be better prepared to respond appropriately when the next pandemic strikes. (shrink)

On 26 January 2021, while announcing that the country had reached the mark of 100,000 deaths within 28 days of COVID-19, UK Prime Minister Boris Johnson said that he took “full responsibility for everything that the Government has done” as part of British efforts to tackle the pandemic. The force of this statement was undermined, however, by what followed: -/- What I can tell you is that we truly did everything we could, and continue to do everything that we can, (...) to minimise loss of life and to minimise suffering... -/- Taking these sentiments together, it was hard to avoid the conclusion that the government took responsibility only for doing everything right. Such an admission of responsibility, accommodating no admission of error or wrongdoing, is not really about responsibility at all. Indeed, the UK’s pandemic response has been marked from its earliest days by a shifting of focus from institutional responsibility to personal responsibility for individual UK residents. -/- This paper explores the relationship between these two sites of responsibility—the institutional and the personal—in the context of the sort of pandemic that is ongoing as we write. Section 2 offers some initial definitions and discussions of key terms. Section 3 outlines how these two ideas interact in principle during such emergencies. Section 4 turns to the ‘non-ideal’ implications for personal responsibility of failures of institutional responsibility. While our focus is on the specific context with which we are most familiar, the UK governmental approach, where appropriate we also include examples from other states. (shrink)

Artificial intelligence plays an important role and has been used by several countries as a health strategy in an attempt to understand, control and find a cure for the disease caused by Coronavirus. These intelligent systems can assist in accelerating the process of developing antivirals for Coronavirus and in predicting new variants of this virus. For this reason, much research on COVID-19 has been developed with the aim of contributing to new discoveries about the Coronavirus. However, there are some epistemological (...) aspects about the use of AI in this pandemic period of Covid-19 that deserve to be discussed and need reflections. In this scenario, this article presents a reflection on the two epistemological aspects faced by the COVID-19 pandemic: The epistemological aspect resulting from the use of patient data to fill the knowledge base of intelligent systems; the epistemological problem arising from the dependence of health professionals on the results/diagnoses issued by intelligent systems. In addition, we present some epistemological challenges to be implemented in a pandemic period. (shrink)

Coronavirus disease 2019 is a fast-developing viral pandemic spreading across the globe. Due to lack of availability of proven medicines against COVID-19, physicians have resorted to treatments through large trials of investigational drugs with poor evidence or those used for similar diseases. Large trials randomize 100–500+ patients at multiple hospitals in different countries to either receive these drugs or standard treatment. In order to expedite the process, some regulatory agencies had also given permission to use drugs approved for other diseases, (...) despite a lack of evidence of efficacy in COVID-19. In this review, we highlight the potential ethical issues that should be addressed during the use of investigational drugs with little prior evidence as a treatment options during a pandemic. We discuss the impact of design of randomized clinical trials using LOTUS trial as an example and that of off-label use of drugs like chloroquine/hydroxychloroquine on the safety of patients during COVID-19. We conclude that the adaptive randomized clinical trial designs offer a flexible and efficient approach, enabling patients to quickly switch to successful treatments, while minimizing the number of patients on standard of care. Randomized clinical trial design should consider blinding of investigators and only representative patients who can provide consent should be included. We also conclude the emergency approvals of drugs should be carefully issued and off-label use should be restricted in pandemics. Streamlined regulatory guidelines for emergency drug use in a pandemic can also help in providing benefit and minimizing harm to patients in the future. (shrink)

Recent years in Europe have generated situations requiring the European Union to take extra-coordinated action in the field of asylum policy. The sudden and growing influx of refugees to Europe in 2015 and 2016 has caused the collapse of the previous common European asylum system. The European Union has taken a number of measures to resolve this crisis situation. When the situation seemed to be under control, a new challenge emerged in early 2020. The first COVID-19 infectious disease case was (...) reported in Europe, and on 13 March 2020 the WHO reported that Europe had become the epicentre of the coronavirus pandemic. The measures taken by individual countries and the European Union to limit the spread of the virus have had a significant impact on many spheres of state and individual functioning, including the situation of persons seeking international protection. This publication consists of three parts. The first part discusses actions taken by the European Union in the face of the migration and refugee crisis that emerged in 2015 and 2016. The second part presents one of the limitations introduced in connection with preventing the spread of COVID-19, which has a huge impact on persons wishing to seek international protection, i.e., changes in the regime of crossing borders and entering the territory of particular countries. The third one points out selected problems experienced by persons seeking protection who already stay in the territory of EU Member States. (shrink)

This study focuses on discussing the choices of lessee in Jordan legislation because of a Defense Order in Curfew to face Corona Virus Disease 2019 and the impact of Corona virus disease 2019 on the lessor obligation. The study finds out that the lessee has two options: to cancel the contract regarding force majeure or refuge to court and to reduce the fare amount regarding exceptional circumstances. The study also recommended issuing a Defense Order specifying the exact percentage to be (...) reduced. In the absence of a Defense Order, the study of a friendly agreement should be recommended between the lessor and the tenant on the reduced percentage. (shrink)

The modern ethical framework demands informed consent for research participation that includes disclosure of material information, as well as alternatives. The severe acute respiratory syndrome coronavirus 2 pandemic results in illness that often involves rapid deterioration. Despite the urgent need to find therapy, obtaining informed consent for COVID-19 research is needed. The current pandemic presents three types of challenges for investigators faced with obtaining informed consent for research participation: uncertainty over key information to informed consent, time and pressure constraints, and (...) obligations regarding disclosure of new alternative therapies and re-consent. To mitigate consenting challenges, primary investigators need to work together to jointly promote urgent care and research into COVID-19. Actions they can take include prior plan addressing ways to incorporate clinical research into clinical practice in emergency, consider patients vulnerable with early deliberation on the consent process, seek Legally Authorized Representatives, create a collaborative research teams, aim to consent once, despite evolving information during the pandemic, and aim to match patients to a trial that will most benefit them. The COVID-19 pandemic both exacerbates existing challenges and raises unique obstacles for consent that require forethought and mindfulness to overcome. While research teams and clinician-investigators will need to be sensitive to their own contexts and adapt solutions accordingly, they can meet the challenge of obtaining genuinely informed consent during the current pandemic. (shrink)

The school, constantly questioned, in permanent crisis, is seen from another perspective as of march 2020 when it was relocated and moved to the screens due to the global pandemic of covid-19. In this article we explore, based on a reflective synthesis of the experiences of teachers in Antioquia, Colombia, the place of the school and its role in the utopian task of educating humanity in times of pandemic crisis, in which teachers chose teaching to reaffirm education in a context (...) of disorder and upheaval. (shrink)

COVID-19 vaccination of children has begun in various high-income countries with regulatory approval and general public support, but largely without careful ethical consideration. This trend is expected to extend to other COVID-19 vaccines and lower ages as clinical trials progress. This paper provides an ethical analysis of COVID-19 vaccination of healthy children. Specifically, we argue that it is currently unclear whether routine COVID-19 vaccination of healthy children is ethically justified in most contexts, given the minimal direct benefit that COVID-19 vaccination (...) provides to children, the potential for rare risks to outweigh these benefits and undermine vaccine confidence, and substantial evidence that COVID-19 vaccination confers adequate protection to risk groups, such as older adults, without the need to vaccinate healthy children. We conclude that child COVID-19 vaccination in wealthy communities before adults in poor communities worldwide is ethically unacceptable and consider how policy deliberations might evolve in light of future developments. (shrink)

When humanity has either suppressed coronavirus disease 2019 or learned to come to terms with its continued existence, governments and corporations probably return to their prepandemic stances. Solutions to the world’s problems are sought from technology and business innovations, not from considerations of equality and well-being for all. This is in stark contrast with the pandemic-time situation. Many governments, at least initially, listened to the recommendations of expert advisers, most notably public health authorities, who proceeded from considerations of equality and (...) common good. I suggest that we should continue on this path when the immediate threat of the disease is over. Other crises are already ongoing—poverty, conflicts, climate change, financial bubbles, and so on—and it would be good to use expert knowledge rather than interests and ideologies in dealing with them. To assist in this, I outline the characteristics of a new kind of counsellor, impartial adviser, who is normatively motivated by a sense of copathy and who takes into account all views, nice and not-so-nice alike. I illustrate the nature and ideological orientation of copathic impartial advisers by placing them on a map of justice and examining their relationships with the main political moralities of our time. (shrink)

John and Curran have convincingly shown that Scanlonian contractualism is a valuable resource for evaluating pandemic response policies, and that we should reject cost–benefit analysis in favour of a contractualist framework. However, they fail to consider the part of contractualism that Scanlon constructed precisely to deal with the question of when the state can restrict individuals from making choices that are harmful to themselves and others: the value of choice view (VoC). In doing so, they leave it open for opponents (...) of lockdowns to misuse contractualism to justify mistaken policies. This is because the most powerful contractualist objections to locking down are likely to be based on the VoC. -/- When we apply the value of choice view (VoC), we see that a lockdown policy’s justifiability depends on the extent to which particular values of choice are found to be threatened by the policy in question, and what safeguards policy-makers have put in place to increase the value of choice and protect people from the harmful consequences of lockdown. Without the VoC, it is harder to explain why lockdowns, to be non-rejectable, must have certain features. With the VoC, the case for contractualism over cost benefit analysis (CBA) can be made even stronger. (shrink)

The 1948 Universal Declaration of Human Rights recognized that “everyone has the right freely to participate in the cultural life of the community, to enjoy the arts and to share in scientific advancement and its benefits”. As a result, cultural rights have been understood as inseparable from human rights and require protection mechanisms within particular international legal systems. The European continent is proud to have developed one of the most effective mechanisms of the human rights protection by establishing the Council (...) of Europe and adopting the European Court of Human Rights. The recent outbreak of the COVID-19 reformulated many concepts of access to human rights and possibilities to enjoy freedoms. Even if access to culture has been available online for many years, it is the time of globally occurring lockdowns that forced people to stay home and found themselves in a situation when all of a sudden online access to culture became the only way of access to culture. The article aims to analyze the current situation in Europe by asking questions if and how online access to culture is recognized and protected under the Council of Europe’s mechanisms with special emphasis on the case-law of the European Court of Human Rights in this field. (shrink)

The COVID-19 pandemic has coincided with the proliferation of ethical guidance documents to assist public health authorities, health care providers, practitioners and staff with responding to ethical challenges posed by the pandemic. Like ethical guidelines relating to infectious disease that have preceded them, what unites many COVID-19 guidance documents is their dependency on an under-developed approach to bioethical principlism, a normative framework that attempts to guide actions based on a list of prima facie, unranked ethical principles. By situating them in (...) relation to the key philosophical debates concerning bioethical principlism, we aim to explore the limits and limitations of pandemic ethical guidance documents as, specifically, ethics documents – documents that fulfil the functions of ethics as a fundamentally normative discipline. This means not only determining whether such ethical guidance documents can, in principle, provide adequate action guidance and action justification, but also, more importantly where pandemics are concerned, determining whether they support consistent decision making and transparent processes of justification. Having highlighted the problems with merely furnishing ethical guidelines with substantive ethical content in terms of principles and values, we argue that organizations that develop these documents should, instead, focus on the procedural dimensions of action guidance and action justification, which extend to questions regarding the make-up of the committees, panels and groups that develop such guidelines, the public transparency of justifications for specific pandemic-related advice or interventions and the development of explicit procedures for transparent and consistent decision making. (shrink)

The beginning of the twenty-first century saw an apparent change in language in public discourses characterised by the rise of so-called “essentially oxymoronic concepts”, i.e., mainly oxymora and paradoxes. In earlier times, these rhetorical figures of speech were largely reserved for the domain of literature, the arts or mysticism. Today, however, many new technologies and other innovations are contributing to their rise also in the domains of science and of law. Particularly in law, their inherent contradictory quality of combining apparently (...) antagonistic suppositions challenges the traditional dualistic mode of reasoning and binary logic. As reflected in terms like fake news, alternative facts or conspiracy theories, these concepts are seen as a threat to the rule of law and legal certainty and have been described as harbingers of an age of disinformation or post-truth. The challenge posed by these apparently contradictory concepts requires a closer look at the premises that guide our legal thinking and a more integrated theory of the senses and their role in law, as captured by the terms “legal synaesthesia” and “legal semiotics”. It also calls for an inquiry into the mind’s functioning generally and how it processes information in the creative process of decision making, linking thoughts and actions as well as facts and fictions. Based on the qualification of “fake news” as an oxymoron, this article critically examines the deficiencies in a dichotomous distinction between fact and fiction exemplified by information about the pandemic of coronavirus disease 2019 in an attempt to clarify the principal issues for a global regulatory debate regarding “fake news”. (shrink)

International human rights law allows states to derogate some of their human rights obligations in times of public emergency. This essay attempts a normative assessment of the practice of derogation. We discuss,specifically, whether derogation is compatible with the logics and morality of rights. We notice that a major inconsistency between rights and derogation derives from the unilateral character of derogation: derogating parties are assigned a power-right to annul their own rights-based obligations. This contrasts with the idea,central to rights, that rights-based (...) obligations are owed to the right-holder. Only through consent of right-holders, we argue, can duties owed to them be modified or annulled. But whether the current practice of derogation is interpretable as a form of consent to rights infringement is highly disputable. (shrink)

This essay, between serious and facetious, addresses an apparently secondary implication of the planetary tragedy produced by Covid-19. It coincides with the ‘problem of the veil,’ a bone of contention in Islam/West relationships. More specifically, it will address the question of why the pandemic has changed the proxemics of public spaces and the grammar of ‘living together.’ For some time—and it is not possible to foresee how much—in many countries people cannot go out, or enter any public places, without wearing (...) a sanitary mask. In short, almost all of us, by obligation or by urgent advice from the public authorities of the various countries, will not live the public sphere with our faces uncovered. The alteration of the social context affecting many Western countries will inevitably involve also the ‘local’ perception of the Islamic veil and—as a matter of equality—the consistency of the prohibition of wearing it. What will thus become of the ban on wearing it in public places established by some countries such as France and asseverated by the ECHR? If everyone can and will have to go around with their faces covered, why should only Islamic women be discriminated against? Will not the change in boundary conditions produced by Covid-19 also induce Western people to re-categorize the meaning of the veil? And will this re-categorization not directly affect the ‘fact’ of wearing the veil, that is, its empirical perception? And still, will this psycho-semantic change not show how empirical perceptions are cultural constructs rather than ‘objective facts,’ as such allegedly independent from the observer’s point of view? Consequentially, will the plurality of perceptions and cultural meanings related to the gesture of covering one’s own face not gain renewed relevance in determining the legitimacy of wearing the veil? The socio-semantic earthquake produced by Covid-19 compels us to rethink this and other issues orbiting around the translation of ‘facts’ into legal language; furthermore, it highlights the instrumentality of many ideological/partisan and ethnocentric assumptions passed off as objectivity regarding those alleged ‘facts.’ The essay will attempt to provide an answer to the above questions by proposing a semiotic-legal approach to intercultural conflicts and, indirectly, the pluralism in law. (shrink)

Coronavirus vaccines have made their debut. Now, allocation practices have stepped into the spotlight. Following Centers for Disease Control and Prevention guidelines, states and healthcare institutions initially prioritised healthcare personnel and elderly residents of congregant facilities; other groups at elevated risk for severe complications are now becoming eligible through locally administered programmes. The question remains, however: who else should be prioritised for immunisation? Here, we call attention to individuals institutionalised with severe mental illnesses and/or developmental or intellectual disabilities—a group highly (...) susceptible to the damages of COVID-19, recent research shows, and critical to consider for priority vaccination. The language describing both federal-level and state-level intentions for this population remains largely vague, despite the population’s diversity across age, diagnosis, functional status and living arrangement. Such absence of specificity, in turn, leaves room for confusion and even neglect of various subgroups. We review data stressing this group’s vulnerability, as well as select state plans for priority vaccination, highlighting the importance of clarity when describing intentions to vaccinate, or even generally care for, diverse populations composed of distinct subgroups in need. (shrink)

Biobanking can promote valuable health research that may lead to significant societal benefits. However, collecting, storing and sharing human samples and data for research purposes present numerous ethical challenges. These challenges are exacerbated when the biobanking efforts aim to facilitate research on public health emergencies and include the sharing of samples and data between low/middle-income countries and high-income countries. In this article, we explore ethical challenges for COVID-19 biobanking, offering examples from two past infectious disease outbreaks in LMICs where biobanking (...) activities contributed to the perpetuation of global inequities. We focus on how the ethical imperative to promote the common good during public health emergencies can conflict with protecting the interests of biobank participants. We discuss how conducting biobank research under a waiver of informed consent during public health emergencies is ethically permissible, provided guidance is in place to prevent biopiracy and exploitation of vulnerable communities. We also highlight the need for biobank collaborations between LMICs and HICs to promote capacity building and benefit sharing. Finally, we offer guidance to promote the ethical oversight of biobanks and biobank research during the COVID-19 pandemic or other future public health emergencies. (shrink)

I provide a critical review of Moti Mizrahi's The Relativity of Theory, expounding on the book's strengths and then providing an extended argument that Mizrahi mischaracterizes the epistemic attitude of concern to antirealism about science as well as the practical stakes involved in adopting the antirealist position.

The prospect of vaccinating children and young people (CYP) against COVID raises questions that apply more widely to vaccination in children. When can CYP consent, on their own, for vaccination? What should happen if children and their parents disagree about the desirability of a vaccine? When, if ever, should vaccination proceed despite a child’s dissent or apparent refusal? A range of ethical dilemmas may arise. (Box 1) In this article, we will address general ethical issues relating to consent for vaccination, (...) highlighting their relevance to COVID. We will not address the wider ethical questions of whether or when children should be vaccinated against COVID. (shrink)