Pandemics

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)

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)

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)

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)

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)

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)

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)

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 .

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)

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)

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)

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)

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)

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.

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.

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)

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)

L'isolement social (désocialisation) implique une absence totale ou presque totale de contact entre un individu et la société. Cela peut être un problème pour les personnes de tout âge, bien que les symptômes puissent différer selon le groupe d'âge. L'isolement social peut inclure le fait de rester à la maison pendant de longues périodes et le manque de communication face à face avec la famille, les connaissances, les amis ou les collègues. L'isolement social peut conduire à des sentiments de solitude, (...) de peur des autres ou de mauvaise estime de soi. Nous ne pouvons pas exister indépendamment de nos relations avec les autres. Notre propre humanité est réduite lorsque les autres sont traités sans dignité et sans respect. Dans le même temps, causer du tort à une autre personne peut également affecter la perception de soi-même. Il s'avère que l'humanité d'une personne dépend de l'humanité de ceux qui l'entourent. DOI: 10.13140/RG.2.2.14145.79203. (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)

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)

The testimonies of celebrities affect the lives of their many followers who pay attention to what they say. This gives celebrities a high degree of epistemic power, which has come under close scrutiny during the COVID-19 pandemic. This paper investigates the duties that arise from this power. We argue that celebrities have a negative duty of testimonial justice not to undermine trust in authoritative sources by spreading misinformation or directing attention to untrustworthy sources. Moreover, celebrities have a general imperfect duty (...) to try to correct for an unjust distribution of attention by redirecting it to those who deserve it. During a pandemic this may become a perfect one, due to the harm that could be prevented if people follow the advice of experts. Relatedly, we argue that celebrities have an imperfect duty to promote behavior that will reduce the spread of a pandemic. We outline three ways they might do so: they might take on the position of a role model, they may act as a salience magnet or they can direct people’s attention towards others who have taken on these roles. (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)

In response to the spread of COVID-19, governments across the world have, with very few exceptions, enacted sweeping restrictive lockdown policies that impede citizens’ freedom to move, work, and assemble. This paper critically responds to the central arguments for restrictive lockdown legislation. We build our critique on the following assumption: public policy that enjoys virtually unanimous support worldwide should be justified by uncontroversial moral principles. We argue that that the virtually unanimous support in favor of restrictive lockdowns is not adequately (...) justified by the arguments given in favor of them. Importantly, this is not to say that states ought not impose restrictive lockdown measures, but rather that the extent of the acceptance of these measures is not proportionate to the strength of the arguments for lockdowns. -/- We begin by exploring the case for restrictive lockdowns. We first argue that several of the principles that are used to justify the lockdowns yield unexpectedly revisionary implications for other political problems that many would be unwilling to accept. We then outline what we consider the strongest argument for a lockdown—namely, that its net welfare benefits are great enough to defeat the moral presumption against restricting citizens’ civil liberties to move, work, and assemble. However, we give a number of reasons for doubting that the lockdown’s net welfare benefits are, in fact, sufficiently high to defeat the presumption against it. (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)

We argue that pandemic and lockdown can be usefully interpreted as transformative experiences, albeit of a sort with interestingly different features to those discussed by L.A. Paul.

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)

Background Ethical sensitivity is a prerequisite for ethical nursing practices. Efforts to improve nurses’ ethical sensitivity are required to correctly recognise ethical conflicts and for sound decision-making. Because an emerging infectious disease response involves complex ethical issues, it is important to understand the factors that influence public health nurses’ ethical sensitivity while caring for patients with COVID-19, an emerging infectious disease. Objectives This study aims to identify the relationship between nursing professionalism, the organisation’s ethical climate, and the ethical sensitivity of (...) nurses who care for emerging infectious disease patients in Korean public health centres. Further, it sought to identify factors influencing ethical sensitivity and the mediating effect of the organisational ethical climate to inform guidelines and improve ethical sensitivity. Research design This was a cross-sectional descriptive study. Participants and research context Data were collected from February 3 to 8 March 2021. Participants included 167 nurses caring for patients with COVID-19 in public health centres in South Korea. Ethical consideration This study was approved by the Institutional Review Board of the Chung-Ang University and followed the principles of research ethics. Results The factors influencing ethical sensitivity were working at a COVID-19 disease direct response department, nursing professionalism, and organisation’s ethical climate. The organisation’s ethical climate showed a partial mediating effect on the influence of nursing professionalism on ethical sensitivity. Conclusion Our findings show that nurses’ ethical sensitivity can be improved by refining the organisation’s ethical climate and nursing professionalism. (shrink)

During a pandemic, demand for intensive care often exceeds availability. Experts agree that allocation should maximize benefits and must not be based on whether patients could have taken preventive measures. However, intensive care units are often overburdened by individuals with severe COVID-19 who have chosen not to be vaccinated to prevent the disease. This article reports an experiment that investigated the German public's prioritization preferences during the fourth wave of the coronavirus pandemic. In a series of scenarios, participants were asked (...) to decide on ICU admission for patients who differed in terms of health condition, expected treatment benefits, and vaccination status. The results reveal an in-group bias, as vaccinated individuals preferred to allocate more resources to the vaccinated than to the unvaccinated. Participants also favored admitting a heart attack patient rather than a COVID-19 patient with the same likelihood of benefiting from ICU admission, indicating a preference for maintaining regular ICU services rather than treating those with severe COVID-19. Finally, participants were more likely to admit a patient to intensive care when this meant withholding rather than withdrawing care from another patient. The results indicate that lay prioritizations violate established allocation principles, presaging potential conflicts between those in need of intensive care and those who provide and allocate it. It is therefore recommended that allocation principles should be explained to enhance public understanding. Additionally, vaccination rates should be increased to relieve ICUs and reduce the need for such triage decisions. (shrink)

The susceptible-transmissible-removed model is a deterministic compartment model, based on the susceptible-infected-removed prototype. The STR replaces 2 SIR assumptions. SIR assumes that the emigration rate is directly proportional to the infected compartment’s size. The STR replaces this assumption with the biologically appropriate assumption that the emigration rate is the same as the immigration rate one infected period ago. This results in a unique delay differential equation epidemic model with the delay equal to the infected period. Hamer’s mass action law for (...) epidemiology is modified to resemble its chemistry precursor—the law of mass action. Constructing the model for an isolated population that exists on a surface bounded by the extent of the population’s movements permits compartment density to replace compartment size. The STR reduces to a SIR model in a timescale that negates the delay—the transmissible timescale. This establishes that the SIR model applies to an isolated population in the disease’s transmissible timescale. Cyclical social interactions will define a rhythmic timescale. It is demonstrated that the geometric mean maps transmissible timescale properties to their rhythmic timescale equivalents. This mapping defines the hybrid incidence. The model validation demonstrates that the HI-STR can be constructed directly from the disease’s transmission dynamics. The basic reproduction number is an epidemic impact property. The HI-STR model predicts that R0∝ρnB\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\mathcal{R}}_0 \propto \root \mathfrak{B} \of {\rho_n}$$\end{document} where ρn\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\rho_n$$\end{document} is the population density, and B\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\mathfrak{B}}$$\end{document} is the ratio of time increments in the transmissible- and rhythmic timescales. The model is validated by experimentally verifying the relationship. R0\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${\mathcal{R}}_0$$\end{document}’s dependence on ρn\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\rho_n$$\end{document} is demonstrated for droplet-spread SARS in Asian cities, aerosol-spread measles in Europe and non-airborne Ebola in Africa. (shrink)

This book contains original essays that look at contagious/infectious disease pandemics and the ethical public policy and administration these have entailed. In particular, the pandemics of the 1918 flu pandemic, HIV in the 1990s, SARS in 2003, Ebola from 2014–2016 and the novel COVID-19 in 2020 are highlighted. The contributions in this work offer the reader insights in these and several other recent pandemics that present differently—either via contagion or mortality rate—and how each should be addressed by countries of various (...) sorts. This book is a must for the ongoing debate on how we should treat public health crises, such as the one we have all just encountered in the novel COVID-19 pandemic. (shrink)

The transition and adaptation of students to higher education involve a wide range of challenges that justify some institutional practices promoting skills that enable students to increase their autonomy and to face the difficulties experienced. The requirements for this adaptation were particularly aggravated by the containment and sanitary conditions associated with coronavirus disease 2019. With the aim of promoting academic success and preventing dropout in the first year, a support program was implemented for students enrolled in two courses in the (...) area of education at a public university in northern Portugal during the first semester of 2020/2021. Three sessions of 50/60 min were implemented, namely, the first session focused on the verbalization of the demands, challenges, and difficulties of the transition, and the second and third sessions focused on the difficulties of academic adaptation and academic performance. Data from a dropout risk screening instrument and from the activities performed during sessions were analyzed. The main results point to student satisfaction with the content and the activities of the sessions and their usefulness. Students report not only high satisfaction levels with HE attendance, but also some emotional exhaustion due to academic activities. The continuity of the program is recommended with some improvements in its planning to ensure a more definitive version of the program in the next two years. (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 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)

In recent years, the world knew many challenges concerning the propagation of infectious diseases such as avian influenza, Ebola, SARS-CoV-2, etc. These epidemics caused a change in the healthy balance of humanity. Also, the epidemics disrupt the economies and social activities of countries around the world. Mathematical modeling is a vital means to represent and control the propagation of infectious diseases. In this paper, we consider a stochastic epidemic model with a Markov process and delay, which generalizes many models existing (...) in the literature. In addition, we show the stochastic threshold for the extinction of the disease. Furthermore, numerical examples are discussed to confirm the theoretical result. (shrink)

The global pandemic caused by the spread of a novel coronavirus in early 2020 did more than transform the first one-and-a-quarter academic year that fell within its duration. It also transformed higher learning in its research and pedagogy. Like many misfortunes, COVID-19 has brought opportunity for growth and change. No doubt, there are many success stories of philosophers rising to the challenges of our time. In this contribution, I relate my own pandemic story, not as one of success, but rather (...) as a humble attempt to grapple with the question of the post-pandemic philosophy curriculum. What is the place of philosophy in the twenty-first-century university? What might "philosophy" mean in a post-pandemic context... (shrink)

With the coronavirus pandemic and the Omicron variant once again forcing countries into lockdown (as of late 2021), this essay seeks to outline a Foucauldian critique of various legal measures taken by the Danish government to cope with COVID-19 during the first year and a half of the pandemic. The essay takes a critical look at the extra-legal measures employed by the Danish government, as the Danish politicians attempted to halt the spread of the, now almost forgotten, Cluster 5 COVID-19 (...) variant. This situation will serve as a critical point from where to start using Foucault’s writings on life and biopolitics in order to expose various legally problematic governmental decisions that became visible during the handling of COVID-19 in general and the Cluster 5 mutation in particular. Reframing the pandemic within Foucault’s concept of biopolitics, this essay concludes that the state of exception has led to an increase in biopolitical logic, where some lives have come to matter more than others. As a critical counterpoint to this logic, the conclusion suggests that the notion of biocommunism could provide a suitable reconfiguration of communism. A reconfiguration that could mitigate some of issues related to biopolitics is uncovered earlier in the essay. (shrink)

This paper brings together fifth-wave public health theory and a decolonised approach to the human informed by the Caribbean thinker, Sylvia Wynter, and the primary exponent of African Humanism, Es’kia Mpahlele. Sub-Saharan indigenous ways of thinking the human as co-constitutive in a subject we might call human-animal-‘environment’, in conjunction with the subcontinent’s experiences of colonial damage in disease ‘prevention’ and ‘treatment’, demonstrate the lack of genuine engagement with Indigenous wisdom in Western medical practice.The paper offers a decolonial reading of pandemic (...) history, focused primarily on the human immunodefiency virus, the severe acute respiratory syndrome of 2003 caused by the SARS Covid 1 virus and COVID-19, caused by the SARS COVID 2 virus to demonstrate the importance of the co-constitutive subject in understanding the genesis of these pandemics as driven by colonial-capitalism. I emphasise that prevention will indeed take the kinds of massive changes proposed by fifth-wave public health theory. However, I differ from the proponents of that theory in an insistence that the new kind of thinking of the human Hanlon et al call for, has already been conceived: just not within the confines of the normative human of Western culture.I illustrate that Western Global Health approaches remain constitutionally ‘deaf’ to approaches that, although the West may not understand this to be the case, arise from fundamentally different—and extra-anthropocentric—notions of the human. In this context, Man as Wynter names Him is a subject ripe for decolonisation, rather than a premier site of capitalist development, including that of healthcare provision.Recognising that most of us are not individually able to change the structural violence of the colonial capitalist system in which Global Health practices are embedded, I conclude with implications drawn from my argument for quotidian practices that enable healthcare providers see their actions within a harm reduction paradigm, in the context of communities experiencing intergenerational impoverishment consequent on colonial violence. (shrink)

Bioethics, Volume 36, Issue 6, Page 687-698, July 2022.

Background: The coronavirus disease 2019 pandemic is impacting the delivery of healthcare worldwide, creating dilemmas related to the duty to care. Although understanding the ethical dilemmas about the duty to care among nurses is necessary to allow effective preparation, few studies have explored these concerns. Aim: This study aimed to identify the ethical dilemmas among clinical nurses in Spain and Chile. It primarily aimed to identify nurses’ agreement with the duty to care despite high risks for themselves and/or their families, (...) describe nurses’ well-being and describe the associations between well-being and the duty to care. Research design: Cross-sectional self-reported anonymous data were collected between May and June 2020 via electronic survey distribution. Ethical considerations: The Institutional Ethical Review Committees in both countries approved the study. Findings: In total, 345 clinical nurses answered the primary question about the duty to care for the sick. Although in the total sample 77.4% agreed they have a duty to care for the sick, significant differences were found between the Spanish and Chilean samples. Overall, 53.6% of the nurses reported low levels of well-being; however, among those reporting low well-being, statistically significant differences were found between Spanish and Chilean nurses as 19.4% and 37.8%, respectively, disagreed with the statement regarding the duty to care. Discussion: Participants in both countries reported several ethical dilemmas, safety fears, consequent stress and low well-being. These results suggest that prompt actions are required to address nurses’ ethical concerns, as they might affect their willingness to work and psychological well-being. Conclusion: Our findings shed light on the ethical dilemmas nurses are facing related to the duty to care. Not only has the coronavirus disease 2019 pandemic given rise to ethical challenges, but it has also affected nurses’ well-being and willingness to work during a pandemic. (shrink)

The coronavirus disease 2019 pandemic has brought significant changes to the life of the Christian church in Indonesia. Such changes can degrade the essence of the fellowship of believers. The reality of the COVID-19 pandemic, which became the church’s starting point, has triggered a change in the pattern of carrying out its duties and services to the people and their environment. The church can adapt and transform its ministry innovations as a living organisation. The church needs to reinterpret the effectiveness (...) of its presence through adapting new service patterns, namely onsite services to virtual services or hybrid services, to remain relevant to every dimension of rapid change in all aspects. This research study analyses the actualisation of church ecclesiology in the midst and after the pandemic. Using descriptive qualitative methods with interactive data analysis from Miles and Huberman, the following points have been found: virtual ministry as a church reality, a pneumatic encounter spirituality characterises the church, ecclesiology in the context of universal communion and the sacrament as a means of manifesting divine power.Contribution: This study provides the concept of collaboration between ecclesiology as a principle and technology as a method. Ecclesiology and technology can realise the ministry of church unity. Collaboration between principles and methods in the church will build a flexible church in all conditions. However, the principles and duties of the church vocation are not neglected. (shrink)

Like COVID-19, new infectious disease outbreaks emerge almost annually, and studies predict that this trend will continue due to a variety of factors, including an aging population, ease of travel, and globalization of the economy. In response to episodic public health crises, governments and organizations develop, implement, and enforce policies, procedures, protocols, and programs. The epidemiological triad is both a model of disease causation and fundamentally used to design and deploy such control measures. Here we adapt this model to the (...) workplace setting and use the epidemiological triad to characterize the related ethical challenges in implementing the control measures employers face as a guide for a workplace intervention framework. Through this approach, our aim is to show how an integrated ethical framework, grounded in epidemiological principles, has important implications for how we categorize, understand, and resolve the difficult decisions that emerge in the workplace under pandemic conditions. (shrink)

Since the beginning of 2020, lockdowns have been introduced in numerous countries across the world in response to the emergence of coronavirus SARS-CoV-2 that causes the COVID-19 disease. Although the topic of lockdowns has been considered from numerous perspectives, it has not yet been analyzed in the context of Adam Smith’s economic philosophy and liberalism. This paper aims to list – at least to some extent, as the topic is very broad – the most prominent arguments that have arisen in (...) the worldwide discussion on the effectiveness and side effects of lockdowns. In addition, the work provides some elements of Smith’s economic philosophy and liberalism. Finally, the arguments that have arisen in the academic discussion since the introduction of lockdowns are analyzed, and the legitimacy of lockdowns is assessed in the context of Smith’s principles. The methods used for the analysis are text exegesis and rational reconstruction. As far as the conclusions are concerned, an explicit assessment of the legitimacy of lockdowns in the discussed context is considered impossible, although for many elements of Smith’s liberalism, lockdowns are not legitimate at all. (shrink)

We reflect on our experience co-teaching a medical humanities elective, “Pandemics and Plagues,” which was offered to undergraduates during the Spring 2021 semester, and discuss student reactions to studying epidemic disease from multidisciplinary medical humanities perspectives while living through the world Covid-19 pandemic. The course incorporated basic microbiology and epidemiology into discussions of how epidemics from the Black Death to HIV/AIDS have been portrayed in history, literature, art, music, and journalism. Students self-assessed their learning gains and offered their insights using (...) the SALG, describing how the course enhanced their understanding of the current pandemic. In class discussions and written assignments, students paid particular attention to issues of social justice, political context, and connections between past pandemics and Covid-19. Student responses indicate enhanced understanding of the scientific and medical aspects of epidemics and also increased appreciation of the insights to be gained from the medical humanities. We discuss co-teaching the class during a real-time, twenty-four-hour-news-cycle pandemic, and the ways in which that experience underlines the value of a “critical medical humanities” approach for undergraduates. (shrink)

This paper pays attention to colonial strategies that were deployed to fight against the influenza pandemic among the Asante of Ghana. It does a comparative analysis of the outbreak and mode of spread of COVID-19 and influenza pandemics in Ghana and Asante, in particular. Based on the theory of lesson-drawing, the authors aimed to ascertain whether the strategies adopted to fight the current COVID-19 pandemic reminisce the earlier strategies deployed during the influenza pandemic of 1918. Based on primary and secondary (...) data, the authors have constructed a history that proffers some insights into the fight against COVID-19. Authors conclude that the various health interventions toward the prevention and control of influenza in Asante during the colonial period were skewed in favor of Europeans and natives who worked within the colonial civil service. This did not support relevant strategies and efforts to reduce the spread of the disease at a faster pace. Despite several efforts made to curtail the spread of the disease, the colonial administration together with traditional authorities encountered challenges of inadequate health personnel, culture conflict ad financial challenges. The role of security agencies and the collaboration between the colonial administration and traditional authorities offer a very significant lesson for confronting the COVID-19 pandemic in Ghana. (shrink)

According to the World Health Organisation, three to five million individuals are infected by influenza, and around 250,000 to 500,000 people die of this infectious disease worldwide. Influenza epidemics pose a serious public health threat. Moreover, graver dangers are encountered with influenza subtypes against which there is little or no preexisting human immunity. Such subtypes of influenza have the potential to cause devastating epidemics. Thus, enhancing surveillance systems for the purpose of detecting influenza epidemics in an early stage can quicken (...) response times and save millions of lives. This paper presents three adapting intelligence models: support vector machine regression, artificial neural network using particle swarm optimisation, and our intelligent time series to predict influenza epidemics. The novelty of the current study is that it proposes a new intelligent model to predict influenza outbreaks. The INTS model combines clustering with a time series model to enhance the prediction of influenza outbreaks. The innovation of our proposed model integrates the results obtained from the existing weighted exponential smoothing model with centroids obtained from clustering. We developed a surveillance system for influenza epidemics using Google search queries. The current research is based on a weighted version of the Center for Disease Control and Prevention influenza-like illness activity level obtained from the Center for Disease Control and Prevention data, as well as query data obtained from the Goggle search engine in the USA. The influenza-like illness data was collected from January 4, 2009, to December 27, 2015, stretching across a total time span of 312 weeks. Google Correlate was used to select search queries related to influenza epidemics. In total, 100 search queries were obtained from Google Correlate, 10 of which were better and more relevant search queries selected in this study. The model was evaluated using online Google search queries collected from Google Correlate. Standard measure performance MSE, RMSE, and MAE were employed to estimate the results of the proposed model. The empirical results of the INTS model showed MSE = 0.003, RMSE = 0.036, and MAE = 0.0185, indicating that the errors of the proposed model are very limited. A comparative model of predicting results between the INTS model, alternative Google Flu Trend, and autoregression with Google search data is also presented. The proposed model outperformed the existing models. (shrink)

In the context of Covid-19 pandemic, this paper reflects on the effects of great epidemics on our cultural attitudes towards illness and death. First, through a parallel between the coronavirus pandemic and the medieval Black Death, I examine the impact of epidemics on our ways of thinking about reality and of responding collectively to the fear of dying. Based on the historical periodization of the different mentalities towards death, formulated by Philippe Ariès, I argue that epidemic phenomena modify the way (...) in which the different cultures conceive and deal with finitude, and how this fact manifests itself in the contemporary society, characterized by the denial of death. I conclude that current pandemic can lead us to a thoughtful reappropriation of our mortality. Second, based on the reflections of American writer Susan Sontag, I analyze the negative impact of military metaphors associated with contagious diseases, and how these metaphors promote our fears and irrational attitudes in the face of crisis. Finally, I show that the emergence of new pathologies, such as coronavirus disease, is generating a conceptual change in medicine that leads to rethinking many of the traditional ideas regarding microorganisms and the infections they cause. I claim that this scientific revolution may contribute to a positive modification in our ways of understanding death and disease, and to the search for a more balanced relationship with the natural environment that also helps prevent future pandemics. (shrink)

That they are ‘following the science’ has become the watchword of many politicians during the present pandemic, especially when imposing or prolonging lockdowns or other liberty-restricting regulations. The scientists who advise politicians however are usually careful to add that the decision what to restrict and when is ultimately a political one. In science, as in medical practice, there is a delicate balance to be maintained between confidence in the best available information, and the necessary caveat that the assumptions and calculations (...) on which that information is based are subject to further scientific enquiry. For politicians and the public, moreover, as for patients, whether those informing them are judged to be trustworthy is a necessary consideration, a judgement determined by a variety of personal and political contingencies and circumstances. Ethics, by contrast, unable to appeal to scientific consensus or political authority, let alone a confidence-inspiring bedside manner, must rest the case for its essentially contestable assumptions and arguments being judged trustworthy, on its willingness to admit all reasoned voices to a conversation that is potentially unending, but in the process often highly enlightening. That conversation is contributed to in this issue of the Journal by several reasoned voices, mostly on ethical aspects of the COVID-19 pandemic. Relevant to issues on which politicians claim to be ‘following the science’, but also raising fundamental ethical questions, is this month’s feature article. In Ethics of Selective Restriction of Liberty in a Pandemic, 1 Cameron and colleagues consider ‘if and when it may be ethically acceptable to impose selective liberty-restricting measures in order to reduce the negative impacts of a pandemic by preventing particularly vulnerable groups [for example, the elderly in COVID-19] of the community from contracting the disease’ [and thereby, for example, increasing …. (shrink)