Ethical considerations surrounding the response to Ebola: the Spanish experience.

摘要: The recent Ebola virus disease (EVD) outbreak, with 28,646 reported cases and 11,323 deaths, was declared a public health emergency of international interest by the World Health Organisation. In Spain, single case triggered crisis markedly media-centred nature. approach to first EVD epidemic has given rise various ethical considerations around world. We address most relevant emanating from management in Spain. Firstly, for reasons global justice humanitarian assistance, rich countries have duty support poorer building up their core public-health capacities. Secondly, quarantine high-risk contacts might been disproportionate not properly justified measure, which could contributed stigmatising spreading panic. Thirdly, when secondary it is doubtful whether informed consent requirements were strictly complied disclosing information concerning alleged accident potentially causing contagion. Moreover, this used Regional Minister blame patient, evading his responsibility ensure safe medical procedures workers. Finally, patient received convalescent plasma compassionate use colleague missionary repatriated, who also participated research study despite having previously denied chance being transferred Spain receive treatment. This fact highlights asymmetry relationship between poor countries. highlighted technical capacity system its professionals respond effectively emergencies caused emerging diseases. said, failures protection patient‘s privacy remind us that aspect be borne mind outset situations. Certain coercive measures, such as quarantine, should only applied where there some evidence benefit-risk balance favourable. Lastly, essential interventions targeted at combating fragility systems justice.