Your Liberty or Your Life: Reciprocity in the Use of Restrictive Measures in Contexts of Contagion

Viens, A. M.; Bensimon, Cécile M.; Upshur, Ross

doi:10.1007/978-94-007-0564-7_8

Cited by 14 publications

(19 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With regard to the provision of reciprocal arrangements, these findings support the claim made elsewhere that reciprocity plays a vital role in establishing restrictive measures as a morally legitimate means to prevent or contain effects of infectious diseases, and ultimately helps motivate support and compliance with legitimate restrictive measures. 4 Another important finding is that a third consideration exists when implementing restrictive measures: the community. This consideration challenges the common dichotomy made in public health between the individual and the greater good.…”

Section: Discussionmentioning

confidence: 99%

Restrictive Measures in an Influenza Pandemic: A Qualitative Study of Public Perspectives

Smith

Bensimon

Pérez

et al. 2012

Can J Public Health

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Restrictive Measures in an Influenza Pandemic: A Qualitative Study of Public Perspectives

Smith

Bensimon

Pérez

et al. 2012

Can J Public Health

Self Cite

View full text Add to dashboard Cite

“…… Reciprocity requires that we compensate those disproportionately burdened by complying with restrictive measures and make restitution to those individuals wronged by being subjected to unfair or intolerable treatment. Reciprocity not only requires that individuals should not be overly burdened by measures to protect public health, but also that individuals are supported in a way that allows them to fulfil their obligations (Viens, Bensimon, and Upshur 2009 , 211−212).…”

Section: Section 3: Reciprocity and The Ethics Of Infectious Diseasesmentioning

confidence: 99%

“…To date, there has been little, although increasing, discussion of the role that the concept of reciprocity might play in justifying and legitimizing action regarding persons with infectious diseases, such as tuberculosis (TB), particularly those suffering from active pulmonary and laryngeal TB (Holm 2009 ; Viens, Bensimon, and Upshur 2009 ; Coleman et al 2010 ; Silva and Viens 2015 ). Where this has happened, it has been done without reference to, or grounding in, any specific moral or political theories.…”

mentioning

confidence: 99%

Reciprocity and Ethical Tuberculosis Treatment and Control

2016

View full text Add to dashboard Cite

This paper explores the notion of reciprocity in the context of active pulmonary and laryngeal tuberculosis (TB) treatment and related control policies and practices. We seek to do three things: First, we sketch the background to contemporary global TB care and suggest that poverty is a key feature when considering the treatment of TB patients. We use two examples from TB care to explore the role of reciprocity: isolation and the use of novel TB drugs. Second, we explore alternative means of justifying the use of reciprocity through appeal to different moral and political theoretical traditions (i.e., virtue ethics, deontology, and consequentialism). We suggest that each theory can be used to provide reasons to take reciprocity seriously as an independent moral concept, despite any other differences. Third, we explore general meanings and uses of the concept of reciprocity, with the primary intention of demonstrating that it cannot be simply reduced to other more frequently invoked moral concepts such as beneficence or justice. We argue that reciprocity can function as a mid-level principle in public health, and generally, captures a core social obligation arising once an individual or group is burdened as a result of acting for the benefit of others (even if they derive a benefit themselves). We conclude that while more needs to be explored in relation to the theoretical justification and application of reciprocity, sufficient arguments can be made for it to be taken more seriously as a key principle within public health ethics and bioethics more generally.

show abstract

“…With regards to EVD, the rate of transmission along with the severity and few treatment options available meant that whole communities were isolated. Restrictive public health measures like isolation not only bring with them different kinds and degrees of restrictions to basic freedoms of movement, of both individuals and communities for example, but can also raise questions about what ought to be done with those who break orders accompanying such measures and what individuals are owed by the state for adhering to such orders (Viens et al 2009;Silva and Smith 2015). The nuance necessary in planning and preparing for how isolation will be deployed in an ethical manner depending on the type of infectious disease and potential pandemic makes it difficult to plan for such differences unless one explicitly considers them in advance.…”

Section: Variations In the Many Characteristics Of Infectious Diseasementioning

confidence: 99%

“…This is problematic, as the application (or applicability) of particular ethical values or principles may depend on many contextual factors. For example, the identification of reciprocity as an important ethical principle in pandemic planning and in the justified use of restrictive measures in particular, requires significant context-specific analysis in order to elucidate the parameters in which reciprocity is warranted and in what way the value of reciprocity should be realized (Viens et al 2009;Silva and Smith 2015). While examination of the principle of reciprocity has occurred in the context of using isolation and quarantine measures for influenza, SARS, and TB, novel ethical considerations still emerged in the context of the EVD outbreak in response to the implementation of substantially unique measures like cordon sanitaire (Silva and Smith 2015).…”

Section: Pandemic Plans Lack Transparent Reasoning and Justification mentioning

confidence: 99%

Ethics for pandemics beyond influenza: Ebola, drug-resistant tuberculosis, and anticipating future ethical challenges in pandemic preparedness and response

Smith

Silva

2015

Monash Bioeth. Rev.

View full text Add to dashboard Cite

The unprecedented outbreak of Ebola virus disease (EVD) in West Africa has raised several novel ethical issues for global outbreak preparedness. It has also illustrated that familiar ethical issues in infectious disease management endure despite considerable efforts to understand and mitigate such issues in the wake of past outbreaks. To improve future global outbreak preparedness and response, we must examine these shortcomings and reflect upon the current state of ethical preparedness. To this end, we focus our efforts in this article on the examination of one substantial area: ethical guidance in pandemic plans. We argue that, due in part to their focus on considerations arising specifically in relation to pandemics of influenza origin, pandemic plans and their existing ethical guidance are ill-equipped to anticipate and facilitate the navigation of unique ethical challenges that may arise in other infectious disease pandemics. We proceed by outlining three reasons why this is so, and situate our analysis in the context of the EVD outbreak and the threat posed by drug-resistant tuberculosis: (1) different infectious diseases have distinct characteristics that challenge anticipated or existing modes of pandemic prevention, preparedness, response, and recovery, (2) clear, transparent, context-specific ethical reasoning and justification within current influenza pandemic plans are lacking, and (3) current plans neglect the context of how other significant pandemics may manifest. We conclude the article with several options for reflecting upon and ultimately addressing ethical issues that may emerge with different infectious disease pandemics.

show abstract

Your Liberty or Your Life: Reciprocity in the Use of Restrictive Measures in Contexts of Contagion

Cited by 14 publications

References 32 publications

Restrictive Measures in an Influenza Pandemic: A Qualitative Study of Public Perspectives

Restrictive Measures in an Influenza Pandemic: A Qualitative Study of Public Perspectives

Reciprocity and Ethical Tuberculosis Treatment and Control

Ethics for pandemics beyond influenza: Ebola, drug-resistant tuberculosis, and anticipating future ethical challenges in pandemic preparedness and response

Contact Info

Product

Resources

About