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110023

COVID-19 pandemic: Ethical challenges of healthcare and research

Article

Last updated: 22 Jan 2023

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Abstract

COVID-19 pandemic provokes a lot of ethical debates. Infected patients deserve appropriate medical support. The protection of health care providers and community members must be also considered. Achievement of the balance between patients' rights, frontline response workers (FRWs) rights, and communities' needs should be in agreement with medical ethics foundations. Patients with infectious diseases should be managed according to ethical principles; autonomy, beneficence, non-maleficence, and justice. COVID-19 infected patient has the right of acceptance or refusal of treatment. Nevertheless, the refusal of quarantine and infection control measures is not an option. To the moment, a lack of effective treatment for COVID-19 infection justifies the implementation of monitored emergency use of unregistered and experimental interventions (MEURI) if approved by the relevant authorities. Regarding critically ill COVID-19 infected cases, Egyptian law and Islamic jurisprudence incriminate all kinds of euthanasia and physician-assisted suicide. FRWs should not refuse treatment of COVID-19 infected persons and they must take the utmost safety precautions to avoid infection. In COVID-19 infection breaching confidentiality to health authority is a legal and ethical obligation. Regarding research, there is an urgent need for innovation of drugs or vaccines to control COVID-19 infection and the steps of the ethics of research might not be exactly followed. Thus, researchers must adhere to policies approved by Research Ethics Boards (REBs) during the crisis.

DOI

10.21608/zjfm.2020.37901.1061

Keywords

COVID-19, pandemic, Ethical challenges, Ethics of healthcare, Ethics of research

Authors

First Name

Zahraa

Last Name

Sobh

MiddleName

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Affiliation

Lecturer of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, University of Alexandria, Egypt.

Email

z_khalifa2017@yahoo.com

City

Alexandria

Orcid

0000-0002-7836-9639

First Name

Asmaa

Last Name

El-Banna

MiddleName

S.

Affiliation

Professor of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, University of Alexandria, Egypt.

Email

elbanna.asmaa@yahoo.com

City

Alexandria

Orcid

0000-0001-6731-0300

Volume

19

Article Issue

1

Related Issue

19891

Issue Date

2021-01-01

Receive Date

2020-08-03

Publish Date

2021-01-01

Page Start

1

Page End

10

Print ISSN

1687-160X

Online ISSN

2536-9849

Link

https://zjfm.journals.ekb.eg/article_110023.html

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https://zjfm.journals.ekb.eg/service?article_code=110023

Order

1

Type

Original Article

Type Code

402

Publication Type

Journal

Publication Title

Zagazig Journal of Forensic Medicine

Publication Link

https://zjfm.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023