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Ebola and Learning Lessons from Moral Failures: Who Cares about Ethics?

机译:埃博拉病毒和道德失败的教训:谁在乎道德?

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The exercise of identifying lessons in the aftermath of a major public health emergency is of immense importance for the improvement of global public health emergency preparedness and response. Despite the persistence of the Ebola Virus Disease (EVD) outbreak in West Africa, it seems that the Ebola 'lessons learned' exercise is now in full swing. On our assessment, a significant shortcoming plagues recent articulations of lessons learned, particularly among those emerging from organizational reflections. In this article we argue that, despite not being recognized as such, the vast majority of lessons proffered in this literature should be understood as ethical lessons stemming from moral failures, and that any improvements in future global public health emergency preparedness and response are in large part dependent on acknowledging this fact and adjusting priorities, policies and practices accordingly such that they align with values that better ensure these moral failures are not repeated and that new moral failures do not arise. We cannot continue to fiddle at the margins without critically reflecting on our repeated moral failings and committing ourselves to a set of values that engenders an approach to global public health emergencies that embodies a sense of solidarity and global justice.
机译:在重大公共卫生紧急事件发生后确定经验教训的活动,对于改善全球公共卫生突发事件的准备和响应至关重要。尽管西非的埃博拉病毒病(EVD)疫情持续存在,但埃博拉“汲取的教训”似乎正在如火如荼地进行。根据我们的评估,严重的缺陷困扰着最近对所学课程的表述,尤其是在组织反思中所汲取的课程。在本文中,我们认为,尽管未得到如此认可,但该文献中提供的绝大多数经验教训应被理解为源自道德失灵的道德经验教训,并且未来全球公共卫生应急准备和响应方面的任何改进都很大在一定程度上取决于承认这一事实并相应地调整优先顺序,政策和做法,以使它们与能够更好地确保这些道德失败不会再次发生并且不会出现新的道德失败的价值观保持一致。如果不能批判性地反思我们屡屡出现的道德失误,并致力于一系列价值观,就可以采取一种应对全球公共卫生紧急情况的方法,这种方法体现了团结和全球正义感,那么我们就不能继续在边缘地带摆弄。

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