COVID-19防控策略的伦理思考与启示

Ethical Reflection and Enlightenment of Coping Strategies of COVID-19

面对突如其来的新冠肺炎疫情,世界不同国家所采取的防疫策略与措施各异,引发了广泛的争论。主要讨论疫情防控应采取放任性防控策略还是积极性防控策略、在资源稀缺的情况下资源优先配置的评估标准设定以及对年龄设限是否合理,针对欧美国家采取的群体免疫策略,从公共卫生伦理角度对其进行伦理分析。结合稀缺资源分配的伦理问题,阐述了新冠肺炎疫情大流行期间稀缺资源的评估原则。最后从中国与欧美国家的抗疫实践,探讨政府权力干预个体行为的伦理学依据,探寻在面临重大公共卫生危机时应有的伦理考量。

Broad controversy rooted from different anti-epidemic strategies in different countries coping with the sudden outbreak of COVID-19 has drawn much attention.This paper focuses on the anti-epidemic strategy choices:laissez-faire or proactive.It also discusses the evaluation standard setting of resource allocation priority in the case of resource scarcity and whether the age limit setting is reasonable.It makes an ethical analysis from the perspective of public health ethics on the herd immunity adopted by U.S.and European countries.To address the ethical issues in the allocation of scarce resources,this paper expounds the evaluation principles of scarce resources in COVID-19.Last but not least,from the practice of China and western countries in the fight against COVID-19,this paper discusses the ethical basis of government intervention on individual behavior,and explores the ethical considerations that should be made in the face of major public health crisis.