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The Patient as Victim and VectorEthics and Infectious Disease$
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Margaret P. Battin, Leslie P. Francis, Jay A. Jacobson, and Charles B. Smith

Print publication date: 2009

Print ISBN-13: 9780195335842

Published to Oxford Scholarship Online: May 2009

DOI: 10.1093/acprof:oso/9780195335842.001.0001

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Pandemic Planning and the Justice of Health-Care Distribution

Pandemic Planning and the Justice of Health-Care Distribution

The Patient as Victim and Vector

Margaret P. Battin (Contributor Webpage)

Leslie P. Francis (Contributor Webpage)

Jay A. Jacobson (Contributor Webpage)

Charles B. Smith (Contributor Webpage)

Oxford University Press

In pandemic planning, much attention has been paid to justice in the distribution of scarce health care resources: vaccines, anti-virals, and access to advanced modes of treatment such as ventilator support. This chapter examines critically the extent to which some proposals fail to take existing injustice into account. It considers the justice of pandemic planning, arguing that in order to be just, pandemic planning requires attention to basic health care infrastructure for everyone. Without, for example, access to basic primary care, people will be less likely to present for treatment and pandemic disease may not be identified at a time when spread is more readily preventable.

Keywords:   communicability, vaccines, pandemic planning, partial compliance theory, distributive justice, anti-virals, access to care, home care

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