Imani Carpenter Brookman Univ 112 11/11/2014 Any problem that affects the international community is going to come with a multitude of suggested solutions, and the Ebola outbreak is no different. One of the possible solutions to this problem is the use of public health measures to help the international community. In the article “Ebola Declared Public Health Emergency” Erika Check Hayden says these public health measures include “contact tracing and risk education…ensuring funerals and burials are conducted so as to reduce the risk of infections…and community awareness.”(Hayden). On August 8th the World Health Organization declared this outbreak a public health emergency, which they define as “an occurrence or imminent threat of an illness or health condition, caused by bioterrorism, epidemic or, pandemic disease or (a) novel and highly fatal infectious agent or biological toxin, that poses a substantial risk of a significant number of human facilities…”(WHO) Some epidemiologist like Michael Osterholm of the University of Minnesota hope that the WHO’s declaration will make the public focus on public-health measures rather than experimental vaccines.(qtd. in Hayden). The use of these measures is cheaper, faster to enact, easier to trust, and we know that they will work. Nonetheless they are far more ethical to use than the alternative option of using experimental drugs. This solution is ethical when analyzed through the utilitarian approach. Using public health measures will ensure that more people are helped than being harmed. As noted by Santa Clara University the utilitarian approach focuses on consequences; and this solution is working to increase the number of people who do not come in contact with the disease and reduce the amount of people exposed. (Velasquez et al.). If these measures are carried out correctly then we will be able to isolate the people who have this deadly disease and 1 Imani Carpenter Brookman Univ 112 11/11/2014 protect the people around them. This use of public health measures is not only the most efficient solution to fighting Ebola but also the most ethical. Most people would appreciate using public health measures over using experimental drugs because it is monumentally cheaper. For example, Tekmira in Burnbary, Canada received $140 million dollars from the US Department of Defense just to fund the testing of their vaccine. (Reardon 520). Using measures like educating the public and proper burial will cost a government virtually no money. These measures being cheaper also use the utilitarian approach when looking at it ethically. This is because close to no harm will be done to the respective governments bank accounts while a vast amount of people will be able to be helped. Also because public health measures cost very little to no money there will be no worry of running out of resources, like Heinz Feldmann did in 2005 while developing a possible Ebola vaccine. (Reardon 520) The use of public health measure has not only proved to an ethical solution, but also drastically cheaper than the alternative of using experimental drugs. Not only are these methods considerably cheaper than using experimental drugs but also they are also easier to use. Using a vaccine would require physically taking a pill or getting a shot while public health measures do not require very much work. The countries where Ebola is most heavily present do not have the resources to be able to give out shots and pills to the affected. In the Nature Science Journal article, “Ebola: Time to Act”, it is mentioned that “the dysfunctional health-care infrastructure of the three countries at the center of the outbreak- Guinea, Sierra Leone, and Liberia, which are poor and struggling to emerge from years of war – is simply not up to task.” (513:144). This 2 Imani Carpenter Brookman Univ 112 11/11/2014 could also be seen as utilitarian ethics because if experimental drugs are being used it would put pressure on the companies and countries distributing the drug, instead of making them feel at ease. The pressure from using these drugs will be too hard for the fragile countries to handle, and it would be easier for them to promote the use of public health measures. When dealing with the international community it is important to gain the trust of the affected people. It would be easier for someone to trust something as simple as washing your hands compared to getting a shot you know nothing about. Amesh Adalija of the University of Pittsburg Medical Center in Pennsylvania says “These drugs don't have an established safety record with humans, so it becomes much more complicated.”(qtd. in Hayden). The trust of the people has already been compromised by rumors suggesting the governments are harvesting organs and purposely trying to spread this horrible disease. When looking at this ethically it still follows the trend of utilitarian ethics; more good is done than harm by using public health measures because no trust is being lost. The international community will be significantly helped by using public health measures because there wont be a lost of trust among the people. Lastly, the use of public health measures is the best solution in fighting Ebola because we know that if done correctly they will work in our favor. In the article “Ebola: Time to Act” it is said, “the tragedy is that we know how to stop Ebola.” (513:143). From the time we were little we are taught to cover our mouths when we cough, stay home when were sick, and not to come in contact with anyone who maybe sick. Most of us have seen first hand how these simple things can keep us healthy, and the same (Nature 3 Imani Carpenter Brookman Univ 112 11/11/2014 International Weekly Journal of Science) (Hayden) (Nature International Weekly Journal of Science) things will work for Ebola. Although Ebola is more deadly than the common cold it is still a virus and all viruses can be avoided using the same measures. These measures that we are taught as a young child is going to help the majority of people rather than harm anyone. This is another reason why using public health measures can be seen by an ethicist as the utilitarian approach. Overall, we have seen the power of using public health measures with viruses and we know they will do the same with Ebola. Works Cited 4 Imani Carpenter Brookman Univ 112 11/11/2014 Check Hayden, Erika. “Ebola Declared Public Health Emergency” Nature (2014): n. pag. Web. “Ebola: Time to Act” Editorial. Nature 513 (2014): 143-144. Web. Reardon, Sara. “Ebola Treatments Caught in Limbo” Nature 511 (2014): 520 Web. World Health Organization. Definitions: emergencies. 2008. <www.who.int/hac/defintions/en/> 5
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