2021, Number 34
<< Back Next >>
INFODIR 2021; 17 (34)
Ethical accompaniment in the context of the COVID-19 pandemic
Cañete VR, Brito PK, Bellezi GD
Language: Spanish
References: 24
Page: 1-16
PDF size: 482.43 Kb.
ABSTRACT
Introduction: The COVID-19 pandemic, the result of the emergency of the new SARS-CoV-2, tends to collapse the national health systems in different countries, determining an imbalance between health care needs and the effective availability of human and material resources. This situation leads to an increase in the number and variety of scientific investigations.
Objective: Reflect on the importance of ethical monitoring of scientific research and the actions of health systems in the context of the COVID-19 pandemic.
Development: It reflects on the importance of designing and implementing quality interventions that prevent, control and eradicate health problems and defines what, in the opinion of the authors, is a country's investigative capacity and its integration with government structures. Elements are exposed in relation to the principles and objectives of clinical research, its supervision and the monitoring of communication and epidemiological surveillance actions in times of pandemic.
Conclusions: The authors conclude that conducting research to optimize health care for individuals and communities affected by the new SARS-CoV-2 and thereby reduce the negative impact of the pandemic is essential. However, the necessary ethical monitoring of the research processes and implementation of the results to humanize and improve them is of equal importance, especially in times of open science and questions related to the reliability of research.
REFERENCES
Zheng J. SARS-CoV-2: An Emerging Coronavirus that Causes a Global Threat. Int J Biol Sci. 2020;16(10):1678- 85. DOI: https://doi.org/10.7150/ijbs.45053.
Kohrt BA, Mistry AS, Anand N, Beecroft B, Nuwayhid I. Health research in humanitarian crises: an urgent global imperative. BMJ Global Health. 2019. DOI: https://doi.org/10.1136/bmjgh-2019-001870.
Organización Panamericana de la Salud y Consejo de Organizaciones Internacionales de las Ciencias Médica. Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. Cuarta Edición. Ginebra: Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS). 2016 [acceso 07/12/2020]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/34457/9789290360902-spa.pdf?sequence=5&isAllowed=y.
Guidance for managing ethical issues in infectious disease outbreaks. OMS. 2016 [acceso 07/12/2020]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/250580/9789241549837-eng.pdf?sequence=1.
Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924. DOI: https://doi: 10.1016/j.ijantimicag.2020.105924.
Packer AI, Santos S. Ciencia abierta y el nuevo modus operandi de comunicar la investigación – Parte I. SciELO en Perspectiva. 2019 [acceso 30/04/2020]. Disponible en: https://blog.scielo.org/es/2019/08/01/ciencia-abierta-y-el-nuevo-modus-operandi-de-comunicar-la-investigacion-parte-i/
Usher AD. WHO launches crowdfund for COVID-19 response. Lancet. 2020;395(10229):1024. DOI: https://doi.org/10.1016/S0140-6736(20)30719-4.
Yan-Rong Guo, Qing-Dong Cao, Zhong-Si Hong, Yuan-Yang Tan, Shou-Deng Chen, Hong-Jun Jin, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Military Medical Research. 2020;7:11. DOI: https://doi.org/10.1186/s40779-020-00240-0.
Emanuel EJ, Persad G, Upshur R, Thome B, Parker M, Glickman A, et al. Fair Allocation of Scarce Medical Resources in the Time of Covid-19. N Engl J Med. 2020;382:2049-55. DOI: https://doi.org/10.1056/NEJMsb2005114.
Rosenbaum L. Facing Covid-19 in Italy - Ethics, Logistics, and Therapeutics on the Epidemic’s Front Line. N Engl J Med. 2020;382:1873-5. DOI: https://doi.org/10.1056/NEJMp2005492.
Blanchet K, Ramesh A, Frison S, Warren E, Hossain M, Smith J, et al. Evidence on public health interventions in humanitarian crises. Lancet. 2017;390:2287–96. DOI: http://dx.doi.org/10.1016/ S0140-6736(16)30768-1
Philips M, Derderian K. Health in the service of state-building in fragile and conflict affected contexts: an additional challenge in the medical-humanitarian environment. Confl Health. 2015;9:13.
Cañete R. The Cuban Public Health System Focuses Research on Community Needs. Curr Ther Res Clin Exp. 2016;85:1. DOI: https://doi.org/10.1016/j.curtheres.2016.11.003.
Días-Canel Bermúdez M, Núñez Jover J. Gestión gubernamental y ciencia cubana en el enfrentamiento a la COVID-19. Anales de la Academia de Ciencias de Cuba. 2020;10(2):especial COVID-19.
Documentos del 7mo. Congreso del Partido aprobados por el III Pleno del Comité Central del PCC el 18 de mayo de 2017 y respaldados por la Asamblea Nacional del Poder Popular el 1 de junio de 2017 (I). 2017 [acceso 27/06/2020]. Disponibles en: http://www.granma.cu/file/pdf/gaceta/%C3%BAltimo%20PDF%2032.pdf
Constitución de la República de Cuba. 2017 [acceso 07/12/2020]. Disponible en: http://www.granma.cu/file/pdf/gaceta/Nueva%20Constituci%C3%B3n%20240%20KB-1.pdf
Cañete Villafranca R, Guilhem D, Brito Pérez K, Carvalho Garbi Novaes MR, Valdés Villafranca R, Noda Albelo AL. Responsabilidad institucional y social en la investigación científica. Rev cubana Med. 2014 [acceso 7/12/2020];53(1):104-13. Disponible en: http://bvs.sld.cu/revistas/med/vol53_1_14/med10114.htm
Ethical considerations to guide the use of digital proximity tracking technologies for COVID-19 contact tracing. WHO. 2020 [acceso 07/12/2020]. Disponible en: https://www.who.int/publications/i/item/WHO-2019-nCoV-Ethics_Contact_tracing_apps-2020.1.
European Commission. Communication from the Commission: guidance on apps supporting the fight against COVID 19 pandemic in relation to data protection. Brussels: European Commission. 2020 [acceso 07/12/2020]. Disponible en: https://ec.europa.eu/info/sites/info/files/5_en_act_part1_v3.pdf
South African Medical Association. SARS-CoV-2 (COVID-19) guidance for managing ethical issues. 2020. Disponible en: https://www.samedical.org/files/covid19/doctor_resource/SAMA_Ethics%20Guidance%20_COVID-19%20Ethics_2020%207%20Apr.pdf
Karan A. Responding to global public health crises. AMA J Ethics. 2020;22(1):E3-E4. DOI: https://doi.org/10.1001/amajethics.2020.3
Ren SY, Gao RD, Chen YL. Fear can be more harmful than the severe acute respiratory syndrome coronavirus 2 in controlling the corona virus disease 2019 epidemic. World J Clin Cases. 2020;8(4):652- 7. DOI: https://doi.org/10.12998/wjcc.v8.i4.652.
WHO guidelines on ethical issues in public health surveillance. World Health Organization; 2017 [acceso 07/12/2020]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/255721/9789241512657-eng.pdf.
Larivière V, Shu F, Sugimoto C. O surto de coronavírus (COVID-19) ressalta sérias deficiências na comunicação científica. LSE Impact Blog. 2020 [acceso 30/04/2020]. Disponible en: https://blog.scielo.org/blog/2020/03/12/o-surto-de-coronavirus-covid-19-ressalta-serias-deficiencias-na-comunicacao-cientifica/.