The Moral Case for Eradication Claudia I Emerson

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The Moral Case for Eradication Claudia I. Emerson, Ph. D Session IV Global Vaccines

The Moral Case for Eradication Claudia I. Emerson, Ph. D Session IV Global Vaccines 202 X: Access, Equity, Ethics 3 May 2011, Philadelphia, USA University Health Network and University of Toronto ESC 2 Program, BMGF India Office, Apr 5 2011

1. Do we have moral obligations to eradicate disease? 2. What are morally significant

1. Do we have moral obligations to eradicate disease? 2. What are morally significant implications of eradication? University Health Network and University of Toronto

Duty to Rescue Criteria 1. Opportunity 2. Capability 3. Reasonable burden University Health Network

Duty to Rescue Criteria 1. Opportunity 2. Capability 3. Reasonable burden University Health Network and University of Toronto

Duty to Future Generations • Avert preventable harm : spare future generations the harms

Duty to Future Generations • Avert preventable harm : spare future generations the harms associated with disease • May apply where present generation can have meaningful impact on future generations, e. g. protect against environmental degradation University Health Network and University of Toronto

Duty to Pursue Global Public Goods “ Where it is feasible, disease eradication (for

Duty to Pursue Global Public Goods “ Where it is feasible, disease eradication (for diseases of global scope) can therefore be seen as a GPG [global public good]…” --Woodward & Smith, 2003 University Health Network and University of Toronto

University Health Network and University of Toronto

University Health Network and University of Toronto

Ethically Significant Implications • Inter-generational benefits • Health equity • Global solidarity • Southern

Ethically Significant Implications • Inter-generational benefits • Health equity • Global solidarity • Southern innovation University Health Network and University of Toronto

Going Forward: EIC Eradication Investment Case (EIC) • Systematic approach for deciding between targets

Going Forward: EIC Eradication Investment Case (EIC) • Systematic approach for deciding between targets of eradication and determining whether a proposed eradication initiative is feasible from a scientific, technical, economic, socio-political and ethical standpoint • Anticipates and mitigates risks, e. g. ‘the last mile’, social disruption, impact on health systems University Health Network and University of Toronto

Conclusion • Moral arguments need to be weighed in the balance of reasons that

Conclusion • Moral arguments need to be weighed in the balance of reasons that inform decisions about whether to pursue eradication • Future eradication initiatives will need to examine ethical implications in the context of an EIC University Health Network and University of Toronto

Polio Eradication Post Eradication Vaccination Policy March 2007Polio Eradication Post Eradication Vaccination Policy March 2007
GLOBAL ERADICATION OF DISEASE Medical Geography INTRODUCTION EradicationGLOBAL ERADICATION OF DISEASE Medical Geography INTRODUCTION Eradication
Ralph Waldo Emerson 1803 1882 Emerson was bornRalph Waldo Emerson 1803 1882 Emerson was born
EMERSON SIGNOBERTO DANIEL prof emerson aviacaogmail com LEGISLAOEMERSON SIGNOBERTO DANIEL prof emerson aviacaogmail com LEGISLAO
2008 Emerson Network Power 7 2008 Emerson Network2008 Emerson Network Power 7 2008 Emerson Network
Emerson Longfellow and Bryant Major American Authors EmersonEmerson Longfellow and Bryant Major American Authors Emerson
EMERSON SIGNOBERTO DANIEL prof emerson aviacaogmail com OBJETIVOEMERSON SIGNOBERTO DANIEL prof emerson aviacaogmail com OBJETIVO
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