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Survey of State Pan/Flu Plans

sharon sanders

Editor-in-Chief & President
[FONT=Arial, Helvetica, sans-serif][SIZE=-1]Health Policy and Ethics [/SIZE][/FONT]

[SIZE=+2]Ethics in a Pandemic: A Survey of the State Pandemic Influenza Plans [/SIZE]

<NOBR>James C. Thomas <SUP>1</SUP><SUP>*</SUP>,</NOBR> <NOBR>Nabarun Dasgupta <SUP>1</SUP>,</NOBR> <NOBR>Amanda Martinot <SUP>1</SUP></NOBR>
[SIZE=-1]<SUP>1</SUP> University of North Carolina, Department of Epidemiology
[/SIZE]

[SIZE=-1]<SUP>*</SUP> To whom correspondence should be addressed. E-mail: jim.thomas@unc.edu<SCRIPT type=text/javascript><!-- var u = "jim.thomas", d = "unc.edu"; document.getElementById("em0").innerHTML = '<a href="mailto:' + u + '@' + d + '">' + u + '@' + d + '<\/a>'//--></SCRIPT> . [/SIZE]
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<TABLE cellSpacing=0 cellPadding=0 width="100%" bgColor=#e1e1e1><TBODY><TR><TD vAlign=center align=left width="5%" bgColor=#ffffff>
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</TD><TH vAlign=center align=left width="95%">[SIZE=+2] Abstract[/SIZE]</TH></TR></TBODY></TABLE>
A pandemic of highly pathogenic influenza would threaten the<SUP> </SUP>lives of hundreds of thousands in the United States and confront<SUP> </SUP>governments and organizations, with ethical issues having wide-ranging<SUP> </SUP>implications. The Department of Health and Human Services and<SUP> </SUP>all states have published pandemic influenza plans.
We analyzed<SUP> </SUP>the federal and state plans, available on the Internet, for<SUP> </SUP>evidence of ethical guidance as judged by the presence of ethical<SUP> </SUP>terms. The most striking finding was an absence of ethical language.<SUP> </SUP>Although some states acknowledged the need for ethical decisionmaking,<SUP> </SUP>very few prescribed how it should happen. If faced by a pandemic<SUP> </SUP>in the near future, we stand the risk of making many unjust<SUP> </SUP>and regrettable decisions.
<SUP></SUP>Key Words: Ethics, Government, Public Health Practice
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full pdf:

http://www.ajph.org/cgi/reprint/AJPH.2006.093443v1
 
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