Abstract

The COVID-19 pandemic is a global contagion of unprecedented proportions and health, economic, and social consequences. As with many health problems, its impact is uneven. This article argues the COVID-19 pandemic is a global health injustice due to moral failures of national governments and international organizations to prepare for, prevent and control it. Global and national health communities had a moral obligation to act in accordance with the current state of knowledge of pandemic preparedness. This obligation—a positive duty to develop and implement systems to reduce threats to and safeguard individuals’ and, communities’ abilities to flourish—stems from theories of global health justice and governance. The COVID-19 pandemic revealed and amplified the fragility and deficiencies in our global and domestic health institutions and systems. Moving forward, positive public health ethics is needed to set ethical standards for building and operating robust public health systems for resilient individuals and communities.

摘要

COVID-19大流行是全球蔓延的疾病，其蔓延史无前例，并给健康，经济和社会带来后果。与许多健康问题一样，其影响是不均衡的。本文认为，由于各国政府和国际组织在预防，控制艾滋病方面的精神失误，COVID-19大流行是全球性的健康不公。全球和国家卫生界有道义义务根据大流行防范的当前知识采取行动。这项义务-开发和实施系统以减少对个人和社区繁荣发展的威胁并维护其发展能力的一项积极义务—来自全球卫生正义与治理理论的内容。COVID-19大流行揭示并扩大了我们全球和国内卫生机构和系统的脆弱性和不足。展望未来，积极的公共健康伦理的需要来设置建设和运营的道德标准健壮的公共卫生系统弹性的个人和社区。