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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25401

Title: Limiting the Collateral Damage of SARS: The Ethics of Priority Setting
Authors: Adly, Marian Helen
Advisor: Upshur, Ross
Department: Medical Science
Keywords: priority setting
public health
emergency management
public health ethics
collateral damage
emergency planning
decision making
resource allocation
Issue Date: 14-Dec-2010
Abstract: The 2003 Severe Acute Respiratory Syndrome (SARS) outbreak in Canada highlights a broad range in ethical challenges, particularly in priority setting. Presently, a leading theory in ethical priority setting is Daniels’ and Sabin’s Accountability for Reasonableness (A4R), which enhances fair and legitimate procedural decision making in typical healthcare settings. A4R attempts to mitigate conflicting interests and facilitate fairness in deliberations over priority setting issues. Whether this framework may be applied to public health emergencies has yet to be examined. This qualitative study describes the outbreak through the lens of A4R and explores the applicability of A4R in atypical or emergent circumstances. Findings from 25 structured key informant interviews of public health officials suggest refinements to the framework may be required for emergency events. The presence of such a framework may minimize collateral damage during and after a response. The lessons may guide future preparedness efforts such as pandemic planning.
URI: http://hdl.handle.net/1807/25401
Appears in Collections:Master
Institute of Medical Science - Master theses

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