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The Patient as Victim and Vector, New Edition - Ethics and Infectious Disease (Paperback, 2nd Revised edition)
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The Patient as Victim and Vector, New Edition - Ethics and Infectious Disease (Paperback, 2nd Revised edition)
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This book-first published a decade before the COVID-19 pandemic
erupted-is the first authored volume on ethical issues in
infectious disease, "monumental" for its competence and
comprehensiveness. It is augmented here with a new Preface on
COVID-19. The book develops an ethical framework for exploring
contagious infectious disease, the patient-as-victim-and-vector
view, grounded in the biological fact that a person with a
communicable infectious disease is not only a victim of that
disease, but at the same time also a potential vector. The patient
may be both threatened, someone made ill or facing death, but also
a threat, someone who may transmit an illness that will sicken or
kill others. Clinical medicine has tended to see one part of this
duality and public health the other; the victim-AND-vector view
insists on both, at one and the same time. Against a background of
methods from the long human history of contagious infectious
disease-quarantine, isolation, cordon sanitaire, surveillance and
contact tracing, testing by both archaic and modern methods,
lockdown, and immunization-the victim-and-vector view spotlights
ethical challenges for clinical medicine, research, public health,
and health policy. These insights are probed in the new Preface on
COVID-19 and are essential in our continuing struggle to address
not only the current coronavirus pandemic, but the next, and the
next after that.
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