Ethical and legal considerations in the care of children and young people with high consequence infectious diseases (HCIDs): an approach to decision making

IF 15.5 1区医学 Q1 PEDIATRICS Lancet Child & Adolescent Health Pub Date : 2025-03-01 Epub Date: 2025-02-18 DOI:10.1016/S2352-4642(24)00353-5

Prof Elizabeth Whittaker PhD , Ruchi Sinha MD , Andrew Riordan MD , Alejandra Alonso MD , Prof Marieke Emonts PhD , Stephen Owens MD , Jonathan Cohen PhD , Sarah Mahoney MD , David Porter PhD , Beatriz Larru PhD , Shelley Segal PhD , Joe Brierley MD

{"title":"Ethical and legal considerations in the care of children and young people with high consequence infectious diseases (HCIDs): an approach to decision making","authors":"Prof Elizabeth Whittaker PhD , Ruchi Sinha MD , Andrew Riordan MD , Alejandra Alonso MD , Prof Marieke Emonts PhD , Stephen Owens MD , Jonathan Cohen PhD , Sarah Mahoney MD , David Porter PhD , Beatriz Larru PhD , Shelley Segal PhD , Joe Brierley MD","doi":"10.1016/S2352-4642(24)00353-5","DOIUrl":null,"url":null,"abstract":"<div><div>High consequence infectious diseases (such as Ebola virus or avian influenza) require specialist management with strict isolation to avoid spread to health-care staff and the wider community. These infections present various ethical and legal issues for children and young people. Specific challenges include the impact of isolation on the child and family (potentially without a child's consent), limitations to care due to staff safety considerations, and reduction of resources for other children (due to potential closure of paediatric intensive care unit beds). The complex decision making required in these scenarios needs timely ethical support. As planning for future pandemics accelerates, we suggest that the ethical and legal considerations involved in delivering care to affected children and their families need urgent consideration, and we have highlighted the important areas for focus to provide a route map for this important undertaking.</div></div>","PeriodicalId":54238,"journal":{"name":"Lancet Child & Adolescent Health","volume":"9 3","pages":"Pages 205-210"},"PeriodicalIF":15.5000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lancet Child & Adolescent Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352464224003535","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/18 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

High consequence infectious diseases (such as Ebola virus or avian influenza) require specialist management with strict isolation to avoid spread to health-care staff and the wider community. These infections present various ethical and legal issues for children and young people. Specific challenges include the impact of isolation on the child and family (potentially without a child's consent), limitations to care due to staff safety considerations, and reduction of resources for other children (due to potential closure of paediatric intensive care unit beds). The complex decision making required in these scenarios needs timely ethical support. As planning for future pandemics accelerates, we suggest that the ethical and legal considerations involved in delivering care to affected children and their families need urgent consideration, and we have highlighted the important areas for focus to provide a route map for this important undertaking.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

照料患有严重后果传染病的儿童和青年时的道德和法律考虑：一种决策方法

后果严重的传染病（如埃博拉病毒或禽流感）需要严格隔离的专家管理，以避免传播给卫生保健人员和更广泛的社区。这些感染给儿童和青少年带来了各种道德和法律问题。具体挑战包括隔离对儿童和家庭的影响（可能未经儿童同意）、由于工作人员出于安全考虑而限制护理、以及用于其他儿童的资源减少（由于儿科重症监护病房床位可能关闭）。在这些情况下所需要的复杂决策需要及时的道德支持。随着对未来流行病的规划加快，我们建议需要紧急考虑向受影响儿童及其家庭提供护理所涉及的道德和法律方面的考虑，我们强调了重点领域，以便为这一重要工作提供路线图。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Lancet Child & Adolescent Health Psychology-Developmental and Educational Psychology

CiteScore

40.90

自引率

0.80%

发文量

381

期刊介绍： The Lancet Child & Adolescent Health, an independent journal with a global perspective and strong clinical focus, presents influential original research, authoritative reviews, and insightful opinion pieces to promote the health of children from fetal development through young adulthood. This journal invite submissions that will directly impact clinical practice or child health across the disciplines of general paediatrics, adolescent medicine, or child development, and across all paediatric subspecialties including (but not limited to) allergy and immunology, cardiology, critical care, endocrinology, fetal and neonatal medicine, gastroenterology, haematology, hepatology and nutrition, infectious diseases, neurology, oncology, psychiatry, respiratory medicine, and surgery. Content includes articles, reviews, viewpoints, clinical pictures, comments, and correspondence, along with series and commissions aimed at driving positive change in clinical practice and health policy in child and adolescent health.