Reflexiones bioéticas en torno a la historia de las epidemias de viruela

Lourdes Velázquez
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Abstract

Epidemics can be considered as collective illnesses, in the sense that they affect a whole large community, and can even lead to its total destruction. For this reason they present with special bioethical problems, as they entail giving priority to certain collective values, linked with the ‘common good’, over other values that are usually considered in medical ethics. For this reason, a short history of epidemics will help clarify the real importance and complexity of this picture, which could possibly face humankind of the present and the future in forms even more complex than past epidemics. In addition, the consideration of certain episodes of this history, in which the conscious use of contagion was adopted to destroy enemy populations, brings one rather close to the currently wide discussed issue of the ‘double use’ of the results of scientific research.

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对天花流行历史的生物伦理思考
流行病可以被视为集体疾病,因为它们影响到整个大社区,甚至可能导致整个社区的毁灭。因此,它们带来了特殊的生物伦理问题,因为它们需要优先考虑与"共同利益"有关的某些集体价值观,而不是通常在医学伦理中考虑的其他价值观。因此,流行病的短暂历史将有助于澄清这一情况的真正重要性和复杂性,人类现在和未来可能面临比过去流行病更为复杂的形式。此外,考虑到这段历史的某些片段,在这些片段中,有意识地使用传染病来消灭敌人的人口,使人们相当接近于目前广泛讨论的科学研究结果的“双重使用”问题。
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