Pub Date : 2025-11-18DOI: 10.1016/j.jemep.2025.101221
H. Zhang
{"title":"Male patients appeared in Chinese papers on female diseases","authors":"H. Zhang","doi":"10.1016/j.jemep.2025.101221","DOIUrl":"10.1016/j.jemep.2025.101221","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101221"},"PeriodicalIF":0.0,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-18DOI: 10.1016/j.jemep.2025.101218
J.C. Colegado, R.P. Colegado
{"title":"No elder left behind: embedding ‘Pag-amuma’ in Philippine digital care","authors":"J.C. Colegado, R.P. Colegado","doi":"10.1016/j.jemep.2025.101218","DOIUrl":"10.1016/j.jemep.2025.101218","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101218"},"PeriodicalIF":0.0,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-17DOI: 10.1016/j.jemep.2025.101217
P.-H. Moury
The challenges of colonial transitions in health interact with epidemiology and philosophy, which are necessary to understand the contexts of health disparities found in the French colonies of New Caledonia and the Antilles developed here.
Colonialism interact with the global health transitions, including demographic, epidemiological, and climatic transitions, through persistent colonial phenomenon in forms of neocolonialism and post-colonialism. This underscores the necessity of revaluating our relationship with nature and the boundaries of our existing perceptions, calling for an ethic grounded in distributive justice.
The narrative of epidemiology spans from the practices of colonial physicians to the tenets of modern bioethics, delving into the chlordecone scandal. We explore the contributions of figures such as Frantz Fanon, who combated racism and colonialism, and address ongoing debates regarding the incorporation of race in epidemiological research.
We underscore the essential incorporation of social inequalities in health, with a focus on intersectionality as a lens for revisiting epidemiology, alongside ecofeminism, the "One Health" approach, and art to comprehend the determinants of health.
{"title":"Colonial transitions in health","authors":"P.-H. Moury","doi":"10.1016/j.jemep.2025.101217","DOIUrl":"10.1016/j.jemep.2025.101217","url":null,"abstract":"<div><div>The challenges of colonial transitions in health interact with epidemiology and philosophy, which are necessary to understand the contexts of health disparities found in the French colonies of New Caledonia and the Antilles developed here.</div><div>Colonialism interact with the global health transitions, including demographic, epidemiological, and climatic transitions, through persistent colonial phenomenon in forms of neocolonialism and post-colonialism. This underscores the necessity of revaluating our relationship with nature and the boundaries of our existing perceptions, calling for an ethic grounded in distributive justice.</div><div>The narrative of epidemiology spans from the practices of colonial physicians to the tenets of modern bioethics, delving into the chlordecone scandal. We explore the contributions of figures such as Frantz Fanon, who combated racism and colonialism, and address ongoing debates regarding the incorporation of race in epidemiological research.</div><div>We underscore the essential incorporation of social inequalities in health, with a focus on intersectionality as a lens for revisiting epidemiology, alongside ecofeminism, the \"One Health\" approach, and art to comprehend the determinants of health.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101217"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-15DOI: 10.1016/j.jemep.2025.101220
A. Impiumi , C. Dalla Vecchia
Background
End of life decisions have always been subject of ethical and legal debate. Withholding and withdrawing of life sustaining treatment (WWLST) is a widely accepted practice, while assisted dying, including physician assisted suicide and euthanasia remain ethically and legally contentious in many countries. This review explores the ethical arguments surrounding both WWLST and assisted dying focusing on the Irish and the UK landscape.
Methods
A literature review was conducted in April 2021 through PubMed, RCSI library online and government website. Sources included academic articles, legal documents and policy statements.
Results
Key ethical distinctions between WWLST and assisted dying center on interpretation, intention, patient autonomy and clinical judgement. Some medical cases in the past could have been interpreted as WWLST or assisted dying depending on how the case was presented. Debates include whether assisted dying and WWLST undergo the same ethical principles, if intention is the only difference between the two and if individual autonomy should be considered a principle that makes assisted dying acceptable or if it should be balanced with societal effects. Legally both Ireland and the UK allow WWLST under specific conditions but prohibit assisted dying. Some European countries like the Netherlands and Belgium allow assisted dying with strict criteria, while Switzerland allows it with comparatively minimal restrictions.
Conclusions
Although WWLST and assisted dying can both result in patients’ death, their ethical intent, legal status and procedural underpinning differ significantly. Clarity in these distinctions can help informing medical practice and guiding societal dialogue on end-of-life care.
{"title":"Is withdrawing and withholding of life sustaining treatment really different from assisted dying?","authors":"A. Impiumi , C. Dalla Vecchia","doi":"10.1016/j.jemep.2025.101220","DOIUrl":"10.1016/j.jemep.2025.101220","url":null,"abstract":"<div><h3>Background</h3><div>End of life decisions have always been subject of ethical and legal debate. Withholding and withdrawing of life sustaining treatment (WWLST) is a widely accepted practice, while assisted dying, including physician assisted suicide and euthanasia remain ethically and legally contentious in many countries. This review explores the ethical arguments surrounding both WWLST and assisted dying focusing on the Irish and the UK landscape.</div></div><div><h3>Methods</h3><div>A literature review was conducted in April 2021 through PubMed, RCSI library online and government website. Sources included academic articles, legal documents and policy statements.</div></div><div><h3>Results</h3><div>Key ethical distinctions between WWLST and assisted dying center on interpretation, intention, patient autonomy and clinical judgement. Some medical cases in the past could have been interpreted as WWLST or assisted dying depending on how the case was presented. Debates include whether assisted dying and WWLST undergo the same ethical principles, if intention is the only difference between the two and if individual autonomy should be considered a principle that makes assisted dying acceptable or if it should be balanced with societal effects. Legally both Ireland and the UK allow WWLST under specific conditions but prohibit assisted dying. Some European countries like the Netherlands and Belgium allow assisted dying with strict criteria, while Switzerland allows it with comparatively minimal restrictions.</div></div><div><h3>Conclusions</h3><div>Although WWLST and assisted dying can both result in patients’ death, their ethical intent, legal status and procedural underpinning differ significantly. Clarity in these distinctions can help informing medical practice and guiding societal dialogue on end-of-life care.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101220"},"PeriodicalIF":0.0,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-14DOI: 10.1016/j.jemep.2025.101216
S. Hossain , S.M.Y. Arafat
{"title":"Necrophilia among forensic morgue staff in Bangladesh: Three cases and the enduring concern","authors":"S. Hossain , S.M.Y. Arafat","doi":"10.1016/j.jemep.2025.101216","DOIUrl":"10.1016/j.jemep.2025.101216","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101216"},"PeriodicalIF":0.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-14DOI: 10.1016/j.jemep.2025.101214
R.P. Colegado, J.C. Colegado
{"title":"‘Kaulaw’ as moral habitus: reimagining ethical barriers in the Philippines’ HIV Response","authors":"R.P. Colegado, J.C. Colegado","doi":"10.1016/j.jemep.2025.101214","DOIUrl":"10.1016/j.jemep.2025.101214","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101214"},"PeriodicalIF":0.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-13DOI: 10.1016/j.jemep.2025.101215
A. Tiruneh, T. Yetneberk, D. Teshome, E. Fenta
Background
In Ethiopia, for the last six years, there has been a war between the federal government and regional forces. The war, which began in the Tigray region, has now significantly affected the Amhara region as well. Currently, there is active warfare in different locations in the Amhara region. The damage from the war could be multi-sectoral, and our interest is to show the damage to health systems, health infrastructure, health services, and the lives of citizens in both regions (Tigray and Amhara). Internal displacement of people, interruption of immunization for the pediatric age group, cessation of chronic illness follow-up, and even limited emergency services have also occurred during the war. Gender-based violence, including rape and transmission of incurable diseases such as HIV/AIDS, has been common during the crisis. Unless peace is secured and the war stopped, the aforementioned problems will continue.
Methods
The study follows a narrative literature review approach to analyze the situation and incorporates twenty-five studies that report war-related damage in the two regions from 2020−2025.
Results
The damage to hospitals was 82.9% in Tigray and 45.5% in the Amhara region, with many fully or partially damaged during the war. Depression increased from 16% in the prewar period to 25% during the war in the Tigray region, and more than 28,560 people were affected by depression in the Amhara region. Additionally, 271 women were raped in the Amhara region, and 34.4% of them tested HIV positive. Child immunization services and chronic illness follow-up, including diabetes mellitus and tuberculosis, were interrupted or limited during the war.
Recommendations
This study recommends that the international community, which works in peace and security, initiate negotiations to stop the continued war and restore health services.
{"title":"The effect of war on the health system, mental health, maternal health, and other war-related health issues in northern Ethiopia from 2020 to 2025: A narrative review","authors":"A. Tiruneh, T. Yetneberk, D. Teshome, E. Fenta","doi":"10.1016/j.jemep.2025.101215","DOIUrl":"10.1016/j.jemep.2025.101215","url":null,"abstract":"<div><h3>Background</h3><div>In Ethiopia, for the last six years, there has been a war between the federal government and regional forces. The war, which began in the Tigray region, has now significantly affected the Amhara region as well. Currently, there is active warfare in different locations in the Amhara region. The damage from the war could be multi-sectoral, and our interest is to show the damage to health systems, health infrastructure, health services, and the lives of citizens in both regions (Tigray and Amhara). Internal displacement of people, interruption of immunization for the pediatric age group, cessation of chronic illness follow-up, and even limited emergency services have also occurred during the war. Gender-based violence, including rape and transmission of incurable diseases such as HIV/AIDS, has been common during the crisis. Unless peace is secured and the war stopped, the aforementioned problems will continue.</div></div><div><h3>Methods</h3><div>The study follows a narrative literature review approach to analyze the situation and incorporates twenty-five studies that report war-related damage in the two regions from 2020−2025.</div></div><div><h3>Results</h3><div>The damage to hospitals was 82.9% in Tigray and 45.5% in the Amhara region, with many fully or partially damaged during the war. Depression increased from 16% in the prewar period to 25% during the war in the Tigray region, and more than 28,560 people were affected by depression in the Amhara region. Additionally, 271 women were raped in the Amhara region, and 34.4% of them tested HIV positive. Child immunization services and chronic illness follow-up, including diabetes mellitus and tuberculosis, were interrupted or limited during the war.</div></div><div><h3>Recommendations</h3><div>This study recommends that the international community, which works in peace and security, initiate negotiations to stop the continued war and restore health services.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101215"},"PeriodicalIF":0.0,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-13DOI: 10.1016/j.jemep.2025.101213
A. Perciaccante , A. Coralli
{"title":"Sherlock Holmes and Continuous Medical Education","authors":"A. Perciaccante , A. Coralli","doi":"10.1016/j.jemep.2025.101213","DOIUrl":"10.1016/j.jemep.2025.101213","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101213"},"PeriodicalIF":0.0,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-13DOI: 10.1016/j.jemep.2025.101212
R. Madzamba, J. Pillay
Background
Estimated to be 2.9 million as of 2020, the increasing number of immigrants in South Africa has resulted in hostility and violence. However, limited empirical research has been conducted to explore how female immigrants re-integrate into the South African society after experiencing social violence. This study purports to fill in this knowledge gap by capturing the ways Zimbabwean female immigrants utilize to reintegrate into the South African society after witnessing social violence in Durban, South Africa
Method
Data were collected based on Interpretive Phenomenological Analysis (IPA) design through face-to-face in-depth structured interviews with twenty (20) Zimbabwean female immigrants who have been staying in South Africa for more than 5 years and have been victims of social violence. Snowball and purposive sampling were used to recruit participants for the study. Data collected were analysed using thematic analysis.
Results
Movement from one place to another is considered a safe way to avoid experiencing danger in the future. Zimbabwean female immigrants adopt local culture and language to reintegrate into the South African society after witnessing social violence. Creating connections and joining local religious churches offer confidence and a sense of belonging to female immigrants as they try to reintegrate into the South African society after witnessing and experiencing social violence.
Conclusion
Despite the dangers immigrants face, they often devise strategies to overcome challenges, demonstrating resilience and a strong commitment to remaining in South Africa, even when aware of ongoing risks. This paper argues that threats in the host country do not compel female immigrants to leave; rather, they navigate their traumatic experiences through adaptive reintegration strategies that reflect their resilience. These strategies underscore their agency and emphasize the urgent need for stronger community support systems. Strengthening partnerships between local organizations and authorities can foster cultural sensitivity and inclusivity, ultimately improving integration outcomes for immigrant women.
{"title":"“I chose to stay and fight my way through”: Examining female immigrants’ re-integration and coping strategies following Traumatic experiences in Durban, South Africa","authors":"R. Madzamba, J. Pillay","doi":"10.1016/j.jemep.2025.101212","DOIUrl":"10.1016/j.jemep.2025.101212","url":null,"abstract":"<div><h3>Background</h3><div>Estimated to be 2.9 million as of 2020, the increasing number of immigrants in South Africa has resulted in hostility and violence. However, limited empirical research has been conducted to explore how female immigrants re-integrate into the South African society after experiencing social violence. This study purports to fill in this knowledge gap by capturing the ways Zimbabwean female immigrants utilize to reintegrate into the South African society after witnessing social violence in Durban, South Africa</div></div><div><h3>Method</h3><div>Data were collected based on Interpretive Phenomenological Analysis (IPA) design through face-to-face in-depth structured interviews with twenty (20) Zimbabwean female immigrants who have been staying in South Africa for more than 5 years and have been victims of social violence. Snowball and purposive sampling were used to recruit participants for the study. Data collected were analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Movement from one place to another is considered a safe way to avoid experiencing danger in the future. Zimbabwean female immigrants adopt local culture and language to reintegrate into the South African society after witnessing social violence. Creating connections and joining local religious churches offer confidence and a sense of belonging to female immigrants as they try to reintegrate into the South African society after witnessing and experiencing social violence.</div></div><div><h3>Conclusion</h3><div>Despite the dangers immigrants face, they often devise strategies to overcome challenges, demonstrating resilience and a strong commitment to remaining in South Africa, even when aware of ongoing risks. This paper argues that threats in the host country do not compel female immigrants to leave; rather, they navigate their traumatic experiences through adaptive reintegration strategies that reflect their resilience. These strategies underscore their agency and emphasize the urgent need for stronger community support systems. Strengthening partnerships between local organizations and authorities can foster cultural sensitivity and inclusivity, ultimately improving integration outcomes for immigrant women.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101212"},"PeriodicalIF":0.0,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Faith, folk healing, and the quest for inclusive healthcare in the Philippines","authors":"R.P. Malinda, A.J.A. Catolpos, M.E.J. Cuadra, W.I. Balane","doi":"10.1016/j.jemep.2025.101210","DOIUrl":"10.1016/j.jemep.2025.101210","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101210"},"PeriodicalIF":0.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145365024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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