基于公共卫生和政治关系的历史探索传染病防控伦理  

Ethics of Prevention and Control of Infectious Disease Based on the Relationship between Public Health History and Politics

作　　者：丛亚丽[1] CONG Ya-li(School of Health Humanities,Peking University,Beijing 100191,China)

机构地区：[1]北京大学医学人文学院,北京100191

出　　处：《医学与哲学》2022年第17期6-10,共5页Medicine and Philosophy

基　　金：2020年国家社会科学基金项目(20BZX128)。

摘　　要：公共卫生领域本身天然地把健康和政治密切地联系在一起,这一特点使得探索传染病防控伦理离不开对科学、政治、历史文化和制度等因素的综合考量。简要梳理英国、美国和中国公共卫生历史中与传染病防控相关的典型事件,尝试从公共卫生与政治的关系视角归纳传染病防控伦理中的科学被边缘化、防控政策援引前任而后果隔代遗传以及不同国家之间难以比较高下但各自都有改善空间等特点,提出应正确看待疫情防控中个人自由与公共健康的关系,以相称性原则处理生命第一与经济和社会生活的关系,疫情防控需要全球行动,民族、地区、国家的利益应置于全球整体利益视域中衡量。Public health has a nature of bonding health and politics closely,which makes the ethics of infectious disease prevention and control and studies of science,politics,history,culture,and social system a whole package.This article traces back to the typical events in the public health history of the United Kingdom,the United States and China,analyzes the characteristics of ethics of infectious disease prevention and control from the perspective of the relationship between public health and politics.It is characterized by marginalization of science,policy inheritance of predecessors yet impact on next generation,and difficulty in comparing different regions but each has room for improvement.It is proposed to correctly view the relationship between personal freedom and public health in epidemic prevention and control,and to deal with the relationship between life first and economic and social life with the"principle of proportionality",epidemic prevention and control requires global action,and the interests of nationalities,regions and countries should be measured with the perspective of global overall interests.

关 键 词：公共卫生历史 政治 防控伦理 

分 类 号：R-05[医药卫生]