In “Allocating Scare Resources in a Pandemic,” Martin Strosberg calls attention to the need for preparedness planning including methods for rationing vaccines, antiviral medications, and intensive care unit beds and staff.
The Epidemic Intelligence Service, by Douglas H. Hamilton, traces the history of the Centers for Disease Control and Prevention’s Epidemic Intelligence Service, with details about the service’s response to actual and potential epidemic outbreaks.
Allison Bickford, a science student, discusses multidrug-resistant tuberculosis epidemics in New York and Russia in the 1990s. On the verge of global eradication 20 years ago, TB is now one of the leading infectious causes of death in the world.
Physicians should be aware of the level of emotional distress and suffering that a patient is experiencing as a result of his or her illness and incorporate that into the patient's treatment plan.
Physicians should demonstrate compassion when the parent of an ill child asks the physician for his or her personal opinion regarding the parents' choice to continue experimental treatment when the prognosis is not good.
Physicians who treat children with Down's syndrome should ensure that their parents fully understand the children's capabilities and long-term prognosis and counsel them on the appropriate actions to take regarding their children's care.
Increased awareness and improvement in access are needed in order to alleviate the racial disparities that exist with regard to the underutilization of hospice care by African Americans and other ethnic populations.
Argument that physicians called upon for expert testimony in court have an ethical duty to educate the jury by offering opinions based upon published, clinically based evidence and peer-reviewed medical literature.
Two physicians offer commentaries on the best course of action for a part-time janitor with no health insurance to receive the proper standard of care for his chronic recurrent prostatitis.