International/ Global Health

The Psychology of Uncertainty, Vaccinations, and Protecting the Most Vulnerable: Was Rawls Right After All?

written by Andreas Kappes (@AnKappes), Anne-Marie Nußberger (@amnussberger ), Molly Crockett (@mollycrockett ) & Julian Savulescu  (@juliansavulescu)

Measles is making a comeback in Britain and Europe with numbers rising to record levels this year. Last year in Europe, measles killed 35 people, including young children . The re-emergence of measles can be traced to falling rates of vaccination and might make you want to re-think your summer plans. Crowded environments with low levels of hygiene, also known as summer festivals, are something to avoid if unsure about whether you have been properly vaccinated. And maybe re-think going for holidays to Romania, Italy and Greece, the countries with the highest rates of measles outbreaks this year.

But of course, even if you are not vaccinated, your chances of getting measles are low. And if you are infected, dying from measles is rare. The people that die during measles outbreaks are vulnerable babies that are too young to be vaccinated and unvaccinated people with compromised immune systems. And what are the chances that you infect one of these vulnerable people? Extremely low. Your intuition then might be that even if you are unsure about your vaccination status, the low odds don’t seem to justify the effort to engage with the NHS or any other health care provider. Maximize your benefits, and others will surely be fine. Individually, this feels right, but for the communities and countries we live in, this is disastrous, slowly eroding herd immunity that protects the most vulnerable.

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Gene-Editing Mosquitoes at The European Youth Event 2018

By Jonathan Pugh

 

The below is a slightly extended version of my two 5min presentations at the European Youth Event 2018, at the European Parliament in Strasbourg. I was asked to present on the following questions:

 

  1. What are the ethical issues surrounding gene-editing, particularly with respect to eradicating mosquitoes?

 

  1. Should the EU legislate on gene-editing mosquitoes?

 

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Video Series: Tom Douglas on Asbestos, a Serious Public Health Threat

Asbestos kills more people per year than excessive sun exposure, yet it receives much less attention. Tom Douglas (Oxford Uehiro Centre for Practical Ethics) explains why asbestos is still a serious public health threat and what steps should be undertaken to reduce this threat. And yes, the snow in The Wizard of Oz was asbestos!

Cross Post – Most powerful lesson from Ebola: We do not learn our lessons

BY MAXWELL J. SMITH & ROSS E.G. UPSHUR

This article is cross posted from the OUPblog.  To see the original article please follow this link: http://bit.ly/1mjAg0Z

 ebola

‘Ebola is a wake-up call.’

 

This is a common sentiment expressed by those who have reflected on the ongoing Ebola outbreak in West Africa. It is a reaction to the nearly 30,000 cases and over 11,000 deaths that have occurred since the first cases of the outbreak were reported in March 2014. Though, it is not simply a reaction to the sheer number of cases and deaths; it is an acknowledgement that an outbreak of this magnitude should have never occurred and that we as a global community remain ill-prepared to prevent and respond to deadly global infectious disease outbreaks. Continue reading

Guest Post: Why Don’t We Do More to Help the Global Poor?

Simon Keller, Victoria University of Wellington
Read more in the current issue of the Journal of Practical Ethics

There is good reason to believe that people living comfortable lives in affluent countries should do more to help impoverished people in other parts of the world. Billions of people lack the nutrition, medicines, shelter, and safety that the better-off take for granted, and there exist organizations that do a pretty good job of taking money donated by the relatively rich and directing it towards those who need it most. If I can address myself to others who count among the global rich: we could do more to help the global poor, but we don’t.

It is not just that we do not do much to help the global poor; it is also that our patterns of helping do not respond to the most morally significant aspects of global poverty. We will give more in response to a disaster, like a hurricane or a tsunami, than to ongoing systemic poverty. We are more likely to give when confronted with a photograph of a starving family, or when we take ourselves to be sponsoring a particular child, than when faced with truths about how many people are suffering and how much they need our help.

In a recent article in Journal of Practical Ethics, I try to say something about what explains our patterns of helping behavior, as directed towards the global poor. Part of the explanation, of course, is our selfishness, laziness, and willful ignorance; and part of it is the power of personal stories and photographs to engage our emotions while statistics and geopolitical truths leave us numb. But a further part of the explanation, I think, is that while we know we have good reasons to help the global poor, we do not know what those reasons are.

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Risky Giving

I highly recommend Leif Wenar’s essay “Poverty Is No Pond” – especially to those not yet familiar with, but interested in, the empirical complexities involved in giving to overseas poverty-fighting charities.  Wenar’s main aim in his essay is to criticize Peter Singer’s 2009 book The Life You Can Save for (i) being overly optimistic about the quality of information available on the effects of giving to various charities, and (ii) failing to emphasize that every charitable donation also comes with some risk of harming people living in extreme poverty.  I’ll only briefly address (i), and then turn to and focus primarily on (ii).

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What Kind of Altruism is Most Effective?

Imagine that you have been left a large legacy, and would like to donate it to a charity, with a view to doing the most good possible.

It’s natural to think that one set of charities you should consider are those which cheaply save people’s lives, and perhaps particularly young people’s lives. For then you can count the good in the rest of those people’s lives as a good you’ve brought about. Continue reading

Two Kinds of Compassion

Recent stories of those such as Miguel Pajares, who died from the Ebola virus after catching it from those for whom he was caring, seem to provide paradigmatic examples of compassion. Continue reading

Can we solve the world’s problems by offering a large enough prize?

On the 22nd of October 1707, more than 1400 British sailors died when a British naval fleet sank in stormy weather off the Isles of Scilly. The disaster was later attributed to failings in navigation and sailors’ difficulty in determining their location at sea. This was a perennial problem at the time, and had persisted despite intense scientific research. Seven years later, the UK government passed the Longitude Act, offering 20,000 pounds (more than 2 million pounds in today’s money) to anyone who could develop a method for reliably determining longitude at sea. The longitude prize was eventually won by John Harrison, a self-educated Lincolnshire clockmaker.

Yesterday, 300 years after the original Longitude act, the UK Technology Strategy Board launched a £10 million pound prize competition, a new ‘Longitude prize’. The money will be awarded to a scientist or group of scientists who come up with a solution to one of a set of major global challenges – inadequate food/clean water supply for everyone, antibiotic resistance, spinal cord injury, dementia, the large carbon impact of air-flight.

The new Longitude prize is the latest in a series of innovation inducement competitions over time. These competitions have offered monetary rewards for solving problems as diverse as the development of butter substitutes, the first trans-Atlantic air flight, reusable aircraft for space flight, or an alternative fertilizer to bird poo. One novel feature of the 2014 Longitude prize is that it is seeking public input into the specific challenge to be targeted. Public voting will decide which of the six global challenges above are to be the focus of the prize.

But are innovation prizes an effective or appropriate way to solve major global scientific challenges? Continue reading

Does it matter that there’s cocaine in our water supply?

Scientists from the Drinking Water Inspectorate have recently discovered benzoylecgonine in water samples at four test sites, a finding that is thought to be a result of high levels of domestic cocaine consumption. Benzoylecgonine is the metabolised form of cocaine that appears once it has passed through the body, and is the same compound that is tested for in urine-based drug tests for cocaine. It is also an ingredient in a popular muscle-rub, however, so the origins of the compound in our water are somewhat uncertain. Steve Rolles from the drug policy think tank Transform has suggested that the findings are an indication of the scale of the use of cocaine in Britain todayAccording to a 2010 UN report, the United Kingdom is the single largest cocaine market within Europe, followed by Spain.  In contrast to the shrinking cocaine market in North America, the number of cocaine users in European countries has doubled over the last decade, from 2 million in 1998 to 4.1 million in 2007/8. Although the annual cocaine prevalence rate in Europe (1.2%) is lower than North America (2.1%), the UK prevalence rate (3.7% in Scotland and 3.0% in England and Wales) is actually higher than the US (2.6% in 2008). According to the charity DrugScope, cocaine is the second most used illegal substance in the UK after cannabis: there are around 180,000 dependent users of crack cocaine in England, and nearly 700,000 people aged 16-59 are estimated to take cocaine every year. Further, according to the government statistics, in the years 2012-13, cocaine was the only drug to show an increase in use among adults between 16-59. All this does appear to suggest a possible link between the benzoylecgonine found in the water supply and high levels of cocaine use in the UK.

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