Paying for the Flu Vaccine
By Ben Davies
As I do every winter, I recently booked an appointment for a flu vaccine. I get it for free in the UK. If I didn’t have asthma, I’d still get vaccinated, but it would cost me between £9 and £14.99. That is both an ethical error on the part of the government, and may be a pragmatic one too.
Philosophical Fiddling While the World Burns
By Charles Foster
An unprecedented editorial has just appeared in many health journals across the world. It relates to climate change.
The authors say that they are ‘united in recognising that only fundamental and equitable changes to societies will reverse our current trajectory.’
Climate change, they agree, is the major threat to public health. Here is an excerpt: there will be nothing surprising here:
‘The risks to health of increases above 1.5°C are now well established. Indeed, no temperature rise is “safe.” In the past 20 years, heat related mortality among people aged over 65 has increased by more than 50%.Hi gher temperatures have brought increased dehydration and renal function loss, dermatological malignancies, tropical infections, adverse mental health outcomes, pregnancy complications, allergies, and cardiovascular and pulmonary morbidity and mortality. Harms disproportionately affect the most vulnerable, including children, older populations, ethnic minorities, poorer communities, and those with underlying health problems.’ Continue reading
We Should Vaccinate Children in High-income Countries Against COVID-19, Too
Written by Lisa Forsberg, Anthony Skelton, Isra Black
In early September, children in England, Wales and Northern Ireland are set to return to school. (Scottish schoolchildren have already returned.) Most will not be vaccinated, and there will be few, if any, measures in place protecting them from COVID-19 infection. The Joint Committee on Vaccination and Immunisation (JCVI) have belatedly changed their minds about vaccinating 16- and 17-year olds against COVID-19, but they still oppose recommending vaccination for 12-15 year olds. This is despite considerable criticism from public health experts (here, here, and here), and despite the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) declaring COVID-19 vaccines safe and effective for children aged 12 and up—Pfizer/BioNTech in the beginning of June, and Moderna the other week.
In Sweden, children returned to school in the middle of August. As in the UK, children under 16 will be unvaccinated, and there will be few or no protective measures, such as improved ventilation, systematic testing, isolation of confirmed cases, and masking. Like the JCVI in the UK, Sweden’s Folkhälsomyndigheten opposes vaccination against COVID-19 for the under-16s, despite Sweden’s medical regulatory authority, Läkemedelsverket, having approved the Pfizer and Moderna vaccines for children from the age of 12. The European Medicines Agency approved Pfizer and Moderna in May and July respectively, declaring that any risks of vaccine side-effects are outweighed by the benefits for this age group.
What If Stones Have Souls?
By Charles Foster
Over the 40,000 years or so of the history of behaviourally modern humans, the overwhelming majority of generations have been, so far as we can see, animist. They have, that is, believed that all or most things, human and otherwise, have some sort of soul.
We can argue about the meaning of ‘soul’, and about the relationship of ‘soul’ to consciousness, but most would agree that whatever ‘soul’ and ‘consciousness’ mean, and however they are related, there is some intimate and necessary connection between them – even if they are not identical.
Consciousness is plainly not a characteristic unique to humans. Indeed the better we get at looking for consciousness, the more we find it. The universe seems to be a garden in which consciousness springs up very readily. Continue reading
No jab, no job? Vaccination requirements for care home staff
Written by Lisa Forsberg and Isra Black
Last night the Guardian was first to report that staff working in older adult care homes will be required to get vaccinated against Covid-19. According to BBC News, ‘Care staff are expected to be given 16 weeks to have the jab—or face being redeployed away from frontline care or losing their jobs’. This announcement follows news reports over the last few months that the government have been considering making Covid-19 vaccination mandatory for staff working in older adult care homes in England. As part of this process, an open consultation on vaccination for older adult care home staff was held in April and May of this year, to which we responded.
While we think a vaccination requirement for older adult care home staff may be a necessary and proportionate measure, we nevertheless have concerns about the government’s proposed policy.
Post-Normal Challenges of Covid
Written by Stephen Rainey
How to manage the inevitable disruptions to life brought about by the emergence of a viral pandemic – a question that for many seemed remote has now had us all preoccupied for well over a year. With our just-published article, entitled The Post-Normal Challenges of COVID-19: Constructing Effective and Legitimate Responses, in the Journal Science and Public Policy, Maru Mormina, Sapfo Lignou, Joseph Nguyen, Paula Larsson and I set out to investigate some of the perplexing difficulties especially relating to effectiveness and legitimacy. We examine these in the light of pandemics as wicked problems and lay out how ‘post-normal science’ can contribute to a sound pandemic response.
In any pandemic response, the measures undertaken by authorities must effective in the sense of actually addressing the viral threats. A strategy that didn’t slow the rate of viral spread, for instance, wouldn’t work and for that reason would be due criticism. The concept of legitimacy is one perhaps less easy to cash out. In any pandemic response, the measures undertaken by authorities must be legitimate in the sense of fairly and justifiably constraining liberties enjoyed prior to the viral outbreak. A strategy that placed undue or disproportionate burdens on societal sub-groups, for instance, wouldn’t be legitimate and for that reason would be due criticism. For effectiveness in a medical crisis particularly, science is an essential element of any response. Continue reading
Is Life-Sustaining Treatment Being Lawfully Withdrawn From Patients In Prolonged Disorders Of Consciousness? Nobody Seems To Know
By Charles Foster
From the time of the decision of the House of Lords in Airedale NHS Trust v Bland (1993) until the decision of the Supreme Court in An NHS Trust v Y (2018) (which I will refer to here as ‘Y”) it had been understood that the withdrawal of life-sustaining treatment (typically clinically assisted nutrition and hydration – ‘CANH’) from patients in a vegetative state should be endorsed by the court. Over the years, this practice had been extended to cover such withdrawals in Minimally Conscious States too.
In Y, the Supreme Court held that there was no requirement for court review or endorsement. Why? Continue reading
Lockdown Erodes Agency
By Charles Foster
A couple of lockdown conversations:
- The other day I met a friend in the street. We hadn’t seen one another for over a year. We mimed the hugs that we would have given in a saner age, and started to talk. ‘There’s nothing to tell you’, she said. ‘Nothing’s happened since we last saw you. And that’s just as well, because, as you’ll find, I’ve forgotten how to talk, how to relate, and how to read ordinary cues. We’ve not been out. We’ve not changed anything. I wonder if we’ve been changed?’
- Another friend. ‘Zoom’s great, isn’t it? You switch off your camera and your microphone, and the meeting just goes on perfectly happily without you. Everyone thinks you’re there. Your name’s up on their screen. But you are just getting on with your own business.’
And a lockdown fact: Lockdown has been great for book sales. 2020 saw an estimated rise of 5.2% in volume sales of print books in the UK compared with 2019 sales. This was the biggest annual rise since 2007: Continue reading
Cross-Post: The Moral Status of Human-Monkey Chimeras
Written by Julian Savulescu and Julian Koplin
This article was first published on Pursuit. Read the original article.
The 1968 classic Planet of the Apes tells the story of the Earth after a nuclear war destroys human civilisation. When three astronauts return to our planet after a long space voyage, they discover that humans have lost the power of verbal communication and live much like apes currently do.
Meanwhile, non-human primates have evolved speech and other human-like abilities, and are now running the earth with little regard for human life.
The astronaut George Taylor, played by Charlton Heston, is rendered temporarily mute when he is shot in the throat and captured. In one scene he is brought before the Apes, as he appears more intelligent than other humans.
He regains the power of speech, and his first words are: “Take your stinking paws off me, you damned dirty ape.”
Planet of the Apes may be fiction, but this month the world’s first human-monkey lifeforms were created by Juan Carlos Belmonte at the Salk Institute for Biological Studies in the US, using private funding. Professor Belmonte and his group injected stem cells from the skin of a human foetus into a monkey embryo.
This part-human lifeform is called a chimera.
If implanted into a monkey uterus, the chimera could theoretically develop into a live-born animal that has cells from both a monkey and a human.
While it has been possible to make chimeras for more than 20 years using a different technique that involves fusing the embryos of two animals together, this technique has not been used in humans. It has been used to create novel animals like the geep – a fusion of a sheep and goat embryo.
Professor Belmonte used a different technique– called “blastocyst complementation” – which is more refined. It enables greater control over the number of human cells in the chimera.
But why is this research being done?
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