Abstract
The COVID-19 pandemic has highlighted the vulnerability of countries worldwide and their abilities to cope with the fast-paced demands of the research and medical community. A key to promoting ethical decision-making frameworks is by calibrating the sustainability at regional, national, and global levels to incorporate coordinated reforms. We performed a sustained ethical analysis and critically reviewed evidence addressing country-level responses to practices during the COVID-19 pandemic using PubMed (MEDLINE), Scopus, and CINAHL. The World Health Organization’s ethical framework proposed for the entire population during the pandemic was applied to thematically delineate findings under equality, best outcomes (utility), prioritizing the worst off, and prioritizing those tasked with helping others. The findings demarcate ethical concerns about the validity of drug and vaccine trials in developing and developed countries, hints of unjust healthcare organizational policies, lack of equal allocation of pertinent resources, miscalculated allocation of resources to essential workers and stratified populations.
Highlights
The COVID-19 pandemic exposed the vulnerability of countries globally and their ability to cope with the ensuing responses fast-paced demands of the research and medical community.[1]
A major public health challenge is the ability to tackle and identify ethical challenges posed by the ongoing COVID-19 pandemic, within the contextual settings
Articles focused on public health and ethical frameworks for analysis were considered relevant for our review with special consideration given to literature catering to low and middleincome countries
Summary
The COVID-19 pandemic exposed the vulnerability of countries globally and their ability to cope with the ensuing responses fast-paced demands of the research and medical community.[1]. Pakistani and international health care systems are under obligation to provide sufficient access to healthcare to all.[2]. The burden on health care systems has rendered the rationing of resources to make dire choices.[3]. The catastrophic impact of the pandemic has highlighted the discrepancy in contextual circumstances and ensuing limitations in access to hospitals, ventilators, vaccines, and pharmacological therapy for all. The overwhelming burden to health care systems and the ensuing unequal distribution of certain key resources to highincome countries (HICs) has rendered the alreadyscarce capacity of resources insufficient to meet. A major public health challenge is the ability to tackle and identify ethical challenges posed by the ongoing COVID-19 pandemic, within the contextual settings
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