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Pandemic Ethics Guidance

I.E. “REOPENING EFFORTS” OR “HOSPITAL PROCEDURES”

 

Pandemic Ethics Guidance
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Home / Additional US Guidelines

Additional US Guidelines

  • National Academy of Medicine. Framework for Equitable Allocation of COVID-19 Vaccine, 2020.
  • Institute of Medicine Committee on Implementation of Antiviral Medication Strategies for an Influenza Pandemic. Chapter3: Ethics, Decision Making and Communication. In: Antivirals for Pandemic Influenza: Guidance on Developing a Distribution and Dispensing Program. 2008.
  • Institute of Medicine Committee on Implementation of Antiviral Medication Strategies for an Influenza Pandemic. Chapter 4: Who should get antivirals and where? In: Antivirals for Pandemic Influenza: Guidance on Developing a Distribution and Dispensing Program. 2008
  • HHS Office for Civil Rights in Action, Bulletin: Civil Rights, HIPAA, and the Coronavirus Disease 2019 (COVID-19), March 28, 2020.
  • The National Academies of Sciences, Engineering, and Medicine, Rapid Expert Consultation on Crisis Standards of Care for the COVID-19 Pandemic, March 28, 2020
  • Institute of Medicine, Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response, March 21, 2012.
  • U.S. Centers for Disease Control and Prevention, Ethical Considerations for Decision Making Regarding Allocation of Mechanical Ventilators during a Severe Influenza Pandemic or Other Public Health Emergency, July 1, 2011.
  • Veteran’s Health Administration, Meeting the Challenge of Pandemic Influenza: Ethical Guidelines for Leaders and Health Care Professionals in the Veterans Health Administration, July 2010.

  • California Department of Public Health, Guidance for Counties Regarding Allocation of Remdesivir for COVID-19, May 20, 2020. 
  • Alameda County Public Health Department, Framework for Ethical Allocation of May 2020 Remdesivir Supply, May 22, 2020. 
  • Massachusetts Department of Public Health, “Crisis Standards of Care Planning Guidance for the COVID-19 Pandemic Chapter 5: Strategies for Maximizing Critical Care Resources (Allocation Framework),” April 7, 2020.
  • Minnesota Pandemic Ethics Project, Implementing Ethical Frameworks for Rationing Scarce Health Resources in Minnesota During Severe Influenza Pandemic, 2010. 
  • Minnesota Department of Health, Patient Care Strategies for Scarce Resource Situations, May 2020. 
  • Minnesota Department of Health, Ethical Framework for Allocation of Remdesivir in the COVID-19 Pandemic, June 17, 2020. 
  • Consortium of Missouri Health Ethics Organizations, “Health Ethics Considerations: Planning for and Responding to Pandemic Influenza in Missouri.” 
  • New York State Department of Health, State Task Force on Life and Law, Ventilator Allocation Guidelines, November 2015. 
  • North Carolina Department of Health and Human Services Interim COVID-19 Vaccination Plan, October 16, 2020
  • North Carolina Institute of Medicine, North Carolina Protocol for Allocating Scarce Inpatient Critical Care Resources in a Pandemic, April 27, 2020.
  • North Carolina Institute of Medicine, Stockpiling solutions: North Carolina’s Ethical Guidelines for an Influenza Pandemic, April 1, 2007.
  • Oregon Health Authority, Oregon’s Federal Remdesivir Allocation: Patient Criteria and Hospital Distribution, May 20, 2020. 
  • Pennsylvania Department of Health, Ethical Allocation Framework for Emerging Treatments of COVID-19. 
  • Tennessee Altered Standards of Care Workgroup, Guidance for the Ethical Allocation of Scarce Resources during a Community-Wide Public Health Emergency as Declared by the Governor of Tennessee, July 2016. 

  • Brigham and Women’s Hospital, COVID-19 Protocols: Health Equity and Ethics, May 7, 2020. 
  • Harvard Medical School COVID-19 Curriculum, Module 8: Medical Ethics in Relation to COVID-19.  
  • University of North Carolina Center for Bioethics, Guidelines and Protocols for Hospitals. 
  • University of Pittsburgh, Department of Critical Care Medicine, Allocation of Scarce Critical Care Resources During a Public Health Emergency, April 15, 2020.  
  • University of Vermont Health Network, Ethical Allocation of Hospital Beds and Mechanical Ventilators During the COVID-19 Epidemic.  
  • University of Virginia Health System Ethics Committee, Ethical Framework and Recommendations for COVID-19 Resources Allocation When Scarcity is Anticipated, March 26, 2020.
  • Vanderbilt School of Medicine, Center for Biomedical Ethics & Society, ICU Resource Allocation for Covid-19 Patients Who Require Critical Care. 

  • American Nurses Association, Adapting Standards of Care Under Extreme Conditions, March 2008
  • British Medical Association, COVID-19 – Ethical Issues. A Guidance Note, March 2020.
  • American Medical Association Code of Medical Ethics: Guidance in a Pandemic
  • American Hospital Association, Ethical Guidance in the COVID-19 Era, 2020. 
  • American Medical Association, COVID-19 Ethics Guidance, 2020. 
  • American Medical Association Journal of Ethics, COVID-19 Ethics Resource Center. 
  • American Nurses Association, Nurses, Ethics and the Response to the COVID-19 Pandemic. 
  • American College of Surgeons, Ethical Considerations, March 30, 2020. 
  • American Occupational Therapy Association, The American Occupational Therapy Association Advisory Opinion for the Ethics Commission: An Ethical Response to the COVID-19 Pandemic, 2020. 
  • American Journal of Bioethics, Rural and Remote Communities: Unique Ethical Issues in the COVID-19 Pandemic, May 14, 2020. 
  • The Hastings Center, Ethical Framework for Health Care Institutions and Guidelines for Institutional Ethics Services Responding to the Coronavirus Pandemic, March 16, 2020. 
  • Tennessee Hospital Association, THA Principles for Returning to Elective Surgery and Procedures, April 27, 2020. 
  • Florida Bioethics Network, Ethics Guidelines for Crisis Standards of Care in Public Health Emergencies, April 8, 2020. 
  • Ohio Hospital Association, Guidelines for Allocation of Scarce Medical Resources, April 5, 2020. 

Resource Quick Links

Consensus documents

Additional US guidelines

Additional international guidelines

Challenges to ethical public health

Ethics tools

Legal foundations for public health actions



What is Pandemic Ethics?

A pandemic is pervasive in scope and touches virtually every human-made system. In this guidance, we focus on ethics in a government’s or an employer’s actions in a pandemic.

Public health ethics addresses the relationship between those governing or administrating and the population or employees they serve. They are best summarized by the Public Health Code of Ethics of the American Public Health Association.

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