Comorbidity in context : Part 2. Ethicolegal considerations around HIV and tuberculosis during the COVID-19 pandemic in South Africa

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dc.contributor.author Rossouw, Theresa M.
dc.contributor.author Nienaber, A.G. (Annelize Gertruida)
dc.contributor.author Boswell, M.T.
dc.contributor.author Moodley, K.
dc.date.accessioned 2021-03-24T14:14:33Z
dc.date.available 2021-03-24T14:14:33Z
dc.date.issued 2020-07
dc.description.abstract The COVID-19 pandemic has brought discussions around the appropriate and fair rationing of scare resources to the forefront. This is of special importance in a country such as South Africa (SA), where scarce resources interface with high levels of need. A large proportion of the SA population has risk factors associated with worse COVID-19 outcomes. Many people are also potentially medically and socially vulnerable secondary to the high levels of infection with HIV and tuberculosis (TB) in the country. This is the second of two articles. The first examined the clinical evidence regarding the inclusion of HIV and TB as comorbidities relevant to intensive care unit (ICU) admission triage criteria. Given the fact that patients with HIV or TB may potentially be excluded from admission to an ICU on the basis of an assumption of lack of clinical suitability for critical care, in this article we explore the ethicolegal implications of limiting ICU access of persons living with HIV or TB. We argue that all allocation and rationing decisions must be in terms of SA law, which prohibits unfair discrimination. In addition, ethical decision-making demands accurate and evidence-based strategies for the fair distribution of limited resources. Rationing decisions and processes should be fair and based on visible and consistent criteria that can be subjected to objective scrutiny, with the ultimate aim of ensuring accountability, equity and fairness. en_ZA
dc.description.department Immunology en_ZA
dc.description.department Public Law en_ZA
dc.description.librarian am2021 en_ZA
dc.description.uri http://www.samj.org.za en_ZA
dc.identifier.citation Rossouw, T.M., Boswell, M.T., Nienaber, A.G. et al. 2020, 'Comorbidity in context : Part 2. Ethicolegal considerations around HIV and tuberculosis during the COVID-19 pandemic in South Africa', South African Medical Journal, vol. 110, no. 7, pp. 625-628. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2020.v110i7.14857
dc.identifier.uri http://hdl.handle.net/2263/79080
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2019, South African Medical Association. This article is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject COVID-19 pandemic en_ZA
dc.subject Coronavirus disease 2019 (COVID-19) en_ZA
dc.subject Tuberculosis (TB) en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Comorbidity en_ZA
dc.subject Ethicolegal considerations en_ZA
dc.title Comorbidity in context : Part 2. Ethicolegal considerations around HIV and tuberculosis during the COVID-19 pandemic in South Africa en_ZA
dc.type Article en_ZA


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