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Public Health Ethics Advance Access originally published online on February 3, 2009
Public Health Ethics 2009 2(1):105-112; doi:10.1093/phe/php002
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© The Author 2009. Published by Oxford University Press. Available online at www.phe.oxfordjournals.org

The Role of Faith-Based Organizations in the Ethical Aspects of Pandemic Flu Planning—Lessons Learned from the Toronto SARS Experience

Halley S. Faust

University of New Mexico and University of Toronto

Cécile M. Bensimon

Sunnybrook Health Sciences Centre, Toronto and University of Toronto

Ross E. G. Upshur*

Sunnybrook Health Sciences Centre, Joint Centre for Bioethics University of Toronto, Toronto

* Corresponding author: Ross E. G. Upshur, Primary Care Research Unit, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, #E-349, Toronto, Ontario, Canada M4N 3M5. Tel.: 416-480-4753; Fax: 416-480-4536; Email: ross.upshur{at}sunnybrook.ca


   Abstract

Are restrictive measures and duties to care ethically reasonably acceptable to faith-based organizations? This study describes the perceptions of individually interviewed spiritual leaders of the disease control measures used during the recent SARS outbreak in Toronto. Four central themes were identified: the relationship between religious obligation and civic responsibilities; the role of faith-based organizations in supporting public health restrictive measures; the reciprocal obligations of public health and religious communities during restrictions; and justifiable limits to duties to care. We conclude that, within certain constraints, spiritual leaders find restrictive measures ethically reasonable and that spiritual leaders can play an important role during pandemic and epidemic control planning. Public health officials should therefore include them in the early and ongoing deliberations of the criteria and logistics for implementation during public health emergencies.


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