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Public Health Ethics Advance Access published online on September 18, 2009
Public Health Ethics, doi:10.1093/phe/php023
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© The Author 2009. Published by Oxford University Press. Available online at www.phe.oxfordjournals.org

Case Discussion: Cholera and Nothing More

Tom Sorell*

University of Birmingham

* Corresponding author: Centre for the Study of Global Ethics, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. Email: t.sorell@bham.ac.uk

The first 150 words of the full text of this article appear below.

Delan Devakumar describes some of the difficult choices facing medical personnel in a cholera treatment centre in Juba, the regional capital city of southern Sudan. The cholera treatment centre was not the only local source of health care: a hospital existed ‘nearby’ to which patients who were ineligible for cholera treatment could be directed. The policy that Devakumar was asked to follow was to treat only patients whose conditions included cholera. Cases of other serious diseases without cholera—meningitis is one—were supposed to be redirected without treatment to the hospital. The policy was adopted by the cholera treatment centre on the ground that (a) it would be overwhelmed if it admitted a wide range of medical cases, and (b) it was the obligation of the local health service, via its hospital, to treat these other cases, and that reducing its burden might encourage it to become dependent.

The case Devakumar describes . . . [Full Text of this Article]


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