Vulnerable populations

This article reports on the development of two sets of ethical allocation guidelines in Australia for a public health emergency in which resources must be rationed. One approach, led by bioethicist Angus Dawson, rejects the use of strict allocation formulas Read More
This op-ed describes ways that existing guidance for rationing scarce resources in response to COVID-19 case surge may be discriminatory towards persons with disabilities and reflect harmful stereotypes. The author cites recent resource allocation guidance from the British Medical Association Read More
This study provides an overview of the proportion of confirmed COVID-19 cases among those tested and the severity of the disease in children using a registry of tested cases from March 2, 2020, to March 16, 2020 by pediatricians in Read More
This forthcoming article discusses the application of ethical principles to resource allocation in response to a public health crisis, such as COVID-19, emphasizing both the continuity of central ethical principles such as respect for persons and the increased relevance of Read More
This press release from the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) announces the resolution of a complaint against Alabama based on the state’s 2010 ventilator allocation guidelines, which were challenged as Read More
This study evaluates the relative risk of death from COVID-19 in people <65 years old versus older individuals in the general population, provides estimates of absolute risk of death in epicenters of the pandemic, and reports what proportion of COVID-19 Read More
This essay from Joseph J. Fins, one of the authors of New York’s 2015 guidelines on ventilator allocation during a public health emergency, contends that the Task Force’s guidelines should not be interpreted to authorize the commandeering of ventilators used Read More
This article reports on new guidelines from Massachusetts health officials for potential rationing of ventilators in the event COVID-19 case surge overwhelms available supply. According to the article, the guidance uses an 8-point scoring system based on a patient’s likelihood Read More
This forthcoming article from the Canadian Journal of Emergency Medicine argues that, in allocating scarce resources, determining a patient’s potential to benefit from treatment should rely on a structured, evidence-based, and global assessment of frailty that accounts for more than Read More
This article reports on the potential that ventilators may be reallocated from long-term care facilities to hospitals to respond to resource scarcity due to COVID-19 case surge, including the controversial possibility of disconnecting ventilators currently in use by long-term ventilator-dependent Read More

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