Abstract：
COVID-19 presents a variety of ethical challenges in a set of arenas, arenas not always considered in past pandemics. These challenges include issues related to autonomy, distributive ethics, and the establishment of policies of equity and justice. Methods are a literature review based on regular editing of an online textbook during the COVID-19 outbreak and a literature review using key ethical terms. Patients are confronted with new issues related to autonomy. Providers need to expand their concepts of ethical issues to include decisions based on proportionality and public health ethics. The public health sector needs to assess the beneficence of alternative modes of disease control. The research community needs to redefine the concept of informed consent in emergent conditions. All elements of the medical spectrum-physicians, scientists, and the community-at-large including the pharmaceutical industry-need to consider the multifaceted methods for preventing future pandemics. This will require giving particular emphasis to public health funding and ending the documented discrimination that exists in the provision of proven therapies. The developing world is especially at risk for most of the ethical issues, especially those related to equity and justice. The ethical issues associated with the COVID-19 outbreak are not unique but provide a diverse set of issues that apply to patients, providers, social groups, and investigators. The further study of such issues can help with preventing future outbreaks.
摘要：
COVID-19在一系列领域提出了各种道德挑战，在过去的流行病中并不总是考虑的竞技场。这些挑战包括与自治有关的问题，分配伦理，以及建立公平和正义的政策。方法是在COVID-19爆发期间定期编辑在线教科书的基础上进行文献综述，并使用关键伦理术语进行文献综述。患者面临着与自主性相关的新问题。提供者需要扩展其道德问题的概念，以包括基于相称性和公共卫生道德的决策。公共卫生部门需要评估疾病控制替代模式的益处。研究界需要在紧急情况下重新定义知情同意的概念。医学频谱的所有元素-医生，科学家,包括制药业在内的广大社区需要考虑预防未来大流行的多方面方法。这将需要特别强调公共卫生资金，并结束在提供经证实的疗法方面存在的记录在案的歧视。发展中国家尤其面临大多数道德问题的风险，特别是那些与公平和正义有关的。与COVID-19爆发相关的伦理问题并不独特，但提供了一系列适用于患者的不同问题，提供者,社会团体,和调查员。对这些问题的进一步研究可以帮助预防未来的疫情爆发。
