背景:柳叶刀医学委员会的报告,纳粹主义,和大屠杀,2023年11月发布,呼吁所有卫生专业教育都需要这一历史,培养有道德勇气的卫生专业人员,他们在必要时直言不讳。
方法:该报告是在哈马斯10月7日入侵以色列一个月后发布的,伴随着1200多人的大屠杀,劫持平民人质,和基于性别的暴力。这些行为构成危害人类罪,包括灭绝种族罪。10月7日,加沙战争爆发,以色列在国际法范围内捍卫自己的合法目标。作者讨论了该报告的附带声明,谴责哈马斯的罪行,并谴责肇事者使用自己的平民作为人体盾牌,包括医疗保健设施,以及哈马斯的袭击在以色列及其他地区引发了巨大而持续的苦难。除了一些例外,医学文献显示,明显缺乏对哈马斯暴行的谴责,包括对以色列军队的未经证实的批评。自2023年10月7日以来,包括大学校园在内的全球反犹太主义大幅上升;卫生专业人员,根据委员会,有特殊的责任来打击各种反犹太主义和歧视。在这种情况下,作者讨论了关于多样性的争议和批评,股本,和包容性教育计划(“DEI”),包括未能保护校园犹太人的计划,尤其是美国总统拜登的《美国国家反犹太主义战略》,2023年5月发布,呼吁将反犹太主义和宗教歧视问题纳入所有DEI教育计划。作者支持对哈马斯大屠杀采取基于证据的方法,其后果及其与医学界卫生专业人员及其全球公民身份的相关性,包括驳斥国际社会的指控和反以色列的诽谤。
结论:柳叶刀医学委员会的报告,纳粹主义,大屠杀与2023年10月7日的哈马斯大屠杀及其后果具有惊人的相关性。这在随附的声明中进一步传达,描述了该报告对当代医学的影响,包括:1)提供发现和预防危害人类罪和灭绝种族罪所需的技能;(2)照顾暴行的受害者;(3)维护医学实践中至关重要的治疗精神;(4)培养具有历史知识,道德勇气的卫生专业人员,并在必要时大声疾呼。
BACKGROUND: The report of the Lancet Commission on medicine, Nazism, and the Holocaust, released in November 2023, calls for this history to be required for all health professions education, to foster morally courageous health professionals who speak up when necessary.
METHODS: The report was released a month after Hamas\' October 7 invasion of Israel, with the accompanying massacre of over 1200 people, taking of civilian hostages, and gender-based violence. These acts constitute crimes against humanity including genocide. Post-October 7, war in Gaza resulted, with a legitimate objective of Israel defending itself within international law. The authors discuss an accompanying Statement to the report condemning Hamas crimes and denouncing the perpetrators\' use of their own civilians as human shields, including in healthcare facilities, and with the Hamas attack unleashing immense and ongoing suffering in Israel and beyond. With some exceptions, the medical literature shows a marked absence of condemnation of Hamas atrocities and includes unsubstantiated criticisms of Israel\'s military. A significant surge in global antisemitism including on university campuses since October 7, 2023, has occurred; and health professionals, according to the Commission, have a special responsibility to fight antisemitism and discrimination of all kinds. In this context, the authors discuss the controversy and criticism regarding diversity, equity, and inclusion education programs (\"DEI\") including such programs failing to protect Jews on campuses, especially as the U.S. President Biden\'s \"The U.S. National Strategy to Counter Antisemitism,\" released in May 2023, calls for the inclusion of issues of antisemitism and religious discrimination within all DEI education programs. The authors support an evidence-based approach to the Hamas massacre, its aftermath and its relevance to health professionals both within medicine and their global citizenship, including refuting the international community accusations and anti-Israel libel.
CONCLUSIONS: The report of the Lancet Commission on medicine, Nazism, and the Holocaust has striking relevance to the Hamas massacre of October 7, 2023 and its aftermath. This is further conveyed in an accompanying Statement, that describes the report\'s implications for contemporary medicine, including: 1) provision of skills required to detect and prevent crimes against humanity and genocide; (2) care for victims of atrocities; (3) upholding the healing ethos central to the practice of medicine; and (4) fostering history-informed morally courageous health professionals who speak up when necessary.