Bioethical considerations at times of Zika virus

Bueno, Marco Aurélio Scarpinella; Grunspun, Henrique

doi:10.1590/s1679-45082016ed3725

Cited by 4 publications

(6 citation statements)

References 11 publications

(14 reference statements)

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“…Although abortion was framed by most ( n = 31) of the retrieved articles as a reasonable option for Zika and CZS management, many articles noted that the procedure is often met with extensive and unconditional disapproval from the general population, decision makers, and health practitioners (we expand on this in the next section) [ 37 , 49 , 59 , 61 , 69 ]. Prevailing cultural and religious beliefs were often cited as a reason for this aversion [ 49 , 59 , 60 , 65 , 68 – 70 ].…”

Section: Resultsmentioning

confidence: 99%

“…Many of the documents returned by our search offered fairly extensive discussions of women’s autonomy and reproductive rights in the context of Zika/CZS. A common argument among publications in favor of expanded abortion access was that women have a right to their own bodies, and this self-ownership entitles them to make their own pregnancy decisions [ 45 , 51 , 52 , 60 , 65 ]. Although this point applies to all women, it may be particularly meaningful with respect to women of low socioeconomic position (SEP), who are more vulnerable to Zika and have limited access to information about family planning and contraceptives [ 37 , 59 , 64 – 66 , 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…Many publications in our review noted health practitioners’ often limited or restricted ability to provide safe abortions to women who need them, and the generally limited access to family planning programs in much of Latin America, including the use of emergency contraceptives (i.e. : the “morning after” pill, using estrogen and/or progestin pills combined or alone, including Plan B® or other contraceptive pills) [ 37 , 51 , 52 , 60 , 63 , 64 , 66 , 71 , 72 ]. Others acknowledged that some practitioners may face moral dilemmas given the incongruence between abortion laws and their personal beliefs, and some may weigh individual women’s socioeconomic situations as a factor when deciding whether to provide services [ 41 , 52 , 67 , 69 ].…”

Section: Resultsmentioning

confidence: 99%

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The Zika epidemic and abortion in Latin America: a scoping review

Carabalí

Austin

King

et al. 2018

glob health res policy

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BackgroundLatin America presently has the world’s highest burden of Zika virus, but there are unexplained differences in national rates of congenital malformations collectively referred to as Congenital Zika Syndrome (CZS) in the region. While Zika virulence and case detection likely contribute to these differences, policy-related factors, including access to abortion, may play important roles. Our goal was to assess perspectives on, and access to, abortion in Latin America in the context of the Zika epidemic.MethodsWe conducted a scoping review of peer-reviewed and gray literature published between January 2015 and December 2016, written in English, Spanish, Portuguese, or French. We searched PubMed, Scielo, and Google Scholar for literature on Zika and/or CZS and abortion, and used automated and manual review methods to synthesize the existing information.Results36 publications met our inclusion criteria, the majority of which were qualitative. Publications were generally in favor of increased access to safe abortion as a policy-level response for mitigating the impact of CZS, but issues with implementation were cited as the main challenge. Aside from the reform of abortion regulation in Colombia, we did not find evidence that the Zika epidemic had triggered shifts in abortion policy in other countries.ConclusionAbortion policy in the region remained largely unchanged following the Zika epidemic. Further empirical research on abortion access and differential rates of CZS across Latin American countries is required.Electronic supplementary materialThe online version of this article (10.1186/s41256-018-0069-8) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Zika epidemic and abortion in Latin America: a scoping review

Carabalí

Austin

King

et al. 2018

glob health res policy

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“…In mosquito control, governments should try to keep the moral obligation of observing biosafety and protecting the ecosystems in the mind while trying to restrict the insect spread and reproduction (77). During policy-making for disease control, deliberative ethical evaluation is required in order to protect of population basic civil and human rights such as people’s free mobilization or reproductive rights in case that border or birth control are among the solutions (78, 79). Similarly, confidentiality of patients’ health information and protecting people against stigmatization must be observed when policies for reporting the probable cases to health authorities are discussed (80).…”

Section: Introductionmentioning

confidence: 99%

Zika Virus Infection, Basic and Clinical Aspects: A Review Article

Noorbakhsh¹,

Abdolmohammadi²,

Fatahi³

et al. 2019

ijph

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Background: Zika virus infection has recently attracted the attention of medical community. While clinical manifestations of the infection in adult cases are not severe and disease is not associated with high mortality rates, Zika virus infection can have an impact on fetal development and lead to severe neurodevelopmental abnormalities. Methods: To gain insight into different aspects of Zika virus infection, a comprehensive literature review was performed. With regard to epidemiology and geographical distribution of Zika virus infection, relevant information was extracted from CDC and WHO websites. Results: In this review, we discuss different basic and clinical aspects of Zika virus infection including virology, epidemiology and pathogenesis of disease. Laboratory methods required for the diagnosis of disease together with ethical issues associated with Zika virus infection will also be discussed in detail. Conclusion: Herein, we have tried to provide a multi-faceted view of Zika virus infection, with greater emphasis on disease status in Eastern Mediterranean Region.

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“…The recent article on “Bioethical considerations at times of Zika virus” (1) is very interesting. As a new emerging disease, undoubtedly there is no clear information on the disease and use of diagnostic tests.…”

mentioning

confidence: 99%

Emerging Zika virus infection and bioethical considerations

Wiwanitkit

2016

Einstein (São Paulo)

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Bioethical considerations at times of Zika virus

Cited by 4 publications

References 11 publications

The Zika epidemic and abortion in Latin America: a scoping review

The Zika epidemic and abortion in Latin America: a scoping review

Zika Virus Infection, Basic and Clinical Aspects: A Review Article

Emerging Zika virus infection and bioethical considerations

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