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      Heroes of SARS: professional roles and ethics of health care workers.

      The Journal of Infection
      China, Disease Outbreaks, Ethics, Medical, Health Policy, Humans, Infectious Disease Transmission, Patient-to-Professional, Personnel, Hospital, Physician's Role, psychology, Politics, Risk Factors, Severe Acute Respiratory Syndrome, Taiwan

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          Abstract

          To examine the professional moral duty of health care workers (HCWs) in the outbreak of severe acute respiratory syndrome (SARS) in 2003. Descriptive discussion of media reports, analysis of ethical principles and political decisions discussed in the outbreak, with particular emphasis on the events in mainland China and Taiwan. There were differences in the way that Taiwan and mainland China responded to the SARS epidemic, however, both employed techniques of hospital quarantine. After early policy mistakes in both countries HCWs were called heroes. The label 'hero' may not be appropriate for the average HCW when faced with the SARS epidemic, although a number of self-less acts can be found. The label was also politically convenient. A middle ground for reasonable expectations from HCW when treating diseases that have serious risk of infection should be expected. While all should act according to the ethic of beneficence not all persons should be expected to be martyrs for society.

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          The Foreignness of Germs: The Persistent Association of Immigrants and Disease in American Society

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            Nurses' professional care obligation and their attitudes towards SARS infection control measures in Taiwan during and after the 2003 epidemic.

            This study investigated the relationship between hospital nurses' professional care obligation, their attitudes towards SARS infection control measures, whether they had ever cared for SARS patients, their current health status, selected demographic characteristics, and the time frame of the data collection (from May 6 to May 12 2003 during the SARS epidemic, and from June 17 to June 24 2003 after the SARS epidemic). The study defines 172 nurses' willingness to provide care for SARS patients as a professional obligation regardless of the nature of the disease. A conceptual model was developed and tested using ordinal logistic regression modelling. The findings showed that nurses' levels of agreement with general SARS infection control measures and the lack of necessity for quarantining health care workers who provided care for SARS patients were statistically significant predicators of the nurses' fulfilling of their professional care obligation. Suggestions and study limitations are discussed.
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              An Ebola epidemic simmers in Africa: in remote region, outbreak shows staying power

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