{"title":"Infodemic Management and Government Disinformation: The Brazilian Experience","authors":"Isabella Ballalai, Rodrigo Schrage Lins","doi":"10.1007/s41649-024-00353-x","DOIUrl":"10.1007/s41649-024-00353-x","url":null,"abstract":"<div><p>The COVID-19 pandemic, one of the most critical health crises in recent history, resulted in nearly 7 million deaths worldwide. The ensuing infodemic, characterized by the proliferation of information about the virus and vaccines, persisted beyond the cessation of the international public health emergency. In Brazil, this infodemic had collateral effects, including increase and structuring of anti-vaccine groups, reduced overall vaccine coverage, and a crisis of public trust, exacerbated by government dissemination of disinformation through official channels. This paper examines the interplay between government authorities and disinformation in Brazil, identifying key pitfalls and actors instrumental in maintaining public trust. Given that trustworthy sources of information are foundational to effective infodemic management, the collaboration of medical scientific societies, government entities, and national and international agencies is essential for a robust response. Necessary investments include (1) implementing epidemiological surveillance through social listening; (2) establishing a transparent, efficient, and agile communication strategy from public health authorities; and (3) enforcing stringent regulations and accountability measures for online disinformation.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 3","pages":"515 - 525"},"PeriodicalIF":1.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Defense of Abortion on the Basis of Self-defense","authors":"Timothy Kirschenheiter","doi":"10.1007/s41649-024-00312-6","DOIUrl":"10.1007/s41649-024-00312-6","url":null,"abstract":"<div><p>I offer a positive argument in defense of the moral permissibility of abortion that relies on the moral concept of self-defense. I argue that given the lack of proportional self-defense options in pregnancy, a pregnant woman is morally permitted to procure a self-defensive abortion so long as the risks/burdens of her pregnancy and childbirth reach a sufficiently high threshold of seriousness. I then argue that even standard pregnancies reach this threshold, because of the expected physical and nonphysical risks/burdens imposed. Finally, I consider three objections—an objection based on the risks/burdens of abortion, an objection based on the fetus’s status as an innocent aggressor, and an objection based on the pregnant woman’s moral responsibility for the creation of the fetus.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 3","pages":"545 - 569"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kylie J. Q. Heng, Shaun S. E. Loong, Gini W. W. Wong, Athena Ham, Aaron D’Sa, Mayank Dalakoti, Roger Foo, Jerry Menikoff
{"title":"“Your Tumour Can Save Lives”: Re-examining Singapore’s Consent Procedures for the Use of De-identified Bio-specimens in Research","authors":"Kylie J. Q. Heng, Shaun S. E. Loong, Gini W. W. Wong, Athena Ham, Aaron D’Sa, Mayank Dalakoti, Roger Foo, Jerry Menikoff","doi":"10.1007/s41649-024-00327-z","DOIUrl":"10.1007/s41649-024-00327-z","url":null,"abstract":"<div><p>Consent in research is inarguably a highly contentious and debated topic. One of the biggest debates in research ethics revolves around the determination of when consent is necessary, as there is a need to balance participant protections and research advancements. Contrary to popular belief, obtaining informed consent may not necessarily be better for the participant. One illustration of this can be taken from the United States’ (US) 2011 proposal to require consent for the research use of de-identified bio-specimens under the applicable regulations (what is often referred to as the “Common Rule”). The proposed transition from no consent to broad consent was met with strong opposition from researchers and the public alike, highlighting the possible superiority of not requiring consent when de-identified bio-specimens are used in research. Against this backdrop, this article uses legal and bioethical perspectives to evaluate Singapore’s consent procedures for the secondary research use of de-identified bio-specimens, arguing that Singapore is ready and in need of further liberties to allow for more robust research advancements and better participant outcomes.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 4","pages":"717 - 727"},"PeriodicalIF":1.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-024-00327-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamil Ahmed Sheikh, Shuaib Farooq, Shehla Nazmeen, Ghulam Yasin
{"title":"The Proliferation of Medical Clinics in Pakistani Street and Health Fragmentation: A Case Study","authors":"Jamil Ahmed Sheikh, Shuaib Farooq, Shehla Nazmeen, Ghulam Yasin","doi":"10.1007/s41649-024-00328-y","DOIUrl":"10.1007/s41649-024-00328-y","url":null,"abstract":"<div><p>The proliferation of medical clinics on urban streets in Pakistan presents a paradoxical situation that leads to healthcare fragmentation. Low- and middle-income countries like Pakistan face various challenges, exacerbating inequalities in access to delivery of treatment, low-quality standards, behavioral issues, a lack of accountability, and reduced patient satisfaction, which lead to inefficiencies. This study examines the elements that contribute to this condition, such as patient preferences, organizational incentives, and the amount of patient knowledge. Data was collected through surveys (<i>N</i> = 158) and semi-structured interviews (<i>N</i> = 15) with patients, doctors, and healthcare staff. The research found that the proliferation of clinics and fragmentation of healthcare are not accidental. Various factors contribute to this situation, such as patient preferences and conveniences, referrals by initial physician, organizational panel, proximity, cost, and the level of patient education, among others. The findings highlight the need for concerted efforts to address the issues of trust, coordination, and doctor-patient contact in the healthcare environment.\u0000</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 4","pages":"697 - 716"},"PeriodicalIF":1.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Ethical Framework to Clinical Post-Mortem Examination in Saudi Arabia","authors":"Ruaim Muaygil, Khaldoon Aljerian","doi":"10.1007/s41649-024-00331-3","DOIUrl":"10.1007/s41649-024-00331-3","url":null,"abstract":"<div><p>Post-mortem examinations (PME) often yield valuable information regarding the cause and manner of death. They aid in identifying underlying disease, support public health efforts, and inform criminal investigations. In the clinical context, PME improves understanding of disease processes, prevents future illness in others, and provides comfort and closure to families. In Saudi Arabia, a multitude of cultural, religious, and ethical concerns often preclude frank discussions and contribute to the reluctance of both families and practitioners to pursue these examinations. In this paper, we contend that clinical PME should be routinely offered to family members after the unexplained death of an individual. To that end, we propose a religiously informed and culturally sensitive ethical framework, one that is cognizant of local cultural, ethical, and religious needs. We begin with an overview of PME, its development, and its current state in Saudi Arabia. Next, we examine the cultural, religious, and ethical challenges that contribute to the underutilization of PME. Finally, we address these challenges through our proposed framework in the hope that a more representative approach to PME will permit more utilization and benefit.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 4","pages":"753 - 764"},"PeriodicalIF":1.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Misrepresenting Female Doctors in Pakistan: How the “Doctor Bride” Phenomenon Causes Epistemic Injustice","authors":"Sundus Iftikhar, Sarosh Saleem","doi":"10.1007/s41649-024-00329-x","DOIUrl":"10.1007/s41649-024-00329-x","url":null,"abstract":"<div><p>Gender discrimination in the medical profession is a pressing issue in Pakistan, and the derogatory term “Doctor Bride” has perpetuated harmful stereotypes about female doctors. This paper argues that gender biases and societal expectations hinder women from pursuing careers in medicine. The focus on the term and stereotyping of female doctors is based on prejudice, which results in epistemic injustices. It fails to address the systemic issues that keep female doctors out of clinical practice. The cultural norms and prejudices towards women in professional settings exacerbate the challenges they face in pursuing a medical career. These challenges include social and cultural expectations of prioritizing family over careers, biases in healthcare organizations, and discouragement for married women or those with children to pursue certain specialties. This paper highlights the need to address gender discrimination and create a more inclusive environment for women in the medical profession in Pakistan and globally.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 3","pages":"583 - 590"},"PeriodicalIF":1.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myths and Realities about the Private Sector Stem Cell Industry in Malaysia","authors":"Kean Chang Phang, Mohammad Firdaus Bin Abdul Aziz","doi":"10.1007/s41649-024-00330-4","DOIUrl":"10.1007/s41649-024-00330-4","url":null,"abstract":"<div><p>Notwithstanding its potential medical benefits, there are unproven stem cell–based therapies being offered across the globe. Little is known about the landscape of Malaysia’s private stem cell sector of which this study aims to explore. Qualitative study was conducted to explore its status through empirical interviews with stakeholders in the private sector. This study reveals that private researchers face with limited funding and overwhelming bureaucracies resulting in a low output. There is also a lack of governance for stem cell therapy, and some concerns over how stem cell–based therapies are being offered. Hence, urgent interventions by regulatory authorities are vital to ensure ethical and safe clinical practices in the private sector to protect the reputation of this promising industry.\u0000</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 4","pages":"729 - 752"},"PeriodicalIF":1.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thoughts and Behaviors of Chinese and Japanese Doctors when faced with the Death of a Patient: A Qualitative Descriptive Study of Doctors’ Responses to a Hypothetical Scenario","authors":"Hua Xu, Taketoshi Okita, Masao Tabata, Yasuhiro Kadooka, Atsushi Asai","doi":"10.1007/s41649-024-00326-0","DOIUrl":"10.1007/s41649-024-00326-0","url":null,"abstract":"<div><p>China and Japan have similar cultures but differing healthcare systems. In both countries, admissions of medical error and apologies by doctors continue to be an important but difficult issue. The present study aimed to examine and compare the thoughts and behaviors of Chinese and Japanese doctors when faced with the unexpected death of a patient. Qualitative descriptive analysis was performed to compare the responses of 20 doctors from each country to a hypothetical scenario involving the death of a patient. We found that almost all doctors in both countries considered the treatment process described in the hypothetical scenario to be inappropriate and most would feel regret when faced with the young patient’s death. There was a disagreement concerning responsibility for the patient death among the doctors regardless of their nationality. Doctors decided how to behave facing the patient death after anticipating the bereaved family’s reaction and their initial responses varied widely. Japanese doctors indicated that they would communicate with the patient’s family after a patient died, whereas none of the Chinese doctors indicated they would do so due to a fear of physical violence from the bereaved family. Finally, the decision on whether to disclose the medical error and apology was made after careful and complex consideration. In conclusion, significant differences were observed between Chinese and Japanese doctors with respect to communicating with, and disclosing errors and apologizing to, the bereaved family. We discuss both the ethical and social implications of these differences.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 4","pages":"671 - 695"},"PeriodicalIF":1.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-024-00326-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145236788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abortion: Ethical and Legal Perspectives in Indonesia","authors":"Adji Suwandono, Busyra","doi":"10.1007/s41649-024-00322-4","DOIUrl":"10.1007/s41649-024-00322-4","url":null,"abstract":"<div><p>Indonesian law assures the right of its citizens to access health services for abortion procedures under strict criteria. The enactment of Law No. 1 of 2023 about the Criminal Code (KUHP) changed previous regulations regarding the time the abortion is allowed. Abortion is closely related to ethical and moral considerations. The central ethical and moral debate about abortion, especially in Indonesia, revolves around when a fetus is considered a human being and how this aligns with the Indonesian Medical Code of Ethics (KODEKI). On the other hand, the safety and welfare of pregnant women should also be considered. Therefore, all medical and healthcare professionals must understand all aspects of the ethics and laws regarding abortion that apply in Indonesia.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"17 3","pages":"535 - 543"},"PeriodicalIF":1.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}