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>> Românã

Orsolya Horber, Karoly Zilahi. Ethical aspects of infectious disease in family medicine practice. Measless and rubella outbreak 2011-2012 in Romania. 21 th WONCA World Conference of Family Doctors, Rio de Janeiro, Brazil, 2016.

Abstract: The break out, the numbers and sequence of epidemics throughout the centuries allow for a true description of medical history. The epidemics were cornerstones, with multiple implications- social, economical, demographical. On January the 12th 2011, the first suspicion of measles is documented, confirmation came a day later, on January the 13th. As it happens, the 9 year old boy in question had been a patient of our practice, this was the first case of measles in Satu Mare County, Romania in a very long time. During 15 months we need to analyze the presence of disease early, to isolate the sick, to investigate the centres of the outbreak, to take measures that would fight the disease inside the centre of the epidemics, to establish a vaccination program. The Measles and Rubella cases presented a challenge for us to study some ethical aspects and social phenomena- the Individual vs.the Community and the coverage of vaccination, communication and education, old and new medical files, taking responsibility and declining the responsibility. Analysing the facts and communicating them openly and freely, in compliance with professional ethics and finally, after the Communist years, not fearing the responsibilities of the physician, we can work together towards the decrease of mortality caused by measles or towards the increase of vaccination coverage. This is, however, a team effort-between politicians, state and regional authorities, the health system and the community.

Keywords: ethics, infectious disease,outbreak

Posted by Orsolya Horber


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