Courting danger while doing good--protecting global health workers from harm.
نویسنده
چکیده
U the morning of February 26, 2010, the name Eddie Roach meant nothing to me. Then a desperate e-mail brought the 32-year-old self-described “global health missionary” into my life. Weeks earlier, Roach had been distributing handheld water purifiers in rural Uganda; now, according to his friend’s SOS, he was in a Nevada intensive care unit awaiting dialysis and exchange transfusion. Diagnosis? Severe and complicated Plasmodium falciparum malaria. The critically ill Roach had actually sought help well before he lost consciousness in his friend’s upstairs bedroom. Having become sick during his last days in Africa, he wanted to stop in London on his way home, but an airline agent declined to change his ticket. On the next leg of his journey, a f light attendant observed that Roach had a fever and chills and suggested that he might have malaria. After landing in Los Angeles, he visited a walk-in clinic. “Do I have malaria?” he asked. No, he was told when his urine showed red cells. You have a kidney stone, maybe a urinary tract infection. Take this antibiotic, just in case. Finally, he reached Lake Tahoe, fell into a feverish sleep, and didn’t wake up. Three weeks later, Roach was discharged from the hospital. His dialysis catheter came out the following month. Today, if he could turn back the clock, Eddie Roach would faithfully down antimalarial pills in Uganda. But when he began his trip, his mind was elsewhere. For starters, despite the fact that he had completed previous “clean water” assignments in Haiti, Burma, and Cambodia and taken previous trips to Africa, Roach’s knowledge about malaria was sketchy, and he feared possible side effects from preventive medication. Second, he was focused on saving other people’s lives, not protecting his own. In the past decade, interest in global health has surged — not just among medical students, residents, and seasoned physicians,
منابع مشابه
The Precautionary Principle, epidemiology and the ethics of delay.
Ethics tells us: do good and do no harm and invokes the norms of justice, equity and respect for autonomy in protecting and promoting health and well-being. The Precautionary Principle, a contemporary re-definition of Bradford Hill's case for action, gives us a common sense rule for doing good by preventing harm to public health from delay: when in doubt about the presence of a hazard, there sh...
متن کاملConflict of Jurisprudential Rules and the Obligation of Self-Preservation with Ethical Standards in the Care and Management of Patients with Coronary Heart Disease
Common sense, according to rules such as no harm and no harm, the obligation to repel probable harm, the denial of embarrassment, the sanctity of induction in motion, the repulsion of harm from oneself is rationally and religiously obligatory, whether harmful or rationally possible; on the other hand in the teachings Islamic ethics embodies concepts such as self-sacrifice, compassion, cooperati...
متن کاملO16: How Do Concepts of Evolutionary Psychology and Evolutionary Psychiatry Explain Anxiety Disorders?
Our ancestors without fear, worry and anxiety are not our ancestors, as organisms without defense systems were extinct. Therefore, while behavior such as fear and anxiety are useful to prevent harm, the exaggerated form, that is, anxiety disorders, has more costs than benefits. Likewise, while a panic attack is a normal and useful response in the face of life-threatening danger, a panic disorde...
متن کاملAn adoptive parental perspective on personal genomic screening.
Parenthood changes one’s perspective and focus. Myriad things that previously seemed benign, such as escalators, shopping carts, and even forks, now represent imminent danger. Like biological parent–child relationships, adoptive parent–child relationships come in many forms, sometimes good and sometimes bad. I am lucky: My bond with my daughter is strong. I see her light up when I enter the roo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The New England journal of medicine
دوره 363 26 شماره
صفحات -
تاریخ انتشار 2010