Ebola Resources

Several of the University of Toronto Joint Centre for Bioethics (JCB) affiliated ethicists and members are consulting with the World Health Organization (WHO) and other governing bodies on the ethics of the Ebola outbreak - including treatment and prevention measures, and other concerns. This page is a resource containing emerging ethical issues during the Ebola outbreak, including basic information on the Ebola Virus, JCB Members' in the news, and additional framework references of pandemic planning from 2005 onward.

 

Ebola Virus/Ebola Virus Disease (EVD) - Basic Information

Public Health Agency of Canada: "What do health professionals need to know about Ebola?" web link

World Health Organization: "Ebola Virus Disease" web link – includes facts about EVD, situation analysis, relevant policy documents

Public Health Ontario: Ebola Virus Disease (EVD) web link

Toronto Public Health - Ebola Virus Disease(EVD) Fact Sheet web link

Dalla Lana School of Public Health: What you need to know about Ebola web link

 

EVD Preparedness Planning in Ontario

Ontario Ministry of Health and Long Term Care web link

Most recent directives:

 

Ethics Guidance

"One year into the Ebola epidemic: A deadly, tenacious and unforgiving virus" - WHO report (January 2015) web link

World Health Organization Ethics Working Group: "Ethical issues related to study designs for trials on therapeutics for Ebola Virus Disease" (November 2014) web link

"WHO Consultation on potential Ebola therapies and vaccines: Meeting summary" (September 2014) web link

 

JCB in the News

January 28, 2015: Ross Upshur (former JCB Director), The Globe and Mail - How declining Ebola cases could imperil hopes of having vaccines ready web link

December 2014: Ross Upshur (former JCB Director) - Detaining Ebola: Professor Ross Upshur on the ethics of quarantine

November 27, 2014: Ross Upshur (former JCB Director), Huffington Post Canada - Ebola Crisis: Canadian Forces Medical Team Headed To Sierra Leone web link

November 23, 2014: Jennifer Gibson (JCB Director), Jim Lavery (JCB Member), Ross Upshur (former JCB Director), U of T Medicine - Stopping Ebola: The Ethics and Efficacy of Speeding up Drug Trials web link

November 13, 2014: Ross Upshur (former JCB Director), The Globe and Mail - Canada's response to Ebola driven by fear, not evidence web link

November 8, 2014: Ross Upshur (former JCB Director), 660 News - Ottawa defends Ebola-related travel restrictions to WHO web link

November 7, 2014: Ross Upshur (former JCB Director), Winnipeg Free Press - Federal government and WHO discuss Canadian Ebola-related travel restrictions web link

October, 2014: Ross Upshur (former JCB Director), Journal of Bioethical Inquiry - Ebola Virus in West Africa: Waiting for the Owl of Minerva web link

September 21, 2014: James Lavery, Temidayo Ogundiran, Alison Thompson (JCB Affiliate), Ross Upshur, Nancy Walton, The Varsity - Ebola and Bioethics: A follow-up on last weeks panel discussion about ethical issues surrounding the Ebola outbreak web link

September 17, 2014: Jennifer Gibson (JCB Director), Alison Thompson (JCB Affiliate), Ross Upshur (former JCB Director), JCB Bioethics Seminar Series - "Ethics and the Ebola Outbreak" web link

September 17, 2014: Jennifer Gibson (JCB Director), The Varsity - Ethics and the 2014 Ebola Outbreak web link

September 8, 2014: Jim Lavery (JCB Affiliate), Ross Upshur (former JCB Director), Canadian Medical Association Journal - WHO enters new terrain in Ebola research web link

September 8, 2014: Ross Upshur (former JCB Director), infoEdge - Being Human and Considering the Role of Human Trials web link

August 19, 2014: Alison Thompson (JCB Affiliate), Impact Ethics - Ebola: An Emergency Within an Emergency web link

August 19, 2014: Jim Lavery (JCB Affiliate), Alison Thompson (JCB Affiliate), CBC News - Ebola outbreak: Africans understandably wary about promised cures web link

August 14, 2014: JCB, OUPblog - Ethical issues in managing the current Ebola crisis web link

August 13, 2014: Jim Lavery (JCB Affiliate), The Globe and Mail - Ebola drugs and ethics: When need dictates action web link

August 13, 2014: Ross Upshur (former JCB Director), The Toronto Star - U of T professor on team that approved unproven Ebola treatments web link

August 12, 2014: Alison Thompson (JCB Affiliate), The Toronto Star - Drugs aren't the only answer to prevent spread of Ebola web link

August 12, 2014: Ross Upshur (former JCB Director), The Globe and Mail - The ethics of Ebola: 'An opportunity to right a wrong of history' web link

August 12, 2014: Ross Upshur (former JCB Director), Jim Lavery (JCB Affiliate), The National Post - It's ethical to offer untested ebola drugs to West Africans in the midst of crisis, WHO says web link

August 12, 2014: Ross Upshur (former JCB Director), Maclean's - Use of untested Ebola drugs ethical: WHO web link

August 11, 2014: Jim Lavery (JCB Affiliate), St. Michael's Hospital - Ethics of Experimental Ebola Treatment web link

August 11, 2014: Nancy Walton (CPB Graduate), CBC.ca - Ethics of Experimental Ebola Treatment web link

August 10, 2014: Ross Upshur (former JCB Director), Maclean's - Is it ethical to use experimental treatments to treat Ebola? web link

August 9, 2014: Ross Upshur (former JCB Director), CTV News - WHO seeks expert advice on the ethics of using experimental Ebola drugs web link

August 6, 2014: Kerry Bowman (JCB Ethicist), CBC.ca - Ebola outbreak deaths top 930 as WHO emergency meeting convenes web link

 

Relevant Ethics Literature

Dawson AJ. Ebola: What It Tells Us About Medical Ethics. web link J Med Ethics. 2015;41:107-10 doi:10.1136/medethics-2014-102304.

Ethical considerations for use of unregistered interventions for Ebola virus disease. Report of an advisory panel to WHO (August 17, 2014) web link

Ruderman C, Tracy CS, Bensimon CM, Bernstein M, Hawryluck L, Zlotnik Shaul R, Upshur REG. On pandemics and the duty to care: whose duty? who cares?. pdf link BMC Medical Ethics. 2006;7(5):2425-30. doi:10.1186/1472-6939-7-5.

Stand on Guard for Thee: Ethical Considerations in Preparedness in Planning for Pandemic Influenze (November 2005) pdf link

Canadian Program on Research of Ethics in a Pandemic (CanPREP) Policy Briefs (2005) pdf link

 

Additional References:

Bensimon CM, Smith MJ, Pisartchik D, Sahni S, Upshur RE. The duty to care in an influenza pandemic: a qualitative study of Canadian public perspectives. web link Soc Sci Med. 2012 Dec;75(12):2425-30. doi: 10.1016/j.socscimed.2012.09.021.

 

University of Toronto Ebola News (Guidance for Students and Faculty)

U of T News: Ebola (aggregated list)

Notification of Health Information from the University: Updated - Ebola (November 21, 2014)

Notification of Health Information regarding Ebola Virus (August 27, 2014)

 

Media

Please contact Laurie Bulchak, Web & Communication Administrator (laurie.bulchak@utoronto.ca) with any questions.