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Ethical and Legal Considerations in the care of children and young people with High Consequence Infectious Diseases (HCID); an approach to decision making

Lookup NU author(s): Professor Marieke Emonts-le ClercqORCiD, Dr Stephen Owens

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2025 Elsevier LtdHigh consequence infectious diseases (such as Ebola virus or avian influenza) require specialist management with strict isolation to avoid spread to health-care staff and the wider community. These infections present various ethical and legal issues for children and young people. Specific challenges include the impact of isolation on the child and family (potentially without a child's consent), limitations to care due to staff safety considerations, and reduction of resources for other children (due to potential closure of paediatric intensive care unit beds). The complex decision making required in these scenarios needs timely ethical support. As planning for future pandemics accelerates, we suggest that the ethical and legal considerations involved in delivering care to affected children and their families need urgent consideration, and we have highlighted the important areas for focus to provide a route map for this important undertaking.


Publication metadata

Author(s): Whittaker E, Sinha R, Riordan A, Alonso A, Emonts M, Owens S, Cohen J, Mahoney S, Porter D, Larru B, Segal S, Brierley J

Publication type: Article

Publication status: Published

Journal: The Lancet Child & Adolescent Health

Year: 2025

Volume: 9

Issue: 3

Pages: 205-210

Print publication date: 01/03/2025

Online publication date: 18/02/2025

Acceptance date: 13/12/2024

Date deposited: 15/12/2024

ISSN (print): 2352-4642

ISSN (electronic): 2352-4650

Publisher: The Lancet Publishing Group

URL: https://doi.org/10.1016/S2352-4642(24)00353-5

DOI: 10.1016/S2352-4642(24)00353-5

ePrints DOI: 10.57711/thek-b547


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