The coordination of government action in times of disaster demonstrates the ethics principle of

1. El Zowalaty ME, Järhult JD. From SARS to COVID-19: a previously unknown SARS-CoV-2 virus of pandemic potential infecting humans–call for a one health approach. One Health. 2020;1:100124.

   Article  Google Scholar 

2. WHO. Coronavirus disease 2019 (COVID-19) Situation Report – 77. [https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200406-sitrep-77-covid-19.pdf?sfvrsn=21d1e632_2].

3. WHO: Coronavirus disease (COVID-19) Weekly Epidemiological Update. (Organisation WH ed., 14th September 2020 edition: World Health Organisation; 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200914-weekly-epi-update-5.pdf?sfvrsn=cf929d04_2.

4. Ye Z-W, Yuan S, Yuen K-S, Fung S-Y, Chan C-P, Jin D-Y. Zoonotic origins of human coronaviruses. Int J Biol Sci. 2020;16:1686–97.

   CAS  Article  Google Scholar 

5. Hui DS, Zumla A. Severe acute respiratory syndrome: historical, epidemiologic, and clinical features. Infect Dis Clin. 2019;33:869–89.

   Article  Google Scholar 

6. Danielle A, Lucas S, Glenn C, Carmel S, Rajiv S, Glen W, et al. Securing justice, health, and democracy against the COVID-19 threat. Center for Ethics, Harvard University; 2020.

   Google Scholar 

7. Khalil AT, Ali M, Tanveer F, Ovais M, Idrees M, Shinwari ZK, et al. Emerging viral infections in Pakistan: issues, concerns, and future prospects. Health Sec. 2017;15:268–81.

   Article  Google Scholar 

8. Shinwari ZK, Khalil AT, Nasim A. Natural or deliberate outbreak in Pakistan: how to prevent or detect and trace its origin: biosecurity, surveillance, forensics. Arch Immunol Ther Exp. 2014;62:263–75.

   Article  Google Scholar 

9. Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020;12:1–5.

   Article  Google Scholar 

10. Zhang W, Du R-H, Li B, Zheng X-S, Yang X-L, Hu B, et al. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerg Microbes Infect. 2020;9:386–9.

    CAS  Article  Google Scholar 

11. WHO. Guidance for managing ethical issues in infectious disease outbreaks; 2016. ISBN: 9789241549837. https://apps.who.int/iris/handle/10665/250580.

12. Katharine W and Kate H. Bioethics NCo. Research in Global Health emergencies: ethical issues. 2020. https://www.nuffieldbioethics.org/publications/research-in-global-health-emergencies.

13. WHO. Ethical considerations in developing a public health response to pandemic influenza. Geneva: World Health Organization; 2007.

    Google Scholar 

14. Gostin LO, Hodge JG. US emergency legal responses to novel coronavirus: balancing public health and civil liberties. Jama. 2020;323(12):1131.

    CAS  Article  Google Scholar 

15. Gostin LO, Friedman EA, Wetter SA. Responding to COVID-19: how to navigate a public health emergency legally and ethically. Hast Cent Rep. 2020;50(2):8.

    Article  Google Scholar 

16. Wang Z, Tang K. Combating COVID-19: health equity matters. Nat Med. 2020;26(458). https://doi.org/10.1038/s41591-020-0823-6.

17. WHO. Ethical standards for research during public health emergencies: distilling existing guidance to support COVID-19 R&D: World Health Organization; 2020. WHO/RFH/20.1. https://apps.who.int/iris/handle/10665/331507.

18. Saxena A, Horby P, Amuasi J, Aagaard N, Köhler J, Gooshki ES, et al. Ethics preparedness: facilitating ethics review during outbreaks-recommendations from an expert panel. BMC Med Ethics. 2019;20:29.

    Article  Google Scholar 

19. Zhang H, Shao F, Gu J, Li L, Wang Y. Ethics committee reviews of applications for research studies at 1 Hospital in China during the 2019 novel coronavirus epidemic. JAMA. 2020;323(18):1844.

    CAS  PubMed  PubMed Central  Google Scholar 

20. Djalante R, Shaw R, DeWit A. Building resilience against biological hazards and pandemics: COVID-19 and its implications for the Sendai framework. Prog Disaster Sci. 2020;1:100080.

    Article  Google Scholar 

21. Rivers C, Chretien J-P, Riley S, Pavlin JA, Woodward A, Brett-Major D, et al. Using “outbreak science” to strengthen the use of models during epidemics. Nat Commun. 2019;10:1–3.

    CAS  Article  Google Scholar 

22. Alexander GC, Wynia MK. Ready and willing? Physicians’ sense of preparedness for bioterrorism. Health Aff. 2003;22:189–97.

    Article  Google Scholar 

23. Association AM. Declaration of professional responsibility. Adopted by the AMA house of delegates. Chicago: American Medical Association; 2001. Available at: http://www.ama-assn.org/ama/pub/category/7491.html Accessed February 17, 2007.

    Google Scholar 

24. Townsend R, Eburn M. COVID-19–legal and ethical implications for your practice. Aust J Paramed. 2020;17:1. https://doi.org/10.33151/ajp.17.796.

25. Hick JL, Hanfling D, Wynia MK, Pavia AT. Duty to plan: health care, crisis standards of care, and novel coronavirus SARS-CoV-2. NAM Perspect. 2020. https://www.kaleidahealth.org/coronavirus/support/literature/Duty-to-Plan-2020.pdf.

26. Zarocostas J. How to fight an infodemic. Lancet. 2020;395:676.

    CAS  Article  Google Scholar 

27. Bonilla-Aldana D, Dhama K, Rodriguez-Morales A. Revisiting the one health approach in the context of COVID-19: a look into the ecology of this emerging disease. Adv Anim Vet Sci. 2020;8:234–7.

    Article  Google Scholar 

28. Ellwanger JH, Chies JAB. Zoonotic spillover and emerging viral diseases–time to intensify zoonoses surveillance in Brazil. Braz J Infect Dis. 2018;22:76–8.

    Article  Google Scholar 

29. Trilla A. One world, one health: the novel coronavirus COVID-19 epidemic. Med Clin. 2020;154:175–7.

    CAS  Article  Google Scholar 

30. Hemida MG, Abduallah MMB. The SARS-CoV-2 outbreak from a one health perspective. One Health. 2020;10:100127.

    Article  Google Scholar 

31. Lam TT-Y, Shum MH-H, Zhu H-C, Tong Y-G, Ni X-B, Liao Y-S, et al. Identification of 2019-nCoV related coronaviruses in Malayan pangolins in southern China. BioRxiv. 2020;583(7815):282.

    CAS  Google Scholar 

32. Carrington D. The Anthropocene epoch: scientists declare dawn of human-influenced age. Guardian. 2016;29:2016.

    Google Scholar 

33. Kass N, Kahn J, Buckland A, Paul A, Group EW. Ethics guidance for the public health containment of serious infectious disease outbreaks in low-income settings: lessons from Ebola. Baltimore: Johns Hopkins Berman Institute of Bioethics; 2019.

    Google Scholar 

34. JCT AL, Barrett DH, Ortmann LW, DJH G. Key ethical issues discussed at CDC-sponsored international, regional meetings to explore cultural perspectives and contexts on pandemic influenza preparedness and response. Int J Health Policy Manag. 2016;5:653.

    Article  Google Scholar 

35. UN: SHARED RESPONSIBILITY, GLOBAL SOLIDARITY: Responding to the socio-economic impacts of COVID-19 2020. https://unsdg.un.org/sites/default/files/2020-03/SG-Report-Socio-Economic-Impact-of-Covid19.pdf.

36. Ghebreyesus TA, Swaminathan S. Scientists are sprinting to outpace the novel coronavirus. Lancet. 2020;395:762–4.

    CAS  Article  Google Scholar 

37. Gupta M, Wahl B, Adhikari B, Bar-Zeev N, Bhandari S, Coria A, et al. The need for COVID-19 research in low-and middle-income countries. Glob Health Res Policy. 2020;5:1–4.

    Article  Google Scholar 

38. Whitworth J. COVID-19: a fast evolving pandemic. Trans R Soc Trop Med Hyg. 2020;114(4):241.

39. Cantera ALM: Can India Keep up With COVID-19?. The Diplomat. 2020. https://thediplomat.com/2020/03/india-challenged-by-covid-19/.

40. IMF. Policy Responses to COVID-19 [https://www.imf.org/en/Topics/imf-and-covid19/Policy-Responses-to-COVID-19#P].

41. Nasir I. Virus cases may top 50,000 by April end, SC told. Dawn. 5th April 2020. https://www.dawn.com/news/1546517.

42. The News Internatonal: Govt tells SC number of coronavirus cases expected to rise to 50,000 by April 25. In The News. 25th April 2020. https://www.thenews.com.pk/latest/639377-govt-tells-sc-number-of-coronavirus-cases-expected-to-rise-to-50000-by-april-25.

43. Jaffer Shah SK, Al-Ahdal TMA, Mousavi SH, Zahid SU, Huy NT. COVID-19: the current situation in Afghanistan. Lancet. 2020;8(6):e771.

    PubMed  Google Scholar 

44. Mark M. The coronavirus has caused a full breakdown in Iran, with an unknown death toll, infected leaders, and massive burial pits visible from space. In the business insider; 2020. https://www.businessinsider.com/iran-coronavirus-covid19-deaths-cases-updates-2020-3.

45. Takian A, Raoofi A, Kazempour-Ardebili S. COVID-19 battle during the toughest sanctions against Iran. Lancet. 2020;395(10229):1035.

    CAS  Article  Google Scholar 

46. Quadri SA. COVID-19 and religious congregations: Implications for spread of novel pathogens. Int. J. Infect. Dis. 2020;96:219–21.

47. Rana MA. Covid-19 & other fears. The Dawn. 2020. https://www.dawn.com/news/1546527.

48. DHS. Data Should Drive COVID-19 Mitigation Strategies in Lower- and Middle-Income Countries. https://blog.dhsprogram.com/data-should-drive-covid-19-mitigation-strategies-in-lower-and-middle-income-countries/.

49. Lone SA, Ahmad A. COVID-19 pandemic–an African perspective. Emerg Microbes Infect. 2020;9(1):1–28. https://doi.org/10.1080/22221751.2020.1775132.

50. Paintsil E. COVID-19 threatens health systems in sub-Saharan Africa: the eye of the crocodile. J. Clin. Invest. 2020;130(6):2741–4.

51. Wang CJ, Ng CY, Brook RH. Response to COVID-19 in Taiwan: big data analytics, new technology, and proactive testing. JAMA. 2020;323(14):1341.

    CAS  Article  Google Scholar 

52. Human Rights Watch (HRW). Human Rights Dimensions of COVID-19 Response. 2020. https://www.hrw.org/news/2020/03/19/human-rights-dimensions-covid-19-response.

53. Ahmed F, Ahmed NE, Pissarides C, Stiglitz J. Why inequality could spread COVID-19. Lancet. 2020;5(5):e240.

    PubMed  Google Scholar 

54. Cavallo JJ, Donoho DA, Forman HP. Hospital capacity and operations in the coronavirus disease 2019 (COVID-19) pandemic-planning for the nth patient. In JAMA health forum. Am Med Assoc. 2020;1:e200345.

    Google Scholar 

55. Robert M and Richard M. When the pandemic hits the Most vulnerable. Foreign Affairs. 2020. https://www.foreignaffairs.com/articles/africa/2020-03-31/when-pandemic-hits-most-vulnerable.

56. Laventhal N, Basak R, Dell ML, Diekema D, Elster N, Geis G, et al. The ethics of creating a resource allocation strategy during the COVID-19 pandemic. Pediatrics. 2020;146:1.

    Article  Google Scholar 

57. Moodley K, Rennie S, Behets F, Obasa AE, Yemesi R, Ravez L, et al. Allocation of scarce resources in Africa during COVID-19: utility and justice for the bottom of the pyramid. Developing world bioethics; 2020. https://doi.org/10.1111/dewb.12280.

58. Holm S. A general approach to compensation for losses incurred due to public health interventions in the infectious disease context. Monash Bioethics Rev. 2020;1:1–15.

    Google Scholar 

59. Human Rights Watch (HRW). Pakistan: Workers Face Health, Economic Risks. 2020. https://www.hrw.org/news/2020/04/01/pakistan-workers-face-health-economic-risks.

60. Rimmer M. The race to patent the SARS virus: the TRIPS agreement and access to essential medicines. Melb J Int’l L. 2004;5:335.

    Google Scholar 

61. WHO. Pandemic influenza preparedness framework. 2011. ISBN: 978 92 4 150308 2. https://apps.who.int/iris/bitstream/handle/10665/44796/9789241503082_eng.pdf?sequence=1.

62. Institut Pasteur. Whole genome of novel coronavirus, 2019-nCoV, sequenced. Science Daily. 2020. https://www.sciencedaily.com/releases/2020/01/200131114748.htm.

63. Moorthy V, Restrepo AMH, Preziosi M-P, Swaminathan S. Data sharing for novel coronavirus (COVID-19). Bull World Health Organ. 2020;98:150.

    Article  Google Scholar 

64. Kupferschmidt K, Cohen J. WHO launches global megatrial of the four most promising coronavirus treatment. Science. 2020. https://www.sciencemag.org/news/2020/03/who-launches-global-megatrial-four-most-promising-coronavirus-treatments.

65. Aitor HS . Germany confirms that trump tried to buy firm working on coronavirus vaccine. Politico; 2020. https://www.politico.eu/article/germany-confirms-that-donald-trump-tried-to-buy-firm-working-on-coronavirus-vaccine/.

66. Bown CP. EU limits on medical gear exports put poor countries and Europeans at risk. Peterson institute for international economics. 2020. https://www.piie.com/blogs/trade-and-investment-policy-watch/eu-limits-medical-gear-exports-put-poor-countries-and.

67. Wong H. The case for compulsory licensing during COVID-19. J Glob Health. 2020;10:010358.

    Article  Google Scholar 

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Summary of the situational report (Date taken from WHO; updated 6th April 2020 and 13th September 2020)