<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1575</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>ETHICS OF INFECTIOUS PATHOLOGY ON THE EXAMPLE OF THE CORONAVIRUS PANDEMIC</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Konopleva</surname><given-names>E. L</given-names></name><bio></bio><email>konopleva.alenushka@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sokolova</surname><given-names>M. G</given-names></name><bio></bio><email>mar1164@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Smolensk State Medical University</aff><pub-date date-type="epub" iso-8601-date="2021-12-18" publication-format="electronic"><day>18</day><month>12</month><year>2021</year></pub-date><issue>4</issue><fpage>122</fpage><lpage>129</lpage><history><pub-date date-type="received" iso-8601-date="2022-04-08"><day>08</day><month>04</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2021,</copyright-statement><copyright-year>2021</copyright-year></permissions><abstract>The article is devoted to the ethical understanding of the response of the health system to the global challenge of the pandemic in Russia and abroad. The situation with the coronavirus opens a fundamentally new page in biomedical ethics, significantly changing traditional ideas about the moral norms of doctor-patient interaction, the relationship between personal and collective human rights, factors of medical choice and issues of confidentiality. Special attention is paid to the ethics of medical sorting and the problems of possible discrimination of individual social groups in a pandemic. It is shown that the main ethical lesson of COVID-19 should be the understanding of the importance of priority and even excessive development of the health system. To ensure the high readiness of our country for a repeat of the emergency situation of the pandemic, it is necessary to form a powerful primary health care unit, strengthen human resources, and abandon decentralized market-based management mechanisms in medicine. The characteristic of the ethical views of young people on the problems of ethics to provide medical care to patients with COVID-19. Students of medical universities experience a strong tension and anxiety due to the need for professional work in the context of a new coronavirus infection.</abstract><kwd-group xml:lang="en"><kwd>public health</kwd><kwd>ethics of infectious pathology</kwd><kwd>coronavirus pandemic</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>общественное здоровье</kwd><kwd>этика инфекционной патологии</kwd><kwd>пандемия коронавируса</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Guidelines for revising the Influenza Pandemic Preparedness Plan. Lessons learned from the 2009 influenza A(H1N1) pandemic. - Stockholm: ECDC, 2017. - 20 p.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Key changes made by Member States in the WHO European Region to pandemic preparedness plans: lessons from the 2009 pandemic. - Copenhagen, World Health Organization Regional Office for Europe, 2012. - 16 p.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>International Ethical Guidelines for Health Research Involving People. - Geneva: Council of International Medical Scientific Organizations, 2016. - 122 p.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Guidelines for Ethical Planning during Pandemics. - Toronto: Joint Center for Bioethics, University of Toronto, 2005. - 84 p.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Кубарь О.И. Этический комментарий к COVID-19 / О.И. Кубарь // Инфекция и иммунитет. - 2020. - Т. 10. - № 2. - С. 287-294.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Кубарь О.И. Второй этический комментарий к COVID-19 (год спустя) / О.И. Кубарь, М.А. Бичурина, Н.И. Романенкова // Инфекция и иммунитет. - 2021. - 11. - № 1. - С. 17-24.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Песенникова Е.В. Направления развития медицины и здравоохранения в постпандемическом мире / Е.В. Песенникова, В.И. Перхов // Современные проблемы здравоохранения и медицинской статистики. - 2020. - № 4. - С. 535-551.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Улумбекова Г. Э. Предложения по реформе здравоохранения РФ после завершения пика пандемии СОVID-19 / Г.Э. Улумбекова // ОРГЗДРАВ: новости, мнения, обучение. Вестник ВШОУЗ. - 2020. - Т. 6. - № 2. - С. 9-26.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Харитонова В.И. Пандемия COVID-19: идеи пациент-ориентированности врача и мотивации пациента (по материалам интернет-источников) / В.И. Харитонова // Сибирские исторические исследования. - 2020. - № 4. - С. 217-237.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Чалдышкина М.В. О врачебном долге перед лицом коллапса в медицине: этико-философский аспект проблемы / М.В. Чалдышкина // Вестник Омского государственного педагогического университета. - 2021. - № 1. - С. 41-44.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Этика инфекционной патологии / Под общей ред. О.И. Кубарь. - СПб.: НИИЭМ имени Пастера, 2014. - 116 с.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Guidelines for Revising the Influenza Pandemic Preparedness Plan. Lessons learned from the 2009 influenza A(H1N1) pandemic. Stockholm, ECDC, 2017. 20 p.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Key changes made by Member States in the WHO European Region to pandemic preparedness plans: lessons from the 2009 pandemic. Copenhagen, World Health Organization Regional Office for Europe, 2012. 16 p.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>International Ethical Guidelines for Health Research Involving People. Geneva: Council of International Medical Scientific Organizations, 2016. 122 p.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Guidelines for Ethical Planning during Pandemics. Toronto, Joint Center for Bioethics, University of Toronto, 2005. 84 p.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Kubar O.I. Ethical commentary on COVID-19. Infekciya i immunitet [Infection and immunity],2020, v. 10, no. 2, рp. 287-294 (in Russian).</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Kubar O.I., Bichurina M.A., Romanenkova N.I. The second ethical commentary on COVID-19 (a year later). Infekciya i immunitet [Infection and immunity], 2021, v. 11, no. 1, pp. 17-24 (in Russian).</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Pesennikova E.V., Perkhov V.I. Directions of development of medicine and health care in the post-pandemic world. Sovremennyye problemy zdravookhraneniya i meditsinskoy statistiki [Modern problems of health care and medical statistics], 2020, no. 4, pp. 535-55 (in Russian).</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Ulumbekova G.E. Proposals for health care reform in the Russian Federation after the peak of the COVID-19 pandemic ORGZDRAV: novosti, mneniya, obucheniye. Vestnik VSHOUZ [ORGZDRAV: news, opinions, training. Bulletin of VSHOUZ], 2020, v. 6, no. 2, pp. 9-26 (in Russian).</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Kharitonova V.I. Pandemic COVID-19: ideas of patient-orientation of the doctor and patient motivation (based on materials from Internet sources). Sibirskiye istoricheskiye issledovaniya [Siberian Historical Research], 2020, no. 4, pp. 217-237 (in Russian).</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Chaldyshkina M.V. On medical duty in the face of collapse in medicine: ethical and philosophical aspect of the problem. Vestnik Omskogo gosudarstvennogo pedagogicheskogo universiteta [Bulletin of the Omsk State Pedagogical University], 2021, no. 1, pp. 41-44 (in Russian).</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Etika infektsionnoy patologii [Ethics of infectious pathology] / Ed. O.I. Kubar. St. Petersburg, St.-Petersburg Pasteur Institute, 2014. 116 p. (in Russian).</mixed-citation></ref></ref-list></back></article>
