Gambling with COVID-19 Makes More Sense: Ethical and Practical Challenges in COVID-19 Responses in Communalistic Resource-Limited Africa

J Bioeth Inq. 2020 Dec;17(4):607-611. doi: 10.1007/s11673-020-10002-1. Epub 2020 Aug 25.

Abstract

Informed by evidence from past studies and experiences with epidemics, an intervention combining quarantine, lockdowns, curfews, social distancing, and washing of hands has been adopted as "international best practice" in COVID-19 response. With massive total lockdowns complemented by electronic surveillance, China successfully controlled the pandemic in country within a few months. But would this work for Africa and other communalistic resource-poor settings where social togetherness translates to effective sharing of basic needs? What ethical and practical challenges would this pose? How would communalism be translated in special contexts to be useful in contributing to the ultimate common good? This paper uses examples from the current situation of COVID-19 in Kenya to address these questions.

Keywords: Africa; COVID-19; Communalistic resource-poor; Ethical and practical challenges; International best practice.

MeSH terms

  • Africa / epidemiology
  • Bioethical Issues*
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • Communicable Disease Control / organization & administration*
  • Developing Countries
  • Humans
  • Kenya / epidemiology
  • Pandemics
  • SARS-CoV-2
  • Social Control, Formal*