Human Rights Dimensions of Optional or Compulsory Life-Saving Interventions and Treatment of Covid-19

Document Type : Original Article

Author

associate professor in public law, payame noor university, Tehran, Iran

Abstract

Abstract:
From a legal point of view, freedom is the primary principle and any restrictions are exceptions. One of the most recent examples of human rights restrictions has been the coronavirus, which has affected the right to health and many aspects of human life. Since health is conceptualized in the right, its application by the righteous is subject to self-determination, respect, free will, and self-fulfillment. The result of such an approach is that in case of illness, the person has full authority in the treatment and receipt of medical interventions and any treatment should be done with his conscious consent. The main purpose of the article, with a descriptive-analytical approach, is to examine the challenge of whether a patient has the right to receive voluntary treatment for an infectious and contagious disease such as coronavirus. The results show that in normal conditions and non-contagious diseases, due to the characteristic of the right institution, the right to receive medical interventions is completely optional and subject to the free will of the patient, but in emergency situations, impaired willpower and contagious diseases such as Covid-19, the patient's conscious satisfaction is limited to these conditions and the protection of public health.

Keywords

Main Subjects

References

ب- انگلیسی
Books:
- Ayers, Susan and Others (Editors), Cambridge Handbook of Psychology: Health and Medicine, Cambridge University Press, 2007, {Google Book}.
- Jones, Jones, Peter, Rights, New York: Macmillan, 1994.
- Kant, Immanuel (1989), “Idea for a Universal History with a Cosmopolitan Purpose”, in R. Geuss and Q. Skinner (eds.). Kant: Political Writings, Cambridge University Press, 1989.
- Kebede-Francis, Enku, Global Health Disparities: Closing the Gap through Good Governance, Jones & Bartlett Learning, 2011, {Google Book}.
- Kramer, Kramer, Matthew. H and Simmons, N.E and Steiner, Hillel, A Debate over Rights, Oxford: Oxford University Press, 1998.
- McConnell, Terrance, Inalienable Rights: The Limits of Consent in Medicine and the Law, Oxford University Press, 2000, {Google Book}.
 - Vansweevelt, Thierry and Glover-Thomas, Nicola,  Informed  Consent and Health: A Global Analysis, Edward Elgar Publishing, 2020, {Google Book}.
 
Articles:
- Alameda County Public Health Department, “Communicable Disease”, 2020, http://www.acphd. org/communicable-disease.aspx.
- Atkinson, Sarah and Others, “Legal Aspects of Consent to Treatment”, 2012,https://www. mauriceblackburn .com.au/about/media-centre/newsletters/medical-law/autumn-2012/legal-aspects-of-consent-to-treatment.
- Byrne, Robert. M, “Compulsory Lifesaving Treatment for the Competent Adult”, Fordham Law Review, Volume 44, 1, 1975, https://ir.lawnet.fordham.edu/flr/vol44/iss1/1.
- Borsellino, Patrizia, Limitation of the therapeutic effort: ethical and legal justification for withholding and/or withdrawing life sustaining treatments”, Multidisciplinary Respiratory Medicine, Volume 10 (5), 2015, https://mrmjournal.biomedcentral.com/articles/10.1186/s40248-015-0001-8.
- Civaner, Murat and Arda, Berna, “Can "presumed consent" justify the duty to treat infectious diseases? An analysis”, BMC Infect Disease Journal, Published online, March 6. doi: 10.1186/1471-2334-8-29  , Volume 8 (29),  2008, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2311313.
- Commission for Scotland: Mental Welfare Section, “COVID-19, FAQs for practitioners, 2020, https:// www.mwcscot.org.uk/sites/default/files/2020-03/Covid-9%20advice%20note%20v2%2026%20 March%202020 .pdf.
- Cooper, Stephanie, “Taking No for an Answer: Refusal of Life-Sustaining Treatment”, AMA Joural Ethics,12 (6), 2010, https://journalofethics.ama-assn.org/article/taking-no-answer-refusal-life-sustaining-treatment/2010-06.
- Ethicsofisl, “Non-Maleficence and Beneficence”, 2011, http://ethicsofisl.ubc.ca/?page_id=172.
- Grady, Christine and Others, “Ethical and Legal Issues in Infectious Disease Research and Control”, EID Journal, Volume 7 (7), June 2001, https://wwwnc.cdc.gov/eid/article/7/7/01-7713_article.
- Hooper, Liuise, “Vaccinations?”, 2020, https://www.gardencourtchambers.co.uk/coronavirus-legal-news-views/coronavirus-act-2020-does-it-permit-mandatory-vaccinations.
- Jahn, Warren T. “The 4 basic ethical principles that apply to forensic activities”, Journal Chiropractic Medicine, Volume 10(3), 2011, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4863255.
- Liang, Bryan A., “Informed consent: Know rules and exceptions, when they apply”, 2003, https://www. reliasmedia.com/articles/29540-informed-consent-know-rules-and-exceptions-when-they-apply.
- Merriam-Webster Online, “Communicable Disease”, 2020, https://www.merriam-webster.com/dedding/ communicable٪20disease.
- Martin, Robyn, “Martin The Exercise of Public Health Powers in Cases of Infectious Disease: Human Rights Implications”,  Medical Law Review, Volume 14, Issue 1, Spring 2006, https://academic.oup.com /medlaw/article/14/1/132/990506.
- Phua, Kai-Lit, “Phua Ethical Dilemmas in Protecting Individual Rights versus Public Protection in the Case of Infectious Diseases”, Infectious Diseases: Research and Treatment, 6, 2013, https://journals. sagepub.com/doi/full/10.4137/IDRT.S11205.
- Połatyńska, Aleksandra, “Coronavirus: How to challenge compulsory treatment?, 2020, http://www. codozasady.pl/en/coronavirus-how-to-challenge-compulsory-treatment.
- Stanford Encyclopedia of Philosophy Online, “Public Health Ethics, 2015, https://plato.stanford.edu/ entries/publichealth-ethics/.
- Selinger, Christian. P, “The Right to Consent: Is It Absolute?” British Journal Medical Participation, volume 2 (2), 2009, https://www.bjmp.org/content/right-consent-it-absolute.
- Sundean, Lisa J., “Ethical Considerations in the Neonatal Intensive Care Unit”, Nursing Review, Volume 13(3), 2013, https://www.medscape.com/viewarticle/811079_5.
- Torrey, Trisha, “Do Patients Have the Right to Refuse Medical Treatment?”, 2020, https://www. verywellhealth.com/do-patients-have-the-right-to-refuse-treatment-2614982.
- UN Human Rights Experts and Special Rapporteurs, “No exceptions with COVID-19: Everyone has right to life-saving interventions”, 26 March 2020, https://www.aa.com.tr/en/latest-on-coronavirus-outbreak/everyone-has-right-to-life-saving-interventions-un/1780740.
- WHO, “Controlling the Spread of Infectious Diseases”: in Advancing the Right to Health: the Vital Role of Law, 2018, https://www.who.int/healthsystems/topics/health-law/chapter10.pdf.
- WHO, “Guidance for Managing Ethical Issues in Infectious Disease Outbreaks”, 2016, https://apps. who.int/iris/handle/10665/250580.
- WHO, “Novel Coronavirus (2019-nCoV) Situation Report -121”, January 2020, https:// www.who.int /docs/default-source/coronaviruse /situation-reports/20200121-sitrep-1-2019-ncov.pdf.
- WHO, “Infectious diseases”, 2020, https://www.who.int/topics/infectious_diseases/fa/.
- WHO, “Communicable, or Infectious Diseases”, 2020, https://www.afro.who.int/health-topics/ communicable-diseases.
- WHO, “Director-General's opening remarks at the media briefing on Covid-19: We have therefore made the assessment that Covid-19 can be characterized as a pandemic”, 11 March 2020, https://www. who.int/dg/ speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
 
Documents and Rules:
- China National Health Commission, “Report on Covid-19”, 2020, http://en.nhc.gov.cn.
- Committee on Economic, Social and Cultural Rights (CESCR), “General Comment No. 14 (2000), The Right to the Highest Attainable Standard of Health (article 12 of the International Covenant on Economic, Social and Cultural Rights)”, E/C.12/2000/4, 11 August 2000, http://docstore.ohchr.org/SelfServices/ FilesHandler.ashx? Enc.
- New  Zealand Legislation,  “Compulsory Treatment Orders”, Mental Health (Compulsory Assessment and Treatment) Act 1992, ss 59, 62, https://communitylaw.org.nz/community-law-manual/chapter-17-mental-health/compulsory-treatment-orders/the-effects-of-a-compulsory-treatment-order.
- Taiwan, “Prevention and Control of COVID-19 in Taiwan”, https://www.cdc.gov.tw/File/Get/ BP3BUx0flJct5 _OSV4WCaw.
- United Kingdom, “Coronavirus Act 2020”, http://www.legislation.gov.uk/ukpga/2020/7/contents /enacted.
- Poland, “COVID-19 Act 2020”, https://knowledge.leglobal.org/corona/country/poland/poland-amended-covid-19-act-introduces-changes-to-employment-of-foreigners/.
- UN General Assembly, “Right of everyone to the enjoyment of the highest attainable standard of physical and mental health”, Sixty-fourth session, 10 August 2009, para 18-20, A/64/272, https://undocs.org/en/A/64/272.
 
Legal Research Quarterly
Volume 23, LAW and COVID- 19
September 2020
Pages 387-412

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History

  • Receive Date: 24 May 2020
  • Revise Date: 07 September 2020
  • Accept Date: 11 July 2020

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