課程名稱 |
傳染病防治: 倫理與法律實務 Communicable disease control and prevention: Ethics and Regulations |
開課學期 |
112-1 |
授課對象 |
法律學院 法律研究所 |
授課教師 |
詹珮君 |
課號 |
EPM5013 |
課程識別碼 |
849 U0410 |
班次 |
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學分 |
1.0 |
全/半年 |
半年 |
必/選修 |
選修 |
上課時間 |
星期三10,A(17:30~19:15) |
上課地點 |
公衛215 |
備註 |
上課時間:18:00-19:40。本課程非系內選修課程。 總人數上限:72人 |
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課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
課程大綱
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為確保您我的權利,請尊重智慧財產權及不得非法影印
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課程概述 |
傳染病有其特殊性。傳染性疾病與非傳染性疾病最大的差別在於,傳染病會透過人與人或者環境來達到擴散的目的,導致生命財產的損失。從流感大流行、SARS疫情的慘痛經驗、多重抗藥性結核病的氾濫、愛滋病人及其他性傳染病的被標籤化、伊波拉病毒肆虐西非導致貧民區宵禁等,我們又學到什麼?
在傳染病的防治與控制的思考上,個人的權利和群體的利益,不時會有相互衝撞的問題。法律是最低的生活標準,也是社會運作的底線,當有發生群突發的可能時,除了依法行政以外,是否也要考慮,回歸到倫理這個社會賴以運作的常規來處理呢?
本課程將由授課教師本身的傳染病防治實務經驗講授與介紹,給予同學傳染病防治及公共衛生單位,在工作推動過程中真實面臨的倫理困境;搭配特定疾病,就實務和理論,進行深入的批判和討論,讓同學能夠在課程中,增加自我批判省思的能力,以期於課程後,對相關議題有獨立判斷面對挑戰的能力。
Communicable disease is quite different from non-communicable disease. Communicable disease can spread due to direct human to human contact or human to human contact mediated by the environment. In either case, communicable disease can lead to great losses of both life and property. But what have we learned from outbreaks of communicable disease? From influenza pandemics, lessons from Severe Acute Respiratory Syndrome (SARS), emergency of multi-drug resistant tuberculosis (MDR-TB), the stigmatization of sexually-transmitted diseases such as acquired immune deficiency syndrome (AIDS) to curfews in Western Africa meant to curb the spread of Ebola in Monrovia's West Point slum; there have been many lessons, but what have we actually learned?
The Communicable Disease Act gives the government the power to intervene--when necessary--in the private sector for the preservation of the health, safety, and morals of the community. Pursuant to this constitutional authority, all counties and cities have enacted public health statutes designed to control the spread of communicable diseases by using measures such as civil commitment, which infringe upon civil rights. Statutes, though, are fundamentally limited; they represent nothing more than the letter of the law, whereas ethics and morality represent the spirit of laws. So in regards to these public health statues, how can we adopt appropriate ethical considerations when implementing the Communicable Disease Act to preserve integrity?
The course will be led by an instructor (teacher) with extensive knowledge of communicable diseases and field experience in the control of communicable diseases. The instructor will provide examples of ethical predicaments that frontline public health workers will be forced to face. Field experiences and concepts will be discussed and criticized in relation to specific communicable diseases. Students participating in the course will learn how to think critically and develop the ability to face challenges and to find solutions to problems in the field independently. |
課程目標 |
本課程是希望透過對傳染病防治及公共衛生實務工作所發生之相關問題介紹,啟發同學對傳染病在倫理和法律相關議題的興趣。此外亦希望透過本課程使同學了解預防醫學相關措施及研究之人權維護及倫理議題,包括:
(1) 現行傳染病相關防治法規內容為何,包括在個案、接觸者及其暴露之空間的規範;
(2) 傳染病防治採用強制隔離的目的及手段、與實務執行層面所面臨的程序正義;
(3) 現行防治規範、措施可能存在的問題和改善的空間。
The aim of this course is to stimulate an interest in ethics and legal issues associated with communicable disease control and public health field work. Students who'd like to participate in the course will learn to understand human right and ethical issues related to preventive strategies and research including:
(1) The content of the current version of the Communicable Disease Act, including the statues related to cases, contacts and exposed environments.
(2) The goals and strategies for compulsory isolation to impede the spread of diseases, and the requirements, safeguards, and due process related to civil commitment.
(3) Demonstration of the limitations of and possible problems with current statutes and other major deficiencies in public health law. |
課程要求 |
1. 原則上為70-80 min授課、10-20min討論,中間不下課。
2. 原則上上課主要會以投影片(PPT)的方式授課。期末口頭報告如果需有額外的設備需求,請於一週前告知,課程助教將會安排處理。
3. 這門課沒有期中考或期末考。評分包括:平時參與討論、期末口頭報告。
4. 有意願修下學期的傳染病防治: 倫理與法律實務II,強烈建議本學期先修此門課。
1. Lecture: 70-80 mins; discussion: 10-20 mins; no breaks during class
2. Lecture with assistance of ppt; students are required to make final presentations; requests for any equipment necessary for presentations must be given to the teaching assistant one week before the presentation.
3. No mid-term or final examination; Evaluation of performance includes: class participation, final oral presentations.
4. Highly suggest that take this course before taking the course: Communicable disease control and prevention: Ethics and Regulations II next semester; though not mandatory. |
預期每週課後學習時數 |
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Office Hours |
另約時間 備註: 請透過email: pcanita.tw@gmail.com 與詹老師約時間 ; Please contact with Teacher Chan via email: pcanita.tw@gmail.com |
指定閱讀 |
- 朱賢哲 穿越和平 [An Exposure of Affected Hospital, 2006 ] (電視) https://www.youtube.com/playlist?list=PL6E5B149BCEF65449
- 劉紹華 我的涼山兄弟 [Passage to Manhood] (出版品)
- 佛南度梅瑞爾斯 疑雲殺機 [The Constant Gardener, 2005] (電影)
- 宮崎駿 風起 (The Wind Rises, 2013) (電影)
- 史蒂芬·索德柏 全境擴散 [Contagion, 2011] (電影)
- 大衛布希爾 藥命俱樂部 [Dallas Buyers Club, 2013] (電影)
- 雷恩莫非 血熱之心 (The Normal Heart, 2014) (電影)
- 大衛.史塔克勒、桑傑.巴蘇 失控的撙節 [The Body Economic: Why Austerity Kills] [David Stuckler, Sanjay Basu] (出版品)
- 莉姿.茉芮 最貧窮的哈佛女孩 : 那一段飢餓、無眠與被世界遺忘的倖存歲月 / [Homeless to Harvard: The Liz Murray Story, 2003] (出版品)
- Pandemic: How to Prevent an Outbreak [Netflix 2020] (影集)
- 劉紹華 疫病與社會的十個關鍵詞 [2020] (出版品)
- On Immunity: an inoculation. Eula Biss, 2014 (出版品) ISBN: 9781555977207 |
參考書目 |
Lowrence O Gostin & Lindsay F. Wiley. Public health Law : Power, Duty, Restraint. University of California Press, Oakland, California, 3rd edition, 2016. ISBN: 9780520282650 |
評量方式 (僅供參考) |
No. |
項目 |
百分比 |
說明 |
1. |
課程中討論表現/ participation of discussion during classes |
40% |
多參與/get involved |
2. |
期末口頭報告/ final oral presentations |
60% |
指定閱讀選一樣做讀後感分享/ share after reading one of the designated movies or books |
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針對學生困難提供學生調整方式 |
上課形式 |
以錄影輔助 |
作業繳交方式 |
延長作業繳交期限, 學生與授課老師協議改以其他形式呈現 |
考試形式 |
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其他 |
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週次 |
日期 |
單元主題 |
第1週 |
9/6 |
傳染病及防治相關法律之介紹/ Introduction: Communicable Diseases and Public Health Law |
第2週 |
9/13 |
人類後天免疫不全病毒感染及人類後天免疫不全病毒症候群的現狀及女同性戀、男同性戀、雙性戀、跨性別社群的人權 / Current Situation of HIV/AIDS Control and LGBT Rights |
第4週 |
9/27 |
伊波拉-當我們失去醫護人員/ Ebola – When There’s No Health Care Worker |
第6週 |
10/11 |
冠狀病毒,國際關注公共衛生緊急事件,讓我們克服它/ Coronavirus, Public Health Emergency of International Concern - Let’s Cross the Hurdles |
第8週 |
10/25 |
強制隔離和其他限制較少的替代方案/Compulsory Isolation and Less Restrictive Alternative |
第10週 |
11/8 |
社會不平等如何造成傳染病的傳播/How Social Inequality Pushes the Communicable Disease Spread |
第12週 |
11/22 |
因應新興傳染病疫苗緊急授權的倫理與法律問題/ Ethic and Law Challenges of Vaccines —Emergency Authorization for Emerging Infectious Diseases |
第14週 |
12/6 |
打疫苗或不打疫苗 /To Vaccinate or not to Vaccinate |
第15週 |
12/13 |
期末口頭報告I (指定閱讀的影片或書本 感想分享) / Final Oral Presentation I ( share the reflections of book reading or video watching) |
第16週 |
12/20 |
期末口頭報告II (指定閱讀的影片或書本 感想分享) / Final Oral Presentation II ( share the reflections of book reading or video watching) |
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