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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Med+Ethics
2018 ; 19
(1
): 16
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Screening for infectious diseases of asylum seekers upon arrival: the necessity
of the moral principle of reciprocity
#MMPMID29499693
Beeres DT
; Cornish D
; Vonk M
; Ravensbergen SJ
; Maeckelberghe ELM
; Boele Van Hensbroek P
; Stienstra Y
BMC Med Ethics
2018[Mar]; 19
(1
): 16
PMID29499693
show ga
BACKGROUND: With a large number of forcibly displaced people seeking safety, the
EU is facing a challenge in maintaining solidarity. Europe has seen millions of
asylum seekers crossing European borders, the largest number of asylum seekers
since the second world war. Endemic diseases and often failing health systems in
their countries of origin, and arduous conditions during transit, raise questions
around how to meet the health needs of this vulnerable population on arrival in
terms of screening, vaccination, and access to timely and appropriate statutory
health services. This paper explores the potential role of the principle of
reciprocity, defined as the disposition 'to return good in proportion to the good
we receive, and to make reparations for the harm we have done', as a mid-level
principle in infectious disease screening policies. MAIN TEXT: More than half of
the European countries implemented screening programmes for newly arrived asylum
seekers. Screening may serve to avoid potential infectious disease risks in the
receiving countries as well as help identify health needs of asylum seekers. But
screening may infringe upon basic rights of those screened, thus creating an
ethical dilemma. The use of the principle of reciprocity can contribute to the
identification of potential improvements for current screening programmes and
emphasizes the importance of certain rights into guidelines for screening. It may
create a two way moral obligation, upon asylum seekers to actively participate in
the programme, and upon authorities to reciprocate the asylum seekers'
participation and the benefits for the control of public health. CONCLUSION: The
authors argue that the reciprocity principle leads to a stronger ethical
justification of screening programmes and help achieve a balance between
justifiable rights claims of the host population and the asylum seekers. The
principle deserves a further and more thorough exploration of its potential use
in the field of screening, migration and infectious diseases.