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Related Experiment Video

Updated: Feb 18, 2026

Zika Virus Infectious Cell Culture System and the In Vitro Prophylactic Effect of Interferons
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Zika, contraception and the non-identity problem.

Keyur Doolabh, Lucius Caviola, Julian Savulescu

    Developing World Bioethics
    |November 14, 2017
    PubMed
    Summary

    The Zika virus epidemic led to Congenital Zika Syndrome (CZS). Ethical concerns arose regarding contraception use, but the non-identity problem did not significantly influence public opinion on Zika interventions.

    Keywords:
    bioethicsempirical ethicsethicshealth prioritiesresource allocation

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    Area of Science:

    • Public Health
    • Bioethics
    • Epidemiology

    Background:

    • The 2016 Zika virus outbreak was linked to Congenital Zika Syndrome (CZS).
    • Strategies to prevent CZS, including contraception, raise ethical questions, particularly the non-identity problem.
    • The non-identity problem concerns how interventions affecting conception impact future individuals and social justice.

    Purpose of the Study:

    • To analyze the ethical implications of the non-identity problem in the context of Zika prevention.
    • To explore public moral intuitions regarding interventions for the Zika epidemic.
    • To determine if the non-identity problem should influence the prioritization of contraception for CZS prevention.

    Main Methods:

    • Ethical analysis of the non-identity problem and its relevance to Zika control strategies.
    • An online survey of 93 US adults to gauge moral intuitions about the non-identity problem.
    • Comparison of public preference for person-affecting (mosquito control) versus impersonal (contraception) interventions.

    Main Results:

    • Public respondents showed a preference for person-affecting interventions like mosquito control over impersonal ones like contraception.
    • The non-identity problem did not appear to be a significant factor in the public's decision-making regarding Zika interventions.
    • Theoretical ethical analysis and empirical data were combined to evaluate the impact of the non-identity problem.

    Conclusions:

    • The non-identity problem, despite its philosophical weight, should not dictate the prioritization of contraception for preventing Congenital Zika Syndrome.
    • Public attitudes suggest a practical, rather than purely philosophical, approach to evaluating public health interventions.
    • Mosquito control was favored over contraception, indicating a preference for direct, person-affecting solutions in epidemic response.