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How to overcome lockdown: selective isolation versus contact tracing.

Lucie White1, Philippe van Basshuysen2

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Summary

Mandatory isolation of the elderly during COVID-19 is debated. A centralized contact-tracing app offers an ethically preferable alternative to protect public health and healthcare systems.

Keywords:
coercionelderly and terminally illemergency medicineethicspublic policy

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Area of Science:

  • Public Health
  • Bioethics
  • Epidemiology

Background:

  • COVID-19 pandemic necessitates balancing public health with societal costs.
  • Preventing healthcare system overload is critical.
  • Selective isolation of vulnerable groups is ethically contentious.

Purpose of the Study:

  • To evaluate the ethical justification of mandatory elderly isolation.
  • To propose and assess a mandatory, centralized contact-tracing app as an alternative strategy.

Main Methods:

  • Ethical analysis of proposed public health interventions.
  • Comparative assessment of mandatory isolation versus contact-tracing app.

Main Results:

  • Mandatory elderly isolation is ethically justified only if no viable alternatives exist.
  • A centralized contact-tracing app is proposed as an ethically preferable alternative.
  • Contact-tracing apps avoid group-specific targeting and prolonged isolation.

Conclusions:

  • Contact-tracing apps warrant serious consideration as a public health measure.
  • Ethical considerations favor non-discriminatory, less isolating interventions.
  • Balancing pandemic control with individual liberties requires innovative solutions.