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Ethical considerations during Mpox Outbreak: a scoping review.

Fatma Badr El Dine1, Assem Gebreal2, Dalia Samhouri3

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BMC Medical Ethics
|July 21, 2024
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Summary

This review highlights the significant stigma and ethical concerns surrounding monkeypox (mpox) outbreaks. Addressing misinformation and promoting public awareness are crucial to mitigate negative impacts and prevent transmission.

Keywords:
ConfidentialityDiscriminationEthicsMonkeypoxMoral issuesStigma

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Area of Science:

  • Public Health
  • Medical Ethics
  • Epidemiology

Background:

  • Epidemics historically correlate with increased stigma, prejudice, and xenophobia.
  • This scoping review focuses on ethical values and stigma research related to monkeypox (mpox).
  • Understanding research gaps concerning mpox-associated stigma is a key objective.

Purpose of the Study:

  • To describe and map published research on ethical values concerning mpox.
  • To identify and analyze research gaps related to mpox-associated stigma.
  • To inform strategies for mitigating stigma and ethical challenges during mpox outbreaks.

Main Methods:

  • Comprehensive literature search across multiple databases (PubMed, Scopus, Web of Science, etc.) from May 2022 to February 2023.
  • Utilized key search terms including "monkeypox", "ethics", "social stigma", "privacy", and "metaethics".
  • Followed established scoping review frameworks (Arksey & O'Malley, Levac et al.) for systematic analysis.

Main Results:

  • Identified 32 studies meeting inclusion criteria from 454 retrieved articles.
  • The mpox outbreak is associated with increased misinformation and societal stigma.
  • Stigma and ethical concerns negatively impact individuals affected by mpox.

Conclusions:

  • Urgent need for enhanced public awareness and civil society engagement.
  • Collaboration between policymakers, medical professionals, and social media is vital.
  • Collective efforts are essential to combat stigma, transmission, racism, and misconceptions.