The COVID-19 Pandemic Between Bio-Ethics, Bio-Law and Bio-Politics: A Case Study on The Italian Experience of The DuPre Commission
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Keywords

COVID-19 pandemic
bio-ethical and bio-juridical european approaches
biopolitics
DuPre commission
state of exception

How to Cite

Testoni, I. (2022). The COVID-19 Pandemic Between Bio-Ethics, Bio-Law and Bio-Politics: A Case Study on The Italian Experience of The DuPre Commission. ETHICS IN PROGRESS, 13(2), 90–106. https://doi.org/10.14746/eip.2022.2.7

Abstract

The aim of this qualitative study was to consider the question of whether the Italian political management of the pandemic respected the European bio-ethical and bio-juridical approaches in light of the principles of autonomy, dignity, integrity and vulnerability. As no specific consolidated literature exists on the subject, the Italian situation was taken into consideration, specifically the work of a spontaneous commission (DuPre) that collected the reflections of academics and researchers interested in discussing political decisions for the management of the emergency, which was the coronavirus disease (COVID-19) pandemic. The analysis took into account the contributions of scholars during two conferences (without proceedings), which were transcribed and examined. From the texts processed with a thematic analysis, three main themes emerged: ‘pandemic as a state of exception, sovereignty and crisis of democracy’, ‘the value of doubt and refutation’ and ‘elimination of informed consent between persuasion and blackmail’. In this paper, the final bio-political considerations on the European approach and the management of the COVID-19 pandemic in Italy are presented.

https://doi.org/10.14746/eip.2022.2.7
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References

Agamben G. 2008. State of Exception. Chicago: University of Chicago Press.

Antonini C., Calandrini S., & Bianconi F. 2022. "Robustness Analysis for Quantitative Assessment of Vaccination Effects and SARS-Cov-2 Lineages in Italy," BMC Infectious Diseases 22(1). https://doi.org/10.1186/s12879-022-07395-2. DOI: https://doi.org/10.1186/s12879-022-07395-2

Bhuiyan A. S. M. A. 2021. "Seeking an Ethical Theory for the COVID‐19 Pandemic Outbreak with Special Reference to Bangladesh's Law and Policy," Developing World Bioethics 21(4):173-186. https://doi.org/10.1111/dewb.12287. DOI: https://doi.org/10.1111/dewb.12287

Boyle A., Dotson S., Ellison P., & Hayanga H. 2020. "Application of the Principles of Biomedical Ethics to the Labor and Delivery Unit During the COVID-19 Pandemic," Journal of Women's Health 29(11):1361-1371. https://doi.org/10.1089/jwh.2020.8812. DOI: https://doi.org/10.1089/jwh.2020.8812

Braun V. & Clarke V. 2006. "Using Thematic Analysis in Psychology," Qualitative Research in Psychology 3(2):77-101. https://doi.org/10.1191/1478088706qp063oa. DOI: https://doi.org/10.1191/1478088706qp063oa

Bryant A. & Charmaz K. 2019. The SAGE Handbook of Current Developments in Grounded Theory. SAGE. https://doi.org/10.4135/9781526485656 DOI: https://doi.org/10.4135/9781526485656

Camic P. M., Rhodes J. E., & Yardley L. 2003. Qualitative Research in Psychology. Expanding Perspectives in Methodology and Design. Washington, DC: American Psychological Association. https://doi.org/10.1037/10595-000 DOI: https://doi.org/10.1037/10595-000

Cao J., Wei J., Zhu H., Duan Y., Geng W., Hong X., Jiang J., Zhao X., & Zhu B. 2020. "A Study of Basic Needs and Psychological Wellbeing of Medical Workers in the Fever Clinic of a Tertiary General Hospital in Beijing During the COVID-19 Outbreak," Psychotherapy and Psychosomatics 89(4):252-254. https://doi.org/10.1159/000507453. DOI: https://doi.org/10.1159/000507453

Charmaz K. 2021. "The Genesis, Grounds, and Growth of Constructivist Grounded Theory," in J. M. Morse et al. (Eds.), Developing Grounded Theory (pp. 153-187). https://doi.org/10.4324/9781315169170-13 DOI: https://doi.org/10.4324/9781315169170-13

Chirico F., Nucera G., & Magnavita N. 2020. "COVID-19: Protecting Healthcare Workers Is a Priority," Infection Control & Hospital Epidemiology 41(9):1117. https://doi.org/10.1017/ice.2020.148. DOI: https://doi.org/10.1017/ice.2020.148

Coyle N. 2014. "Palliative Care, Hospice Care, and Bioethics," Journal of Hospice & Palliative Nursing 16(1):13-14. https://doi.org/10.1097/njh.0000000000000045. DOI: https://doi.org/10.1097/NJH.0000000000000045

D'Ancona F., D'Amario C., Maraglino F., Rezza G., & Iannazzo S. 2019. "The Law on Compulsory Vaccination in Italy: An Update 2 Years after the Introduction," Eurosurveillance 24(26), no pagination. https://doi.org/10.2807/1560-7917.es.2019.24.26.1900371. DOI: https://doi.org/10.2807/1560-7917.ES.2019.24.26.1900371

Denisenko V., & Trikoz E. 2020. "Biopolitics and Legal Issues of Emergency Situations in the Context of Coronavirus Pandemic," E3S Web Conferences 175:14013. https://doi.org/10.1051/e3sconf/202017514013. DOI: https://doi.org/10.1051/e3sconf/202017514013

DuPre. 2021a. URL: https://www.youtube.com/watch?v=_ZLFlY7y_2w.

DuPre. 2021b. URL: https://www.youtube.com/watch?v=n_fgI0yBPXc.

Eisenbeck N., Carreno D. F., Wong P. T., Hicks J. A., María R. R. G., Puga J. L., Greville J., Testoni I., Biancalani G., et al. 2022. "An International Study on Psychological Coping During COVID-19: Towards a Meaning-Centered Coping Style," International Journal of Clinical and Health Psychology 22(1):100256. https://doi.org/10.1016/j.ijchp.2021.100256. DOI: https://doi.org/10.1016/j.ijchp.2021.100256

Gallè F., Sabella E. A., Roma P., De Giglio O., Caggiano G., Tafuri S., Da Molin G., Ferracuti S., Montagna M. T., Liguori G., Orsi G. B., & Napoli C. 2021. "Knowledge and Acceptance of COVID-19 Vaccination among Undergraduate Students from Central and Southern Italy," Vaccines 9(6):638. https://doi.org/10.3390/vaccines9060638. DOI: https://doi.org/10.3390/vaccines9060638

Glaser B. G. 1992. Basics of Grounded Theory Analysis: Emergence vs. Forcing. Mill Valley, CA: Sociology Press.

Glaser B. G. & Strauss A. L. 1965. Awareness of Dying. New Brunwick, NJ: Aldine.

Glaser B. G. & Strauss A. L. 1967. The Discovery of Grounded Theory: Strategies for Qualitative Research. New York: Aldine de Gruyter. https://doi.org/10.1097/00006199-196807000-00014 DOI: https://doi.org/10.1097/00006199-196807000-00014

Graffigna G. 2016. Transformative Healthcare Practice through Patient Engagement. London: IGI Global. https://doi.org/10.4018/978-1-5225-0663-8 DOI: https://doi.org/10.4018/978-1-5225-0663-8

Guevara-López U., Altamirano-Bustamante M. M., & Viesca-Treviño C. 2015. "New Frontiers in the Future of Palliative Care: Real-World Bioethical Dilemmas and Axiology of Clinical Practice," BMC Medical Ethics 16(1):1-11. https://doi.org/10.1186/s12910-015-0003-2. DOI: https://doi.org/10.1186/s12910-015-0003-2

Hossain M. M., Sultana A., & Purohit N. 2020. "Mental Health Outcomes of Quarantine and Isolation for Infection Prevention: A Systematic Umbrella Review of the Global Evidence," Epidemiology and Health 42:e2020038. https://doi.org/10.4178/epih.e2020038 DOI: https://doi.org/10.4178/epih.e2020038

Kemp P., Rendtorff J., & Johansen N. M. (Eds.) 2000. Bioethics and Biolaw, Vol. I/II. Copenhagen: Rhodos International Publishers.

Lab-24. 2022. "Vaccini in Tempo Reale," Il Sole 24 ore. Retrieved on 19 June, 2022. URL: https://lab24.ilsole24ore.com/numeri-vaccini-italia-mondo/#?refresh_ce=1.

Labrague L. J., & Santos J. A. 2020. "Fear of COVID‐19, Psychological Distress, Work Satisfaction and Turnover Intention among Frontline Nurses," Journal of Nursing Management 29(3):395-403. https://doi.org/10.1111/jonm.13168. DOI: https://doi.org/10.1111/jonm.13168

Marcellusi A., Fabiano G., Sciattella P., Andreoni M., & Mennini F. S. 2021. "The Impact of COVID-19 Vaccination on the Italian Healthcare System: A Scenario Analysis," Clinical Drug Investigation 42(3):237-242. https://doi.org/10.1007/s40261-022-01127-9. DOI: https://doi.org/10.1007/s40261-022-01127-9

Ministero Della Salute 2021. "Video OMS Omaggia l'Italia, Ha Reagito con Forza a Covid-19," Ministero della salute. Retrieved on 31 December, 2021. URL: https://www.salute.gov.it/portale/malattieInfettive/dettaglioNotizieMalattieInfettive.jsplingua=italiano&menu=notizie&p=dalministero&id=5076.

Mithani Z., Cooper J., & Boyd J. W. 2020. "Race, Power, and COVID-19: A Call for Advocacy within Bioethics," The American Journal of Bioethics 21(2):11-18. https://doi.org/10.1080/15265161.2020.1851810. DOI: https://doi.org/10.1080/15265161.2020.1851810

More in Common. 2022. Retrieved on 18 June, 2022. URL: https://www.moreincommon.com/media/ki4fxccx/more-in-common-the-new-normal-italy-en.pdf.

Palamenghi L., Barello S., Boccia S., & Graffigna G. 2020. "Mistrust in Biomedical Research and Vaccine Hesitancy: The Forefront Challenge in the Battle Against COVID-19 in Italy," European Journal of Epidemiology 35(8):785-788. https://doi.org/10.1007/s10654-020-00675-8. DOI: https://doi.org/10.1007/s10654-020-00675-8

Palazzani L. 2018. "The Universal Declaration on Bioethics and Human Rights. Towards Intercultural Bioethics and Global Justice: The Case of Transnational Research," in C. Caporale & I. R. Pavone (Eds.), International Biolaw and Shared Ethical Principles (pp. 75-83). London & New York: Routledge. https://doi.org/10.4324/9781315589312-7 DOI: https://doi.org/10.4324/9781315589312-7

Palazzani L. 2021. "Informed Consent for Clinical Research in the Context of the Covid-19 Pandemic between Bioethics and Biolaw: A General Overview," Biolaw Journal 2S:3-15.

Popper K. R. 2002 (orig. 1963). Conjectures and Refutations: The Growth of Scientific Knowledge. London: Psychology Press.

Remuzzi A., & Remuzzi G. 2020. "COVID-19 and Italy: What Next?," The Lancet 395(10231):1225-1228. https://doi.org/10.1016/s0140-6736(20)30627-9. DOI: https://doi.org/10.1016/S0140-6736(20)30627-9

Rendtorff J. D. 2015. "Update of European Bioethics: Basic Ethical Principles in European Bioethics and Biolaw," Bioethics Update 1(2):113- 129. https://doi.org/10.1016/j.bioet.2015.12.004. DOI: https://doi.org/10.1016/j.bioet.2015.12.004

Reuters. 2022a. "Factbox: Countries Making COVID-19 Vaccines Mandatory," Reuters. Retrieved on 22 January, 2022. URL: https://www.reuters.com/business/healthcare-pharmaceuticals/countries-making-covid-19-vaccines-mandatory-2021-08-16/.

Reuters. 2022b. "Don't Discriminate Against the Unvaccinated, Rights Group Asks Italy," Reuters Retrieved on 1 February, 2022. URL: https://www.reuters.com/world/europe/dont-discriminate-against-unvaccinated-amnesty-international-tells-italy-2022-01-16/.

Saraceno C., Benassi D., & Morlicchio E. 2020. "Afterword the Impact of the COVID-19 Epidemic," in C. Saraceno et al. (Eds.), Poverty in Italy: Features and Drivers in a European Perspective (pp. 146-150). Bristol: Policy Press. https://doi.org/10.1332/policypress/9781447352211.003.0009 DOI: https://doi.org/10.1332/policypress/9781447352211.003.0009

Schmitt C. 1921. Die Diktatur. Von den Anfängen des modernen Souveränitätsgedankens bis zum proletarischen Klassenkampf. Berlin: Duncker & Humblot.

Silveira E. A. 2021. "Bioethics and Biolaw in the Vaccine against COVID 19 in Brazil," Annals of Bioethics & Clinical Applications 4(3), no pagination. https://doi.org/10.23880/abca-16000201. DOI: https://doi.org/10.23880/abca-16000201

Skapetis T., Law C., & Rodricks R. 2021. "Systematic Review: Bioethical Implications for COVID-19 Research in Low Prevalence Countries, a Distinctly Different Set of Problems," BMC Medical Ethics 22(1):1-8. https://doi.org/10.1186/s12910-021-00589-4. DOI: https://doi.org/10.1186/s12910-021-00589-4

Strippoli S. 2021. "Nasce la Commissione DuPre, il Movimento No Pass Promosso da Cacciari, Freccero e Mattei," La Repubblica. Retrieved on 21 December, 2021. URL: ino.repubblica.it/cronaca/2021/12/12/news/nasce_la_commissione_dupre_dubbio_e_precauzione_il_portavoce_e_carlo_freccero_promotori_cacciari_mattei_bizzarri_agamb-329935947/.

Sultana A., Sharma R., Hossain M. M., Bhattacharya S., & Purohit N. 2020. "Burnout among Healthcare Providers During COVID-19 Pandemic: Challenges and Evidence-Based Interventions," Indian Journal of Medical Ethics V(4):1-6. https://doi.org/10.31235/osf.io/4hxga. DOI: https://doi.org/10.31235/osf.io/4hxga

Testoni I., Franco C., Gallo Stampino E., Iacona E., Crupi R., & Pagano C. 2021a. "Facing COVID-19 between Sensory and Psychoemotional Stress, and Instrumental Deprivation: A Qualitative Study of Unmanageable Critical Incidents with Doctors and Nurses in Two Hospitals in Northern Italy," Frontiers in Psychology 12(1058). https://doi.org/10.3389/fpsyg.2021.622894. DOI: https://doi.org/10.3389/fpsyg.2021.622894

Testoni I., Iacona E., Palazzo L., Barzizza B., Baldrati B., Mazzon D., Navalesi P., Mistraletti G., & De Leo D. 2021b. "Death Notification in Italian Critical Care Unites and Emergency Services. A Qualitative Study with Physicians, Nurses and Relatives," International Journal of Environmental Research and Public Health 18(24):13338, no pagination. https://doi.org/10.3390/ijerph182413338. DOI: https://doi.org/10.3390/ijerph182413338

Tkhostov A. S., & Rasskazova E. I. 2020. "Psychological Contents of Anxiety and the Prevention in an Infodemic Situation: Protection against Coronavirus or the 'Vicious Circle' of Anxiety?," Konsul'tativnaia Psikhologiia i Psikhoterapiia 28(2):70-89. https://doi.org/10.17759/cpp.2020280204 DOI: https://doi.org/10.17759/cpp.2020280204

Valdés, E. 2021a. "The Birth of Biolaw: From American Bioethics to European Biolaw," Biolaw: Origins, Doctrine and Juridical Applications on the Biosciences 87:1-29. https://doi.org/10.1007/978-3-030-71823-7_1. DOI: https://doi.org/10.1007/978-3-030-71823-7_1

Valdés, E. 2021b. "Principles of European Biolaw," Biolaw: Origins, Doctrine and Juridical Applications on the Biosciences 87:59-84. https://doi.org/10.1007/978-3-030-71823-7_3 DOI: https://doi.org/10.1007/978-3-030-71823-7_3

Van Mol M. M., Kompanje E. J., Benoit D. D., Bakker J., & Nijkamp M. D. 2015. "The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in Intensive Care Units: A Systematic Review," PLOS ONE 10(8):e0136955. https://doi.org/10.1371/journal.pone.0136955. DOI: https://doi.org/10.1371/journal.pone.0136955

World Health Organization. 2020a. "Coronavirus Disease (COVID-19) Pandemic," WHO. Retrieved October 19, 2020, URL: https://www.who.int/health-topics/coronavirus#tab=tab_1/.

Xiang Y. T., Yang Y., Li W., Zhang L., Zhang Q., Cheung T., & Ng C. H. 2020. "Timely Mental Health Care for the 2019 Novel Coronavirus Outbreak is Urgently Needed," The Lancet Psychiatry, 7(3):228-229. https://doi.org/10.1016/S2215-0366(20)30046-8. DOI: https://doi.org/10.1016/S2215-0366(20)30046-8

Yale S. H., Tekiner H., Mazza J. J., & Yale E. S. 2021. "COVID-19 Vaccine Prioritization Must be Driven by Science," Erciyes Medical Journal 43(3):305-307. https://doi.org/10.14744/etd.2020.43067 DOI: https://doi.org/10.14744/etd.2020.43067