79C3C34C52B45572883A05D425EB0F82
Vulnerable Populations in Vulnerable Situations
https://www.salud.gob.ec/wp-content/uploads/2018/02/POBLACIONES-VULNERABLES-Y-EN-SITUACIÓN-DE-VULNERABILIDAD-CNBS.pdf
http://leaux.net/URLS/ConvertAPI Text Files/40AFDEC6097690BDD81D517701E76D4D.en.txt
Examining the file media/Synopses/40AFDEC6097690BDD81D517701E76D4D.html:
This file was generated: 2020-12-01 09:07:24
| Indicators in focus are typically shown highlighted in yellow; |
Peer Indicators (that share the same Vulnerability association) are shown highlighted in pink; |
"Outside" Indicators (those that do NOT share the same Vulnerability association) are shown highlighted in green; |
Trigger Words/Phrases are shown highlighted in gray. |
Link to Orphaned Trigger Words (Appendix (Indicator List, Indicator Peers, Trigger Words, Type/Vulnerability/Indicator Overlay)
Applicable Type / Vulnerability / Indicator Overlay for this Input
Political / Refugee Status
Searching for indicator asylum:
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p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
...
Political / displaced
Searching for indicator displaced:
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p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
...
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
...
Political / immigrants
Searching for indicator immigrants:
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p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
...
Political / nomad
Searching for indicator nomads:
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p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
...
Political / political affiliation
Searching for indicator political:
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p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
p.(None): • “We want a world in which vulnerability is recognized as the essence of humans. We believe that
p.(None): to weaken, strengthen and dignify us, a common meeting place that we
p.(None): humanize and dignify ”
p.(None): • Pope Francisco
p.(None): VULNERABILITY: RISKS
p.(None): • Vulnerability includes three types of risks:
p.(None): • the risk of exposure to seizures or convulsions;
p.(None): • the risk of a lack of capacity to deal with them; Y
p.(None): • the risk of suffering more serious consequences from them, as well as slow or limited recovery
p.(None): VULNERABILITY - CATEGORIES
p.(None): FROM THE INTERNATIONAL BIOETHICS COMMITTE - UNESCO
p.(None): • Specific vulnerability categories are relevant to establish special responsibilities and obligations:
p.(None): • situations that are determined by personal issues (permanent or temporary) disability or illness,
p.(None): • situations that are related to social and political determinants: for example, power relations,
p.(None): social structure, culture, economy,
p.(None): • situations that are related to environmental determinants:
p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
p.(None): capacity.
...
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
...
Political / vulnerable
Searching for indicator vulnerable:
(return to top)
p.(None): VULNERABLE PROBLATIONS AND IN VULNERABILITY SITUATION
p.(None): Dr. Victor Pacheco
p.(None): National Bioethics Commission on Redbioetic Health UNESCO for Latin America and the Caribbean
p.(None): ALAC Network of National Commissions of Bioethics in Health - UNESCO
p.(None): Ecuadorian Bioethics Society
p.(None): Ecuadorian Academy of Medicine
p.(None): VULNERABILITY etymology and definition
p.(None): • Etymology: vulnus that can be understood as “wound” or “damage”, abilis that can be equivalent to “that can”, and the suffix
p.(None): It indicates quality.
p.(None): • “Vulnerability” can then be defined as “quality that someone has to be injured” (or damaged)
p.(None): • RAE indicates for vulnerability “Quality of vulnerable” and for vulnerable “That it can be injured or receive injury,
p.(None): physically or morally ”
p.(None): VULNERABILITY
p.(None): • The definition of vulnerable implies the existence or appearance of a threat, risk, danger or contingency, but not
p.(None): it is only the presence of this risk that determines whether a subject is vulnerable or not, but the lack - or
p.(None): decreased capacity for response, protection, shelter or defense against this risk, or to mitigate or avoid their
p.(None): consequences.
p.(None): • Permanent?
p.(None): • Movable, not immanent?
p.(None): VULNERABILITY
p.(None): • 1. Anthropological vulnerability (essential, immanent to the species or condition): Expresses the finitude and fragility of
p.(None): the life on which the possibility and necessity of all morals is based. It is related to the notion of dignity and human rights
p.(None): • 2. Specific vulnerability (contingent, variable and selective) Some individuals suffer from a certain type of
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
p.(None): • “We want a world in which vulnerability is recognized as the essence of humans. We believe that
p.(None): to weaken, strengthen and dignify us, a common meeting place that we
p.(None): humanize and dignify ”
p.(None): • Pope Francisco
...
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
...
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Searching for indicator vulnerability:
(return to top)
p.(None): VULNERABLE PROBLATIONS AND IN VULNERABILITY SITUATION
p.(None): Dr. Victor Pacheco
p.(None): National Bioethics Commission on Redbioetic Health UNESCO for Latin America and the Caribbean
p.(None): ALAC Network of National Commissions of Bioethics in Health - UNESCO
p.(None): Ecuadorian Bioethics Society
p.(None): Ecuadorian Academy of Medicine
p.(None): VULNERABILITY etymology and definition
p.(None): • Etymology: vulnus that can be understood as “wound” or “damage”, abilis that can be equivalent to “that can”, and the suffix
p.(None): It indicates quality.
p.(None): • “Vulnerability” can then be defined as “quality that someone has to be injured” (or damaged)
p.(None): • RAE indicates for vulnerability “Quality of vulnerable” and for vulnerable “That it can be injured or receive injury,
p.(None): physically or morally ”
p.(None): VULNERABILITY
p.(None): • The definition of vulnerable implies the existence or appearance of a threat, risk, danger or contingency, but not
p.(None): it is only the presence of this risk that determines whether a subject is vulnerable or not, but the lack - or
p.(None): decreased capacity for response, protection, shelter or defense against this risk, or to mitigate or avoid their
p.(None): consequences.
p.(None): • Permanent?
p.(None): • Movable, not immanent?
p.(None): VULNERABILITY
p.(None): • 1. Anthropological vulnerability (essential, immanent to the species or condition): Expresses the finitude and fragility of
p.(None): the life on which the possibility and necessity of all morals is based. It is related to the notion of dignity and human rights
p.(None): • 2. Specific vulnerability (contingent, variable and selective) Some individuals suffer from a certain type of
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
p.(None): • “We want a world in which vulnerability is recognized as the essence of humans. We believe that
p.(None): to weaken, strengthen and dignify us, a common meeting place that we
p.(None): humanize and dignify ”
p.(None): • Pope Francisco
p.(None): VULNERABILITY: RISKS
p.(None): • Vulnerability includes three types of risks:
p.(None): • the risk of exposure to seizures or convulsions;
p.(None): • the risk of a lack of capacity to deal with them; Y
p.(None): • the risk of suffering more serious consequences from them, as well as slow or limited recovery
p.(None): VULNERABILITY - CATEGORIES
p.(None): FROM THE INTERNATIONAL BIOETHICS COMMITTE - UNESCO
p.(None): • Specific vulnerability categories are relevant to establish special responsibilities and obligations:
p.(None): • situations that are determined by personal issues (permanent or temporary) disability or illness,
p.(None): • situations that are related to social and political determinants: for example, power relations,
p.(None): social structure, culture, economy,
p.(None): • situations that are related to environmental determinants:
p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
p.(None): capacity.
p.(None): - Protection: aimed at restoring capacity, preventing coercion
p.(None): (autonomy), to empower or seek a subrogant responsible.
p.(None): • 4.- Conceptions with greater attention to contextual issues.
p.(None): Stratified interpretation of vulnerability, (metaphor of layers)
p.(None): • Protection: it is complex and must be examined in each particular place, and with each group specifically
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Health / Cognitive Impairment
Searching for indicator cognitive:
(return to top)
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
...
Health / Mentally Disabled
Searching for indicator disability:
(return to top)
p.(None): • 2. Specific vulnerability (contingent, variable and selective) Some individuals suffer from a certain type of
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
p.(None): • “We want a world in which vulnerability is recognized as the essence of humans. We believe that
p.(None): to weaken, strengthen and dignify us, a common meeting place that we
p.(None): humanize and dignify ”
p.(None): • Pope Francisco
p.(None): VULNERABILITY: RISKS
p.(None): • Vulnerability includes three types of risks:
p.(None): • the risk of exposure to seizures or convulsions;
p.(None): • the risk of a lack of capacity to deal with them; Y
p.(None): • the risk of suffering more serious consequences from them, as well as slow or limited recovery
p.(None): VULNERABILITY - CATEGORIES
p.(None): FROM THE INTERNATIONAL BIOETHICS COMMITTE - UNESCO
p.(None): • Specific vulnerability categories are relevant to establish special responsibilities and obligations:
p.(None): • situations that are determined by personal issues (permanent or temporary) disability or illness,
p.(None): • situations that are related to social and political determinants: for example, power relations,
p.(None): social structure, culture, economy,
p.(None): • situations that are related to environmental determinants:
p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
...
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Health / Motherhood/Family
Searching for indicator family:
(return to top)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Health / Physically Disabled
Searching for indicator illness:
(return to top)
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
p.(None): • “We want a world in which vulnerability is recognized as the essence of humans. We believe that
p.(None): to weaken, strengthen and dignify us, a common meeting place that we
p.(None): humanize and dignify ”
p.(None): • Pope Francisco
p.(None): VULNERABILITY: RISKS
p.(None): • Vulnerability includes three types of risks:
p.(None): • the risk of exposure to seizures or convulsions;
p.(None): • the risk of a lack of capacity to deal with them; Y
p.(None): • the risk of suffering more serious consequences from them, as well as slow or limited recovery
p.(None): VULNERABILITY - CATEGORIES
p.(None): FROM THE INTERNATIONAL BIOETHICS COMMITTE - UNESCO
p.(None): • Specific vulnerability categories are relevant to establish special responsibilities and obligations:
p.(None): • situations that are determined by personal issues (permanent or temporary) disability or illness,
p.(None): • situations that are related to social and political determinants: for example, power relations,
p.(None): social structure, culture, economy,
p.(None): • situations that are related to environmental determinants:
p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
p.(None): capacity.
...
Searching for indicator physically:
(return to top)
p.(None): VULNERABLE PROBLATIONS AND IN VULNERABILITY SITUATION
p.(None): Dr. Victor Pacheco
p.(None): National Bioethics Commission on Redbioetic Health UNESCO for Latin America and the Caribbean
p.(None): ALAC Network of National Commissions of Bioethics in Health - UNESCO
p.(None): Ecuadorian Bioethics Society
p.(None): Ecuadorian Academy of Medicine
p.(None): VULNERABILITY etymology and definition
p.(None): • Etymology: vulnus that can be understood as “wound” or “damage”, abilis that can be equivalent to “that can”, and the suffix
p.(None): It indicates quality.
p.(None): • “Vulnerability” can then be defined as “quality that someone has to be injured” (or damaged)
p.(None): • RAE indicates for vulnerability “Quality of vulnerable” and for vulnerable “That it can be injured or receive injury,
p.(None): physically or morally ”
p.(None): VULNERABILITY
p.(None): • The definition of vulnerable implies the existence or appearance of a threat, risk, danger or contingency, but not
p.(None): it is only the presence of this risk that determines whether a subject is vulnerable or not, but the lack - or
p.(None): decreased capacity for response, protection, shelter or defense against this risk, or to mitigate or avoid their
p.(None): consequences.
p.(None): • Permanent?
p.(None): • Movable, not immanent?
p.(None): VULNERABILITY
p.(None): • 1. Anthropological vulnerability (essential, immanent to the species or condition): Expresses the finitude and fragility of
p.(None): the life on which the possibility and necessity of all morals is based. It is related to the notion of dignity and human rights
p.(None): • 2. Specific vulnerability (contingent, variable and selective) Some individuals suffer from a certain type of
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
...
Health / Pregnant
Searching for indicator pregnant:
(return to top)
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
...
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
...
Health / injured
Searching for indicator injured:
(return to top)
p.(None): VULNERABLE PROBLATIONS AND IN VULNERABILITY SITUATION
p.(None): Dr. Victor Pacheco
p.(None): National Bioethics Commission on Redbioetic Health UNESCO for Latin America and the Caribbean
p.(None): ALAC Network of National Commissions of Bioethics in Health - UNESCO
p.(None): Ecuadorian Bioethics Society
p.(None): Ecuadorian Academy of Medicine
p.(None): VULNERABILITY etymology and definition
p.(None): • Etymology: vulnus that can be understood as “wound” or “damage”, abilis that can be equivalent to “that can”, and the suffix
p.(None): It indicates quality.
p.(None): • “Vulnerability” can then be defined as “quality that someone has to be injured” (or damaged)
p.(None): • RAE indicates for vulnerability “Quality of vulnerable” and for vulnerable “That it can be injured or receive injury,
p.(None): physically or morally ”
p.(None): VULNERABILITY
p.(None): • The definition of vulnerable implies the existence or appearance of a threat, risk, danger or contingency, but not
p.(None): it is only the presence of this risk that determines whether a subject is vulnerable or not, but the lack - or
p.(None): decreased capacity for response, protection, shelter or defense against this risk, or to mitigate or avoid their
p.(None): consequences.
p.(None): • Permanent?
p.(None): • Movable, not immanent?
p.(None): VULNERABILITY
p.(None): • 1. Anthropological vulnerability (essential, immanent to the species or condition): Expresses the finitude and fragility of
p.(None): the life on which the possibility and necessity of all morals is based. It is related to the notion of dignity and human rights
p.(None): • 2. Specific vulnerability (contingent, variable and selective) Some individuals suffer from a certain type of
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
...
Social / Access to Social Goods
Searching for indicator access:
(return to top)
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
...
Searching for indicator access to information:
(return to top)
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
...
Social / Child
Searching for indicator child:
(return to top)
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
...
Searching for indicator children:
(return to top)
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Social / Elderly
Searching for indicator elderly:
(return to top)
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
...
Social / Ethnicity
Searching for indicator ethnic:
(return to top)
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
...
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Social / Fetus/Neonate
Searching for indicator neonates:
(return to top)
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
...
Social / Homeless Persons
Searching for indicator homeless:
(return to top)
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
...
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Social / Incarcerated
Searching for indicator liberty:
(return to top)
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
...
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
...
Social / Institutionalized
Searching for indicator institutionalized:
(return to top)
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Social / Literacy
Searching for indicator illiterate:
(return to top)
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
...
Social / Marital Status
Searching for indicator single:
(return to top)
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
p.(None): • Induction of potential damage (active inoculation)
p.(None): • Expected benefits (for those investigated and general)
p.(None): drvpacheco-2017
...
Social / Racial Minority
Searching for indicator minority:
(return to top)
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
p.(None): • Family economic fragility
p.(None): • Institutionalized
p.(None): • Mental disability
p.(None): • Coercive recruitment for investigations
p.(None): • Consent (inappropriate, collective, presumed?)
...
Searching for indicator racial:
(return to top)
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
p.(None): • absence or lack of adequate development of skills, abilities, competencies or empowerment situations,
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
...
Social / Threat of Stigma
Searching for indicator threat:
(return to top)
p.(None): VULNERABLE PROBLATIONS AND IN VULNERABILITY SITUATION
p.(None): Dr. Victor Pacheco
p.(None): National Bioethics Commission on Redbioetic Health UNESCO for Latin America and the Caribbean
p.(None): ALAC Network of National Commissions of Bioethics in Health - UNESCO
p.(None): Ecuadorian Bioethics Society
p.(None): Ecuadorian Academy of Medicine
p.(None): VULNERABILITY etymology and definition
p.(None): • Etymology: vulnus that can be understood as “wound” or “damage”, abilis that can be equivalent to “that can”, and the suffix
p.(None): It indicates quality.
p.(None): • “Vulnerability” can then be defined as “quality that someone has to be injured” (or damaged)
p.(None): • RAE indicates for vulnerability “Quality of vulnerable” and for vulnerable “That it can be injured or receive injury,
p.(None): physically or morally ”
p.(None): VULNERABILITY
p.(None): • The definition of vulnerable implies the existence or appearance of a threat, risk, danger or contingency, but not
p.(None): it is only the presence of this risk that determines whether a subject is vulnerable or not, but the lack - or
p.(None): decreased capacity for response, protection, shelter or defense against this risk, or to mitigate or avoid their
p.(None): consequences.
p.(None): • Permanent?
p.(None): • Movable, not immanent?
p.(None): VULNERABILITY
p.(None): • 1. Anthropological vulnerability (essential, immanent to the species or condition): Expresses the finitude and fragility of
p.(None): the life on which the possibility and necessity of all morals is based. It is related to the notion of dignity and human rights
p.(None): • 2. Specific vulnerability (contingent, variable and selective) Some individuals suffer from a certain type of
p.(None): deprivation - permanent or not - that exposes them to a greater susceptibility to a particular risk.
p.(None): VULNERABILITY
p.(None): IDEAS FOR YOUR UNDERSTANDING
p.(None): • “We want a world in which vulnerability is recognized as the essence of humans. We believe that
p.(None): to weaken, strengthen and dignify us, a common meeting place that we
p.(None): humanize and dignify ”
p.(None): • Pope Francisco
...
Social / Threat of Violence
Searching for indicator violence:
(return to top)
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
...
Social / Unemployment
Searching for indicator unemployed:
(return to top)
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
...
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
p.(None): Study are fundamental. This is the type of committee that can identify the different layers of vulnerability of the
p.(None): hospital or clinic in which the research is conducted.
p.(None): VULNERABILITY
p.(None): THE DECAPING ANALYSIS
p.(None): • The historical case of Willowbrook
p.(None): • Children 3 to 10 years (+ 800)
p.(None): • Ethnic marginalization (Latinos and Afro-descendants)
...
Social / Victim of Abuse
Searching for indicator abuse:
(return to top)
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
...
Social / Women
Searching for indicator women:
(return to top)
p.(None): that allow you to anticipate, avoid, face or mitigate the specific risk
p.(None): • intentional loss or not those capacities, or detriment of them against those who possess them
p.(None): • acceptance of risks as elements of life becoming
p.(None): • level of exposure to threats, crises and seizures to which you may be exposed, greater than that of others
p.(None): Humans
p.(None): VULNERABLE GROUPS: CRITICISMS OF YOUR IDENTIFICATION
p.(None): • Stereotyping to populations and subpopulations
p.(None): • No difference between subjects or subpopulations
p.(None): • Does not consider aspects of the protocols
p.(None): • Does not consider the research environment
p.(None): • Lack of flexibility
p.(None): • Static and rigid behavior
p.(None): • Unique protection proposals (insufficient?)
p.(None): THE THEORY OF PROTECTION / MITIGATION
p.(None): • Less risks
p.(None): • Reduce the risk of risk (aggressiveness)
p.(None): • Strengthen responsiveness (or adaptation)
p.(None): • Address to eliminate the causes of risk
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Third chapter
p.(None): • Rights of people and priority care groups
p.(None): • Art. 35.- The elderly, girls, boys and adolescents, pregnant women, people with disabilities,
p.(None): persons deprived of liberty and those who suffer from catastrophic or highly complex diseases will receive
p.(None): priority and specialized attention in the public and private spheres. The same priority attention will receive
p.(None): people at risk, victims of domestic and sexual violence, child abuse, natural disasters or
p.(None): Anthropogenic The State will provide special protection to persons in a condition of double vulnerability.
p.(None): PRIORITY CARE GROUPS
p.(None): IN VULNERABILITY SITUATION? 2008 CONSTITUTION
p.(None): • Art. 363.- The State will be responsible for:
p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
...
Social / education
Searching for indicator education:
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p.(None): • the risk of suffering more serious consequences from them, as well as slow or limited recovery
p.(None): VULNERABILITY - CATEGORIES
p.(None): FROM THE INTERNATIONAL BIOETHICS COMMITTE - UNESCO
p.(None): • Specific vulnerability categories are relevant to establish special responsibilities and obligations:
p.(None): • situations that are determined by personal issues (permanent or temporary) disability or illness,
p.(None): • situations that are related to social and political determinants: for example, power relations,
p.(None): social structure, culture, economy,
p.(None): • situations that are related to environmental determinants:
p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
p.(None): capacity.
p.(None): - Protection: aimed at restoring capacity, preventing coercion
p.(None): (autonomy), to empower or seek a subrogant responsible.
p.(None): • 4.- Conceptions with greater attention to contextual issues.
p.(None): Stratified interpretation of vulnerability, (metaphor of layers)
p.(None): • Protection: it is complex and must be examined in each particular place, and with each group specifically
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
...
Social / gender
Searching for indicator gender:
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p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
p.(None): • Article 8 - Respect for human vulnerability and personal integrity
p.(None): When applying and fostering scientific knowledge, medical practice and related technologies, it should be taken into
p.(None): Human vulnerability counts. Especially vulnerable individuals and groups should be protected and should
p.(None): Respect the personal integrity of these individuals.
p.(None): VULNERABLE GROUPS
p.(None): • People, or groups of people, who share a greater chance of being damaged by:
...
Economic / Economic/Poverty
Searching for indicator poverty:
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p.(None): Stratified interpretation of vulnerability, (metaphor of layers)
p.(None): • Protection: it is complex and must be examined in each particular place, and with each group specifically
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
p.(None): Caused or aggravated by the lack of means and the ability to protect oneself
p.(None): • - Poverty, income inequality, social conditions, education and access to information
p.(None): (for example, the unemployed, homeless, illiterate people, people participating in the activities of
p.(None): investigation that follow a “double standard” procedure in which the same investigation is not subject to
p.(None): same ethical control in different places);
p.(None): - Gender discrimination
p.(None): - Substantial limitation or deprivation of personal liberty, hierarchical relationships
p.(None): - Marginalization for various reasons (for example, immigrants, nomads, ethnic and racial minorities);
p.(None): - The balance between the right of every human being to quality medical care
p.(None): - The exploitation of resources in developing countries
p.(None): - Wars (asylum seekers and displaced persons);
p.(None): - The negative effects of human activity: climate change
p.(None): - Impact of natural disasters
p.(None): VULNERABILITY
p.(None): Universal Declaration on Bioethics and Human Rights
...
General/Other / Impaired Autonomy
Searching for indicator autonomy:
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p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
p.(None): capacity.
p.(None): - Protection: aimed at restoring capacity, preventing coercion
p.(None): (autonomy), to empower or seek a subrogant responsible.
p.(None): • 4.- Conceptions with greater attention to contextual issues.
p.(None): Stratified interpretation of vulnerability, (metaphor of layers)
p.(None): • Protection: it is complex and must be examined in each particular place, and with each group specifically
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
p.(None): • Cultural,
p.(None): • system of beliefs and values of the social organization and of each individual for its insertion in the
p.(None): universe
p.(None): Social vulnerability
...
General/Other / Public Emergency
Searching for indicator emergency:
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p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
p.(None): • Excluded social or cultural
p.(None): • Minority ethnic groups
p.(None): • Uncontacted populations or with initial contact
p.(None): • Homeless
p.(None): • Residents in foster homes
p.(None): VULNERABLE GROUPS:
p.(None): THE PROBLEM OF YOUR IDENTIFICATION
p.(None): • Labels suggest a single response (in the worst sense: allowing or denying the admissibility of
p.(None): investigation; in the best sense: providing some kind of protection or safeguard).
p.(None): • The local Research Ethics Committees that really know the population in which the
...
General/Other / Relationship to Authority
Searching for indicator authority:
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p.(None): • 1. Formulate public policies that guarantee the promotion, prevention, cure, rehabilitation and care
p.(None): integral in health and promote healthy practices in the family, work and community spheres. two.
p.(None): Universalize health care, permanently improve quality and expand coverage.
p.(None): 3. Strengthen state health services, incorporate human talent and provide physical infrastructure and
p.(None): the equipment to public health institutions. 4. Ensure ancestral health practices and
p.(None): alternative through the recognition, respect and promotion of the use of their knowledge, medicines and instruments.
p.(None): 5. Provide specialized care to the priority care groups established in the Constitution. 6.
p.(None): Ensure sexual and reproductive health actions and services, and guarantee the integral health and life of
p.(None): women, especially during pregnancy, childbirth and postpartum. 7. Ensure availability and access to
p.(None): Quality, safe and effective medicines, regulate their commercialization and promote national production and
p.(None): use of generic medicines that respond to the epidemiological needs of the population. In the access to
p.(None): medicines, public health interests will prevail over economic and commercial ones. 8. Promote the
p.(None): integral development of health personnel.
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): SOME DETERMINING FACTORS
p.(None): • Inability to make decisions (cognitive)
p.(None): • Subordination to the authority of others (legal)
p.(None): • Masking of underlying dissent (deferential)
p.(None): • Undervaluation of rights and interests (of infrastructure)
p.(None): • Serious patients who require immediate decisions or
p.(None): infectivity of response to serious diseases (medical)
p.(None): • Lack of important social assets (distributive)
p.(None): • Presence of risks (multifactorial)
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Neonates
p.(None): • Children and teenagers
p.(None): • Elderly
p.(None): • Seniors without family support
p.(None): • Pregnant / Nursing
p.(None): • Patients in emergency and critical care services
p.(None): • Unable to participate in IC processes
p.(None): • Incurable or suffering patients
p.(None): • Rare disease carriers
p.(None): • Carriers of communicable genetic diseases
p.(None): • People with special abilities
p.(None): GROUPS IN VULNERABILITY SITUATION
p.(None): • Without political power
p.(None): • Not familiar with current scientific concepts
p.(None): • With lower rank or hierarchical subordination
p.(None): • Low quintiles
p.(None): • Unemployed
p.(None): • Refugees and displaced
p.(None): • Repatriated
p.(None): • Beneficiaries of social assistance
p.(None): • Deprived of liberty
...
General/Other / Undue Influence
Searching for indicator undue influence:
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p.(None): • situations that are related to social and political determinants: for example, power relations,
p.(None): social structure, culture, economy,
p.(None): • situations that are related to environmental determinants:
p.(None): for example natural disasters
p.(None): • situations of vulnerability in the field of health care, research and development and
p.(None): application of new technologies in biomedical sciences.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 1.- Based on the damage: They have an identifiable probability of receiving a deeper evil (damage).
p.(None): - Protection: oriented directly and specifically to probable damage
p.(None): • 2.- Conceptions based on lack of power. Relative or
p.(None): absolutely unable to protect their own interests (...) may not have power, intelligence, education, resources,
p.(None): strength. other attributes necessary to protect their own interests ...
p.(None): - Protection: aimed at empowering for that purpose.
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 3.- Based on the CI: They cannot give their CI for coercion, manipulation or persuasion, undue influence or lack of
p.(None): capacity.
p.(None): - Protection: aimed at restoring capacity, preventing coercion
p.(None): (autonomy), to empower or seek a subrogant responsible.
p.(None): • 4.- Conceptions with greater attention to contextual issues.
p.(None): Stratified interpretation of vulnerability, (metaphor of layers)
p.(None): • Protection: it is complex and must be examined in each particular place, and with each group specifically
p.(None): VULNERABILITY: RESTRICTIVE CONCEPTIONS
p.(None): FROM VIDAL, S.
p.(None): • 5.- Comprehensive concepts: they take into account the two forms of vulnerability, essential and specific
p.(None): • Protection: it is related to the respect and defense of the negative and positive human rights involved
p.(None): VULNERABILITY - CHARACTERIZATION
p.(None): • Physical,
p.(None): • referred to the subject's bodily integrity
p.(None): • Psychological,
p.(None): • as to the particular way in which the individual identifies himself and the way in which society identifies him
p.(None): (attitudes and behaviors);
p.(None): • Social,
p.(None): • position held by the subject in a social structure and its power relationship with
p.(None): she and other members of that structure
p.(None): • Socioeconomic,
p.(None): • as one of the ways to achieve well-being or belong to a certain group
...
Orphaned Trigger Words
Appendix
Indicator List
| Indicator | Vulnerability |
|---|
| abuse | Victim of Abuse |
| access | Access to Social Goods |
| access to information | Access to information |
| asylum | Refugee Status |
| authority | Relationship to Authority |
| autonomy | Impaired Autonomy |
| child | Child |
| children | Child |
| cognitive | Cognitive Impairment |
| disability | Mentally Disabled |
| displaced | displaced |
| education | education |
| elderly | Elderly |
| emergency | Public Emergency |
| ethnic | Ethnicity |
| family | Motherhood/Family |
| gender | gender |
| homeless | Homeless Persons |
| illiterate | Literacy |
| illness | Physically Disabled |
| immigrants | immigrants |
| injured | injured |
| institutionalized | Institutionalized |
| liberty | Incarcerated |
| minority | Racial Minority |
| neonates | Fetus/Neonate |
| nomads | nomad |
| physically | Physically Disabled |
| political | political affiliation |
| poverty | Economic/Poverty |
| pregnant | Pregnant |
| racial | Racial Minority |
| single | Marital Status |
| threat | Threat of Stigma |
| undue influence | Undue Influence |
| unemployed | Unemployment |
| violence | Threat of Violence |
| vulnerability | vulnerable |
| vulnerable | vulnerable |
| women | Women |
Indicator Peers (Indicators in Same Vulnerability)
| Indicator | Peers |
|---|
| child | ['children'] |
| children | ['child'] |
| illness | ['physically'] |
| minority | ['racial'] |
| physically | ['illness'] |
| racial | ['minority'] |
| vulnerability | ['vulnerable'] |
| vulnerable | ['vulnerability'] |
Trigger Words
capacity
coercion
consent
cultural
developing
ethics
protect
protection
risk
Applicable Type / Vulnerability / Indicator Overlay for this Input