id author title date pages extension mime words sentences flesch summary cache txt cord-289175-n95j94ck GOSTIN, LAWRENCE O. Responding to COVID‐19: How to Navigate a Public Health Emergency Legally and Ethically 2020-03-26 .txt text/plain 3596 183 50 Scarcity of health resources not only places COVID-19 patients at risk but will also delay care for patients with urgent needs such as for cancer, diabetes, and heart disease-and even affect safe delivery for pregnant women. This concept was encapsulated by the National Academy of Medicine as "crisis standards of care," defined as the "optimal level of care that can be delivered during a catastrophic event, requiring substantial change in usual health care operations." 4 In jurisdictions with declared public health emergencies, 5 crisis standards of care provide a mechanism for reallocating staff, facilities, and supplies to meet population needs. Second, beyond health workers, decisions about who is tested or who receives treatment must center on prevention of SARS-CoV-2 transmission (public health), protection of individuals at highest risk, meeting societal needs, and promoting social justice. Protecting public health may mean prioritizing resources for people in confined settings (such as homeless shelters, prisons, and nursing homes), where the virus can spread rapidly from person to person. ./cache/cord-289175-n95j94ck.txt ./txt/cord-289175-n95j94ck.txt