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Law, Liability, and Public Health Emergencies

Published online by Cambridge University Press:  08 April 2013

Sharona Hoffman ,
Richard A. Goodman  and
Daniel D. Stier
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Abstract

According to many experts, a public health emergency arising from an influenza pandemic, bioterrorism attack, or natural disaster is likely to develop in the next few years. Meeting the public health and medical response needs created by such an emergency will likely involve volunteers, health care professionals, public and private hospitals and clinics, vaccine manufacturers, governmental authorities, and many others. Conducting response activities in emergency circumstances may give rise to numerous issues of liability, and medical professionals and other potential responders have expressed concern about liability exposure. Providers may face inadequate resources, an insufficient number of qualified personnel, overwhelming demand for services, and other barriers to providing optimal treatment, which could lead to injury or even death in some cases. This article describes the different theories of liability that may be used by plaintiffs and the sources of immunity that are available to public health emergency responders in the public sector, private sector, and as volunteers. It synthesizes the existing immunity landscape and analyzes its gaps. Finally, the authors suggest consideration of the option of a comprehensive immunity provision that addresses liability protection for all health care providers during public health emergencies and that, consequently, assists in improving community emergency response efforts. (Disaster Med Public Health Preparedness. 2009;3:117–125)

Keywords

liabilityimmunitypublic health emergenciesresponderscauses of action
Type
Special Focus
Information
Disaster Medicine and Public Health Preparedness , Volume 3 , Issue 2 , June 2009 , pp. 117 - 125
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2009

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References

REFERENCES

1.PandemicFlu.gov/AvianFlu.gov Web site. http://www.PandemicFlu.gov. Accessed August 29, 2007.Google Scholar
2. Health Systems Research, Inc. Altered Standards of Care in Mass Casualty Events. http://www.ahrq.gov/research/altstand/altstand.pdf. Accessed November 17, 2008.Google Scholar
3.Garner, B. ed. Black’s Law Dictionary. St Paul, MN: Thomson West; 2004.Google Scholar
4.Weiss, RI, McKie, KL, Goodman, RA.The law and emergencies: surveillance for public health–related legal issues during hurricanes Katrina and Rita. Am J Public Health. 2007;97:S73–S81.Google Scholar
5.The Federal Response to Hurricane Katrina: Lessons Learned. February 2006, page 116. http://www.whitehouse.gov/reports/katrina-lessons-learned.pdf. Accessed November 17, 2008.Google Scholar
6.Hodge, JG, Pepe, RP, Henning, WH.Voluntarism in the wake of Hurricane Katrina: the Uniform Emergency Volunteer Health Practitioners Act. Disaster Med Public Health Prep. 2007;1:44–50.Google Scholar
7. National Conference of Commissioners on Uniform State Laws, July 7–14, 2006. Uniform Emergency Volunteer Health Practitioners Act Web site. http://www.uevhpa.org/DesktopDefault.aspx?tabindex=1&tabid=55. Accessed November 17, 2008.Google Scholar
8. Model State Emergency Health Powers Act §104(m). Center for Law & the Public’s Health, Discussion Draft 2001. http://www.publichealthlaw.net/MSEHPA/MSEHPA2.pdf. Accessed November 17, 2008.Google Scholar
9. 42 USC § 247d (a) (2000).Google Scholar
10. Emergency System for Advance Registration of Volunteer Health Professionals—Legal and Regulatory Issues, Draft Report May 2006. Department of Health & Human Services Web site. ftp://ftp.hrsa.gov/bioterror/May_06_Legal_Report.pdf. Accessed November 17, 2008.Google Scholar
11. 42 USC § 1320b-5 (2000). http://www.ssa.gov/OP_Home/ssact/title11/1135.htm.Google Scholar
12. Waiver Under Section 1135 of the Social Security Act. Health and Human Services Web site. http://www.hhs.gov/katrina/ssawaiver.html. Accessed November 17, 2008.Google Scholar
13. La. Rev. Stat. Ann. §29:766 (2007); N.J. Stat. Ann. § 26:4–2 (2007).Google Scholar
14.Okie, S.Dr. Pou and the hurricane—implications for patient care during disasters. N Engl J Med. 2008;358:1–5.Google Scholar
15. Vaughn V. Menlove, 132 Eng. Rep. 490, 492 (C.P. 1837).Google Scholar
16. Adapting Standards of Care Under Extreme Conditions: Guidance for Professionals During Disasters, Pandemics, and Other Extreme Emergencies. American Nurses Association Web site. http://www.nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/DPR/TheLawEthicsofDisasterResponse/AdaptingStandardsofCare.aspx. Accessed November 17, 2008.Google Scholar
17. Prosser WL, Keeton WP, Dobbs DB et al, eds. Prosser and Keeton on the Law of Torts. 5th ed. St. Paul, MN: West Publishing; 1984.Google Scholar
18. 28 USC §§ 2671–2680 (2000).Google Scholar
19.Monell v. New York Dept. of Soc. Servs., 436 U.S. 658, 690 (1978).Google Scholar
20.Fallon, RH, Hart, HM, Wechsler, H, et alHart and Wechsler’s The Federal Courts and the Federal System. 5th ed. Mineola, NY: Foundation Press; 2003:1001.Google Scholar
21.Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982); Davis v. Scherer, 468 U.S. 183, 191 (1984).Google Scholar
22. Pub. L. No. 104-321, 110 Stat. 3877 (1996).Google Scholar
23. Emergency Management Assistance Compact, Art. VI.Google Scholar
24. Ind. Code § 10-14-3-19(d) (2006); Iowa Code Ann. § 135.143.2 (2007); Me. Rev. Stat. Ann. tit 37-B, § 784-A (2006).Google Scholar
25.A Report on the Emergency Management Assistance Compact to the Committee on Homeland Security and Governmental Affairs. GAO-07-854. Government Accountability Office Web site. http://www.gao.gov/cgi-bin/getrpt?GAO-07-854. Accessed November 17, 2008.Google Scholar
26. 42 USC § 14503(a) (2000).Google Scholar
27. The Uniform Emergency Volunteer Health Practitioners Act. http://www.uevhpa.org. Accessed July 24, 2008.Google Scholar
28. 42 USC § 247d-6d–247d-6e (Supp. 2007).Google Scholar
29.Gostin, LO.Medical countermeasures for pandemic influenza: ethics and the law. JAMA. 2006;295:554–556.Google Scholar
30. Pub. L. No. 108-276, 118 Stat. 859 (2004), codified at 42 USC § 247d-6a (Supp. 2007).Google Scholar
31. Public/Private Legal Preparedness Initiative. UNC School of Public Health Web site. http://nciph.sph.unc.edu/law. Accessed November 17, 2008.Google Scholar
32.Kessler, DP, McClellan, MB.How liability law affects medical productivity. J Health Econ. 2002;21:931–955.Google Scholar
33.Shavell, S.Foundations of Economic Analysis of Law. Cambridge, MA: Harvard University Press; 2004:268.Google Scholar
34. What Is Disaster Assistance? Federal Emergency Management Agency Web site. http://www.fema.gov/assistance/process/individual_assistance.shtm. Accessed November 17, 2008.Google Scholar
35. Wolfe MA. Homeland Security: 9/11 Victims Relief Funds. Congressional Research Service, 2003. http://www.law.umaryland.edu/marshall/crsreports/crsdocuments/RL31716.pdf. Accessed November 17, 2008.Google Scholar