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In the era of globalization, no society exists in isolation. Global transportation networks facilitate the international spread of emerging infectious diseases, such as Ebola and Middle East Respiratory Syndrome (MERS). From restrictions of travel with regard to Ebola-stricken countries to international aid delivered to West Africa, from advice against travelling to South Korea (The Government of Hong Kong Special Administrative Region 2015) to experts from the World Health Organization visiting Seoul, decisions made by any country often have global health ramifications. Global health advocates affirm the importance of moral responsibilities for global public health. However, does everyone have moral responsibilities to help stop the Ebola outbreak in West Africa or MERS in South Korea and the Middle East? Should we consider global health issues to be as important as domestic ones? Let us take the 2014 Ebola outbreak as an example. Medical and public health professionals agree that we should help stop the Ebola outbreak inWest Africa, both to aid people in those countries and to prevent future imported cases into other countries, including the United States. However, despite the dire consequences of the Ebola outbreak, many Americans seemed unconcerned about it until the first domestic case was diagnosed in the United States. Social media and search engine data provide us with some evidence for this observation. In October 2014, the number of tweets about Ebola in ther United States was 1,561 times the number of those about Ebola in West Africa (The Lancet 2014). Global Twitter and Google traffic about Ebola increased sharply after the first U.S. domestic Ebola case, and many Ebola-related tweets were associated with negative emotions such as anxiety (Fung et al. 2014). Research shows that negative emotions are Bcontagious^ via social media (Kramer, Guillory, and Hancock 2014). Nevertheless, such emotional reactions only appeared when Ebola hit home. The volume of Ebola-related tweets dropped rapidly once the domestic cases were resolved (Fung et al. 2014). Similarly, our prior study comparing Chinese social media users’ reactions to the MERS outbreak in the Bioethical Inquiry (2015) 12:541–543 DOI 10.1007/s11673-015-9677-x

journal of bioethical inquiry

Why We Should Care About Ebola in West Africa and Middle East Respiratory Syndrome in South Korea: Global Health Ethics and the Moral Insignificance of Proximity