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Global health pandemics (such as COVID-19) can result in rapid changes to sanctionable behaviour, impacting society and culture in a multitude of ways. This study examined how pandemic culture and accompanying moral order was produced within and through social interaction during the first and second waves of COVID-19 in Australia. The data consisted of a corpus of 29 video-recorded paediatric palliative care consultations and were analysed using conversation analysis. Analysis showed how adherence to pandemic rules became morally expected, and moral concerns about actual or potential violations to these rules became relevant in and through social interaction during this period. The COVID-19 pandemic provided a natural experiment for how accountable actions and a moral order are negotiated in and through our social interactions when our taken-for-granted ‘natural facts of life’ change in response to a global public health crisis.

Pandemic morality-in-action: Accounting for social action during the COVID-19 pandemic