PoPulationand Public HealtH etHics
PoPulationand Public HealtH etHics
PoPulationand Public HealtH etHics
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The state has a moral obligation to protect the public’s health through regulatory<br />
oversight, including setting appropriate protective standards; providing<br />
appropriate resources to monitor compliance with these standards; and providing<br />
effective tools for modifying the behavior of those who do not comply. 2<br />
In this case, standards were set (i.e, there was substantial food-safety legislation<br />
in place, including codes of practice for inspections and regulatory<br />
procedures); the local government entrusted to implement these standards,<br />
however, did not ensure that there was an effective system (in terms of resources,<br />
procedures and competent staff) to monitor and regulate compliance.<br />
They therefore failed in their regulatory ethics obligations and so placed the<br />
community at substantial risk.<br />
In addition, there are a number of individual failures of professional ethics.<br />
First, as competence in HaCCP auditing is a basic expectation of these inspectors,<br />
the professional certification process was inadequate. Second, these<br />
inspectors did not fulfill their obligation to undertake ongoing professional<br />
development activities to ensure competency. Third, while it should have<br />
been clear to the inspectors that they were out-of-their-depth and that the local<br />
regulatory system was inadequate, they did not raise concerns. Schwartz 3<br />
would argue that their silence fails a further ethical test that places a high<br />
burden of responsibility on public officials.<br />
Scenario shift<br />
As this case involved both systemic and individual failures, consider how<br />
the ethical issues of this case would change in the context of the following<br />
hypothetical scenarios:<br />
» The inspectors were well-trained, competent and able to detect problems,<br />
but they believed the organizational system in which they<br />
worked placed the public at risk due to its ineffectiveness.<br />
» The system was functional and was able to identify the ineffective<br />
performance of the inspectors through monitoring their performance.<br />
» The business involved was categorized as presenting a lower risk to<br />
the public due to not servicing vulnerable groups such as children,<br />
hospital patients and the elderly.<br />
An E.coli outbreak in Wales<br />
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