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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 />

125

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