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PoPulationand Public HealtH etHics

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practice<br />

that the professional places the client’s interests above his own. This higher<br />

standard enables the vulnerable client to place trust in the professional. In<br />

our case, although the public is not an individual client, the professional food<br />

inspector acts as a steward of a public trust, namely, protecting the food supply<br />

from contagion or poison, to which all are susceptible or vulnerable. In<br />

this regard, we can propose a simple ratio: the greater the degree of susceptibility<br />

or vulnerability (which varies in different situations), the greater the<br />

obligation to protect and place the interest of the public over personal interest<br />

and, consequently, the greater culpability and penalty for dereliction of duty.<br />

This analysis does not attempt to provide specific recommendations. Doing<br />

so would require a more penetrating analysis of the facts of the case and a<br />

deeper understanding of local conditions and contexts. Hopefully, we have<br />

provided sufficient guidance to begin examining the ethical issues raised<br />

by this case.<br />

reFerences<br />

1 <strong>Public</strong> Health Leadership Society. (2002). Principles of the Ethical Practice of<br />

<strong>Public</strong> Health. Retrieved from: http://phls.org/CMSuploads/Principles-of-the-<br />

Ethical-Practice-of-PH-Version-2.2-68496.pdf<br />

2 Pennington, H. (2009). The <strong>Public</strong> Inquiry into the September 2005 Outbreak<br />

of E. coli O157 in South Wales. Cardiff, Wales: HMSO. Retrieved from: www.<br />

ecoliinquirywales.org<br />

3 McKie, J. and Richardson, J. (2003). The rule of rescue. Social Science and<br />

Medicine, 56(12):2407–19.<br />

4 Ruger, J. P. (2010). Health and Social Justice, New York, NY: Oxford University<br />

Press.<br />

5 Jennings, B. and Arras, J. (2010). Ethical Guidance for <strong>Public</strong> Health Emergency<br />

Preparedness and Response: Highlighting Ethics and Values in a Vital <strong>Public</strong><br />

Health Service. Prepared for the Ethics Subcommittee of the Advisory Committee<br />

to the Director, Centers for Disease Control and Prevention, 2010. Retrieved<br />

from: http://www.cdc.gov/od/science/integrity/phethics/ESdocuments.htm<br />

6 Pellegrino, E. D., Veatch, R. M. & Langan, J. P. (1991). Ethics, Trust and the<br />

Profession: Philosophical and Cultural Aspects. Washington, DC: Georgetown<br />

University Press.<br />

PoPulation anD <strong>Public</strong> <strong>HealtH</strong> <strong>etHics</strong><br />

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