PoPulationand Public HealtH etHics
PoPulationand Public HealtH etHics
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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