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PoPulationand Public HealtH etHics

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practice<br />

Second, the process of oil extraction, as oil reserves deplete and become less<br />

accessible (i.e., so-called “peak oil”), becomes more risky, more costly, and less<br />

efficient in terms of the relative amount of energy gained in extracting each<br />

barrel of oil. 5 The greater the risks taken to extract diminishing and more<br />

remote reserves of oil, the more likely are toxic spills and ecological disasters,<br />

with consequences for human health and well-being. One tension that<br />

becomes immediately apparent is between short-term gains for one group of<br />

people with longer-term losses for another group of people. For those taking<br />

the risks through working or living in proximity to oil extraction industries,<br />

are the benefits equivalent to those enjoyed by other stakeholders? And, what<br />

about the health and well-being of future generations?<br />

Third, this case analysis focuses more specifically on the harms to the<br />

health and well-being of a sub-group of Albertans who live in proximity<br />

to water contaminated with effluent from upstream oil industry activities.<br />

Under the principle of “justice,” this raises concerns about the direct health<br />

effects on a vulnerable community located in one area for the benefit of<br />

economic activity elsewhere. What obligations fall on the affected community<br />

(i.e., the vulnerable by virtue of their exposure), and what obligations<br />

fall on those polluting their community (i.e., the oil industry) to respect<br />

local culture and well-being? And also, from an enlightened self-interest<br />

perspective, with environmental pollution affecting one group, would it<br />

not behoove society-at-large to view the affected community’s experience<br />

as a sentinel event, as one forewarning of potential impacts beyond that<br />

community? The principle of respect for life requires that all dimensions<br />

be taken into account.<br />

What do we know – and what do we not know?<br />

Hazard assessments demonstrate higher levels of pollutants in water flowing<br />

past the community; both the community and living organisms, including<br />

fish, depend on that water for their sustenance. Thus, these populations, under<br />

classical risk assessment paradigms used by the us Environmental Protection<br />

Agency (ePa) since the 1960s, demonstrate vulnerability.<br />

The application by powerful interests of the Four-D paradigm (i.e., Deny,<br />

Delay, Divide and Discredit) to allegations of harm was used in a cluster of<br />

rare cancer outcomes in a community of 1,200 people downstream from oil<br />

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

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