PoPulationand Public HealtH etHics
PoPulationand Public HealtH etHics
PoPulationand Public HealtH etHics
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practice<br />
contributing to “contraction.” Part of the resources thereby saved then<br />
could go towards uplifting developing country economies, thus reducing<br />
the gap between rich and poor countries, leading to a world of diminishing,<br />
rather than widening, disparities. If achieved, this would contribute<br />
to the attainment of the Millennium Development Goals (MDgs) as set in<br />
2000 by the United Nations.<br />
Finally, the precautionary principle encourages policies that protect human<br />
health and the environment in the face of uncertain risks. It has been defined<br />
as follows: “When an activity raises threats of harm to human health<br />
or the environment, precautionary measures should be taken even if some<br />
cause and effect relationships are not fully established scientifically.” 12 Its<br />
application would require concerted global action in the face of uncertainty<br />
on a scale of the harm expected through global warming and, indeed, global<br />
heating under existing climate change models. 13, 14 In tandem with this principle<br />
is the principle of solidarity. Under the Kyoto Accord, solidarity would<br />
trump precaution, and certainly local/regional short-term economic interests<br />
in order to act to prevent worsening trends in global warming. The tension<br />
between local short-term and global longer-term interests is, in turn, trumped<br />
by other principles, including intergenerational equity. Respect for autonomy<br />
(i.e., the right to self-determination) in the affected community appears to<br />
have been minimized and even marginalized to date in all actions taken by<br />
more-powerful interests.<br />
Identify the key stakeholders in the case and the most appropriate<br />
decision-maker(s) and/or legal authorities to approach the ethical<br />
issue, if applicable<br />
Key stakeholders include elected government officials who, on the one hand,<br />
represent regional values, but are not immune to pressure from powerful<br />
vested interests; federal and provincial government departments of health,<br />
environment and industry; the oil industry; and, the communities, local,<br />
downstream, national and global, that not only rely on a secure supply of<br />
oil, but also are at increased risk of harm from the pollution resulting from<br />
the industry. The medical officer of health for the region is also a key stakeholder,<br />
as is the provincial cancer board and its cancer registry.<br />
PoPulation anD <strong>Public</strong> <strong>HealtH</strong> <strong>etHics</strong><br />
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