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PoPulationand Public HealtH etHics

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Cross-referencing<br />

of data<br />

Does the cross-referencing of<br />

certain data expose any groups to<br />

stigmatization?<br />

Can the cross-referencing of<br />

certain data lead to problems of<br />

confidentiality?<br />

Data management Do the databases afford adequate<br />

protection for people’s privacy?<br />

Dissemination<br />

of information<br />

produced<br />

For sensitive data, has the consent<br />

of the people concerned been<br />

requested?<br />

Have the target populations and the<br />

partners been consulted about the<br />

dissemination of information?<br />

Have the populations concerned<br />

been informed about the methods<br />

that will be used to communicate the<br />

results on the individual (participant)<br />

level and the population level in<br />

accordance with the surveillance<br />

objectives?<br />

Have the comments by the<br />

population or the participants under<br />

study been considered?<br />

A Tool for Ethical Analysis of <strong>Public</strong> Health Surveillance Plans<br />

57<br />

Ghettos can be identified by crossreferencing<br />

of data on socio-economic<br />

status, ethnic origin or country of<br />

origin that are available for sufficiently<br />

small geographic areas.<br />

Individuals to whom the data refer<br />

can be identified inadvertently.<br />

Databases identifying persons are<br />

used in an uncontrolled fashion.<br />

Use is made of data that come from<br />

biological samples and that are<br />

produced without consent.<br />

Information is expressed in jargon,<br />

or in a form unsuited to client needs,<br />

or in such a way as to be stigmatizing.<br />

No steps are taken to educate<br />

the public after the results are<br />

communicated.<br />

Participatory activities are just for<br />

show, designed to co-opt the public<br />

rather than to genuinely consider its<br />

concerns.

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