PoPulationand Public HealtH etHics

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policy 6 NHS Blood and Transplant. (2011). Deferral of men who have sex with men from blood donation. Retrieved from: http://www.blood.co.uk/can-i-give-blood/ exclusion 7 Seed, C.R., Philip, K. & Law, M. (2010). No evidence of a significantly increased risk of transfusion-transmitted human immunodeficiency virus infection in Australia subsequent to implementing a 12-month deferral for men who have had sex with men. Transfusion, 50(12): 2722-2730. 8 Canadian Blood Services. (2010). Media questions and answers. Retrieved from: http://www.blood.ca/centreapps/internet/uw_v502_mainengine.nsf/page/ Questions%20and%20Answers?OpenDocument PoPulation anD Public HealtH etHics 74
Case discussion in response to DeFerring blooD Donation FroM Men wHo Have sex witH Men Bonnie Krysowaty, H.b.a. Caroline Buonocore, H.b.sc. Elaine Wiersma, Ph.D. Department of Health Sciences, Lakehead University Thunder Bay ON ewIeRsMa@lakeHeaDu.Ca The broad ethical dilemma as outlined in this case study includes both the balance of safety and sufficiency of blood supply with the rights of the menhaving-sex-with-men (MsM) community to be free from discrimination and stigmatization, and the need to balance risks and benefits. Many factors need to be considered in this case, including historical context, legal and political context, scientific evidence related to risk, epidemiology of HIV, public perceptions of risk and the social context. These factors will be considered within the applicable ethical principles used to structure this case, including beneficence, minimizing risk and harm, proportionality and equity. Procedural values such as reasonableness, transparency, inclusivity, responsiveness and accountability will also be discussed. 1 Minimizing risk and protecting the public from harm are two important concepts that are applicable to this case. Minimizing the possibility of introducing contaminated blood in the blood supply by eliminating donations from at-risk groups is the central issue in this case. The historical context of the harm caused by the tainted blood scandal has created a situation whereby the Canadian Blood Service (CBs) and Health Canada (the regulatory body) have minimized risk to the greatest possible extent by eliminating these donations. Because of this history, protecting the public from harm and ensuring Deferring Blood Donation from Men Who Have Sex with Men 75
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PoPulationand Public HealtH etHics
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contents Acknowledgements - page 5
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acknowleDgeMents The Partners would
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» Create a tool to support instruc
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Each of the discussants took on thi
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Twenty years on, things have change
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intervention (say reduction in mort
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ethics understands dilemmas not onl
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priority setting. 17 Once more, usi
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6 See for example the WHO Commissio
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obesity surveillance in scHool cHil
Page 24 and 25: esearch 2 Inevitably children will
Page 26 and 27: esearch Case discussion in response
Page 28 and 29: It would be ideal to get active inf
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Page 32 and 33: to sHare or not to sHare? Secondary
Page 34 and 35: esearch Scenario shift » What if t
Page 36 and 37: esearch Many different parties have
Page 38 and 39: esearch of his concern for people w
Page 40 and 41: esearcH etHics anD conFlicts oF int
Page 42 and 43: esearch and non-public information
Page 44 and 45: esearch reFerences 1 Public Health
Page 46 and 47: esearch Key ethical dimensions Perh
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Page 50 and 51: esearch Proposed resolution Enablin
Page 52 and 53: a tool For etHical analysis oF Publ
Page 54 and 55: esearch are explicit. In Quebec, su
Page 56 and 57: esearch reFerences 1 Bayer, R. and
Page 58 and 59: Part two Policy
Page 60 and 61: policy being increasingly introduce
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Page 64 and 65: policy 18 Chapman, S. and Freeman,
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Page 68 and 69: policy that this is an injustice. W
Page 70 and 71: DeFerring blooD Donation FroM Men w
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Page 82 and 83: policy Case description For nearly
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Page 98 and 99: policy Core issue Case study author
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Page 118 and 119: policy Case discussion in response
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practice Case The Inquiry found tha
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practice Questions for discussion 1
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practice is a basic ethical obligat
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practice harm is remote, the cost/b
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practice that the professional plac
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practice or equitably reaching your
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practice In what follows, I will de
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practice will end up having to comp
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practice Getting Clear on What’s
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using PersonalizeD letters oF invit
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practice Cervical cancer is relativ
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practice Case discussion in respons
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practice principle should only be t
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practice potentially cause the gene
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practice Nations’ constitutional
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practice sanitation and poor housin
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practice Decision making While the
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alberta oil sanDs A toxic mixture o
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practice resolution calling for the
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practice Second, the process of oil
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practice contributing to “contrac
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practice How might the decision and
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wHose role is it to Deal witH socie
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practice same artisanal miners to d
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practice The ethical principle of b
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practice Identify the options avail
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