PoPulationand Public HealtH etHics

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policy 3 Economic conditions could reduce the intensity of the fight against malaria (for example, by altering priorities, or by making funding unavailable, or by resulting in delays that cause intervention methods to become less effective). What ethical issues might arise under these circumstances? 4 What lessons learned should be transferred to other world-health interventions? acknowleDgeMents The author wishes to thank the organizers of the BioVision Forum held in 2007 in Lyon, France, for providing her with financial support that enabled her to attend this event and to learn about certain contemporary issues in world health as well as about the Millennium Development Goals (MDGs). PoPulation anD Public HealtH etHics 84
Case discussion in response to worlDwiDe anD local anti-Malaria initiatives Vural Özdemir, M.D., Ph.D. DABCP Research Group on Complex Collaboration Desautels Faculty of Management, McGill University and Centre of Genomics and Policy Department of Human Genetics, Faculty of Medicine, McGill University Montreal QC VuRal.ozDeMIR@MCgIll.Ca Denise Avard, Ph.D. Centre of Genomics and Policy Department of Human Genetics, Faculty of Medicine, McGill University Montreal QC Broadening 21st century bioethics frames on malaria: From individual choice to ‘global public health ethics’ The search for solutions to address the disparities in global public health has intensified recently, owing to an increase in the amount of development aid available over the past two decades. 1 For example, despite a slowdown in the rate of funding with the current global economic crisis, the amount of financial and in-kind aid from public and private channels to improve health in developing countries reached a total of $27.73 billion by 2011. 1 In parallel, global R&D investment increased to $1.1 trillion, doubling the amount invested in 1996. 2 Still, while the development aid flows from rich to poor nations, individuals and populations continue to face serious morbidity and mortality. 3 Moreover, even though development aid has been increasing, overall public spending for population health may be unchanged, or even diminished, given other formidable forces, notably debt repayment in developing countries. Public health ethics addresses issues that focus on the population as well as on ‘collective’ components of health care, such as public health infrastructures (e.g., technology and education standards, databases) that carry substantive ethical significance. Identification of the public health ethics issues in malaria requires a broad focus that extends beyond medical ethics and individual autonomy. 4,5 For an analysis of malaria and global public health ethics, it is Worldwide and local anti-malaria initiatives 85 Bartha M. Knoppers, Ph.D., O.C. Canada Research Chair in Law and Medicine, Centre of Genomics and Policy Faculty of Medicine, McGill University Montreal QC
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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
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esearch 2 Inevitably children will
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esearch Case discussion in response
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It would be ideal to get active inf
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esearch participation, leading to a
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to sHare or not to sHare? Secondary
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Page 44 and 45: esearch reFerences 1 Public Health
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Page 52 and 53: a tool For etHical analysis oF Publ
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Page 58 and 59: Part two Policy
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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 112 and 113: policy Men also suffer some HPV-cau
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practice or equitably reaching your
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practice Questions for discussion 1
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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 Questions for discussion 1
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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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