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Forthcoming articles
  1. A. Albertsen (forthcoming). Luck Egalitarianism, Social Determinants and Public Health Initiatives. Public Health Ethics:phu022.
    People’s health is hugely affected by where they live, their occupational status and their socio-economic position. It has been widely argued that the presence of such social determinants in health provides good reasons to reject luck egalitarianism as a theory of distributive justice in health. The literature provides different reasons why this responsibility-sensitive theory of distributive justice should not be applied to health. The critiques submit that (i) the social circumstances undermine or remove people’s responsibility for their health; (ii) responsibility (...)
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  2. P. Calain (forthcoming). Understanding Power Relationships: Commentary on Wurr C and Cooney L (2014) 'Ethical Dilemmas in Population-Level Treatment of Lead Poisoning in Zamfara State, Nigeria'. Public Health Ethics:phu030.
    After 4 years of relief activities, it is difficult to keep managing the lead poisoning epidemic in northern Nigeria as an emergency situation, while it appears clearly to be a more complex, widespread and chronic public health issue than anticipated. Making the continuing treatment of children conditional upon commitments from impacted families to adhere to safe mining practices is unlikely to bring about any long-term benefit. This is because such commitment is ultimately not in the hands of the victims or (...)
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  3. D. Chalmers, M. Burgess, K. Edwards, J. Kaye, E. M. Meslin & D. Nicol (forthcoming). Marking Shifts in Human Research Ethics in the Development of Biobanking. Public Health Ethics:phu023.
    Biobanks are increasingly being created specifically for research purposes. Concomitantly, we are seeing significant and evolving shifts in research ethics in relation to biobanking. Three discrete shifts are identified in this article. The first extends the ethical focus beyond the protection of human subjects to the promotion of broader community benefits of research utilizing biobanked resources, and an expectation that these benefits will be shared. The second involves the evolution of the traditional consent paradigm for future research uses of biobanks (...)
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  4. A. M. Viens, M. J. Smith, C. M. Bensimon & D. S. Silva (forthcoming). Justifying the Initiation and Continued Provision of Public Health Interventions in Humanitarian Settings. Public Health Ethics:phu026.
    Médecins Sans Frontières is not morally required to continue providing the same therapeutic and preventative interventions for lead poisoning in Nigeria in the face of conditions that negatively impact on the achievement of their objectives. Nevertheless, Médecins Sans Frontières may have reasons to revise their objectives and adopt different interventions or methods.
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  5. A. Wardrope (forthcoming). Relational Autonomy and the Ethics of Health Promotion. Public Health Ethics:phu025.
    Recent articles published in this journal have highlighted the shortcomings of individualistic approaches to health promotion, and the potential contributions of relational analyses of autonomy to public health ethics. I argue that the latter helps to elucidate the former, by showing that an inadequate analysis of autonomy leads to misassignment of both forward-looking and backward-looking responsibility for health outcomes. Health promotion programmes predicated on such inadequate analyses are then ineffective, because they assign responsibility to agents whose social environment inhibits their (...)
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  6. Karin B. Johansson Blight (forthcoming). Medical Doctors Commissioned by Institutions That Regulate and Control Migration in Sweden: Implications for Public Health Ethics, Policy and Practice. Public Health Ethics:phu020.
    Medical doctors are commissioned by the migration authorities and/or border police to assist in decision making about asylum seeker’s requests for residency permits in Sweden. They are asked to: (i) assess the formal written medical opinions made by physicians in support of asylum or humanitarian narratives in the asylum process and/or (ii) to make medical assessments of persons considered for deportation. This arrangement raises questions such as: How is the decision making process carried out? How is medical knowledge used, and (...)
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  7. Linda Briskman & Deborah Zion (forthcoming). Dual Loyalties and Impossible Dilemmas: Health Care in Immigration Detention. Public Health Ethics:phu024.
    Dual loyalty issues confront health and welfare professionals in immigration detention centres in Australia. There are four apparent ways they deal with the ethical tensions. One group provides services as required by their employing body with little questioning of moral dilemmas. A second group is more overtly aware of the conflicts and works in a mildly subversive manner to provide the best possible care available within a harsh environment. A third group retreats by relinquishing employment in the detention setting. A (...)
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  8. Steven S. Coughlin & Angus Dawson (forthcoming). Ethical, Legal and Social Issues in Exposomics: A Call for Research Investment. Public Health Ethics:phu031.
    The success of the Human Genome Project has prompted interest in advancing the nascent field of exposomics. The exposome, which is dynamic and variable and changes over time, consists of all the internal and external exposures an individual has over a lifetime beginning with the prenatal period and early childhood. Efforts are underway to decipher the human epigenome by identifying the effects of all deleterious environmental exposures according to duration of exposure and time period. In this article, we argue that (...)
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  9. Norman Daniels (forthcoming). Equity and Population Health. Public Health Ethics.
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  10. Angus Dawson (forthcoming). Vaccination Ethics. Public Health Ethics.
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  11. Dani Filc, Hadas Ziv, Mithal Nassar & Nadav Davidovitch (forthcoming). Palestinian Prisoners' Hunger-Strikes in Israeli Prisons: Beyond the Dual-Loyalty Dilemma in Medical Practice and Patient Care. Public Health Ethics:phu021.
    The present article focuses on the case of the 2012 hunger-strike of Palestinian prisoners in Israeli jails. We analyze the ethical dilemma involved in the way the Israeli medical community reacted to these hunger-strikes and the question of force feeding within the context of the fundamental dual-loyalty structure inherent in the Israeli Prison Services—system. We argue that the liberal perspective that focuses the discussion on the dilemma between the principle of individual autonomy and the sanctity of life tends to be (...)
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  12. Moti Gorin & Harald Schmidt (forthcoming). 'I Did It For the Money': Incentives, Rationalizations and Health. Public Health Ethics:phu034.
    Incentive programs have been criticized due to concerns that extrinsic rewards can ‘crowd out’ intrinsic motivation, and also that such programs might exert a corrupting influence on those receiving the incentive. Jonathan Wolff has argued that while these worries are in some instances well grounded, incentives can also operate by liberating people from social pressures that stand in the way of their intrinsic motivations. We further develop Wolff's insight by articulating a framework for assessing such incentives and discussing several areas (...)
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  13. Robert Huish (forthcoming). Why Does Cuba 'Care' So Much? Understanding the Epistemology of Solidarity in Global Health Outreach. Public Health Ethics:phu033.
    Cuba currently has more than 38,000 health workers providing emergency relief, long-term community-based care and medical education to some of the most vulnerable communities in the world. This current outreach to 76 countries positions Cuba as a leader in global health outreach. This has been well documented and praised by many scholars and policy makers alike. While many acknowledge the importance and impact of the Cuba’s global effort, there is very little understanding as to why Cuba makes such a large (...)
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  14. Anthony Kessel & Carolyn Stephens (forthcoming). Environment, Ethics and Public Health. Public Health Ethics.
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  15. Barry Lyons (forthcoming). History, Ethics and the Presidential Commission on Research in Guatemala. Public Health Ethics:phu019.
    In 2010, President Obama instructed the Presidential Commission for the Study of Bioethical Issues to enquire into research carried out by the US Public Health Service in Guatemala between 1946 and 1948. These studies entailed the deliberate inoculation of unconsenting prisoners, mental asylum patients and soldiers, with venereal disease. There was also evidence of deception and secrecy. The Commission’s report describes the research as heinous, egregious, unconscionable and unjustifiable, and identified those responsible as morally blameworthy. However, this article argues that (...)
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  16. Catherine L. Mah & Carol Timmings (forthcoming). Equity in Public Health Ethics: The Case of Menu Labelling Policy at the Local Level. Public Health Ethics:phu011.
    Menu labelling is a public health policy intervention that applies principles of nutrition labelling to the eating out environment. While menu labelling has received a good deal of attention with regard to its effectiveness in shaping food choices for obesity prevention, its premises have not yet been fully explored in terms of its broader applications to social equity and population health. In the following case, we focus on the example of menu labelling within the context of food policy at the (...)
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  17. John McMillan (forthcoming). Public Health Research Ethics. Public Health Ethics.
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  18. Anders Nordgren (forthcoming). Crisis Management and Public Health: Ethical Principles for Priority Setting at a Regional Level in Sweden. Public Health Ethics:phu028.
    In this article I analyse and discuss guidelines for priority setting in crisis management at a regional level in Sweden. The guidelines concern three types of crises: pandemics, large losses of electric power and interruptions in water supply. Pandemics are typical public health issues. Large losses of electric power and interruptions in water supply are in themselves not, but may have serious public health consequences. These guidelines are compared with guidelines for priority setting in health care. This is done because (...)
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  19. John D. Pringle (forthcoming). The Unprecedented Lead-Poisoning Outbreak: Ethical Issues in a Troubling Broader Context. Public Health Ethics:phu029.
    This article is in response to Wurr and Cooney’s Case Discussion entitled ‘Ethical dilemmas in population-level treatment of lead poisoning in Zamfara State, Nigeria’. The Case Discussion draws attention to Médecins Sans Frontières’ (MSF’s) remarkable achievement of providing the world’s first population-level treatment for severe lead poisoning. Wurr and Cooney raise two key ethical issues: treatment in the face of ongoing exposure, and withdrawal from program. Having participated in the emergency response to the lead-poisoning outbreak, I reflect on the Case (...)
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  20. Allan Reid (forthcoming). Commentary on Zamfara Lead Poisoning Humanitarian Efforts. Public Health Ethics:phu027.
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  21. Chris Sanders (forthcoming). Discussing the Limits of Confidentiality: The Impact of Criminalizing HIV Nondisclosure on Public Health Nurses' Counseling Practices. Public Health Ethics:phu032.
    In Canada, there have been a growing number of criminal HIV nondisclosure cases where public health records have been subpoenaed to aid in police investigations and/or to be presented in court as evidence against HIV-positive persons. This has led some to suggest that nurses provide explicit warnings about the limits of confidentiality in relation to crimes related to HIV nondisclosure, while others maintain that a robust account of the limits of confidentiality will undermine the nurse–client relationship and the public health (...)
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  22. Michael J. Selgelid (forthcoming). Ethical and Empirical Issues Concerning Conditional Treatment of Lead Poisoning From Gold Mining in Nigeria. Public Health Ethics:phu015.
    Whether or not MSF should provide unconditional treatment for lead poisoning in Nigeria partly depends on answers to empirical questions regarding what the overall consequences of such a practice are likely to be. Conditional provision of treatment may yield greater health benefits (especially if treatment resources are limited).
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  23. Marcel Verweij & A. Dawson (forthcoming). Infectious Disease Control. Public Health Ethics.
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  24. Stephen Wilkinson (forthcoming). Selective Reproduction, Eugenics, and Public Health. Public Health Ethics.
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  25. Jonathan Wolff (forthcoming). Paying People to Act in Their Own Interests: Incentives Versus Rationalization in Public Health. Public Health Ethics:phu035.
    A number of schemes have been attempted, both in public health and more generally within social programmes, to pay individuals to behave in ways that are presumed to be good for them or to have other beneficial effects. Such schemes are normally regarded as providing a financial incentive for individuals in order to outweigh contrary motivation. Such schemes have been attacked on the basis that they can ‘crowd out’ intrinsic motivation, as well as on the grounds that they are in (...)
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  26. Chloë Wurr & Lauren Cooney (forthcoming). Ethical Dilemmas in Population-Level Treatment of Lead Poisoning in Zamfara State, Nigeria. Public Health Ethics:pht014.
    Ethical issues arise in the world’s first population-level treatment of severe lead poisoning caused by small-scale mining for gold in rural Nigeria. Emergency medical intervention and environmental cleanup have reduced the mortality in children younger than 5 years from lead poisoning from over 40 to 2.5 per cent leaving little evidence of the harms caused by lead poisoning. In the absence of obvious sequelae, family adherence to long-term intensive therapy to remove accumulated lead reservoirs in children wanes and some community (...)
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