SPPH 381 Midterm Notes.docx - SPPH 381 Midterm Notes Week 1...

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SPPH 381: Midterm Notes Week 1: Public Health Ethics - Addresses ethical issues relating to health and interventions aimed to promote it that arise at a population level - Focus on populations is what distinguishes public health ethics from bioethics, which mostly focuses on interactions among individuasl patients , physicians or meical researchers Clinical Frame - Focus on patient/healthcare worker interactions e/g/ pjhysician treating an asthmatic with a smoking parent - Some possible interventions: physician advises parent to quit smoking; physican reports parent to child protective services - Some ethical considerations: well-being of child parental responsibility, professional responsibility of the physician, autonomy of parent Population Frame - Focus on Population Level Data. E,g, : involuntary smoke exposure has declined overall but remains higher for children than for adults - Some possible interventions : a media campaign warning about the dangers of smoking near children; house to house halth inspections to check for smoking in the presence of children - Some ethical considerations: well being of children, stigmatization of smokers, civil liberties Consider the topic of “anti-vaxxers” (i.e., parents of unvaccinated children). - Working in groups of 2’s or 3’s, think of this issue first from an individual frame and then from a population frame, following the pattern of the previous two slides. Please write down your ideas. Discussion : Does the population frame raise distinct ethical issues from the individual frame in this example? If so, how and why? Clinical for vaccinations - Having an elderly person with demntia, kids choosing for them if they get a vaccintation Ethical issues: patient autonomy, competence, consent Population frame - Anti vaxxers often upper income, if they don’t cavvinate the general population may not want to Intervention: - economic incentives vaccinating taxpaers - public information campaign - mandatory vaccinations in school or workplace - booths in malls, more accessibility ethical issues: allocation of resources, religious freedom/liberty, stigma, equity
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Week 2 part 1 Things that rise in the population frame more: - allocation of resources - cultural/religious issues - whats good for the population vs individual rights Discussion sheet I. The terrain of public health ethics Childress and colleagues suggest that public health systems consist of all people and actions , including laws, policies, practices and activities, that have the primary purpose of protecting and improving the health of the public. - Give an example of a public health issue. Who and wht are the people and actions involved in this example? o Indigenous health- FNHA (government), consulations with community groups o Ebola outbreak- health of the nation, made appeal to other organizations/health Canada, action--? Making consultations with experts screening at airports, quarantines o Smoking laws: people: ministry of health, smokers following the laws o Child obesity rates: people: parents/government, action marketing o
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