Abstract
Epidemiologists and environmental health researchers have a joint responsibility to acquire scientific knowledge that matters to public health and to apply the knowledge gained in public health practice. We examine the nature and source of these social responsibilities, discuss a debate in the epidemiological literature on roles and responsibilities, and cite approaches to environmental justice as reflective of them. At one level, responsibility refers to accountability, as in being responsible for actions taken. A deeper meaning of responsibility corresponds to commitment to the pursuit and achievement of a valued end. Epidemiologists are committed to the scientific study of health and disease in human populations and to the application of scientific knowledge to improve the public's health. Responsibility is also closely linked to reliability. Responsible professionals reliably perform the tasks they set for themselves as well as the tasks society expects them to undertake. The defining axiom for our approach is that the health of the public is a social good we commit ourselves to pursue, thus assuming an obligation to contribute to its achievement. Epidemiologists cannot claim to be committed to public health as a social good and not accept the responsibility of ensuring that the knowledge gained in their roles as scientists is used to achieve that good. The social responsibilities of environmental health researchers are conspicuous in the environmental justice movement, for example, in community-based participatory research. Responsibility is an ethical concept particularly well suited to frame many key aspects of the ethics of our profession.
Full Text
The Full Text of this article is available as a PDF (101.2 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arcury Thomas A., Quandt Sara A., Russell Gregory B. Pesticide safety among farmworkers: perceived risk and perceived control as factors reflecting environmental justice. Environ Health Perspect. 2002 Apr;110 (Suppl 2):233–240. doi: 10.1289/ehp.02110s2233. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Callahan Daniel, Jennings Bruce. Ethics and public health: forging a strong relationship. Am J Public Health. 2002 Feb;92(2):169–176. doi: 10.2105/ajph.92.2.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Childress James F., Faden Ruth R., Gaare Ruth D., Gostin Lawrence O., Kahn Jeffrey, Bonnie Richard J., Kass Nancy E., Mastroianni Anna C., Moreno Jonathan D., Nieburg Phillip. Public health ethics: mapping the terrain. J Law Med Ethics. 2002 Summer;30(2):170–178. doi: 10.1111/j.1748-720x.2002.tb00384.x. [DOI] [PubMed] [Google Scholar]
- Corburn Jason. Combining community-based research and local knowledge to confront asthma and subsistence-fishing hazards in Greenpoint/Williamsburg, Brooklyn, New York. Environ Health Perspect. 2002 Apr;110 (Suppl 2):241–248. doi: 10.1289/ehp.02110s2241. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coughlin S. S., Katz W. H., Mattison D. R. Ethics instruction at schools of public health in the United States. Association of Schools of Public Health Education Committee. Am J Public Health. 1999 May;89(5):768–770. doi: 10.2105/ajph.89.5.768. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Foxman B. Epidemiologists and public health policy. J Clin Epidemiol. 1989;42(11):1107–1109. doi: 10.1016/0895-4356(89)90052-8. [DOI] [PubMed] [Google Scholar]
- Gordis L. Ethical and professional issues in the changing practice of epidemiology. J Clin Epidemiol. 1991;44 (Suppl 1):9S–13S. doi: 10.1016/0895-4356(91)90168-9. [DOI] [PubMed] [Google Scholar]
- Kass N. E. An ethics framework for public health. Am J Public Health. 2001 Nov;91(11):1776–1782. doi: 10.2105/ajph.91.11.1776. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kelley Maureen. The meanings of professional life: teaching across the health professions. J Med Philos. 2002 Aug;27(4):475–491. doi: 10.1076/jmep.27.4.475.8612. [DOI] [PubMed] [Google Scholar]
- Lee Charles. Environmental justice: building a unified vision of health and the environment. Environ Health Perspect. 2002 Apr;110 (Suppl 2):141–144. doi: 10.1289/ehp.02110s2141. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Malcoe Lorraine Halinka, Lynch Robert A., Keger Michelle Crozier, Skaggs Valerie J. Lead sources, behaviors, and socioeconomic factors in relation to blood lead of native american and white children: a community-based assessment of a former mining area. Environ Health Perspect. 2002 Apr;110 (Suppl 2):221–231. doi: 10.1289/ehp.02110s2221. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McKeown R. E., Weed D. L. Ethics in epidemiology and public health II. Applied terms. J Epidemiol Community Health. 2002 Oct;56(10):739–741. doi: 10.1136/jech.56.10.739. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morello-Frosch Rachel, Pastor Manuel, Jr, Porras Carlos, Sadd James. Environmental justice and regional inequality in southern California: implications for future research. Environ Health Perspect. 2002 Apr;110 (Suppl 2):149–154. doi: 10.1289/ehp.02110s2149. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Fallon Liam R., Dearry Allen. Community-based participatory research as a tool to advance environmental health sciences. Environ Health Perspect. 2002 Apr;110 (Suppl 2):155–159. doi: 10.1289/ehp.02110s2155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roberts Marc J., Reich Michael R. Ethical analysis in public health. Lancet. 2002 Mar 23;359(9311):1055–1059. doi: 10.1016/S0140-6736(02)08097-2. [DOI] [PubMed] [Google Scholar]
- Rothman K. J., Poole C. Science and policy making. Am J Public Health. 1985 Apr;75(4):340–341. doi: 10.2105/ajph.75.4.340. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Savitz D. A., Poole C., Miller W. C. Reassessing the role of epidemiology in public health. Am J Public Health. 1999 Aug;89(8):1158–1161. doi: 10.2105/ajph.89.8.1158. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sharp Richard R., Foster Morris W. Community involvement in the ethical review of genetic research: lessons from American Indian and Alaska Native populations. Environ Health Perspect. 2002 Apr;110 (Suppl 2):145–148. doi: 10.1289/ehp.02110s2145. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taubes G. Epidemiology faces its limits. Science. 1995 Jul 14;269(5221):164–169. doi: 10.1126/science.7618077. [DOI] [PubMed] [Google Scholar]
- Thomas James C., Sage Michael, Dillenberg Jack, Guillory V. James. A code of ethics for public health. Am J Public Health. 2002 Jul;92(7):1057–1059. doi: 10.2105/ajph.92.7.1057. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weed D. L., McKeown R. E. Epidemiology and virtue ethics. Int J Epidemiol. 1998 Jun;27(3):343–349. doi: 10.1093/ije/27.3.343. [DOI] [PubMed] [Google Scholar]
- Weed D. L. Science, ethics guidelines, and advocacy in epidemiology. Ann Epidemiol. 1994 Mar;4(2):166–171. doi: 10.1016/1047-2797(94)90064-7. [DOI] [PubMed] [Google Scholar]
- Weed Douglas L., Mink Pamela J. Roles and responsibilities of epidemiologists. Ann Epidemiol. 2002 Feb;12(2):67–72. doi: 10.1016/s1047-2797(01)00302-7. [DOI] [PubMed] [Google Scholar]
- Wilson Sacoby M., Howell Frank, Wing Steve, Sobsey Mark. Environmental injustice and the Mississippi hog industry. Environ Health Perspect. 2002 Apr;110 (Suppl 2):195–201. doi: 10.1289/ehp.02110s2195. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wing Steve. Social responsibility and research ethics in community-driven studies of industrialized hog production. Environ Health Perspect. 2002 May;110(5):437–444. doi: 10.1289/ehp.02110437. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wynder E. L. Applied epidemiology. Am J Epidemiol. 1985 Jun;121(6):781–782. doi: 10.1093/oxfordjournals.aje.a114048. [DOI] [PubMed] [Google Scholar]
- Yankauer A. Science and social policy. Am J Public Health. 1984 Oct;74(10):1148–1149. doi: 10.2105/ajph.74.10.1148. [DOI] [PMC free article] [PubMed] [Google Scholar]