Abstract
To date, some work has been undertaken to define a code and stewardship framework for public health ethics. However, gaps in our understanding and application of ethics to the field of population and public health (PPH) remain. This paper presents the approach to building capacity for PPH ethics by three national-level organizations: the Canadian Institutes of Health Research-Institute of Population and Public Health, the National Collaborating Centre for Healthy Public Policy, and the Public Health Agency of Canada. By first looking at each of the organizations’ respective activities and then across organizations, we synthesize our common approaches, highlight future directions and pose questions aimed at stimulating dialogue about the role of, and challenges confronting, the emerging field of PPH ethics in Canada.
Key words: Public health, population health, ethics, capacity building
Résumé
À ce jour, certains travaux ont été entrepris pour définir un code d’éthique et un cadre de gérance de l’éthique en santé publique. Il subsiste toutefois des lacunes dans la compréhension et l’application de l’éthique au domaine de la santé des populations et de la santé publique (SPSP). Cet article présente l’approche pour renforcer la capacité de l’éthique en SPSP par trois organisations nationales: l’Institut de la santé publique et des populations des Instituts de recherche en santé du Canada, le Centre de collaboration nationale sur les politiques publiques et la santé ainsi que l’Agence de la santé publique du Canada. En jetant d’abord un coup d’oeil aux activités de chacune des organisations, puis à l’ensemble des organisations, nous synthétisons nos approches communes, faisons ressortir les orientations futures et posons des questions visant à favoriser le dialogue à propos du rôle du domaine émergent de l’éthique en SPSP au Canada et des défis auxquels il doit faire face.
Mots clés: santé publique, santé des populations, éthiques, le renforcement des capacités
Footnotes
Conflict of Interest: None to declare.
References
- 1.WHO Commission on the Social Determinants of Health. Closing the gap in a generation: Health equity through action on the social determinants of health. Geneva, Switzerland: World Health Organization; 2008. [Google Scholar]
- 2.Kass E. An ethics framework for public health. Am J Public Health. 2001;91(11):1776–82. doi: 10.2105/AJPH.91.11.1776. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Callahan D, Jennings B. Ethics and public health: Forging a strong relationship. Am J Public Health. 2002;92(2):169–76. doi: 10.2105/AJPH.92.2.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Baylis F, Kenny NP, Sherwin S. A relational account of public health ethics. Public Health Ethics. 2008;1(3):196–209. doi: 10.1093/phe/phn025. [DOI] [Google Scholar]
- 5.Upshur RE. Principles for the justification of public health intervention. Can J Public Health. 2002;93(2):101–3. doi: 10.1007/BF03404547. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Wilson J. Towards a normative framework for public health ethics and policy. Public Health Ethics. 2009;2(2):184–94. doi: 10.1093/phe/php012. [DOI] [Google Scholar]
- 7.Daniels N. Equity and population health: Toward a broader bioethics agenda. Hastings Cent Rep. 2006;36(4):22–35. doi: 10.1353/hcr.2006.0058. [DOI] [PubMed] [Google Scholar]
- 8.CIHR Institute of PopulationPublic Health. Health equity matters: CIHR Institute of Population and Public Health–Strategic Plan 2009–2014. Ottawa, ON: CIHR-IPPH; 2009. [Google Scholar]
- 9.Bravemen H. Social conditions, health equity, and human rights. Health and Human Rights. 2010;12(2):31–48. [PubMed] [Google Scholar]
- 10.Greenwood HL, Edwards N. Population health ethics: Annotated bibliography. Ottawa: CIHR-IPPH; 2009. [Google Scholar]
- 11.CIHR Institute of PopulationPublic Health. Population health ethics. Ottawa: CIHR-IPPH; 2011. [Google Scholar]
- 12.A report of the National Advisory Committee on SARS and Public Health in Canada: Learning from SARS: Renewal of Public Health in Canada. Ottawa: Health Canada, 2003. Available at: http://www.phac-aspc.gc.ca/publicat/sarssras/ naylor/index-eng.php (Accessed February 11, 2011).
- 13.Holland S. Public health ethics: What it is and how to do, it. In: Peckham S, Hann A, editors. Public Health Ethics and Practice. Bristol: The Policy Press; 2010. [Google Scholar]
- 14.Paradis G. Ethics in public health. Can J Public Health. 2008;99(1):5. doi: 10.1007/BF03403731. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.McDougall CW. List of Public Health Ethics Researchers and Instructors Across Canada. Montreal, QC: National Collaborating Centre for Healthy Public Policy; 2009. [Google Scholar]
- 16.McDougall CW. Case Studies of Ethics During a Pandemic. Montreal: NCCHPP; 2010. [Google Scholar]
- 17.National Collaborating Centre for Healthy Public Policy. Public Health Ethics in Practice: Impact and Relevance of Ethical Frameworks on Decision-making During the H1N1 Pandemic. Montreal: NCCHPP; 2010. [Google Scholar]
- 18.Gauvin FP, McDougall CW. Public engagement to inform ethically challenging public health policies: Approaches, evidence and insights. Montreal: NCCHPP (workshop at the Canadian Bioethics Society Conference, Kelowna, 2010); 2010. [Google Scholar]
- 19.National Collaborating Centre for Healthy Public Policy. Public health ethics: A tool for deliberation and for the development of healthy public policies. Montreal: NCCHPP (Workshop at the Journées annuelles de santé publique, Québec, 2010); 2011. [Google Scholar]
- 20.Core Competencies for Public Health in Canada. Release 1.0. Ottawa: Public Health Agency of Canada; 2007. [Google Scholar]
