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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2006 Jan 1;97(1):32–34. doi: 10.1007/BF03405209

Critical Public Health Ethics and Canada’s Role in Global Health

Stephanie A Nixon 18,28,
PMCID: PMC6975791  PMID: 16512324

Abstract

This commentary introduces critical public health ethics as an innovative lens for considering Canada’s role in global health. Arising from the relatively young field of public health ethics, this analytic perspective sheds light on questions regarding public health policy, research and practice that often remain shaded from view because of traditional ways of thinking about public health. The advantage of a critical public health ethics lens is illustrated through the example of Canada’s role in scaling up access to HIV treatments in developing countries.

MeSH terms: Public health, ethics, HIV, justice

Footnotes

Stephanie Nixon was supported by a Canadian Institutes of Health Research Fellowship and an Ontario HIV Treatment Network Fellowship throughout the preparation of this commentary.

References

  • 1.Callahan D, Jennings B. Ethics and public health: Forging a strong relationship. Am J Public Health. 2002;92:169–76. doi: 10.2105/AJPH.92.2.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Nixon S, Upshur R, Robertson A, Benatar SR, Thompson A, Daar A. Public health ethics. In: Bailey T, Caulfield T, Ries NM, editors. Public Health Law, Ethics and Policy. Markham, ON: Lexis Nexis Canada; 2005. [Google Scholar]
  • 3.Upshur RE. Principles for the justification of public health interventions. Can J Public Health. 2002;93:101. doi: 10.1007/BF03404547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Childress JF, Faden RR, Gaare RD, Gostin LO, Kahn J, Bonnie RJ, et al. Public health ethics: Mapping the terrain. J Law Med Ethics. 2002;30(2):170–78. doi: 10.1111/j.1748-720X.2002.tb00384.x. [DOI] [PubMed] [Google Scholar]
  • 5.Mann J. Medicine and public health, ethics and human rights. Hastings Centre Report. 1997;27:6–13. doi: 10.2307/3528660. [DOI] [PubMed] [Google Scholar]
  • 6.Mann JM, Gruskin S, Grodin MA, Annas GJ, editors. Health and Human Rights: A Reader. New York, NY: Routledge; 1999. [Google Scholar]
  • 7.Gostin LO. Public health, ethics and human rights: A tribute to the late Jonathan Mann. J Law Med Ethics. 2001;29:121–30. doi: 10.1111/j.1748-720X.2001.tb00330.x. [DOI] [PubMed] [Google Scholar]
  • 8.Kass NE. An ethics framework for public health. Am J Public Health. 2001;91:1776–82. doi: 10.2105/AJPH.91.11.1776. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Sindall C. Does health promotion need a code of ethics. Health Promot Int. 2002;17:201–3. doi: 10.1093/heapro/17.3.201. [DOI] [PubMed] [Google Scholar]
  • 10.Wolder Levin B, Fleischman A. Public health and bioethics: The benefits of collaboration. Am J Public Health. 2002;92:165. doi: 10.2105/AJPH.92.2.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Wikler D, Cash R. Ethical issues in global public health. In: Beaglehole R, editor. Global Public Health: A New Era. Oxford, UK: Oxford University Press; 2003. pp. 226–42. [Google Scholar]
  • 12.Kass NE. Public health ethics: From foundations and frameworks to justice and global public health. Am J Public Health. 2004;32:232–42. doi: 10.1111/j.1748-720x.2004.tb00470.x. [DOI] [PubMed] [Google Scholar]
  • 13.American Public Health Association. Public Health Code of Ethics. 2005. [DOI] [PubMed] [Google Scholar]
  • 14.Moatti J, Spire B, Kazatchkine M. Drug resistance and adherence to HIV/AIDS antiretroviral treatment: Against a double standard between the north and the south. AIDS. 2004;18(3):S55–S61. doi: 10.1097/00002030-200406003-00011. [DOI] [PubMed] [Google Scholar]
  • 15.Sanders GD, Bayoumi AM, Sundaram V, Bilir SP, Neukermans CP, Rydzak CE, et al. Costeffectiveness of screening for HIV in the era of highly active antiretro-viral therapy. N Engl J Med. 2005;352:570–85. doi: 10.1056/NEJMsa042657. [DOI] [PubMed] [Google Scholar]
  • 16.Labonte R, Schrecker T, Gupta AS. BMJ. 2005. A global health equity agenda for the G8 summit; pp. 330^(7490)–36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Global Fund to Fight AIDS . TB and Malaria Equitable Contribution Table. 2005. [Google Scholar]
  • 18.Benatar SR, Daar AS, Singer PA. Global health ethics: The rationale for mutual caring. International Affairs & Ethics. 2003;79(1):108. [Google Scholar]
  • 19.Pogge T. World poverty and human rights. Ethics & International Affairs. 2005;19(1):4. [Google Scholar]
  • 20.Shaffer ER, Waitzkin H, Brenner M, Jasso-Aguilar R. Global trade and public health. Am J Public Health. 2005;95(1):23–34. doi: 10.2105/AJPH.2004.038091. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Pogge TW. Relational conceptions of justice: Responsibilities for health outcomes. In: Anand S, Peter F, Sen A, editors. Public Health, Ethics, and Equity. New York: Oxford University Press; 2004. pp. 135–62. [Google Scholar]
  • 22.Beauchamp DE. Public health as social justice. Inquiry. 1976;13:3–14. [PubMed] [Google Scholar]

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