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This book-first published a decade before the COVID-19 pandemic erupted-is the first authored volume on ethical issues in infectious disease, "monumental" for its competence and comprehensiveness. It is augmented here with a new Preface on COVID-19. The book develops an ethical framework for exploring contagious infectious disease, the patient-as-victim-and-vector view, grounded in the biological fact that a person with a communicable infectious disease is not only avictim of that disease, but at the same time also a potential vector. The patient may be both threatened, someone made ill or facing death, but also a threat, someone who may transmit an illness that will sicken or kill others. Clinical medicine has tended to see one part of this duality and publichealth the other; the victim-AND-vector view insists on both, at one and the same time.Against a background of methods from the long human history of contagious infectious disease-quarantine, isolation, cordon sanitaire, surveillance and contact tracing, testing by both archaic and modern methods, lockdown, and immunization-the victim-and-vector view spotlights ethical challenges for clinical medicine, research, public health, and health policy. These insights are probed in the new Preface on COVID-19 and are essential in our continuing struggle to address not only the currentcoronavirus pandemic, but the next, and the next after that.
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In these twelve papers notable ethicists use the resources of ethical theory to illuminate important theoretical and practical topics, including the nature of public health, notions of community, population bioethics, the legitimate role of law, the use of cost-effectiveness as a methodology, vaccinations, and the nature of infectious disease. Public health is an important and fast-developing area of ethical discussion. In this volume a range of issues in public health ethics are explored using the resources of moral theory, political philosophy, philosophy of science, applied ethics, law, and economics. The twelve original papers presented consider numerous ethical issues arise within public health ethics. To what extent can the public good or the public interest justify state interventions that impose limits upon the freedom of individuals? What role should the law play in regulating risks? Should governments actively aim to change our preferences about such things as food, smoking or physical exercise? What are public goods, and what role (if any) do they play in public health? To what extent do individuals have moral obligations to contribute to protecting the community or the public good? Where is it appropriate to concentrate upon prevention rather than cure? Given the fact that we cannot be protected from all harm, what sorts of harm provide a justification for public health action? What limits do we wish to place upon public health activities?How do we ensure that the interests of individuals are not set aside or forgotten in the pursuit of population benefits? An excellent line-up of authors from North America, Europe, and the UK tackle these questions.
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This book provides a much needed introduction to some of the relevant philosophical concepts and arguments that might be used to build a philosophy of public health. Consisting of both theoretical contributions and case studies, this multidisciplinary collection of essays will both inform and generate debate among academics, policy makers and practitioners about these important issues in public health.
General ethics --- Public health --- Philosophy --- volksgezondheid --- filosofie (filosofische aspecten) --- ethiek (ethische aspecten) --- recht (wetgeving, rechtspraak, rechtsbeginselen, juridische aspecten, aansprakelijkheid) --- santé publique --- philosophie (aspects philosophiques) --- ethique (aspects ethiques) --- droit (aspects juridiques, législation, jurisprudence, principes de droit, responsabilité) --- Public health. --- Public Health --- Congresses --- Philosophy, Medical --- Environment and Public Health --- Health --- Medicine --- Publication Formats --- Publication Characteristics --- Health Care --- Population Characteristics --- Humanities --- Health Occupations --- Disciplines and Occupations --- Public Health - General --- Health & Biological Sciences --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Sanitary affairs --- Social hygiene --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Public health - Philosophy
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