Chapter 7: Survey Research

Chapter 6: Sampling

Chapter 5: Defining and Measuring Concepts

Chapter 4: Design and Causality

Chapter 3: Ethics in Social Work Research

Chapter 2: Linking Methods with Theory

Chapter 1: Introduction to Research

Public Health Ethics

Licensing Information

This text was adapted by #OpenCourseWare under an Attribution-NonCommercial 2.5 Generic (CC BY-NC 2.5)

Chapter 1: Global Cases, Practice, and Context

  • 1.​1 Introduction
  • 1.​2 Public Health
  • 1.​3 Ethics
  • 1.​4 Public Health Ethics
  • 1.​5 Ethical Frameworks
  • 1.​6 A Three-Step Approach to Public Health Decision Making

Chapter 2: Essential Cases in the Development of Public Health Ethics

  • 2.​1 Introduction
  • 2.​2 Case Study:​ Jacobson v.​ Massachusetts
  • 2.​3 Case Study:​ U.​S.​ Public Health Service Research on Sexually Transmitted Disease:​ Alabama and Guatemala
  • 2.​4 Case Study:​ The New York City A1C Registry
  • 2.​5 Conclusions and Implications

Chapter 3: Resource Allocation and Priority Setting

  • 3.​1 Resource Allocation in Public Health
  • 3.​2 Collective Lessons from the Cases
  • 3.​3 Specific Ethical Issues in Resource Allocation
  • 3.​4 Decision-Making Process
  • 3.​5 Case 1:​ Priority Setting and Crisis of Public Hospitals in Colombia
  • 3.​6 Case 2:​ Intersection of Public Health and Mental Health:​ Meeting Family Needs
  • 3.​7 Case 3:​ Public-Private Partnerships:​ Role of Corporate Sponsorship in Public Health
  • 3.​8 Case 4:​ Black-White Infant Mortality:​ Disparities, Priorities, and Social Justice
  • 3.​9 Case 5:​ Priority Setting in Health Care:​ Ethical Issues
  • 3.​10 Case 6:​ Critical Care Triage in Pandemics

Chapter 4: Disease Prevention and Control

  • 4.​1 Introduction
  • 4.​2 Mandatory Treatment and Vaccination
  • 4.​3 Disease Screening and Surveillance
  • 4.​4 Stigma
  • 4.​5 Access to Care
  • 4.​6 Health Promotion Incentives
  • 4.​7 Emergency Response
  • 4.​8 Conclusion
  • 4.​9 Case 1:​ Mandatory Vaccination in Measles Outbreaks
  • 4.​10 Case 2:​ Public Health Approaches to Preventing Mother-to-Child HIV Transmission
  • 4.​11 Case 3:​ Newborn Bloodspot Screening:​ Personal Choice or Public Health Necessity?​ Storage and Ownership of Newborn Bloodspots
  • 4.​12 Case 4:​ Decoding Public Health Ethics and Inequity in India:​ A Conditional Cash Incentive Scheme—Janani Suraksha Yojana
  • 4.​13 Case 5:​ HIV Criminalization and STD Prevention and Control
  • 4.​14 Case 6:​ Ethics of Administering Anthrax Vaccine to Children
  • 4.​15 Case 7:​ Non-adherence to Treatment in Patients with Tuberculosis:​ A Challenge for Minimalist Ethics
  • 4.​16 Case 8:​ Mass Evacuation

Chapter 5: Chronic Disease Prevention and Health Promotion

  • 5.​1 Introduction
  • 5.​2 Individuals
  • 5.​3 Formal and Informal Health Workers
  • 5.​4 Governments (At Different Levels)
  • 5.​5 Corporate Entities
  • 5.​6 Case Studies
  • 5.​7 Case 1:​ Municipal Action on Food and Beverage Marketing to Youth
  • 5.​8 Case 2:​ Obesity Prevention in Children:​ Media Campaigns, Stigma, and Ethics
  • 5.​9 Case 3:​ Obesity Stigma in Vulnerable and Marginalized Groups
  • 5.​10 Case 4:​ Water Fluoridation:​ The Example of Greece
  • 5.​11 Case 5:​ The Prohibition of Smoking in Public Places in Bulgaria

Chapter 6: Environmental and Occupational Public Health

  • 6.​1 Environment and Workplace:​ Key Venues for Public Health
  • 6.​2 Population Benefits, Individual Rights, and Ethically Acceptable Risk
  • 6.​3 Systems and Power:​ The Ethical Importance of Ecological and Social Context
  • 6.​4 Case 1:​ Assessing Mining’s Impact on Health Equity in Mongolia
  • 6.​5 Case 2:​ Exceptions to National MRSA Prevention Policy for a Medical Resident with Untreatable MRSA Colonization
  • 6.​6 Case 3:​ Safe Water Standards and Monitoring of a Well Construction Program
  • 6.​7 Case 4:​ Implementation of Global Public Health Programs and Threats to Personal Safety

Chapter 7: Vulnerability and Marginalized Populations

  • 7.​1 Introduction
  • 7.​2 Different Approaches to the Concept of Vulnerability
  • 7.​3 Concerns Surrounding Approach (V2):​ Universal Condition
  • 7.​4 Concerns Surrounding Approach (V3):​ Specific Attributes, Contexts, or Groups
  • 7.​5 Concerns Surrounding Approach (V4):​ Overarching Concepts
  • 7.​6 Simplifying the Concept of Vulnerability (V5):​ The Moral-Marker Approach
  • 7.​7 Case 1:​ Reducing Sudden Infant Death Syndrome in a Culturally Diverse Society:​ The New Zealand Cot Death Study and National Cot Death Prevention Programme
  • 7.​8 Case 2:​ Medical Tourism and Surrogate Pregnancy:​ A Case of Ethical Incoherence
  • 7.​9 Case 3:​ Compulsory Treatment for Injection Drug Use after Incarceration
  • 7.​10 Case 4:​ Unanticipated Vulnerability:​ Marginalizing the Least Visible in Pandemic Planning
  • 7.​11 Case 5:​ Can Asylum Seeking Be Managed Ethically?​
  • 7.​12 Case 6:​ Tuberculosis Screening, Testing, and Treatment among Asylum Seekers

Chapter 8: International Collaboration for Global Public Health

  • 8.​1 Introduction
  • 8.​2 The Rise of Globalization and Global Health
  • 8.​3 Ethics Frameworks for Global Health
  • 8.​4 Summary
  • 8.​5 Case 1:​ The Ethics of HIV Testing Policies
  • 8.​6 Case 2:​ Just Allocation of Pre-exposure Prophylaxis Drugs in Sub-Saharan Africa
  • 8.​7 Case 3:​ Drug Trials in Developing Countries
  • 8.​8 Case 4:​ Ethical Issues in Responding to International Medication Stock-Outs
  • 8.​9 Case 5:​ Transmitting Cholera to Haiti
  • 8.​10 Case 6:​ Perilous Path to Middle East Peace:​ The Sanctions Dilemma
  • 8.​11 Case 7:​ Advancing Informed Consent and Ethical Standards in Multinational Health Research

Chapter 9: Public Health Research

  • 9.​1 Introduction
  • 9.​2 What Is Different About Public Health Research?​
  • 9.​3 Ethical Considerations for Protecting the Public during Health Research
  • 9.​4 How Ethical Challenges Can Arise in Public Health Research:​ Lessons Learned from Cases
  • 9.​5 Conclusions
  • 9.​6 Case 1:​ To Reveal or Not to Reveal Potentially Harmful Findings:​ A Dilemma for Public Health Research
  • 9.​7 Case 2:​ Ethical Challenges in Impoverished Communities:​ Seeking Informed Consent in a Palestinian Refugee Camp in Lebanon
  • 9.​8 Case 3:​ Improving Review Quality and Efficiency of Research Ethics Committees to Enhance Public Health Practice in Africa
  • 9.​9 Case 4:​ Internet-Based HIV/​AIDS Education and Prevention Programs in Vulnerable Populations:​ Black Men Who Have Sex with Men

Chapter 9: Public Health Research

Chapter 8: International Collaboration for Global Public Health