Don't Miss...
NCCHPP & NCCDH Webinar - Public Health Ethics and Equity: Naming and Navigating Ethical Issues in Public Health Practice. Click to watch and listen to the recording of the webinar.

Presentation - How To (and Why) Analyze the Ethics of Paternalistic Policies in Public Health

NCCHPP & NCCMT Webinar - Priority-setting in Public Health: Evidence and Ethics in Decision-making
Click to watch and listen to the recording of the webinar.

NCCHPP & NCCID Webinar - Public Health Ethics: A Case in Infectious Disease Prevention and Control
Click to watch and listen to the recording of the webinar.

NCCHPP & NCCEH Webinar - Public Health Ethics: A Case in Environmental Health,
Click to watch and listen to the recording of the webinar.

Repertoire - Ethics Frameworks for Public Health 

Utilitarianism in Public Health
 1.3 MB

'Principlism' and Frameworks in Public Health Ethics
 1.2 MB

Introduction to Public Health Ethics 3: Frameworks for Public Health Ethics
 772 K

An Introduction to the Ethical Implications of Economic Evaluations for Healthy Public Policy


Links
Bulletin on what's new in public health ethics [in French, with resources in Fr/En]. From the Public health ethics committee secretariat (Institut national de santé publique du Québec).

Ethics and public health: Forging a strong relationship. By Callahan, D. & Jennings, B. (2002). In the American Journal of Public Health, 92(2), 169-76. On the site of PubMed Central.

Population Health Ethics: Annotated Bibliography. By Greenwood, H.L. and Edwards, N. (2009). On the site of the Canadian Institutes of Health Research – Institute of Population and Public Health (CIHR-IPPH).

Re-visioning Public Health Ethics: A Relational Perspective. By Kenny, N., Sherwin, S. and Baylis, F. (2010). Can J Public Health 2010; 101(1) 9-11. On the site of the Canadian Journal of Public Health.

The contribution of ethics to public health. By Coleman, C.H. et al. (2008). In the Bulletin of the World Health Organization, 86 (8). On the site of the World Health Organization.

Framework of Values to Support Ethical Analysis of Public Health Actions. By Filitrault, F., Désy, M. and Leclerc, B. (2015). On the site of l'Institut national de santé publique du Québec.

Éthique et santé publique. Enjeux, valeurs et normativité. By Massé, R. (2003). Québec : Les Presses de l'Université Laval. (In French only).

WHO guidelines on ethical issues in public health surveillance. World Health Organization. (2017). Geneva. On the site of the World Health Organization.


Contact
Olivier Bellefleur

Michael Keeling

Workshop - How to Choose an Ethics Framework for Public Health and Community Health - CHNC 2016
Olivier Bellefleur and Michael Keeling led this workshop at the Community Health Nurses of Canada's (CHNC's) annual conference in St. John's NL on May 31.
May 2016.  DescriptionDownload  1.75 MB
.
In this workshop, developed for community health nurses, we focused on getting to know public health and community health ethics frameworks. After identifying what ethics frameworks can help us to do, we applied two frameworks to guide brief analyses of some ethical issues that can arise with the introduction of a provincial tax on sugary drinks.

These short analyses were intended to help familiarize participants with some of the main characteristics of ethics frameworks: their methodologies, the practical and normative guidance they offer, their areas of applicability and the values they highlight. We then suggested that participants can use these characteristics to help choose a framework that is appropriate for their own contexts and needs.

How to Choose an Ethics Framework for Public Health and Community Health
36 slides
 1.75 MB
Image - first page of the presentation - click to download 

During the workshop, we invited participants to deliberate to identify ethical issues using ten Have et al.'s (2102) framework and then to write these on post-it notes; these were stuck to the wall.
Here are some of the comments from the notes that participants posted:
(With respect to the proposed provincial soda tax...)

• It does not address root causes
• It is not fairly balanced: it targets individuals, but not the companies
• It is not fairly balanced: will there be cheaper alternatives Lower milk prices?
• People with lower incomes are disproportionally affected
• This could do harm to social connections with some people being excluded
• Will there be information campaigns about the tax? What will they contain?
• Why not tax all sugar drinks, not just soda?


ten Have, M., van der Heide, A., Mackenbach, J., & de Beaufort, I. D. (2012). An ethical framework for the prevention of overweight and obesity: A tool for thinking through a programme's ethical aspects. European Journal of Public Health, 23(2), 299-305. Available at: http://eurpub.oxfordjournals.org/content/23/2/299.long  
Our adapted summary is available at: http://www.ncchpp.ca/docs/2016_eth_frame_tenHave_En.pdf


To consult the conference's program, click here (on the site of the Community Health Nurses of Canada).
The production of the NCCHPP website has been made possible through a financial contribution from the Public Health Agency of Canada.