Canadian Journal of Public Health

, Volume 97, Issue 1, pp 32–34 | Cite as

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

  • Stephanie A. NixonEmail author


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 


Nous présentons ici la question cruciale de l’éthique en santé publique comme un prisme novateur à travers lequel envisager le rôle du Canada en santé mondiale. Née du domaine relativement nouveau de l’éthique en santé publique, cette perspective analytique éclaire des questions de politiques, de recherche et de pratique en santé publique qui restent souvent dans l’ombre en raison des modes de pensée traditionnels sur la santé publique. L’avantage d’un prisme critique de l’éthique en santé publique est illustré par l’exemple du rôle du Canada dans l’élargissement de l’accès aux traitements contre le VIH dans les pays en développement.


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  1. 1.
    Callahan D, Jennings B. Ethics and public health: Forging a strong relationship. Am J Public Health 2002;92:169–76.CrossRefGoogle Scholar
  2. 2.
    Nixon S, Upshur R, Robertson A, Benatar SR, Thompson A, Daar A. Public health ethics. In: Bailey T, Caulfield T, Ries NM (Eds.). Public Health Law, Ethics and Policy. Markham, ON: Lexis Nexis Canada, 2005.Google Scholar
  3. 3.
    Upshur, RE. Principles for the justification of public health interventions. Can J Public Health 2002;93:101.PubMedGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 5.
    Mann J. Medicine and public health, ethics and human rights. Hastings Centre Report 1997;27:6–13.CrossRefGoogle Scholar
  6. 6.
    Mann JM, Gruskin S, Grodin MA, Annas GJ (Eds.). Health and Human Rights: A Reader. New York, NY: Routledge, 1999.Google Scholar
  7. 7.
    Gostin, LO. Public health, ethics and human rights: A tribute to the late Jonathan Mann. J Law Med Ethics 2001;29:121–30.CrossRefGoogle Scholar
  8. 8.
    Kass, NE. An ethics framework for public health. Am J Public Health 2001;91:1776–82.CrossRefGoogle Scholar
  9. 9.
    Sindall C. Does health promotion need a code of ethics. Health Promot Int 2002;17:201–3.CrossRefGoogle Scholar
  10. 10.
    Wolder Levin B, Fleischman A. Public health and bioethics: The benefits of collaboration. Am J Public Health 2002;92:165.CrossRefGoogle Scholar
  11. 11.
    Wikler D, Cash R. Ethical issues in global public health. In: Beaglehole R (Ed.). Global Public Health: A New Era. Oxford, UK: Oxford University Press, 2003;226–42.Google Scholar
  12. 12.
    Kass, NE. Public health ethics: From foundations and frameworks to justice and global public health. Am J Public Health 2004;32:232–42.Google Scholar
  13. 13.
    American Public Health Association. Public Health Code of Ethics. APHA. Available online at: (Accessed on August 20, 2005).Google Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.CrossRefGoogle Scholar
  16. 16.
    Labonte R, Schrecker T, Gupta, AS. A global health equity agenda for the G8 summit. BMJ 2005;330 (7490):533–36.Google Scholar
  17. 17.
    Global Fund to Fight AIDS, TB and Malaria Equitable Contribution Table. Available online at: (Accessed on June 9, 2005).Google Scholar
  18. 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. 19.
    Pogge T. World poverty and human rights. Ethics & International Affairs 2005;19(1):4.Google Scholar
  20. 20.
    Shaffer ER, Waitzkin H, Brenner M, Jasso-Aguilar R. Global trade and public health. Am J Public Health 2005;95(1):23–34.CrossRefGoogle Scholar
  21. 21.
    Pogge, TW. Relational conceptions of justice: Responsibilities for health outcomes. In: Anand S, Peter F, Sen A (Eds.). Public Health, Ethics, and Equity. New York: Oxford University Press, 2004;135–62.Google Scholar
  22. 22.
    Beauchamp, DE. Public health as social justice. Inquiry 1976;13:3–14.PubMedGoogle Scholar

Copyright information

© The Canadian Public Health Association 2006

Authors and Affiliations

  1. 1.University of KwaZulu-NatalSouth Africa
  2. 2.University of TorontoTorontoCanada

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