Skip to main content
Log in

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

  • Policy
  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

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.

Résumé

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Callahan D, Jennings B. Ethics and public health: Forging a strong relationship. Am J Public Health 2002;92:169–76.

    Article  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 (Eds.). 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.

    CAS  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.

    Article  Google Scholar 

  5. Mann J. Medicine and public health, ethics and human rights. Hastings Centre Report 1997;27:6–13.

    Article  CAS  Google Scholar 

  6. Mann JM, Gruskin S, Grodin MA, Annas GJ (Eds.). 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.

    Article  CAS  Google Scholar 

  8. Kass, NE. An ethics framework for public health. Am J Public Health 2001;91:1776–82.

    Article  CAS  Google Scholar 

  9. Sindall C. Does health promotion need a code of ethics. Health Promot Int 2002;17:201–3.

    Article  Google Scholar 

  10. Wolder Levin B, Fleischman A. Public health and bioethics: The benefits of collaboration. Am J Public Health 2002;92:165.

    Article  Google Scholar 

  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. 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. American Public Health Association. Public Health Code of Ethics. APHA. Available online at: http://www.apha.org (Accessed on August 20, 2005).

    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.

    Article  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.

    Article  CAS  Google Scholar 

  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. Global Fund to Fight AIDS, TB and Malaria Equitable Contribution Table. Available online at: www.fundthefund.org (Accessed on June 9, 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.

    Article  Google Scholar 

  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. Beauchamp, DE. Public health as social justice. Inquiry 1976;13:3–14.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stephanie A. Nixon PhD.

Additional information

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.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nixon, S.A. Critical Public Health Ethics and Canada’s Role in Global Health. Can J Public Health 97, 32–34 (2006). https://doi.org/10.1007/BF03405209

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03405209

MeSH terms

Navigation