Public Health Ethics

Cover......Page 1
Dedication......Page 6
Title page......Page 7
Copyright page......Page 8
Introduction......Page 11
Consensuses......Page 16
Justifying public health interventions......Page 20
Frameworks and human rights......Page 24
The structure of this book......Page 29
Part I: Moral and Political Philosophy......Page 31
Defining consequentialism and utilitarianism......Page 37
The naïve utilitarian view of public health......Page 44
Concluding remarks......Page 56
Deontology......Page 57
Principlism......Page 73
Virtue ethics......Page 87
Concluding remarks......Page 93
3: Liberal Political Philosophy......Page 94
Liberalism and the liberal objection......Page 95
Liberalism and Mill\'s harm principle......Page 99
Freedom: positive and negative conceptions......Page 107
Concluding remarks......Page 120
4: Beyond Traditional Liberalism......Page 122
Libertarian paternalism......Page 123
Non-liberal political philosophy: communitarianism......Page 140
Concluding remarks......Page 151
Part I  Summary......Page 153
Part II: Public Health Activities......Page 155
5: Epidemiology......Page 160
Theoretical challenges to epidemiology......Page 161
Ethical issues in epidemiologic research......Page 186
Epidemiology and virtue ethics......Page 198
Concluding remarks......Page 204
6: Health Concepts and Promotion......Page 206
Is the nature of health important in public health ethics?......Page 207
First conceptual claim: ‘health’ is ambiguous......Page 212
Second conceptual claim: health is an evaluative concept......Page 223
The practical impact of the conceptual claims......Page 230
Concluding remarks......Page 250
7: Health Promotion as Behaviour Modification......Page 252
Health promotion as behaviour change......Page 253
Ethics and behaviour modification techniques......Page 270
Justifying interventions to modify health behaviours......Page 288
Concluding remarks......Page 304
8: Harm Reduction......Page 306
Defining harm reduction......Page 307
The ethics of harm reduction......Page 315
Harm reduction: some cases......Page 331
Concluding remarks......Page 353
Vaccination ethics......Page 355
Liberalism and the harm principle......Page 362
The duty not to infect others......Page 375
Free-riding......Page 385
Concluding remarks......Page 401
Screening programmes......Page 403
Generic issues......Page 416
Benefit......Page 433
Concluding remarks......Page 455
The re-description problem......Page 457
Public health ethics and philosophy......Page 459
References......Page 464
Index......Page 531
End User License Agreement......Page 551