An Ethics Framework for Public Health

• Published in: American journal of public health (1971) Vol. 91; no. 11; pp. 1776 - 1782
• Main Author: Kass, Nancy E
• Format: Journal Article
• Language: English
• Published: Washington, DC Am Public Health Assoc 01.11.2001; American Public Health Association; American Journal of Public Health 2001
• Subjects: 19th century; Bioethics; Biological and medical sciences; Clinical medicine; Codes; Community Health Planning - standards; Cost of Illness; Disease; Epidemiology; Ethical Analysis; Ethics; Ethics, Institutional; Frameworks; Health care; Humans; Medical ethics; Medical personnel; Medical sciences; Morbidity; Mortality; Objectives; Organizational Objectives; Patients; Principles; Professionals; Program Evaluation; Public health; Public Health Administration - standards; Public Health Matters; Public health. Hygiene; Public health. Hygiene-occupational medicine; Quarantine; Social Justice; Teaching. Deontology. Ethics. Legislation; United States; Values; United States; Human; Ethics; Sanitary program; Public health; Health Care and Public Health
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.91.11.1776

More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infringe on individual liberties in ethically troublesome ways. In this article a framework for ethics analysis of public health programs is proposed. To advance traditional public health goals while maximizing individual liberties and furthering social justice, public health interventions should reduce morbidity or mortality; data must substantiate that a program (or the series of programs of which a program is a part) will reduce morbidity or mortality; burdens of the program must be identified and minimized; the program must be implemented fairly and must, at times, minimize preexisting social injustices; and fair procedures must be used to determine which burdens are acceptable to a community.