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Ethical Principles

1.Public health leaders must grapple with, and lead their organizations through, any number of ethically challenging circumstances. In this Discussion you will select a case study and apply basic principles of ethical analysis to the issue.
Select one of the ethics case studies at the end of Modules 4, 6, 7, 8, or 9, or embedded within Module 5, in the â??Ethics and Public Health: Model Curriculumâ? (http://www.asph.org/document.cfm?page=782).
Reflect on the ethical dilemma posed by your selected case, and consider what ethical principles could guide you in dealing with the situation.

Briefly describe the ethical dilemma or issue.?
Referring specifically to the "Principles of the Ethical Practice of Public Health," identify principles that should be applied.?
Describe how you would apply these principles:
What actions would be ideal to take in this situation?
What are the barriers or costs of taking those actions?
Are these actions in alignment or in conflict with your personal values?

Briefly explain your response.


Thomas, J. C. (2004). Public health ethics modules. Retrieved July 22, 2008, from http://oce.sph.unc.edu/phethics/index.htm.
Jennings, B., Kahn, J., Mastroianni, A., & Parker, L. (2003). Ethics and public health: Model curriculum. Retrieved July 22, 2008, from http://www.asph.org/document.cfm?page=782.
Krieger, N., Rehkopf, D., Chen, J., Waterman, P., Marcelli, E., & Kennedy, M. (2008). The fall and rise of U.S. inequities in premature mortality: 1960â?"2002. PLosMedicine, 5(2), 227â?"241. Retrieved July 22, 2008, from http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050046 .
Society for Public Health Education. (2002). Code of ethics. Retrieved January 26, 2010, from http://www.sophe.org/ethics.cfm .
The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The belmont report. Retrieved July 22, 2008, from http://ohsr.od.nih.gov/guidelines/belmont.html .

Solution Preview

The ethical dilemma or issue in the Tuskegee syphilis experiment is whether it is ethical to deny individuals treatment for a deadly disease in the name of advancing scientific knowledge about this disease. In addition to this issue, there is the issue of the unethical practice of taking advantage of individuals due to their race, lack of knowledge about experimentation, socioeconomic factors, and the political climate during the time that these experiments took place.

One of the first principles of the ethical practice of public health that should be applied to an analysis of the ethics involved with Tuskegee experiment is principle number one. This principle was clearly violated during the procedures involved with the Tuskegee experiment, because although this experiment had the aim of seeking to determine the cause or causes the syphilis, it did not aim to prevent adverse health outcomes for the ...