13: Ethics

Public Health ethics is an emerging field. While the concept of ethics is not new, a codified set of ethical standards was not established until late in the 20th century.

The evolution of Public Health ethics follows the basic timeline listed below.

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Public Health ethics was initially codified under the Nuremberg Code in 1947. The Nuremberg Code was developed after the Nuremberg Trials of Nazi officers charged with committing atrocities against humanity in the name of medical research.

The 1964 Declaration of Helsinki built upon the agreements in the Nuremberg Code and created global ethical standards for research on human subjects.

The 1979 Belmont Report in the United States established the three principles of Public Health ethics: beneficence, respect, and justice.

Each of these principles has been operationalized into Public Health practice. The connection between practice and principle is depicted below.

Ethics in Public Health continues to evolve with the changing social, economic, political, and environmental changes. Emerging technologies require Public Health leaders to consider the roles of privacy and ethics within Public Health practice and research.

For more information on Public Health Ethics watch the video below.