Curriculum:
Established Programs
ETHICAL
ISSUES IN PUBLIC HEALTH - SYLLABUS
| Course #306.655 |
Hygiene W3030 |
| 3rd Term, 1/28/02-3/11/02 |
Mondays: 1:30-4:20 |
| |
|
Instructor: Ruth Faden, Ph.D., M.P.H.
E-mail: rfaden@jhsph.edu
Office Hours: By appointment only, HH 352
|
|
TA: Julia Slutsman
Office Hours: M 4:30-5:30, HH349
E-mail: jslutsma@jhsph.edu
|
TA: Carol Moeller
Office Hours: M 4:30-5:30, HH349
E-mail: cmoeller@jhsph.edu |
COURSE OBJECTIVES:
- Identify and define ethical issues in the context of public
health practice.
- Analyze moral problems.
TEXT: Readings Packet,
to be purchased at bookstore.
CLASS SCHEDULE:
| Session 1 |
What is Public Health Ethics?
Case: Female Genital
Mutilation |
1/28/02 |
| Session 2 |
Autonomy, Civil Liberties, and Public Health
Case:
Immunization |
2/4/02 |
| Session 3 |
Introduction to Justice
Case: Heart Disease |
2/11/02 |
| Session 4 |
Bioterrorism Task Force Simulation
Group Project
Due
Case Description for Final Paper Due |
2/18/02 |
| Session 5 |
The Sensitivity of Ethical Analysis to Facts
Case:
Mandatory HIV Screening for Women in Labor |
2/25/02 |
| Session 6 |
Health Inequalities and Justice
Case: Inequalities
and Resource Allocation
First Draft of Final
Paper Due |
3/4/02 |
| Session 7 |
Public Health Ethics and Bioterrorism |
3/11/02 |
| |
Final Paper Due |
3/15/02 |
REQUIREMENTS &
GRADING:
Participation and Attendance:
|
15% |
| Bioterrorism Task Force Simulation Group Project: |
35% |
| Final Paper: |
50% |
The bioterrorism task force simulation group
project will consist of an analysis of the bioterrorism case study
handed out at the start of class. Each group will work to identify
the ethical issues involved and to recommend and justify a course
of action on ethical grounds.
The final exam will consist of an analysis
of an original case study. Students will prepare a case study that
reflects an ethical dilemma encountered in the course of their public
health career. In their analysis of the case, students will be expected
to describe the ethical issues involved, propose 2 or 3 options
available to the moral agents involved in the case, and to defend
a position in favor of a particular approach on ethical grounds.
All readings will be on reserve in the
Hampton House Lillienfeld Library.
Readings
for Session 1
Beauchamp, T. and Walters, L. Contemporary
Issues in Bioethics, 5th Edition. CA: Wadsworth Publishers.
1999. Chapter 1, pp. 1-32.
Kass, N. “Toward an Ethics of Public
Health.” American Journal of Public Health. 91(11)1776-1782.
2001.
Mann, Jonathan. “Medicine and Public
Health, Ethics, and Human Rights.” Hastings Center Report.
27(3)6-13. 1997.
Recommended Readings:
Beauchamp, Dan. “Community: The Neglected Tradition of Public
Health.” Hastings Center Report. 15(6):28-36. 1985.
Christakis, N. “The Distinction Between
Ethical Pluralism and Ethical Relativism: Implications for the Conduct
of Trans-cultural Research” in Vanderpool, H., Ed. The
Ethics of Research Involving Human Subjects. MD: University
Publishing Group Inc. 1996. Chapter 11. pp:261-280.
Readings
for Session 2
Childress, J. “The Place of Autonomy
in Bioethics.” Hastings Center Report 20(1)12-17.
1990.
Sherwin, S. “A Relational Approach
to Autonomy in Health Care,” in the Feminist Health Care Ethics
Research Network, The Politics of Women’s Health: Exploring
Agency and Autonomy (Philadelphia, Pennsylvania: Temple University
Press, 1998), pp.34-39.
Faden RR, Faden AI. "The ethics of
health education as public health policy." Health Educ
Monogr. 1978 Summer;6(2):180-97.
Readings
for Session 3
Beauchamp, T., and Childress, J. Principles
of Biomedical Ethics, 5th edition. NY: Oxford University
Press. 2001. Chapter 6.pp.225-282.
Singer, P. “The Singer Solution to World Poverty.” The
New York Times Magazine. September 5, 1999. pp.60-63.
Readings
for Session 4
None.
Readings
for Session 5
Faden, R., Geller, G., and Powers, M., Eds.
AIDS, Women and the Next Generation: Towards a Morally Acceptable
Public Policy for HIV Testing of Pregnant Women and Newborns.
Oxford: Oxford University Press. 1991. Chapters 1 and 10.
Chapter 1: Faden, R., Kass, N., and Powers,
M.. “Warrants for Screening Programs: Public Health, Legal
and Ethical Frameworks.” pp:3-26.
Institute of Medicine. Reducing
the Odds: Preventing Peri-natal Transmission of HIV in the United
States. Washington, DC: National Academy Press. 1999. Executive
Summary. pp:1999 1-14.
Wade, Nancy. “Abbreviated Regimen
of Zidovudine Prophylaxis and Peri-natal Transmission of the Human
Immunodeficiency Virus.” NEJM. 339(20)1409-1414.
1998.
Readings for Session
6
Kawachi, I., Wilkinson, RG, and Kennedy,
BP. Introduction, in Kawachi, I., Kennedy, BP, and Wilkinson, RG,
eds., The Society and Population Health Reader: Income Inequality
and Health. New York: The New Press. 1999, pp.xi-xxxiv. ISBN
1565845714.
Gwatkin DR. "Health inequalities and
the health of the poor: what do we know? What can we do?" Bull
World Health Organ. 2000;78(1):3?18.
Readings for Session
7
Barbera, J. et al. “Large Scale Quarantine
Following Biological Terrorism in the United States: Scientific
Examination, Logistic and Legal Limits, and Possible Consequences.”
JAMA. 286(21):2711-2717.
Recommended Readings:
The Center for Law and the Public’s Health at Georgetown and
Johns Hopkins Universities. The Model State Emergency Health
Powers Act. October 23, 2001. Unpublished Draft.
Last Updated:
11/25/02
|
