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Public Health Principlism

Klugman, Craig M
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Abstract
Public health ethics has grown out of the medical ethics movement. However, public health is a different enterprise than medicine, dealing with communities rather than individuals. The author develops public health principlism based on the idea of common citizenship in the community. When the four principles of public health ethics—solidarity, efficacy, integrity, and dignity—are in balance, a state of justice exists. The goal is programs that are the least destructive to communities and the least restrictive to people. These principles guide moral reasoning when analyzing programs and interventions such as mandatory helmet laws, water fluoridation, and smallpox vaccination.
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2007
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With permission of the license/copyright holder
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