Public Health Ethics最新文献

Free Riding on the Harm Principle. 搭便车伤害原则。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag012

Lucie White

{"title":"Free Riding on the Harm Principle.","authors":"Lucie White","doi":"10.1093/phe/phag012","DOIUrl":"10.1093/phe/phag012","url":null,"abstract":"There are two main ways in which a mandatory vaccination policy is often defended-by accusing vaccine refusers of 'free riding', or by appealing to the 'harm principle'. In their recent book, Roland Pierik and Marcel Verweij take the latter approach-an attractive option, as they note, due to the wide acceptance of the harm principle. But in arguing that vaccine refusal should indeed be thought to constitute harm, they end up endorsing a very controversial version of the harm principle, which we should not automatically expect to secure widespread support. Steven Smith suggests that this (common) argumentative strategy amounts to free riding on the reputation of the harm principle, and is an inevitable consequence of invoking the principle as the foundation of an argument. In its most basic form, the principle is hard to resist. But in order to use it to justify a policy, you need to make some assumptions about what constitutes harm, which will lose you supporters along the way. In appealing to the wide appeal of the harm principle, Pierik and Verweij do not adequately recognise the controversial nature of their claims, and thus the need for stronger and more elaborate arguments in their support.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 2","pages":"phag012"},"PeriodicalIF":4.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trustworthiness and Ethics in Vaccine Hesitancy: Mind the Gap. 疫苗犹豫中的诚信和伦理：注意差距。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag011

M van den Hoven

引用次数: 0

Herd immunity and the harm principle: Too narrow or too broad. 群体免疫和危害原则：太窄或太宽。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag014

Justin Bernstein

{"title":"Herd immunity and the harm principle: Too narrow or too broad.","authors":"Justin Bernstein","doi":"10.1093/phe/phag014","DOIUrl":"10.1093/phe/phag014","url":null,"abstract":"In this commentary, I will contend that one of Pierik and Verweij's central arguments for vaccine mandates faces significant obstacles because of their attempt to apply Mill's harm principle. More specifically, they argue that vaccine refusal is harmful because of its relationship to the collective good of herd immunity. I suggest that Pierik and Verweij oscillate between two interpretations of the harm principle: a narrow interpretation and a broad one. The narrow interpretation, however, does not justify mandates because it is implausible that one individual's act of vaccine refusal makes a meaningful difference to whether herd immunity is achieved. The broad interpretation avoids this problem, but it risks abandoning the authors' aspiration to advance a distinctively liberal argument. I conclude that those who wish to defend vaccine mandates by appealing to their role in achieving or maintaining herd immunity face a choice: they need to either (i) find argumentative resources within the liberal tradition that are more promising than the harm principle or (ii) develop defenses that are not liberal but indicate why this does not constitute a problem.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 2","pages":"phag014"},"PeriodicalIF":4.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Précis of Inducing Immunity? Justifying Immunization Policies in Times of Vaccine Hesitancy ¹. 诱导免疫的程序？在疫苗犹豫时期证明免疫政策的合理性

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag016

Roland Pierik, Marcel Verweij

引用次数: 0

Misinformation, Freedom of Expression and Mandatory Vaccination. 错误信息、言论自由和强制接种疫苗。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag013

Steven R Kraaijeveld

引用次数: 0

Best Interest, Basic Interest, and Parental Autonomy in Child Vaccination Choices. On Roland Pierik and Marcel Verweij's Inducing Immunity? 儿童疫苗接种选择中的最佳利益、基本利益和父母自主权。关于罗兰·皮耶里克和马塞尔·维尔维的诱导免疫？

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag009

Alberto Giubilini

引用次数: 0

Reconsidering Inducing Immunity? A Reply to Our Critics. 重新考虑诱导免疫？对批评我们的人的答复。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-07-13 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag017

Marcel Verweij, Roland Pierik

引用次数: 0

Planning For Unmet Social Needs In Pandemics: Teachers' Experiences Of Unacknowledged Care Work. 流行病中未满足的社会需求的规划：教师未被承认的护理工作经验。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-06-09 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag019

Jane Williams, Claire Hooker, Gwendolyn L Gilbert, Suyin Hor, Laura Donovan, Chris Degeling

{"title":"Planning For Unmet Social Needs In Pandemics: Teachers' Experiences Of Unacknowledged Care Work.","authors":"Jane Williams, Claire Hooker, Gwendolyn L Gilbert, Suyin Hor, Laura Donovan, Chris Degeling","doi":"10.1093/phe/phag019","DOIUrl":"10.1093/phe/phag019","url":null,"abstract":"This paper examines the experiences of teachers in Australia during the COVID-19 pandemic from a care ethics perspective. While pandemic preparedness plans prioritised continuity of services and infection control, they failed to anticipate the relational and moral labour required of frontline workers in non-clinical roles. Paradoxically, otherwise prudent and precautionary responses to the risks posed by the pandemic established new barriers to care and human connection and exacerbated existing ones. Drawing on 32 qualitative interviews with teachers, we analyse how they engaged in improvised, context-specific practices of care. We distinguish between care initiated by workers and care requested of them, highlighting asymmetries. We argue that the pandemic exposed and intensified structurally patterned inequities in the distribution and valuation of care work and that existing accounts of care ethics do not sufficiently explain community care performed by teachers. The paper calls for pandemic planners to explicitly anticipate the needs that public health restrictions create and acknowledge and centre care as a communal good. This is because when care is invisible, it is not planned for, acknowledged or supported. Ignoring it exposes persistent institutional failures to recognise and sustain the everyday labour that holds society together in times of crisis.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 2","pages":"phag019"},"PeriodicalIF":4.3,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical Challenges Encountered by Humanitarian Aid Workers in Temporary Displacement Camps in the Context of Covid-19. 2019冠状病毒病背景下临时流离失所营地人道主义援助工作者面临的道德挑战

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-05-08 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag006

Robyn Mellett, Matthew Hunt

{"title":"Ethical Challenges Encountered by Humanitarian Aid Workers in Temporary Displacement Camps in the Context of Covid-19.","authors":"Robyn Mellett, Matthew Hunt","doi":"10.1093/phe/phag006","DOIUrl":"10.1093/phe/phag006","url":null,"abstract":"Humanitarian aid workers face several ethical challenges. They work in resource-limited settings, navigate power imbalances and face obstacles responding to populations affected by crisis. The Covid-19 pandemic added additional layers of challenge in places such as camps for refugees and internally displaced persons. However, the impact of the pandemic in these settings was varied, and in many cases, less than anticipated, raising questions about calibration of Covid-19 prevention and response to local realities. We conducted an exploratory qualitative descriptive study to better understand humanitarian aid workers' experiences in temporary displacement camps in the context of the Covid-19 pandemic. We interviewed 10 humanitarian aid workers with pandemic experience working in the Middle East, Africa, Asia and Europe, among others. Participants described ethical challenges, including implementing proportionate Covid-19 prevention strategies while mitigating harms of this response; navigating an environment with misinformation; responding to expectations of external authorities; fulfilling aid worker obligations amidst a global pandemic; questioning power imbalances within the humanitarian aid organizational hierarchy. Further understanding these ethical challenges may help orient training and policy to support responses to the needs of displaced populations in future public health emergencies, as well as better support humanitarian aid workers in these situations.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 2","pages":"phag006"},"PeriodicalIF":4.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Legislative Constraints and Moral Distress: Reframing Occupational Risks Through a Public Health Ethics Lens. 立法约束和道德困境：通过公共卫生伦理镜头重构职业风险。

IF 4.3 3区哲学

Public Health Ethics Pub Date : 2026-04-27 eCollection Date: 2026-07-01 DOI: 10.1093/phe/phag005

Elpidio Maria Garzillo, Vincenzo Crispino, Maria Grazia Lourdes Monaco

{"title":"Legislative Constraints and Moral Distress: Reframing Occupational Risks Through a Public Health Ethics Lens.","authors":"Elpidio Maria Garzillo, Vincenzo Crispino, Maria Grazia Lourdes Monaco","doi":"10.1093/phe/phag005","DOIUrl":"10.1093/phe/phag005","url":null,"abstract":"This Case for Discussion examines legislative constraints as occupational health hazards that induce moral distress among healthcare professionals (including physicians, nurses, and midwives). Traditionally framed as clinical ethics issues, moral distress emerges as a population-level public health concern when regulatory barriers systematically conflict with clinical judgment. Drawing on empirical evidence from abortion restrictions and European contexts (Italy, France, Spain), the case highlights psychological harms, burnout, and systemic consequences like defensive medicine and workforce emigration. Key normative questions address occupational risk classification, stress assessment tools, prospective legislative impact evaluations, occupational medicine roles, professional associations' advocacy, and institutional obligations balancing conscientious objection with service provision. The analysis reframes moral distress through a public health ethics lens, advocating expanded risk frameworks, organizational support, and policy interventions to protect healthcare workers while advancing population health goals.","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"19 2","pages":"phag005"},"PeriodicalIF":4.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0