Volume 21/1, June 2019, pp 63 – 79 PDF Alyssa Mari Thurston, Federico Andrade-Rivas, and Jerry M. Spiegel Abstract Researchers investigating breast milk contamination face substantive ethical dilemmas regarding how biomonitoring results should be conveyed, with limited guidance available to help them. To identify effective processes for undertaking such research, we sought to critically assess practices being followed in reporting results. To consider how researchers have reported on this and…
Ethics of Global Health Photography: A Focus on Being More Human
Volume 21/1, June 2019, pp 49 – 62 PDF Aubrey P. Graham, James V. Lavery, and Robert Cook-Deegan Abstract This article explores the relationship between ethics and the production of global health photographic images. Through the text, we emphasize the need for greater awareness of potential ethical pitfalls, not just in relationship to the finished product of the image but also throughout the full photographic process. In order to do…
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COMMENTARY Institutionalizing Ethical Review in Global Health Practice: A Modest Proposal
Volume 21/1, June 2019, pp 45-47 PDF David Ross Assuring basic human rights for all, seeking social justice, and the ethical implementation of policies to make these goals a reality begins with inspired leaders who have the courage and imagination to challenge established power. Once the social change process has begun, then governance structures and organizational processes must be established if that change is to be made permanent. As countries…
Ethically Managing Risks in Global Health Fieldwork: Human Rights Ideals Confront Real World Challenges
Volume 21/1, June 2019, pp 7 – 18 PDF Rachel Hall-Clifford and Robert Cook-Deegan Abstract Global health is an interdisciplinary field engaged with implementation of the human right to health, yet ethical dimensions of the on-the-ground realities of this work have been underexplored. Fieldwork in global health produces knowledge through both primary research and the lessons of practical program implementation. Much of this essential knowledge, which often documents health disparities…
Apology and Unintended Harm in Global Health
Volume 21/1, June 2019, pp 19 – 32 PDF David G. Addiss and Joseph J. Amon Abstract Over the past few decades, investments in global health programs have contributed to massive advances in health for human populations. As with clinical medicine, however, global health interventions sometimes result in unintended harm, economic adversity, or social disruption. In clinical medicine, when medical error occurs, it is increasingly common for health care workers…
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EDITORIAL Global Health Fieldwork Ethics: Mapping the Challenges
Volume 21/1, June 2019, p 1 – 5 PDF Rachel Hall-Clifford, David G. Addiss, Robert Cook-Deegan, and James V. Lavery Introduction As Paul Farmer has observed, “global health remains a collection of problems rather than a discipline.”1 An exclusive focus on technical problems and the quest for solutions obscures how global health is actually enacted and implemented through fieldwork. In this special section, we consider “fieldwork” broadly to include any…
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An Assessment of Human Rights-Based Approaches to Health Knowledge, Attitudes, and Practices Among Centers for Disease Control and Prevention Locally Employed Staff
Volume 21/1, June 2019, pp 45 – 47 PDF Izraelle McKinnon, Aun Lor, and Dabney P. Evans Abstract Despite the increasing use of human rights-based approaches to health, the Centers for Disease Control and Prevention (CDC) does not routinely train its staff in the use of such approaches as a part of public health practice. We conducted a training needs assessment among CDC locally employed staff working outside of the…
Asylum Medicine: Standard and Best Practices
Volume 21/1, June 2019, pp 215 – 225 PDF Hope Ferdowsian, Katherine McKenzie, and Amy Zeidan Abstract Due to global events in recent years, applications for political asylum have increased, although the number of people granted asylum in the United States and elsewhere has declined. Physicians and other health care professionals can play a crucial role in the evaluation of individuals seeking asylum, since appropriately documented objective clinical evidence of…
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