1. Ethics in Public Health for Thailand Valaikanya Plasai, Dr.P.H. Dept. of Disease Control, MoPH, Thailand

2. Objectives: That public health practices in Thailand need a defined ethics guidelines To propose what is needed To find partners in such development

3. Gaps The lack of defined statement of ethics to guide public health practice* Public health ethics has generally been seen as part of biomedical ethics “…(a) deep divide between the central commitment of bioethics and the value that animate the practice of public health”** “…bioethics is the wrong place to start when thinking about the balances required in defense of the public’s health.”** *Last, 1987; Beauchamp and Steinbock, 1999; Kass, 2001; Roberts and Reich, 2002; and Dickens, 2005 **Bayer and Fairchild, 2004, The genesis of public health ethics. Bioethics.

4. The three basic principles of biomedical ethics*: Respect for persons Individual liberty, autonomy, and privacy, Individual liberty, autonomy, and privacy,Beneficence Do no harm Do no harmJustice These principles do not lend themselves easily to public health practice. *The Belmont Report, 1979

5. What needs to be developed: An ethics framework for public health, and the code of public health professional Not merely a code of professional ethics, addressing general norms and expectations of professional behavior. Not merely a code of professional ethics, addressing general norms and expectations of professional behavior. “Rather, this is an analytic tool, designed to help public health professional consider the ethics implications of proposed interventions, policy proposals, research initiatives and programs.” (Kass, 2001) “Rather, this is an analytic tool, designed to help public health professional consider the ethics implications of proposed interventions, policy proposals, research initiatives and programs.” (Kass, 2001) The ethics framework and code: Accepted and adopted in regular practice Accepted and adopted in regular practice Taught in institutions in Taught in institutions in professional degree programs, certificate programs, and settings of continuing professional education.

6. What needs to be developed: A book on An Ethics Framework for Public Health in the Thai Context two separate, but compatible, books: Thai and English two separate, but compatible, books: Thai and English Could be case-based, but definitely research- based Could be case-based, but definitely research- based Training material

7. Are you interested? If so, let’s talk.