1. Organización Panamericana de la Salud.... Information Knowledge Management Evolution of Bioethics Dr. Richard Van West-Charles

2. Organización Panamericana de la Salud Evolution of Bioethics (i)Paradigm of Traditional Medical Ethics (ii) Biomedical Ethics (iii)Public Health Ethics (i)Paradigm of Traditional Medical Ethics (ii) Biomedical Ethics (iii)Public Health Ethics

3. Organización Panamericana de la Salud Domain of Bioethics BiomedicalPublic Health Individual Level+++++++ Population++++++

4. Organización Panamericana de la Salud Health is Central to Development Definition of Health (i)WHO: Health is a state of complete physical, mental and social well being, deals with the absence of illness and disease. (ii)IOM Public Health is what we as a society do collectively to assure the conditions for people to be healthy. Definition of Health (i)WHO: Health is a state of complete physical, mental and social well being, deals with the absence of illness and disease. (ii)IOM Public Health is what we as a society do collectively to assure the conditions for people to be healthy.

5. Organización Panamericana de la Salud Who’s Definition Places the Focus at the Individual Population level. IOM – Focuses on the Collective Bioethics is relevant to both definitions but the difficulty is in the details which makes Bioethics critical as to how we operationalise. Who’s Definition Places the Focus at the Individual Population level. IOM – Focuses on the Collective Bioethics is relevant to both definitions but the difficulty is in the details which makes Bioethics critical as to how we operationalise.

6. Organización Panamericana de la Salud Declaration of Human Rights (Art.:25) Acknowledges right to health as a component of a standard for humans, adequate for health and well being. Likewise the International Convenant on Economic, Social and Cultural Rights adapts health as a human right. Acknowledges right to health as a component of a standard for humans, adequate for health and well being. Likewise the International Convenant on Economic, Social and Cultural Rights adapts health as a human right.

7. Organización Panamericana de la Salud Application of these Definitions and statement highlights the importance of Bioethics Additionally – Road to democracy demands Access to information for informed decision making. Agency relationship diminishing Consumer empowerment is an important Bioethical Issue Rights and responsabilities – bear Ethical implications. Additionally – Road to democracy demands Access to information for informed decision making. Agency relationship diminishing Consumer empowerment is an important Bioethical Issue Rights and responsabilities – bear Ethical implications.

8. Organización Panamericana de la Salud Access to Information and Knowledge Critical for the operational aspects of the Definitions: Institutional – Individual level Community – Population level Critical for the operational aspects of the Definitions: Institutional – Individual level Community – Population level

9. Organización Panamericana de la Salud Essential Public Health Function Monitor health status to identify Community Health Problems. Diagnosing and investigating health problems and risks in community. Providing information and education on health topics and empowering people. Modifying the Community Associations to identify and solve health problems. Divulging policies and plans to support individual and collective health. Monitor health status to identify Community Health Problems. Diagnosing and investigating health problems and risks in community. Providing information and education on health topics and empowering people. Modifying the Community Associations to identify and solve health problems. Divulging policies and plans to support individual and collective health.

10. Organización Panamericana de la Salud Compliance with laws and regulations that Prptect health and assure safety. Linking people with health services and guaranteeing health service delivery. Guaranteeing competent human resources for public health and individual health care. Evaluating the effectiveness, access to, and quality of personal and public health services. Research on news approaches and innovation solutions for health problem. Compliance with laws and regulations that Prptect health and assure safety. Linking people with health services and guaranteeing health service delivery. Guaranteeing competent human resources for public health and individual health care. Evaluating the effectiveness, access to, and quality of personal and public health services. Research on news approaches and innovation solutions for health problem.

11. Organización Panamericana de la Salud Research Core Function – Not yet achieved or understood as a core function Process and approach needs review Ethical Review Boards – Role & Responsabilities not well defined Intelectual properties / Informed consent Core Function – Not yet achieved or understood as a core function Process and approach needs review Ethical Review Boards – Role & Responsabilities not well defined Intelectual properties / Informed consent

12. Organización Panamericana de la Salud Regional Programme Needs to heighten awareness of Bioethics as cross cutting discipline for health and development. Understanding of the relevance of Bioethics for efficient and effective health systems. Build capacity among the member states. Promote organizational and institutional processes for application of Bioethics. Needs to heighten awareness of Bioethics as cross cutting discipline for health and development. Understanding of the relevance of Bioethics for efficient and effective health systems. Build capacity among the member states. Promote organizational and institutional processes for application of Bioethics.

13. Organización Panamericana de la Salud Sensitize member states to bioethical implications of research at the global level. Be a forum to access information and knowledge – VHL, etc. – Consider various means of communications. Sensitize member states to bioethical implications of research at the global level. Be a forum to access information and knowledge – VHL, etc. – Consider various means of communications.

14. Organización Panamericana de la Salud Human Genetics / Genomics Health Care Ethics Research Ethics Biotechnology Human Genetics / Genomics Health Care Ethics Research Ethics Biotechnology

15. Organización Panamericana de la Salud Public Health Ethics Health Sector Reform Resource Allocation Inequities Health Awareness within the Organization Health Sector Reform Resource Allocation Inequities Health Awareness within the Organization