Abstract
It is time again. A revised version of the Helsinki Declaration was adopted by the World Medical Assembly in October 2008.1 The previous revision, from the year 2000, did indicate a certain awareness of public health, such as the responsibility of researchers and sponsors to provide benefits to populations.2 My own observation at that time was that many ethical issues relevant to epidemiology and public health were not dealt with in the revised declaration,3 and were better taken care of in other existing document such as the Council for International Organizations of Medical Sciences (CIOMS) international ethical guidelines, prepared in collaboration with the WHO.4 Such issues are for example procedures for informed consent when using register-based data; procedures for using person identifiers when linking large databases; principles for feedback to communities about results of the research. In this revised version, three new paragraphs have been added: the first of these points out that … Correspondence: Peter Allebeck, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden, e-mail: Peter.Allebeck{at}ki.se
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