Abstract

AbstractDuring the formative period of bioethics, the field of public health also directed attention largely away from infectious disease, to issues such as environmental degradation, workplace safety, smoking, and obesity. This chapter presents careful documentation of this development—as well as the virtually complete separation, until quite recently, of the fields of bioethics and public health. The past ten years, by contrast, have seen burgeoning development of public health ethics, including extensive efforts to link protection of public health with the right to health care and international human rights initiatives. The standard picture of public health ethics as utilitarian and bioethics as rights-based has shifted somewhat, especially with rights-based approaches to the HIV epidemic. Nonetheless, it is argued that public health ethics has yet to come to terms with the full theoretical challenges posed by infectious disease.

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