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Impact Ethics

Public Health

The goal of public health is to improve the health and quality of life for a population. It encompasses a variety of methods from disease prevention such as vaccination, to the promotion of healthy behaviours such as hand washing. The population targeted by public health services may be as small as a rural community's access to potable water to pandemic planning on a global scale. NTE's research in the public health field focuses on public heatlh policy and health economics in a publicly funded health system.

H1N1

The H1N1 world wide flu pandemic in 2009/2010 presented many ethical challenges to Canada's health care system. NTE participated in both the academic and public discussion of these issues, some of which are highlighted below. Partial funding for this reserach was provided by CIHR:


October 27, 2010
A study of Canada's pandemic preparedness. Read the full transcript with evidence presented by Drs. Françoise Baylis, Alain Beaudet, Bhagirath Singh and others. What have we learned? What do we still need to know?

[PDF - 1 MB]
Presentation by Robyn MacQuarrie at the Department of Obstetrics and Gynaecology Resident Research Day on April 29th, 2010.

Pregnant Women and the H1N1 Vaccine
This presentation was part of the Health Law and Policy Seminar Series, given by Françoise Baylis on March 5, 2010.
[WMV - 548 MB]
[MOV - 394 MB]

H1N1 Vaccine Decision Making, , CBC Radio One, October 23, 2009

[PDF - 187 KB]
Answers to the most common questions about the safety of the newly approved swine flu vaccine.
Françoise Baylis & Noni MacDonald, The Mark, October 22, 2009


Chris Kaposy, The Hastings Center Bioethics Forum, October 06, 2009
Dr. Chris Kaposy of Memorial University of Newfoundland discusses the issues surrounding a recent announcement by the National Institute of Allergy and Infectious Diseases to conduct clinical trials of the H1N1 vaccine on pregnant women.

[PDF - 151 KB]
Françoise Baylis, The Mark, August 15, 2009


Desautels, Radio Canada, August 7, 2009
Le reportage de Marjorie April sur le vaccin H1N1, avec Dr. Françoise Baylis.


Noni MacDonald, Editorial, Canadian Medical Association Journal, August 4, 2009


Sarah Khraishi and Chris Kaposy, IJFAB 5(1): 70-90 (2012).

Human Papilloma Virus (HPV)

HPV is a sexually transmitted viral infection. The majority of sexually active young adults will contract at least one HPV infection in their lifetime. HPV infections are the major cause of cervical cancer and genital warts. In 2007, several Canadian provinces, backed by federal government funding, began school- based vaccination programs for girls. NTE researchers have addressed several ethical issues including the lack of information being provided to parents and guardians who are giving consent for the participation of their school-age children, and the quality of vaccine-related risk information available.

Steenbeek A., Macdonald N., Downie J., Appleton M. & Baylis F. (2012) , Public Health Nursing, doi: 10.1111/j.1525-1446.2011.00974

, Françoise Baylis, The Mark, May 5, 2009.

[PDF - 1.7 MB]. Presentation by Françoise Baylis at the Canadian Center for Vaccination Annual Meeting and Symposium, February 2009, Halifax, Canada

- ImpactEthics.ca, November 4 2014
Abby Lippmann, Alana Cattapan and Kelly Holloway argue for rigorous, conflict-free research into the safety and effectiveness of the HPV vaccine and for a critical approach to its use.

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Page last updated August 2015.