Cardoso Maria Helena Cabral de Almeida, Castiel Luis David
Departamento de Genética Médica José Carlos Cabral de Almeida, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, 22250-020, Brasil.
Cad Saude Publica. 2003 Mar-Apr;19(2):653-62. doi: 10.1590/s0102-311x2003000200032. Epub 2003 May 15.
Due to constant advances in genetic manipulation, the field of public health is faced with the possible emergence of a reductionist genomic emphasis, beyond socio-cultural influences. Under such circumstances, the main focus of public health interventions would shift towards a genomic approach to "individuals" and their "families", to the detriment of their consecrated object - "populations", thereby moving away from the current central priority of efforts (and resources) aimed at reducing ill-health due to socioeconomic inequalities. Even admitting the benefits of genetic knowledge, a new eugenic practice may emerge from the availability of genetic tests on the marketplace aimed at individuals that can afford to consume them.
由于基因操作技术的不断进步，公共卫生领域面临着一种可能出现的情况，即超越社会文化影响，出现一种对基因组的还原论式强调。在这种情况下，公共卫生干预的主要重点将转向针对“个体”及其“家庭”的基因组方法，而损害其神圣的目标——“人群”，从而背离目前旨在减少因社会经济不平等导致的健康不良状况这一核心优先事项（和资源投入方向）。即使承认基因知识的益处，但针对有能力消费基因检测的个体在市场上可获取基因检测这一情况，可能会催生出一种新的优生学实践。
