Westmead Clinical School, Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia.
Department of Philosophy, Macquarie University, NSW, Australia.
J Med Ethics. 2019 Apr;45(4):239-243. doi: 10.1136/medethics-2018-105043. Epub 2019 Feb 16.
Emerging infectious diseases (EIDs) remain a significant and dynamic threat to the health of individuals and the well-being of communities across the globe. Over the last decade, in response to these threats, increasing scientific consensus has mobilised in support of a One Health (OH) approach so that OH is now widely regarded as the most effective way of addressing EID outbreaks and risks. Given the scientific focus on OH, there is growing interest in the philosophical and ethical dimensions of this approach, and a nascent OH literature is developing in the humanities. One of the key issues raised in this literature concerns ethical frameworks and whether OH merits the development of its very own ethical framework. In this paper, we argue that although the OH approach does not demand a new ethical framework (and that advocates of OH can coherently adhere to this approach while deploying existing ethical frameworks), an OH approach does furnish the theoretical resources to support a novel ethical framework, and there are benefits to developing one that may be lost in its absence. We begin by briefly explaining what an OH approach to the threats posed by EIDs entails before outlining two different ways of construing ethical frameworks. We then show that although on one account of ethical frameworks there is no need for OH to generate its own, there may be advantages for its advocates in doing so.
新发传染病(EIDs)仍然是全球个人健康和社区福祉的重大和动态威胁。在过去十年中,为了应对这些威胁,越来越多的科学界共识已经动员起来,支持一种“同一健康”(OH)方法,因此现在 OH 被广泛认为是应对 EID 爆发和风险的最有效方法。鉴于科学界对 OH 的关注,人们对这种方法的哲学和伦理维度越来越感兴趣,人文科学领域也正在出现一门新兴的 OH 文献。该文献中提出的一个关键问题涉及伦理框架,以及 OH 是否值得开发自己的伦理框架。在本文中,我们认为,尽管 OH 方法并不要求新的伦理框架(并且 OH 的倡导者在采用现有伦理框架的同时可以一致地坚持这一方法),但 OH 方法确实为支持新的伦理框架提供了理论资源,如果没有它,可能会失去一些好处。我们首先简要解释了 OH 方法应对 EIDs 带来的威胁所涉及的内容,然后概述了构建伦理框架的两种不同方法。然后我们表明,尽管在一种伦理框架的解释中,OH 不需要生成自己的框架,但对于其倡导者来说,这样做可能会有优势。