Bencko V
Ustav hygieny a epidemiologie, 1. lékarská fakulta Univerzity Karlovy, Praha.
Epidemiol Mikrobiol Imunol. 1995 Dec;44(4):180-3.
The author presents a summary account on the session of the International workshop on ethical and philosophical issues in environmental epidemiology convened by the Rome Division of ECEH WHO and the International Society for Environmental Epidemiology (North Carolina, USA, Sept. 16-18, 1994). Twenty-one epidemiologists and workers concerned with ethics and philosophy from Europe, North America and other regions were invided. The subject of discussion was a definition of the discipline of environmental epidemiology and concurrently ethical and philosophical problems of the discipline. It was stated that it is essential to adopt ethical guidelines in the sphere of environmental epidemiology. It was recommended that, where reliable safeguards of processed personal data exist, access to the pertinent databases could be granted without previous informed consent of probands. Informed consent must be obtained only in later stages of research if direct contact with the individual subject is essential. Recommendations were adopted for practitioners, universities and training centres, professional organizations and institutions as well as sponsors interested in environmental epidemiology. It was emphasized that efforts to improve ethical awareness and practice must become and integral part of training and practical activities of all concerned.
作者概述了由世界卫生组织欧洲环境与健康中心罗马分部和国际环境流行病学学会（美国北卡罗来纳州，1994年9月16 - 18日）召开的环境流行病学伦理与哲学问题国际研讨会的情况。来自欧洲、北美和其他地区的21位流行病学家以及关注伦理与哲学的工作人员受邀参加。讨论的主题是环境流行病学学科的定义以及该学科同时存在的伦理和哲学问题。会议指出，在环境流行病学领域采用伦理准则至关重要。有人建议，在对处理后的个人数据有可靠保护措施的情况下，无需事先征得研究对象的知情同意即可准许访问相关数据库。只有在研究的后期阶段，如果必须与个体研究对象直接接触，才必须获得知情同意。会议为环境流行病学的从业者、大学和培训中心、专业组织和机构以及赞助商通过了相关建议。会议强调，提高伦理意识和实践的努力必须成为所有相关人员培训和实践活动的一个组成部分。
