Comba P
Laboratorio di Igiene Ambientale, Istituto Superiore di Sanità, Roma.
Ann Ist Super Sanita. 1997;33(2):279-84.
The need for a specific ethical evaluation in environmental health has been emphasized in recent years, with special reference to the conduction of research in environmental epidemiology, and to the subsequent implementation of public health action. Deontologic aspects that have been extensively debated include the duties of investigators towards study subjects, conflicts of interest, and rules to respect when dealing with institutions and with society at large. Epistemologic issues concern the explicitation of underlying values that influence choices in the stages of priority setting and study design. Finally, moral value is relevant whenever decision making takes place. In this frame it is recommended to refer to the core values of the public health movement, and to apply them to new, emerging problems.
近年来，环境卫生领域对特定伦理评估的需求受到了强调，尤其涉及环境流行病学研究的开展以及随后公共卫生行动的实施。广泛讨论的道义学方面包括研究者对研究对象的责任、利益冲突以及在与机构和整个社会打交道时应遵循的规则。认识论问题涉及在确定优先事项和研究设计阶段影响选择的潜在价值观的明确化。最后，每当进行决策时，道德价值都是相关的。在此框架内，建议参考公共卫生运动的核心价值观，并将其应用于新出现的问题。
