Looking Ahead: Addressing Ethical Challenges in Public Health Practice

Ethical challenges in public health can have a significant impact on the health of communities if they impede efficiencies and best practices. Competing needs for resources and a plurality of values can challenge public health policymakers and practitioners to make fair and effective decisions for their communities. In this paper, the authors offer an analytic framework designed to assist policymakers and practitioners in managing the ethical tensions they face in daily practice. Their framework is built upon the following set of six considerations: determining population-level utility of the proposed action; demonstrating evidence of need and effectiveness of actions; establishing fairness of goals and proposed implementation strategies; ensuring accountability; and, assessing expected efficiencies and costs associated with the proposed action. Together, these considerations create a structured guide to assist decision-makers in identifying potential ethical challenges and in assessing the moral considerations that underlie public health practice - and possibly even, if the conditions are met, reduce the creation of ethical tension. Although the authors'empirical experiences provide the basis for the framework advanced here, their approach remains to be tested and evaluated by public health practitioners.     

Regulating genetically modified crops and foods in Canada and the United Kingdom: Democratizing risk regulation

Abstract: This article examines the alternate use of models of representative, functional and citizen‐centred participatory democracy in the formulation of policies to regulate the risks of genetically modified crops and foods in the United Kingdom and Canada. It demonstrates that representative, functional and participatory democracy have all played a role in the United Kingdom; functional democracy has been ascendant in Canada, with representative democracy playing a secondary role. These cross‐national differences derive from the greater imperative for regulatory legitimacy in the U.K., and the Canadian pre‐occupation with regulatory effectiveness. The result is a more transparent U.K. regulatory framework that provides representation of a broader range of public values and concerns than in Canada. Sommaire: Cet article examine les différentes utilisations de modèles de démocratie représentative, fonctionnelle et axée sur les citoyens dans la formulation de politiques destinées à réglementer les risques associés aux cultures et aliments génétiquement modifiés au Royaume‐Uni et au Canada. Il démontre que les démocraties représentatives, fonctionnelles et participatives ont toutes joué un rôle au Royaume‐Uni; la démocratie fonctionnelle a dominé au Canada, tandis que la démocratie représentative y a joué un rôle secondaire. Ces différences transnationales proviennent du plus grand impératif de légitimité de la réglementation au R.‐U., et de la préoccupation canadienne de l'efficacité de la réglementation. Le résultat est un cadre de réglementation plus transparent au R.‐U. qui représente un plus vaste éventail de valeurs et de préoccupations publiques qu'au Canada.     

Parliamentary Oversight in Putin's Neo-patrimonial State. Watchdogs or Show-dogs?

Conceptualising Russia as a neopatrimonial state directs attention to the patrimonial relations that pervaded formal institutions to reveal increasing tensions within the state during Putin's presidency. A case study of parliamentary oversight practices points to the emergence of legitimation as their key purpose, but also to the growing contradictions between the controlling and legitimating impulses of Putin's regime. At the same time deputies responded to the changes in their status and influence by moving their resources towards the patrimonial sphere, most notably utilising oversight institutions for direct and indirect private interests—activities tolerated by the regime in exchange for political loyalty.     

The effect of repeated questioning on children's accuracy and consistency in eyewitness testimony

Purpose. In police interviews children may be asked the same question many times. We investigated how the number of repetitions and the interval between those repetitions affected the accuracy and consistency of children's responses. Methods. 156 children aged 4–9 years watched a staged event and were interviewed individually 1 week later. Children were asked eight open‐ended questions, which were each repeated a further four times (making a total of forty questions). Half these open‐ended questions could be answered from information in the event, and half were unanswerable (so children should have said ‘don't know’ in response to these questions). The questions were repeated in gist form. The interval between an initial question and its repetitions was varied by use of other questions and twenty non‐repeated filler questions. The intervals between repetitions were immediate repetition, repetition after a delay of three intervening questions, after a delay of six intervening questions, and after ten or more intervening questions. Results. Over a quarter of children's responses to repeated questions changed, usually resulting in a decline in accuracy, particularly after the first repetition. Subsequently, the number of repetitions and delay interval had little effect on responses to answerable questions although accuracy to unanswerable questions continued to decline. Conclusions. Question repetition had a negative affect on children's consistency and accuracy. For unanswerable questions in particular, the more often a question was repeated the more likely children were to invent a response.     

A snapshot of legal developments and industry issues relevant to information technology, media and telecommunications law in key jurisdictions across the Asia Pacific – Co-ordinated by Lovells and contributed to by other leading law firms in the region

This column provides a country by country snapshot of the latest legal developments, cases and issues relevant to the IT, media and telecommunications industries in key jurisdictions across the Asia Pacific region. The articles appearing in this column are intended to serve as ‘alerts’ and are not submitted as detailed analyses of cases or legal developments.