COVID-19: opportunities for public health ethics?

Public health ethics is the discipline that ensures that public health professionals and policy makers explain what they do, and why. During the COVID-19 pandemic, ethical deliberations often did not feature explicitly in public health decisions, thus reducing transparency and consistency in decision-making processes, and resulting in loss of trust by the general public. A public health ethics framework based on principles would add to transparency and consistency in public health decision-making. A framework of seven principles is presented and illustrated by applying them to vital COVID-19 ethical questions. Next the question of COVID-19 vaccination shows how the principles work in conjunction. In conclusion, embedding explicit ethical analysis in public health work is necessary to be trustworthy and regain trust. Preparedness for future challenges implies making the public health community more 'ethically literate'.