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Current ethical and social issues in epidemiology.

Jennifer Salerno1, Steven S Coughlin2, Kenneth W Goodman3

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New digital tools and technologies present ethical challenges in epidemiology and public health. This paper synthesizes traditional ethics with emerging issues in digital, genetic, and health informatics epidemiology.

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Area of Science:

  • Epidemiology and Public Health Ethics
  • Digital Health
  • Health Informatics

Background:

  • The coronavirus disease 2019 pandemic highlighted ethical and social challenges in public health.
  • The publication of the third edition of "Ethics and Epidemiology" prompted a discussion on current ethical issues.

Purpose of the Study:

  • To highlight ethical challenges and presentations from the American College of Epidemiology's 2021 Annual Meeting symposium.
  • To synthesize traditional ethical principles with emerging ethical considerations in epidemiology.

Main Methods:

  • A symposium session featured experts presenting on ethical and social issues in epidemiology, genetic epidemiology, and health informatics.
  • The study synthesized cross-cutting ethical issues with emerging topic areas in epidemiology research.

Main Results:

  • Digital sources and technologies are driving new ethical challenges and opportunities in epidemiology and public health.
  • Key ethical issues include informed consent, privacy, algorithmic bias, data security, and misinformation.
  • An integrated synthesis of epidemiology research stages and relevant ethical issues was provided.

Conclusions:

  • New digital tools necessitate re-evaluating traditional bioethical frameworks in epidemiology and public health.
  • Addressing ethical challenges requires synthesizing traditional public health ethics with nuanced considerations for emerging technologies.
  • Insights are offered for professional growth in epidemiology while improving population health.