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Threedragged31.pdf

Step II: Formulate Alternative Courses of Action and Evaluate their Ethical Dimensions

• What are the short- and long-term options, given the assessment of the public health issue and context in Step I?

• What are the ethical dimensions and tensions of each option? o Utility: Does the public health action produce the best balance

of benefits over harms and other costs ? o Equity and Justice : Is health equity advanced? Are the benefits

and burdens distributed fairly ( distributive justice )? Is there appropriate public participation , including the participation of affected parties (procedural justice )?

o Respect for Individual and Community Interests: Does the public health action respect self-determination and human rights , as well as civic roles and community values (e.g., trustworthiness, solidarity) (Dawson and Jennings 2012 )?