An ethical dimension to accident management and health surveillance

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• dc.contributor.author Oughton, Deborah
• dc.contributor.author Liutsko, Liudmila
• dc.contributor.author Midorikawa, Sanae
• dc.contributor.author Pirard, Philippe
• dc.contributor.author Schneider, Thierry
• dc.contributor.author Tomkiv, Yevgeniya
• dc.date.accessioned 2022-05-03T05:51:51Z
• dc.date.available 2022-05-03T05:51:51Z
• dc.date.issued 2021
• dc.description.abstract Many radiation protection actions carry a multitude of direct and indirect consequences that can impact on the welfare of affected populations. Health surveillance raises ethical challenges linked to privacy and data protection, as well as questions about the net benefit of screening. The SHAMISEN project recognized these issues and developed specific recommendations to highlight ethical challenges. Following a brief overview of ethical issues related to accident management, this paper presents the SHAMISEN recommendations: R1 The fundamental ethical principle of doing more good than harm should be central to accident management; and R4 Ensure that health surveillance respects the autonomy and dignity of affected populations, and is sensitive to any inequity in the distribution of risks and impacts. While a holistic approach to accident management means that decisions will be complicated by different values, perceptions and uncertainties about outcomes, addressing ethical issues could help ensure that the assumptions and potential conflicts behind eventual decisions are as transparent as possible.
• dc.description.sponsorship SHAMISEN is supported by the EURATOM (European Atomic Energy Community) program of the European Commission in the framework of the OPERRA (Open Project for the European Radiation Research Area) project (FP7 grant agreement No. 604984), as well as the Research Council of Norway, grant nr 263856. ISGlobal acknowledges support from the Spanish Ministry of Science, Innovation and Universities through the “Centro de Excelencia Severo Ochoa 2019-2023” Program (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Programme (http://cerca.cat/en/). NMBU acknowledges the support of the Research Council of Norway (RCN) through its Centres of Excellence funding scheme, project number 223268. The authors thank all the partners of the SHAMISEN consortium. We also thank the experts who contributed with valuable insights during workshop discussions on ethical issues: Evelyn Bromet, Aya Goto, Koichi Tanagawa, Vadim Chumak, Geraldine Thomas and Bjørn Hoffman, as well as stakeholders who contributed to the elaboration of the recommendations.
• dc.format.mimetype application/pdf
• dc.identifier.citation Oughton D, Liutsko L, Midorikawa S, Pirard P, Schneider T, Tomkiv Y. An ethical dimension to accident management and health surveillance. Environ Int. 2021 Aug;153:106537. DOI: 10.1016/j.envint.2021.106537
• dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2021.106537
• dc.identifier.issn 0160-4120
• dc.identifier.uri http://hdl.handle.net/10230/52962
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Environ Int. 2021 Aug;153:106537
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/604984
• dc.rights © 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Autonomy
• dc.subject.keyword Equity
• dc.subject.keyword Ethics
• dc.subject.keyword Health surveillance
• dc.subject.keyword Justice
• dc.subject.keyword Nuclear accidents
• dc.title An ethical dimension to accident management and health surveillance
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion