AMA Journal of Ethics. October 2017
This month in Journal of Ethics
Safe Water Access and the Roles of Clinicians
Ongoing since 2014, the Flint, Michigan, water crisis was declared a federal emergency after an interdisciplinary team, led by a local pediatrician, linked pediatric blood lead levels to elevated lead levels in the water. This public health disaster illuminates questions about the nature and scope of clinicians’ obligations to identify, assess, and respond to patients’ and communities’ health risks from harmful microbial and chemical levels in their water supply. Clinicians should be trained to recognize symptoms of contaminated water use, but how should they be trained to help prevent contamination and execute other public health duties? The October 2017 issue of the AMA Journal of Ethics explores clinicians’ roles in defining and enforcing the parameters of what constitutes “safe” water and in addressing barriers to safe water access.
Waterborne Images and captions by Kwesi Reynolds Seven photos taken in Flint illuminate environmental injustice, the city’s attempt to respond, and individuals’ experiences.
Lessons for Physicians from Flint’s Water Crisis Laura A. Carravallah, MD, Lawrence A. Reynolds, MD, and Susan J. Woolford, MD, MPH Physicians with interprofessional networks and environmental health training can better respond to public health crises.
Is Acute Care-Oriented Research Ethical in Resource-Limited Settings? Commentaries by Anwar D. Jackson, MD, and Harold W. Neighbors, PhD In conducting research abroad, clinicians should treat community members with dignity and engage them as research partners.
Should Physicians Consider the Environmental Effects of Prescribing Antibiotics? Jeremy Balch, Julia H. Schoen, MS, and Payal K. Patel, MD, MPH When prescribing antibiotics, physicians should weigh individual benefit against both environmental and community harms.
November Ethics of Collaborative Health Systems Design
December Health Care Ethics and Professionalism in the Era of Climate Change
January Clinicians’ Responsiveness to Violence
February Graphic Medicine and Health Care Ethics
March Global Reproductive Health Ethics in the 21st Century
April Ethical Considerations in Plastic and Reconstructive Surgery
© 2017 American Medical Association. All Rights Reserved. ISSN 2376-6980