BackgroundInternational codes of ethics play an important role in guiding professional practice in developing countries. In the occupational health setting, codes developed by international agencies have substantial import on protecting working populations from harm. This is particularly so under globalisation which has transformed processes of production in fundamental ways across the globe. As part of the process of revising the Ethical Code of the International Commission on Occupational Health, an Africa Working Group addressed key challenges for the relevance and cogency (...) of an ethical code in occupational health for an African context through an iterative consultative process.DiscussionFirstly, even in the absence of strong legal systems of enforcement, and notwithstanding the value of legal institutionalisation of ethical codes, guidelines alone may offer advantageous routes to enhancing ethical practice in occupational health. Secondly, globalisation has particularly impacted on health and safety at workplaces in Africa, challenging occupational health professionals to be sensitive to, and actively redress imbalance of power. Thirdly, the different ways in which vulnerability is exemplified in the workplace in Africa often places the occupational health professional in invidious positions of Dual Loyalty. Fourth, the particular cultural emphasis in traditional African societies on collective responsibilities within the community impacts directly on how consent should be sought in occupational health practice, and how stigma should be dealt with, balancing individual autonomy with ideas of personhood that are more collective as in the African philosophy of ubuntu. To address stigma, practitioners need to be additionally sensitive to how power imbalances at the workplace intersect with traditional cultural norms related to solidarity. Lastly, particularly in the African context, the inseparability of workplace and community means that efforts to address workplace hazards demand that actions for occupational health extend beyond just the workplace.SummaryA stronger articulation of occupational health practice with advocacy for prevention should be an ethical norm. Ethical codes should ideally harmonize and balance individual and community needs so as to provide stronger moral authority guidelines. There is a need to consider an African Charter on Bioethics as complementary and strengthening of existing codes for the region. (shrink)

International codes of ethics play an important role in guiding professional practice in developing countries. In the occupational health setting, codes developing by international agencies have substantial import on protecting working populations from harm. This is particularly so under globalisation which has transformed processes of production in fundamental ways across the globe. As part of the process of revising the Ethical Code of the International Commission on Occupational Health, an African Working Group addressed key challenges for the relevance and cogency (...) of an ethical code in occupational health for an African context through an iterative consultative process. (shrink)

Despite growing advances in medical technologies, health status inequalities continue to increase across the globe. Developing countries have been faced with declining expenditures in health and social services, increasing burdens posed by both communicable and non-communicable diseases, and economic systems poorly geared to fostering sustainable development for the poorest and most marginalized. Under such circumstances, the challenges facing health practitioners in countries in transition are complex and diverse, and require the balancing of many conflicting imperatives. This is particularly so in (...) relation to the development of public health policy, where equity, redress of past inequalities, and the god of social justice may seemingly be pitted against macroeconomic adjustments required for national economic development in an increasingly globalized economic order.For example, pressures to deregulate as part of a market-oriented development philosophy will increase the risks from occupational hazards in populations desperate for paid employment. (shrink)

Despite growing advances in medical technologies, health status inequalities continue to increase across the globe. Developing countries have been faced with declining expenditures in health and social services, increasing burdens posed by both communicable and non-communicable diseases, and economic systems poorly geared to fostering sustainable development for the poorest and most marginalized. Under such circumstances, the challenges facing health practitioners in countries in transition are complex and diverse, and require the balancing of many conflicting imperatives. This is particularly so in (...) relation to the development of public health policy, where equity, redress of past inequalities, and the god of social justice may seemingly be pitted against macroeconomic adjustments required for national economic development in an increasingly globalized economic order.For example, pressures to deregulate as part of a market-oriented development philosophy will increase the risks from occupational hazards in populations desperate for paid employment. (shrink)

Global debates in approaches to HIV/AIDS control have recently moved away from a uniformly strong human rights-based focus. Public health utilitarianism has become increasingly important in shaping national and international policies. However, potentially contradictory imperatives may require reconciliation of individual reproductive and other human rights with public health objectives. Current reproductive health guidelines remain largely nonprescriptive on the advisability of pregnancy amongst HIV-positive couples, mainly relying on effective counselling to enable autonomous decision-making by clients. Yet, health care provider values and (...) attitudes may substantially impact on the effectiveness of nonprescriptive guidelines, particularly where social norms and stereotypes regarding childbearing are powerful, and where providers are subjected to dual loyalty pressures, with potentially adverse impacts on rights of service users. Data from a study of user experiences and perceptions of reproductive and HIV/AIDS services are used to illustrate a rights analysis of how reproductive health policy should integrate a rights perspective into the way services engage with HIV-positive persons and their reproductive choices. The analysis draws on recognised tools developed to evaluate health policies for their human rights impacts and on a model developed for health equity research in South Africa to argue for greater recognition of agency on the part of persons affected by HIV/AIDS in the development and content of policies on reproductive choices. We conclude by proposing strategies that are based upon a synergy between human rights and public health approaches to policy on reproductive health choices for persons with HIV/AIDS. (shrink)

The massive growth in global health research in past decades has posed many challenges for its effective ethical oversight, not least of which is how best to provide effective protection of research participants. The extent of the HIV epidemic in sub-Saharan Africa in particular makes research into prevention technologies for HIV, including HIV vaccine research, a global priority. However, the need for vaccine research must be considered in conjunction with the individual's right to informed consent, which is based on the (...) principle of respect for autonomy. One of the primary human rights violations likely to occur in the context of HIV vaccine research is that potential research participants may not fully understand what participation in research studies entails. People who elect to enrol in HIV vaccine trials are required to understand both the potential negative effects of participation (eg, discrimination) as well as complex scientific concepts such as randomisation and prophylaxis in order to be ethically enrolled. In this study, two vignettes are presented to illustrate two core issues in conducting phase III HIV vaccine trials in low-income countries—namely, (1) from the perspective of participants, the extent to which understanding is a prerequisite for consenting to participate in a trial, and (2) from the perspective of trial investigators, whether it is appropriate to persuade eligible people to enrol in a trial, even though their initial reaction is to decline to participate. These vignettes are used to analyse these issues through the prisms of research ethics and human rights in order to identify helpful synergies. It is argued that the human rights perspective provides a helpful lens on ethical issues. (shrink)

The basic alternatives seem to be either a Humean reductionist view that any particular assertion needs backing with inductive evidence for its reliability before it can retionally be believed, or a Reidian criterial view that testimony is intrinscially, though defeasibly, credible, in the absence of evidence against its reliability.Some recent arguments from the constraints on interpreting any linguistic performances as assertions with propositional content have some force against the reductionist view. We thus have reason to accept the criterial view, at (...) least as applied to eyewitness reports. But these considerations do not establish that any rational enquirer must have the concept of other minds or testimony. The logical possibility of the lone enquirer, who uses symbols and thereby expresses some knowledge of his world, remains open — but it is a question we have no need to pronounce upon. (shrink)

Examination of recent debates about belief shows the need to distinguish: (a) non-linguistic informational states in animal perception; (b) the uncritical use of language, e.g. by children; (c) adult humans' reasoned judgments. If we also distinguish between mind-directed and object-directed mental states, we have: Perceptual 'beliefs' of animals and infants about their material environment. 'Beliefs' of animals and infants about the mental states of others. Linguistically-expressible beliefs about the world, resulting from e.g. the uncritical tendency to believe what we are (...) told. Uncritically-formed beliefs about the mental states. Beliefs about the material world arrived at by the weighing of evidence. Beliefs about mental states formed by critical assessment. (shrink)

The interaction between science and technology in the Industrial Revolution has been debated by various authors over the years. Most recently, Ursula Klein has described eighteenth-century chemistry as an interconnected system of science and technology because of the inherently productive nature of chemical experimentation. The technology used in the nineteenth gaslight industry follows the pattern that Klein describes: gaslight technology was derived from the academic studies of eighteenth-century pneumatic chemists. The foundation of the technology in science included first, a knowledge (...) about inflammable gases and their properties, and second, various instruments and processes developed for the study of gases. Although inflammable exhalations had been known long before the eighteenth-century, it was only with the work of Priestley, Volta, Berthollet, and other chemists that their properties and characteristics, including the multiplicity of species of inflammable gases, became known. The instruments and processes of pneumatic chemistry that were incorporated into gaslight apparatus were the retort, the pneumatic trough, lime purification of carbon dioxide and hydrogen sulphide, and finally the gasometer. The first important instance of lighting with inflammable gases, that of J. P. Minckelers in 1785, demonstrates that pneumatic chemistry formed part of an interconnected network of science and technology, as does the work of other early gaslight pioneers such as Philippe Lebon, Zachäus Winzler, and William Murdoch. Lebon came to gaslight through the investigation of distillation processes, and later thought of using the inflammable gas produced in this way. Zachäus Winzler, an Austrian chemist, recreated Lebon's thermolamp from the instruments in his laboratory after hearing descriptions of it. In the case of William Murdoch, he incorporated the pneumatic apparatus that James Watt had built for Thomas Beddoes. (shrink)

Central to the argument of this article is the sense in which Thomas Hobbes and liberals see freedom as centered around the notion of free movement. Hobbes, in chapter 21 of Leviathan, describes freedom as “the absence of opposition” to motion. This work argues that the Hobbesian view of freedom as motion was taken up by liberalism as its hallmark and flourished most of all in America where emphasis on individualism was greatest. In America, movement coupled with individualism to create (...) a conception of freedom. (shrink)

Central to the argument of this article is the sense in which Thomas Hobbes and liberals see freedom as centered around the notion of free movement. Hobbes, in chapter 21 of Leviathan, describes freedom as “the absence of opposition” to motion. This work argues that the Hobbesian view of freedom as motion was taken up by liberalism as its hallmark and flourished most of all in America where emphasis on individualism was greatest. In America, movement coupled with individualism to create (...) a conception of freedom. (shrink)

This paper examines the planning process and architecture of two public psychiatric institutions built around 1900 in Trieste and Lower Austria. From 1864, the building of new asylums was the responsibility of Crown land governments, which by the end of the nineteenth century had emerged as sites of power and self-presentation by minority groups and new political parties. At the same time, the area of asylum planning was establishing itself as a branch of asylum psychiatry and promoting the idea of (...) the asylum as model settlement, contributing to social reform. I analyse the interaction of psychiatrists, architects and government officials involved in planning the two institutions in the context of Crown land governments’ self-positioning within the empire and internationally . The Trieste asylum planners were working for a government controlled by Italian nationalists, but their desire for a ‘modern’ asylum turned them towards German models. The Christian Social government in Lower Austria sought to supplant Germany as the leader in this branch of science. The spatial arrangement and visual articulation of the two asylums is interpreted in the context of the interaction of psychiatry and the politics of regional autonomy. (shrink)

Inspired by Kant, Merleau-Ponty and Sellars, I illustrate and identify certain kinds of unity which are typical (if not universal) features of our conscious experience, and argue that Kant was right to claim that such unities are produced by unconscious processes of synthesis:A perceptual experience of succession is not reducible to a succession of perceptual experiences.The experience of perceiving one object as having several features is not reducible to a conjunction of perceptual experiences of those features.A cross-modal perceptual experience is (...) not reducible to a conjunction of single-modality perceptual experiences.Incoming perceptual information is synthesized into a single scene---a representation of the world as perceived from a spatia-temporal point of view.Any two of the simultaneous features of the experience of a subject S can be thought of together by S.Many of the experiences of a subject S can be thought of by S at a later time as part of his or her history of experience.These can be summarized in the general principle:An experience of a complex is not a complex of experiences.This is consistent with Sellars’ principle that:A sense-impression of a complex is a complex of impressionsbecause the latter applies at the sub-personal, unconceptualized level, and the former at the conscious level of conceptualized experiences. (shrink)

Inspired by Kant, Merleau-Ponty and Sellars, I illustrate and identify certain kinds of unity which are typical (if not universal) features of our conscious experience, and argue that Kant was right to claim that such unities are produced by unconscious processes of synthesis: A perceptual experience of succession is not reducible to a succession of perceptual experiences. The experience of perceiving one object as having several features is not reducible to a conjunction of perceptual experiences of those features. A cross-modal (...) perceptual experience is not reducible to a conjunction of single-modality perceptual experiences. Incoming perceptual information is synthesized into a single scene-a representation of the world as perceived from a spatio-temporal point of view. Any two of the simultaneous features of the experience of a subject S can be thought of together by S. Many of the experiences of a subject S can be thought of by S at a later time as part of his or her history of experience. These can be summarized in the general principle: An experience of a complex is not a complex of experiences. This is consistent with Sellars’ principle that: A sense-impression of a complex is a complex of impressions because the latter applies at the sub-personal, unconceptualized level, and the former at the conscious level of conceptualized experiences. (shrink)

The Early Heidegger’s Philosophy of Life: Facticity, Being and Language offers an interpretation of Heidegger’s concept of facticity as it is articulated in connection with the ideas of life and language in the lecture courses from 1919225. The book argues that facticity is both the source of vitality for theory and a source of deception and falsehood and therefore cannot be viewed in either positive or negative terms exclusively, but must instead be viewed as ambiguous. This essay argues that this (...) basic thesis is correct and is supported by drawing a distinction between everydayness and inauthenticity. It is also argued that the analysis of language the book offers can be useful in clearing up misunderstandings of Heidegger’s concept of discourse in Being and Time. (shrink)

We are in trouble just now because we do not have a good story. We are in between stories. The old story, the account of how the world came to be and how we fit into it, is no longer effective. Yet we have not learned the new story.... We need a story that will educate us, a story that will heal, guide, and discipline us. Thomas Berry, The Dream of the Earth.

SummaryHistorians have explored the continuities between science and the arts in the Industrial Revolution, with much recent historiography emphasizing the hybrid nature of the activities of men of science around 1800. Chemistry in particular displayed this sort of hybridity between the philosophical and practical because the materials under investigation were important across the research spectrum. Inflammable gases were an example of such hybrid objects: pneumatic chemists through the eighteenth century investigated them, and in the process created knowledge, processes and instruments (...) essential for the creation of a new gaslight industry from 1800. Once this industry began to expand and mature, the interests and experiments of the gas industry stimulated new research work which in turn had relevance for theoretical debates.This paper explores how the emergence of the gas industry from 1800 provided an impetus for new work in theoretical chemistry. Boulton & Watt, important pioneers of the gas industry, explored the compositions of inflammable gases for practical purposes: the composition of these gases had an important effect on the luminosity of gaslights, and hence the economics of the new technology compared to older forms of lighting. As they explored these questions in their engineering work, they stimulated their friend William Henry to explore the nature of these gases further, and he carried out a series of experiments to determine their composition more exactly than Boulton & Watt had done. Henry published a series of paper between 1805 and 1820 where he made arguments about the compositions of inflammable airs, and further related these to contemporary debates about the laws of multiple and definite proportions, as well as John Dalton's atomism. Henry's research was also a hybrid of the theoretical and practical in that he tried to develop results useful for the fledgling gas industry. Specifically, he suggested the best kind of coal to use, and showed how gas quality varied with distillation time and temperature. (shrink)

From the third century we pass to the thirteenth, from a century in which Europe is still pagan to a century in which Christianity has been so long established there that its paganism is wellnigh forgotten, from a century in which it is ruled by a Roman emperor to one in which ecclesiastically it is still ruled by Rome, but the empire has passed from the Roman to the Teuton.