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Dymitrow, Mirek, et al.
(författare)
Nutrition, health and climate : What have we learned so far?
2019
Ingår i: Conference on Food Science and Nutrition: “Forum for food science and nutrition for a better tomorrow”, 25–26 February 2019, Rome, Italy.
Konferensbidrag (refereegranskat) abstract
Food and meals are central elements in our lives: a source of pleasure, a social activity and a bearer of culture. Our eating habits are also very important to health, which implies that the organization and content of meals is a prerequisite for well-being and learning. Schools, in particular, have unique opportunities to promote healthy lifestyles, help develop good eating habits and raise environmental and climate awareness among children and youths by embedding food in a wider context. Unsurprisingly, there is also an increasing interest in school meals and food-related education among researchers, many of whom agree that the quality of school meals can be seen as one of the most accurate indicators of the cities’ sustainability potential. Systematic quality work, however, requires shared targets and ambitions, regular quality checks and discussions on development and improvement. In that vein, the City of Gothenburg has launched the project Urban Rural Gothenburg, which assembles, develops, tests and implements new solutions for the city’s public kitchens. This involves climate-smart and environmentally sound perspectives and programs regarding meal planning, food procurement, food preparation and food-related teaching and learning. One important approach deals with the normalization of increased vegetarian consumption and greater awareness of food’s origins and travel from farm to table. Another approach deals with conscious choices of raw materials that are beneficial for both the environment and health. A third notable approach focuses on new ways of handling food waste to reduce climate impact. In line with the third Sustainable Development Goal, this presentation captures and reaffirms the fundamental assumptions and methods involved in Gothenburg’s work with food sustainability in public kitchens, with an emphasis on health and climate as cross-cutting issues that matter to us all.
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Munthe, Christian, 1962, et al.
(författare)
Questioning the patient in person centred care: ethical aspects: children, forensic psychiatry, and public health
2017
Ingår i: Medical Argumentation and Patient Centred Care, University of Amsterdam, October 26-27, 2017..
Konferensbidrag (övrigt vetenskapligt/konstnärligt) abstract
The paper explores the room, both conceptually and ethically, for questioning, contradicting and adapting positions to patients in three specific areas: care of patients with vulnerable cpapcities for taking responsibility (adolescents and psychiatry), contexts of constrained autonomy (forensic care), and public health (antobiotic resistance stewardship and vaccination). These areas in various ethically relevant ways exhibit non-standard settings, compared to usual assumptions about the nature of patients and institutional contexts made when person centredness and shared decision-making are held out as primarily emancipating concepts. The paper probes to what extent that ethical idea may be maintained also in such non-standard settings.
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Munthe, Christian, 1962
(författare)
Will IVF ever be the norm?
2014
Ingår i: Future of IVF - A Brave New World? ESHRE symposium, September 26-27, Stockholm.
Konferensbidrag (övrigt vetenskapligt/konstnärligt)
8.
Munthe, Christian, 1962, et al.
(författare)
Testing Interventions for Drastic Public Health Threats: "Social Value”, Pragmatic Risks and the Challenge of ”Health-related Research” Ethics – The Case of drug Resistance
2017
Ingår i: Matariki Research Ethics Workshop, Bader International Study Center, Herstmonceux Castle, East Sussex, UK, August 14-17, 2017.
Konferensbidrag (övrigt vetenskapligt/konstnärligt) abstract
The recently revised CIOMS guidelines radically broaden both that scope of the guidelines from medical to all kinds of health research), and the basis on which such research may be assessed ethically, not least what is called ”social value” of research. This makes these guidelines less on a par with the WMA’s Declaration of Helsinki principles for biomedical research, e.g. with regard to what kind of benefits may justify risks to research subjects and others, and ethical requirements regarding the management of such risks. While DoH still mostly expresses an orthodox individualist research ethical perspective of a sort that has enjoys traditional support in bioethics, but has attracted some criticism from a public health ethical perspective, the new CIOMS guidelines seem to open up for more consideration of collective, institutional and public goods, and possibility of having these traded off against risks to individuals. This paper uses interventions meant to prevent or mitigate problems due to antibiotic resistance as a case in point, to discuss how a sound research ethical regulation should position itself with regard to research regarding health interventions of great importance for (global) public health. A particular focus will be the balancing of individual and collective goods/bads in face of threats of having core institutions and central public goods undermined.
9.
Munthe, Christian, 1962, et al.
(författare)
Managing pollution from antibiotics manufacturing: charting actors, incentives and counterincentives
2019
Ingår i: 5th International Symposium on the Environmental Dimension of Antibiotic Resistance, 9–14 June 2019, Hong Kong.
Konferensbidrag (övrigt vetenskapligt/konstnärligt) abstract
Question Emissions of high concentrations of antibiotics from manufacturing sites select for resistant bacteria and may contribute to the emergence of new forms of resistance in pathogens. Many scientists, industry, policy makers and other stakeholders recognize such pollution as an unnecessary and unacceptable risk to global public health. An attempt to assess and reduce such discharges, however, quickly meets with complex realities that need to be understood to identify effective ways to move forward. This paper charts relevant key actor-types, their stakes and interests, incentives that can motivate them to act to improve the situation, as well as counterincentives that may undermine such motivation. Method The actor types and their respective interests have been identified using research literature, publicly available documents, websites, and the knowledge of the authors. Result Thirty-three different types of actor-types were identified, representing e.g. commercial actors, public agencies, states and international institutions. These are in complex ways connected by differing and partly similar interests that sometimes may conflict, sometimes pull in the same direction. Some actor types can act to create incentives and counterincentives for others in this area. Conclusions The analysis demonstrates and clarifies the challenges in addressing industrial emissions of antibiotics, notably the complexity of the relations between different types of actors, their international dependency and the need for transparency. The analysis however also suggest possible ways of initiating incentive-chains to eventually improve the prospects of motivating industry to reduce emissions. High resource consumer states, especially in multinational cooperation, hold a key position to initiate such chains.
10.
Munthe, Christian, 1962
(författare)
How drug resistance challenges medical ethics
2018
Ingår i: Ethikforum "public health ethics”, Ludwig-Maximilians Universität, München, Germany, February 6, 2018.
Konferensbidrag (övrigt vetenskapligt/konstnärligt)