Pharmaceutical Pollution from Human use and the Polluter Pays Principle

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Malmqvist, ErikGothenburg University,Göteborgs universitet,CARe - Centrum för antibiotikaresistensforskning,Institutionen för filosofi, lingvistik och vetenskapsteori,Centre for antibiotic resistance research, CARe,Department of Philosophy, Linguistics and Theory of Science (author)

Pharmaceutical Pollution from Human use and the Polluter Pays Principle

Article/chapterEnglish2023

Publisher, publication year, extent ...

2023

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LIBRIS-ID:oai:gup.ub.gu.se/327254
https://gup.ub.gu.se/publication/327254URI
https://doi.org/10.1093/phe/phad012DOI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Human consumption of pharmaceuticals often leads to environmental release of residues via urine and faeces, creating environmental and public health risks. Policy responses must consider the normative question how responsibilities for managing such risks, and costs and burdens associated with that management, should be distributed between actors. Recently, the Polluter Pays Principle (PPP) has been advanced as rationale for such distribution. While recognizing some advantages of PPP, we highlight important ethical and practical limitations with applying it in this context: PPP gives ambiguous and arbitrary guidance due to difficulties in identifying the salient polluter. Moreover, when PPP does identify responsible actors, these may be unable to avoid or mitigate their contribution to the pollution, only able to avoid/mitigate it at excessive cost to themselves or others, or excusably ignorant of contributing. These limitations motivate a hybrid framework where PPP, which emphasizes holding those causing large-scale problems accountable, is balanced by the Ability to Pay Principle (APP), which emphasizes efficiently managing such problems. In this framework, improving wastewater treatment and distributing associated financial costs across water consumers or taxpayers stand out as promising responses to pharmaceutical pollution from human use. However, sound policy depends on empirical considerations requiring further study.

Subject headings and genre

HUMANIORA Filosofi, etik och religion Etik hsv//swe
HUMANITIES Philosophy, Ethics and Religion Ethics hsv//eng
HUMANIORA Filosofi, etik och religion Filosofi hsv//swe
HUMANITIES Philosophy, Ethics and Religion Philosophy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Medicinsk etik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Medical Ethics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Infektionsmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Infectious Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Samhällsfarmaci och klinisk farmaci hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine Social and Clinical Pharmacy hsv//eng
TEKNIK OCH TEKNOLOGIER Samhällsbyggnadsteknik Vattenteknik hsv//swe
ENGINEERING AND TECHNOLOGY Civil Engineering Water Engineering hsv//eng
environmental health
global health
one health
bioethics
health policy
environmental policy
antibiotic resistance
antimicrobial resistance
waste water treatment
sustainability
healthcare

Added entries (persons, corporate bodies, meetings, titles ...)

Fumagalli, Davide,1993Gothenburg University,Göteborgs universitet,CARe - Centrum för antibiotikaresistensforskning,Institutionen för filosofi, lingvistik och vetenskapsteori,Centre for antibiotic resistance research, CARe,Department of Philosophy, Linguistics and Theory of Science(Swepub:gu)xfumda (author)
Munthe, Christian,1962Gothenburg University,Göteborgs universitet,CARe - Centrum för antibiotikaresistensforskning,Institutionen för filosofi, lingvistik och vetenskapsteori,Centre for antibiotic resistance research, CARe,Department of Philosophy, Linguistics and Theory of Science(Swepub:gu)xmuntc (author)
Larsson, D. G. Joakim,1969Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,CARe - Centrum för antibiotikaresistensforskning,Institute of Biomedicine, Department of Infectious Medicine,Centre for antibiotic resistance research, CARe(Swepub:gu)xlarjo (author)
Göteborgs universitetCARe - Centrum för antibiotikaresistensforskning (creator_code:org_t)

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