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International Journal of Epidemiology 2001;30:1221-1225
© International Epidemiological Association 2001


Editorial

Public health and data protection: an inevitable collision or potential for a meeting of minds?

Debbie A Lawlora and Tracey Stoneb

a Department of Social Medicine, University of Bristol, Bristol, UK.
b Centre for Ethics in Medicine, University of Bristol, Bristol, UK.

DA Lawlor, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK. E-mail: d.a.lawlor@bristol.ac.uk

‘Public health is the arena in which clinical medicine, epidemiology, management, politics, and the law all meet—or perhaps more accurately, collide.‘1

This quote from a publication on data protection surprisingly, but not uniquely omits ‘the public’ from the public health arena. Recently it has been suggested that changes in data protection legislation may jeopardize public health practice and research. In this paper we summarize current data protection legislation and guidance and discuss the implications of these for public health practice. In addition we discuss recent changes to legislation and guidance in relation to established medical ethical principles and argue for a greater involvement of the public in the debates that will inform development of legislation in this area.

Legislation and Guidance

European Data Protection Act 19982
This sets out legal requirements for the use and handling of personal data for all member states of the European Union. A requirement of the act is that informed consent is obtained . . . [Full Text of this Article]

National standards to protect patients' personal medical records—US legislation3
Health and Social Care Bill—UK4
Declaration of Helsinki5
UK General Medical Council guidance
The House of Lords Select Committee on Science and Technology report on human genetic databases—UK10
Case law
Implications for Public Health Practice and Research

Research quality
Public health surveillance
Global public health
Data Protection Legislation and Medical Ethics

The Way Forward—Increasing Public Awareness and Involvement in the Debate

References


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