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Table 1 The four intersectional elements of precision public health ethics

From: Transparency, trust, and community welfare: towards a precision public health ethics framework for the genomics era

Hybrid principle Key variable Rationale Relationship to precision medicine ethics Relationship to public health ethics
Community health priority Importance of public health problem Public health as a prerequisite for individual heath Unique interests and needs of targeted groups Public priority principle
Shared authority Severity of social risks to individuals and groups and value of local knowledge Too much state control of individual and community choices undermines public trust Personal and group control of identifiable information Harm principle and the limits of the Ulysses contract
Least intrusive data use Social potency of information Informational security promotes trust and reduces harms Respect for informational privacy and confidentiality Least intrusive means principle
Proactive transparency Levels of community solidarity and vulnerability Transparency promotes trust and empowers community involvement Professional transparency about actionable information Social justice principle