[Ethics and prevention: environmental and individual disparities].
The complex interactions which exist between environmental variabilities, genetic susceptibility of population subgroups, and high individual variability for age, sex, gender, ethnicity and general status of health, acquire an ever-increasing bioethical significance. Different risk conditions caused by toxic environmental agents and environmental inequities and inequalities are increasingly evident. "Social determinants" of health increase the probability of health effects and an effective intervention of prevision and prevention for environmental pathologies is needed. The debate on environmental inequalities caused by cultural, social and economic factors and the uncertainty about possible prevention emphasize the limits of the "bio-medical model". Ethics with its further anthropological and philosophical considerations may strongly help to understand the relationship between environmental pollution and health.
Ricciardi
Claudio
C
Dipartimento Ambiente e Connessa Prevenzione Primaria, Istituto Superiore di Sanità, Roma. ricciard@iss.it
D004777:Environment; D004989:Ethics; D020022:Genetic Predisposition to Disease; D006801:Humans; D011322:Primary Prevention; D012307:Risk Factors; D017132:Workplace