RLST 112 Lecture : RLST 110

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27 Mar 2012

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Final exam: 40 multiple choice (1 mark each): 2) 3 essay questions (60 marks): buddhism (25 marks)-3 choices, chinese religions (25 marks)-3choices, comprehensive of the whole year (10 marks) Pronounced seekism in english-pronounced sickism in india but purposely pronounced wrong otherwise bad connotation: ultimate reality: god. The muslims built partly on hinduism-however they do not believe so, instead they believe that it originated on its own. Hymns: bhakti tradition, tantric yoga-breath; bodily posture; meditation->doesn t necessarily mean that they practice yoga, mysticism-sufi. Founder of sikhism is: guru nanak-in sikhism there is only one guru and is viewed more as a. Took same approach as buddha-he took a trek all around. Deliberately dressed strangely-there is a way to dress as a hindu and as a muslim so he dressed half and half ->good opportunity to share beliefs when asked about clothing. Love the lord your god -the sikhs motto if any.

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On the Edge: A Traditional Business section on page 23 of the Velasquez textbook

In over 28 countries, mostly north African nations, female circumcisionâor female genital mutilation, as its critics call itâis generally accepted.58 Female circumcision is normally per- formed when a girl is between 7 and 12 years old. It involves cutting the girlâs external genitalia. In most countries, the pro- cedure is done by a female âpractitionerâ who uses a small knife or razor blade but no anesthesia. A young girl will often resist, so several women must hold her down while the practi- tioner works. The women who perform circumcisions charge for their services and see their work as a business. It is esti- mated that in countries where the practice is widely accepted, the annual fees collected by all the businesses that provide circumcision services total tens of millions of dollars.
Mothers in these countries feel they must have their daugh- ters circumcised because otherwise no âgoodâ man will marry them. Many believe that circumcision controls a womanâs sex- ual desires and cleanses her spiritually so that others can eat what she cooks. Although the practice is not mentioned in the Koran, many North African Muslims believe that female circum- cision is required by certain sayings they attribute to Muham- mad, the founder of Islam. However, Muslim scholars dispute both the authenticity and the interpretation of these sayings.
Many Americans and Europeans feel strongly that female genital mutilation is an immoral assault on a helpless and unwilling girl, an assault that provides her no medical benefit, risks serious infection, and permanently deprives her of the ability to feel sexual pleasure. They have pressured foreign governments to outlaw the practice and to crack down on the women who make a business of it because they are violating the human rights of thousands of girls.
Practitioners claim that Westerners who w want to prohibit female circumcision are trying to impose their own morality on others. A Somali practitioner said: âThis is a great offence and a great interference with our lives and our lifestyle. For too long Europeans have come into our countries and told us how to live our lives and how to behave and we believe that is totally unac- ceptable. We will not allow foreigners to tell us how to behave or put our businesses at risk any longer. In order for our daugh- ters to be free they must have this procedure. It is their right as women and our obligation as adults to make them into the best young women we can. Circumcision is a fundamental part of becoming a young woman and we will not deny them that because of some misplaced sense of morality from foreigners.â
Phillip Waites, a doctor and medical analyst for a news service noted, âThe core issue here is whether or not Europe- ans have the right to step into another country and demand that they change their traditions and culture.â Remarking on the many practitioners for whom female circumcision is a busi- ness, he said: âThere arenât a whole lot of jobs in Somalia. There really isnât a whole lot of anything in Somalia frankly, and these women have a specialty that not only garners them a good living but also gives them a certain status in the country that they might not otherwise have.â

Is the business of providing female circumcision services morally wrong? Why?

If a practitioner asks for a small business loan from a Western "micro-finance lender" like www.kiva.org (Links to an external site.) would it be wrong for the lender to refuse?

Would it be wrong for the lender to agree? Explain.

Is it wrong for Westerners to pressure North African governments to prevent practitioners from doing female circumcisions?

Does the case support ethical relativism or does it suggest that there are certain things that are wrong no matter what, or neither of these positions?

Write a critical response

France: The country’s first ‘saviour sibling’ is a ‘double-hope baby’
By Annick Chapoy on July 18th, 2011
The birth, in France, of its first baby to be conceived by artificial insemination on top of the selection of an embryo based on its blood, has sent new flames into the hot parliamentary debate over the reform of bioethics law.
The child’s deliberate embryonic selection rested on it not having the gene for beta thalasaemia, and its birth potential to help cure beta-thalasaemia suffered by two older siblings. Theoretically, the use of ‘saviour siblings’ has been allowed since 2006, when the 2004 Bioethics Law and associated decrees was passed. The USA has utilised this for about ten years, but such a birth is rare in Europe – and, depending on the results of a current debate, might become even rarer in France.
Umut-Talha, a name meaning 'our hope' in Turkish, entered life this February in Clamart, south-west of Paris. He weighed 3.65kg and was pronounced ‘very healthy’. His birth resulted from in vitro fertilisation after a double pre-implant genetic diagnosis that enabled doctors to choose an embryo that would not carry the disorder beta-thalasaemia, and whose blood and tissue would be compatible with that of his brother and sister. This type of technique was legalised in France with the Bioethics Law of 2004, but is still the source of great controversy in the public.
It is the first successful birth resulting from this type of pregnancy in the country. The practice is legal in numerous other European countries, including Spain and Belgium where, in 2005, the first two 'medicine babies' in Europe were born. The first birth of this type took place in the USA in 2000.
France’s first so-called ‘saviour sibling’ was born to parents of Turkish origin and he was conceived under circumstances that would have been unthinkable only a generation ago. Umut Talha’s parents had approached the hospital in Clamart just over a year ago. They had a serious problem - their two youngsters were both afflicted with the inherited blood disorder beta thalasaemia, which requires monthly blood transfusions. The parents knew the hospital was one of only three in France that was developing a treatment for their children's illness.
An embryo was screened and genetically selected from an original group of 12 embryos. It was chosen to ensure it did not carry the Beta thalasaemia gene and also due to its compatibility with the sick siblings. Besides selecting an offspring that would be spared from the disorder, the parents hoped their future baby could also become a donor of the right kind of treatment cells.
Born disorder-free, the baby’s cells also proved compatible with his two-year-old sister. Doctors feel confident that she will be cured with the cells from his discarded umbilical cord, and her monthly blood transfusions will be discontinued.
The family have since returned to their home in southern France, but plan to return to Clamart to undergo the same procedure to cure their other child, Umut’s four-year-old brother.
Following his birth, French newspapers spread ‘Medicine baby’ headlines across their pages. However, Professor René Frydman, a fertility pioneer and the ‘medical father’ of the first French test-tube baby in 1982, oversaw Umut’s case, said he preferred the term ‘double-hope baby’.
‘Medicine baby is a media term invented by people who are against this kind of procedure,’ said Prof. Frydman. In English-speaking countries, the terms ‘donor baby’ and ‘saviour sibling’ have been widely used in the media.
Umut certainly presents a double hope for his parents: the hope of having a new, healthy baby, and the hope of curing one of their sick children.
However, other scientists, religious groups and parents beg to differ. The issue of saviour babies has raised complex ethical debates, and renewed fears of a move towards ‘designer babies’, or babies whose traits – e.g. intelligence, eye-colour and height – have been predetermined.
Thus, Umut’s birth has raised questions among medical, political as well as religious circles in France. Christine Boutin, President of the Christian-Democratic party, denounced an ‘instrumentalisation of the human being, conceived in the sole purpose of being used’, while the head of the Bishop’s Conference said he was ‘totally opposed to a procedure by which somebody is being used exclusively to serve somebody else’.
The timing of Umut's birth was also significantly timely - just as the very law that allows for cases such as this to be revised. Observers say that the existing legislation guiding biotechnology in France might be tightened and restrict research in certain fields, including stem cells.
The country’s standing bioethics law allows for cases like Umut’s. In fact, the government has earmarked €800,000 per year for Clamart to practice and develop the procedure.
Nonetheless, Prof. Frydman and colleagues say a lot more needs to be done, complaining of endless hurdles to launch further research and access funds. They regret that France has started a decade after the USA and that the government is still reluctant to give them full backing.

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QUESTION 1 1. The relative importance or burden of a disease within a population will depend on a number of factors including : A. Disease frequency B. Disease severity C. Disease consequences D. All of the above

QUESTION 2 1 . With the epidemiologic transition, there is a reduction in malnutrition and _____ . A. Communicable diseases B. Injuries C. Non-communicable chronic diseases D. Mental health disorders

QUESTION 3 1. A major challenge to developing a burden of disease profile in low and middle-income countries relates to A. Unwillingness to share complete information B. Conflicting disease definitions C. Challenges obtaining information related to cause of death D. All of the above

QUESTION 4 1. The demographic transition describes which of the following changes to society A. Changes in birth and death rates that reflect a modern society B. Declines in mortality followed by a reduction in fertility C. A change in the age structure of the population D. All of the above

QUESTION 5 1. Measures of health status that combine mortality and morbidity data A. Facilitate comparisons both within and across populations B. Help estimate the quantitative health benefits from interventions C. Serve as tools to assist with resource allocation D. All of the above

QUESTION 6 1. The disability-adjusted life year is defined as A. A health gap population summary measure that combines time lost due to disability with that lost due to death B. A measure to compare the gap between the current situation to that of an ideal situation C. A measure that combines the amount of healthy life lost due to morbidity with that lost due to injury. D. Answers B and C

QUESTION 7 1. True or false? A key limitation to mortality-based indicators is that they fail to account for the morbidity caused by disease. True False

QUESTION 8 1. The most widely used composite measure of population health is the DALY, and this epidemiological measure is the sum of morbidity and ________data. A. Years of life lost (YLL) B. Morbidity C. Infant mortality rates (IMR) D. none of the above

QUESTION 9 1. What would be the best source of information on adult and infant mortality (in high income countries)? A. Disease registers B. Vital statistics C. Special survey study D. Hospital clinic statistics

QUESTION 10 1. Which term is best used to describe the proportion of people in a population who have a defined disease at a specific point of time? A. DALY B. Incidence C. Mortality rate D. Prevalence

QUESTION 11 1. Which term is best used to describe new cases of disease occurring in a population? A. DALY B. Incidence C. Mortality rate D. Prevalence

QUESTION 12 1. Which term is used to describe the absence or presence of illness or disease? A. Demography B. Morbidity C. Mortality D. Vitality

QUESTION 13 1. Mortality (death indicators) include: A. Mortality rate B. Infant mortality rate C. Neonatal morality rate D. All of the above

QUESTION 14 1. True or false? The value of life is often implicit in the way resource allocation decisions are made, which suggests that these decisions should be as explicit, open, and transparent as possible. True False

QUESTION 15 1. _________________is projected as the number one leading cause of disease burden in 2030. A. Ischemic heart disease B. Diabetes mellitus C. HIV/AIDS D. Unipolar depression

QUESTION 16 1. Some of the negative aspects of globalization include A. Greater insecurity of employment B. Poorer housing and sanitation due to rapid urbanization C. Greater vulnerability to environmental degradation D. All of the above

QUESTION 17 1. Current concerns about climate change focus on several developments including A. Rising global average land and sea surface temperature B. Increasing frequency of extreme weather conditions C. Both A and B D. None of the above

QUESTION 18 1. True or false? Diseases carried by mosquitoes are especially sensitive to meteorological conditions because they are vulnerable to changes in the ambient temperature. As a result of changing temperatures, infectious diseases such as malaria and dengue have decreased in incidence and geographic range. True False

QUESTION 19 1. True or false? International cooperation of infectious disease control has a long history that includes obligatory reporting of outbreaks of specific diseases. However, compliance with obligatory reporting has been poor due to economic consequences that have often accompanied notification of disease outbreaks. True False

QUESTION 20 1. True or false? Globalization is a relatively new phenomenon that began in the mid-20th century. True False

RLST 112 Lecture : RLST 110

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