| Course | PUBH 6600 Leadership and Professional Practice in Public Health |
|---|---|
| Week | Week 1 |
| Paper type | Discussion post with replies |
| Length | About 640 words, 4 pages |
| Format | Discussion post, APA 7 citations |
| School | Walden University |
| Program | Master of Public Health (MPH) |
| Updated | October 2026 |
Free sample paper for PUBH 6600 Week 1
Week 1 Discussion: Professional Obligation in Public Health Practice
One Map Left Out: A Discussion Post Arguing That a Harmful Algal Bloom Program Manager Owes a Narrow Refusal, Not a Walkout, When Told to Drop a Lake's Advisory Map From a County Board Presentation, With Two Replies
Main Post
I manage the recreational water program in Kestrel County, a composite lake county in the upper Midwest, and part of my job is monitoring Mallard Lake for cyanobacteria blooms. Next week I present our summer data to the county board. My director has asked me to leave out the map showing repeated toxin advisories in the lake's south basin, where the Pine Shore Resort sits, while the board negotiates a shoreline lease with the resort. Her reasoning is that the board will see the full data in the fall report and that a public map now could derail a deal that brings jobs.
I think my role obliges a narrow refusal, and only that. I would not walk out, go to the press or refuse to present. I would decline one thing: presenting a partial picture as if it were the whole one.
Here is why. The south basin is where advisories cluster. EPA's recommended swimming advisory values for cyanotoxins, 8 micrograms per liter for microcystins and 15 for cylindrospermopsin, are designed to protect children, who swallow more water while playing (U.S. Environmental Protection Agency [EPA], 2019). Our samples there exceeded the microcystin value on several dates this summer. Harmful algal bloom illness is not hypothetical; national surveillance recorded 389 human illness cases and 413 animal cases across 18 reporting states in 2016 to 2018, almost all during the warm months (Roberts et al., 2020). If I present lake-wide averages without the map, board members will reasonably conclude the lake is broadly safe and may approve terms, such as an expanded swimming beach, that put children in the basin with the worst readings.
The public health code of ethics asks that communities have the information they need for decisions affecting their health, and that public health institutions provide it in a timely way (Thomas et al., 2002). A board deciding a shoreline lease is exactly such a decision.
At the same time, my director's concern is not frivolous, and I am not the only person whose judgment counts. So the refusal I have in mind is narrow. I would tell her, before the meeting and in writing, that I can present the summer data without the map only if I say plainly that basin-level results differ and are available on request. If she prefers that I not present at all, I would accept that, because her authority to choose the presenter is legitimate. What I would not do is stand at the podium and imply the lake-wide average is the full story.
I'd value others' views on whether this narrow line holds, or whether it is too clever by half.
Reply From Tamika
I like the narrow approach, but what if your director says even mentioning basin differences is off limits? Then does the refusal grow?
Response to Tamika
Yes, I think it would. If I cannot even say the averages hide basin differences, then presenting at all becomes the misleading act, and I would ask her to have someone else present. I would also ask that the request be put in writing. I still would not go outside the department at that stage; the fall report remains a route for the full data.
Reply From Owen
Couldn't you just give the board the map in a handout without comment?
Response to Owen
I thought about it, but that would be doing indirectly what my director asked me not to do directly, without telling her. The narrow refusal works only if it is open. If I disagree, she should know exactly where the line is and why.
References
Roberts, V. A., Vigar, M., Backer, L., Veytsel, G. E., Hilborn, E. D., Hamelin, E. I., Vanden Esschert, K. L., Lively, J. Y., Cope, J. R., Hlavsa, M. C., & Yoder, J. S. (2020). Surveillance for harmful algal bloom events and associated human and animal illnesses: One Health Harmful Algal Bloom System, United States, 2016-2018. Morbidity and Mortality Weekly Report, 69(50), 1889-1894. https://doi.org/10.15585/mmwr.mm6950a2
Thomas, J. C., Sage, M., Dillenberg, J., & Guillory, V. J. (2002). A code of ethics for public health. American Journal of Public Health, 92(7), 1057-1059. https://doi.org/10.2105/AJPH.92.7.1057
U.S. Environmental Protection Agency. (2019). Recommended human health recreational ambient water quality criteria or swimming advisories for microcystins and cylindrospermopsin (EPA 822-R-19-001). https://www.epa.gov/wqc/recreational-water-quality-criteria-and-methods
PUBH 6600 Week 1 instructions, in plain terms
The first discussion in a leadership and professional practice course usually presents or asks for a workplace dilemma and asks what a public health professional is obliged to do. Prompts often require identifying the competing duties, citing an ethical code or professional standard, proposing a course of action and explaining why it is proportionate. A source from the literature or a professional code is expected, plus two replies. Posts that describe the dilemma vividly but stop short of a decision earn partial credit; the course wants a position. Strong posts treat the supervisor's reasoning fairly, distinguish what the professional must refuse from what she can accept, and say what would make the response escalate.
How this PUBH 6600 Week 1 example is built
The post opens with the dilemma in concrete terms, including the director's reasons, and a margin note explains why fairness to the director matters. The writer then states the narrow refusal she would make and what she would not do. A paragraph explains the stakes using EPA's advisory values and national illness surveillance, and links the board's decision to the code of ethics on community information. A paragraph sets out the narrow refusal in practice, written and open. Each reply raises a reasonable challenge; the responses explain when the refusal would grow and why a quiet handout would be dishonest toward the director. The post ends by inviting classmates to test whether the narrow line holds.
Where the marks sit in the PUBH 6600 Week 1 rubric
Discussion grading in this course generally weights ethical reasoning, use of professional standards, practicality and engagement. Reasoning credit goes to posts that identify the specific act that would be wrong rather than objecting to the whole situation. Standards should be cited accurately and applied to the facts. Practicality is shown by a response the professional could actually carry out without harming relationships unnecessarily. Engagement credit comes from replies that answer challenges with reasons, including admitting when a line would move. Clarity, length and APA citation make up the remainder. Posts that leap to whistleblowing without trying internal routes typically lose points on proportionality. Posts that name what would make the response escalate, and what would not, show judgment about proportion that graders look for.
PUBH 6600 Week 1 help: mistakes that cost marks
Students often present the choice as all or nothing: comply silently or refuse entirely. Look for the narrowest act that would be wrong, and refuse only that. Describe your supervisor's reasons fairly. Name the standard that guides you and quote the relevant principle briefly. Say what you would do if the request widened. Keep the refusal open and in writing. In replies, take challenges seriously. We can draft a first post built around the dilemma your section was given. If you choose a dilemma from your own workplace, change identifying details and keep the facts that create the conflict.
Get a PUBH 6600 Week 1 example written to your instructions
Send the thread prompt and discussion rubric for Week 1, with the case your section posted if there is one; an initial post and both replies, built on a refusal narrow enough to carry out, reach you in 24 to 48 hours, the first one free. Sections that assign a professional code see it cited in place of Weber.
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PUBH 6600 Week 1 questions, answered
Where can I find a free PUBH 6600 Week 1 sample paper?
Both the Week 1 post and its replies are shown higher on this page, about dropping a lake advisory map from a board presentation.
What is a narrow refusal in public health practice?
Declining only the specific act that would mislead, such as presenting partial data as complete, while accepting the rest of a supervisor's decision.
What are EPA's swimming advisory values for cyanotoxins?
EPA recommends 8 micrograms per liter for microcystins and 15 micrograms per liter for cylindrospermopsin.
Why not hand out the map without telling the director?
It would do indirectly what the director asked not to be done, without being open about the disagreement.
When would the refusal grow?
If the manager could not even say that averages hide basin differences, she would ask that someone else present.