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First Do No harm : Considering and Minimizing harm in Recommender Systems Designed for Engendering Health Jennifer D. Ekstrand2 and Michael D. Ekstrand1,2 1Dept. of Computer Science Texas State University San Marcos, TX USA 2Dept. of Computer Science Boise State University Boise, ID USA In this paper, we consider some ways in which recommender sys-tems designed to engender health may bring harm to their users, or others they impact, and discuss how the ethic of beneficence applies to health-related recommendations. We consider nutrition-oriented recommendation, examining some of the adverse outcomes that may arise as the recommender interacts with people in broad, real-world scenarios, and present a set of problems and some sugges-tions that researchers and practitioners may consider as they seek to maximize the positive impact of health recommendation.

“First do no harm.” That utterance is one of the most widely-recog-nized statements of the fundamental bioethics principal of non-maleficence. Non-maleficence is one component of the principle of beneficence that is foundational to human subjects research [13]

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