STUDENT VOICES | CHYNN ETHICS PRIZE FIRST-PLACE WINNER In recent decades, there has been a significant increase in biomedical research being conducted in developing countries. Institutes like the Bill and Melinda Gates Foundation, and the US National Institutes of Health have begun funding medical research in numerous countries in Africa and other struggling parts of the world. Research programs have started outsourcing to these areas for multiple reasons, including reduced costs and direct access to affected populations. Conducting research in developing nations can have tremendous benefits for the medical field, and in many cases, it is the best way to develop new treatment techniques, medications, and vaccines. It often makes the most sense to test new drugs or therapies on the target populations that are intended to benefit. Performing medical research in developing countries offers advantages for those conducting the research, but these efforts often fall short of the ethical … [Read more...] about Informed Consent in Developing Countries
Informed consent important
Randomized controlled trials (RCTs) are considered to be the gold standard for determining a causal effect of medical interventions. To achieve this aim, possible confounding factors must be avoided. This implies excluding many patients from participating in the trial, for example, patients with concomitant conditions. A negative consequence of these exclusions, however, is limited generalizability. Studying the artificially uniform participant group, you will be able to determine a causal effect, but you will know much less about real-life treatment outcomes in the population where the intervention actually will be used. Further artificiality is created by the written informed consent procedure, which excludes even further patients from participating in the trial. Moreover, because they know they participate in a clinical trial, participants may change their behavior. All this points to the importance of so-called pragmatic randomized controlled trials. In such trials, the … [Read more...] about Pragmatic trials without informed consent?
Would you agree to immunize your child if you knew the vaccine had aluminum phosphate, bovine serum or formaldehyde? What about human diploid fibroblast cell cultures − cultures of human fetal tissue? Sen. Paul Boyer, R-Phoenix, wants to mandate in state law that you be given the option of getting that information — and get it before any injections. Boyer said he’s not necessarily opposed to vaccinations for children, though he said that he will have to develop a personal philosophy now that his wife is due to give birth in two months. And he sidestepped questions of whether he personally believes that vaccines are harmful. Paul Boyer But he said there has been an explosion in the number of vaccines that are scheduled to be given to children, going from five in the 1960s to more than 70 now. More to the point, Boyer said parents are entitled to the same kind of “informed consent” about vaccines as they would get before any medical procedure. And his SB … [Read more...] about Bill mandates informed consent for childhood vaccinations
The New Zealand Cricket Players Association has issued an updated handbook of players guidelines with a detailed list of instructions on what counts as informed consent, in the wake of the #MeToo campaign that has struck many parts of the world. According to a report by the New Zealand Herald, the handbook programme has been running for seven years, dealing with several potential issues, including doping, life after cricket and sexual consent. According to the report, NZCPA head Heath Mills said that the aspects outlined in the programme had not been included in the handbook and decision to include them now was simply based on making the material more accessible to players around the country. The guidelines state that making good decisions is important in all aspects of life, especially in sexual relationships. The guidelines describe sexual consent as an absolutely crucial aspect of sexual relations, adding that getting informed consent is required by law "each time" and it must be … [Read more...] about #MeToo: New Zealand cricket team gets consent guideline
On July 4, a television crew conducted interviews with two individuals through the fence of a Durban and Coastal Mental Health facility in the Durban suburb of Sherwood. The footage was broadcast, though the newsclip is no longer available online. What might have seemed a legitimate journalistic enterprise at a facility that has been in the news lately on the grounds of umpteen – strongly contested – allegations was, in fact, a grave misjudgment that focuses critical light on the rights of people with mental disabilities. The two interview subjects were mental health care users, who did not realise they were being interviewed by journalists or that what they said would be televised. This was an unquestionable violation of the rights of these individuals, who were exploited and placed in a position in which they compromised the place where they lived and socialised without intending to or appreciating the risks of doing so. This incident raises testing questions about how we … [Read more...] about Consent is complex when it comes to people with mental disabilities