Ethical Issues in Global Health Research
Readings
Research Policies:
- Nuremberg Code
- World Medical Association Declaration of Helsinki
"In the field
of biomedical research, a fundamental distinction must be recognized
between medical research, in which the aim is essentially diagnostic or
therapeutic for a patient, and medical research, the essential object
of which is purely scientific and without implying direct diagnostic or
therapeutic value to the person subjected to the research. "
- Belmont Report: Ethical principles and guidelines for the protection of human subjects of research
Report of the
National Commission for the Protection of Human Subjects of Biomedical
and Behavioral Research; Department of Health, Education, and Welfare.
- Biomedical Ethics in U.S. Public Policy - Office of Technological Assessment (OTA) report
Provides a
basic introduction to bioethics -- the issues raised by the Tuskegee
Experiment, federal policies, international initiatives, statutes, etc.
Articles:
- Testing Drugs in People--FDA Special Issue on New Drug Development
"Controlled
clinical trials, in which results observed in patients getting the drug
are compared to the results in similar patients receiving a different
treatment, are the best way science has come up with to determine what
a new drug really does."
The highest attainable standard: Ethical issues in AIDS vaccines. Barry R. Bloom, Science, 00368075, 01/09/98, Vol. 279, Issue 5348
- Editorial: War crimes and medical science
"Fifty years
ago in Nuremberg, Germany, 23 physicians and scientists stood trial for
war crimes committed before and during the Second World War. The
medical trial, and its more famous predecessor, the international
military tribunal, have left us with defining statements of ethical
principle."
- More than One Ethical Issue in Drug Trials (AIDS treatment)
The article
from the International Association of Physicians in AIDS Care about the
ethics of comparison drugs trials that involve treatments that some
argue aren't effective.
- Issues in Medical Ethics
An Indian Journal covering different questions about ethics
and medicine, including clinical trials and research issues in
developing countries. Particular focus on clinical trials of
contraceptives and also AZT trials on pregnant women in developing
countries.
Case Study: Field Testing HIV Vaccines
- Uganda AIDS Vaccine Test: Urgency Affects Ethics Rules
"Vaccines have
been traditionally developed in nations with excellent health care
systems so that any vaccine failure can be addressed and treated.
However, the need for an HIV vaccine is so great in nations like
Uganda--which has a 20 percent HIV infection rate--that they have gone
ahead and initiated trials."
- International AIDS Vaccine Initiative (IAVI)
The International AIDS Vaccine Initiative (IAVI) is a global
organization working to speed the development and distribution of
preventive AIDS vaccines. A pro-vaccine development organization
started by Rockefeller Foundation, the World Bank, and a number of other organizations.
- International AIDS Vaccine Initiative (IAVI): Bellagio Report et al.
The Bellagio Report: Accelerating the Development of Preventive HIV Vaccines for the World -- Summary Report and Recommendations of an International Meeting in Bellagio, Italy.