Deliberate Microbial Infection Research Reveals Limitations to Current Safety Protections of Healthy Human Subjects.

Here we identify approximately 40,000 healthy human volunteers who were intentionally exposed to infectious pathogens in clinical research studies dating from late World War II to the early 2000s. Microbial challenge experiments continue today under contemporary human subject research requirements....

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Publicado en:Science & Engineering Ethics Vol. 21; no. 4; pp. 1049 - 1065
Autores principales: Evers, David, Fowler, Carol, Mason, Jeffrey, Mimnall, Rebecca
Formato: Artículo
Publicado: Springer Nature Aug2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        au:
          Evers, David
          Fowler, Carol
          Mason, Jeffrey
          Mimnall, Rebecca
        affil:
          Veterans Affairs Maryland Health Care System, Research Service, 10 North Greene Street Baltimore 21201 USA
          Office of Research and Development, Veterans Health Administration, Washington USA
      su:
        Human research subjects
        Volunteers
        Institutional review boards
        Medical experimentation on humans
        Pathogenic microorganisms
        Evaluation
      sug:
        subj:
          Human research subjects
          Volunteers
          Institutional review boards
          Medical experimentation on humans
          Pathogenic microorganisms
          Evaluation
      keyword:
        Deliberate infection
        Duty of care
        Exaggerated benefits
        Healthy human subject research
        Intentional infection
        Maximum risk
        Microbial challenge experiments
      ab: Here we identify approximately 40,000 healthy human volunteers who were intentionally exposed to infectious pathogens in clinical research studies dating from late World War II to the early 2000s. Microbial challenge experiments continue today under contemporary human subject research requirements. In fact, we estimated 4,000 additional volunteers who were experimentally infected between 2010 and the present day. We examine the risks and benefits of these experiments and present areas for improvement in protections of participants with respect to safety. These are the absence of maximum limits to risk and the potential for institutional review boards to include questionable benefits to subjects and society when weighing the risks and benefits of research protocols. The lack of a duty of medical care by physician-investigators to research subjects is likewise of concern. The transparency of microbial challenge experiments and the safety concerns raised in this work may stimulate further dialogue on the risks to participants of human experimentation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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