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ETHICAL ISSUES IN MEDICAL RESEARCH IN THE DEVELOPING WORLD: A REPORT ON A MEETING ORGANISED BY FONDATION MERIEUX

机译:发展中国家医学研究中的伦理问题:基金会梅里埃克斯组织的一次会议的报告

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This paper reports on a multidisciplinary meeting held to discuss ethical issues in medical research in the developing world. Many studies, including clinical trials, are conducted in developing countries with a high burden of disease. Conditions under which this research is conducted vary because of differences in culture, public health, political, legal and social contexts specific to these countries. Research practices, including standards of care for participants, may vary as a result. It is therefore not surprising that ethical issues emerge. This meeting sought to identify and discuss these issues from the perspectives of the many actors in such research, including com-munity representatives, with a view to finding ethical and pragmatic solutions to these issues. Dialogue between these actors was also promoted, with a view to identifying the need to develop such dialogue in future.Drawing from the experiences of the speakers, the colloquium attempted to outline some answers to several key questions characterising the field today. Experiences related to epidemiologic research, vaccine trials. drug trials, diagnostic tests and to some fundamental ethical issues in health research. Speakers were from different countries, disciplines and profes-sions. The meeting provided a forum for consultation and debate between different ethics actors. Both encouraging findings and challenges emerged.
机译:本文报道了召开一次跨学科会议,讨论发展中国家医学研究中的伦理问题。在疾病负担高的发展中国家进行了许多研究,包括临床试验。由于这些国家特定的文化,公共卫生,政治,法律和社会背景的差异,进行这项研究的条件也有所不同。因此,研究实践(包括参与者的护理标准)可能会有所不同。因此,出现伦理问题也就不足为奇了。这次会议试图从包括社区代表在内的许多研究参与者的角度来识别和讨论这些问题,以期找到道德和务实的解决方案。会议还促进了这些行为者之间的对话,以期确定今后发展这种对话的必要性。根据演讲者的经验,讨论会试图概述一些代表当今这一领域的关键问题的答案。与流行病学研究,疫苗试验相关的经验。药物试验,诊断测试以及健康研究中的一些基本伦理问题。演讲者来自不同的国家,学科和专业。会议提供了一个论坛,供不同道德行为者之间进行磋商和辩论。令人鼓舞的发现和挑战都出现了。

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