human rights and bioethics: regulating global research george j. annas, jd, mph professor &...

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Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston University School of Public Health

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Page 1: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston

Human Rights and Bioethics: Regulating

Global Research

George J. Annas, JD, MPHProfessor & Chair

Department of Health Law, Bioethics & Human RigthsBoston University School of Public Health

Page 2: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston

Presenter Disclosures

No financial relationship with any phramaceutical or biotechnology company, including those that will be mentioned in this talk: Pfizer, Wyeth and Genzyme.

Page 3: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston

Informed Consent

• Health Law

• Bioethics

• Human Rights

• Synthesis?

Page 4: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 5: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 6: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 7: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 8: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston

Nuremberg Code

• Consent: Voluntary, Competent, Informed and Understanding

• Right to withdraw at any time

• Plus 8 subject welfare provisions

Page 9: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 10: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston

Helsinki Declaration

• Meant to Replace Nuremberg

“Therapeutic Privilege”

• Research/Treatment

• Researcher/Physician

• Subject/Patient

Page 11: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 12: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 13: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 14: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 15: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 16: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 17: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 18: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 19: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 20: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston
Page 21: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston

Continuing Controversies

• Consent (content, doc, quality, followup)

• Benefit Sharing (responsibility, followup)

• IRBs (defective protection mechanism?)

• Research or health care? Prevent/treat?

• Universal standards and enforcement

• The relevance of the “right to health”

Page 22: Human Rights and Bioethics: Regulating Global Research George J. Annas, JD, MPH Professor & Chair Department of Health Law, Bioethics & Human Rigths Boston