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Genetic Research: The Role of Citizens, Public Health and International Stakeholders

机译:基因研究:公民,公共卫生和国际利益相关者的作用

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Background: Genetic research has become an indispensable instrument for medical research, and the subjects involved have both divergent and convergent interests. Objective: The possibility of having more detailed genetic information undoubtedly offers benefits for the health of the subject, but could also pose risks and make the subject vulnerable to discrimination. Methods: The scientific community has viewed very favorably the public health utility of family history, in which data from a family whose members suffer from chronic pathologies is collected and filed, in order to develop a sort of “stratification of family risk.” Even though in the last decade the scientific and juridical literature has contributed greatly to the topic of biobanks, the perplexities that continue to surround this theme give the idea that current ethical protocols on research are inadequate. Results: Researchers, citizens, International stakeholders, mass media, Public Health and Governments play a key role in genetic research. It is obvious that the methods used for genetic research do not present intrinsic risks; they are much less dangerous than other activities of diagnosis and research. Before authorizing a research project, it is important to reflect on the responsibility and transparency of the studies to be conducted, and on the impact they may have on the interests of public health. Conclusion: We believe that the highest priority need is to develop a common language on the theme, as is the case in the sphere of clinical experimentation where rules of good clinical practice, albeit at times conflicting, have led to uniform convergences in the scientific world on the points to be actuated.
机译:背景:基因研究已成为医学研究必不可少的工具,涉及的主题既有分歧也有共同的兴趣。目的:拥有更详细的遗传信息无疑为受试者的健康带来益处,但也可能带来风险并使受试者容易受到歧视。方法:科学界非常看好家族史的公共卫生用途,其中收集并归档了其成员患有慢性病的家庭的数据,以形成一种“家庭风险分层”。尽管在过去的十年中,科学和法律文献为生物库这一主题做出了巨大贡献,但围绕这一主题的困惑仍使人认为目前的研究伦理规程是不够的。结果:研究人员,公民,国际利益相关者,大众媒体,公共卫生和政府在基因研究中发挥了关键作用。显然,用于基因研究的方法不存在内在风险;与其他诊断和研究活动相比,它们的危险性要小得多。在批准一项研究项目之前,重要的是要反思所进行研究的责任和透明度,以及对公共卫生利益可能产生的影响。结论:我们认为,当务之急是在主题上开发一种通用语言,就像在临床实验领域一样,良好的临床实践规则(尽管有时会相互冲突)导致科学界的统一趋同在要驱动的点上。

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