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欧洲创新药物倡议(ECNIS)卓越网络和“新基因”知识产权中生物标志物使用的社会伦理影响及沟通流程研究。

Research on the socio-ethical impact of biomarker use and the communication processes in ECNIS NoE and NewGeneris IP.

作者信息

Dumez Birgit, Van Damme Karel, Casteleyn Ludwine

机构信息

Center for Human Genetics, Department of Medicine, University of Leuven, Herestraat 49, 3000 Leuven, Belgium.

出版信息

Int J Hyg Environ Health. 2007 May;210(3-4):263-5. doi: 10.1016/j.ijheh.2007.01.018. Epub 2007 Feb 21.

Abstract

Current research projects using human biomarkers in their search for better knowledge on the interaction between environment and human health are facing sensitive ethical issues. Researchers may be put in situations in which it is unclear how to act in accordance with all necessary legal requirements on ethical aspects of research. As a consequence, scientific opportunities and important developments of which many individuals will benefit, may be missed. Sound scientific research in the field of environment and health may benefit from a "rethinking" of current theoretical frameworks and procedures issuing from clinical medicine, putting emphasis on decisional autonomy and the protection of the individual and to a much lesser degree taking into account the concept of "public interest". The protection of individuals participating in studies in the field of environmental health calls, e.g., new communication strategies from recruitment to debriefing, at individual as well as at societal levels. Research on the socio ethical aspects on HBM within ECNIS and Newgeneris is situated at the interface of science, ethics and law and should be considered in the context of one final goal: contributing to guidelines for a harmonized socio-ethical and legal approach of human biomonitoring activities in the EU, including procedures for effective and appropriate communication both a the individual and at the collective level, resulting in a European research atmosphere in which scientific research related to development and use of human biomarkers is promoted, and in which a simultaneous protection of the rights and dignity of the study subjects is guaranteed. A harmonized socio-ethical and legal approach not only increases the possibilities for comparison between data generated but may also allow for more equality in the protection of the rights of each citizen of the European Union.

摘要

当前利用人类生物标志物来深入了解环境与人类健康之间相互作用的研究项目正面临敏感的伦理问题。研究人员可能会陷入一种境地,即不清楚如何依据研究伦理方面的所有必要法律要求行事。结果,可能会错失许多人将从中受益的科学机遇和重要进展。环境与健康领域的可靠科学研究可能受益于对源自临床医学的当前理论框架和程序进行“重新思考”,这种思考强调决策自主性和对个人的保护,而在较小程度上考虑“公共利益”概念。例如,保护参与环境卫生领域研究的个人需要在个人层面和社会层面采取从招募到汇报的新沟通策略。欧洲环境与人类健康生物监测网络(ECNIS)和“新一代”(Newgeneris)内部关于人类生物监测(HBM)社会伦理方面的研究处于科学、伦理和法律的交叉点,应在一个最终目标的背景下加以考虑:为欧盟人类生物监测活动统一的社会伦理和法律方法制定指导方针做出贡献,包括在个人层面和集体层面进行有效且恰当沟通的程序,营造一种欧洲研究氛围,在这种氛围中促进与人类生物标志物开发和使用相关的科学研究,同时保障研究对象的权利和尊严。统一的社会伦理和法律方法不仅增加了对所产生数据进行比较的可能性,还可能在保护欧盟每个公民权利方面实现更大程度的平等。

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