Gaughan E M, DeBowes R M
Department of Clinical Sciences, Kansas State University College of Veterinary Medicine, Manhattan.
Vet Clin North Am Equine Pract. 1993 Apr;9(1):93-110. doi: 10.1016/s0749-0739(17)30417-0.
Many questions concerning heritability arise when a veterinarian is asked to supervise and treat disease of congenital origin. Genetic counseling, ethics, and legality are often confronted in discussions between animal health professionals and laymen in animal industry. Guidelines have been offered as in the 1984 statement of the Judicial Council of the American Veterinary Medical Association: "Performance of surgical procedures in all species for the purpose of concealing genetic defects in animals to be shown, raced, bred, or sold as breeding animals is unethical. However, should the health or welfare of the individual patient require correction of such genetic defects, it is recommended that the patient be rendered incapable of reproduction." The Australian Veterinary Law, Ethics, Etiquette and Convention declares it fraud to alter a defect for sale purposes and unethical for a veterinarian to perform such treatments. It is permissible to correct defects causing discomfort or inconvenience, but the veterinarian is required to advise appropriate breeding counseling. Genetic counseling has progressed significantly in human medicine. This has been supported by better diagnostic methods for genetic disorders, greater acceptance of preventive measures, and extended screening programs to identify carriers of specific abnormal genes or chromosomal aberrations. Congenital diseases in veterinary medicine are constantly under investigation. The veterinary practitioner must continue to operate with an appreciation of the incomplete understanding of most of these abnormalities and act in accordance with personal ethical judgment and the guidance of the American Veterinary Medical Association when treating the affected individual animal patient.
当兽医被要求监督和治疗先天性疾病时,会出现许多与遗传性相关的问题。在动物健康专业人员与动物行业的外行人的讨论中,经常会涉及遗传咨询、伦理和合法性问题。美国兽医医学协会司法委员会1984年的声明中提供了相关指导方针:“为了掩盖用于展示、比赛、繁殖或作为种畜出售的动物的遗传缺陷而对所有物种进行手术是不道德的。然而,如果个体患者的健康或福利需要纠正此类遗传缺陷,建议使其丧失繁殖能力。”《澳大利亚兽医法律、伦理、礼仪和公约》规定,为了出售目的改变缺陷属于欺诈行为,兽医进行此类治疗是不道德的。纠正导致不适或不便的缺陷是允许的,但兽医需要提供适当的繁殖咨询。遗传咨询在人类医学中取得了显著进展。这得到了更好的遗传疾病诊断方法、对预防措施的更大接受度以及扩大的筛查项目的支持,这些项目用于识别特定异常基因或染色体畸变的携带者。兽医学中的先天性疾病一直在研究中。兽医从业者在治疗受影响的个体动物患者时,必须继续在认识到对大多数此类异常了解不完整的情况下开展工作,并根据个人的伦理判断和美国兽医医学协会的指导行事。