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Strengthening Howick’s Argument Against the Alleged Superiority of Placebo-Controlled Trials

December 20, 2016
Jeremy Howick’s (2009) article is a welcome contribution to ethical debate surrounding the use of placebo-controlled clinical trials, because it approaches the issue from an unusual angle. Historically, the assumption that placebocontrolled trials (PCTs) are methodologically superior to active controlled trials (ACTs) has shaped the ethical debate by pitting those...

The Role of Disclosure in Relation to Assent to Participate in HIV-related Research Among HIV-infected Youth

December 20, 2016
BACKGROUND: The objective of this study was to develop a culturally appropriate approach for obtaining assent from children aged eight to 17 years to participate in paediatric HIV-related operational research in Kinshasa, Democratic Republic of Congo (DRC). Included within this objective was to determine whether or not HIV disclosure should...

The FDA and Helsinki

December 20, 2016
To gain entry to the lucrative American market, newly developed drugs must be licensed by the U.S. Food and Drug Administration. Since 1975, the FDA has required applications for licensure from research studies conducted outside the United States to comply with the Declaration of Helsinki, one of the most influential...

Deflating Rhetoric About “Ethical Inflation”

December 20, 2016
The concept of risk is fundamental to research ethics, and the determination of research-related risk posed to research participants is a crucial component of the review process conducted by institutional review boards (IRBs). Burris and Davis (2009) admirably draw attention to social risks in behavioral research, rather than the more...

The Process of HIV Status Disclosure to HIV-positive Youth in Kinshasa, Democratic Republic of the Congo

December 20, 2016
As access to HIV/AIDS treatment increases in sub-Saharan Africa, greater attention is being paid to HIV-infected youth. Little is known about how HIV-positive youth are informed of their HIV infection. As part of a larger formative study informing a treatment program in Kinshasa, Democratic Republic of the Congo, semi-structured interviews...

Ethics of Mandatory Premarital HIV Testing in Africa

December 20, 2016
Despite decades of prevention efforts, millions of persons worldwide continue to become infected by the human immunodeficiency virus (HIV) every year. This urgent problem of global epidemic control has recently lead to significant changes in HIV testing policies. Provider-initiated approaches to HIV testing have been embraced by the Centers for...

Principlism, Medical Individualism, and Health Promotion in Resource-Poor Countries

December 20, 2016

Conducting Unlinked Anonymous HIV Surveillance in Developing Countries

December 20, 2016
Decades into the pandemic, the public health value of HIV surveillance is obvious. Surveillance is traditionally depicted as the “radar” or “eyes” of public health. The World Health Organization (WHO) defines it as “…ongoing, systematic collection of health data, with analysis, evaluation and interpretation of these data and prompt dissemination...

The Struggle for Ethical Conduct in Medicine

December 20, 2016

Living Apart Together

December 20, 2016
Significant inequalities in health between and within countries have been measured over the past decades. Although these inequalities, as well as attempts to improve sub-standard health, raise profound issues of social justice and the right to health, those working in the field of bioethics have historically tended to devote greater...