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2010 Hardcover New Book New and in stock. 7/1/2010. *****PLEASE NOTE: This item is shipping from an authorized seller in Europe. In the event that a return is necessary, you
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Overview
"Following the boom in population databases in recent years there has been sustained and intense international debate about political processes and legal and ethical issues surrounding the protection and use of genetic data. As a result, several national and international organizations and committees have published widely differing guidelines and statements concerning genetic database and biobanks." "This book compares the new area of biobanking with the tradition of ethically accepted classical research. It highlights distinctive features of existing databases and guidelines, identifies areas of consensus and controversy, investigates why genetic databases are a challenge to classical health research ethics and analyses why various guidelines differ." "The book will be helpful to academics, biobankers, policy-makers and researchers in the field of medical ethics." "Elger splendidly describes the evolving global responses---both creative and misguided---to the ethical challenges arising in research using genetic databases and offers thoughtful suggestions for balancing the interests of science and ádonors'. As insightful as it is comprehensive, this book is essential reading not only for bioethicists but for anyone who uses, oversees, or simply wants to understand biobanks, which are playing an increasingly essential role in biomedical and epidemiological research. Alexander M. Capron, University of Southern California, USA" Bernice Elger provides a solid basis for better-informed discussion on the ethical issues of genetic databases: a well-structured analysis of diverse national legislation and regulation, a critical comparison of international guidelines, showing their imperfections and inconsistencies and a stimulating presentation of the ethical principles. The section on the need to embrace ásolidarity' as an ethical principle to counteract the overly individualistic approach of átraditional' ethical discourse in the field of medicine and life sciences is one of the high points of the book. It should be read by researchers using genetic databases, ethicists and decision makers. Timothy Harding, University of Geneva, Switzerland.
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Table of Contents
List of Tables
About the Author
Foreword Arthur L. Caplan Caplan, Arthur L.
Acknowledgements
1 Introduction 1
General Background 1
The Scope and Definitions 6
2 Selected Existing Genetic Databases: Distinctive Features, Ethical Problems and the Public Debate 11
The Icelandic Health Sector Database 11
The UK National Biobank 25
The Estonian Gene Bank 36
A Genetic Database from Switzerland: The Swiss Pediatric Oncology Group (SPOG) Tumor Bank 45
Four Biobanks - Four Situations - Four Ethical and Legal Solutions? 51
3 The Ethical Debate: Principles, Values and Interests-The Ethical Foundations of Guidelines 53
Value and Limits of Ethical Principles 53
Interest-based Ethical Reflections 91
Rules for Balancing Interests and Principles: Proposition of an Ethical Framework for Research Involving Genetic Databases 97
4 Selected Issues of Consensus and of Controversy 141
Consent and Withdrawal 141
Confidentiality, Access to Data and Assessment of Risks 168
Feedback to Study Participants 214
Benefit Sharing 236
5 Ethical Issues of Human Genetic Databases and the Future 251
Lessons Learned: The Productive Dialogue 251
Ethical Issues of Human Genetic Databases: A Challenge to Classical Health Research Ethics? 253
The Future: Old and New Challenges 254
References 257
Index 301