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Arch Med Res ; 51(6): 572-573, 2020 08.
Article in English | MEDLINE | ID: covidwho-141598

ABSTRACT

A TV debate in April 2020 between two French doctors regarding the benefits of testing a coronavirus vaccine in Africa where there are no masks or treatments available has led to international criticism. This case highlights a problematic ethical double standard in multinational clinical research: trials that would be considered unethical in high income countries (e.g., placebo-controlled where there is an existing treatment) are nonetheless justified in low-and-middle-income countries because the existing standards of care are less (i.e., no access to a treatment). Underlying this ethical double standard in some multinational clinical trials is a moral imperialism and persistent colonialist thinking that must be rejected.


Subject(s)
Clinical Trials as Topic/ethics , Coronavirus Infections/diagnosis , Coronavirus Infections/prevention & control , Ethics, Research , Pandemics/prevention & control , Pneumonia, Viral/diagnosis , Pneumonia, Viral/prevention & control , Viral Vaccines/therapeutic use , Africa , Betacoronavirus , COVID-19 , COVID-19 Vaccines , Colonialism , Developing Countries , Ethical Relativism , France , Human Experimentation/ethics , Humans , Moral Obligations , Personal Protective Equipment , Research Subjects , SARS-CoV-2
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