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Regulation

Should we force parents to vaccinate their children? No: let’s just scare them instead

by Rebecca Roache

The BBC recently reported that some homeopaths are offering their patients homeopathic remedies designed to replace the MMR vaccine.  Given that the efficacy of homeopathic remedies is notoriously unproven, this points to the worrying conclusion that some parents who have chosen a homeopathic alternative to the MMR vaccine believe that their children are immune to measles, mumps, and rubella, when in fact they are unprotected against these diseases.

This development marks another blow for the ongoing campaign to ensure that children receive the recommended vaccinations.  Sir Sandy Macara, ex-chairman of the British Medical Association, has claimed that the UK has lower immunisation rates than some developing countries in which people have poor access to healthcare.  The percentage of the UK population currently vaccinated against MMR falls well below the level needed to achieve ‘herd immunity’ – where the number of immune individuals in the population prevents the spread of disease, thereby protecting those who are not immune – and recent outbreaks of measles in Wales has led the Welsh Assembly to consider making the MMR vaccine compulsory.  Such a move would be highly controversial, but is this a price worth paying to protect public health?

Read More »Should we force parents to vaccinate their children? No: let’s just scare them instead

Demedicalising and decriminalising drugs

Is drug addiction a disease? Substance Dependence appears as a diagnosis in the influential Diagnostic and Statistical Manual of Psychiatric Disorders (DSM-IV). There are medical specialists in the field who use a range of different drug and non-drug treatments for patients who are addicted. There are hospitals and clinics where those who are addicted can seek help. But if it is a disease why is it treated as a crime? After all we do not lock people up because they have cancer, or hepatitis, or heart disease.

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The ethics of geoengineering – comments welcome

Should we encourage or avoid large scale environmental manipulation, for example in order to reduce climate change?

Measures such as carbon dioxide capture or ocean iron fertilisation have the potential to mitigate global warming, but what ethical issues are raised by these technologies? How should we take into account the potential risks of such measures, and how should they be weighed against the risks of inaction?

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Should bio-scientists think about bio-weapons?

Following the September 11 attacks and subsequent Anthrax attacks, the US began introducing new biosecurity regulations as a counter to bioterrorism. The centrepiece of the new regulatory framework has been a list of 'select agents' – pathogens with particular potential for use in weapons of mass destruction. Agents on the list are subject to special regulatory measures limiting how the agents can be stored, transported and used.

Last week, the Proceedings of the National Academy of Sciences published an analysis of the effects of the new regulations. The authors estimate that there has been a two to five fold decrease in the ratio of scientific progress to amount of funding for research on select agents over the relevant period. Picking up the story, an article in The Scientist magazine claims that the apparent loss of efficiency is due to the chilling effect of the new regulations on research (though see the comments for some alternative explanations). It quotes scientists bemoaning the huge amount of paperwork imposed by the regulations and noting the difficulties that they create for international collaboration and, given the need for extensive background checks and psychological testing, staff recruitment.

It's interesting to consider the extent to which the Scientist's complaints (and scientists' worries more generally) are are an objection to the way that biosecurity is being done, or to the very idea of biosecurity.

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For Sale: Body Parts?

The Nuffield Council on Bioethics has recently published a consultation paper entitled Give and Take? Human Bodies in Medicine and Research: https://consultation.nuffieldbioethics.org/fileLibrary/pdf/Human_bodies_in_medicine_and_research_consultation_paper.pdf The paper seeks responses from individuals or groups on a wide range of issues relating to the use of human bodies or body parts in medical treatment and research. Section 6 is on… Read More »For Sale: Body Parts?

I’m a taxpayer, I want my data!

A ruling by the Information Commissioner has ordered scientists at Queen’s University in Belfast to hand over copies of 40 years of research data on tree rings after a long battle with a climate sceptic. (PDF of the ruling) This is an important precedent for scientists, who have to comply with the strictest interpretation of the
Freedom of Information (FoI) Act. According to the Times: "Phil Willis, a Liberal Democrat MP and chairman of the Science and
Technology Select Committee, said that scientists now needed to work on
the presumption that if research is publicly funded, the data ought to
be made publicly available." More and more, there are demands for public releases of research data.

Were the scientists right in trying to withhold data, or is the public interest stronger? Is there a moral obligation to publish not just the results of publicly funded research, but the underlying data?

Read More »I’m a taxpayer, I want my data!

Volcano Ethics: Should we be Flying the Unfriendly Skies?

An ash cloud produced by the eruption of the Eyjafjallajoekull volcano in Iceland has led to the severe disruption of airline transportation in the UK and across a wide swathe of Europe, with UK airspace almost completely closed since midday last Thursday. Passengers, freight importers and exporters, and airlines are just some of those affected by the disruption; some British employers are also taking a hit due to absent workers who went abroad for their Easter holidays and then found themselves stranded and unable to get home. The reasons for grounding the planes are non-trivial: as the International Civil Aviation Organization (ICAO) wrote in a press release last week: “Since volcanic ash is composed of very abrasive silica materials, it can damage the airframe and flight surfaces, clog different systems, abrade cockpit windows and flame-out jet engines constituting a serious safety hazard.”

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Should parents be allowed to pick their children’s sex for non-medical reasons?

Once upon
a time, there were a queen and a king who had three children, all of them boys.
They both loved their children dearly and made sure they had everything they
might need to flourish. Nevertheless, the queen and her husband still felt that
their family was incomplete without a daughter. They had hoped to have one
after the birth of their first son, but both of the queen’s subsequent
pregnancies had produced boys. As she was now getting close to the age when she
could no longer reasonably hope to have more children, she and her husband were
worried that their wish for a daughter would never be fulfilled. Finally,
deciding not to leave what might be their last attempt to chance, they traveled through the
kingdom to solicit the assistance of an eminent enchanter. He was a wise man
renowned to have produced many miracles. Feeling sympathy for the royal couple,
the enchanter granted their request and prepared a special brew for them to
drink. Nine months later, the queen gave birth to a
beautiful daughter.

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Cognitive enhancers: unfair at any dose?

How should universities tackle the use of cognitive enhancement drugs by students? Professor Barbara Sahakian raised the issue in a recent talk. While hard numbers are hard to come by, it is likely that at least a few percent of university students take drugs believed to improve cognitive ability. This may give them advantages that could be unfair (if some have access while others haven't) or would have coercive effects (if you don't take the drug but your classmates are, you will be at a disadvantage). Are enhancer use among students inherently unfair and coercive?

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Ending It, in Paternia

In the Republic of Paternia there has, of late, been a vigorous debate on the question of whether the law should change to permit marital separation in some circumstances. Some desperate Paternian couples have been illegally travelling abroad to engage in marital separations in Switterland (where they are permitted for now, though the Switts are becoming uncomfortable with their country’s renown for so-called “separation tourism”). Some of these couples have been dragged through the Paternian courts on their return. Sympathetic juries have often chosen to acquit, recognizing that their situations had become unbearable, that they had separated consensually, and that legal enforcement of their cohabiting marital relationship would only have prolonged their suffering. Moreover, prosecutors in Paternia have for a long time only selectively prosecuted cases of marital separation that illegally took place abroad.

Read More »Ending It, in Paternia