HSCI 319W Lecture Notes - Lecture 7: United States Public Health Service, Lumbar Puncture, Josef Mengele

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Confirms safety and efficacy of treatments after implementation. Establishes whether existing or proposed interventions are cost effective. Intentional infection with diseases and poisons to observe course of death. Josef mengele: studied twins to compare amputations, transfuse blood, infect with diseases. 1932 us public health service began study of effects of untreated syphilis. Claimed justification: no harm, would not have been treated anyway. Declaration of helsinki: it is the duty of physicians who are involved in medical research to protect the life, health, dignity, integrity, right to self-determination, privacy, and confidentiality of personal information of research subjects. Point at which there is genuine uncertainty about superiority of research arms. Helps to ensure that participants" health is not needlessly endangered. Ensures study is stopped when aim of generating knowledge is achieved. Expedited ethics approval provided for studies that do increase risks beyond those faced in participants" everyday lives". Some people face higher everyday risks than others.

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