4.4 Article

Knowing who to trust: exploring the role of 'ethical metadata' in mediating risk of harm in collaborative genomics research in Africa

期刊

BMC MEDICAL ETHICS
卷 15, 期 -, 页码 -

出版社

BMC
DOI: 10.1186/1472-6939-15-62

关键词

Data sharing; Genomics; Africa; MalariaGEN; Ethnic stigmatisation; Secondary use; Ethics; Ethnic groups

资金

  1. Wellcome Trust [WT083326, WT076934/Z/05/Z, WT087285, WT096527, WT077383/Z/05/Z, 090770/Z/09/Z]
  2. MRC UK
  3. European Union Network 7 EVIMalR Consortium
  4. UK Medical Research Council [G19/9]
  5. Foundation for the National Institutes of Health as part of the Bill & Melinda Gates' Grand Challenges in Global Health Initiative [566]
  6. Medical Research Council [G0600718]
  7. MRC [MC_UP_A900_1118, G19/9, G0600718] Funding Source: UKRI
  8. Medical Research Council [G0600718, G0600718B, G19/9, MC_UP_A900_1118] Funding Source: researchfish

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Background: The practice of making datasets publicly available for use by the wider scientific community has become firmly integrated in genomic science. One significant gap in literature around data sharing concerns how it impacts on scientists' ability to preserve values and ethical standards that form an essential component of scientific collaborations. We conducted a qualitative sociological study examining the potential for harm to ethnic groups, and implications of such ethical concerns for data sharing. We focused our empirical work on the MalariaGEN Consortium, one of the first international collaborative genomics research projects in Africa. Methods: We conducted a study in three MalariaGEN project sites in Kenya, the Gambia, and the United Kingdom. The study entailed analysis of project documents and 49 semi-structured interviews with fieldworkers, researchers and ethics committee members. Results: Concerns about how best to address the potential for harm to ethnic groups in MalariaGEN crystallised in discussions about the development of a data sharing policy. Particularly concerning for researchers was how best to manage the sharing of genomic data outside of the original collaboration. Within MalariaGEN, genomic data is accompanied by information about the locations of sample collection, the limitations of consent and ethics approval, and the values and relations that accompanied sample collection. For interviewees, this information and context were of important ethical value in safeguarding against harmful uses of data, but is not customarily shared with secondary data users. This challenged the ability of primary researchers to protect against harmful uses of 'their' data. Conclusion: We identified three protective mechanisms - trust, the existence of a shared morality, and detailed contextual understanding - which together might play an important role in preventing the use of genomic data in ways that could harm the ethnic groups included in the study. We suggest that the current practice of sharing of datasets as isolated objects rather than as embedded within a particular scientific culture, without regard for the normative context within which samples were collected, may cause ethical tensions to emerge that could have been prevented or addressed had the 'ethical metadata' that accompanies genomic data also been shared.

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