The 130th Annual Meeting of APHA

4033.0: Tuesday, November 12, 2002 - 9:30 AM

Abstract #41966

Responsibilities of researchers toward study participants in public health research conducted in resource poor countries

Marguerite Pappaioanou, DVM, PhD, Office of Global Health, Centers for Disease Control, 1600 Clifton Rd., NE, Mailstop D-69, Atlanta, GA 30333, 404-639-7439, mxp1@cdc.gov and Dixie E. Snider, MD, MPH, Office of the Director, Centers for Disease Control and Prevention, 1600 Clifton Road, N.E, Mailstop D-50, Atlanta, GA 30333.

Public health research is conducted for a variety of purposes including identifying, describing, and measuring multiple factors which cause disease and injury, developing efficacious, safe, and acceptable public health/community-based interventions, evaluating effectiveness of these interventions in different “real world” populations and settings, identifying effective ways to deliver these interventions to different populations, and assessing the obstacles to their widespread use. Protecting human subjects participating in public health research is vital. Several international guidelines have been developed to protect human subjects participating in clinical, biomedical research much of it aimed at evaluating the safety and efficacy of drugs in randomized controlled trials. Public health research often differs from clinical medical research in a variety of ways, e.g., in purpose, approach, funding, types of researchers, research methods, and uses of data. The population vs the individual perspective is at the heart of the difference. Thus, considerations of the risks and benefits of the research to participating individuals remain important, but in the public health paradigm these concerns are considered in concert with concerns about the collective risks and benefits to communities. The difference in purpose and methodology between these perspectives is not adequately reflected in existing international ethics guidelines. Thus, these guidelines fail to accommodate public health researchers. We will discuss the differences between biomedical and public health research and provide useful guidance to public health researchers on their responsibilities in conducting research in resource poor countries.

Learning Objectives: At the conclusion of the presentation, the participant will be able to

Keywords: Ethics, Public Health Research

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Human Research Protections and Public Health

The 130th Annual Meeting of APHA