© 2004 BMJ Publishing Group Ltd & Institute of Medical Ethics
CONTROVERSY
The ethics of research related to health care in developing countries
1 Department of History and Philosophy of Science, University of Cambridge, Cambridge, UK
2 Nuffield Department of Medicine, John Radcliffe Hospital, Oxford, UK
Correspondence to:
Correspondence to:
J R McMillan
Department of History and Philosophy of Science and Cambridge Genetics Knowledge Park, University of Cambridge, Free School Lane, Cambridge CB2 3RH, UK; jm439{at}cam.ac.uk
A report by the Nuffield Council on Bioethics, contrary to the Declaration of Helsinki, permits most important research initiatives in developing countries.
The Ethics of Research Related to Health Care in Developing Countries by the Nuffield Council on Bioethics makes a number of innovative recommendations that depart from codes such as the Declaration of Helsinki. It recommends that standards of care might be relativised to the standard of that nation. It recommends that very good reasons need to be given for not giving post-trial access to medications but recognises that there may be justifiable instances of this. It is the view of the authors that these and other recommendations of the report are sensible pieces of advice given the complexities of the developing world.
Keywords: Helsinki; developing world; ethical review; research; standard of care
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