The WHO says it received 'implied' consent for malaria vaccinations in Africa, bioethicists say that's not enough
According to the WHO: “[A] four-dose schedule is required, with the first dose given as soon as possible after five months of age, doses two and three given at monthly intervals, and the fourth dose given 15–18 months after the third dose.” : “The vaccine pilot will help us learn more about the public health use of the vaccine and will inform WHO recommendations on broader use of the vaccine in sub-Saharan Africa.” Yet not everyone is convinced.
“An implied consent process is one in which parents are informed of imminent vaccination through social mobilisation and communication, sometimes including letters directly addressed to parents. Subsequently, the physical presence of the child or adolescent, with or without an accompanying parent at the vaccination session, is considered to imply consent,” said a WHO spokesperson.
Kimmelman also disagrees with the WHO on whether the study is research: “The fact that the activity has been registered in clinicaltrials.gov [questions the WHO’s decision to conclude its study after two years, believing it to be premature and recommends the study results be followed up for five years.
One of the authors of the study, Christine Stabell Benn of the University of Southern Denmark, tells the: “I think parents should be made aware of this doubled female mortality. Imagine that this mortality was a true finding ... If true, then how will this be perceived by the participants—that their children were unknowingly involved in a huge experiment by the authorities? This could be a disaster for public trust in vaccines and health authorities.
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