GOVERNING
GENETIC DATABASES - COLLECTION, STORAGE AND USE:
http://www.BioNews.org.uk,
Human genetics
research is undergoing rapid and dramatic growth. Over recent
years, human genetic databases, or 'biobanks', have burgeoned in number,
size
and sophistication. Many countries are developing population-scale collections,
such as UK Biobank, to investigate complex common diseases. Meanwhile,
both
biomedical researchers and criminal forensic scientists are seeking
greater
collaboration, including through multinational networking and interlinking
of
datasets.
Such developments - the explosion in genetics and genomic research,
proliferation of biobanks of many different forms, technological innovations,
and mounting pressure for transborder data and sample sharing - starkly
demonstrate the need for an appropriate and effective framework to govern
genetic databases, both nationally and internationally. This is vital
to
safeguard fundamental rights and interests, facilitate beneficial research
for
the public good, and maintain public confidence and support. As far
back as
1995, the House of Commons Science and Technology Committee identified
human
genetics as a field 'ripe for review and regulation' (1). Yet, still
no
specifically tailored framework exists. UK laws and guidelines remain
incoherent, confusing, uncoordinated and incomplete. Various international
consortia, such as P3G (2), are attempting to achieve international
harmonisation of norms, principles, standards and procedures. But, given
widespread national variations and acute legal uncertainty, their task
is
daunting.
It is timely, then, that the King's Law Journal is publishing an inaugural
special symposium issue entitled 'Governing Genetic Databases - Collection,
Storage and Use' (3). This special issue contains five articles (together
with
an introductory paper (4)), written by eminent scholars drawn from the
UK and
abroad. The articles emerged from a seminar series hosted by the Ethox
Centre,
University of Oxford, as part of an ongoing socio-legal research project
looking into genetic database governance (5).
Between them, the five papers address a range of challenging topics,
many of
which test traditional legal concepts, governance measures and bioethical
principles. Often, they present differing perspectives. Key cross-cutting
issues and themes explored or raised include consent, data-sharing and
data
protection, special concerns around population biobanks and criminal
forensic
databases, controlling third party access, international disagreement
over
terminology and definitions, ownership, community participation, feedback
and
benefit-sharing, commercialisation, managing intellectual property rights,
genetic exceptionalism, genetic discrimination, balancing potential
conflicts
between values or rights (especially the 'public good' and individual
interests), and international consensus-building and harmonisation.
Highlighting two major cross-cutting themes gives a flavour of the breadth
and depth of analysis. First, notably all five papers tackle aspects
of
consent. Alastair Campbell and Timothy Caulfield each explore its ethical
foundations, particularly in autonomy, and consider various implications
of
this. Like them, Bartha Maria Knoppers questions the legitimacy (or
otherwise)
of 'blanket' or 'generic' forms of consent - a pressing but highly contentious
issue, especially within the international population biobanking debate.
Tellingly, all three authors' conclusions differ. Deryck Beyleveld stresses
the
centrality of consent under data protection law, revisits anonymisation,
and
questions how far data protection exemptions from consent for medical
and
genetics research in the public interest may be justified. Provocatively,
Roger
Brownsword asks whether we should introduce compulsory, universal participation
in national genetic databases that serve both forensic and public health
purposes. While all authors agree that there should be consent, then,
their
papers reflect a spectrum of opinion over its proper form and when it
should be
required.
Secondly, although the principal focus of the collection is on biomedical
research databases, forensic databases are also discussed in considerable
depth. This analysis, too, is timely. The use of bioinformation for
forensic
purposes and its governance are currently under active review in the
UK. One
particularly controversial issue here is whether, or how far, police
and
security agencies should be able to access and search non-forensic databases.
Several authors caution that supposed 'public good' (or public perception)
justifications must not become a licence to commandeer or exploit genetic
databases in ways that improperly violate individual rights. Clearly,
the
'public good' concept requires further development, not least within
the
biobanking context. The authors' calls for a full public debate - and
to embed
within the governance framework now all necessary safeguards, oversight
mechanisms and accountability structures to prevent future misuses or
abuse -
arguably should be heeded as a matter of urgency.
Overall, the articles published in the King's Law Journal special symposium
issue underscore not only the tremendous value and importance of facilitating
top quality genetic and genomic research, but also the range of issues
that any
properly constructed framework for governing genetic databases must
address.
They show that our decisions about governance potentially carry serious
implications - not only for individuals, stakeholders and the public
good, but
for the very nature and fabric of society. As biobanking activities
continue to
proliferate and diversify, policymakers and lawmakers simply must act.
Helpfully, these papers contribute by advancing our awareness and
understanding. Significantly, they also suggest possible ways to progress
the
domestic and global quests to formulate a practically workable, normatively
sound, appropriate and effective governance framework for biobanks.
- Dr Sue Gibbons, Researcher in Law, Ethox Centre, University of Oxford
References:
(1) Third Report, 'Human Genetics: The Science and its Consequences'
(London:
HMSO, 1995) paras 2 and 3.
(2) Public Population Project in Genomics Consortium,
http://www.p3gconsortium.org/.
(3) King's Law Journal, Vol. 18, No. 2 (2007), pp. 201 ff. See
http://www.hartjournals.co.uk/klj/volumes/18/issues/2/index.html.
(4) Dr Jane Kaye and I co-edited the symposium articles and co-authored
the
introductory paper.
(5) See http://www.ggd.org.uk/ and http://www.ethox.org.uk/