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Need for robust and inclusive public health ethics review of the monitoring of HIV phylogenetic clusters for HIV prevention
Letter/Communication   Peer reviewed

Need for robust and inclusive public health ethics review of the monitoring of HIV phylogenetic clusters for HIV prevention

Mark Gilbert, Luke Swenson, David Unger, Ayden Scheim and Daniel Grace
The lancet HIV, v 3(10), e461
Oct 2016
PMID: 27687039

Abstract

The near real-time monitoring of HIV transmission hotspots with HIV genotype data described by Art Poon and colleagues1 is a powerful and promising public health approach to reduce transmission. As acknowledged by the authors, these data cannot directly identify transmission events, and safeguards were instituted to ensure that interventions targeted clusters, not individuals. However, as molecular techniques such as next-generation sequencing yield increased certainty in detecting transmissions between individuals and become more widely available, the ethical implications of this change in public health surveillance assume even greater importance.2 Potential harms need to be identified and carefully mitigated, particularly the noted potential for misuse of data in criminal cases of HIV non-disclosure in Canada and worldwide.3 Justification for use of individuals' private clinical data also requires that substantial public benefits are clear.

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Collaboration types
Domestic collaboration
Web of Science research areas
Immunology
Infectious Diseases
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