Clearer Thinking with Spencer Greenberg 2024年07月17日
Volunteering to be infected with COVID — for science! (with Josh Morrison)
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文章探讨了疫苗研发加速的挑战,包括研究设计、伦理考量和公众参与等方面。作者认为,在疫情期间,疫苗快速研发至关重要,但同时要确保安全性和有效性。文章还讨论了伦理审查委员会的作用,以及如何更好地平衡伦理与现实需求,推动疫苗研发进程。

🤔 **疫苗研发加速的必要性与挑战**:在疫情爆发时,快速开发出有效疫苗至关重要,但同时需要确保疫苗的安全性和有效性。文章探讨了如何在疫情期间快速进行疫苗研发,并确保其安全性。 作者认为,在疫情期间,需要快速开发出有效疫苗,但同时要确保疫苗的安全性和有效性。这需要在研究设计、伦理考量和公众参与等方面进行平衡。例如,文章提到了挑战性试验,这种试验可以加速疫苗研发,但需要考虑伦理风险。 作者还探讨了伦理审查委员会(IRB)的作用。IRB通常以确保研究安全为首要目标,但在疫情期间,我们需要考虑如何平衡伦理审查和疫苗研发加速之间的关系。

😊 **伦理审查委员会的角色与改进**:伦理审查委员会(IRB)在疫苗研发中扮演着重要角色,但其过于谨慎的态度可能会阻碍研究进程。文章建议赋予IRB加速研究的权力,以平衡伦理审查和研发速度。 作者认为,IRB在确保研究安全方面发挥着重要作用,但它们也可能过于谨慎,阻碍研究进程。文章建议赋予IRB加速研究的权力,以平衡伦理审查和研发速度。 作者还探讨了如何改进生物伦理审查,建议建立更灵活的审查机制,以适应疫情等紧急情况。

😄 **公众参与与知情同意**:文章强调公众参与在疫苗研发中的重要性,并探讨了如何更好地利用志愿者参与挑战性试验。 作者指出,公众参与对疫苗研发至关重要。一些志愿者积极参与挑战性试验,以加速疫苗研发。然而,由于伦理审查的限制,这些志愿者参与的机会并不多。文章建议,在确保安全的前提下,可以更多地利用志愿者参与挑战性试验。 作者还强调了知情同意在伦理审查中的重要性,并建议改进知情同意流程,以更好地保护志愿者的权益。

Read the full transcript here.

How can we develop vaccines more quickly? What kinds of study designs are used (or could be used) during vaccine development? In pandemic situations, we need to roll out vaccines quickly; but even if we can develop and test a vaccine quickly and thoroughly, how confident can we be that there won't be long-term risks? Between ethics and pragmatics, which facet should communicators emphasize when trying to convince organizations and institutions to adopt certain vaccine development strategies? Informed consent is, of course, a hugely important requirement for using human volunteers in challenge trials; so if some people are informed, eager, and willing to volunteer their health and safety for such trials in order to aid vaccine development, then why aren't they being used more (if at all)? Since IRBs are often "all brakes and no gas", could they be given powers to accelerate research in addition to their current powers to slow or halt research? How can bioethics reviews be improved?

Josh Morrison is a serial social entrepreneur and aspiring effective altruist who has founded 1Day Sooner, Waitlist Zero, and the Rikers Debate Project. His work — in the fields of clinical trials, living organ donation, and criminal justice reform — focuses on empowering particular identity groups (research participants, kidney donors, and incarcerated people) to improve decision-making processes so as to achieve impactful policy. His projects have been covered globally in outlets such as the New York Times, CNN, the Financial Times, the BBC, Der Spiegel, Asahi Shimbun, and the South China Morning Post. His writing has been published in the Washington Post, the American Journal of Bioethics, Clinical Infectious Disease, Vaccine, Risk Analysis, Vox, STAT News, and BMJ Opinion. You can email him at josh@1daysooner.org.

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疫苗研发 伦理审查 挑战性试验 公众参与
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