You say tomato
A few weeks ago the Genetic Genealogist gave us a lively summary of the issues raised by this paper from Stanford’s Hank Greely. If you haven’t seen it, I think it’s probably as damning an indictment of current practice regarding human genetic research subject confidentiality and anonymity as you’ll ever read.
The current Nature Genetics features a commentary from the GAIN Collaborative Research Group (a public-private consortium of investigators carrying out genome-wide disease association studies) that offers a rather different perspective. Dig the disconnect:
GAIN:
“Investigators granted access to GAIN data should ensure confidentiality of study participants and follow any limitations specified by their informed consent.”
Greely:
“…plans for a Genome-Wide Association Studies database by the [NIH] illegally and unethically strip people of the legal status of human subjects…blanket consent, although extremely convenient for genomic biobanks, is both ethically and legally suspect.”
GAIN:
“Individual participant data will be kept secure and will not be distributed.”
Greely:
“…patient identity is not, and cannot be, effectively protected in large-scale genomic biobanks.”
GAIN:
“Data will not be used to identify or contact individual participants from any GAIN study.”
Greely:
“…the result of anonymizing data is not only nearly useless, but is itself unethical…”
“…biomedical research, including genomic biobanks, has a moral obligation, now almost always evaded, to inform research subjects of clinically significant information.”
You might say, “Yeah, well, Greely’s just one guy.” And I might say, “Yeah, well, read this article and the 15 commentaries that follow it and then talk to me about consensus.”
I don’t see a Kumbaya moment happening anytime soon.
I work as an Assistant Professor in the Duke University Institute for Genome Sciences & Policy (although this site and its content are my own).
In 2007 I became the fourth subject in Harvard geneticist George Church's Personal Genome Project. As the PGP moves forward, I am chronicling the dawn of personal genomics, that is, people obtaining their genomic information for whatever reason(s) and figuring out what to do with it. I am interested in the relevant technologies and especially the attendant privacy and other ethical/legal/social issues.
This blog may also discuss some of my non-genome interests or, to paraphrase Dwight Yoakam, "Guitars, Cadillacs, hillbilly music, etc etc."
The header image comes from the Liz Lerman Dance Exchange's multimedia performance piece, "Ferocious Beauty: Genome."