Could human challenge studies for COVID-19 vaccines be justified in South Africa?

dc.contributor.authorMoodley, K.en_ZA
dc.contributor.authorMaasdorp, E.en_ZA
dc.contributor.authorRennie, S.en_ZA
dc.date.accessioned2021-07-15T06:25:12Z
dc.date.available2021-07-15T06:25:12Z
dc.date.issued2021-03
dc.descriptionCITATION: Moodley, K., Maasdorp, E. & Rennie, S. 2021. Could human challenge studies for COVID-19 vaccines be justified in South Africa? South African Medical Journal, 111(6):559-562, doi:10.7196/SAMJ.2021.v111i6.15574.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractAlthough human challenge studies (HCSs) have been widely employed in vaccine development for malaria, dengue, typhoid and cholera, the role of this research design in COVID-19 remains controversial. While the potential social value of HCSs in the context of a pandemic is clear, bioethicists are divided on the ethics, given that effective treatment for COVID-19 has eluded us to date. While compelling ethics arguments have been offered on both sides of the debate, scientific and regulatory complexities may not have been fully appreciated. Furthermore, accelerated development of efficacious vaccine candidates in traditional clinical trials has diluted some of the arguments in favour of HCSs. In low- and middle-income country settings, including South Africa, the need for robust patient care conditions for the conduct of HCSs, coupled with considerations such as perceptions of risk, consent processes, remuneration, vaccine hesitancy, fear of exploitation and access to vaccines, makes HCSs challenging to justify.en_ZA
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/13241
dc.description.versionPublisher's version
dc.format.extent4 pages
dc.identifier.citationMoodley, K., Maasdorp, E. & Rennie, S. 2021. Could human challenge studies for COVID-19 vaccines be justified in South Africa? South African Medical Journal, 111(6):559-562, doi:10.7196/SAMJ.2021.v111i6.15574.
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.2021.v111i6.15574
dc.identifier.urihttp://hdl.handle.net/10019.1/110727
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.rights.holderAuthors retain copyright
dc.subjectCOVID-19 (Disease)en_ZA
dc.subjectBioethicsen_ZA
dc.subjectCovid-19 (Disease) -- Vaccines -- South Africaen_ZA
dc.subjectVirus diseasesen_ZA
dc.subjectHuman experimentation in medicine -- Moral and ethical aspects -- South Africaen_ZA
dc.subjectVaccines -- Clinical trials -- Moral and ethical aspects -- South Africaen_ZA
dc.subjectVaccines -- Clinical trials -- Law and legislation -- South Africaen_ZA
dc.titleCould human challenge studies for COVID-19 vaccines be justified in South Africa?en_ZA
dc.typeArticleen_ZA
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