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power
conducting research is an act of _____
research
involves the act of creating new knowledge — but isn’t always done in an ethical way
extraction of data and information
when conducting research with individuals or communities, they surrender data and information, and the researchers decides how that data and information are used
the syphilis study at tuskegee
conducted by the US public health service and tuskegee institute
600 black men (399 with syphilis, 201 without)
participants were misled — told they were receiving free medical care
penicillin (a cure) was withheld even after 1943
the study continued for 40 years until it was exposed by journalists
consequences and reckoning of deception
many participants suffered or died; families were affected for generations
public exposure led to outrage and lawsuits
president clinton issued a formal apology
tuskegee reinforced long-standing mistrust of medical and research institutions in black communities
vaccine voyage/balmis expedition
spanish campaign that used orphaned boys to transport the smallpox vaccine across the empire. children were intentionally infected with cowpox to maintain the vaccine in transit — raising ethical concerns about consent and exploitation of vulnerable populations
the belmont reports
created in response to tuskegee and other abuses and led to institutional review board (IRBs) and ongoing oversight
respect for persons, beneficence, and justice
what are the three core concepts of the belmont report?