[Ethical aspects of biological sample banks].
Numerous activities in the domain of epidemiology require the constitution or the use of biological sample banks. Such biobanks raise ethical issues. A number of recommendations are applicable to this field, in France and elsewhere. Major principles applicable to biobanks include the respect of person's autonomy, the respect of human body, the respect of confidentiality. These principles are translated into practices through the following procedures: relevant information to the persons regarding their sample management prior to informed consent, opinion of an independent ethics committee, actual implementation of conditions for protecting samples and data. However, although those principles may appear quite simple and obvious, in the context of a largely international practice of research and given the large variety of biobanks, it is not always obvious for researchers to find their way. The attitudes vary between countries, there are numerous texts for various types of biobanks, the same texts raise different interpretations in different institutions, there are new ethical opinions expressed, and mainly the novelty of questions raised by the uses of samples that are possible today, especially in genetics, and were not foreseeable at the time of sampling make the field difficult in practice. This article reviews the types of biobanks, the relevant ethical issues. It also underlines the still unclear or ambiguous situations using some examples of practical situations.
Cambon-Thomsen
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Inserm U 558-Epidémiologie et Analyses en Santé Publique, Risques, Maladies Chroniques et Handicaps , Faculté de Médecine, 37, allées Jules-Guesde, 31073 Toulouse Cedex. cambon@cict.fr
Rial-Sebbag
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D026688:Bioethical Issues; D018070:Biological Specimen Banks / Q000941:ethics*; D003219:Confidentiality; D005602:France; D030661:Genetic Privacy; D036281:Genetic Research; D006801:Humans; D007258:Informed Consent; D026684:Personal Autonomy; D010817:Physician-Patient Relations