Journal of the Forum for Medical Ethics Society Since 1993

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Current Issue
Vol IX No. 1
Jan - Mar 2012


Recent Issues



Indian Journal of Medical Ethics Vol IV No 3 July-September 2007 (incorporating Issues in Medical Ethics, cumulative Vol XV No III)
EDITORIALS
Reducing reproductive rights: spousal consent for abortion and sterilisation   Rajalakshmi 102-103
Binayak Sen: redefining health care in an unjust society   C Sathyamala 104-105
 
CONTROVERSY
AIDS vaccine trials for India: getting the facts right   Anjali Nayyar 109-110
AIDS vaccine trials for India: unanswered questions" remain unanswered  
Amar Jesani, Lester Coutinho
111-112
 
ARTICLES
A review of the ethics in research on child abuse  
Veena AS, Prabha S Chandra
113-115
Medical negligence and the law   K K S R Murthy 116-118
Discrepancies in the laws on identifying foetal sex and terminating a pregnancy in India   Talha A Rahman , Ayesha  T Siddiqui 119-120
 
CONTROVERSY
Lessons from the recently halted microbicide trial in India  
Suneeta Krishnan
121-122
ICMR guidelines on Assisted Reproductive Technology: lacking in vision, wrapped in red tape   Laxmi Murthy, Vani Subramanian 123-124
Waiting for the doctor...   Meenal Mamdani 125-126
On the other side of the waiting room   B C Rao 127-128
The dynamics of efficiency   Mushtaqh Ali 129-130
 
INTERNATIONAL ETHICS
Awareness of issues related to torture among medical students in Mauritius  
A K Agnihotri, B Purwar, Nilima Jeebun
131-132
Emerging issues in genetic testing in Sri Lanka   Deepthi de Silva 133-134
 
CASE STUDY
Did I kill a man?   Kishore Shah 134-134
The ethics of rationing antiretroviral treatment   Arupkumar Chakrabartty 135-135
Response. A violation of ethics on all counts   Shyamala Nataraj 136-137
 
SELECTED SUMMARY
Alternatives to user fees for public health care  
Bashir Mamdani
138-140
 
BOOK REVIEW
The local complexities of ethical decisions   Sandhya Srinivasan 141-141
 
FILM REVIEW
Travels through another world   Thomas Xavier 142-142
FROM THE PRESS   106-108
BOOKS IN BRIEF   143-143
FROM OTHER JOURNALS   144-146
CORRESPONDENCE   147-148

Cover: Crowd outside an ART centre in Tirupati. Photographer: K Radhakrishna.

Courtesy: Women's Initiatives (WINS)

IS IT RIGHT TO RATION ANTIRETROVIRAL TREATMENT?


How the poor live, and how doctors decide

How should doctors decide who gets antiretroviral therapy for AIDS? Is it right to refuse treatment to migrant workers who have to go back to their villages periodically? If patients develop resistance to first-line treatment, is the government justified in refusing to pay for second-line drugs? The case study in this issue raises important questions about the government’s policy and its ethical consequences.

A recent Supreme Court judgement ruled that spousal consent is required for abortion or sterilisation. An editorial writer comments on the judgement’s implications for women’s rights.

On May 14, Binayak Sen, paediatrician, public health worker and civil liberties activist, was arrested in Chhatisgarh. In the second editorial, a colleague describes how Sen views human rights work as a natural extension of health work.

Have some of us got the facts wrong about the first Phase 1 trial of an HIV vaccine in India? Or do many questions remain unanswered? We carry the International AIDS Vaccine Initiative’s response to a January editorial as well as the editorial writers’ reply.

There is a paucity of ethical analysis of research on violence, particularly involving vulnerable groups such as women and children. An article reviews Child Abuse: India 2007, a study conducted by the ministry of women and child development.

In January this year, two Phase 3 clinical trials of a microbicide in India and four other countries were halted when a preliminary analysis suggested that it was associated with a higher risk of acquiring HIV. A researcher comments on the lessons learned from the trial.

Why do patients in India have to wait for hours before seeing the doctor? Does this scenario ignore the conditions in which doctors practise? Three physicians – one based in the US and two in India – debate the subject.

Finally, the international contributions discuss subjects of increasing importance world wide. An article from Mauritius reports on medical students’ awareness of torture. From Sri Lanka, a physician reflects on current trends in testing for genetic disorders, techniques with much promise but also scope for misuse.





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