Evidence map›Paper›PMID 25593592›Full record

ArticleGenome medicine2014

Genomics and infectious disease: a call to identify the ethical, legal and social implications for public health and clinical practice.

Gail Geller, Rachel Dvoskin, Chloe L Thio, Priya Duggal, Michelle H Lewis, Theodore C Bailey, Andrea Sutherland, Daniel A Salmon, Jeffrey P Kahn

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. VBEBioMedicine · 2021
    Article
  3. Article
  4. Article
  5. Article
  6. Just data? Solidarity and justice in data-driven medicine.Life sciences, society and policy · 2020
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Societal Implications of the Internet of Pathogens.Journal of clinical microbiology · 2019
    Article
  12. Review
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Gail GellerBerman Institute of Bioethics, Johns Hopkins University, Baltimore, MD 21205 USA ; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205 USA ; Department of Health, Behavior & Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA ; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA.
Rachel DvoskinBerman Institute of Bioethics, Johns Hopkins University, Baltimore, MD 21205 USA.
Chloe L ThioDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205 USA.
Priya DuggalDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA.
Michelle H LewisBerman Institute of Bioethics, Johns Hopkins University, Baltimore, MD 21205 USA.
Theodore C BaileyBerman Institute of Bioethics, Johns Hopkins University, Baltimore, MD 21205 USA ; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205 USA.
Andrea SutherlandDepartment of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA.
Daniel A SalmonDepartment of Health, Behavior & Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA ; Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA.
Jeffrey P KahnBerman Institute of Bioethics, Johns Hopkins University, Baltimore, MD 21205 USA ; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 USA.
Johns Hopkins University · USJohns Hopkins Berman Institute of Bioethics · USJohns Hopkins Medicine · US

Funding

GUIDE: Genomic Uses in Infectious Diseases and EpidemicsP20HG007261 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI GELLER, GAIL, KAHN, JEFFREY P. · 2013 to 2015
$826k
NHGRI NIH HHS P20 HG007261
6 · The paper itself

Abstract

Advances in genomics are contributing to the development of more effective, personalized approaches to the prevention and treatment of infectious diseases. Genetic sequencing technologies are furthering our understanding of how human and pathogen genomic factors - and their interactions - contribute to individual differences in immunologic responses to vaccines, infections and drug therapies. Such understanding will influence future policies and procedures for infectious disease management. With the potential for tailored interventions for particular individuals, populations or subpopulations, ethical, legal and social implications (ELSIs) may arise for public health and clinical practice. Potential considerations include balancing health-related benefits and harms between individuals and the larger community, minimizing threats to individual privacy and autonomy, and ensuring just distribution of scarce resources. In this Opinion, we consider the potential application of pathogen and host genomic information to particular viral infections that have large-scale public health consequences but differ in ELSI-relevant characteristics such as ease of transmission, chronicity, severity, preventability and treatability. We argue for the importance of anticipating these ELSI issues in advance of new scientific discoveries, and call for the development of strategies for identifying and exploring ethical questions that should be considered as clinical, public health and policy decisions are made.

Identifiers

PMID25593592
PMCPMC4295297
OpenAlexW2159421691

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.