Evidence map›Paper›PMID 33726763›Full record

ArticleMalaria journal2021

Ugandan stakeholder hopes and concerns about gene drive mosquitoes for malaria control: new directions for gene drive risk governance.

Sarah Hartley, Robert D J Smith, Adam Kokotovich, Chris Opesen, Tibebu Habtewold, Katie Ledingham, Ben Raymond, Charles B Rwabukwali

Abstract read
In one paragraph

Article in Malaria journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

8 authors.

Sarah HartleyUniversity of Exeter, Northcote House, Queen's Drive, Exeter, EX4 4QJ, UK. Sarah.Hartley@exeter.ac.uk.ORCID http://orcid.org/0000-0002-4849-5685
Robert D J SmithScience, Technology & Innovation Studies, School of Social and Political Sciences, University of Edinburgh, Chisholm House, High School Yard, Edinburgh, EH1 1LZ, UK.
Adam KokotovichDepartment of Forestry & Environmental Resources, Genetic Engineering and Society Center, North Carolina State University, Campus Box 7565, Raleigh, NC, 27695-7565, USA.
Chris OpesenMakerere University, PO Box 7062, Kampala, Uganda.
Tibebu HabtewoldDepartment of Life Sciences, Imperial College London, Exhibition Road, London, SW7 2AZ, UK.
Katie LedinghamUniversity of Exeter, Northcote House, Queen's Drive, Exeter, EX4 4QJ, UK.
Ben RaymondUniversity of Exeter, Penryn Campus, Treliever Road, Penryn, TR10 9FE, UK.
Charles B RwabukwaliMakerere University, PO Box 7062, Kampala, Uganda.

Funding

The British Academy KF2\100179The British Academy KF400306
6 · The paper itself

Abstract

backgroundThe African Union's High-Level Panel on Emerging Technologies identified gene drive mosquitoes as a priority technology for malaria elimination. The first field trials are expected in 5-10 years in Uganda, Mali or Burkina Faso. In preparation, regional and international actors are developing risk governance guidelines which will delineate the framework for identifying and evaluating risks. Scientists and bioethicists have called for African stakeholder involvement in these developments, arguing the knowledge and perspectives of those people living in malaria-afflicted countries is currently missing. However, few African stakeholders have been involved to date, leaving a knowledge gap about the local social-cultural as well as ecological context in which gene drive mosquitoes will be tested and deployed. This study investigates and analyses Ugandan stakeholders' hopes and concerns about gene drive mosquitoes for malaria control and explores the new directions needed for risk governance.

methodsThis qualitative study draws on 19 in-depth semi-structured interviews with Ugandan stakeholders in 2019. It explores their hopes for the technology and the risks they believed pertinent. Coding began at a workshop and continued through thematic analysis.

resultsParticipants' hopes and concerns for gene drive mosquitoes to address malaria fell into three themes: (1) ability of gene drive mosquitoes to prevent malaria infection; (2) impacts of gene drive testing and deployment; and, (3) governance. Stakeholder hopes fell almost exclusively into the first theme while concerns were spread across all three. The study demonstrates that local stakeholders are able and willing to contribute relevant and important knowledge to the development of risk frameworks.

conclusionsInternational processes can provide high-level guidelines, but risk decision-making must be grounded in the local context if it is to be robust, meaningful and legitimate. Decisions about whether or not to release gene drive mosquitoes as part of a malaria control programme will need to consider the assessment of both the risks and the benefits of gene drive mosquitoes within a particular social, political, ecological, and technological context. Just as with risks, benefits-and importantly, the conditions that are necessary to realize them-must be identified and debated in Uganda and its neighbouring countries.

Indexed as

Stakeholder ParticipationAnimalsAnimals, Genetically ModifiedAnophelesCommunicable Disease ControlGene Drive TechnologyMalariaMosquito VectorsRisk AssessmentUgandaGene drive mosquitoesMalaria controlRisk assessmentRisk governanceStakeholdersTarget MalariaUganda

Identifiers

PMID33726763
PMCPMC7968178

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.