Ethics

Working group objectives

  • Support investigators with ethics questions in the development, review and/or validation of study protocols, informed consent forms, and other documents for COVID-19 studies.
  • Provide inputs to support wider ethics capacity building in the context of COVID-19 studies.

Working group members

Working Group Coordinator
South Africa
Coalition working group:
Ethics
Working Group Co-Chair
USA

Jennyfer Ambe has a keen interest in Emerging Infectious Diseases, research during outbreaks, and bioethics. She supports vulnerable populations in the sub-Saharan region, providing a multi-lateral approach which includes a socio-cultural, ethical lens. She believes in seeking indigenous responses to regional issues applying evidence-based approaches and leveraging generational knowledge. Jennyfer is the current Secretary for the Ethics, Community Engagement and Patient Advocacy (ECEPAS) Work Group (WG) on the GET Consortium and former co-chair during the West Africa Ebola outbreak. The WG provided evidence from the field for the Nuffield Council on Bioethics report, Research in Global Health Emergencies (2020, January). The WG provided a statement on Human Germline Genetic Editing used as a reference for the WHO framework (2018, December). Jennyfer is a member of Association for Responsible Research and Innovation in Genome Editing. She is in the dissertation phase of her doctoral program in Public Health with Capella University, Minneapolis. Her current research is focused on reproductive rights and issues concerning maternal mortality, clinical research and public health ethics. Jennyfer merges her specialization in epidemiology with bioethics on programmatic and technical teams for COVID-19 response. Her specialization in epidemiology has been useful as a medical reserve corps responder (epi-unit).

Coalition working group:
Ethics
Ghana

Caesar Atuire is a philosopher and bioethicist based at the Department of Philosophy and Classics in the University of Ghana, Legon. He is a Visiting Fellow of All Souls College, Oxford University. He is also a member of the lead team of the NYU-UG Training Programme in Research Ethics and a founding member of the Ghana Research Ethics Consortium. In 2019, Dr Atuire co-edited the volume Bioethics in Africa: theories and praxis. He is a member of the Planning Committee of the Global Forum on Bioethics in Research, 2020. Atuire’s philosophical research interests and publications are on the African and global sources of normative thinking. He has carried out research on the frameworks informing attitudes towards mental disorder and suicide in Ghana. Outside academia, Atuire leads an NGO that delivers healthcare to persons in marginalized rural communities in the coastal areas of Ghana.

Coalition working group:
Ethics
Working Group Member
India
Coalition working group:
Ethics
Working Group Member
Kenya

Clinical researcher interested in ethics, improved research systems and capacity building.

Coalition working group:
Ethics
Working Group Member
Thailand

Dr Cheah holds an Erasmus Mundus Masters in Bioethics and PhD in Pharmaceutics. She is an Associate Professor at Oxford University and head of Bioethics & Engagement at the Bangkok based Mahidol Oxford Tropical Medicine Research Unit. Her research focuses on the ethics of research in low- and middle-income settings, data sharing, and the intersection between ethics and community engagement. She is a member of the Steering Committee of Global Forum for Bioethics in Research. She is currently leading an international survey and qualitative study on the social and ethical aspects of public measures in COVID-19.

Coalition working group:
Ethics
Working Group Member
Grenada

Cheryl Macpherson, PhD is Professor of Bioethics in the Department of Clinical Skills at St George’s University School of Medicine in Grenada, Senior Research Fellow in the Windward Islands Research and Education Foundation (WINDREF), and Principle Investigator on the NIH-Fogarty-funded Caribbean Research Ethics Education initiative (CREEi) to design and offer a regionally relevant masters degree curriculum for building research ethics capacity in low and middle income countries of the Caribbean basin. She is Past President of the Bioethics Society of the English-speaking Caribbean (BSEC); has consulted for PAHO and WHO on ethics of vector-borne diseases; aand edited the book Bioethical Insights into Values and Policy: Climate Change and Health (Springer Press, 2016). Her recent publications include Energy, Emissions, and Public Health Ethics in the Oxford Handbook of Public Health Ethics (2019) and Research ethics guidelines and moral obligations to developing countries: Capacity‐building and benefits (Bioethics, 2019).

Coalition working group:
Ethics
Working Group Member
Philippines

Leonardo D. De Castro, PhD, is a professorial lecturer at the Department of Philosophy, University of the Philippines, Diliman, where he previously served as Department Chair and Centennial Professor. He chairs the Philippine Health Research Ethics Board, a national body that sets policies and regulates research ethics committees in the country. He sits on the National Ethics Committee. He has served on the National Bioethics Advisory Committee and the National Transplant Ethics Committee. He was Senior Research Fellow at the Center for Biomedical Ethics, National University of Singapore and Editor-in-Chief of the Asian Bioethics Review. He also was President of the Asian Bioethics Association, Vice-Chair of the UNESCO International Bioethics Committee, Vice-Chair of the Forum for Ethics Review Committees in Asia and the Pacific, and a Bioethics Consultant to the United Nations, the World Health Organization, the European Union and the European Commission. He represented the Philippines in the UNESCO Inter-Governmental Bioethics Committee. His research interests include research ethics, responsible conduct of research, bioethics teaching, organ transplantation, healthcare worker migration and resource allocation.

Coalition working group:
Ethics
Working Group Co-Chair
South Africa

Jantina de Vries is an Associate Professor in Bioethics at the Department of Medicine of the University of Cape Town. Her work focuses on developing ethical best practice for genomics research in Africa. She has contributed to developing an evidence base for best practice in informed consent for African genomics research, investigating ethical challenges relating to the sharing of African samples and data, exploring what constitutes fairness in African genomics research collaborations, and studying how genomic research may impact on stigma relating to disease. A second and equally important output relates to the translation of her work into forward-looking policies and best practice guidelines.Jantina obtained her DPhil through The Ethox Centre at the University of Oxford (2011), and an MSc degree in sociology at Wageningen University (2003). She was at the European University Institute between 2003-2004. She is a member of the WHO Expert Advisory Board on Gene Editing.

Coalition working group:
Ethics
Working Group Member
UK
Coalition working group:
Ethics
Working Group Co-Chair
Working Group Member
Egypt

Dr. Shymaa Enany is an associate professor of Microbiology, Suez Canal University, Egypt. She received her PhD from School of Medical Sciences, Niigata University, Japan. Her postdoc was in USA and Japan. She was the first Arab scientist applying microbial proteomic techniques helping in revealing good markers for bacteria spreading in community.

She received many awards for her scientific contributions. Recently, she awarded the most prestigious award in Egypt; the state encouragement prize for women in the field of health and pharmaceutical sciences, 2019. Also, she was awarded The World Academy of Sciences (TWAS) Young Arab Scientist Prize 2018 for Scientific Achievement in Medical Sciences. She was selected as a member of Egyptian Young Academy of Science, an evaluator on Academy of Scientific Research and Technology, a reviewer in International Exhibition of Innovation, and an affiliate of The World Academy of Sciences.

Dr Shymaa is also one of scientific committee of World Forum for Women in Science, a selected young leader in STS and WSF, a member in the global Open Science Group, and a collaborator in Global Burden of Disease.

She is one of Microbiology National Committee working for achieving sustainable development goals for a better future. She was appointed as an Egyptian ambassador in Next Einstein Forum (NEF), which showcase the global contribution and potential of scientists from Africa that enabling Africa to get onto the global scientific stage. Latterly, she is selected as an African science leadership program fellow.

Coalition working group:
Virology, Immunology & Diagnostics
Ethics
Working Group Member
USA

Rita Giacaman is a professor of public health at the Institute of Community and Public Health, Birzeit University, occupied Palestinian territory. She has chronicled the effects of Israeli military occupation on the life and health of Palestinians under occupation. Since 2000, she has been focusing on the impact of chronic war-like conditions and exposure to violence on the health and well-being of Palestinians, with an emphasis on psychosocial health among adolescents and young people; and the development of measures to assess health and well-being in conditions of protracted violence. She has published extensively locally and internationally. Rita was awarded an Honorary PhD from LSE in 2011 for having made an “outstanding contribution to the increased understanding or appreciation of ‘the causes of things’…” She was also awarded the International Fellow of the Society for Research on Adolescence title in 2018 for her ‘internationally and culturally sensitive approach to the understanding of adolescence worldwide’, and an Honorary Doctor of Science degree (honoris causa) from King’s College London, for her work which ‘has set a standard for the provision of health care in war and post-war contexts in the Middle East and globally,’ in 2019.

Coalition working group:
Ethics
Working Group Member
Coalition working group:
Ethics
Working Group Member
Kenya

Dorcas Kamuya is the Head of Health Systems and Research Ethics (HSRE) Department at the KEMRI-Wellcome Trust Research Programme in Kenya. She holds a Wellcome-Trust funded fellowship that aims to examine ethical and social-cultural issues on complex ethical topics, with bio-banking as a case study. Her research interests span several interrelated areas including developing ethical frameworks for Controlled Human Infection Studies in LMIC; the value of community and public engagement in health research, and ethical dilemmas for frontline research workers.

Coalition working group:
Ethics
Working Group Member
UK

Patricia Kingori is a Wellcome Senior Investigator at the Wellcome Centre for Ethics and Humanities (WEH) at the University of Oxford. Patricia is sociologist and her research has focused on ethical issues in the practice of global health. She has spent most of her career researching and documenting the ethical dilemmas of fieldworkers and frontline workers such as nurses and doctors in research, clinical and humanitarian settings including more recently the ethical issues which emerge after the conduct of Ebola clinical trials in West Africa. She has had held a number of advisory positions related to the ethical issues involved in research including the Nuffield Council of Bioethics Research in Global Health Emergencies Expert Working Group, Safeguarding Expert Advisory Group (UKCDR) and more recently the Expert Group on an Ethical Framework for COVID-19 testing for NHS workers lead by the THIS institute, University of Cambridge.

Coalition working group:
Ethics
Working Group Member
Israel

Shai Linn – Full Professor, University of Haifa, Israel.Physician and epidemiologist. Two medical specialties: Public Health and Health Management. Received an M.D. degree from Hebrew University, MPH, and Dr PH both from Harvard University in Boston, Massachusetts, USA.Deputy Medical Director of the Rambam Hospital (1982-1985), head of the medical record committee at the Rambam Medical Center (1982-1989, 1992-1998), head of the Unit of Epidemiology (1993-2010) at the Rambam Medical Center and head of medical informatics at the Faculty of Medicine of the Technion in various capacities. Served as a Visiting Scientist at the U.S. National Institutes of Health in Bethesda, Maryland (USA). Received a grant from the well known MacArthur Foundation, Social Science Research Council for studying the human cost of war injuries (1990-1992). Visiting Professor at the University of North Carolina, USA (1986) and the University of British Columbia, Canada (1990-1992). Consultant at the U.S. National Center for Health Statistics in Maryland, USA (1985-1986) and to the World Bank (1998) and the AIDS Center in Vancouver, British Columbia, Canada (2000). Epidemiologist of the Israel Transplant Center (1999). Was a member of several Israel National Medical Councils. Founder and Chair of the Department of Epidemiology at the Technion (1992-1999). Founder and Chair of the Department of Public Health at the University of Haifa (2003-2007). Dean of the Faculty for Social Welfare and Health Sciences at the University of Haifa (2010-2016). Published extensively in leading journals, an instructor of 67 students for higher degrees.

Coalition working group:
Ethics
Clinical Epidemiology
Working Group Observer
Switzerland
Coalition working group:
Ethics
Working Group Member
Kenya

Vicki Marsh is an Associate Professor in Public Health at the Centre for Tropical Medicine and Global Health (CTMGH), Oxford University, UK and the KEMRI Wellcome Trust Research Programme (KWTRP) in Kenya. Both roles involve research, teaching, mentorship and Science and Ethics Governance. Her research draws on empirical ethics approaches towards strengthening policy and practice in international health research. Originally trained in medicine and General Practice, Vicki’s early research on Malaria Home Care informed the Kenya National Malaria Control Programme and the WHO/TDR Roll Back Malaria strategy.

Coalition working group:
Ethics
Working Group Member
Cananda
Coalition working group:
Ethics
Working Group Member
Instituto Butantan
Coalition working group:
Ethics
Working Group Member
Chile

Sofía P. Salas is a Chilean medical doctor, appointed as Full Professor (Senior stage of the career) at the Center of Bioethics, Faculty of Medicine, Clínica Alemana- Universidad del Desarrollo (Santiago, Chile; https://medicina.udd.cl/centro-bioetica/). Since 1994 she has participated as member of the local IRB at the Faculty of Medicine Universidad Católica (up to 2009), at Universidad Diego Portales (2013 to March 2018), and since 2018 at the Faculty of Medicine, Universidad del Desarrollo. She teaches research ethics at pre and postgraduate levels and also conducts bioethics research on different topics. During 2014, Dr Salas was awarded a training Program in Research Ethics at FLACSO, Argentina, a program supported by Fogarty International Center from the NIH. She is a member of the Ethics Department of the Chilean Medical Association (Colegio Médico de Chile) and Chair of the National Commission for Research Ethics, an advisory Commission for the Chilean Ministry of Health in research ethics. In December 2018 she was awarded the “Premio de Ética” by the Chilean Medical Association for her work “Conscientious objectors in Chilean medical education”. She has published extensively both locally and internationally related to bioethics research.

Coalition working group:
Ethics
Working Group Member
Ghana

Paulina Tindana, MHSc, DPhil, is a Senior Lecturer and Bioethicist at the Department of Health Policy, Planning and Management, School of Public Health University of Ghana. Previously, she worked at the Navrongo Health Research Centre in Northern Ghana as a Deputy Chief Health Research Officer. Her work focuses on the ethical, social, cultural, and policy implications of biomedical research including genetics and genomics studies. She has been an active member of the H3Africa Consortium since 2013 and chaired the Community Engagement Working Group between 2015 to 2018. She is also involved in research ethics capacity building initiatives for researchers and members of research ethics committees in Africa.

Coalition working group:
Ethics
Working Group Member
Kenya

Wangari Waweru-Siika is an assistant professor of anaesthesia and critical care at the Aga Khan University (AKU) Nairobi. She has been a member of the AKU Institutional Ethics Review Committee (IERC) since 2017 and was appointed Chair in 2019. As an early career researcher, her research interests are quality of care in low and middle-income countries, with a focus on identifying cost-effective interventions that guarantee good outcomes among the critically ill in low resource settings. She is a member of the COVID Research Coordination Committee at the Aga Khan University, Principal Investigator (PI) for a research project assessing the care and outcomes of critically ill COVID-infected patients in Kenya and co-investigator on a COVID convalescent plasma trial at AKU. She is currently a part-time DPhil student in Evidence-Based Healthcare at the University of Oxford.

Coalition working group:
Ethics
Working Group Member
UK

Katharine Wright is the Assistant Director of the UK-based Nuffield Council on Bioethics, an independent body that informs policy and public debate about the ethical questions raised by biological and medical research. She was responsible for the Council’s inquiry, Research in global health emergencies: ethical issues, conducted with the support of an international working group, and which published its detailed report and recommendations in January 2020. Her previous work with the Council includes exploration of the ethical issues associated with research with children, in the care and support of people with dementia, and in ethical approaches to the donation of bodily materials for treatment or research. Before joining the Council in 2007, Katharine worked in health law, ethics and policy in the UK House of Commons, in the English Department of Health and in the National Health Service.

Coalition working group:
Ethics

Project: Ethics equivalence in multi-country ethics submissions in resource-limited settings

Research ethics committees (RECs) review proceeds largely on an institution-by-institution basis in most low- and middle-income countries (LMICs), a model which has shown to be both inefficient and costly for collaborative multi-site research. The current pandemic exemplifies this. The sudden and dramatic increase in COVID-19-related protocols requires multiple RECs to review the same study as researchers try to collaborate across institutional and international borders. Duplicative reviews as a result of procedural inefficiency strain limited human and material resources in LMICs, and they delay time-sensitive research efforts that could guide pandemic management – without measurably improving participant protections.

Several national and international approaches have been proposed for a system of mutual recognition of ethics review, but none specific to research during pandemics nor in LMICs, specifically. There is therefore a pressing need to explore whether, and how, ethics approval could be harmonized among LMICs to accelerate rigorous Covid-19 research.

In this Covid-19 Clinical Research Coalition project we aim to:

  • Describe the current opportunities for, and obstacles to, ethics review equivalency by synthesizing the current empirical and grey literature;
  • Identify how COVID-19 researchers and RECs currently approach multi-site ethics review through hosting regional consultative meetings; and
  • Develop priority areas, propose tools, and practical strategies for operationalizing ethics review equivalency for COVID research in LMICs.

Please contact Dr Vasiliki Rahimzadeh to learn more about the project, share your insights, and participate in regional discussions.

If you are a researcher who would like to submit a query to the “Ethics” working group, please email WorkingGroups@covid19crc.org with “Ethics” in your subject heading.

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