26 Jul 2013

Current Trends in Genetics: An Ethical Reflection

A National Consultation on Current Trends in Genetics: An Ethical Reflection
 Jan 17-19 , 2012.


A National Consultation on Current Trends in Genetics: An Ethical Reflection organised in ECC by ISET from Jan 17-19 , 2012. Participants represented ......

The Key Note address was given by Dr. R. S. Kulkarni, Agriculture University, Bangalore  He began with Genetics  in the contemporary society  highlighting brief history of modern Genetics existing even from a pre-mendelian time and even the nature chooses the fittest species to create new traits. He also brought the explanations of Genotype and phenotype and how environment(external /internal) plays an important role in defining the nature of the new trait.  He emphatically stated that the Genetic code is universal and therefore there should be positive appreciation for the philosophy of life. Then he also said about various approaches to modern Genetics namely Transmission Genetics, Pedigree Analysis, Cytogenetics ,Molecular Genetics and Population Genetics.Then he highlighted the debate of Basic vs Applied Genetics. He then raised the question - Should we ever apply Genetics for human advancement? In the same line he highlighted euphenics, advances in agriculture which can benefit the society. Eugenics, Genetic Technology, Human Genome Project, Health Care, Recombinant DNA Technology were also explained

The Ethical Issues raised by him was  - Are we blurring the lines between species by creating transgenic combinations? What are the known health risks associated with transgenics? What are the long-term effects on the environment when transgenics are released in the field? What ethical, social, and legal controls or reviews should be placed on such research? Transgenic biotechnology presents challenges, such as health risks. Are we inflicting pain and suffering on sentient creatures when we create certain types of chimeras?

Discussions:
Need to appreciate the genetic technologies, but in doing so we need to see the economic viability, how these genetic technologies can be used as alternative and the sustainable aspects of it.

Are we just blurring the lines between specific species and transgenic combination. The long-term effects on environment, the health risks, legal control and the pain inflicted on the creature for Genetic research and enhancement has to be contested.
He provided to understand genetics in a philosophical way while also emphasising that science can create gene never life.
  
Session II and III
Dr. George Korula

Ethical issues in Assisted Reproduction – which dealt with the issue of fertility and its treatment Germ-line Gene Theraphy.

His primary concern was the grey areas that have crept in a noble approach.
According to Korula Infertility affects 10 – 15% of Indian population. Still infertility is given low priority in government medical and health schemes, thus providing the large private and corporate hospitals to make profit by catching couple who are under social stigma and ostracisation. Even though WHO classifies infertility as a disease thereby affirming the right to treatment and right to happiness and right to reproductive anatomy as important.
He briefly talked about Artificial Reproductive Techniques (ART) like IUI, IVF, GIFT and ICSI which are generally used depending on the nature of infertility.
He then pointed influence of different religion and how it affects the their stand on such treatments.

He just highlighted the issues involved such as Semen donation, oocyte donation /egg sharing, multiple pregnancies and surrogacy.
The discussions were raised on donor program, public awareness and availability , principles of setting fertility clinics with fixed guide lines and proper control. Surrogacy for social indications or medical parameters, commercially driven Genetic process.
He facilitated a broad discussion on issues like multiple pregnancy, surrogacy, perfect child, oocytic cryopreservations, embryo freezing, Pre implantation Genetic Diagnosis, preconception Genetic screening, and cloning on which there were good discussions.
Towards the end he briefly talked about Germ line theraphy, genetic manipulation, Eugenic  enhancement  and experimentation on Human embryos which was the crux of his presentation on which every body felt that the church is very silent.

Session 4
Ms. Elonnai Hickock
Privacy and DNA Testing and the situation of testing in India
She started with a background and facts about DNA and DNA testing and telling how DNA profiles are created and stored from the DNA samples taken from individual or groups for various purposes. She also highlighted the situation of DNA testing in India highlighting the fact that the proposed DNA Profiling Bill 2007 is still pending in the parliament and not moved from the draft status. This proposed bill looks to legalise the collection and analyses of DNA samples for forensic purposes.
In her presentation she brought out two concerns – access to information and use & misuse of information.

She also pointed the complexity involved in DNA collection /testing and the issue of privacy by raising three basic issue of consent, destroying the DNA after the purpose and the person’ right to know the information discovered since it can impact both the person concerned and other persons.

Using her research background she pointed out the lacunae of the proposed bill critiquing it from its ambiguous position it has relating to the already existing legislations; DNA as the supreme evidence undermining the requirement for additional evidences, scope of DNA collection, no clear definition of when collection of DNA samples can be taken, privacy principles which will be binding on DNA  laboratories.

The primary discussion in that came from the floor was about full storage vs partial storage of DNA sequencing as in cases like population surveillance where all the samples can be categorised as suspect for any case. It was unanimously felt that there is a need for specific legislation(s) explicitly focusing on specific needs for DNA sampling. So that the issue of civil liberty and protection, justice and equity and basic human rights are protected.

Session 5
Rev. Thomas Paikad
Human Cloning

The thesis of his presentation was ‘cloning in order to create a fine breed of human being is very much dubious and poses a real challenge to the Christian faith and to present day family situation.

His paper reflected his concern human becoming immortal or playing God as there is  a possibility of special breed of human kind being developed through cloning which is a violation of the original process of procreation and therefore a temptation to go beyond the limits of a reasonable dominion over nature.

He brought out the highlights of Human Genome project which the scientist claim that it will be a tool and resource to develop and pursue biological study that will improve human health. He opposed the project by using the argument of uniqueness of human individual and human right concerns as he felt that reproductive cloning of human beings will be contrary to dignity of the human person.

He later gave his biblical view of creation presenting cloning as going against God’ scheme of creation as it may create distinction/division among natural human and cloned human undermining the worth of Life. According to him the challenge for Christians is that everything cannot be taken for granted or at its root value as we are called to uphold sacramental relationships, parenthood and sanctity of life. Giving dignity and respect which is due to the person of the human embryo as the ultimate theological key against cloning was prescribed as it may end up human embryos as products.
The need is to act as the proper stewards of life affirming that the image of God in all humanity. Therefore we are called for being more human and look for the “otherness” in the people as acceptable.

Session 6:
Ms. Sonali Kusum, Legal Issues in ART

Bringing technologies in human beings thereby making them as ‘means’ and not the ‘end’. We have to look out for the human factor and therefore there is a need for moral and ethical values.
All humans have a right to life and right to health and therefore commercialisation and commodification of human existence in any form will have devastating effect in the social fabric.
There is an urgent need to set legal regulations on genetic practices which are born out of good drafting process emerging from the consent of different sections and views of society.
All such legislations should be in consistence with the already existing laws of UN conventions like declaration of universal human right and UNCRC (1989)

Session 7 &8
Rev. Dr. Allan Pallana

There is no way undermining the healing aspect of innovative technologies , however it is necessary to ethically involve in the uncertainties, responsibilities, decision making etc to discern exploitation and discrimination that the whole genetic testing or screening may lead to.

We should move beyond the position of theological purity and have a rather a realistic approach in making critical theological and ethical discernments.
We as a faith affirming community should come out with clear religious ethics since even scientific scope has limitations and therefore is fallible. Hence needing a complementary approach where science and religion benefit each other.
To further deepen the understanding of theology of compassion and taking God as our model in our approach to see humanness of humanity as embedded in kenosis.

 Statement: 
 We as the participants of National Consultation on Current Trends in Genetics : An Ethical Reflection affirm that
  1. We as a faith affirming community should come out with clear religious ethics since even scientific scope has limitations and therefore is fallible. Hence needing a complementary approach where science and religion benefit each other.
  2. To include this as a special subject with a
















  3. suitable curriculum in bringing conscientisation in different educational institutions.
  4. To bring awareness to vulnerable communities who can be exploited in the process of genetic screening, surrogacy and other related Genetic enhancement. Where the Christian media can be effectively used.
  5. To include this as one of the necessary themes in the almanac and in worship services.






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