Ethical and policy issues in pediatric genetics

Lainie Friedman Ross1

  • 1Department of Medicine, University of Chicago, Chicago, IL 60637, USA. lross@uchicago.edu

Insights

This special issue examines ethical and policy challenges in pediatric genetics, focusing on newborn screening, biobanking, and predictive genetic testing for minors.

Area of Science:

  • Pediatric Genetics
  • Bioethics
  • Health Policy

Background:

  • The rapid advancement of genetic technologies necessitates a re-evaluation of existing ethical frameworks and policies.
  • Pediatric genetics presents unique challenges due to the vulnerability of minors and the long-term implications of genetic information.

Discussion:

  • Current practices in newborn screening face ethical dilemmas regarding incidental findings and parental consent.
  • Biobanking initiatives for pediatric genetic data raise concerns about privacy, data security, and future use.
  • Predictive genetic testing in minors requires careful consideration of autonomy, potential psychological impact, and the right to an open future.

Key Insights:

  • There is a critical need for updated guidelines and robust policy frameworks to address the complexities of pediatric genetic applications.
  • Balancing scientific progress with the protection of children's rights and welfare is paramount.
  • Interdisciplinary collaboration among geneticists, ethicists, policymakers, and families is essential for navigating these issues.

Outlook:

  • Future research should focus on developing ethical best practices for genomic data sharing in pediatric research.
  • Policy development must anticipate emerging genetic technologies and their societal implications.
  • Promoting public engagement and education on pediatric genetics is crucial for informed decision-making.

Related Concept Videos

Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethics and Bioethics01:22

Ethics and Bioethics

Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
What is Genetic Engineering?00:49

What is Genetic Engineering?

Overview
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...