Ethical, Legal, Social Implications & Issues of Human Genome Project (ELSI)

Professional policy papers | Ethical, Legal, Public Policy | Testing / Insurance
/ Privacy / Nondiscrimination | Health Insurance
Portability | American with Disabilities Act | Birth
Defects Prevention Act | Courses | Ethics Centers | Other
Policy papers on specific issues, professional societies
American
Society of Human Genetics (ASHG) policy papers on
Maternal Serum Alpha-Fetoprotein Screening, DNA Analysis, Cystic Fibrosis,
Genetics and Adoption, Cystic Fibrosis Carrier Screening. Genetic Testing
for Breast and Ovarian Cancer, Testing in Children and Adolescents, Apolipoprotein
E Testing for Alzheimer Disease, Disclosure of Familial Genetic Information,
Eugenics, and other Genetic Testing Issues , other policy sites
American
College of Medical Genetics (ACMG) policy papers on
Prenatal FISH Studies, Multiple Marker Screening in Women 35 and Older, Fragile
X Syndrome Testing, Advanced Paternal Age, Apolipoprotein E Testing for Alzheimer
Disease, Testing in Children and Adolescents, Testing for Prader-Willi and
Angelman Syndromes, Population Screening for BRCA-1 Mutation in Ashkenazi
Jewish Women, Principles of Screening, Carrier Testing for Canavann Disease
, Genetic Testing for Cystic Fibrosis, and other testing issues
German Society for Human
Genetics Statements and Declarations and Position Paper
American
Society of Gene Therapy policy / position statements
American Academy of Pediatrics,
genetic policy statements
-
Congenital Adrenal Hyperplasia,
Evaluation of the Newborn with
Developmental Anomalies of the External Genitalia, Folic Acid for the
Prevention of
Neural Tube Defects, Health Supervision for Children with
Achondroplasia, Health Supervision for Children with:
Down Syndrome,
Fragile X Syndrome,
Marfan Syndrome,
Neurofibromatosis,
Sickle Cell Disease,
Turner Syndrome,
Williams Syndrome;
Maternal Phenylketonuria,
Molecular Genetic Testing in Pediatric Practice,
Newborn Screening Fact Sheets,
Newborn Screening for Congenital Hypothyroidism,
Prenatal Genetic Diagnosis for Pediatricians, Genetic
Disorders and Birth Defects: Compendium of AAP Guidelines for the Primary
Care Practitioner (book)
Evaluation of Genomic Applications in Practice and Prevention (EGAPP) Working Group, HNPCC, CYP450, other
2008
HumGen,
international genetic policy information from professional organizations,
GenBiblio,
BM Knoppers, University of Montreal, discrimination, genetic
testing, screening, gene therapy, DNA banking, gene patenting
Genetic
Education
Materials
(GEM) Database,
search, public
health genetics policies, clinical genetics educational materials,
National Newborn
Screening and Genetics Resource Center (NNSGRC)
Resources
on ethics / legal issues / public policy
- Centre for Law and Genetics,Schools of Law at the Universities of Tasmania and Melbourne, Australia (search articles, legal cases, statutes, human, plant & animal genetics)
- Ethical,
Legal, and Social Issues (ELSI Research)
Resources, Human Genome Project, Department of Energy (DOE) & Ethical, Social, and Legal Implications Programs (abstract index,1999)
- Policy & Ethics, National Human Genome Research Institute, National Institutes of Health (NIH)
- Ethical, Legal and Social Implications (ELSI) Research Program Abstracts and Activities Database,
ELSI, National Human Genome Research Institute, National Institutes of Health
(NIH)
- Ethical,
Legal, & Social Issues, Public Health Genomics, Center for Disease Control
(CDC)
- Ethical, Legal & Social Implications of Genomic Research, National Institute of Environmental Health Sciences (NIEHS), National Institutes of Health (NIH), Guide to Ethics and Genetics
- Ethical
and Social Issues, HUM-MOLGEN (testing, banking, consent)
- ELSI Internet resources,
Oak Ridge National Laboratory
- Genethics.ca,
Genetics & Ethics,
Bryn Williams-Jones, Centre for Applied Ethics University of British Columbia, Canada
- GENETHICS
(Ethics and the 'New Genetics'), Cooperative Research Centre for Discovery
of Genes for Common Human Diseases (Gene CRC), Australia

- Genetic
Counseling sites
- Genetic Technologies Project, National
Conference of State Legislatures, includes table of genetic
laws and legislation by state, topic

- Genetics
Policy Projects, including "Genome Technology
& Reproduction: Values & Public Policy", Communities of Color
& Genetics Policy Project, University of Michigan
- International Law Library: extensive international legal research guide
- Journal
of Medical Ethics, April 1999, Issue devoted
entirely to genetics
- Lawrence Berkeley National Laboratory (LBNL) ELSI Page including Genetic Patents and Intellectual Property, ELSI in Science program, Genetic Patents and Intellectual Property
- Legal
Resources
- Legislative
Activity: Human Genetics Research, American Society
of Human Genetics
- National
Information Resource on Ethics and Human Genetics, National
Reference Center for Bioethics Literature, Kennedy Institute of Ethics, Georgetown
University
- Promoting
Safe and Effective Genetic Testing in the United States, NAHoltzman & MSWatson, Sept 1997, Task force on Genetic Testing, National
Institutes of Health-Department of Energy Working Group on Ethical, Legal,
and Social Implications of Human Genome Research
- State
Cancer Legislative Database Program, National
Cancer Institute
Genetic Testing
/ Insurance / Privacy / Nondiscrimination
Clairvoyance
and Caution: Repercussions from the Human Genome Project,
NS Wexler, HD Foundation and The Code of Codes: Scientific and Social Issues in the Human Genome Project. D.J. Kevles and L. Hood (Eds) Harvard University Press, 1992, 211-243.
Critical Decisions: Genetic Testing and Its Implications,
Statement, Committee on Science and Human Values of the National Conference
of Catholic Bishops
Consumer
Coalition for Health Privacy, Georgetown University,
fact sheets, policy issues 202-687-0331, sanderss@gunet.georgetown.edu
Employment and
genetic testing, Kansas Senate
Bill No. 22, in effect July 1, 1999, supplement,
fiscal note
Ethical
Issues With Genetic Testing in Pediatrics, American
Academy of Pediatrics, Pediatrics Vol 107(6) June 2001, pp 1451-1455
Genetic Discrimination
/ Employment - National Center for Genome Resources Survey 03/04/98; 85% of
Americans think employers should be prohibited from obtaining information
about an individual's genetic conditions, risks and predispositions. 69% think
health insurers and life insurers should be barred from accessing genetic
information: (keyword search) or
search here
Genetic
Information and Health Insurance Enacted Legislation,
nondiscrimination employment legislation by state and nondiscrimination insurance legislation by state, updated regularly, Policy, Education & Outreach Branch, National Human Genome Research Institute (NHGRI/NIH)
Genetic Information and
Health Insurance: State Legislative Approaches,
Rothenberg KH, 23 Journal of Law, Medicine & Ethics 312
(1995) with supplemental chart by B Fuller, University of Maryland School
of Law
The
Genetic Privacy Act and Commentary, George Annas, Leonard
Glantz, & Patricia Roche - summary
from newsletter
Genetic
Test Information Fears Unfounded,
J Stephenson, JAMA Dec 15, 1999, vol 282:2197-2198
Genetic
Testing Research Library, Search for whitepapers, bibliography, articles and documents, National Association of Insurance Commissioners (NAIC)
Genetic
Testing and Genetic Screening,
Scope Notes, National Reference Center for Bioethics Literature, Joseph and
Rose Kennedy Institute of Ethics, Georgetown University, Washington, DC.
Updated February 2002
Genetic
Testing Policies, Informed Consent, Confidentiality, Voluntary Participation, Institute of Medicine, 1993,
review
Genetic
Testing Opens Brave New World, Annals Internal Med,
Jun 15, 1997. JWaalen
Institute
of Medicine report Assessing Genetic Risks: Implications for Health and Social Policy,
National Academy Press, $44.95. (800) 624-6242
If
Genetic Tests Were Available for Diseases Which Could be Treated or Prevented,
Many People Would Pay to Have Them,
H Taylor, The Harris Poll® #26, June 5, 2002 finds that a large number
of people would be interested in paying for genetic tests with their own money,
if there were effective treatments, or ways of greatly reducing the risk,
for the relevant diseases.
Promoting Safe and Effective Genetic Testing in the United States, Task Force on Genetic Testing, Department of Health and Human Services, National Institutes of Health, NIH-DOE ELSI Working Group , 1997, validation, quality, counseling, oversite
Wake
up to the genetic revolution. Genetic Testing:
The Concerns, Reuterlinkextra, Spring 1998
Your
Genes, Your Choices: Exploring the Issues Raised by Genetic Research,
American Association for the Advancement of Science, 1999 (information on albinism needs revisions)
Conditions:
- Apolipoprotein
E Genotyping to Alzheimer's Disease, Recommendations
on the Application of, National Institute on Aging/Alzheimer's Association,
Annals of the NY Academy of Science 1997, 802:149-171
- Apolipoprotein
E Testing for Alzheimer Disease Lancet. 1994;343:1564-1665.
21
- BRCA1/2
testing, Task Force Report, Sanford Program in Genomics, Ethics and Society
(PGES), Journal of Women's Health, published by Mary
Ann Liebert,Inc., June 1998. Further information, 6th Annual Congress on
Women's Health, 914-834-3100 or 1-800-M-Liebert
- Genetic
testing for Alzheimer's disease,
PK Panegyres, et. al., MJA 2000; 172: 339-343
- Genetic Testing for Cancer Susceptibility, Statement of the American
Society of Clinical Oncology, Journal of Clinical Oncology, Vol. 14, No 5 (May) 1996, pp. 1730-1736
- A
Guide for Families Genetic Testing for Huntington Disease, Huntington
Disease Society of America New York, New York
Health Insurance
Portability and Accountability Act of 1996 (Pub. L. 104-191)
Americans with Disabilities Act
Birth
Defects Prevention Act
Courses
- Ethical,
legal and social aspects of medical care, USUHS School of Medicine
- Infants
session includes case studies for spina bifida, Down syndrome,
kidney conditions, mental retardation, with facilitators' guidelines for discussing
cases, Genetic Screening
and Counseling section includes sickle cell anemia, Down syndrome,
Tay-Sachs, atypical karyotype Huntington disease, XYY
- Medical
Genetics Courses and Education Resources
- Geneticist-Educator Network of Alliances (GENA) Project

Ethics Centers
- Center for Bioethics at the University of Pennsylvania School of Medicine
- Center for Bioethics, University of Minnesota
- The Gene Letter, scientific & societal issues, Shriver
Center, Waltham, MA, GeneSage
- Genetics and Ethics, Centre for Applied Ethics University
of British Columbia, includes Genethics Literature Online
- Center for Practical Bioethics, formerly Midwest Bioethics Center, Kansas City, MO
Technology evaluation
International
- Human Genetics Commission, (HCG) UK government advisory body on how new developments in human genetics will impact people and health care
Older sites, not longer available
Human Genome Project: Exploring the Scientific & Humanistic Dimensions (Massachusetts Corporation for Educational Telecommunications) (MCET)
The Genome Action Coalition (TGAC), [formerly at www.tgac.org/] policy and legislative issues, patient advocacy associations, professional genetic groups, pharmaceutical research / biotechnology companies, and universities involved in genetic legislative issues, i.e. nondiscrimination in health insurance and employment, medical record privacy, appropriations for National Institutes of Health, Human Genome Project, other members
Genetic Testing - A Question of Genes, PBS program 9/16/97, retired site, educator guide available online
Molecular Genetic Testing in Mainstream Medicine, Genetic Drift Newsletter, Vol. 14, Spring 1997, Mountain States Regional Genetic Services Network formerly posted at www.ahsc.arizona.edu/~msrgsn/gd/gdvol14a.htm
Huntington Disease DNA testing protocol, and ethical, legal and social issues - search for archive at HD Society
Presymptomatic Genetic Testing for Heritable Breast Cancer Risk, The National Breast Cancer Coalition, September, 1995 - search for archive at the National Cancer Institute
State legislation related to breast cancer 1980-1994. Wyatt et al., J. Public Health Managements Practive 2(2), 64-69
Remarks by the President, Bill Clinton, at White House at Genetic Screening Event, July 14, 1997, search archives
Revised
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Debra Collins, M.S. CGC, Genetic Counselor, dcollins@kumc.edu
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