Practices and ethical concerns regarding preimplantation diagnosis. Who regulates preimplantation genetic diagnosis in Brazil?

Practices and ethical concerns regarding preimplantation diagnosis. Who regulates preimplantation genetic diagnosis in Brazil?

Author Damian, B.b. Google Scholar
Bonetti, Tatiana Carvalho de Souza Autor UNIFESP Google Scholar
Horovitz, Dafne Dain Gandelman Google Scholar
Institution Fundação Oswaldo Cruz da Criança e do Adolescente Fernandes Figueira Instituto Nacional de Saúde da Mulher
Universidade Federal de São Paulo (UNIFESP)
Abstract Preimplantation genetic diagnosis (PGD) was originally developed to diagnose embryo-related genetic abnormalities for couples who present a high risk of a specific inherited disorder. Because this technology involves embryo selection, the medical, bioethical, and legal implications of the technique have been debated, particularly when it is used to select features that are not related to serious diseases. Although several initiatives have attempted to achieve regulatory harmonization, the diversity of healthcare services available and the presence of cultural differences have hampered attempts to achieve this goal. Thus, in different countries, the provision of PGD and regulatory frameworks reflect the perceptions of scientific groups, legislators, and society regarding this technology. In Brazil, several texts have been analyzed by the National Congress to regulate the use of assisted reproduction technologies. Legislative debates, however, are not conclusive, and limited information has been published on how PGD is specifically regulated. The country requires the development of new regulatory standards to ensure adequate access to this technology and to guarantee its safe practice. This study examined official documents published on PGD regulation in Brazil and demonstrated how little direct oversight of PGD currently exists. It provides relevant information to encourage reflection on a particular regulation model in a Brazilian context, and should serve as part of the basis to enable further reform of the clinical practice of PGD in the country.
Keywords Preimplantation genetic diagnosis
Public policy
Regulation
Ethics
Brazil
Language English
Date 2015-01-01
Published in Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 48, n. 1, p. 25-33, 2015.
ISSN 0100-879X (Sherpa/Romeo)
Publisher Associação Brasileira de Divulgação Científica
Extent 25-33
Origin http://dx.doi.org/10.1590/1414-431X20144083
Access rights Open access Open Access
Type Article
SciELO ID S0100-879X2015000100025 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/8777

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