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The ethics of research involving animals - Nuffield Council on ...

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T h e e t h i c s o f r e s e a r c h i n v o l v i n g a n i m a l s<br />

observati<strong>on</strong>, then it may be used, subject to regulatory approval. While the terminal<br />

stages <str<strong>on</strong>g>of</str<strong>on</strong>g> a lethal endpoint may not involve much, if any, suffering as the animal may be<br />

comatose, the suffering that may have taken place beforehand can be substantial and may<br />

have involved symptoms such as inappetence (lack <str<strong>on</strong>g>of</str<strong>on</strong>g> appetite), malaise, c<strong>on</strong>vulsi<strong>on</strong>s or<br />

paralysis (see also Box 8.5).<br />

Box 8.5: Examples <str<strong>on</strong>g>of</str<strong>on</strong>g> animal suffering in the<br />

c<strong>on</strong>text <str<strong>on</strong>g>of</str<strong>on</strong>g> quality c<strong>on</strong>trol <str<strong>on</strong>g>of</str<strong>on</strong>g> vaccines for<br />

human use*<br />

Tetanus potency test<br />

Batches <str<strong>on</strong>g>of</str<strong>on</strong>g> tetanus vaccine are tested for potency in<br />

mice or guinea pigs. <str<strong>on</strong>g>The</str<strong>on</strong>g> standard method involves<br />

testing a new vaccine against a reference vaccine at<br />

three different c<strong>on</strong>centrati<strong>on</strong>s. It has been estimated<br />

that 66–108 <str<strong>on</strong>g>animals</str<strong>on</strong>g> are usually used for each test. <str<strong>on</strong>g>The</str<strong>on</strong>g><br />

<str<strong>on</strong>g>animals</str<strong>on</strong>g> are administered with the vaccine under the<br />

skin and four weeks later with a single dose <str<strong>on</strong>g>of</str<strong>on</strong>g> tetanus<br />

toxin. This dose could be lethal or paralytic. C<strong>on</strong>trol<br />

<str<strong>on</strong>g>animals</str<strong>on</strong>g> (that receive no vaccine) and those <str<strong>on</strong>g>animals</str<strong>on</strong>g> that<br />

are unprotected because the test vaccine they receive is<br />

unsuitable or is at an ineffective c<strong>on</strong>centrati<strong>on</strong> suffer<br />

paralysis and death.<br />

Diptheria (absorbed) potency test<br />

Guinea pigs are immunised with test samples <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

diphtheria vaccine, and are subsequently infected with<br />

diphtheria bacteria four weeks later. In the EU, both<br />

lethal and n<strong>on</strong>-lethal amounts <str<strong>on</strong>g>of</str<strong>on</strong>g> the bacterial toxin are<br />

permitted for this test and the endpoints are death or<br />

skin inflammati<strong>on</strong> respectively. At least three diluti<strong>on</strong>s<br />

each <str<strong>on</strong>g>of</str<strong>on</strong>g> the test vaccine and a reference vaccine are<br />

used, together with <strong>on</strong>e untreated c<strong>on</strong>trol group. A<br />

minimum <str<strong>on</strong>g>of</str<strong>on</strong>g> 70 <str<strong>on</strong>g>animals</str<strong>on</strong>g> is used to test each vaccine<br />

batch and both methods cause severe pain and distress<br />

for those <str<strong>on</strong>g>animals</str<strong>on</strong>g> that are unprotected (see above).<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g>re is no agreement <strong>on</strong> whether the lethal or n<strong>on</strong>lethal<br />

methods cause greater suffering.<br />

* See <str<strong>on</strong>g>The</str<strong>on</strong>g> Associate Parliamentary Group for Animal Welfare<br />

(2005) <str<strong>on</strong>g>The</str<strong>on</strong>g> Use <str<strong>on</strong>g>of</str<strong>on</strong>g> Animals in Vaccine Testing for Humans,<br />

available at: http://apgaw.org/userimages/Vaccinetesting.pdf<br />

Accessed <strong>on</strong>: 26 Apr 2005.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> validity <str<strong>on</strong>g>of</str<strong>on</strong>g> animal models used in pharmaceutical <str<strong>on</strong>g>research</str<strong>on</strong>g><br />

8.37 We have described why and how <str<strong>on</strong>g>animals</str<strong>on</strong>g> are used in pharmaceutical <str<strong>on</strong>g>research</str<strong>on</strong>g> and have<br />

illustrated with several examples the range <str<strong>on</strong>g>of</str<strong>on</strong>g> welfare implicati<strong>on</strong>s that they may<br />

experience. Many people who are c<strong>on</strong>cerned about animal suffering are critical <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

permissibility <str<strong>on</strong>g>of</str<strong>on</strong>g> animal <str<strong>on</strong>g>research</str<strong>on</strong>g> <strong>on</strong> ethical grounds. However, there are critics who also<br />

object to the use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g> in pharmaceutical <str<strong>on</strong>g>research</str<strong>on</strong>g> <strong>on</strong> scientific grounds. <str<strong>on</strong>g>The</str<strong>on</strong>g>y questi<strong>on</strong><br />

the transferability and predictability <str<strong>on</strong>g>of</str<strong>on</strong>g> data obtained from <str<strong>on</strong>g>animals</str<strong>on</strong>g>, and its reliability for the<br />

accurate assessment <str<strong>on</strong>g>of</str<strong>on</strong>g> the safety <str<strong>on</strong>g>of</str<strong>on</strong>g> new therapeutic interventi<strong>on</strong>s, as shown by the<br />

following resp<strong>on</strong>dents to the C<strong>on</strong>sultati<strong>on</strong>:<br />

‘…animal experimentati<strong>on</strong> is positively harmful to human health… [It] does not provide<br />

informati<strong>on</strong> that is relevant to human medicine because the data cannot be transferred<br />

to humans with any degree <str<strong>on</strong>g>of</str<strong>on</strong>g> reliability. In fact, studies <str<strong>on</strong>g>of</str<strong>on</strong>g> the predictability <str<strong>on</strong>g>of</str<strong>on</strong>g> animal<br />

experiments c<strong>on</strong>sistently show them to be worse than random guesswork… Adverse<br />

drug reacti<strong>on</strong>s are the fourth leading cause <str<strong>on</strong>g>of</str<strong>on</strong>g> death in the Western world, killing over<br />

100,000 individuals every year in the US al<strong>on</strong>e. Clearly, the animal tests are failing to<br />

protect people.’<br />

Animal Aid<br />

‘…claims that animal experiments have instilled a misplaced sense <str<strong>on</strong>g>of</str<strong>on</strong>g> the relative danger<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> a drug are supported by the incidences <str<strong>on</strong>g>of</str<strong>on</strong>g> false negatives and false positives known to<br />

be attached to such tests.’<br />

Cris Iles-Wright<br />

8.38 We have shown above that producing a new medicine is a lengthy and complex process,<br />

and that decisi<strong>on</strong>s <strong>on</strong> the compounds that should proceed to the next stage are taken using<br />

a wide range <str<strong>on</strong>g>of</str<strong>on</strong>g> informati<strong>on</strong>. Tests <strong>on</strong> <str<strong>on</strong>g>animals</str<strong>on</strong>g> play a vital role, but they are not the <strong>on</strong>ly<br />

source <str<strong>on</strong>g>of</str<strong>on</strong>g> informati<strong>on</strong> that is used to determine safety and efficacy (see Figure 8.3). Some<br />

critics <str<strong>on</strong>g>of</str<strong>on</strong>g> animal <str<strong>on</strong>g>research</str<strong>on</strong>g> and testing tend to attribute any problems with the final product<br />

solely to the use <str<strong>on</strong>g>of</str<strong>on</strong>g> animal testing. We c<strong>on</strong>sider the general questi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> whether or not<br />

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