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Genetic screening: ethical issues - Nuffield Council on Bioethics

Genetic screening: ethical issues - Nuffield Council on Bioethics

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63<br />

legal regulati<strong>on</strong> does not appear to be peculiar to this country,<br />

though there are a number of jurisdicti<strong>on</strong>s where there is more<br />

direct legal interventi<strong>on</strong>.<br />

Legal regulati<strong>on</strong> elsewhere<br />

6.25 In Europe draft legislati<strong>on</strong> has been introduced in Denmark which<br />

would prohibit an employer from demanding or making use of a<br />

genetic test at the time of appointment or at a subsequent stage. 7<br />

This would be subject to a proviso to permit the Minister of Labour<br />

to authorise genetic tests for “any disorders which might<br />

jeopardise other people in the relevant functi<strong>on</strong> or job.” Rather<br />

different forms of regulati<strong>on</strong> in a number of jurisdicti<strong>on</strong>s in the<br />

United States prohibit discriminati<strong>on</strong> in employment <strong>on</strong> the basis<br />

of <strong>on</strong>e or more genetic traits. Florida, Louisiana, and North<br />

Carolina prohibit discriminati<strong>on</strong> based <strong>on</strong> sickle cell trait, the<br />

prohibiti<strong>on</strong> in the last case extending also to haemoglobin C. New<br />

Jersey goes further in prohibiting discriminati<strong>on</strong> <strong>on</strong> the additi<strong>on</strong>al<br />

grounds of carrier states for thalassaemia, Tay-Sachs disease and<br />

cystic fibrosis. 8<br />

Legal Interventi<strong>on</strong> in Britain?<br />

6.26 In the light of our comments about the circumstances in which<br />

genetic <str<strong>on</strong>g>screening</str<strong>on</strong>g> ought properly to be c<strong>on</strong>ducted in this country,<br />

and in the light also of the lack of any regulati<strong>on</strong> of the practice,<br />

the questi<strong>on</strong> arises as to whether it would be appropriate to<br />

introduce legislati<strong>on</strong> such as that now in draft in Denmark or<br />

provided in some of the states of the USA. We are reluctant to<br />

recommend any initiative at this stage because of the lack of<br />

evidence which we have been able to uncover about the<br />

systematic use of genetic <str<strong>on</strong>g>screening</str<strong>on</strong>g> programmes by employers in<br />

this country. Still less is there evidence of any systematic abuse<br />

by employers.

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