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Running head: THE IMMORTAL LIFE OF HENRIETTA LACKS The Immortal Life of Henrietta Locks Student’s Name Institutional Affiliation 1 THE IMMORTAL LIFE OF HENRIETTA LACKS The Immortal Life of Henrietta Lacks The Immortal Life of Henrietta Lacks, authored by Rebecca Skloot, is a biography of Henrietta Lacks that explains the first successful extraction, survival, and multiplication of human cells in a laboratory environment. The cells were named HeLa and were extracted from Henrietta Lacks, who succumbed to cervical cancer in 1951 (Skloot, 2011, p. 17). Her cancerous cells, although extracted without her consent, have facilitated significant advancements in modern medical history. The biography reveals a clear-cut ethical wrong that led to medical developments. Obtaining the cancerous cells without Henrietta’s consent was a social wrong apparently perpetrated by the medical establishment. It, however, resulted in one of the most significant breakthroughs in the scientific and medical fields and helped save millions of lives today. The past century has seen remarkable advancements in medical fields. New discoveries have opened up possibilities for the treatment and prevention of life-threatening illnesses, including those that were once regarded as death sentences, such as cancer and HIV/AIDS. Since the HeLa breakthrough, the impact of technology on medicine has been more prominent than ever. However, some advances have occurred under socially wrong conditions, where a health professional breaches his or her code of ethics only to be rewarded with discoveries and lifechanging developments. ‘The Immortal life of Henrietta Lacks’ reveals how HeLa became the first immortal cell line and the impact of HeLa in medical research. Over the years, the research on HeLa facilitated the breakthrough of the polio vaccine, various drugs for treating leukemia, herpes, Parkinson’s disease, influenza, and hemophilia (Caprio, 2014). Additionally, the cells helped unearth the 2 THE IMMORTAL LIFE OF HENRIETTA LACKS mysteries of cancer as well as the degenerative impacts of the atomic bomb. HeLa cells have also led to significant advances in cloning, gene mapping, and Vitro fertilization. The numerous positive outcomes of the research on HeLa cells have resulted in the award of five Nobel Prizes since 2001. A crucial fact to take into consideration, though, is the fact that the HeLa cells were extracted without informed consent, and Henrietta’s family only came to know about it twenty years after her death (Caprio, 2014). Informed consent is an advocated approach to medical treatment, where patients actively play a part in their treatment options. The medical professional discloses all relevant information concerning a patient’s condition and offers a platform for treatment options. Since a majority of patients have limited knowledge of medicine, it can become difficult for a physician to ascertain that a patient has provided adequately informed consent. Informed consent applies to two different settings: health information and biomedical research on human tissues (Kegly, 2004, p. 832). First, before initiating any procedure, the medical practitioner must inform the patient of the details, significance, risks, and consequences of the treatment. The doctor must then seek consent to proceed with the treatment (Pozgar & Santucci, 2012, p. 301). The second setting is biomedical research, where informed consent is required for extracting an individual’s biological matter, such as cells, tissues, and organs. The researcher is required legally and ethically to explain precisely how their biological material would be used and obtain their consent for the agreed use (Pozgar & Santucci, 2012, p. 302). Skloot describes the emotional ordeal faced by Henrietta’s family and the unethical actions of journalists and researchers by violating the family’s privacy through publishing of 3 THE IMMORTAL LIFE OF HENRIETTA LACKS personal medical records and genetic information (Skloot, 2011, p. 55). Skloot’s book also reveals the changing ethics concerning tissue collections. In the 1950s, although it was unethical and illegal to extract samples without consent, Henrietta’s doctor and the hospital in which she was admitted obtained samples of tissues from female patients diagnosed with cervical cancer (Skloot, 2011, p. 30). The case of Henrietta Lacks also raises issues concerning bioethics. It poses a contentious issue concerning who should benefit from scientific breakthroughs. Henrietta’s offspring, for example, are all reared in poverty and lacks proper medical insurance, yet their mother’s cells, which were extracted without her approval, were being sold for profit, and have been invaluable in the field of medicine (Kegly, 2004, p. 833). Various aspects of genetic diseases have revealed defects of the concept of informed consent. For example, the perception of adequate information is at odds with the intricacy of genetic information and metabolic processes. Additionally, the lack of proper training in genetics for medical practitioners has raised concerns for the ‘information’ component of consent. Secondly, the fact that genetic information frequently has a certain level of impact on other people, such as a patient’s family, makes it shared information (Kegly, 2004, p. 835). Existing informed consent assumes that decisions made by a patient only affect the life of an individual. However, emerging models presumes that certain diseases, such as Huntington’s disease of any form of cancer, could affect the patient’s partner, children, or close relatives (Kegly, 2004, p. 835). Such models raise the ethical issue of extracting tissue samples from a patient without their consent. On the one hand, it violates a patient’s privacy and rights. On the other hand, it poses a risk on the patient’s close family due to the probability of hereditary 4 THE IMMORTAL LIFE OF HENRIETTA LACKS factors. Additionally, it potentially limits developments and medical breakthroughs (Kegly, 2004, p. 836). In conclusion, Rebecca Skloot authors the biography of Henrietta Lacks where she narrates the ethical and legal issues surrounding tissue extraction without a patient’s consent. The author focuses on Henrietta Lacks, an African-American woman who was diagnosed with cervical cancer in the 1950s. Her doctor extracted several tissue samples without her consent, which would eventually become a breakthrough in the field of medical research. In biomedical research, informed consent is required for extracting an individual’s biological matter. The researcher is required to explain clearly how their biological material would be used and obtain their consent for the agreed use. Such restrictions raise the questions as to whether informed consent is necessary in this day and age, where medical developments have revealed that, an individual’s genetic information can be used to diagnose or treat other individuals, as was the case of Henrietta Lacks. 5 THE IMMORTAL LIFE OF HENRIETTA LACKS References Caprio, A. (2014). The good, the bad, and the HeLa - The Berkeley Science Review. The Berkeley Science Review. Retrieved 30 August 2015, from http://berkeleysciencereview.com/article/good-bad-hela/ Kegley, J. A. K. (2004). Challenges to Informed Consent. EMBO Reports, 832–836. Pozgar, G. D., & Santucci, N. M. (2012). Legal Aspects of Health Care Administration. Jones and Bartlett Publishers. Skloot, R. (2011). The immortal life of Henrietta Lacks. New York: Broadway Paperbacks. 6