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RESULTS OF THE DISCUSSIONS ON BIOETHICS AT THE TWENTY-EIGHTH SESSION OF THE GENERAL CONFERENCE OF UNESCO AND RESOLUTIONS ADOPTED (25 October - 16 November 1995) I. General Policy Debate 1. The Director-General presented a report on the possibility of drawing up an international instrument on the protection of the human genome (document 28 C/38), under Item 7.5 of the Agenda of the twenty-eighth session of the General Conference. 2. Document 28 C/38 presents the results of the reflections undertaken in 1994-1995 by the International Bioethics Committee (IBC), its Bureau and its Legal Commission, as well as the recent changes observed world-wide, at national, regional and international levels, in the field of bioethics. It also reviews the preparation by the IBC of a possible international instrument on the protection of the human genome. The draft Outline of the Declaration, which is annexed to this report, is provided for information only, and is still the subject of a wide consultation amongst the international intellectual community. 3. In his introduction to the general policy debate, Mr Federico Mayor stressed the ethical mission of UNESCO, which should constitute ìa meeting-place where ethical analysis that is both free and global in its approach can develop, involving political leaders, intellectuals in all fields and other individuals and institutions in societyî. 4. In underlining the role of UNESCO in this field, the Director-General emphasized ìthe movement launched with the establishment of the International Bioethics Committee, whose work, on account of its quality and vision, provides ... cause for hope. I believe, however, that beyond the questions linked to advances in the biomedical sciences UNESCO must henceforth pursue a path of much broader analysis of the ethics of scientific knowledge. Such an analysis, which could cover all the areas of scientific progress, including the relevant applications and technologies, should give rise to a broad debate on the challenges to society now represented by the growth of knowledge and the powers it gives rise toî. 86 5. Indeed, during the debate in the plenary meeting, numerous delegates stressed the importance of the ethical mission of UNESCO, in all fields of its competence, to develop international intellectual co-operation and to build a peace founded on the intellectual and moral solidarity of humanity. 6. Where scientific progress is concerned, bioethics, as an awareness of the implications of the advances made in the life and health sciences, in particular genetics and molecular biology, is the basis of an ever-growing debate on the choices that will direct the future course of humanity. Bearer of hope as well as fear, this progress spreads, particularly through biotechnology, to other fields of activity, and the concerns it expresses have an increasing international dimension. In this respect, UNESCO constitutes a place where different views can be expressed and exchanged between all countries of the world. 7. In particular, the International Bioethics Committee constitutes a forum which, in a transdisciplinary perspective, keeps abreast of progress in biomedical sciences, particularly genetics, whilst at the same time taking care to ensure respect for the values of human integrity and dignity in view of the potential risk of irresponsible attitudes in this field. 8. Moreover, in his reply to the general policy debate, the Director-General highlighted ìthe many references made to the Organization's, ethical mission and to the leading role assigned to it in this connection, as an international forumî, and he referred to ìthe example of the International Bioethics Committee, which has led to the initiation of an intercultural dialogue - dispassionate, but searching - on the problems in society that arise from the application of the findings of research on the human genomeî. 9. Finally, UNESCO should strengthen ethical discussions in all the sectors of competence of the Organization. As Mr Mayor stated, ìIt will be for UNESCO to initiate a more wide-ranging discussion on the use of scientific knowledge and the resulting technological innovations within the broadest possible multicultural context and on the basis of the principles of the freedom and dignity of the human individualî. The emphasis placed by several delegates on the educational, scientific, cultural and ethical challenges of the new technologies of information and communication is without doubt an expression of the need for analysis of the ethical and legal aspects of present knowledge. II. Debate in Commission III (The sciences in the service of development) 10. All the interventions during the debate stressed the need to keep abreast of advances in knowledge, particularly scientific knowledge, through ethical discussion and analysis. The status of our scientific knowledge and the powers conferred on us by our technologies bring us, more than ever before, face to face with our responsibilities - responsibilities towards ourselves, our communities and humanity as a whole. Ethics - which the Director-General has often qualified as "ethics of responsibility" - concern all aspects of our daily lives, private and public, related to the scientific or social and cultural fields. 11. Where bioethics is concerned, delegates recognized the importance of such a discipline which would reconcile the needs of scientific research with the universal principles of human rights and respect for human dignity, and emphasized the quality of the work carried out by the IBC. The interest expressed by certain States as to what is at stake in research in genetics, and the activities of UNESCO in this field, is witnessed by their active involvement in the work of the IBC, particularly during its Third Session in September 1995. At the opening of this Session, a round-table discussion involving several parliamentarians afforded the occasion for a dialogue between different points of view on the subject of bioethics. 12. The IBC has been invited to strengthen its efforts in disseminating information concerning its work, in particular by using new methods of communication and information. Ever since its creation, the Committee has been considered as a place for debate and the 87 exchange of information and ideas. In this respect, its discussions and analyses have always been associated with various National Ethics Committees which also receive its publications and reports on a regular basis. The publication of a Directory listing information collected with the co-operation of National Commissions is planned for 1997. It should also be noted that numerous non-governmental international organizations and academies of sciences follow the activities of the Committee with great interest and make active contributions to its work through suggestions and propositions. 13. In the same vein, the Committee has striven, through a number of initiatives, to encourage the exchange and dissemination of information. Firstly, the publication of the Proceedings of the IBC, the 1995 edition of which has been largely diffused; so too Spotlight on Ethics, the Committee's newsletter. Furthermore, UNESCO produced the film Genome : Odyssey of the Species. Produced for television and used as a means of communication, it has been disseminated in German, English, Spanish and French, in particular through the National Commissions. Finally UNESCO, in its will to having the press more closely associated with its bioethics programme, has seen numerous Press Reviews prepared by the Bioethics Unit throughout the past year. These are just some examples of numerous initiatives which will continue, particularly through the use of new methods of information and communication such as Internet. 14. Special emphasis should be placed on public awareness and the teaching of bioethics which should be conceived on a transdisciplinary level. Observing its pedagogical mandate, UNESCO intends to promote public awareness and understanding of bioethics, especially by young people and even the establishment of teaching programmes in this field. 15. To this effect, the Committee is reviewing the teaching of bioethics in all regions of the world - a report concerning the Americas was submitted to the Third Session. A further illustration is the creation of the first UNESCO Chair in Bioethics at the University of Buenos Aires in June 1994. In collaboration with the "AcadÈmie de Paris" and the "Association Descartes", a pilot project of teaching bioethics in high schools began a few months ago in France. It is appropriate to mention here that during the debate in Commission III, the Delegation of Kenya expressed its wish for the creation of a UNESCO Chair in Bioethics in Nairobi, which would facilitate dissemination of information and promote co-operation between African universities. 16. In reference to the drawing up of an international instrument, all speakers who intervened on this subject expressed their support for the preparation of a future declaration which would affirm the priority of the dignity, the rights and the liberties of each individual with regard to the human genome. 17. As to the form this instrument should take, the choice of a declaration seems to be the most appropriate one for an instrument dealing with this subject. A declaration allows flexibility but does not exclude a legal sense being conferred to its content. Given the current burgeoning of research in genetics and the applications arising from it, the format of a declaration is most suited to define the major guidelines. 18. With regard to the content, some delegates stressed the innovative aspect of the text which proclaims, for the first time in international law, the human genome "common heritage of humanity". By so doing, the future declaration could underline the signal responsibility of humanity with regard to the human genome as a constituent element of the individuality of each person and the very identity of humanity. 19. Whilst the principle of freedom of research - recognized by constitutional law in various States - has been affirmed, it must in no way impinge upon the respect of human dignity. Other interventions raised the question of commercialization and exploitation of genetics for monetary gain, for example intellectual copyright of biotechnology's and genetically-modified organisms. 20. It should be added that the Outline of a declaration, annexed to 28 C/38 is given for information only as explained in paragraph 107. Before drawing up a draft declaration, the IBC has circulated the Revised Outline of 7 March 1995 for observations amongst 88 international and regional inter-governmental and non-governmental organizations, and major scientific and cultural organizations (academies of sciences, faculties of law) and ethics institutions (particularly national ethics committees). In its present preliminary form, the Outline is still the subject of extensive consultation within the international intellectual community. 21. The Legal Commission of the IBC will examine suggestions still forthcoming from numerous organizations - inter alia the World Health Organization (WHO), the International Labour Office (ILO), the United Nations Environment Programme (UNEP) - and several academies of sciences (Belgium, China and Sweden, to name but a few). III. Conclusions 22. Based on the examination of the Report of the Director-General and on the debates in plenary and in Commission III, the General Conference has adopted the 28 C/Resolution 2.2 "Drawing up of an international declaration on the human genome and the protection of human rights" (see Annex). 23. It should also be indicated that 28 C/Resolution 2.1, to which in fact the above resolution refers, invites the Director-General: ìto facilitate the establishment of an international bioethics network, to encourage exchanges of information, bioethics teaching and the setting up of ethics committees, and to develop the awareness of decision-makers and the public at large; to prepare a preliminary draft declaration on the human genome and to convene, in 1997, a committee of governmental experts (category II) to finalize the draft declaration with a view to its adoption by the General Conference at its twenty-ninth sessionî. 24. Finally, it is important to note that the General Conference, by 28 C/Resolution 0.12 "Medium-Term Strategy for 1996-2001" in considering it indispensable for UNESCO to fulfil its specifically ethical calling: ìReaffirms in this connection the urgent need to strengthen the moral solidarity of mankind in order to safeguard its common heritage - natural and cultural, tangible and intangible, intellectual and geneticî. And further it: ìRecognizes the quality of UNESCO's contributions to those debates, and welcomes the fact that, through such forums as the ad hoc Forum of Reflection of the Executive Board, "Audience Africa", the International Commission on Education for the Twenty-First Century, the World Commission on Culture and Development and the International Bioethics Committee, it has lent fresh impetus to international intellectual co-operationî. ANNEX 28 C/Resolution 2.21 DRAWING UP OF AN INTERNATIONAL DECLARATION ON THE HUMAN GENOME AND THE PROTECTION OF HUMAN RIGHTS The General Conference, Bearing in mind the Universal Declaration of Human Rights (1948), the international covenants on human rights (1966) and the international conventions on the protection of human rights, Reaffirming the importance of the ethical mission of UNESCO, in accordance with its Constitution, and the role that UNESCO must play in strengthening international intellectual co-operation within its fields of competence, Recalling 22 C/Resolution 13.1, 23 C/Resolution 13.1, 24 C/Resolution 13.1, 25 C/Resolution 5.2, 25 C/Resolution 7.3 and 27 C/Resolution 5.15, Recognizing that progress in the life sciences, and particularly molecular biology and genetics, holds out great hopes of benefits to individuals and to the whole of humanity, but anxious to preserve, in this context, the dignity of individuals and their rights and freedoms, Having examined document 28 C/38 entitled "Report by the Director-General on the possibility of drawing up an international instrument on the protection of the human genome", 1. Congratulates the International Bioethics Committee (IBC), and particularly its Legal Commission, on the high standard of its work; 2. Considers that it is necessary for the Organization to prepare a declaration on the subject; 3. Invites the Director-General to draw up a preliminary draft declaration along these lines, which he should communicate to the Member States for their comments, and to convene, in 1997, a committee of governmental experts (category II) to be entrusted with the finalization of this draft declaration, with a view to its adoption by the General Conference at its twenty-ninth session pursuant to paragraph 2.B.(e) of 28 C/Resolution 2.1; 4. Further invites the Director-General to provide assistance to those States which may request it for the creation of national bioethics committees to be concerned with the protection of universally recognized rights and freedoms. 1 Resolution adopted on 14 November 1995.