Experimentation on prisoners

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Throughout history, prisoners have been frequent participants in scientific, medical and social human subject research. Some of the research involving prisoners has been exploitative and cruel. Many of the modern protections for human subjects evolved in response to the abuses in prisoner research.[ citation needed ] Research involving prisoners is still conducted today[ citation needed ], but prisoners are now one of the most highly protected groups of human subjects[ where? ] [1]

Contents

Requirements of research involving prisoners

According to the Common Rule (45 CFR 46),[ clarification needed ] prisoners may only be included in human subjects research when the research involves no more than a minimal risk of harm.

Prisoners cannot consent. [2] Their status as imprisoned human subjects becomes even more ethically problematic when investigators offer incentives such as parole, phone calls, or objects that are normally unavailable to prisoners.

Historical abuses

Ancient history

Herophilos of Chalcedon was reputed by Celcus, among others, to have vivisected prisoners received from the Ptolemaic kings.[ citation needed ]

Second Sino-Japanese War and World War II

In Japan, Unit 731, located near Harbin (Manchukuo), experimented with prisoner vivisection, dismemberment and induced epidemics on a very large scale from 1935 to 1945 during the Second Sino-Japanese War. With the expansion of the Empire of Japan during World War II, many other units were implemented in conquered cities such as Nanking (Unit 1644), Beijing (Unit 1855), Guangzhou (Unit 8604) and Singapore (Unit 9420). After the war, Supreme Commander for the Allied Powers Douglas MacArthur gave immunity in the name of the United States to all members of the units in exchange for the results of a fraction of the conducted experiments, so that in post-war Japan, Shiro Ishii and others continued to hold honoured positions. The United States blocked Soviet access to this information. However, some unit members were judged by the Soviets during the Khabarovsk War Crime Trials. The effects were lasting and China is still working to counteract the effects of buried pathogen caches.[ citation needed ]

United States

Project MKUltra was a CIA-run human experiment program from 1953–1973 where volunteers, prisoners and unwitting subjects were administered hallucinogenic drugs in attempt to develop incapacitating substances and chemical mind control agents, in an operation run by Sidney Gottlieb. [3]

Numerous experiments were done on prisoners throughout the US. Many prisoners eventually filed lawsuits and these actions brought about many more investigations and suits against doctors, hospitals and pharmaceutical companies. [4] Experiments included high-risk cancer treatments, the application of strong skin creams, new cosmetics, dioxin and high doses of LSD. Many incidents were documented in government reports, ACLU findings and various books including Acres of Skin by Allen Hornblum. The Stateville Penitentiary Malaria Study is one of many examples. The Plutonium Files , for which Eileen Welsome won a Pulitzer Prize, documents the early human tests of the toxicity of plutonium and uranium on people. [5]

American oncologist Chester M. Southam injected HeLa cells into Ohio State Penitentiary inmates without informed consent in order to see if people could become immune to cancer. [6]

Germany and German-occupied territory

The Herero and Namaqua Genocide in present-day Namibia, in Southern Africa, resulted in a large number of prisoners in concentration camps. These prisoners were used as medical test subjects by German agents. [7] [8]

During the second World War, Nazi human experimentation occurred in Germany with particular bias towards euthanasia. At the war's conclusion, 23 Nazi doctors and scientists were tried for the murder of concentration camp inmates who were used as research subjects. Of the 23 professionals tried at Nuremberg, 15 were convicted. Seven of them were condemned to death by hanging and eight received prison sentences from 10 years to life. Eight professionals were acquitted. (Mitscherlich 1992[ clarification needed ])

The result of these proceedings was the Nuremberg Code. It includes the following guidelines, among others, for researchers:

Informed consent is essential.
Research should be based on prior animal work.
The risks should be justified by the anticipated benefits.
Research must be conducted by qualified scientists.
Physical and mental suffering must be avoided.
Research in which death or disabling injury is expected should not be conducted.

See also

Related Research Articles

The Nuremberg Code is a set of ethical research principles for human experimentation created by the court in U.S. v Brandt, one of the Subsequent Nuremberg trials that were held after the Second World War.

<span class="mw-page-title-main">MKUltra</span> CIA program involving illegal experimentation on human test subjects (1953–1973)

Project MKUltra was an illegal human experiments program designed and undertaken by the U.S. Central Intelligence Agency (CIA) to develop procedures and identify drugs that could be used during interrogations to weaken people and force confessions through brainwashing and psychological torture. It began in 1953 and was halted in 1973. MKUltra used numerous methods to manipulate its subjects' mental states and brain functions, such as the covert administration of high doses of psychoactive drugs and other chemicals without the subjects' consent, electroshocks, hypnosis, sensory deprivation, isolation, verbal and sexual abuse, and other forms of torture.

<span class="mw-page-title-main">Unit 731</span> Japanese army unit used for war crimes and crimes against humanity

Unit 731, short for Manshu Detachment 731 and also known as the Kamo Detachment and the Ishii Unit, was a covert biological and chemical warfare research and development unit of the Imperial Japanese Army that engaged in lethal human experimentation and biological weapons manufacturing during the Second Sino-Japanese War (1937–1945) and World War II. It killed an estimated 200,000 to 300,000 people. It was based in the Pingfang district of Harbin, the largest city in the Japanese puppet state of Manchukuo and had active branch offices throughout China and Southeast Asia.

<span class="mw-page-title-main">Doctors' Trial</span> Post-World War II trial of German doctors for war crimes

The Doctors' Trial was the first of 12 trials for war crimes of high-ranking German officials and industrialists that the United States authorities held in their occupation zone in Nuremberg, Germany, after the end of World War II. These trials were held before US military courts, not before the International Military Tribunal, but took place in the same rooms at the Palace of Justice. The trials are collectively known as the "subsequent Nuremberg trials", formally the "Trials of War Criminals before the Nuremberg Military Tribunals" (NMT).

<span class="mw-page-title-main">Human subject research</span> Systematic, scientific investigation that involves human beings as research subjects

Human subject research is systematic, scientific investigation that can be either interventional or observational and involves human beings as research subjects, commonly known as test subjects. Human subject research can be either medical (clinical) research or non-medical research. Systematic investigation incorporates both the collection and analysis of data in order to answer a specific question. Medical human subject research often involves analysis of biological specimens, epidemiological and behavioral studies and medical chart review studies. On the other hand, human subject research in the social sciences often involves surveys which consist of questions to a particular group of people. Survey methodology includes questionnaires, interviews, and focus groups.

Medical torture describes the involvement of, or sometimes instigation by, medical personnel in acts of torture, either to judge what victims can endure, to apply treatments which will enhance torture, or as torturers in their own right. Medical torture overlaps with medical interrogation if it involves the use of professional medical expertise to facilitate interrogation or corporal punishment, in the conduct of torturous human experimentation or in providing professional medical sanction and approval for the torture of prisoners. Medical torture also covers torturous scientific experimentation upon unwilling human subjects.

Zhongma Fortress — also Zhong Ma Prison Camp or Unit Tōgō — was a prison camp where the Japanese Kwantung Army carried out covert biological warfare research on human test subjects. Built in Beiyinhe, outside of Harbin, Manchukuo during the Second Sino-Japanese War, the camp served as a center for human subject experimentation and could hold up to 1,000 prisoners at any given time. In 1937 the prison camp was destroyed and testing operations were transferred to Pingfang under Unit 731.

An institutional review board (IRB), also known as an independent ethics committee (IEC), ethical review board (ERB), or research ethics board (REB), is a committee at an institution that applies research ethics by reviewing the methods proposed for research involving human subjects, to ensure that the projects are ethical. The main goal of IRB reviews is to ensure that study participants are not harmed. Such boards are formally designated to approve, monitor, and review biomedical and behavioral research involving humans, and they are legally required in some countries under certain specified circumstances. Most countries use some form of IRB to safeguard ethical conduct of research so that it complies with national and international norms, regulations or codes.

<span class="mw-page-title-main">Kurt Blome</span> Nazi German scientist (1894–1969)

Kurt Blome was a high-ranking Nazi scientist before and during World War II. He was the Deputy Reich Health Leader (Reichsgesundheitsführer) and Plenipotentiary for Cancer Research in the Reich Research Council. In his autobiography Arzt im Kampf, he equated medical and military power in their battle for life and death.

The Stateville Penitentiary malaria study was a controlled but ethically questionable study of the effects of malaria on prisoners of Stateville Penitentiary near Joliet, Illinois, in the 1940s, conducted by the Department of Medicine at the University of Chicago in conjunction with the United States Army and the State Department. The Stateville experiment was viewed as coercive because it offered shortened sentences to participants. The Green report was written in 1945 about it by Andrew Conway Ivy, used in Nuremberg Medical Trial, which affected the Nuremberg Code, and used to discuss how medical experimentation on prisoners should be carried out.

The Office for Human Research Protections (OHRP) is a small office within the United States Department of Health and Human Services (DHHS), specifically the Office of the Assistant Secretary for Health in the Office of the Secretary of DHHS, that deals with ethical oversights in clinical research conducted by the department, mostly through the National Institutes of Health (NIH).

<span class="mw-page-title-main">Human radiation experiments</span> Studies of radiation effects on humans

Since the discovery of ionizing radiation, a number of human radiation experiments have been performed to understand the effects of ionizing radiation and radioactive contamination on the human body, specifically with the element plutonium.

<span class="mw-page-title-main">Nazi human experimentation</span> Unethical experiments on human subjects

Nazi human experimentation was a series of medical experiments on prisoners by Nazi Germany in its concentration camps mainly between 1942 and 1945. There were 15,754 documented victims, of various nationalities and age groups, although the true number is believed to be more extensive. Many survived, with only a quarter of documented victims killed. Survivors generally experienced severe permanent injuries.

<span class="mw-page-title-main">Holmesburg Prison</span> Former detention center in Pennsylvania, United States

Holmesburg Prison, given the nickname "The Terrordome," was a prison operated by the city of Philadelphia, Pennsylvania and the Pennsylvania Department of Prisons (PDP) from 1896 to 1995. The facility is located at 8215 Torresdale Ave in the Holmesburg section of Philadelphia. It was decommissioned in 1995 when it closed. As of today, the structure still stands and is occasionally used for prisoner overflow and work programs.

<span class="mw-page-title-main">Claus Schilling</span> German tropical medicine specialist, war criminal

Claus Karl Schilling, also recorded as Klaus Schilling, was a German tropical medicine specialist who participated in the Nazi human experiments at the Dachau concentration camp during World War II.

<span class="mw-page-title-main">Unethical human experimentation in the United States</span>

Numerous experiments which are performed on human test subjects in the United States are considered unethical, because they are performed without the knowledge or informed consent of the test subjects. Such tests have been performed throughout American history, but some of them are ongoing. The experiments include the exposure of humans to many chemical and biological weapons, human radiation experiments, injections of toxic and radioactive chemicals, surgical experiments, interrogation and torture experiments, tests which involve mind-altering substances, and a wide variety of other experiments. Many of these tests are performed on children, the sick, and mentally disabled individuals, often under the guise of "medical treatment". In many of the studies, a large portion of the subjects were poor, racial minorities, or prisoners.

Human subject research legislation in the United States can be traced to the early 20th century. Human subject research in the United States was mostly unregulated until the 20th century, as it was throughout the world, until the establishment of various governmental and professional regulations and codes of ethics. Notable – and in some cases, notorious – human subject experiments performed in the US include the Tuskegee syphilis experiment, human radiation experiments, the Milgram obedience experiment and Stanford prison experiments and Project MKULTRA. With growing public awareness of such experimentation, and the evolution of professional ethical standards, such research became regulated by various legislation, most notably, those that introduced and then empowered the institutional review boards.

<span class="mw-page-title-main">Guatemala syphilis experiments</span> Human experimentation conducted by US doctors in Guatemala

The Guatemala syphilis experiments were United States-led human experiments conducted in Guatemala from 1946 to 1948. The experiments were led by physician John Charles Cutler, who also participated in the late stages of the Tuskegee syphilis experiment. Doctors infected 1,300 people, including at least 600 soldiers and people from various impoverished groups with syphilis, gonorrhea, and chancroid, without the informed consent of the subjects. Only 700 of them received treatment. In total, 5,500 people were involved in all research experiments, of whom 83 died by the end of 1953, though it is unknown whether or not the inoculations were responsible for all these deaths. Serology studies continued through 1953 involving the same vulnerable populations in addition to children from state-run schools, an orphanage, and rural towns, though the intentional infection of patients ended with the original study.

Various organizations have created guidelines for human subject research for various kinds of research involving human subjects and for various situations.

Unethical human experimentation is human experimentation that violates the principles of medical ethics. Such practices have included denying patients the right to informed consent, using pseudoscientific frameworks such as race science, and torturing people under the guise of research. Around World War II, Imperial Japan and Nazi Germany carried out brutal experiments on prisoners and civilians through groups like Unit 731 or individuals like Josef Mengele; the Nuremberg Code was developed after the war in response to the Nazi experiments. Countries have carried out brutal experiments on marginalized populations. Examples include American abuses during Project MKUltra and the Tuskegee syphilis experiments, and the mistreatment of indigenous populations in Canada and Australia. The Declaration of Helsinki, developed by the World Medical Association (WMA), is widely regarded as the cornerstone document on human research ethics.

References

  1. "OHRP Guidance on the Involvement of Prisoners in Research", https://www.hhs.gov/ohrp/humansubjects/guidance/prisoner.htm Archived 2010-11-15 at the Wayback Machine
  2. "Challenges of Conducting Research in Prisons". National Institute of Justice. Retrieved 2023-01-11.
  3. Streatfeild, Dominic (2006). Brainwash: The Secret History Of Mind Control. London: Hodder & Stoughton Ltd. ISBN   978-0-340-83161-8.
  4. Talvi, Silja J. A. (7 December 2001). "The Prison As Laboratory" via In These Times.
  5. Michael Sherry. Human Guinea Pigs. New York Times.
  6. Skloot, Rebecca (2010). The Immortal Life of Henrietta Lacks. New York: Broadway Paperbacks. p. 129.
  7. Hitler's Black Victims: The Historical Experiences of European Blacks, Africans and African Americans During the Nazi Era (Crosscurrents in African American History) by Clarence Lusane, page 50-51 Routledge 2002
  8. Germans return skulls to Namibia 27 Sept 2011, Times Live (South Africa)