Recent revelations that Black, Latino and Native American subjects
are used disproportionately in vaccine tests are a cause for concern.
The reasons for concern are obvious: institutional racism, past abuses
and the vulnerability of the poor who need help.
While Americans of all races, ethnic groups and income levels
benefit from vaccines which stop the spread of diseases, at least
eight out of 14 vaccines approved in the United States since 1990 were
tested disproportionately among lower-income minority group members,
according to a late December report in San Jose Mercury News.
Defenders of the tests say the vaccines are tested on populations that
will benefit most from them, and no sinister motives are present.
It�s interesting that when it comes to making sure that vaccines
are safe, non-whites are the first hired. Yet, when it comes to needed
medical services, these same groups lag behind, and in many areas the
Black-white health disparity exists despite income. There have even
been studies that show Blacks received fewer painkillers than whites,
let alone received equal treatment.
Previous news reports and a new book called "The River"
document how the areas of Africa most devastated by AIDS match the
sites where western agencies used an oral polio vaccine in the 1950s.
In America, the Tuskegee Experiment allowed Black men to suffer from
and spread syphilis while the federal health officials watched and
catalogued the results.
In the 1950s, a polio vaccine for children was found to be
contaminated by SV-40, which caused cancer in some animals. It hasn�t
been proven that people who got SV-40 with their polio vaccine ended
up with cancer but the whole idea of contaminated vaccines is scary.
Where is the Food and Drug Administration in all of this? Although
some medical professionals fear contaminated vaccines still carry
deadly ailments, others disagree but readily admit the current system
for testing vaccines has problems. It�s easy to get vulnerable
groups to sign "consent forms"�just tell them everything
is basically OK and promise treatment, they say.
The issues raised in news reports and history are enough for the
National Medical Association and the Congressional Black Caucus to
examine this issue. At the very least, perhaps they can come up with
guidelines to help better protect test subjects and keep them from
being used as human guinea pigs, and find out what FDA really is and
is not doing.