Health Research in Complex Emergencies: A Humanitarian Imperative
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Health researchers, research trainees, and ethics reviewers should be prepared for the special application of research ethics within complex humanitarian emergencies. This paper argues that as a precursor to published ethical guidelines for conducting research in complex emergencies, researchers and research ethics committees should observe the following primary ethical considerations: (1) the research is not at the expense of humanitarian action; (2) the research is justified in that it is needs-driven and relevant to the affected populations; and (3) the research does not compromise the humanitarian principles of neutrality, impartiality and independence. These primary considerations are in harmony with the humanitarian goals of saving lives, alleviating suffering, and témoignage. Furthermore, there is an important role for research in supporting humanitarian action, and the extreme vulnerability of research participants in complex emergencies demands intense research ethics scrutiny. It is important to discern which ethical considerations are essential, and which are merely desirable, as excessive research ethics requirements may impede life-saving research.
KeywordsComplex emergencies Displaced populations Humanitarian aid Humanitarian principles Nongovernmental organizations Refugee health Research ethics War
Thanks to Dr Richard Bedell and Dr Ross Upshur for their expertise and input, and to the University of Toronto Open Scholarship for financial support.
- BBC News. (2003). Polio in Nigeria threatens region. Retrieved 9/29/2009, 2009, from http://news.bbc.co.uk/2/hi/africa/3216329.stm.
- Brown, V., Guerin, P. J., Legros, D., Paquet, C., Pecoul, B., & Moren, A. (2008). Research in complex humanitarian emergencies: the Médecins Sans Frontières/Epicentre experience. PLoS Medicine / Public Library of Science, 5(4), e89.Google Scholar
- Burkle, F. M., Jr. (2006). Complex humanitarian emergencies: a review of epidemiological and response models. Journal of Postgraduate Medicine, 52(2).Google Scholar
- Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada & Social Sciences and Humanities Research Council of Canada. (1998). Tri-council policy statement: Ethical conduct for research involving humans. 1998 (with 2000, 2002 and 2005 amendments). http://pre.ethics.gc.ca/eng/policy-politique/tcps-eptc/.
- de Torrente, N. (2004). Humanitarian action under attack: reflections on the Iraq war. Harvard Human Rights Journal, 17. Google Scholar
- Donini, A. (2005). Humanitarian agenda of the 00 s Retrieved from http://www.isodarco.it/courses/andalo05/paper/andalo05-donini.pdf.
- Goodhand, J. (2000). Research in conflict zones: ethics and accountability. Forced Migration Review, 8, 15–18.Google Scholar
- ICRC. (1996). The fundamental principles of the Red Cross and Red Crescent. Geneva: ICRC.Google Scholar
- Internal Displacement Monitoring Centre. (2009). Global statistics: IDP country figures. Retrieved 2/20/2009, 2009, from http://www.internal-displacement.org/8025708F004CE90B/(httpPages)/22FB1D4E2B196DAA802570BB005E787C?OpenDocument&count=1000.
- International Organization for Migration. (2002). Emergency operations manual IOM. Retrieved from http://www.unjlc.org/tools/FOM/supporting_docs/FOM_PUB_6_6_10_IOM_Emergency_Operations_Manual_EOM.pdf.
- Junod, M. (1951). Warrior without weapons [Le Troisieme Combattant]. London: Jonathan Cape.Google Scholar
- McFate, M. (2005). The military utility of understanding adversary culture. Joint Force Quarterly, (38), 42.Google Scholar
- McMaster University. (2009). Centre for peace studies. Retrieved 8/2/2009, 2009, from http://www.humanities.mcmaster.ca/~peace/.
- Mfutso-Bengo, J., Masiye, F., & Muula, A. (2008). Ethical challenges in conducting research in humanitarian crisis situations. Malawi Medical Journal, 20(2), 46–49.Google Scholar
- MSF. (1997). Refugee health: An approach to emergency situations. London: MacMillan Education Ltd.Google Scholar
- MSF. (1999). Nobel lecture: Nobel peace prize, médecins sans frontières Retrieved from http://nobelprize.org/nobel_prizes/peace/laureates/1999/msf-lecture.html.
- MSF. (2004). MSF-USA: Press release 07/28/2004. Retrieved 3/2/2008, 2008, from http://www.doctorswithoutborders.org/pr/2004/07-28-2004.cfm.
- MSF. (2006). Advocacy and témoignage. Retrieved 06/24, 2009, from http://www.msf.org.uk/advocacy.aspx.
- MSF. (2008). Press release: "top ten" humanitarian crises reveal growing insecurity, neglected health needs. Retrieved 2/28/2009, 2009, from http://www.msf.ca/features/2008_top10/pressrelease.html.
- MSF. (2009). Condition critical: Voices from the war in eastern Congo. Retrieved 8/2/2009, 2009, from http://www.condition-critical.org/.
- OCHA. (2009). United Nations Office for the Coordination of Humanitarian Affairs. Retrieved 2/28/2009http://ochaonline.un.org/.
- Pictet, J. (1979). The fundamental principles of the Red Cross proclaimed by the Twentieth International Conference of the Red Cross, Vienna, 1965: Commentary. Geneva: Henry Dunant Institute.Google Scholar
- Pringle, J. D. (2008). The military invasion of humanitarian space. Juxtaposition Global Health Magazine, 2(2), 22–25.Google Scholar
- Schull, M. J., & Shanks, L. (2001). Complex emergencies: expected and unexpected consequences. Prehospital and Disaster Medicine, 16(4), 192–196.Google Scholar
- Sletto, B. (1999). Research for the people. Perspectives in Health, 4(1), 27.Google Scholar
- Sphere Project. (2004). Humanitarian charter and minimum standards in disaster response: (2004th ed.). Geneva: The Sphere Project.Google Scholar
- Tanguy, J., & Terry, F. (1999). MSF—on neutrality and impartiality. Retrieved 06/19, 2009, from http://www.doctorswithoutborders-usa.org/publications/article_print.cfm?id = 1393.
- UNHCR. (2008). 2007 global trends: Refugees, asylum-seekers, returnees, internally displaced and stateless persons. UNHCR. Retrieved from http://www.unhcr.org/statistics/STATISTICS/4852366f2.pdf.
- UNHCR. (2009). UN refugee chief cites pressing needs as those uprooted tops 42 million. Retrieved 6/17/2009, 2009, from http://www.unhcr.org/4a37c9076.html.
- UNICEF. (2003). A principled approach to humanitarian action: 4.2 UNICEF’s humanitarian principles. Google Scholar
- University of Toronto. (2009). Dalla Lana School of Public Health, Centre for International Health. Retrieved 8/2/2009, 2009, from http://intlhealth.med.utoronto.ca/.
- WHO. (2008). The global burden of disease 2004 update. WHO Library Cataloguing-in-Publication Data.Google Scholar
- York University. (2009). Centre for refugee studies. Retrieved 8/2/2009, 2009, from http://www.yorku.ca/crs/.