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Federal investigation confirms AHRP complaint re: use of foster children in AIDS drug / vaccine experiments. Columbia University "says it will institute mandatory training for faculty members whose research involves children so it complies with federal rules protecting vulnerable youths."
The New York Post and the Associated Press report that the federal Office of Human Research Protection issued its final letter of determination to Columbia University Medical Center (CUMC) New York /Presbyterian Hospital (Feb 17) following its investigation of a series of AIDS drug and vaccine experiments conducted on children in foster care.
The investigation was prompted by a complaint filed by AHRP on March 10, 2004 [See: http://www.ahrp.org/ahrpspeaks/HIVkids0304.php ]
OHRP determined that the University institutional review board (IRB) had failed to ensure that essential federal safeguards were followedcarry--as is its federally mandated responsibility:
"CUMC/ IRB failed to obtain sufficient information to make the determinations required for approval of research under 45 CFR 46.111:"
Re: "the selection of wards of the state and foster children as research subjects;" Re: "the process for obtaining permission of parents or guardians for wards of the state or foster children;" Re: "safeguards with respect to the enrollment of wards of the state or foster children."
After the finding of non-compliance with federal requirements, AP and the Post report, "the University says it will institute mandatory training for faculty members whose research involves children so it complies with federal rules protecting vulnerable youths." AP reports: "Columbia faculty members were notified of the training requirement on Tuesday in an e-mail from David Hirsh, the university's executive vice president for research. Columbia spokeswoman Marilyn Castaldi said Wednesday in a statement that all investigators at the university who conduct pediatric research "will now be required to undergo training specifically geared to participation of children in research."
"The e-mail to faculty says that effective March 1 approval for research involving children as subjects "will be contingent upon receipt of documentation that the Research with Minors module has been completed by the investigators."
It is not clear what the self-imposed requirements under Columbia's "module" are--and whether they afford children real protections. Furthermore, given that similar violations have been documented at equally prestigious institutions--OHRP's failure to issue requirements for universal safety standards for research involving vulnerable children is an indicagtion of head in the sand oversight.
See OHRP letter at: http://www.hhs.gov/ohrp/detrm_letrs/YR06/feb06a.pdf
Contact: Vera Hassner Sharav
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New York Post <http://www.nypost.com>
NEW YORK POST COLUMBIA CHANGES POLICY ON 'GUINEA PIG' KIDS
By IAN BISHOP
WASHINGTON — Columbia University says it will institute mandatory training for faculty members whose research involves children so it complies with federal rules protecting vulnerable youngsters from becoming "guinea pigs."
But a final federal review lets Columbia off with little more than a reprimand despite the finding that drug experiments were done on AIDS-stricken foster kids without proper safeguards.
The federal probe came after The Post, following research by journalist and health advocate Liam Scheff, reported that foster kids were being used as "guinea pigs" at a Catholic-charity home affiliated with Columbia-Presbyterian Medical Center.
Columbia said then it didn't have to provide advocates for the children because the experiments held the promise of improved health for them.
Medical ethicists disagreed.
Under the university's new policy, all investigators who conduct pediatric research "will now be required to undergo training specifically geared to participation of children in research."
Columbia-Presbyterian, which was at risk of losing its federal research funding, satisfied regulators that it had increased training for the in-house oversight boards that monitor the ethics and safety of all human experiments.
"So what's the incentive to comply?" wondered Alliance for Human Research Protection honcho Vera Hassner Sharav.
"That's the usual way [the government] gives a pass to any institution violates federal regs."
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Associated Press 2-22-2006 ^BC-NY--AIDS-Foster Children,0495< ^Columbia to institute mandatory training for child research< ^By KAREN MATTHEWS=
¶ NEW YORK (AP) _ Columbia University says it will institute mandatory training for faculty members whose research involves children so it complies with federal rules protecting vulnerable youths. ¶ The training plan was filed with the federal Office for Human Research Protections, which determined last year that Columbia researchers had tested AIDS drugs on foster children without providing the children with independent advocates to protect their interests. ¶ Columbia faculty members were notified of the training requirement on Tuesday in an e-mail from David Hirsh, the university's executive vice president for research. ¶ Columbia spokeswoman Marilyn Castaldi said Wednesday in a statement that all investigators at the university who conduct pediatric research "will now be required to undergo training specifically geared to participation of children in research."
¶ The e-mail to faculty says that effective March 1 approval for research involving children as subjects "will be contingent upon receipt of documentation that the Research with Minors module has been completed by the investigators."
¶ OHRP, a division of the Department of Health and Human Services, determined last May that researchers at the Columbia University Medical Center and the affiliated NewYork-Presbyterian Hospital failed to obtain proper consent, information and safeguards for foster children on whom AIDS drugs were tested in the 1980s and '90s. ¶ Columbia officials said at the time they did not believe they needed to provide the advocates because their experiments held the promise of improved health for the children. Medical ethicists disagreed, saying the foster children were vulnerable and required the protection. ¶ There are no foster children involved in any of Columbia's current research. ¶ A Feb. 17 letter from OHRP addressed to Columbia University Medical Center and NewYork-Presbyterian Hospital said that their Dec. 8, 2005, response to an OHRP query indicated there were no foster children or wards of the state enrolled in any of 17 current studies.
¶ The letter says corrective actions taken by Columbia and NewYork-Presbyterian "adequately address OHRP's findings, questions and concerns" and "there should be no need for further involvement of OHRP in this matter." ¶ Castaldi said, "We are pleased that OHRP's questions about our pediatric research have been fully answered."
¶ The Associated Press reported May 4, 2005, that researchers in New York, Illinois and several other states funded by the National Institutes of Health had tested AIDS drugs on hundreds of foster children since the 1980s, often without providing the children with independent advocates.
¶ AP's story prompted a congressional hearing at which experts testified that the standards for enrolling foster children in medical experiments varied widely across the country.
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