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Vulnerable Populations: Vulnerability in Law and Ethics

In the final module of our CENTRES series on Clinical Ethics beyond more commonly debated themes, Mathavi Senguttuvan from the Centre for Biomedical Ethics discusses the topic 'Vulnerable Populations'. In the second video from a set of three, Mathavi explores references to vulnerability in relevant laws/statutes and ethical codes/guidelines, with focus on Singapore's Vulnerable Adults Act. While these documents provide specific, useful approaches to identifying vulnerable persons, and sources of vulnerability, we reflect on a disconnect from how responses to vulnerability ought to be framed. Statutes/Documents discussed: ~ The Nuremberg Code (1947). British Medical Journal, 313(7070):1448 (https://www.bmj.com/content/313/7070/...) ~ National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. U.S. Department of Health and Human Services. (https://www.hhs.gov/ohrp/regulations-...) ~ World Medical Association (‎2001). Declaration of Helsinki: Ethical principles for medical research involving human subjects. Bulletin of the World Health Organization, 79(‎4)‎, 373 - 374. (https://iris.who.int/handle/10665/268312) ~ Council for International Organizations of Medical Sciences (CIOMS) (2016). International Ethical Guidelines for Health-related Research Involving Humans, 4th Edition. Geneva. (https://cioms.ch/wp-content/uploads/2...) ~ UNESCO (2005). Universal Declaration on Bioethics and Human Rights. SHS/EST/BIO/06/1, SHS.2006/WS/14 (https://unesdoc.unesco.org/ark:/48223...) ~ Vulnerable Adults Act (2018) (https://sso.agc.gov.sg/Act/VAA2018) ~ Mental Capacity Act (2008) (https://sso.agc.gov.sg/Act/MCA2008) #vulnerablepopulations #vulnerability