Covid-19 Vaccine Trials in South Africa: Another Tuskegee? #Black Lives Matter Around the World

Black this….., black that……, poverty this …, health disparities that….., police brutality here and am adding to the list, black exploitation by pharmaceuticals. Why not test in Italy, France, New York, New Jersey or Connecticut? Racism? Bigotry? Greediness? Ignorance or Plain Stupidity #Black Lives Matter around the world.

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The death of George Floyd has unveiled many atrocities done to harm black people all over the world. We have seen all races united to give us a voice. During COVID-19, poverty, health disparities and comorbidities such as HTN and diabetes have claimed the lives of black people more than other races. Black people have been hit by a double edged sword, everywhere they turn, they are being exploited, killed or harmed and pharmaceuticals are guilty as well, they see black poor people, they see gold, they test medications, vaccines and perform medical trials, yet black people do not reap what these companies harvest: they do not enjoy the proceeds, yet remain poor, die from harm or plain simple, contribute without enough compensation

Amid all the riots and chaos in the world, I was watching the evening news where I saw some black South Africans sitting on a bench waiting for their turn to get the COVID-19 vaccine. My heart sank; I was so helpless, I sobbed. I called my daughter, who will be taking step one exam to complete her medical degree and become a physician to watch with me. This has been a hot topic in my household, and it should be time for change. My daughter has been involved in research and has evidenced the unfair treatment of blacks. I was outraged; I could not finish my dinner.

Africans Used for Testing COVOD-19 Vaccines

We witnessed the French doctors on television, not knowing that they were being taped discussing their plan to test the COVID-19 vaccine in Africans (Kossoff, 2020). Numerous relatives from South Africa and Zimbabwe have been calling us seeking advice about the vaccine trials, and we told them to absolutely not to take it. There goes another Tuskegee again. How long can black people suffer, not only racism, health disparities, but they are subject to many medical trials and vaccines that can harm them. No one knows the long term effects of the vaccine.

Two French doctors discussed on live television how a new COVID-19 vaccine under development should be first tested in Africa, "where there are no masks, no treatment, nor intensive care." (Kossoff, 2020)

One of them, Jean-Paul Mira, even compared Africans to prostitutes who were the focus of past AIDS studies. "We tried things on prostitutes because they are highly exposed and do not protect themselves," he said (Kossoff, 2020)

Growing up in Zimbabwe, Africa, I have witnessed many trials of medications and vaccines for HIV, oral contraceptives, to name a few. Many African countries are breeding grounds for big western pharmaceuticals, yet in the long run do not benefit from the proceeds. Many of the research participants do not consent and are not even aware of what is being given due to health illiteracy, which is a human right violation.

I have living relatives that have suffered the effects of such trials. I have an aunt who was given an oral contraceptive that turned out to be fatal. We only found out 10 years later when she was trying to have children. Another relative was given trials of polio vaccine which also resulted in harm. Women’s reproductive health is being violated, the old, poor and frail succumb to these big companies, even children are not exempt. African leaders are poor and greedy, they are so selfish that they sacrifice their people in exchange of cuff links, and a packet of sugar, what a disgrace!

Violation of Human Rights

Apartheid in South Africa and colonizers of African countries were characterized by systematic violation of human rights of the Black population (Barsdorf & Wassenaar, 2005). Succeeding ruling institutions perpetuated and enforced such violations (Barsdorf & Wassenaar, 2005). Consequently, Black South Africans may be apprehensive of scientific research in which the Black population are targeted as participants, regardless of the reason for them being selected. In America, Blacks are targeted as well due to poverty and low health literacy levels.

Increasingly, people worry that undue inducements for research participants in developing countries compromise the voluntariness necessary for informed consent (Emanuel, Currie, & Herman, 2005). In general, these research participants are poor, poorly educated, with access to few health-care services. They are often powerless, especially compared with pharmaceutical companies and researchers from developed countries.

What makes Africa Vulnerable

What makes individuals, groups, or even entire countries vulnerable? And why is vulnerability a concern in bioethics? A simple answer to both questions is that vulnerable individuals and groups are subject to exploitation, and exploitation is morally wrong. Vulnerable individuals can be harmed. African governments have to protect their people by raising awareness of exploitation and efforts to enhance the ability to protect their citizens from exploitation at the hands of powerful sponsors of research and not be enticed by expensive gifts.

Conclusion

James Marion Sims performed gynecological exams on enslaved black women and their children because he thought black women were less intelligent than their white counterparts (Sartin, 2004). The Tuskegee's black men were infected with syphilis without their knowledge (Reverby, 2012). Some people might say, why are you bringing this up, it was done long ago. But my point is to show that there is trend since slavery in using poor black people for research, many people were harmed, in case of good results, not compensated accordingly.

There is a trend of exploitation, and it is still taking place in America and poor African countries in 2020. Now that we can discuss racism, bigotry, oppression lets involve pharmaceutical companies. As nurses, we cannot participate in such activities, and it is our duty to educate and inform people in vulnerable populations about informed consent and participation in human trials. I am glad I can write about this and enlighten everyone without fear of retribution or being told by white people that racism is not real and it is an imaginary situation in black man/woman’s head. It's real, people, I am black and beautiful and a proud African .

When pharmaceuticals see poor black people, they see gold, free guinea pigs for research!

#Black Lives Matter - around the world. Stop medical exploitation on blacks!

While I believe the practice of using people as guinea pigs against their will is disgusting, as an African myself, I question why African governments allow these companies to come in and exploit their people. African leaders should be held responsible for this practice, because without their permission, these atrocities would not occur!

24 minutes ago, appioriley said:

While I believe the practice of using people as guinea pigs against their will is disgusting, as an African myself, I question why African governments allow these companies to come in and exploit their people. African leaders should be held responsible for this practice, because without their permission, these atrocities would not occur!

From their perspective they may see it as their country leading in medical science. If a vaccine is proved in their country it would make international news and help foster the idea that the country is a center of biomedical research helping to increase grants and foreign investment. This is why you see various countries pushing various research and helping to fund and advertise this research, (Koreans and cloning, the French 3D printing organ scaffolding, the Israelies and robotics, etc).

There is also the possible benefit of actually improving the health of their citizens. Whether improving health with experimental vaccines is smart or may not alter the possible intention of the leaders.

I make it a rule to not attribute malice to that which is sufficiently explained by ignorance.

I feel a bit like I’m in the twilight zone in this thread. I understand that racism is very much real and that people of color face issues in many different arenas that are probably hard for me to completely understand. I acknowledge that.

What I don’t understand is what the atrocities a recent poster mentioned are, and the fact that OP mentioned starting to sob and not being able to finish dinner because she saw African people standing in line for a Covid vaccine trial on TV. I understand how a collective psyche can be scarred after centuries of mistreatment, but what are the medical trials that deserve being called atrocities that are currently taking place? I just feel like I’m missing a vital piece of information.

OP, it would really have helped of you’re included the information on which specific trial it was that got you so upset. What are we discussing in this thread?

I get the broader discussion on racism, but as is obvious by now, I don’t understand the trepidation you appear to feel regarding all modern day medical trials.

Clinical Trials Have Far Too Little Racial and Ethnic Diversity

Diversity Is Severely Lacking Among Clinical Trial Participants -- How Can We Solve This Problem?

DIVERSITY IN CLINICAL TRIALS: WHY IT'S IMPORTANT

Diversity in Clinical Trial Participation

I’ve already mentioned that participants in medical trials should be treated with the same ethical standards regardless of ethnicity (and gender, religion, socioeconomic status etc.) and regardless of which country the trial takes place in. But I don’t think it serves anyone’s interest to exclude entire groups or countries from medical research.

34 minutes ago, macawake said:

I’ve already mentioned that participants in medical trials should be treated with the same ethical standards regardless of ethnicity (and gender, religion, socioeconomic status etc.) and regardless of which country the trial takes place in. But I don’t think it serves anyone’s interest to exclude entire groups or countries from medical research.

"Should be" is the key phrase. Why is Africa always the go to place to test drugs? That presents a problem. For example, covid wasn't on the continent until people from other places brought it there intentionally to make Africans sick. There are cases of this being noted. I don't have time to search for the articles but it was well noted when the virus first started and the lie was Black people couldn't get the virus. Plus with the many medical slights over the years, black people should be on guard with any new testing. I remember when Gardasil first came out, pediatricians kept basically trying to force it on my children but didn't offer it to white children--- key phrase: when it first came out. Now it's offered to everyone but they were doing blind testing initially and it was mainly presented to children of color as a necessary thing. Til this day, my children have never had it and will never get it. I don't trust it based on the fact it was damn near forced on us and the doctor tried to basically mandate it. I changed pediatricians and still the same thing and asked other people about it doing my own survey and the same results, so it wasn't a random bad doctor.

If you understand racism and how it exists in medicine, why the continued nonunderstanding of OP's feelings towards this? They're valid. It happens. OP understands the history of this and how it has been perpetuated throughout history. Not to sound like a jerk, because I usually agree with you, but you'll never fully understand OP's emotion behind this because it doesn't apply to you. It's one of those things where no amount of words can explain it, but you may "get it" for a lack of better words if you can relate. I'm short on time so maybe that isn't the best explanation but I hope it's understood.

On 7/4/2020 at 7:41 AM, Emergent said:

I wonder if these people are being paid, or are volunteering? It does sound suspect for French researchers to be using poor people in Africa as Guinea Pigs.

Remember, though, South Africa is a majority Black nation, with Black leaders. Why are they allowing this if it's racism?

Black leaders are also subject to human greed and debauchery just as white leaders. Some sold their own people as slaves in the past, and some will sell their own out to whatever interests serve their purposes now. However, that still does not eliminate racism as a motivator to exploit the poor and impoverished, those leaders are merely a tool of White dominated capitalism.

Specializes in BSN, RN, CVRN-BC.

I'm surprised at the extremes that people go to in this discussion. We aren't talking about human experiments by Dr. Mengele. We are talking about human trials for a COVID vaccine. BTW Human safety trials have already been performed, not in South Africa . These trials are to be done in the modern nation of South Africa and to be carried out under the laws of this nation. Do you assume that because the nation is in Africa that they are some how backwards and don't care about their people? The sovereign people of South Africa thank you for your misplaced concern. Now go home Todds and Karens.

1 minute ago, Robmoo said:

I'm surprised at the extremes that people go to in this discussion. We aren't talking about human experiments by Dr. Mengele. We are talking about human trials for a COVID vaccine. BTW Human safety trials have already been performed, not in South Africa . These trials are to be done in the modern nation of South Africa and to be carried out under the laws of this nation. Do you assume that because the nation is in Africa that they are some how backwards and don't care about their people? The sovereign people of South Africa thank you for your misplaced concern. Now go home Todds and Karens.

This thread reminds me of the racist notion of the Noble Savage where people view indigenous peoples as a naive and uncorrupted.

In an effort to be anti-racist or something similar some view any and all African Nations and their people as naive, poor, and uneducated deserving of the utmost protection and coddling from western, and thus superior, cultures. South Africa has a GDP greater than Denmark and hell, they had nuclear weapons before they dismantled them.

Specializes in Psychiatric and Mental Health NP (PMHNP).

I am bit baffled by the original post and much of this thread. No decent person wants to see racism or exploitation in medical research and clinical trials. I certainly don't.

However, medical research that is conducted in a safe and responsible manner, and with the full knowledge and consent of the participants is necessary for the advancement of healthcare.

1. In the past, medical research has been criticized for not including enough women and minority subjects. Conducting clinical trials internationally and including representative samples of genders, races, and ethnicities is very important. That includes Africa and black people.

2. While there is still much poverty in Africa, not all Africans are poor and ignorant. Africa has enjoyed tremendous economic growth in recent years and a rising middle class, along with many educated professionals. It seems rather biased to assume that all Africans are poor, ignorant, and easily exploited.

3. Many types of people participate in medical research and clinical trials, not just poor people. While financial incentives are a factor, many people also truly want to contribute to developing new treatments. For example, many nursing and medical students participate in research and trials conducted at the schools they are affiliated with.

4. I am not aware of any African people being forced to participate in these trials against their will or without their full knowledge and consent. In fact, some Africans have even protested against these planned trials, indicating they have the freedom to express their opinion and not participate.

5. I have great respect for Africans. They have every right to decide for themselves whether or not they want to participate in clinical trials. If they are being exploited, and we have evidence of such, I will be on the front lines protesting and working to stop this. However, I do not see any evidence of this happening with regard to any possible COVID vaccine trials.

Specializes in NICU, PICU, Transport, L&D, Hospice.

Often, new vaccines are flooded into countries and regions where widespread outbreak might be expected but access to health care might be limited.

I'm amazed that some of y'all seem to feel the need to dictate to black people how to feel, what to think, how to interpret things, and what goes on, on the African continent as if we're oblivious to Africa. I'm also trying to figure out how a whole damn continent all of a sudden turned into South Africa. The level of obtuseness and dismissiveness is amazing. Solid answers with supporting evidence were given but somehow still not good enough because y'all either don't understand it, don't want to understand it, or don't accept it. Peak AN behavior.

Black people also somehow turned into "Todds and Karens". Hilarious! Loudly ignorant and wrong but if it works for you.... folks would have claimed to be victims had I made that statement. Very interesting.

Specializes in LTC Management, Community Nursing, HHC.
On 7/3/2020 at 7:36 AM, simba and mufasa said:

Many African countries are breeding grounds for big western pharmaceuticals, yet in the long run do not benefit from the proceeds

How about all the AIDS treatment and cocktails that the US has provided for free to help with the AIDS epidemic in Africa, with Americans having to pay for those same medications?

South Africa is probably the most diverse of all African nations / regions. While it's not a high percentage of diversity, about 30% of the population is White, Asian and other ethnicities. Also, they do not test on the population for free. I'm not saying that it's OK to test on them if they are paid, because many of the world's poorest people not just in Africa, but also in Asia including India will probably agree to testing for some money. So of course the richer countries have to be ethical when subjecting these poor people to any kind of testing, and not just wave a bunch of money in front of that.

On 7/3/2020 at 7:36 AM, simba and mufasa said:

I am glad I can write about this and enlighten everyone without fear of retribution or being told by white people that racism is not real and it is an imaginary situation in black man/woman’s head. It's real, people, I am black and beautiful and a proud African .

I'm glad you can too, however you seem to miss the part that racism is not just perpetuated against people of color. I'm a woman of color, dark skinned, and often mistaken for being black (which is fine by me) however let's realize that racism affects ALL races. I've had black friends who were racist against white friends, and white friends who were racist against black friends. The same with aAsians, Hispanics, and others. Unfortunately, all humans can experience racism, and all humans can be racist. We ALL need to be educated about respecting each other and caring about each other no matter what race / color we are, or where in the world we live.

Specializes in LTC Management, Community Nursing, HHC.
On 7/8/2020 at 12:51 PM, maji2002 said:

Black leaders are also subject to human greed and debauchery just as white leaders. Some sold their own people as slaves in the past, and some will sell their own out to whatever interests serve their purposes now. However, that still does not eliminate racism as a motivator to exploit the poor and impoverished, those leaders are merely a tool of White dominated capitalism.

"White dominated capitalism"?? Really? Asia is a capitalist continent. Most Asians are not white. In fact none are. That was an ignorant statement. Also please keep in mind that capitalist principles are why you and I are able to work as nurses and make as much money as we want, and also work as much as we want. If we don't like a certain job, we can leave it and get another that pays more, if we choose to do so. We also get to keep a lot of what we make in a capitalist economy. In a socialist society, you'll still be working a lot but giving the government most of what you make to take care of others. If you like that system then great, but most of us who have lived in other countries and other societies know what it's like to work hard and long hours but not get to keep much of what we make. I personally would leave America if we became a socialist country. I like being in charge of my own destiny, what I make, what I can spend my money on, and not wait for government permission to spend what I make, or to tell me what days I can buy a pair of shoes, and then have to have a wide choice of four designs at the local shoe store. No thank you!

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