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. Nurses COVID Article

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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!

17 hours ago, NurseBlaq said:

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.

To be fair, the original article...you know the primary topic...referred to Africa has a whole several times.

Can people disagree with other people without race being thrown in? Your assumption is that black people are on one side and every other race is on the other side on an online forum. I personally do not like to lump people into thought categories based upon the color of their skin.

16 minutes ago, VegGal said:

"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!

Who said anything about being pro socialist? Triggered much? Fact is capitalism has been dominated by mostly white countries, Europe and the US. Asia is a relative new comer to modern capitalism. Our policies have exploited poorer countries and their workers to the detriment of our own and for the benefit of the few. Capitalism without regulation results in what we are seeing now, a repeat of the Robber Barons and major wealth inequality, declining worker income, safety and benefits. No one is promoting socialism and IF you believe that, you are nothing but an ignorant tool of the far right conspiracy theorists. Oh, and I don't mind caring for others, it's why I became a nurse. I want to see my tax dollars go for roads, healthcare, education, you know, things that benefit the majority of US citizens, not more yachts, vacation homes and toys for the excessively rich.

Specializes in Psychiatric and Mental Health NP (PMHNP).
1 minute ago, maji2002 said:

Who said anything about being pro socialist? Triggered much? Fact is capitalism has been dominated by mostly white countries, Europe and the US. Asia is a relative new comer to modern capitalism. Our policies have exploited poorer countries and their workers to the detriment of our own and for the benefit of the few. Capitalism without regulation results in what we are seeing now, a repeat of the Robber Barons and major wealth inequality, declining worker income, safety and benefits. No one is promoting socialism and IF you believe that, you are nothing but an ignorant tool of the far right conspiracy theorists. Oh, and I don't mind caring for others, it's why I became a nurse. I want to see my tax dollars go for roads, healthcare, education, you know, things that benefit the majority of US citizens, not more yachts, vacation homes and toys for the excessively rich.

Capitalism is not "white." Throughout the vast majority of human history, around the world, capitalism was the de facto economic system. Socialism and Communism are recent inventions.

Most of Africa practices capitalism.

And given the constant concern by this country (USA) that China will soon become the world's largest economy, and last time I checked China was not a white-dominated country, I fail to see the connection between race and capitalism or any other economic system, for that matter.

The most populous countries in the world are China and India and both are Asian and practice capitalism (well, a hybrid in China). Their economies have grown and will continue to grow tremendously.

Back in the 1990s, there was great fear in the USA that Japan, an Asian country would economically dominate the US. Japan is a capitalist country.

Not everything in the world is about race.

Specializes in LTC Management, Community Nursing, HHC.
16 minutes ago, maji2002 said:

Oh, and I don't mind caring for others, it's why I became a nurse. I want to see my tax dollars go for roads, healthcare, education, you know, things that benefit the majority of US citizens, not more yachts, vacation homes and toys for the excessively rich. 

It has nothing to do with minding caring for others. We can and do care for many even in a capitalist economy. How are our schools, roads, hospitals and other public services funded today? It's from paying taxes. So Capitalism can and does work. We don't need socialism in order to "care for others."

Also, I know of poor people who rise to the top and do well in life. My boss moved to the US from Africa, she was poor, they were refugees, and she now owns a healthcare company. She appears to be a millionaire now. And all that with starting as a nurse while still a refugee. I myself am an immigrant to the US, and I've come a long way from where I was born, raised, etc. If you don't know either of our histories, one could assume that the rich are getting richer and the poor around us are getting poorer, but what if many people are being rewarded based on how hard they work?

My boss worked 16-20 hours A DAY, and when she was in nursing school, she had two 24 hour days where she worked at night, went to school during the day and then weren't back to work as night without any sleep at all. Should she lose her millions now? It was her intellect and hard work that took her to where she is in life. Why should her wealth be redistributed? I know you didn't say that, but I'm trying to give you an example of someone who worked hard and it would appear she has everything now, and maybe non-deserving based on the way people view things today, but that's not true at all. Anyway, that's my more than 2 cents.

7 minutes ago, maji2002 said:

Who said anything about being pro socialist? Triggered much? Fact is capitalism has been dominated by mostly white countries, Europe and the US. Asia is a relative new comer to modern capitalism. Our policies have exploited poorer countries and their workers to the detriment of our own and for the benefit of the few. Capitalism without regulation results in what we are seeing now, a repeat of the Robber Barons and major wealth inequality, declining worker income, safety and benefits. No one is promoting socialism and IF you believe that, you are nothing but an ignorant tool of the far right conspiracy theorists. Oh, and I don't mind caring for others, it's why I became a nurse. I want to see my tax dollars go for roads, healthcare, education, you know, things that benefit the majority of US citizens, not more yachts, vacation homes and toys for the excessively rich.

What do you mean by dominated? Socialism did not come to Asia until after the Cultural Revolution in China in the 1950s (imported from Europe) and Asians have been the majority of the worlds's population for well over the past 2,000 years. Even then, only China and a select few countries were socialist unless you are lumping ALL OF ASIA into China, Vietnam, Cambodia etc? Its like lumping all of Europe into a handful of countries like the UK, France, and Denmark.

This thread has taken a wild turn!

Specializes in Med-Surg, NICU.
On 7/8/2020 at 12:50 PM, macawake said:

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.


https://www.scientificamerican.com/article/clinical-trials-have-far-too-little-racial-and-ethnic-diversity/


https://www.forbes.com/sites/forbestechcouncil/2019/10/15/diversity-is-severely-lacking-among-clinical-trial-participants-how-can-we-solve-this-problem/


https://www.pfizer.com/news/featured_stories/featured_stories_detail/diversity_in_clinical_trials_why_it_s_important

https://www.fda.gov/patients/clinical-trials-what-patients-need-know/diversity-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.

It is the fact that WHITE doctors want to experiment on poor black people that makes this oh so wrong. Why can't they test white French citizens? It would be one thing if these doctors were black South African but they are not and they don't seem to see black people as human.

Specializes in Med-Surg, NICU.
6 hours ago, VegGal said:

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.

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.

Black people can't be racist as we don't have the power. We can, however, be prejudice.

23 hours ago, NurseBlaq said:

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.

Yeah...most of these white AN posters kill me. And they also don't seem to realize that Africa isn't a country but a continent.

Specializes in LTC Management, Community Nursing, HHC.
50 minutes ago, ThePrincessBride said:

Black people can't be racist as we don't have the power. We can, however, be prejudice. 

Yeah...most of these white AN posters kill me. And they also don't seem to realize that Africa isn't a country but a continent.

Anyone can be racist - black, white, Chinese, Indian, etc. Racism and racist beliefs are not limited to the powerful, they are learned attitudes that any human unfortunately is capable of having.

<Yeah...most of these white AN posters kill me. And they also don't seem to realize that Africa isn't a country but a continent.>

I'm not sure who you were referring to but I'm not white and most of us (whether white or not) know that Africa is a continent.

Specializes in Vents, Telemetry, Home Care, Home infusion.

US enrolling volunteers for a coronavirus vaccine trial

Quote

...Wednesday, a new website -- https://www.coronaviruspreventionnetwork.org/ -- went live allowing people in the United States to register to take part in clinical trials for vaccines and monoclonal antibody therapies.

The website will handle registration for the four large vaccine studies that are expected to start this Summer and fall, and any others that follow...

https://6abc.com/health/heres-how-to-volunteer-for-a-covid-19-vaccine-trial/6310202/

11 hours ago, Asystole RN said:

To be fair, the original article...you know the primary topic...referred to Africa has a whole several times.

Can people disagree with other people without race being thrown in? Your assumption is that black people are on one side and every other race is on the other side on an online forum. I personally do not like to lump people into thought categories based upon the color of their skin.

Seriously? If the topic referred to Africa as a whole why did people only focus on SA? Secondly, the topic is also about race, or did you miss the whole BlackLivesMatter aspect of the bolded topic. Lastly, you can't tell me what I assume or know because I never once said Black on one side and every other race on the other in ANY thread on AN. That's YOUR interpretation because, as I said, you're so busy trying to police my thoughts, feelings, and verbiage that you miss the whole point trying to argue against it but carry on. My point stands and you just proved it.

11 hours ago, VegGal said:

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'm legit confused. You're a dark skinned woman of color but not black. What are you? I'm not trying to be facetious either.

What the OP and a few others of us have said is not far fetched as y'all are making it out to be. So much so, there's a whole article explaining how to do trials in Africa and why it was chosen first but keep pretending like we made it all up. ?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1122137/

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