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!

15 hours ago, Asystole RN said:

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!

Major eye roll.... Big players and controllers of capitalism have largely been the US and Europe. Consequently they also have exploited workers from Asian countries and others for profit. This has resulted in less jobs for the US workers. It's not rocket science. Also, they have exploited poor for vaccines etc. just as the OP indicated. Not once did I indicate I am pro socialism, nor anti-capitalist, however, those problems are present and denying them allows more abuses. Wealth inequality is a problem with unregulated capitalism and we are seeing that now. Corporations own our politicians and they legislate heavily in their favor. This stifles competition, and makes it more difficult for the small guy to make it. Not impossible, but way harder than it used to be. Asking for all to pay their share and use taxes to benefit all is not socialism.... it's civilization.

3 Votes
Specializes in Med-Surg, NICU.
9 hours ago, VegGal said:

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.

No...we can't.

https://medium.com/an-injustice/can-black-people-be-racist-2838a404e14c

I am guessing you are East Indian/South Asian based on your description. If that is the case, I would recommend you educating yourself on race in America and listening to black Americans before spouting off at the mouth.

4 Votes
20 minutes ago, ThePrincessBride said:

No...we can't.

https://medium.com/an-injustice/can-black-people-be-racist-2838a404e14c

I am guessing you are East Indian/South Asian based on your description. If that is the case, I would recommend you educating yourself on race in America and listening to black Americans before spouting off at the mouth.

That is a very silly article and an even worse redefining, narrow, and very ignorant and dangerous sentiment. Racism is not a social structure, institutional racism can be sometimes defined by such but not the generic racist term.

Racism:
prejudice, discrimination, or antagonism directed against a person or people on the basis of their membership of a particular racial or ethnic group, typically one that is a minority or marginalized.

Even if the definition is dependent upon power within a social structure there are areas where black communities or entities hold power. An all black business for example.

Dumb, just dumb.

2 Votes
Quote

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.

I read the article that you linked, NurseBlaq


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

Did you read all of it? I could be wrong, but I don’t think it describes the first HIV vaccine trial to ever take place. It seems to discuss the first trial that took place in an African country. There’s a difference.

From your link:

Problems of setting up the first trial of an HIV-vaccine in Uganda are described here by Mugerwa and colleagues. The authors explain how they solved these problems and give suggestions to help researchers who are starting future trials of HIV vaccines.

Trials of HIV-vaccine have been conducted in Europe, North America, Brazil, China and Thailand. The first trial of a candidate vaccine in Africa was recently completed in Uganda.

Further down in the article under the heading Scientific issues/Risk to volunteers (the last part of the second paragraph):

The public became distrustful, with some asking why, of the vaccine was safe, were trials being conducted in Uganda.

The public could not understand that, although no adverse effects had been found when the HIV-vaccine was tested elsewhere, its safety for the indigenous peoples of Africa could not be assumed.

(On a side note, the paragraph preceding that one actually mentions the Tuskegee experiments that have been discussed and this thread, and its potential effect on distrust against medical trials).

The following appears to be somewhat dated information from the WHO:


https://www.who.int/hiv/topics/vaccines/Vaccines/en/

Among other things it says:

Since 1987, more than 30 HIV candidate vaccines have been tested in approximately 60 phase I/II trials, involving more than 10,000 healthy volunteers. Most of these trials have been conducted in the United States and Europe, but several have also been conducted in developing countries (Brazil, China, Cuba, Haiti, Kenya, Peru, Thailand, Trinidad, and Uganda).

Regarding Gardasil; I don’t offer medical advice as per ToS, but I will say that I’m personally very much pro-vaccine. And I will share one personal anecdote. One of my sisters, a radiation oncologist, couldn’t get her children fast enough to see their physician, once Gardasil was approved.

Listen, I’m not here to butt heads with anyone. I’m not pretending that you, or anyone else in this thread, is making things up. But I do feel that some posters have misinterpreted some of the data that’s referenced in this thread. I think some data is read through a filter of previous and historical wrongs and that affects how data is processed today.

I personally think that fear of science, research and vaccines puts people at a disadvantage and might help perpetuate existing health inequalities.

I have in my life volunteered for two medical research trials and I don’t have any regrets. I can’t dictate how each person should decide for themselves, that’s a personal decision. But I just wanted to mention that medical trials aren’t that dramatic to me. The first time I was a very young adult and I did ask one of my physician relatives for advice, but the second time I was a decade or so order, and I felt secure after finding out about the facts of that particular trial.

(English is not my everyday language and this darn tablet autocorrects to my native language, so if you see some random weird words, just ignore them ?

4 Votes
Specializes in Med-Surg, NICU.
5 hours ago, Asystole RN said:

That is a very silly article and an even worse redefining, narrow, and very ignorant and dangerous sentiment. Racism is not a social structure, institutional racism can be sometimes defined by such but not the generic racist term.

Racism:
prejudice, discrimination, or antagonism directed against a person or people on the basis of their membership of a particular racial or ethnic group, typically one that is a minority or marginalized.

Even if the definition is dependent upon power within a social structure there are areas where black communities or entities hold power. An all black business for example.

Dumb, just dumb.

Of course YOU would think it is dumb.

Name a place in America where black people have power to oppress the white majority with impunity. ONE. Hell, name a place in the WORLD where non-black people are being institutionally oppressed by black people.

Even in South Africa, white Dutch minority hold more wealth and power than the black South African majority. Did you not learn about the apartheid in school?

Racism IS a social construct, kiddo because RACE is a social construct.

What are schools teaching these days. Damn.

7 Votes
Specializes in Med-Surg, NICU.
22 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.

Black people are an island. Evey other community reeks of anti-black sentiments, thanks to white supremacy. That is a fact.

Your post is basically just accusing black posters of using the "race card" and is dismissive af. Not appreciated.

3 Votes
3 hours ago, macawake said:

I read the article that you linked, NurseBlaq


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

Did you read all of it? I could be wrong, but I don’t think it describes the first HIV vaccine trial to ever take place. It seems to discuss the first trial that took place in an African country. There’s a difference.

From your link:

Problems of setting up the first trial of an HIV-vaccine in Uganda are described here by Mugerwa and colleagues. The authors explain how they solved these problems and give suggestions to help researchers who are starting future trials of HIV vaccines.

Trials of HIV-vaccine have been conducted in Europe, North America, Brazil, China and Thailand. The first trial of a candidate vaccine in Africa was recently completed in Uganda.

Further down in the article under the heading Scientific issues/Risk to volunteers (the last part of the second paragraph):

The public became distrustful, with some asking why, of the vaccine was safe, were trials being conducted in Uganda.

The public could not understand that, although no adverse effects had been found when the HIV-vaccine was tested elsewhere, its safety for the indigenous peoples of Africa could not be assumed.

(On a side note, the paragraph preceding that one actually mentions the Tuskegee experiments that have been discussed and this thread, and its potential effect on distrust against medical trials).

The following appears to be somewhat dated information from the WHO:


https://www.who.int/hiv/topics/vaccines/Vaccines/en/

Among other things it says:

Since 1987, more than 30 HIV candidate vaccines have been tested in approximately 60 phase I/II trials, involving more than 10,000 healthy volunteers. Most of these trials have been conducted in the United States and Europe, but several have also been conducted in developing countries (Brazil, China, Cuba, Haiti, Kenya, Peru, Thailand, Trinidad, and Uganda).

Regarding Gardasil; I don’t offer medical advice as per ToS, but I will say that I’m personally very much pro-vaccine. And I will share one personal anecdote. One of my sisters, a radiation oncologist, couldn’t get her children fast enough to see their physician, once Gardasil was approved.

Listen, I’m not here to butt heads with anyone. I’m not pretending that you, or anyone else in this thread, is making things up. But I do feel that some posters have misinterpreted some of the data that’s referenced in this thread. I think some data is read through a filter of previous and historical wrongs and that affects how data is processed today.

I personally think that fear of science, research and vaccines puts people at a disadvantage and might help perpetuate existing health inequalities.

I have in my life volunteered for two medical research trials and I don’t have any regrets. I can’t dictate how each person should decide for themselves, that’s a personal decision. But I just wanted to mention that medical trials aren’t that dramatic to me. The first time I was a very young adult and I did ask one of my physician relatives for advice, but the second time I was a decade or so order, and I felt secure after finding out about the facts of that particular trial.

(English is not my everyday language and this darn tablet autocorrects to my native language, so if you see some random weird words, just ignore them ?

I did read it and I didn't say anything to the point of it being the first-ever HIV trial. Why would you assume I didn't? The point of the article is to show how/why people in Africa feel about being tested on and this was an example and duly noted by the people doing the trail. I don't need a dissertation about what I read as if I'm too incompetent to understand it. We haven't misinterpreted anything, you and a few others just choose to dismiss our feelings, even worse try to tell us why our feelings are wrong and how we should think and now, add how to interpret studies. That's problematic in itself. Black people don't "fear science, research, and vaccines" for the hell of it, there's a solid foundation why it's looked at very closely by us but please continue to explain away why we're wrong in our feelings and experiences. Medical trials not being dramatic to YOU doesn't mean it's OK to project that on to others who have valid reasons for being skittish about them.

As for the Gardisil, that's your sister and I'm sure she didn't have pediatricians forcing it on her children, almost to the point of borderline harassment like a used car salesman.

*sigh* I'm seeing the theme here. You can't/won't/don't understand because it's not applicable to YOU! You're dismissive because "so and so wasn't my experience and I know ABC person who does such and such and did this and that". That's the disconnect. Instead of actually listening, you appear to read something and think of a way to dispute it based on your personal experience. People have different experiences and different ways of viewing things, and despite what some ( not you per se) want to believe, some of those things are race based.

I don't think you mean any harm, I just think there's a disconnect because you read things and relate them to what you've experienced or people you know. That may be legit in other medical situations but as far as trials and whatnot, some black people tend to feel a certain way and it's backed by history.

1 Votes
2 hours ago, ThePrincessBride said:

Black people are an island. Evey other community reeks of anti-black sentiments, thanks to white supremacy. That is a fact.

Your post is basically just accusing black posters of using the "race card" and is dismissive af. Not appreciated.

The thread title includes BLM so you know off the top it's going to have a racial sentiment to the thread. I'm convinced some people enter these conversations just to create chaos and be disruptive. Then somehow during the conversation, they're the victim after many disrespectful comments such as calling people "dumb" because you can't dictate their POV about how they should view racism while being racist, ain't that something? This is a common theme on these here AN streets. SMH

4 Votes
Specializes in NICU.
On 7/3/2020 at 5:04 PM, LovingLife123 said:

Could it possibly be they are testing the vaccine on one of the most vulnerable populations?

If one group is more affected by this demon of a virus then it behooves science to find what ails them.

1 Votes
Specializes in NICU.
10 hours ago, ThePrincessBride said:

Name a place in America where black people have power to oppress the white majority with impunity.

You don't know?

1 Votes

I feel like trying to have a conversation in this thread is like attempting to walk on quicksand.

Quote

*sigh* I’m seeing the theme here. You can’t/won’t/don’t understand because it’s not applicable to YOU! You’re dismissive because ’so and so wasn’t my experience and I know ABC person who does such and such and did this and that”. That’s the disconnect. Instead of actually listening, you appear to read something and think of a way to dispute it based on your personal experience.

NurseBlaq, what exactly is it you think that I’m dismissive of?

You don’t seem to even consider that the reason I told a couple of anecdotal stories was entirely benign and intended to show a different perspective. That my reason for explaining my view isn’t necessarily an attempt to disqualify or delegitimize another person’s view or experiences. I never said that what I’ve personally experienced is generalizable to the entire human population. Regarding participation in medical trials I even added that it’s a personal decision whether one should take part.

You say that I’m not actually listening, but I actually am trying to. Will you entertain the idea that the barriers to communication might not be only at my end? I definitely feel that some of the things I’m saying aren’t interpreted correctly.

What makes this thread extra hard to navigate is in my opinion the fact that OP has chosen to not participate and answer posts. I’ve asked questions, but they remain unanswered. That’s OP’s prerogative, but I think it makes this thread less helpful than it could have been and I for one would have appreciated some clarification. It would be one thing of it was written as a ”vent post”, but it was presented with references and signs posts with ”doctor” and to me that implies that it can be reasoned about and questioned.

Quote

As for the Gardisil, that’s your sister, and I’m sure she didn’t have pediatricians forcing it on her children, almost to the point of borderline harassment like a used car salesman.

No, she didn’t have someone try to force it on her. But it wouldn’t have made a difference in her case. She would have wanted it for her children any way. The relevant part isn’t that she’s my sister. It’s that she’s a radiation ONCOLOGIST. She sees cervival, anal and oropharyngeal cancers every week at work.

I’ve said repeatedly in this thread that I understand that there are feelings of distrust against medical trials given historical experiments and exploitation that has been perpetrated against people of color.

My concern is that the legitimate distrust serves as a barrier to equal care and an equal health outcomes today and going forward.

Quote

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 when the virus first started and the lie was Black people couldn’t get the virus.

The above quote is from one of your previous posts back on page three.

Global tourism had its highest growth since 2010—driven by visits to Africa

With 63 million visitors in 2017, why would people need to travel to the African continent to specifically infect it with Covid-19 on purpose? The virus would have gotten there in our global world without anyone deliberately trying to do it. I think you need to support this claim with evidence as it doesn’t sound at all logical.

Is Africa the ”go to” continent for drug trials? Are a disproportionate number of trials being carried out there? Are the ethical standards consistently lower?

4 Votes
Specializes in LTC Management, Community Nursing, HHC.
On 7/10/2020 at 2:55 AM, NurseBlaq said:

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.

Have you been anywhere else in there world outside of America? There are people of all races and ethnicities, from dark skinned to light skinned. Not all light skinned people are white, and not all dark skinned people are black (as in of African descent).

1 Votes
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