Cystic fibrosis carrier screening in Veneto (Italy): An ethical analysis

Tommaso Bruni, Matteo Mameli, Gabriella Pravettoni, Giovanni Boniolo

Research output: Contribution to journalArticle

Abstract

A recent study by Castellani et al. (JAMA 302(23):2573-2579, 2009) describes the population-level effects of the choices of individuals who underwent molecular carrier screening for cystic fibrosis (CF) in Veneto, in the northeastern part of Italy, between 1993 and 2007. We discuss some of the ethical issues raised by the policies and individual choices that are the subject of this study. In particular, (1) we discuss the ethical issues raised by the acquisition of genetic information through antenatal carrier testing; (2) we consider whether by choosing to procreate naturally these couples can harm the resulting child and/or other members of society, and what the moral implications of such harm would be; (3) we consider whether by choosing to avoid natural procreation carrier couples can harm current or future individuals affected by cystic fibrosis; (4) we discuss whether programs that make carrier testing available can be considered eugenic programs.

Original languageEnglish
Pages (from-to)321-328
Number of pages8
JournalMedicine, Health Care and Philosophy
Volume15
Issue number3
DOIs
Publication statusPublished - Aug 2012

Keywords

  • Carrier screening
  • Cystic fibrosis
  • Eugenics
  • Genetic testing
  • Reproductive freedom

ASJC Scopus subject areas

  • Health Policy
  • Education
  • Health(social science)

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