Key cross cutting ethical issues were prioritized during the consultation as community engagement; ancillary care obligations; care and treatment; informed consent; and resource sharing.
Using an informal ranking exercise, the key cross cutting ethical issues in HIV/AIDS, TB, and malaria vaccine research in Africa, were roughly prioritized by stakeholders in the consultation as follows,: 1) Community engagement; 2) Ancillary care obligations; 3) Care and treatment; 4) Informed consent; 5) Resource sharing.
It also highlights the fact that capacity-building obligations need clear boundaries in the same way as obligations to provide ancillary care and treatment post-trial.
Beyond these basic requirements, many other medical 'benefits' described as appropriate by our participants might equally or more accurately be framed as ancillary care responsibilities or even obligations.
Debates relating to obligations for providing benefits mainly address the appropriate limit or the scope of the benefits both during the course of research (ancillary care responsibilities) and after completion (post trial obligations).
As the primary aim of the study has been accomplished, less attention will be directed to the characterization of ancillary genomic data, yet we believe we retain an obligation to share highly clinically actionable findings with participants should we obtain them.
Trees deliver a range of ancillary benefits, even as they satisfy Dow's compliance obligations, he noted: "Houston's a very nice city but let's face it, they can use more trees".
"[The carbon budget] is tailored to meeting our carbon obligations at the lowest possible cost and with the highest ancillary gains," they wrote to David Cameron on Wednesday night.
Nevertheless some have argued that there may be an obligation to return individual results, and Beskow and Burke [ 13] proposed a model based on an ancillary care framework as the basis for evaluating when such obligations may arise.
