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BMJ 2006;332 (8 April), doi:10.1136/bmj.332.7545.0-d
The autonomy of people who participate in biomedical trials in developing countries is not adequately protected by reliance on international laws and guidelines, argues Chima (p 848). He discusses how these are undermined by exceptions favouring researchers and sponsors from developed countries. He proposes that new local laws in developing countries be focused on the procedures for informed consent, local research ethics committees, standards of care, and distributive justice.
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