The Current State and Prospect of ELSI Program in Korea Jeong-Ro Yoon Dean and Professor of Sociology, School of Humanities & Social Sciences, KAIST Principal Investigator of ELSI Project, Center for Functional Analysis of Human Genome jryoon@kaist.ac.kr Contents I. The Inception of the Korean ELSI Program II. The Objective and Strategy of ELSI Program III. Core Research : Protection of Human Genetic Information IV. ELSIKOREA Database : Social Surveys V. ELSI Infrastructure VI. Future Direction 2 I. The Inception of the Korean ELSI Program Social Background Controversy on GMOs, Human Cloning, and Stem Cell Research from the late 1990’s Drive for Biotechnology in Korea 3 I. The Inception of ELSI Program in Korea • R&D Funding Biotechnology R&D in Korea 700.0 Billion Won 600.0 500.0 400.0 public private 300.0 200.0 100.0 0.0 94 95 96 97 Year 98 99 00 01 4 I. The Inception of the Korean ELSI Program ■ Frontier Projects (Government Supported 10-year R&D Projects) Functional Analysis of Human Genome (’00) Functional Analysis of Food Plant Genome (’01) Cell Application Research (’02) Proteomics Research (’02) 5 I. The Inception of the Korean ELSI Program Regulations and Legislation need for regulatory mechanism attempts at legislation by Ministry of Health and Welfare and Ministry of Science and Technology 6 II. The Objective and Strategy of the ELSI Program II-1. The Objective Facilitate the ELSI studies in Korea Provide the foundation for public understanding and social consensus on human genome research Provide the data for policy-making 7 II. The Objective and Strategy of the ELSI Program II-2. Strategy Interdisciplinary approach Consultation with specialists in a wide range of fields Top-down team project and bottomup independent research 8 II. The Objective and Strategy of the ELSI Program II-2. Strategy Project Modules ˙ Core Research : The protection of human genetic information ˙ ELSIKOREA database : social surveys ˙ ELSI Infrastructure ˙ ELSI planning 9 II. The Objective and Strategy of the ELSI Program II-3. Structure Literature Review June ’01 Monthly Seminar June ’02 Website Journal Issue & Case Analysis Publica -tions Edu/Com/ Issue Participation Analysis Models Workshop Guideline Draft Sampling Design Need Analysis Questionnaire Pilot Survey Model General Opinion Leader Modification Survey Survey Stakeholder Review Analysis Guideline + Models ELSI Korea DB Planning June ’03 ELSI Infra ELSI Planning Core Research : Genetic Info. Protection ELSI Korea DB 10 III. Core Research : Protection of Human Genetic Information III-1. Why the issue? urgent for policy making requires interdisciplinary and teamwork approach significant social and academic impact needs to satisfy the global standard 11 III. Core Research : Protection of Human Genetic Information III-2. Research Team Principal Investigator Jeong–Ro Yoon KAIST, Sociology Ethics Law / MD Communication Education C. Yim K.Chung S. Cho K. Choi SKK Univ. Hanyang CNU Ewha Univ. Univ. STS Participation/ NGO Case Study (Biology) Y. Lee Catholic Univ. H. Kim SNU 12 III. Core Research : Protection of Human Genetic Information III-3. The Results Identify the cases of abuse and misuse of human genomic information in Korea. Develop the draft of- guideline of the human genome research, IRB guideline and an informed consent form : The issues covered include the collection of samples, informed consent, protection of genetic privacy, genetic testing, and genetic counseling. 13 III. Core Research : Protection of Human Genetic Information Provide annotated comments on the guideline from the ethical and legal perspectives to facilitate the implementation of the guideline. Develop suggestions for- better communication between scientists and the public through mass media, based on the contents analysis of newspaper articles and social surveys in Korea. Comparative analysis of public participation and education, abroad and domestic. 14 IV. ELSIKOREA Database : Social Surveys DATE Topic Method Sample Oct. 2001 Biotech Issues Telephone 500 (age≧20) Mar. 2002 Stem Cell Telephone / Research Internet 2,000 for internet, 1,000 for telephone (age≧20) Genetic Privacy Telephone 1,100 (age≧16) Biotech Issues Telephone / Internet/ 200 biotechnology scientist, Oct. 2002 May 2003 Cellular Phone 50 journalist, and 2,000 lay citizen (age≧16) 15 IV. ELSIKOREA Database : Social Surveys Inconsistent Perception of Biotechnology (1) Perception of Medical and Social Applications, October 2001 Unit : % Gene Testing / Therapy Fetal Testing / Screening XenoTransplant Gene testing for employm’t Govt. mag’t. of gene data Positive 65.2 56.6 60.6 31.4 23.2 Negative 10.2 14.0 22.6 32.6 46.8 DK 24.6 29.4 16.8 36.0 30.0 16 IV. ELSIKOREA Database : Social Surveys (2) Perception of GMO Tofu, October 2001 Frequency % Will take 152 30.4 Won’t if allowed 235 47.0 Won’t 113 22.6 Total 500 100.0 17 IV. ELSIKOREA Database : Social Surveys (3) Inconsistency in the Opinions on Human Cloning (number of responses / %) Should be Should not be Allowed Allowed Don’t know Total Assisted reproduction for infertile couples 48.6% 30.6% 20.8% 755 Human cloning 9.3% 71.2% 19.5% 1000 18 IV. ELSIKOREA Database : Social Surveys Promise over Privacy, October 2002 (1) What would you do if requested to allow your blood sample for medical check-up to be used for research? (n=927) allow 20% 53% 26% ask for information not allow don't know 19 IV. ELSIKOREA Database : Social Surveys (2) What would you do if your blood sample collected in the process of medical checkup and treatment were used for other purposes without being informed? (n=927) don't care 40% 57% don't care if not against interest do care don't know 20 IV. ELSIKOREA Database : Social Surveys (3) What do you think about the following cases? ˙ genetic testing for insurance ˙ genetic testing for new employees ˙ genetic databanks for forensic use ˙ genetic databanks for institutionalized children 21 IV. ELSIKOREA Database : Social Surveys What do you think about the following cases? insurance definitely needed problematic but needed unneeded employees forensic use don't know children 0% 20% 40% 60% 80% 100% 22 V. ELSI Infrastructure Website for research information http://www.elsikorea.org : database for ELSI literature in Korean with the bibliographic information including contents and abstract. Monthly ELSI seminar from September 2002. Journal of ELSI Studies : the first issue in April 2003, Bi-annual. ELSI Series Books to be published from fall, 2003. 23 V. ELSI Infrastructure ELSI Resources Series : survey data, international documents, newspaper analysis ˙ 2002-1 Social Perception Survey on Biotechnology, 2001 ˙ 2002-2 Social Perception Survey on the Stem Cell Research, 2002 ˙ 2002-3 Social Perception Survey on the Protection of Genetic Information, 2002 ˙ 2002-4 Principles of Human Genome Research in Japan ˙ 2003-1 Analysis of Newspaper Articles, 1995-2002 24 VI. Future Direction Encourage the participation of diverse specialists in a wide range of fields. Support the practical activities for education, communication, and voluntary participation as well as academic research. Encourage the international activities. • International exposure of Korean ELSI research • Hosting international conferences • Joint projects for research, social surveys, media analysis, and etc. 25