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Military use of drugs not yet approved by the FDA for CW/BW defense : lessons from the Gulf War /

The confrontation that began when Iraq invaded Kuwait in August 1990 brought with it the threat that chemical and biological weapons might be used against the more than half a million military personnel the United States deployed to the region. To protect these troops from such threats, the Departme...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Rettig, Richard A.
Autores Corporativos: United States. Department of Defense. Office of the Secretary of Defense, National Defense Research Institute (U.S.)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Santa Monica, Calif. : RAND, 1999.
Colección:Gulf War illnesses series.
Temas:
Acceso en línea:Texto completo

MARC

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245 1 0 |a Military use of drugs not yet approved by the FDA for CW/BW defense :  |b lessons from the Gulf War /  |c Richard A. Rettig. 
260 |a Santa Monica, Calif. :  |b RAND,  |c 1999. 
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490 1 |a Gulf War illnesses series 
500 |a "Prepared for the Office of the Secretary of Defense, National Defense Research Institute." 
500 |a "MR-1018-9-OSD"--Page 4 of cover 
504 |a Includes bibliographical references (pages 99-102). 
520 |a The confrontation that began when Iraq invaded Kuwait in August 1990 brought with it the threat that chemical and biological weapons might be used against the more than half a million military personnel the United States deployed to the region. To protect these troops from such threats, the Department of Defense wished to use drugs and vaccines that, not having been tested for use in these specific situations, were considered "investigational" by the federal Food and Drug Administration. This report examines the history of the Interim Rule, adopted in December 21, 1990, that authorized the Commissioner of Food and Drugs to waive informed consent for the use of investigational drugs and vaccines for certain military uses; how this authority was used for pyridostigmine bromide and botulinum toxoid during the Gulf War; and the subsequent controversy surrounding the rule, its application, and its implications. The report then analyzes the issues the Interim Rule raised when investigational drugs are used for such purposes and makes recommendations for dealing with similar situations in the future. 
588 0 |a Print version record. 
505 0 |a Ch. 1. Introduction -- Purpose and Organization -- Background -- The Issues -- The Text of the Interim Rule -- Ch. 2. The History of the Interim Rule -- The Memorandum of Understanding Between DoD and FDA -- Careful Deliberations: 1990 -- Litigation: 1991 -- Actual Gulf War Experience with PB, BT and AX -- The Presidential Advisory Committee -- Ch. 3. What Uses of Drugs are Investigational? -- The Experiment-Therapy Continuum -- The Belmont Report -- Ethical Considerations -- FDA's Approach to the Definitional Task -- Ch. 4. The Interim Rule and Its Alternatives -- Issues Associated with the Interim Rule -- Alternatives to the Interim Rule -- Ch. 5. Broader Issues -- Internal DoD Issues -- The Question of Authority -- Interactions Between DoD and FDA -- Ch. 6. Conclusions and Recommendations -- Ch. 7. Postscript. 
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650 0 |a Chemical warfare  |x Security measures. 
650 0 |a Biological warfare  |x Security measures. 
650 0 |a Gases, Asphyxiating and poisonous  |x Antagonists. 
650 0 |a Vaccines. 
650 0 |a Informed consent (Medical law)  |z United States. 
650 0 |a Involuntary treatment  |z United States. 
651 0 |a United States  |x Armed Forces  |x Medical care. 
650 0 |a Persian Gulf War, 1991  |x Chemical warfare. 
650 2 |a Vaccines 
650 6 |a Guerre chimique  |x Sécurité  |x Mesures. 
650 6 |a Guerre biologique  |x Sécurité  |x Mesures. 
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650 6 |a Vaccins. 
650 6 |a Consentement éclairé (Droit médical)  |z États-Unis. 
650 6 |a Traitement non volontaire (Thérapeutique)  |z États-Unis. 
650 6 |a Guerre du golfe Persique, 1991  |x Guerre chimique. 
650 7 |a HISTORY  |x Military  |x Biological & Chemical Warfare.  |2 bisacsh 
650 7 |a Medicine, Military  |2 fast 
650 7 |a Armed Forces  |x Medical care  |2 fast 
650 7 |a Biological warfare  |x Security measures  |2 fast 
650 7 |a Chemical warfare  |2 fast 
650 7 |a Chemical warfare  |x Security measures  |2 fast 
650 7 |a Informed consent (Medical law)  |2 fast 
650 7 |a Involuntary treatment  |2 fast 
650 7 |a Vaccines  |2 fast 
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