efficacy of the vaccine product. The smaller the incidence of infection and/or the smaller
the expected efficacy of the vaccine product, the larger the number of volunteers
required. The efficacy is measured by comparing the rates of infection of individuals who
received the product and those who received placebo. These trials last from 3 to 5 years
and are very expensive. A high level of efficacy in Phase III does not guarantee
effectiveness in controlling the epidemic.
This must be assessed under the normal working conditions of the health system, which
are different from the special conditions in which the effectiveness trials (Phase III) are
conducted, when healthy volunteers are selected and receive the vaccine product or the
placebo under highly controlled conditions. Effectiveness (Phase 1V trial) depends on
the coverage, which is associated with the price of the products and the level of
organization of the health services ( this level of trials assess the real life situation).
5.
THE ETHICS OF HIV VACCINE RESEARCH
It is critical to ensure the integrity of the human subjects of scientific research. Thus,
the bodies responsible for clinical trials with HIV vaccine products in Zimbabwe must
provide the best treatment proved anywhere in the world to those volunteers who
may eventually become infected by HIV, ensure the safety and the protection of the
human rights of the human subjects participating in research trials. All protocols
pertaining to HIV vaccine research involving human subjects will be evaluated and
guarantee human subject protection. The proposal should be reviewed and
approved by the following bodies:
1.
Research Council of Zimbabwe – whose role is to monitor and
supervise potentially harmful research. This board also approves
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