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Science and Society
Genetic Testing
Authors:
Giovanni Frazzetto, Halldor Stefansson, Sabine Hentze, Julia Willingale-Theune, Alexandra Manaia

Description:
The sequencing of the human genome, completed in 2000, has helped identify many genes which, when abnormal, are responsible for diseases. Genetic tests for some diseases already exist and others are being developed. However, administering such tests reveals personal genetic information, and this can create a dilemma. Deciding how the information should be used and who should have access to it raise complex ethical issues. Obviously some uses and wide access could serve the common good helping to predict the onset of genetic diseases, creating possibilities for intervention, etc. but there is a tension between this and what we consider personal rights (such as protecting our privacy and respecting individual diversity). Alzheimer's disease provides a good example of one dilemma that can arise. In a certain percentage of patients, the condition is of genetic origin, i.e. inherited. If a parent were diagnosed with Alzheimer's disease and a genetic test were available, would you want to be tested? The test could come back positive many years before you showed symptoms. Unless kept completely private, that information could become available to other family members, employers and insurance companies with obvious potential negative consequences. These and other questions are raised in the fact sheets.

In the role play, two different case studies have been chosen to illustrate some of the potential societal and ethical conflicts raised by genetic testing. The players represent a specific interest group involved in one of these cases and serve as experts on a 'virtual ethical committee,' whose job is to advise a court charged with resolving the cases.

Target Audience:
Age 14-18 years

Objective:
To help school children understand the social consequences of genetic testing and to get them to think how far we should go in using the information from such tests.

GCSE Syllabus:
Double science Key stage 4 Sc2
Life Processes and Living Things

Cell Activity
1. Pupils should be taught:
c. The nucleus contains chromosomes that carry the genes
d. How cells divide by mitosis during growth, and by meiosis to produce gametes

Variation, inheritance and evolution
4. Pupils should be taught:
Variation:
a. How variation arises from genetic causes, environmental causes and a combination of both
b. That sexual reproduction is a source of genetic variation
c. That mutation is a source of genetic variation and has a number of causes
Inheritance:
d. How sex is determined in humans
e. The mechanism of monohybrid inheritance where there are dominant and recessive alleles
f. About mechanisms by which some diseases are inherited
g. That the gene is a section of DNA
h. The basic principles of cloning, selective breeding and genetic engineering

Advanced Subsidiary GCE and Advance GCE specifications for Human Biology:
This activity covers the following issues explicitly covered in human biology under Health and Safety Education:
Genetic disorders
Genetic screening and counselling
Ethics

Growth, development and disease
Detecting and treating cancer
Investigating foetal development
Genetic disease

Materials:
Uses and the risk of abuse [PDF]
Genetic counselling [PDF]
Cystic fibrosis [PDF]
Fact sheet on violent behaviour [PDF]
Genetics [PDF]
Mini-glossary [PDF]
Background reading [PDF]
Useful websites [PDF]

Virtual Expert Committee:
Giovanni Frazzetto [PDF]
Role Cards
Case Study 1
Cystic fibrosis and pre-natal diagnosis: Hughes vs. Medicis Insurance Company
Case Study 2
Genetic testing for aggressive behaviour: Matt Scott vs. NY police Academy
Science
News of the week: violent effects of abuse tied to gene [PDF]
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