Here - The Triple Helix Cambridge
Transcription
Here - The Triple Helix Cambridge
Message from the Chapter President Welcome to a new academic year full of opportunity and excitement with The Triple Helix. This journal marks the fifth edition of The Science in Society Review in Cambridge, showcasing the work of an ever-expanding team of student writers, editors and academic reviewers. We are delighted to invite you to our Science in Society lecture series of panel debates, where policy-makers and academics answer your questions on important issues. This will be launched on Monday, 13th October, when we ask our celebrated panel “Who Wants to Live Forever?”. STAFF AT CAMBRIDGE EXECUTIVE BOARD President: Hannah Price (Queens’) Founding President, Executive Vice President: James Shepherd (Caius) Secretary: Victor Chong (Caius) Junior Treasurer: Rachna Narayanan (Caius) Division leaders also sit on the Executive Board LITERARY Editor-in-Chief: Thomas Kluyver (Peterhouse) Senior Editors: Varsha Jagadesham (Pembroke), James Kennedy (Fitzwilliam), Nandhini Ponnuswamy (St John’s), Laura Soul (New Hall), Associate Editors: Anna Allan (Caius), Emily Brown (Christ’s), Irene Gallego (Caius), Daniel Guetta (St John’s), James Kennedy (Fitzwilliam), Rebecca Murphy (Trinity), Caroline Sandford (Girton), Asher Steene (Sidney Sussex), Charlotte Strandkvist Pembroke), Thomas Ling (Emma). Graduate Reviewers: Jillian Sullivan (Girton), Mico Tatalovic (Christ’s). Production: Dmitriy Myelnikov (Emma) OUTREACH Head of Outreach: Sonja Dunbar (Downing), Outreach Team: William Barter (Emma), Harsh Bhatt (Caius), Michelle Brook (St Catherine’s), Irene Gallego (Caius), Francesca Holt (St John’s), Gregory Lewis (Caius), Danielle Kaminski (Clare), Farzana Miah (Girton), Jenny Molloy (Corpus Christi), Rebecca Murphy (Trinity), Rachna Narayanan (Caius), Nick Russell (Emma), Charlotte Strandkvist (Pembroke), Amy Tym (Queens’) Also coming up is our successful outreach programme, which takes issues to school students, and our preparations for attending several international conferences later this year. For all these fantastic opportunities, I would like to thank our members for their enthuasiasm, dedication and energy. Come, find out more and get involved! Best wishes, Hannah Price President The Triple Helix, University of Cambridge 800th Anniversary Issue Inspired by the success of this termly journal, TTH has been awarded a special grant to produce a limited edition magazine, commemorating Cambridge’s 800th Anniversary. This high-impact, high-quality magazine will have a circulation of 11,000 copies, to be distributed around Cambridge, at anniversary events and to alumni internationally. It will celebrate Cambridge’s great scientific contributions to society, and look forward to where current research might lead. Don’t miss this opportunity to see your work everywhere. If you are interested in writing, editing, producing or taking photographs for this unique project, email managingeditor800@ camtriplehelix.com for more information. EVENTS Events Director: Jenny Molloy (Corpus Christi) Events Co-ordinator: Harsh Bhatt (Caius), Philippa Borrill (Peterhouse), Michelle Brook (St Catherine’s),Varsha Jagadesham (Pembroke), Farzana Miah (Girton), Rachna Narayanan (Caius), Ellis O’Neill (Corpus Christi), Charlotte Strandkvist (Pembroke), Amy Tym (Queens’) PRESS & FUNDRAISING 800TH MAGAZINE ACADEMIC ADVISORY BOARD Press & Fundraising Officers: Anna Allan (Caius), Harsh Bhatt (Caius), Michelle Brook (St Catherine’s), Emma Druckman (Jesus), Abigail Eisen (Caius), Rachna Narayanan (Caius) Managing Editor: Lindsay Cameron (New Hall) Assistant Managing Editor: Rosa Sharp (Downing) Dr David Summers (Senior Treasurer) Prof Peter Littlewood Dr Edward Tanner Dr Peter Wothers 2 THE TRIPLE HELIX Michaelmas 2008 SENIOR REVIEWERS Dr Morgane Besson Dr Bob Butcher Dr Jeff Dalley Dr Anna Goodman Dr Bertie Göttgens Dr Richard Hayward Dr Jim Haseloff Prof Christopher Howe Dr Katrin Ottersbach Dr Patrick Pallier Dr Alex Piotrowski Dr Martyn Symmons Prof Alan Warren © 2008, The Triple Helix, Inc. All rights reserved. Getting Progress Back on Track Thomas Kluyver A part from sheer intellectual curiosity, one key reason for the pursuit of science is to improve mankind’s lot. Ever since our ancestors used fire to keep predators away at night, human ingenuity has improved the quality of our lives. By studying disease, we improved our health, while by working out the principles of steam and electricity, we have vastly increased the physical work we can do, while reducing the exertion involved. And yet, in recent decades, two of the most significant advances in technology—nuclear power and genetic engineering—have been held back, not by a lack of ideas, but by a lack of public confidence. In the UK, one GM crop has been approved for use, but is not grown commercially [1,2]. Even small scale field trials of GM crops are so often trampled by protesters that some scientists are arguing that they should be allowed to keep the locations a secret [3]. In Germany, citizens voted to back out of nuclear power altogether [4]. There is little doubt that both of these technologies can improve our lives. France, which relies heavily on nuclear power, enjoys relatively clean and cheap electricity, and regularly sells its surplus to its neighbours [5]. In China, GM insect-resistant cotton crops have had a marked influence on the health of farmers, who had suffered from having to regularly spray insecticides in their fields [6]. We cannot afford to ignore these new technologies. The human population of the ©iStockphoto.com/eyeidea earth is currently over 6 billion, and is estimated to grow to around 10 billion before levelling off later this century [7]. In addition, the billions living in developing countries will be keen to move up to the same standards of living as we enjoy—with private cars, electric lighting and a diet rich in meat. There is not enough area on the planet to support that kind of lifestyle for so many people with today’s technology, even if we overlook pressing environmental issues such as habitat destruction and climate change [8]. Thomas Kluyver is a third year at Peterhouse studying Biological Natural Sciences. He is currently Editor-in-Chief for The Triple Helix, Cambridge. References: [1] GM Crops. UK Government (DEFRA) [document on the Internet; cited 2008 Sep]. Available from: www.defra.gov.uk/environment/gm/crops/index.htm [2] UK farms ‘want to grow GM crops’. BBC News [document on the Internet] 2005 Mar 16 [cited 2008 Sep]. Available from: news.bbc.co.uk/1/hi/sci/tech/4352871.stm [3] GM crop trials ‘should be secret’. BBC News [document on the Internet] 2008 Jul 28 [cited 2008 Sep]. Available from: news.bbc.co.uk/1/hi/sci/tech/7529590.stm [4] General Information – Nuclear Safety. German Government (Federal Ministry for the Environment, Nature Conservation and Nuclear Safety) [document on the Internet; cited 2008 Sep]. Available from: www.bmu.de/english/nuclear_safety/ information/doc/4300.php [5] Nuclear Power in France. World Nhttp://fellsassociates.awardspace.com/site/ PressRelease17thSept2008.htmluclear Association [document on the Internet] 2008 Aug [cited 2008 Sep]. Available from: http://www.world-nuclear.org/info/inf40.html [6] Pray CE, Huang J, Hu R, Rozelle S. Five years of Bt cotton in China – the benefits continue. Plant J 2002 Aug 16; 31(4):423–430. [7] Lutz W, Sanderson W, Schebov S. The end of world population growth. Nature 2001 Aug 2; 412(6846):543–545. [8] Living Planet Report: p. 19. WWF International [document on the Internet] 2006 [cited 2008 Sep]. Available from: assets.panda.org/downloads/living_planet_ report.pdf [9] World’s cheapest car goes on show. BBC News [document on the Internet] 2008 Jan 10 [cited 2008 Sep]. Available from: news.bbc.co.uk/1/hi/business/7180396.stm [10] Supermarkets to battle on prices. BBC News [document on the Internet] 2008 Jun 27 [cited 2008 Sep]. Available from: news.bbc.co.uk/1/hi/business/7477004.stm [11] Fells I, Whitmill C. A pragmatic energy policy for the UK. Fells Associates [document on the Internet] 2008 Sep 17 [cited 2008 Sep]. Available from: fellsassociates.awardspace.com/site/PressRelease17thSept2008.html [12] New nuclear plants get go-ahead. BBC News [document on the Internet] 2008 Jan 10 [cited 2008 Sep]. Available from: news.bbc.co.uk/1/hi/uk_politics/7179579.stm 4 THE TRIPLE HELIX Michaelmas 2008 One possible explanation for the gap is the inequality of wealth. In the developed, Western countries which have historically led the way in research, we are generally healthy and comfortable, so we can pay more attention to the risks of new technology. Relying on cheap fossil fuels and goods manufactured cheaply abroad, we have maintained our expensive lifestyle without much change. That dominance is rapidly ending, however, as countries such as China and India become richer. The Indian car manufacturer Tata recently released a car costing under £1500 [9], bringing car ownership within the reach of many for whom it was previously a dream, but by increasing competition for petrol, helped to drive the price of oil upwards. Similarly, biofuels, intended to evade carbon emissions leading to global warming, have competed for agricultural land, and contributed to the rising prices of food. Could these pressures bring an end to the repression of progress in the West? Already, rising prices have driven customers from Waitrose to Aldi [10]. Perhaps a longerterm strain on the wallet would reduce the opposition to GM crops, or the threat of power shortages [11] may bring people round to the idea of nuclear power. Here in the UK, the government has already, despite the inevitable controversy, indicated that it favours building new nuclear power stations [12]. If we won’t accept progress, we risk being leapfrogged by the pragmatism of developing nations. Like most new technologies, the two discussed here are not without their risks. But it is not beyond our ingenuity to overcome such risks. After all, where would we be if early humans had decided that making fire was simply too dangerous? © 2008, The Triple Helix, Inc. All rights reserved. Message from the CEO Dear Reader, As I enter the final months of my tenure as CEO of The Triple Helix, I only wish that I had more hours in the day to devote to our initiatives and projects. The wonderful thing about working with motivated, intelligent students is to witness the speed at which simple ideas can be transformed into something tangible, whether it’s a new way of tracking where the authors of international feature articles get published, or a novel type of science policy event held at one of our member universities. In my remaining time with TTH, my top priority is to build our capacity to do this on an international scale— it is imperative that our members feel that they are part of a complex, interconnected network of like-minded students with whom they can interact on a regular basis. Once we are able to facilitate regular international collaborations and establish a collective experience for TTHers across the world, we will know our organization has succeeded in fulfilling its mandate as a “global forum for science in society”. This is my final project, and I hope the results will enrich the TTH experience for years to come. Sincerely, Manisha Bhattacharya Chief Executive Officer The Triple Helix, Inc. The New Face of TTH Since TTH’s inception in 2005, both the print journal and the organization have been continually expanding and evolving at a remarkable rate. As our chapters flourish and our network solidifies, we feel it is the right time to officially establish the stylistic maturity of our publication. As such, the TTH Production Team has taken the time to consciously define and solidify our visual identity so that with this issue, The Triple Helix, Inc. may unveil the new look that will carry the organization into the future. After asking all chapters for input about how the new design should look, the Central Production Team spent Summer 2008 tirelessly addressing and implementing these comments, until they arrived at the journal you see before you. This new look will identify our print journal, The Science and Society Review, wherever it may be found, unite all of our chapters across the globe, usher in a new era in TTH history, and establish The Triple Helix as a permanent and professional voice in academic and policy debates across several disciplines. We hope you can feel the difference. Cover and spread from the Fall 2006 issue of The Science in Society Review. © 2008, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2008 3 Carbon Capture: Permission to Pollute? Rebecca Murphy I ©iStockphoto.com/Dena Steiner n order to prevent runaway climate change, we must reduce our carbon emissions. There is now a scientific consensus that we must stabilise global temperatures at no more than 2°C above pre-industrial levels [1], while the UK has finally agreed to binding emissions cuts of 60% by 2050 [2]. However, the best methods for emissions reduction are still hotly disputed. One of the most novel currently under discussion is Carbon Capture and Storage (CCS). CCS could be ideal for reducing UK carbon emissions. We currently produce 74% of our electricity from fossil fuels [3], and although gas supplies may be declining [4], the government confidently expects a concomitant expansion in the coal industry [3]. CCS, which is predicted to reduce carbon emissions from the burning of fossil fuels by 80–90% [3], would allow us to continue relying on fossil fuels, while reducing the amount of carbon dioxide (CO2) released into the atmosphere. The method is simple. Carbon, from the burning of fossil fuels, is captured and then stored underground in a geological formation that prevents its escape [3]. Although “the whole process has not yet been demonstrated, the individual steps are all deployed commercially today” [5]: Statoil uses amine scrubbers to remove CO2 from natural gas extracted from the Sleipner oilfield in the North Sea and then buries it in a deep saline aquifer at a rate of one million tonnes per year [5]. Similarly, CO2 extracted from the Synfuels plant in North Dakota is used in Enhanced Oil Recovery to increase References: [1] Stern Review on the Economics of Climate Change. Office of Climate Change [document on the Internet] UK Government (HM Treasury): 2006 Oct 30 [cited 2008 Sept]. Available from: www.hm-treasury.gov.uk/independent_reviews/ stern_review_economics_climate_change/sternreview_index.cfm [2] Draft Climate Change Bill. HM Government [document on the internet]. 2007 Mar [cited 2008 Sep]. Available from: http://www.official-documents.gov.uk/document/cm70/7040/7040.pdf [3] The Energy Challenge: Energy Review Report 2006. HM Government [document on the internet]. 2006 Jul [cited 2008 Sep]. Available from http://www. official-documents.gov.uk/document/cm68/6887/6887.pdf [4] Monbiot G. Heat: How we can stop the planet burning. London: Penguin; 2007. [5] Monbiot G. Burnt Out. Guardian [newspaper on the internet] 2008 Mar 18 © 2008, The Triple Helix, Inc. All rights reserved. yields from an oilfield in Canada [3]. Neither of these projects has coupled CCS with commercial electricity production; nevertheless, their existence suggests that carbon capture is already technologically viable. Initially, the British government appears to be wholeheartedly embracing CCS technology. International collaborations are currently developing strategies for the efficient storage of CO2 in the North Sea [3]; while a national competition was launched in 2007 to create a demonstration plant within the next decade [6]. Unfortunately, closer examination of government policy reveals a different story. Shortly after the CCS competition was launched, lack of government support forced BP to abandon a £500 million project to develop a CCS plant in Peterhead [6]. Furthermore, regardless of the fact that no demonstration plant will be operational before 2014, the government is on the verge of approving six new coal-fired power stations; the UK’s first since Drax was completed in 1986 [5]. Government justification for this irresponsible energy policy is that the new power stations will be “CCS ready”—able to be retrofitted with capture mechanisms once viable technology becomes available [7]. However, while the government believes that assessment of any demonstration plant would take at least 15 years [8], meaning that CCS has “real potential as an emissions mitigation tool” only “from 2030” [4], the first proposed conventional plant, planned for Kingsnorth in Kent, would be operational by 2012 [5]. If all six new plants are approved, their combined CO2 emissions could total 54 million tonnes per year [5], reducing all the promises that CCS will produce clean coal to “a fig leaf to give unabated coal-fired power stations an appearance of environmental acceptability.” [7] CCS may well provide a technological solution to the problem of halting global warming without drastically cutting power usage; it is not an excuse for the UK to ignore the need to reduce carbon emissions. If we are to prevent catastrophic climate change, it cannot and must not be used to justify inaction, complacency and the wilful pursuit of obsolete energy policies. Rebecca Murphy is a second year studying Chemistry at Trinity College. She is currently an Associate Editor for The Triple Helix Cambridge. [cited 2008 Sep]. Available from: http://www.monbiot.com/archives/2008/03/18/ burnt-out-2/ [6] van Noorden R. UK Crawls To Carbon Capture. Chemistry World [magazine on the internet] 2007 Jul [cited 2008 Sep]. Available from: http://www.rsc.org/ chemistryworld/Issues/2007/July2007/UKCrawlsToCarbonCapture.asp [7] House of Commons Select Committee on Environmental Audit. Carbon Capture and Storage: Ninth report of session 2007–2008 [document on the internet] 2008 Jul 15 [cited 2008 Sep]. Available from: http://www.publications. parliament.uk/pa/cm200708/cmselect/cmenvaud/654/654.pdf [8] Competition for a Carbon Dioxide Capture and Storage Demonstration Project: Project Information Memorandum. BERR [document on the internet] 2007 Nov 19 [cited 2008 Sep]. Available from: http://www.berr.gov.uk/files/file42478.pdf THE TRIPLE HELIX Michaelmas 2008 5 Deep Brain Stimulation: The Quest for Cognitive Enhancement Jennifer Ong I done on a Friday so that they can return back to work the following Monday. It is this “brainlift” trend which triggers much of the ethical debate arising in academic world surrounding the use of cognitive science technologies for lifestyle memory enhancement. Yet Dr. Lawrence Steele remains confident in his belief that these techniques would become a more prevalent practice within society. “Plastic surgery triggered similar debates years ago, but the debates didn’t last. Brainlifts will go through the same cycle: they’ll gain broader acceptance, the debates will eventually die down, [and] the procedures will become more commonplace [. . .] After all, we’re talking about a more finely tuned mind, not just a tighter face” [1]. So imagine if you could enhance your brain, performing cognition faster than you have before and remembering more facts than you ever thought possible. Think about all the possibilities you could achieve by being smarter. For example, you could obtain the highest score on an entrance exam to gain acceptance to a dream university, and later, land the perfect job. If such possibilities entice you, to what lengths would you be willing to go to obtain the next superbrain? Although science has yet to develop the technologies for creating such superbrains, many people consider this concept no longer a science-fiction fantasy. In fact, some researchers speculate that we will soon be able to manufacture such high-powered, low-maintenance, memory enhanced minds, all through the use of cognitive science technologies such as deep brain stimulation. Deep brain stimulation (DBS) is ©iStockphoto.com/slowgogo not a novel idea or method. Electri- n his private practice located in the Upper East Side office of Manhattan, Dr. Lawrence Steele offers patients memory enhancement on a cash-only basis. His clientele, the wealthy elite looking for a “cognitive tune-up,” are presented with three options varying in levels of intensity and invasiveness. The first option is a memory training program that may take as long as weeks or months depending on how much time the patient is able to put in. The second consists of transcranial magnetic stimulation (TMS) treatments which can take up to half an hour for three times a week—time which is not wasted as the patient can obtain a manicure, pedicure, or massage while undergoing the treatment. The last option involves a more invasive form of electrical brain stimulation where the doctor will make “a small incision— half an inch—in the scalp overlying each major node in the memory network, create a small hole in the skull, and insert a neat little metal plug, similar to a watch battery, that contains both stimulator-electrode and battery” [1]. This electrical stimulation is constant and low grade, and the batteries are recharged as needed, usually only every two to three years. And to tempt the client even further, the procedure is usually 6 THE TRIPLE HELIX Michaelmas 2008 © 2008, The Triple Helix, Inc. All rights reserved. cal stimulation of the nervous system has been used for medical cases since the 18th century, ranging from attempts to reverse blindness to reviving drowned patients with electrical shocks [2]. A modern use of DBS has been for the treatment of Parkinson’s disease, a degenerative disorder of the central nervous system which gradually impairs all motor skills and speech. When a patient develops side effects from the traditional L-Dopa medication, Deep brain stimulation (DBS) is not a novel idea or method DBS entails implanting electrodes in the thalamus, which produce a high-frequency, low-voltage current that block the tremors symptomatic of Parkinson’s disease. It is a last-resort method which shows significant improvement in 70-80% of the cases used [3]. More recently, some researchers have thought that DBS and similar methods of brain stimulation could be used to enhance people’s memories. For example, in January of 2008 Canadian neurosurgeon, Dr. Andres Lozano, and his team at Toronto Western Hospital began investigating the effects of deep brain stimulation on a fifty year-old male with a history of obesity. They hoped that the electrodes implanted in the hypothalamus of the brain, a region recognized to control appetite urges, could repress the desire to eat and subsequently reduce the man’s weight. However, what they discovered was a surprisingly different side effect—the patient recounted profound feelings of déjà vu; more specifically, he remembered a scene at the park with friends which occurred around thirty years ago. As the intensity of the electrical stimulation increased, the more details he could remember. Lozano proclaims, “This was for us a eureka moment in that we were not expecting it at all” [4]. This unexpected finding has led Dr. Lozano to believe that DBS may benefit patients suffering from Alzheimer’s disease. In March of 2008, Dr. Lozano began a pilot study with six Alzheimer patients to research whether deep brain stimulation could delay the symptoms of the memorydegenerative disease that affects as many as 5.2 million people in the United States alone. Even if DBS would not be able to cure Alzheimer’s, it is hypothesized to provide patients with a longer span of time in which they can function independently and normally—as long as they remain on the electrode system. While the medical uses of DBS may be promising, if this technology was made available to the general public, the ethical, medical, social, and cultural implications of mind manipulation would be astounding. Advocates of deep brain stimulation emphasize the excellent targeting abilities and independent control qualities of the electrode system, since the electrodes could hypothetically be shut down and the effects nullified. Yet, as appealing as simply “turning off the electrode system” sounds, deep brain stimulation is not a completely reversible process. DBS would affect the patients’ individuality as © 2008, The Triple Helix, Inc. All rights reserved. they might become dependent on the electrode system for the rest of their lives. The procedure itself involves stereotactic surgery which entails structural modifications to the brain, running risks of intracranial hemorrhages, stroke, behavioral changes, and other factors associated with neurosurgery. And the chance of an electrode failure remains a significant risk. The perils to the brain are undeniable, and a person’s motor performance, general mood, physical situation and overall quality of life would depend to a high degree on how well the technical device functions [5]. Thus, to address the growing awareness of cognitive science techniques such as DBS, an emerging discipline termed neuroethics has risen. First coined in the 1970’s but not prominent until the early 21st century, neuroethics currently encompasses “professional ethics or procedural ethics regarding the conduct of neuroscience research; neurobiological basis of value systems, including moral and religious thought; and social implications of the outcomes of neuroscience research” [6]. As DBS becomes synonymous with brain enhancement, its advancement raises ethical issues for the neuroscience community—namely, where do we draw limits for its use? Axel Cleeremans, director of the cognitive science research unit at the Free University of Brussels, affirms “We are already performing the equivalent of plastic surgery on the brain [. . .] [but] do we really want cognitive enhancement via surgery or medication, and if so how do we regulate it? [. . .] How will we deal with issues such as privacy and responsibility?” [7]. As the field of neurocognitive enhancement becomes more popular among scientists, physicians, and marketable consumers alike, legislatures and the public will have to determine Deep brain stimulation is not a completely reversible process whether new regulations must be placed to control the lifestyle benefits of these new methodologies. Since DBS will be most likely limited through other factors such as cost barriers and availability, what would happen if DBS were to become accessible to the public as a memory enhancement technique, and how could that affect the already significant vast divide between those who are privileged, whether by social or economic status, and those who are not? To learn more about the possible outcomes of DBS being made available to the public, we can draw from parallel issues concerning pharmacological treatments for improved cognition, which has already long been a focus for military research. The U.S. Air Force’s use of amphetamines as “go pills” to treat fatigue of military personnel has been permitted as early as World War II [8]. Simultaneously, the use of prescription stimulants as cognitive enhancers have also been popular methods for people looking to sleep less, stay up longer, work harder, and play more [8]. In his book Our Posthuman THE TRIPLE HELIX Michaelmas 2008 7 Future: Consequences of the Biotechnology Revolution, Francis Fukuyama vocalizes his standpoint in the brain enhancement debate stating, “The original purpose of medicine is to heal the sick, not turn healthy people into gods” [9]. He asserts that the use of neuropharmaceutical drugs such as Adderall, which is prescribed to treat attention deficit disorder, and Provigil, which promotes wakefulness for narcolepsy patients, already “raise the standard of what is considered ‘normal’ performance and widen the gap between those who have access to the Deep brain stimulation used for brain enhancement has its appeal medications and those who do not” [10]. Furthermore, brain enhancement could interfere with a person’s subjective experiences, cognitive abilities, and personality traits in unexpected ways. As Thomas Fuch mentions in his article “Ethical Issues in Neuroscience,” the use of cognitive science techniques threatens to devalue human life of its imperfections and interferes with the personal development that results from learning from failures and dealing with adversities [11]. After all, to what extent could people retain their individuality if their actions and thoughts were the result of deep brain stimulation? These techniques would further complicate the issues of identity and free-will, an already controversial topic that is still debated among various religious, philosophical, academic, political, and medical spheres. Yet despite these concerns, experts have to admit that deep brain stimulation used for brain enhancement has its appeal. “It’s an interesting example of the sort of unexpected finding we may start to see as different brain areas are tested with DBS,” says Helen Mayberg, a neurologist at Emory University School of Medicine in Atlanta, Georgia. “It suggests that enhanced brain functioning—and not just reversal of abnormal behavior—is possible with DBS, and that’s going to prompt a lot of discussion among scientists and ethicists” [12]. But are these procedures really worth the extra memory? Neurosurgeon Katrina Firlik vocalizes her opinion for the future of neurosurgery. Since surgical enhancement of the brain seems to be a viable option for the public in the near future, she speculates that the certain individuals looking for the “cognitive tune-up” would instead develop a savant-like mind. These elite savants will certainly “expand the potential for human References: [1] Firlik, K. Another day in the frontal lobe. New York: Random House, Inc., 2006. [2] Lüders, H. Deep brain stimulation and epilepsy. London: Taylor and Francis Group, 2004. [3] Keyes, A. Essential neurosurgery. Malden, MA: Blackwell Publishing Inc., 2005. [4] Favaro, A. Deep brain stimulation may improve learning, CTV News. 2008. Available from: http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20080129/ deep_brain_080129/20080130?hub=CTVNewsAt11 [5] Hidt, E. Electrodes in the brain: some anthropological and ethical aspects of deep brain stimulation. International Review of Information Ethics 2006;5:34-38. Available from: http://www.i-r-i-e.net/inhalt/005/Hildt.pdf [6] Fukushi, T. Exploring the origin of neuroethics: from the viewpoints of expression and concepts. The American Journal of Bioethics 2008;8(1):56-57. 8 THE TRIPLE HELIX Michaelmas 2008 achievement and productivity beyond what is currently constrained by average human brainpower” [1]. Although they may have this newfound ability to “multiply 1,456 by 6,321 off the top of his head, or may be able to recite pi out to hundreds of digits,” it does not ensure that they can interact and communicate effectively with other human beings [1]. Thus, one has to doubt the human desire to obtain an unlimited memory. Joshua Foer, in his article “Memory” for National Geographic, discussed the rare case of a person with extreme memory function: a 41-yearold woman named AJ who remembers every single day of her life since she was 11, an ability so unprecedented that neuroscientists at University of California, Irvine, had to coin a new term to describe her condition: hyperthymestic syndrome [13]. However, AJ’s quality of life is actually impaired by her superior memory. Although she can flip through each day of her life like a Rolodex and remember every moment as if it was yesterday, she remains eternally obsessed about the past: I remember good, which is very comforting. But I also remember bad — and every bad choice [. . .] I really don’t give myself a break. There are all these forks in the road, moments you have to make a choice, and then it’s ten years later, and I’m still beating myself up over them. I don’t forgive myself for a lot of things. Your memory is the way it is to protect you. I feel like it just hasn’t protected me. I would love just for five minutes to be a simple person and not have all this stuff in my head. Most people have called what I have a gift, but I call it a burden [13]. Indeed, AJ may have a point. There are evolutionary explanations as to why we forget things; after all, if we could remember every single facet—everything we saw, smelled, tasted, felt, heard, or thought—we would be overwhelmed by a vast amount of irrelevant information not directly related to our current situation in life. So as DBS ventures into the realms of treatment for Alzheimer patients, I applaud that move and hope for the best. But if given the option of a superbrain? I may have to pass. I don’t need to remember what I wore a year ago, or how I just disastrously failed yesterday’s midterm. Those are memories I’d rather not keep, thanks. Jennifer Ong is a second year Human Biology major, Communications minor at UC San Diego. Her research for this article helped her obtain an internship with the Xia Lab at UC Davis, where she studied transcranial magnetic stimulation treatment for bipolar patients. [7] Phillips, H. Who is messing with your head? New Scientist 2006;2535:11. [8] Hall, SS. The quest for a smart pill. Scientific American 2003;289(3)54-65. [9] Fukayama F. Our posthuman future. New York: Farrar, Straus & Giroux, 2002. [10] Carey, B. Brain enhancement is wrong, right?, The New York Times. 2008 Mar 9. Available from: http://www.nytimes.com/2008/03/09/weekinreview/09carey. html?_r=1&ex=1362718800&en=753abf3a269f71c3&ei=5090&partner=rssuserland& emc=rss&pagewanted=all&oref=slogin [11] Fuchs, T. Ethical issues in neuroscience. Current Opinion in Psychiatry 2006;19:600-607. [12] Abbot, A. Brain electrodes can improve learning, Nature News. 2008 Jan 29. Available from: http://www.nature.com/news/2008/080129/full/news.2008.538.html [13] Foer, J. Memory, National Geographic. 2007 Nov. Available from: http://ngm. nationalgeographic.com/2007/11/memory/foer-text © 2008, The Triple Helix, Inc. All rights reserved. Bits, Bytes, and Property Rights Chris Milroy © 2008, The Triple Helix, Inc. All rights reserved. labor-based theory of property, such as the one espoused by Locke, it would seem that the property in a virtual world is nearly valueless to the creator (since it takes little time to generate any individual piece of property from computer code) but potentially very valuable to the person who buys and develops it. On the other hand, if the goal of property rights is to promote economic growth and development, the Corporations can control every characteristic of virtual property lack of scarcity in virtual worlds suggests that such rights are unnecessary except insofar as they fulfill the function of intellectual property rights: creating artificial scarcity for socially-useful purposes. The choice of a philosophical foundation is therefore highly important prior to extrapolating laws governing virtual property. This leads to a whole host of instances where standard property rights would seem misapplied in a virtual context. If courts assign virtual property a value in non-virtual currency—as Chinese courts did in 2003, when they awarded damages to a man whose account in the popular Chinese online game Hongyue (Red Moon) was hacked and his virtual ©iStockphoto.com/Andreas Guskos A n entirely new universe is emerging right under our noses. It is invisible unless one has the technology to detect and interact with it, but it contains societies just like our own. This universe is digital, composed of tens of millions of humans interacting via internet-linked computers, and broken into hundreds of self-contained, virtual worlds. The virtual universe lacks at least one other major feature, besides physicality: property rights. Analyzing why and how property rights are different in a virtual context is critical to understanding the challenges faced by legal systems and businesses as they move online in the 21st century. Until the law catches up to the emerging realities of virtual worlds, companies and individuals will have to bear substantial risks. Following John Locke’s assertion that the purpose of government is to protect property from both internal and external threats [1], most modern governments recognize the right to property as one of the basic rights of a society. In particular, the rights to prevent others from using or destroying one’s property, when accompanied by limits such as those provided by eminent domain laws, are an important source of growth and development in modern societies [2]. Such rights tie users’ interests to the longterm sustenance and value of resources and prevent the so-called “tragedy of the commons” [2], wherein each user of a resource consumes, in the short-term, more than the long-term optimal amount. Virtual property, however, possesses several characteristics that make it fundamentally different from material property. Most importantly, virtual property is not scarce, in the sense that everybody could in theory simultaneously have as much as they want. Indeed, one upcoming online game, Infinity: The Quest for Earth, claims that the number of full potential planets in the game could reach the hundreds of billions—which means that visiting one per second for 100 years would still cover under five percent of the total game universe [3]. If everyone can have as much land as he or she wants, the need for land rights is diminished. Similarly, the ease with which the owners of virtual worlds can create virtual property is a vast change from the material world. Under a THE TRIPLE HELIX Michaelmas 2008 9 ©iStockphoto.com/Andreas Guskos weapons stolen [4]—then the companies that own virtual worlds increase their liability every time they create an inworld object that could be stolen or accidentally erased. On the other hand, failure to establish ownership rights to virtual property will leave the inhabitants of virtual worlds unprotected. In South Korea, which does recognize virtual property, the police received 22,000 complaints of cybercrime involving virtual property and arrested over 10,000 teenagers in a single year [5]. One would expect that such violations, which appear to cause enough material damages to warrant state intervention in countries such as China and Korea, are simply going unreported in countries that do not have such laws. If corporate liability is tied to the value of virtual property, then an important legal question will have to be answered. How should the law treat world-owning corporations, which have such omnipotent control over the people—or their representations, called “avatars”—in the worlds? Corporations can control every characteristic of virtual property: the amount of it available (scarcity), whether it lasts forever or degrades over time (durability), and how effective it is at producing other property or achieving tasks (utility). Each of these qualities affects the value of the property, and changing any one of them could potentially be interpreted as stealing value from the in-world owners of the property. Such interpretations are not much removed from the interpretations being asserted in court cases today. In Bragg v. Linden Lab, the plaintiff claimed that the defendant (Linden Lab, the owner of the virtual world Second Life), by deleting his account after he allegedly engaged in transactions that subverted Second Life’s land auction systems, owed him damages for the value of the property that was removed from his control by such deletion; the case has now been settled for undisclosed terms [6]. The other major legal issue surrounding virtual prop- 10 THE TRIPLE HELIX Michaelmas 2008 erty is how it relates to the material property, owned by the company managing the virtual world, on which the virtual world runs. If virtual property has value, then shutting down the server on which the world resides would be akin to destroying an entire country. As far back as 2001, economist Edward Castronova determined that the virtual world Everquest produced a per capita gross national product (GNP) that, in dollar terms, fell between those of Russia and Bulgaria; its nominal hourly wage was found to be approximately $3.42/hour, using the conversion rate derived from sales of in-world goods on websites like eBay [7]. Newer worlds like World of Warcraft have over 100 times Citizens of virtual worlds would pay a tax to the world-owners the inhabitants that Everquest had, so the dollar value of the property contained therein is likely much greater. In Second Life, almost 200 citizens are earning over $60,000 per year in US$ from their activities in-world, buying and selling virtual goods, services, and ideas for profit [8]. When virtual worlds have that much material property value, the economic consequences of shutting them down are substantial. Players’ claims to the value of their virtual possessions may take the form of a request to require a company to continue operating a virtual world after it has decided that the world is no longer profitable. It is not currently clear, given the vague legal status of virtual property at present, what courts would make of such a demand. Since virtual worlds have to be hosted on servers in physical locations, real-world governments have varying claims and interests over their economic and legal implications. The Swedish government recently started taxing income derived from virtual worlds, as Dan Miller, Senior Economist for the U.S. House of Representatives’ Joint Economic Committee notes, and United States citizens could potentially be required to pay taxes to Sweden under that law [9]. Beyond taxation, governments may want to involve themselves in the internal affairs of virtual worlds for purposes of regulation, for protection from political speech, or for other reasons. Enforcement becomes a major challenge under these conditions: who is allowed to intervene in virtual worlds, and for what reasons? All of these issues are extremely complex and have been the subject of intense legal debate. Various theories have been advanced to reconcile modern law with the unique status of virtual environments, and some user groups have started to establish their own solutions as well. Internally, users have formed in-game governments and political organizations that control property and resolve disputes between members. Examples include guilds in World of Warcraft, corporations in EVE Online, and a variety of pseudo-self-governing entities in Second Life including “Extropia” [10] and “The Confederation of Democratic Simulators” [11]. While these organizations have © 2008, The Triple Helix, Inc. All rights reserved. ©iStockphoto.com/Andreas Guskos no legal force in the material world—they cannot stop the virtual world owners from shutting down the simulation, for example—they do have some measure of power within the virtual world, deriving fundamentally from the consent of the governed. On the legal side, Edward Castronova has described what he calls “interration” (from terra, Latin for world), allowing a world to be defined by its owner as either allowing or disallowing conversion of in-world assets into material currencies [12]. Allowing such a process would open in-world income up to taxation and regulation. An interrated world—one that chose to legally form a entity completely disconnected from the material world—would not be subject to real-world governments because its virtual assets would not be convertible to material ones or vice versa [12]. It would, in effect, become an entirely separate world. Worlds that did not go through interration, however, would be treated as effectively sovereign countries—with taxes on “imports” to the material world through purchases of virtual goods. The number of people interacting in virtual worlds will likely continue to grow exponentially with increasing internet access. These pressing questions will need to be addressed soon, so that these worlds can grow in a secure and stable environment. Individual countries will have to answer the question of whether they can fail to protect References: 1. Locke, John. Two Treatises of Government. Ed. Peter Laslett. Cambridge, UK: Cambridge University Press, 2005. [p.268] 2. Carrier, Michael A., and Greg Lastowka. Berkeley Technology Law Journal. 2007, 1494. 3. Infinity: The Quest for Earth. Infinity: The Quest for Earth FAQ. 2006 http://www. infinity-universe.com/Infinity/infinity_faq.php#a2.1 4. CNN.com. Online gamer in China wins virtual theft suit. 2003 http://www.cnn.com/2003/ TECH/fun.games/12/19/china.gamer.reut/ 5. Fairfield, Joshua. Indiana University School of Law-Bloomington Legal Studies Research Paper Series 2005, 1088. © 2008, The Triple Helix, Inc. All rights reserved. property rights and risk world-builders moving their operations to other nations. Perhaps the same principle that applies in the material world would work in relation to the virtual: in exchange for robust protection of property rights, citizens of virtual worlds would pay a tax to the world-owners, which would pay for the upkeep and security of the servers on which the world is run and other maintenance costs. In effect, citizens would become shareholders in the world in which they live, the god-like power of the owners limited by the rights ceded to the citizens. Worlds would then be free to establish their own governments—if they wanted them. This policy would not only have the benefits of providing a money-sink for world owners (an important element in controlling inflation and maintaining value in the world) and limiting owners’ liability for the results of in-world events, but it would also distribute power democratically, capitalizing on the leveling power of the internet. If we fail to act swiftly, we face the likelihood of a new virtual frontier growing up wild and unregulated. Unlike the frontiers of old, this one is global, pervasive, and high-tech—and potentially all the more dangerous because of its reach. Virtual worlds could provide a place where all inhabitants are really equal, free from the constraints into which they were born. To provide that freedom, though, they need to themselves be free of the intrusion of the material world. Virtual property, thoroughly defined and applied, may provide exactly this condition: a way to delineate the boundary between the real and the virtual that provides maximum freedom and adequate incentives for development. If we do not deliberately and rapidly establish virtual property law, however, we may be left with a system wherein citizens of virtual worlds cannot be confident of anything— not even that they will still exist tomorrow. How can worlds grow beyond being games, in such an environment? This is humanity’s first chance to create a universe from scratch—it would be a shame to waste it. Chris Milroy is a fourth year studying economics and philosophy. He is interested in the social and economic implications of emerging technologies and social structures. He heads the virtual worlds research team for the student group Oeconomica, of which he is also the executive director. 6. Reuters.com. Linden Lab settles Bragg lawsuit. 2007 http://secondlife.reuters.com/ stories/2007/10/04/linden-lab-settles-bragg-lawsuit/ 7. Castronova, Edward. CESifo Working Paper Series. 2001, 1. 8. Secondlife.com. Economic Statistics. 2008 http://secondlife.com/whatis/economy_stats. php 9. Economics of Virtual Worlds Blog. Sweden to Tax Virtual Income. 2008 http:// economicsofvirtualworlds.blogspot.com/2008/04/sweden-to-tax-virtual-income.html 10. Extropiacore.net. Extropia Core. 2008 http://core.extropiacore.net/ 11. Slcds.info. The Confederation of Democratic Simulators. 2008 http://slcds.info/ 12. Castronova, Edward. New York Law School Law Review 2004, 185-210. THE TRIPLE HELIX Michaelmas 2008 11 Brain Scans: Valid Legal Evidence for Criminals? Christie Ciarlo Diminished Responsibility vs. Insanity Neuroimaging results have been presented as evidence in both determination of guilt and imposition of punishment. A defense that has been supported by neuroimaging evidence is that of mental impairment as a mitigating circumstance. At least two cases have occurred in the United States in which positron emission tomography (PET) scans have been introduced as evidence of mental impairment and secured a life sentence in place of the death penalty [2]. There have been numerous other cases in which neuroimaging evidence was successfully introduced but failed to sway the jury in favor of the defendant. A second defense is the excuse of insanity, which has had several notable and somewhat surprising successes involving the use of neuroimaging evidence. The federal test for insanity requires determination of whether “at the 12 THE TRIPLE HELIX Michaelmas 2008 time of commission of the acts constituting the offense, the defendant, as a result of severe mental disease or defect, was unable to appreciate the nature and quality of the wrongfulness of his acts” [3]. Most state legislatures have adopted similar rules. The federal test for insanity was implemented as the Insanity Defense Reform Act after the acquittal of John Hinckley, Jr. in 1982. Hinckley shot Ronald Reagan, attempting to assassinate him, and was acquitted based on evidence of brain atrophy. A CT scan indicated that Hinckley had enlarged sulci, or brain grooves, contributing to the suggestion that he was schizophrenic: as Dr. David Bear testified, one-third of schizophrenics have enlarged sulci, Useful science or new-age fad? as compared to 1 in 50 non-schizophrenics [4]. Hinckley was found not guilty by reason of insanity, and after the trial several jurors acknowledged the importance that the psychiatric testimony played in their decision [5]. It seems that in the case of the Hinckley trial the ability for evidence to mislead was commensurate with its usefulness as an indicator of disease. Interpreting Abnormality The defenses supported by neuroimaging evidence depend on determining the point at which a neurological abnormality becomes pathological. Without the distinction between abnormality and pathological abnormality (e.g. insanity), one could imagine that the predisposition to violence could be used to argue reduced responsibility on the part of the defendant. The logical end of such reasoning implies a complete overturn of the current standard on which legal punishment is based: the premise of free will. If the distinction between conscious action and mental predisposition is © 2008, The Triple Helix, Inc. All rights reserved. Courtesy of Rebecca Bowler with inset ©iStockphoto.com/Luis Carlos Torres I n 1966, Charles Whitman, a student at the University of Texas at Austin, climbed to the top of an observation tower and murdered 14 people before being killed by the police. Shortly before the incident, Whitman wrote, “lately (I can’t recall when it started) I have been a victim of many unusual and irrational thoughts. These thoughts constantly recur and it requires a tremendous mental effort to concentrate on useful and progressive tasks” [1]. Later, when doctors performed an autopsy on Whitman, they found that he had a malignant brain tumor compressing his amygdala, an area of the brain involved in the regulation of fear and emotional responses. It is easy to jump to the conclusion that the tumor must have caused Whitman’s actions, especially considering his writings. Yet experts still disagree as to whether the tumor could have been the cause of Whitman’s actions, or if it was even related. If different medical experts interpret the results of a neuroimaging test very differently, is it legitimate to allow them to be presented as evidence to a jury? Even what seems to be a clearly relevant piece of evidence can be denied admittance based on legal standards that require the general acceptance of scientific evidence in its field. In terms of criminal defense, neuroimaging results have found erratic success and ubiquitous controversy in the United States for the past 25 years. Two relevant legal defenses are the diminished responsibility on the part of the defendant and the excuse of insanity; the validity of each depends upon the definition of pathology, which can be highly variable. Other issues include reproducibility of results and the distinction between association and causality. More fundamentally, brain imaging studies are statistical analyses of groups of people and cannot be directly applied to an individual with certainty. In light of these difficulties, current standards for the admissibility of scientific evidence are insufficient for evaluating the appropriateness of neuroimaging results as evidence in criminal defense. neglected, the notion of a fair punishment collapses. Though recent research suggests that the brain may begin to produce actions before intention becomes conscious, the exoneration of criminals based on a predisposition to violent or antisocial behavior would be detrimental to public safety [6, 7]. Determining the boundary of mental pathology has remained a difficult problem faced by psychologists, even with the advent of functional neuroimaging techniques. Computed tomography (CT), a structural neuroimaging technique, is used to produce images similar to traditional x-ray images, which show differential tissue density. Magnetic resonance imaging (MRI) can distinguish tissue types by analyzing the relaxation times of protons in a magnetic field. More recently developed functional neuroimaging techniques such as functional MRI (fMRI), PET, and single photon emission computed tomography (SPECT) produce images indicating metabolic activity in different brain regions based on glucose or oxygen consumption. These images provide a wealth of information not only on the functions of different brain areas but also on time dependent patterns, the significance of which is only beginning to be discovered. However, in terms of identifying disease, neuroimaging has not advanced past the point of association, an issue that played a central role in the Hinckley trial. Certain patterns of brain activity are associated with certain diseases, but the associations are not exclusive: healthy individuals may demonstrate these patterns as well. Diseases whose existence in individuals has been supported by neuroimaging evidence include schizophrenia, bipolar disorder, and obsessive-compulsive disorder. Others have produced evidence of decreased activity or size in an area of the brain, often in the frontal lobe. The frontal lobe includes the prefrontal cortex, an area of the brain that, along with the temporo-limbic region, has been shown to function abnormally in individuals with psychopathic disorders. A main theory of psychopathic disorders points to deficits in anticipation of rewards and punishments, which has been shown to correlate with abnormal prefrontal activity [9]. Studies such as these point to a physical basis for criminal behavior, but neuroscience has no way of determining causality— whether abnormal brain activity can be said to cause violent or anti-social behavior or if the two are inextricably tied. testability, subjection to peer review and publication, and known or potential error rate. Neuroimaging results have been both admitted and rejected under these rules. For example, in the 2001 case of People v. Protsman, the defense attempted to admit a PET scan demonstrating decreased frontal lobe activity due to traumatic brain injury, but the scan was denied admittance under Frye due to lack of “general acceptance” of the method [2, 10]. On the other hand, in People v. Weinstein (1992), PET scan images, which showed reduced brain function in and around a cyst in the defendant’s frontal lobe, were successfully introduced under Frye as evidence that he was not responsible for his actions: Weinstein was charged with manslaughter rather than murder [11, 12]. The fact that the same analytical method was determined to be “generally accepted” by one court and not by another points to the insufficiency of such a standard in determining the appropriateness of neuroimaging in criminal trials. Neuroimaging confounds the idea of general acceptability by prompting the question: the general acceptability of what? It is generally accepted that functional neuroimaging can display levels of metabolic activity, but what those patterns of metabolic activity mean is still largely unverified. It is generally accepted that certain metabolic patterns correlate statistically with disease states, but correlation is not causation, and the consistency of the correlations themselves is far from ideal. This is not to say that neuroimaging should be completely excluded from evidence in criminal trials, for it has the potential to offer valuable insight, especially in the cases of defendants with traumatic brain injuries. Practical rules for the admittance of neuroimaging evidence should include well-demonstrated correlations of results identifying brain structure or activity with brain disease or damage, as well as verification of the significance of these results by multiple unbiased experts. Science, aided by large data sets, aims to understand by constantly questioning its own theories, which evolve over long periods of time. Law, on the other hand, holds standards based on traditional precedents and aims to judge individuals in a limited time span. These fundamental differences make the introduction of neuroimaging results as legal evidence uniquely challenging. Admissibility of Scientific Evidence Standards regarding the admissibility of scientific evidence are referred to in terms of the cases in which they were established: the Frye approach and the Daubert approach [10]. The Frye approach, established in 1923, states that the science upon which evidence is based should have “gained acceptance in the particular field in which it belongs,” while the Daubert approach, established in 1993, puts forth four criteria under which the judge should determine admissibility: general acceptance in the relevant scientific community, Christie Ciarlo is a senior studying Physics at Brown University. References: [1] G. M. Lavergne, A sniper in the tower: the Charles Whitman murders (University of North Texas Press, Denton, 1997). [2] The President’s Council on Bioethics. Staff working paper: An Overview of the Impact of Neuroscience Evidence in Criminal Law. (2004; http://www.bioethics.gov/ background/neuroscience_evidence.html). [3] R. F. Becker, Journal of Police and Criminal Psychology 18, 41-45 (2003). [4] United States v. Hinckley, 525 F. Supp. 1324 (D.D.C. 1981). [5] D. Linder, The Trial of John Hinckley (University of Missouri-Kansas City Law School, 2002; http://www.law.umkc.edu/faculty/projects/ftrials/hinckley/ACCOUNT. HTM). [6] B. Libet, Behavioral and Brain Sciences 8, 529-566 (1985). [7] D. M. Wegner, Trends in Cognitive Science 7, 65-69 (2003). [8] N. Eastman, C. Campbell, Nautre Reviews Neuroscience 7, 311-318 (2006). [9] D. Mairead, Hospital Medicine 6, 337-340 (2002). [10] People v. Protsman, 88 Cal. App. 4th 509 (2001). [11] B. Garland, P. W. Glimcher, Current Opinion in Neurobiology 16, 130-134 (2006). [12] People v. Weinstein, 591 N.Y.S.2d 715 (Sup. Ct. 1992). © 2008, The Triple Helix, Inc. All rights reserved. Join in the debate with our expert panel on Tuesday 21st October, as we discuss: “Can We Blame Our Brains? Neuroscience in the Courtroom” THE TRIPLE HELIX Michaelmas 2008 13 What Lies Beneath: Should Museums Repatriate Their Collections of Ancient Human Remains? I magine all the different thoughts running through your mind if you were to unexpectedly unearth a corpse in the middle of a science expedition. Research ethics would probably not rank highly as one of them. Yet it is this particular issue which lies at the centre of an ongoing controversy surrounding the right of indigenous communities to reclaim ancient ancestral remains from public museums and research institutes. Repatriation is ‘the process by which museums and other institutions transfer possession and control of indigenous human remains, funerary objects, objects of cultural patrimony and sacred objects back to their tribes of origin’ [1]. In the US, it is legislatively enforced under the ‘Native American Graves Protection and Repatriation Act (1990)’ and similar policies are being adopted by other museums and institutes across the globe [2]. Co-operation, however, remains sketchy as members of the research community have raised objections against the unconditional handover of such valuable and rare anthropological materials for reburial or cremation. The question remains this; do our research ethics compel scientists to act with integrity by returning all such specimens in their possession, or are scientists actually obliged to continue their research out of a social responsibility to furthering our knowledge of human adaptation, health and disease? There was a time when museums were more than just ancient repositories of dusty and inanimate specimens. Once upon a time, science was heralded as a noble and perilous quest, carried out by bands of adventurous academics in search for the Holy Grail of all archaeological discoveries. By the mid 1900s, expeditions had uncovered hominid fossils from South Africa, Aztec artefacts from South America and ancient human remains from the insides of Egyptian pyramids to across the vast expanses of Australia. Public lauding accompanied many of these findings, as successful archaeologists returned to their home countries with their discoveries laden in their trunks. By convention, all archaeological artefacts became property of the funding national museums and academic institutions, to be proudly displayed in collections equally for the sake of reputation as well as serious academic research. Rightful ownership claims, however, proved to be far from settled and the last few decades have been witness to extensive government lobbying, requests and petitions from many indigenous communities for the repatriation of their ancestral remains. 14 THE TRIPLE HELIX Michaelmas 2008 In 2007, the Tasmanian Aboriginal Centre (TAC) mounted a legal case against the Natural History Museum of London (NHM) over a proposal to test DNA and tissue samples extracted from the ancestral remains of 17 Tasmanian Aborigines [3-5]. Although an agreement on repatriation had been made, delays in handover occurred when the NHM announced its intention to perform scientific tests on the specimens prior to their return. This promptly sparked an outcry from the TAC, which views the extraction of DNA and tissue samples for scientific analysis as a form of ancestral desecration. A major dilemma presents itself in this case and it is the same one which haunts the whole issue of repatriation. Should the NHM surrender their samples and agree to an unconditional return of all the primitive remains in question, or are there greater social benefits to be gained from the commencement of these scientific studies? This is where we return to that corpse that you have just discovered. Apart from the “how”, “why” and “finally, my ascendency to great scientific renown,” the first thing you would probably like to establish would be the exact identity of this corpse. This may not be a particularly easy question to answer; the corpse is highly unlikely to come attached with a carefully categorised and cross-referenced history of its own origins. Historical records are prone to mix-ups, misplacement and fabrication in a way which DNA analysis can easily avoid. Moreover, rapid advancements in DNA amplification technology now enable us to extract minute DNA samples from the bones of ancient remains with minimal tissue damage or loss. Indeed, opponents against unconditional repatriation argue that both museums and indigenous communities would potentially benefit from such studies, as the comparative analyses of the differences in genetic sequence of primitive remains can firmly establish their evolutionary origins in a way that paper and historical records cannot. The information provided by these DNA sequences would also allow scientists to track human evolutionary changes and the prevalence of genetic disease susceptibilities in different indigenous communities, which is particularly important as members of enclosed communities are more likely to inherit common genetic traits compared to rest of the human population. The latter claim, however, may be called into question as population studies are an equally if not more valid method of identifying genetic predispositions in different communities and subpopulations. And as © 2008, The Triple Helix, Inc. All rights reserved. ©iStockphoto.com/Noam Armonn Mubing Duan history grimly reminds us, the outcome of such research may, in the wrong hands, be used to denigrate the very native community under study. Nevertheless, keeping in mind both the practicalities of specimen identification and the potential anthropological contributions arising from such studies, can we still claim that scientist are completely unjustified in their stance against unconditional repatriation? Heavens forbid, but let us now imagine that you were a scientist interested in the understanding the history of human variation, adaptation, evolution and disease susceptibility. The corpse that you have just unearthed turns out to be a rare specimen which predates Australia’s pre-colonisation era. It has the exciting potential to reveal clues on how human populations respond to selective environmental pressures and change. If this is indeed the case, as is with all the ancient human remains kept in museum collections across the globe, then hopefully you would like to see the corpse preserved in a safe repository where it can be studied with the care and respect that all rare and precious materials duly receive. The chances are that you would also be rather reluctant to see the corpse promptly incinerated or reburied and left to decompose for another 1000 years or so, before the next bumbling scientist stumbles along. Under the Anglo-Australian legal system, entitlement to the disposal of a deceased person’s corpse is automatically granted to the family or legal executor. The right to this entitlement, however, is fundamentally very different to the right of a community in its claim over the disposal of the ancient remains of one of its tribal ancestors. Whilst medical coroners are legally compelled to hand over a corpse to the next of kin or legal executor for disposal after completion of the post mortem, the same jurisdiction does not apply to scientists or institutions in possession of primitive remains belonging to an individual deceased for hundreds of years and with no direct familial descendents. Thus, in comparison to the former situation, the community’s call for repatriation is founded upon a much weaker jurisdictional principal. However, even this may not necessarily mean that scientists are ethically less obliged to respect a community’s request for the repatriation of its ancient ancestors’ remains. In the words of the Australian National Health and Medical Research Council (NHMRC), there is a universally decreed code stating that all good scientists must seek to establish and maintain a strong research culture of ‘intellectual honesty and integrity, and scholarly and scientific rigour’ 6. Under current NHMRC guidelines, scientists are expected to manage conflicts of interest so that ‘ambition and personal advantage do not compromise [any] ethi- cal and scholarly considerations’ [6]. Furthermore, the NHMRC policy regarding ‘Ethical Conduct in Aboriginal and Torres Strait Islander Health Research’ prioritises the importance of respecting the ‘values, expectations and cultures’ of indigenous communities, even at the cost of scientific research itself [7]. This is understandable. The perpetuation of cultural richness is a praise-worthy reflection of human existence, and the values of all ethnic communities deserve the equal right of our respect. The significance of cultural traditions should never be lightly dismissed for the greater scientific good, especially not References: [1] Repatriation Office of the National Museum of Natural History, What is Repatriation? <http://anthropology.si.edu/repatriation/whatis/>. Last accessed on 11 July 2008 [2] Forde, C & Parker, L O. Indigenous Law Bulletin 2001, 5(6), 9-13 <http://www. austlii.edu.au/au/journals/ILB/2001/10.html>. Last accessed on 14 April 2008 [3] Denholm, D. and Wilson, P., “Museum Bones Legal Fight ‘A Waste’ of $1m”, The Australian, February 24 2007 <http://www.theaustralian.news.com.au/ story/0,20867,21278185-2702,00.html>. Last accessed 14 April 2008 [4] Amos, J. “Science Argues to Keep Bones”, BBC News, May 16 2003, <http:// news.bbc.co.uk/go/pr/fr/-/1/hi/sci/tech/3032657.stm>. Last accessed 14 April 2008 [5] Cordingley, G., “Activist ‘Not Going Home without Bones’, Sunday Tasmanian, February 22 2007 <http://www.news.com.au/mercury/ story/0,22884,21244168-5007221,00.html>. Last accessed 14 April 2008 [6] National Health and Medical Research Council, Australian Code for Responsible Conduct of Research, Commonwealth of Australia, Canberra, 2007 <http://www.nhmrc.gov.au/publications/synopses/e52syn.htm>. Last Accessed 14 April 2008 [7] National Health and Medical Research Council Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research, Commonwealth of Australia, Canberra, 2003 <http://www.nhmrc.gov.au/ publications/synopses/e52syn.htm>. Last accessed 14 April 2008 © 2008, The Triple Helix, Inc. All rights reserved. The significance of cultural traditions should never be lightly dismissed when the community holds even the slightest legitimate claim over the proceedings in question. In fact, the ethics of repatriation are less based on the law of property but rather on the need for scientists to recognise and respect the cultural traditions of all people. The withholding of indigenous ancestral remains holds enormous emotive appeal, and museums and other institutions risk appearing cold and callous to the eyes of the general public if they adopt anything less than a completely co-operative approach. As the hypothetical scientist, would you still choose to keep the corpse if it meant losing the respect and support of the very people you were trying to help in the first place? Hopefully this has just sounded like a rhetorical question. The boundaries of scientific responsibility and ethical conduct are not always as distinct as we would like them to be, and neither are the dilemmas that arise confined to the issue of repatriation alone. In this particular situation, we can theoretically present the scientist as an individual torn between a desire to respect community values and a utilitarian obligation to continue conducting scientific studies which carry many potential benefits for mankind. I use the word theoretically here, because in reality, scientists do not really have the luxury of making this choice. Science loses its standing if it loses the support of the people it aims to benefit; the very same people, incidentally, whose taxes fund the majority of all scientific grants in the first place. For scientists, laboratory life is often a juggling act of academic rigour, scholarly integrity, social responsibility and an ongoing obligation to preserve the public image of science itself. Accidentally unearthing corpses, at times, can be the least of their problems. THE TRIPLE HELIX Michaelmas 2008 15 YES DEBATE: There is No Point in Making Personal Lifestyle Changes... James Kennedy W here’s decisive government-led action when you need it most? This year, we will emit more than 27 billion tonnes of CO2 globally, and this rate of output is predicted to double in the next 30 years [1]. There is strong evidence to suggest that human activities are the cause of recent changes in our climate. The number of severe hurricanes has doubled in the last 30 years [2], sea levels are rising steadily [3] and glacial ice is melting progressively faster [4]. There could be 200 million ‘climate refugees’ as a result [5]. And reducing CO2 emissions is a commonly-accepted objective amongst those people aware of the problem. Until June 2008, the Government’s ‘Act On CO2’ website provided ten tips for reducing your personal CO2 footprint [6]. Amongst these, are the well-known rhetorics of “do not leave appliances on standby” and “only boil as much water An energy revolution is necessary to meet these targets as you need”. However, taking these actions only reduces an average household ‘CO2 footprint’ by 1% and 0.2% respectively. Recently, the use of plastic bags has gained much attention in the media, which has led to some British retailers to discontinue their use. Whilst the media has succeeded in creating public concern, a household’s CO2 emissions arising from the use of plastic bags amount to a tiny 0.02% [7]. The Stern Review and the Oxford Home Truths report have both proposed that 80% reductions in Britain’s CO2 emissions are necessary by 2050 [8,9]. An energy revolution is necessary to meet these targets. As Al Gore states in his rapidly-growing ‘We’ climate campaign, fossil fuels are a root cause of America’s three greatest problems: budget deficit, the Iraq war and climate References: [1] International Energy Outlook 2008, Chapter 7 – Energy-related Carbon Dioxide Emissions. US Energy Information Administration [document on the Internet] 2008 Jun [cited 2008 Jun]. Available from: www.eia.doe.gov/oiaf/ieo/emissions.html [2] Emanuel K. Increasing destructiveness of tropical cyclones over the past 30 years. Nature 2005 Aug 4;436(7051):686–688. [3] Sea level rise ‘is accelerating’ . BBC News [document on the Internet] 2006 Jan 27 [cited 2008 Jun]. Available from: news.bbc.co.uk/1/hi/sci/tech/4651876.stm [4] Adams M. Vicious Cycles. Time Magazine [magazine on the Internet] 2006 Mar 26 [cited 2008 Jun]. http://www.time.com/time/magazine/article/0,9171,1177014,00. html [5] Leake J. Climate change ‘could create 200m refugees’. The Times [newspaper on the Internet] 2007 Apr 1 [cited 2008 Jun]. Available from: www.timesonline.co.uk/ tol/news/uk/science/article1596769.ece [6] Environment and cleaner living. UK Government (Directgov) [document on the Internet; cited 2008 Jun 1]. Available from: www.direct.gov.uk/en/ Environmentandgreenerliving [7] Marshall G. Can this really save the planet? Guardian [newspaper on the Internet] 2007 Sep 13 [cited 2008 Jun]. Available from: www.guardian.co.uk/environment/2007/ 16 THE TRIPLE HELIX Michaelmas 2008 change [10]. In the ‘We’ campaign, personal choices are just one of the five proposed solutions. The other four initiatives aim to concentrate citizens’ efforts into persuading leaders, who would be able to implement massive reforms. Our planet is energy-rich and our future can be energy-rich, too: reducing energy use should be only a part of the changes we make. A rapid revolution to change our energy sources away from fossil fuels whilst keeping energy consumption high will be required. Emitting carbon sparingly and reducing population growth will be inevitable as current trends are unsustainable. Consumers don’t have a choice of where or how their energy is sourced. It is naïve to expect citizens of en-ergyintense countries to voluntarily give up 80% of the energy they use, whilst allowing the country to still function, without any government-led action. Some governments have already encouraged the public to make more responsible choices by subsidies or state-run projects. Germany’s leadership in photovoltaic (PV) cell production is largely due to the feed-in-tariff, a form of government subsidy [11]. France’s dedication to nuclear power, which provides 75% of France’s energy, has brought its CO2 emissions to one of Europe’s lowest and has reduced energy prices [12]. Next year, China’s state-built Three Gorges Dam will provide clean electricity for around 48 million people [13]. These success stories uncouple the link between energy use and Carbon emissions. As individuals, we are showing concern and motivation to prevent disastrous climate change. But as individuals, any adjustments we are able to make fall far short of having strong enough effect. To avoid our current, and potentially catastrophic, trajectory, we will require decisive governmental leadership with a long-term way of thinking. James Kennedy is a second year studying Biological Natural Sciences at Fitzwilliam College. sep/13/ethicalliving.climatechange [8] Stern Review on the Economics of Climate Change. Office of Climate Change [document on the Internet] UK Government (HM Treasury): 2006 Oct 30 [cited 2008 Jun]. Available from: www.hm-treasury.gov.uk/independent_reviews/stern_review_ economics_climate_change/sternreview_index.cfm [9] Boardman B. Home Truths: A Low-carbon Strategy to Reduce UK Housing Emisions by 80% by 2050 (Executive Summary). Environmental Change Institute, University of Oxford [document on the Internet]2007 Nov [cited 2008 Jun]. Available from: www. eci.ox.ac.uk/research/energy/downloads/boardman07-hometruths-execsum.pdf [10] ‘We’ Climate Group [homepage on the Internet; cited 2008 Jun]. Available from: www.wecansolveit.org/ [11] Seager A. Germany sets shining example in providing a harvest for the world. The Guardian [newspaper on the Internet] 2007 Jul 23 [cited 2008 Jun]. Available from: www. guardian.co.uk/business/2007/jul/23/germany.greenbusiness [12] Nuclear Power in France. World Nuclear Association [document on the Internet] 2008 May [cited 2008 Jun]. Available from: www.world-nuclear.org/info/inf40.html [13] China Builds Three Gorges Dam Wall, Prompts Concern. Bloomberg [document on the Internet] 2006 May 19 [cited 2008 Jun]. Available from:www.bloomberg.com/ apps/news?pid=10001099&sid=aCZ_gVD1bQZc&refer=energy © 2008, The Triple Helix, Inc. All rights reserved. ...in Order to Reduce CO2 Emissions NO Kim Judge G overnment led changes are not the only way to reduce CO2 emissions [1]. By making changes to our everyday lifestyles, we can significantly reduce our CO2 emissions and make an appreciable difference to the environment. Greenpeace recommends halving carbon dioxide emissions by 2050 as a way to effectively limit the destructive power of global warming [1]. This would increase the chances of keeping the global rise in temperature down to 2°C, compared to a projected 5°C rise by the end of this century without action. Surely this is feasible—lessening carbon emissions by 2% per year would achieve this. Small personal lifestyle changes can have a positive impact on CO2 emissions, and there are a variety of lifestyle changes ©iStockphoto.com/Jan Will Is it too late for him? investing in green energy, will bring about major reductions in our carbon footprint [4]. Heating is the biggest area in the home where it is possible to cut down on CO2 emissions [5]—every degree dropped causes a 6% reduction in the energy used [1]. Cuts can also be achieved through using a more efficient heating system, and through increased insulation efficiency—less heat lost means less energy required to maintain temperature. This can have a huge impact—a house with cavity wall and loft insulation will lose 60% less heat than a house without [6]. All houses are now given an energy efficiency rating when they are sold, which prospective buyers can bear in mind. Further steps being taken in this direction include the design of buildings which reduce their energy needs by directly making use of warmth from the sun to heat them [4]. Thus, it can be seen that, whilst governments have the potential to create major reductions in carbon emissions, they are not the only way of doing so—personal contributions are also valid. Admittedly, you can’t ‘save the planet’ on your own—not even if you’re Brown, Bush or Bono. But we do have a chance to limit global warming by making personal lifestyle changes, if we all act together, and soon [5,7]. A radical change in public opinion could persuade many people to reduce their carbon emissions [4]. This could even see ‘cruelty to the planet’ being regarded as socially unacceptable in the same way that cruelty to children or animals is. Further to the direct impact of making personal lifestyle changes, the acts also send out a message to government, and create pressure to sway them into action [1]. As with personal changes to lifestyles, real change is most effective when the actions of many individuals combine to produce a sizeable overall effect. By changing our lifestyles to be more environmentally friendly, especially at times when big decisions such as a new car, house or job are involved, we can make a difference to our world, and reduce the impact of global warming. that can be made. However, in order to make a substantial difference, it is important to make more changes than shortterm actions such as reusing plastic bags [2]. These changes need not be huge, but can have a real impact—travelling by train rather than flying to a holiday destination will have only one tenth of the negative impact on the environment [3]. A return flight to Moscow uses up an individual’s whole CO2 budget for one year [3]. On the other hand, significant lifestyle changes, such as choosing to work from home, or Kim Judge is a second year studying Biological Natural Sciences at Girton College. References: [1] How to Save the Climate. Greenpeace International [document on the Internet; cited 2008 Jun]. Available from: www.greenpeace.org.uk/files/pdfs/climate/ howtosavetheclimatepers.pdf [2] Marshall G. Can this really save the planet? Guardian [newspaper on the Internet] 2007 Sep 13 [cited 2008 Jun]. Available from: www.guardian.co.uk/environment/2007/ sep/13/ethicalliving.climatechange [3] The Problem with Aviation. Greenpeace UK [document on the Internet; cited 2008 Jun]. Available from: www.greenpeace.org.uk/climate/aviation [4] Pickrell J. Instant Expert: Energy and Fuels. New Scientist [document on the Internet] 2006 Sep 04 [cited 2008 Jun]. Available from: environment.newscientist. com/channel/earth/energy-fuels/dn9984 [5] Greener living: a quick guide to what you can do. UK Government (Directgov) [document on the Internet; cited 2008 Jun]. Available from: www. direct.gov.uk/en/Environmentandgreenerliving/Greenerlivingaquickguide/ DG_064391 [6] How to make your home more energy efficient. UK Government [document on the Internet; cited 2008 Jun]. Available from: www.homeinformationpacks.gov.uk/ consumer/10_How_to_make_your_home_more_energy_efficient.html [7] Climate myths: It’s too cold where I live - warming will be great. New Scientist [document on the Internet] 2007 May 16 [cited 2008 Jun]. Available from: environment. newscientist.com/channel/earth/climate-change/dn11657 © 2008, The Triple Helix, Inc. All rights reserved. THE TRIPLE HELIX Michaelmas 2008 17 Sequencing the Human Genome: Blessing or Curse? Ania Kowalski 18 THE TRIPLE HELIX Michaelmas 2008 genetic diseases might become routine. Pre-natal tests for diseases that can be managed with medical intervention might become widespread. Phenylketonuria is one such disease - a metabolic disorder that can be treated with an appropriate diet and is already screened for universally in the UK [12]. Some scientists, however, worry about where this could lead: we might eliminate embryos with cystic fibrosis, but if we extend this to late onset diseases [13]; where do we stop? Another great benefit of the HGP is the full catalogue ©iStockphoto.com/David Marchal O n April 25, 2003, the entire sequence of human DNA (the genome) was worked out under the Human Genome Project (HGP), a modern scientific milestone [1]. Yet the completion of this project has only marked out paths for the next phase of human biology and genetics, where the focus will move from studying genetics on a population level to individual organisms. The HGP will impact on three main areas: scientific research, medicine and genetic engineering. The international project to sequence the genome began in 1990, and in 2003, 99% of the genome was elucidated to 99.999% accuracy [1]. Once a sequence had been assembled, the HGP aimed to distribute the information into the public domain within 24 hours. Another important goal was to study the ethical, legal and social implications of genetic research, and 5% of funds were apportioned to the Ethical, Legal and Social Implications (ELSI) Programme. The ELSI Programme researched racial, ethnic and socioeconomic impacts of the HGP [2]. It promoted public understanding of these implications by producing numerous reports and the programme also funded seminars and radio and television programmes in an effort to educate different sectors of society such as policymakers and the public [3]. The HGP developed many new sequencing techniques, which are driving down the cost of sequencing individual genomes. The HGP cost US$2.7 billion [4]. Knome, an American personal genomics company, is currently sequencing the genomes of two private clients at a price in excess of $350,000 per client, a process initiated in January 2008 [5]. These people are expected to be the first to have their genomes sequenced by a commercial company [6]. The overall aim of such companies is to lower the price of sequencing a human genome to $1000. With technological advances, it is likely that sequencing personal genomes will become a feasible medical procedure [7]. The HGP built on techniques developed from sequencing non-human genomes, such as the common fruit fly [8]; the techniques used in sequencing the human genome will in turn be applied to other organisms, with potential benefits to humans. The Microbial Genome Programme builds on the HGP and aims to characterise microbes [9]. It is hoped that this will lead to insight into energy-related biotechnologies. For example, microbes that can readily metabolise waste material and microbial enzymes that could be used in place of toxic chemicals might be key to a cleaner environment [10]. The HGP also demonstrated the power of international collaboration and has paved the way for future research such as the recently proposed 1000 Genomes Project. This is an international collaboration to sequence 1000 humans in order to catalogue genetic variation [11]. Resources from the HGP have the potential to revolutionise medicine. Once disease genes are identified, diagnosing of genes that provide an alternative approach to therapies. The accuracy and completeness of the catalogue allow systematic searches for the causes of disease: a recent study by the Wellcome Trust Case Control Consortium (WTCCC) identified several genetic regions that increase the risk of developing type 1 diabetes and a region on chromosome 9 associated with coronary heart disease [14]. In the future, such information could form the basis of gene therapy. With the sequencing of individual genomes, small regions © 2008, The Triple Helix, Inc. All rights reserved. of DNA that vary among humans (called polymorphisms) could be used to predict a person’s response to certain drugs and allow tailoring of medication to individual patients [15]. More specific medical intervention would help eliminate unwanted side effects [16]. The ethical and legal considerations raised by the HGP can be broadly grouped into categories of genetic information and genetic engineering. The vast cache of genetic information about polymorphisms between individuals has potential disturbing social consequences. Employers and insurers could demand genomic sequences from individuals [17]. Employers might use this information to select employees based on how well they would be suited to a specific job, while insurance companies could discriminate against those at higher risk of certain illnesses. In the UK, a moratorium until 2014 obliges insurance companies not to take genetic information into account when providing life insurance up to £500,000 [18]. An argument against the ban is that genetic information companies are allowed the exception of Huntington’s chorea, which is a fatal genetic disease [19] and the SRY gene, which confers maleness. However, without the ban, there is a risk of unfair increased premiums or a rejection of insurance if is already being used to some extent, and using the entire genome would provide a more accurate picture. Currently, Ania Kowalski is a second year studying Biological Natural Sciences at Queens’ College. References: [1] International Human Genome Sequencing Consortium. Finishing the euchromatic sequence of the human genome. Nature 2004 Oct 21;431(7011):931–945. [2] Collins FS, Mansoura MK. The Human Genome Project: Revealing the shared inheritance of all humankind. Cancer 2001 Jan 1;91(S1):221–225. [3] Oak Ridge National Laboratory. DOE ELSI Program Emphasizes Education, Privacy [document on the Internet] 2001 Aug [cited 2008 Jun]. Available from: www.ornl. gov/sci/techresources/Human_Genome/resource/elsiprog.shtml [4] All About The Human Genome Project. US National Human Genome Research Institute [document on the Internet; cited 2008 Jun]. Available from: www.genome. gov/10001772 [5] Knome [homepage on the Internet]. Available from: www.knome.com [6] Genetics, medicine and insurance. The Economist [magazine on the Internet] 2007 Aug 23 [cited 2008 Jun]. Available from: www.economist.com/science/displaystory. cfm?story_id=9679893 [7] International Human Genome Sequencing Consortium. Initial sequencing and analysis of the human genome. Nature 2001 Feb 15;409(6822):860-916. [8] Adams MD, Celniker SE, Holt RA, et al. The Genome Sequence of Drosophila melanogaster. Science 2000 Mar 24;287(5461):2185-95. [9] Microbial Genome Program. Human Genome Management Information System [document on the Internet] 2000 Feb [cited 2008 Jun]. Available from: microbialgenomics. energy.gov/2000report/mgp.pdf [10] Potential Benefits of Human Genome Project Research. Oak Ridge National Laboratory [document on the Internet; cited 2008 Jun]. Available from: www.ornl. gov/sci/techresources/Human_Genome/project/benefits.shtml [11] McGuire AL. 1000 Genomes: on the road to personalized medicine. Personalized Medicine 2008 May;5(3):195–197. [12] Phenylketonuria. Patient UK [document on the Internet] 2007 Jun 20 [cited 2008 Jun]. Available from: www.patient.co.uk/showdoc/40001842 [13] Morality and a code of conduct. BBC News [document on the Internet] 2000 May 30 [cited 2008 Jun]. Available from: news.bbc.co.uk/1/hi/in_depth/sci_tech/2000/ human_genome/760731.stm [14] Wellcome Trust Case Control Consortium. Genome-wide association study of 14,000 cases of seven common diseases and 3,000 shared controls. Nature 2007 Jun 7;447(7145):661-678. [15] Philips KA, Holtzer C, Sadee W, et al. Economic and Social Implications of the Human Genome Project: The Example of HIV Genotyping [document on the Internet] 2000 [cited 2008 Jun]. Available from: NLM Gateway gateway.nlm.nih.gov/ MeetingAbstracts/ma?f=102272593.html [16] Drell D, Adamson A. Fast Forward to 2020: What to Expect in Molecular Medicine. Oak Ridge National Laboratory [document on the Internet] 2003 Oct [cited 2008 Jun]. Available from: www.ornl.gov/sci/techresources/Human_Genome/medicine/ tnty.shtml [17] Forward Look Seminar (Note of Meeting). Nuffield Bioethics [document on the Internet] 2007 May 10 [cited 2008 Jun]. Available from: www.nuffieldbioethics.org/ fileLibrary/pdf/Note_of_Forward_Look_meeting_May07_FINAL.pdf [18] Rugnetta, M. British Diligence on Genetic Privacy for Life Insurance Policyholder. Science Progress [document on the Internet] 2008 Jul 2 [cited 2008 Jul]. Available from: www.scienceprogress.org/2008/07/genetic-testing-life-insurance/ [19] Chapman MA. Predictive testing for adult-onset genetic disease: ethical and legal implications of the use of linkage analysis for Huntington disease. Am J Hum Genet 1990 Jul;47(1):1–3. [20] Pääbo S. The Human Genome and Our View of Ourselves. Science 2001;291(5507):1219–1220. © 2008, The Triple Helix, Inc. All rights reserved. Resources from the HGP have the potential to revolutionise medicine disclosure of genetic tests is granted. A positive test does not make developing the disease a certainty [16]. Genetic predisposition assessed from a genomic sequence is powerful, but environmental and lifestyle factors also affect health. Often, genetic screening of a disease can only determine a probability of developing it, not a certainty. Knowledge, therefore, might come at the price of ‘genetic hypochondria’ [20], whereby people spend their lives waiting for a disease that might never arrive. The human genome provides information that will enable scientists to determine the genetic basis of physical and psychological traits, which genetic engineering might be capable of enhancing in the future. The engineering of reproductive cells, affecting future generations, is a contentious issue. Apart from the obvious ethical issue of interfering with natural life processes (“playing God”), there is a danger that certain trends might change over time, such as desirability of emotional or cognitive traits or even tallness, and we might end up following superficial fashions. The HGP is the beginning of a new era of research into the genetic information we possess. It can be seen as both a blessing and a curse: the potential advances in medicine, which might indeed prove a blessing, must be balanced with the potentially complex and problematic social challenges around the use of, and access to, our genetic information. THE TRIPLE HELIX Michaelmas 2008 19 Is Obesity Contagious? The Spread of Behaviour through Social Networks N o person is an island: we are all parts of human society and especially of the web of family, friends and acquaintances that make up our social network. Despite wanting to see ourselves as free agents who do not follow the herd, it is inevitable that our social ties will influence our lifestyles and the choices we make. In many cases, the transient fashions that spread through networks of friends are trivial and forgettable, such as ©iStockphoto.com/Cheryl Graham Obesity appeared to spread between family and friends by... “social contagion” the pointless crazes that periodically sweep through every school playground. However, a recent study by researchers Dr. Nicholas Christakis (Harvard Medical School) and James Fowler (University of California, San Diego) [1] has highlighted other, more serious, trends that can influence our personal decisions, with important implications for public policy. The surprising results arose from a study originally designed to look at heart disease in a social group of 12,067 people [2]. Members of this group were followed for 32 years up to 2003 and many of their personal details were logged, including their social connections to each other and their weights at various check points throughout the period. Christakis and Fowler took the heart study data set and examined what happened to the weight of group members as certain people became obese. The correlations they found were astounding: obesity appeared to spread between family and friends by, to use Christakis’s illustrative analogy, “social contagion” [3]. People were most likely to become obese when a close mutual friend had already done so, with a 20 THE TRIPLE HELIX Michaelmas 2008 massive 171% increased probability [1]. The researchers believe that the most likely causes for this spread are the development of a change in what we perceive as a normal body image, coupled with copying behaviours such as eating more or exercising less. In Christakis’ words “You change your idea of what is an acceptable body type by looking at the people around you”[4]. This is supported by the fact that evaluating one’s body image usually involves making comparisons only against people of the same gender, and the study found that friends or siblings of the opposite sex becoming obese had no significant effect on an individual’s chances of doing so. Interestingly, the influence remained even if the obese friend or family member was hundreds of miles away, indicating that the spread of a norm may only require the knowledge that the person is now obese. While the study took into consideration the effects of genetic relatedness and the similar environment in which many of the subjects lived [1], they could not be completely compensated for within the statistical analysis of the data set, and the study has been criticised for playing down such highly significant factors. Genetic research has shown that body mass index is a highly heritable human trait [5] and therefore an isolated analysis of social factors is not sufficient to explain the trends The spread of a norm may only require the knowledge that the person is now obese on obesity that we see today. However, none of this detracts from the thought provoking nature of the research and the broader implications of its conclusions. Throughout the heart study, the majority of people gained weight and the researchers saw something akin to an obesity epidemic developing. This is in line with the US wide growth in obesity, from 47% of adults classed as obese or overweight in 1980 to 66% in 2004 [6]. However, © 2008, The Triple Helix, Inc. All rights reserved. ©iStockphoto.com/Cheryl Graham Jenny Molloy Our personal networks are expanding both numerically and geographically (then at the University of Connecticut) and his team showed, preventing risky behaviour such as needle sharing in communities of drug users was more successful using methods based on network models: the same social ties that led to the use of used needles were utilised to disperse the use of clean needles as a social norm [9]. The team concludes “Network interventions work best precisely when they are References: [1] Christakis NA, Fowler JH. The Spread of Obesity in a Large Social Network over 32 Years. N Engl J Med 2007 July 26;357(4):370–379. [2] Framingham Heart Study [homepage on the Internet; cited 2008 Jun]. Available from: www.framinghamheartstudy.org [3] Christakis NA. Social Networks are Like the Eye [document on the Internet] Edge Foundation Inc. 2008 [cited 2008 Jun] Available from: www.edge.org/3rd_culture/ christakis08/christakis08_index.html [4] Kolata G. Study Says Obesity can be Contagious. New York Times [newspaper on the Internet] 2007 Jul 25 [cited 2008 Jun] www.nytimes.com/2007/07/25/health/25cnd-fat.html [5] O’Rahilly S, Farooqi S. Genetics of Obesity. Phil Trans R Soc B. 2006 Jul 29;361(1471):1095–1105. [6] US National Centre for Health Statistics. Prevalence of Overweight and Obesity © 2008, The Triple Helix, Inc. All rights reserved. most needed, that is, when network structures are facilitating the spread of HIV”. In the 21st century the spread of behaviours and norms through social networks has more potential to impact our lives than ever before. Our personal networks are expanding both numerically and geographically, not least through the evolution of web based social networking sites, such as Facebook and MySpace. These online communities also supply social science researchers with data sets that their predecessors could only have imagined. Many academics [10], are using the sites to test theories about relationships, identity and popularity, and to examine the question of whether our tastes determine our friends or our friends determine our taste. In one example among several, researchers at Harvard and UCLA led by Christakis are tracking a class of 1700 students at a US university over 4 years to attempt to answer just such questions [10]. The results of this ongoing research could confirm current theories about our social lives or reveal surprising connections. Those who model social networks will soon have the volume of real world data needed to compare their models to reality, in an exciting new avenue of interdisciplinary research. It has already been shown that the transmission of social norms can facilitate the spread of obesity, smoking and other detrimental conditions. Now we see that by understanding the formation of social networks, we can utilise their structures to encourage the spread of positive norms; which is where the real significance of this research lies. ©iStockphoto.com/Cheryl Graham interestingly, a similar permeating effect occurred among the friends and relations of those that lost weight. This may give some hope for public policy makers charged with tackling the obesity epidemic and improving public health. The researchers also saw smoking cessation [7], happiness, drinking behaviour and food choices spreading through the network in the same way [3], with each person’s positive behaviour choices influencing the choices of those around them. If we can understand the patterns and mechanisms of this spread, health initiatives can be devised to take advantage of them and facilitate the adoption of healthier behaviours. Some elucidation of these mechanisms of spread and their practical use has already been provided by academics at the Centre for Economic Policy Research [8], who tracked how the decision to adopt sunflowers as a new crop spread through a network of farmers in Northern Mozambique. They found that participants were mainly influenced by people of the same religion, revealing the underlying social structure of the population. Furthermore, as also noted in the obesity study, effects were not symmetric across a pair of individuals: the effect of one person’s decision on another was not the same as if the situation had been reversed. This emphasises the importance of understanding the network structure and the identity of influential network members, thus allowing policy to be targeted towards these individuals. Similar methods have already been trialled successfully in HIV prevention. As research from Douglas Heckathorn Jenny Molloy is a second year studying biological Natural Sciences at Corpus Christi College. Find out more about the causes and solutions of the obesity epidemic from our panel of experts. Listen to the podcast of “It’s Your Fault You’re Fat” on www.camtriplehelix.com Among Adults: United States, 2003-2004 [document on the Internet] 2006 [cited 2008 Jun]. Available from: www.cdc.gov/nchs/products/pubs/pubd/hestats/overweight/overwght_adult_03. htm [7] Christakis NA, Fowler JH. The Collective Dynamics of Smoking in a Large Social Network. N Engl J Med 2008 May 22;358(21):2249–2258. [8] Bandiera O, Rasul I. Social Networks and Technology Adoption in Northern Mozambique. Econ J 2006 Oct 12;116(514):869–902. [9] Heckathorn DD, Broadhead RS, Anthony DL, Weakliem DL. AIDS and social networks: prevention through network mobilization. Sociol Focus 1999 May; 32(2):159–179. [10] Rosenbloom S. On Facebook, Scholars Link Up With Data. New York Times [newspaper on the Internet] 2007 Dec 17 [cited 2008 Jun]. Available from: www. nytimes.com/2007/12/17/style/17facebook.html THE TRIPLE HELIX Michaelmas 2008 21 The Caffeine Culture: Is it Ethical to Market Caffeine as an Innocuous Cup of Coffee? Jinyue Liu I n August last year, 17-year-old Jasmine Willis from County Durham was hospitalized with heart palpitations and a high temperature after downing 14 shots of espresso. She was diagnosed with caffeine intoxication [1]. Fortunately, she survived the incident. 19-year-old James Stone from Connecticut fared much worse. He passed away after overdosing on 30 caffeine pills, the equivalent of 30 cups of coffee [2]. Following cases such as these, debate has begun on whether caffeine levels in coffee warrant further attention from producers, government regulators and coffee consumers themselves. While action has been taken by independent groups to highlight the dangers of excessive caffeine, more could be done to promote awareness among coffee drinkers. Caffeine is probably the most widely used drug in the world today, with 90% of Americans consuming it habitually [3]. Coffee is one major source, making up 70% of the average American’s total caffeine intake [4]. Global consumption has increased by 20% in the last decade to 116 million bags or seven billion kilograms of coffee in 2006 [5]. Coffee drinking has also developed into a trendy social habit made popular by cafe chains such as Starbucks, which serves forty million customers a week at more than 13 000 stores [3]. The widespread popularity of coffee stems from the effects of caffeine. Moderate consumption of this stimulant has been associated with increased alertness, decreased fatigue, better work capacity and improved mood [6]. Even the US Army uses caffeine gum, aptly named as “Stay Alert”, to keep its troops vigilant on the field [7]. Excess caffeine intake, on the contrary, can be harmful to the body, with symptoms such as cardiac arrhythmia, anxiety, insomnia and increased diuresis (excessive urine discharge) [6]. These dangers could become imminently more widespread as global coffee consumption grows. There has already been a rise in the number of teenagers visiting poison control centres for caffeine overexposure from high-caffeine energy drinks [8]. Coffee itself is now so commonplace that consumers do not realise the potential health risks of Caffeine is probably the most widely used drug in the world today 22 THE TRIPLE HELIX Michaelmas 2008 Coffee Beans reproduced from [20] Caffeine (milligrams) per serving excessive consumption. Furthermore, keeping tabs on one’s caffeine intake is a challenge. Not only do people consume a variety of caffeinated beverages in addition to coffee, most coffee retailers also do not disclose the amount of caffeine contained in their drinks. Although the US Food and Drug Administration (FDA) requires companies to list caffeine as an ingredient on their products, they do not have to state the amount [9] so long as it does not contain more than 0.02% (by weight) of caffeine [10]. Furthermore, this requirement is made compulsory for cola-type beverages only. Opponents to the excessive use of caffeine have petitioned for the FDA to enforce new labelling requirements that mandate a quantitative disclosure of the caffeine content in food [11]. Consumers have the right to know what is in their cup of coffee to make an educated decision about how much to consume. Conversely, coffee retailers have a duty to inform their customers. Labelling is not difficult to implement; already, Starbucks cafes display the calorie content of each drink served. A search on Starbuck’s website does bring up caffeine levels but few consumers would check a Green Instant Starbucks Starbucks Starbucks CocaRed website before buying a coffee doubleshot Tall Caffe Frappuccino Bull tea Coffee Cola espresso Americano ® Blended [12]. Companies need to be open coffee Coffee with such information to help the individual stay responsible for their decisions. Figure 1: Caffeine content of a variety of drinks [9, 15] The tussle between ethics © 2008, The Triple Helix, Inc. All rights reserved. References: [1] Girl overdoses on espresso coffee. BBC News [document on the Internet] 2007 Aug 13 [cited 2008 Jun]. Available at: news.bbc.co.uk/1/hi/england/wear/6944026.stm [2] 19-Year-Old Dies From Caffeine Overdose. WFSB.com [document on the Internet] 2007 Mar 28 [cited 2008 Jun]. Available at: www.wfsb.com/news/11423885/detail. html [3] Clark T. Starbucked: A Double Tall Tale of Caffeine, Commerce & Culture. London: Sceptre; 2008. [4] Frary CD, Johnson RK, Wang MQ. Food sources and intakes of caffeine in the diets of persons in the United States. J Am Diet Assoc 2005 Jan;105(1):110–113. [5] Galindo AJ. How Much Coffee Will the World Drink? Modeling Non-Linearities in the Demand for Coffee. Social Science Research Network [document on the Internet] 2007 Feb [cited 2008 Jun]. Available from: ssrn.com/abstract=962352 [6] Bridle L, Remick J, Duffy E. Is Caffeine Excess Part of Your Differential Diagnosis? Nurse Practitioner 2004 Apr;29(4):39–44. [7] Fleming-Michael K. Caffeine gum now in Army supply channels. US Army Public Affairs [document on the Internet] 2006 Jan 17 [cited 2008 Jun]. Available from: www4. army.mil/ocpa/read.php?story_id_key=8471 [8] Babu KM, Church RJ, Lewander W. Energy Drinks: The New Eye-Opener For Adolescents. Clin Ped Emerg Med 2008 Mar;9(1):35–42. [9] Upton J. Caffeine Content No Longer Guesswork on Some Drinks. Environ Nutr 2007 Aug;30(8):2–2. [10] Food Additive Status List. US Food and Drug Administration [document on the Internet] 2006 Jul [cited 2008 Jun]. Available from: www.cfsan.fda.gov/~acrobat/opa-appa.pdf © 2008, The Triple Helix, Inc. All rights reserved. ©iStockphoto.com/Graham Clarke and commercial business may explain why corporations are hesitant to openly acknowledge the potential negative effects of excessive caffeine consumption. By doing so, they would be subjected to falling revenue from the bad press their caffeinated products receive. However, companies like Coca Cola have shown that caffeine labelling does not necessarily drive consumers away. Coca-Cola, which produces the world’s most popular caffeinated soft drink Coke [13], has implemented quantitative caffeine labelling without suffering decreased sales. On the contrary, the company enjoyed a third quarter net revenue growth of 30% in North America following the introduction of caffeine labelling in May 2007 [14]. While some consumers are nonchalant towards caffeine intake, others recognise that moderation, not abstinence, is the formula for keeping healthy while enjoying their favourite beverage. In fact, promoting healthy levels of coffee drinking could be the key to sustainability in the coffee industry; it improves corporate image, increases the social responsibility of the retailer and mitigates the negative publicity of caffeine intoxication. There have also been public efforts to raise caffeine awareness among coffee drinkers. US states such as Minnesota have proclaimed March to be a ‘Caffeine Awareness Month’ with the aim of educating their citizens about the health threats of excessive caffeine [15]. However, the ultimate decision whether to drink coffee or not lies with the individual. According to the American Dietetic Association, the recommended daily caffeine limit is 300mg [16] and it is the individual’s responsibility to restrict their intake. Furthermore, individuals respond differently towards caffeine, depending on their gender, age and physical well-being. Pregnant women are particularly at risk as their caffeine tolerance is decreased due to lower caffeine metabolism. [17]. Diabetics are also urged to reduce coffee consumption when it was found to raise their blood sugar levels by 8% [18]. These cases are just two examples of the many situations where only an individual can assess one’s own caffeine tolerance. As government agencies like the FDA have the authority to require caffeine labelling of foods [11]; legislators could help promote the cause by enforcing these regulations. Besides labelling, legislation could encourage coffee retailers to incorporate educational campaigns into their businesses by rewarding them with tax rebates. The government could also provide more grants for accurate, well-supported research into the effects of caffeine. This is already proving effective, Consumers do not realise the potential health risks of excessive consumption such as the grant from the National Institutes of Health which funded Johns Hopkins researchers in their discovery of a significant link between caffeine dependence and alcoholism [19]. In the long term, this tripartite partnership between the government, consumers and coffee retailers will help to maintain a wholesome caffeine culture in an increasingly health-conscious society. Jinyue Liu is a second year studying Biological Natural Sciences at Gonville & Caius College. [11] Fortin ND. Citizen Petition for New Labeling Requirements for Caffeine in Food. US Food and Drug Administration [document on the Internet] 2006 Jan 15 [cited 2008 Jun]. Available from: www.fda.gov/OHRMS/DOCKETS/dockets/06p0039/06p0039-cp00001-01-vol1.pdf [12] Starbucks beverages. Starbucks [document on the Internet; cited 2008 Jun]. Available from: www.starbucks.com/retail/nutrition_beverages.asp [13] Soft Drink, Hard Facts. Guinness World Records [document on the Internet] 2008 Mar 12 [cited 2008 Jun]. Available from: www.guinnessworldrecords.com/ news/2008/03/080312.aspx [14] First Quarter and Third Quarter 2007 results. The Coca-Cola Company [documents on the Internet] 2007 Apr 17 and 2007 Oct 17 [cited 2008 Jun]. Available from: www. thecoca-colacompany.com/presscenter/pdfs/ko_earnings20070417.pdf and www. thecoca-colacompany.com/presscenter/pdfs/ko_earnings20071017.pdf [15] Kushner M. The Truth About Caffeine. Royersford, PA: SCR Books; 2006. p. 127. [16] Colas Come Clean on Caffeine. Tufts University Health and Nutrition Letter 2007 May;25(3):3. [17] Weinberg BA, Bealer BK. The World of Caffeine; New York: Routledge; 2002. p. 281. [18] Cut out coffee diabetics urged. National Health Service [document on the Internet] 2008 Jan 28 [cited 2008 Jun]. Available from: www.nhs.uk/news/2007/January08/ Pages/Cutoutcoffeediabeticsurged.aspx [19] Svikis DS, Berger N, Haug NA, Griffiths RR. Caffeine Dependence in Combination With a Family History of Alcoholism as a Predictor of Continued Use of Caffeine During Pregnancy. Am J Psychiatry 2005 Dec;162(12):2344–2351. [20] Coffee Beans taken from http://www.kids.niehs.nih.gov/illusion/illusions.htm THE TRIPLE HELIX Michaelmas 2008 23 Physics Education: What’s Wrong? Caroline Sandford The Applied Science curriculum avoids most quantitative calculations in 2006, a new 21st Century Science GCSE was piloted by OCR, completely replacing the old system in 2007 [3–5]. The new suite of examinations comprises a single Science GCSE, Applied Science, worth two GCSEs, and three separate science syllabi [3]. These qualifications were designed to address the declining numbers of post-GCSE scientists, particularly in physics [6,7], where A-level intake has fallen from 46607 in 1985 to only 27466 last year [8]. To this end, the Applied Science curriculum avoids most quantitative calculation, focusing on discussion around more ‘exciting’ topical issues: in physics, for example, nuclear energy [9]. The courses also aim to meet the needs of students who will not continue with sciences at A-level [10,11], preparing them for informed debate on a variety of scientific issues without burdening them with the analytical detail traditionally taught at this level. Unfortunately, the attempt to compromise between these aims and the need adequately to prepare interested students for higher education may create as many problems as it solves. Whilst the new curriculum may provide the qualitative appreciation of science required for everyday life, it does not have the same focus on problem solving that was present in Double Award. The analytical methods that are left out form an integral part of all science at post-GCSE level. Particularly in physics, with its tiered structure and heavy reliance on mathematics, coverage of this basic content at A-level will take time directly from the advanced topics that pave the way for a university education. Ironically, then, in trying to persuade more teenagers to continue with science, we are depriv- 24 THE TRIPLE HELIX Michaelmas 2008 ing them of the very skills they will require to do so. The changes to the curriculum have had a mixed reception. Proponents maintain that it caters much better for the needs of students ending their science education at GCSE, who had previously been considered ‘expendable’ [12]. Whilst many teachers are enthusiastic about the syllabus, saying it has revived interest and enthusiasm among less able students [3], there has been widespread criticism of the course. Sir Richard Sykes of Imperial College, London, has condemned the new syllabus as “dumbed-down” and warned that students with aspirations to study science at university would be unable to do so without more rigorous qualifications [12]. Baroness Mary Warnock, a philosopher and educationalist, warned that such innovations could lead to a situation where “science will be relegated to the An extra year at university would represent significant additional debt position of Latin and Greek and will only be taught in the independent schools” [12]. It is clear that in an effort to satisfy irreconcilable aims, it is those who wish to continue their studies who are being let down. It seems that we are unhealthily busy trying to bring science down to a level where those who do not wish to study it academically are persuaded nonetheless to reach for ‘dumbed-down’ qualifications in order to satisfy government quotas. The knock-on effect of these changes at GCSE may well be felt in universities in the very near future. Regardless of what is taught in schools, ©iStockphoto.com/Andresr S econdary school physics, already condemned by many universities as inadequate preparation for a degree, has recently been further compromised by changes to the GCSE syllabus. Originally three separate subjects, declining interest in sciences prompted the introduction in the early 1990s [1,2] of less rigorous ‘double’ and ‘single’ science GCSEs. Then © 2008, The Triple Helix, Inc. All rights reserved. Cryonics: Public Debate Gone Cold? Mark Hunting C ©iStockphoto.com/Paul George Bodea ryonics is a rapidly developing technology for preserving those deemed legally, but not medically dead, through deep freezing. The idea is simple: freeze a patient in the period between legal death (generally accepted to be a complete lack of brain function) and biological death (where there is no biological function), and then revive them later when the illness causing death can be effectively treated. The process is more complicated. First, the patient is declared legally dead. The doctors then immediately start to reduce the core body temperature to -5°C (roughly ice temperature). Whilst the patient is cooled their fluids are drained and replaced with a vitrifying fluid. This prevents the formation of ice crystals at sub zero temperatures. Once vitrification is complete, the body temperature is reduced by approximately 1°C per hour until it reaches the final resting temperature of approximately -196°C. The body can now be stored in a liquid nitrogen cooled vacuum for an extended period [1]. This technology is wide spread, particularly in the US. Actual figures are closely guarded but worldwide the number of people frozen is close to 500,000, each awaiting revival when medical technology has sufficiently advanced. Three types of injury occur during freezing. All of these must be treatable on revival for the treatment to be a success. 26 THE TRIPLE HELIX Michaelmas 2008 These include the injury that caused the death (often this will be significant, and spread across the body), ischemic injury (the injury occurring due to lack of oxygen in the Worldwide the number of people frozen is close to 500,000 body between the cessation of circulation and freezing), and any storage based injuries such as frostbite, or cellular damage caused by water crystallisation. There are several problems with cryonic freezing. The most significant is that revival is not yet possible. Many argue that the technology will exist in the future, and so the only current requirement is to preserve the brain and its contents so that when the technology is available, be it nanotechnology, bioengineering, nano-medicine, or mind uploading, the patient can be treated with minimal damage. It is a little known fact that the United Kingdom, Canada, and the United States have established a variety of legal frameworks to regulate cryonics. In British Columbia, a province of Canada, there is a total prohibition on the offering or sale of cryonic suspension. Physicist and Cryobiologist Dr Wowk says this is the most direct legislative response of any government to date [2]. Despite a full prohibition, there are still questions as to its effectiveness—many people simply leave British Columbia in order to get cryonic treatment. Whilst a total prohibition may alleviate any social or ethical fears, this will be short lived if cryonics is continued regardless, or if the number of people in favour of cryonics grows larger, in which case a significant part of the population may have their rights unnecessarily restricted. According to Baker, an American bioethicist and physician, a better approach would be to address both the cryonicists’ and public’s concerns through public debate, and then use comprehensive legislation to achieve a middle outcome rather than a complete prohibition, which can offend a patient’s autonomy [3]. Californian law, in contrast, permits cryonic technology. Despite this, the legal position is still unsatisfactory. The principal statute is the Californian Uniform Anatomical Gift Act under which cryptoriums and cryonic organisations are treated as procurement agencies for human body donations. Therefore, persons wishing to be cryonically suspended are required to donate their bodies as anatomical gifts for © 2008, The Triple Helix, Inc. All rights reserved. Underneath these questions of regulation are serious ethical issues outside of the jurisdiction of the Human Tissue Authority. Considering the small number of cryonics organisations in the United Kingdom, and the limited number of persons suspended, Parliament’s time may be more valuably spent on other issues. However, this fails to realise that any legislation on the matter should be in place before patients are frozen. Any person frozen should be able to determine under what conditions they will be revived, and how they References: [1] For further information on the scientific procedure see generally: Platt C. Effect of Human Cryopreservation Protocol on the Ultrastructure of the Canine Brain. Alcor Life extension foundation [document on the Internet] 1995 Jul. Available from: http://www.alcor.org/Library/html/braincryopreservation1.html and Mazur P. Freezing of living cells: mechanisms and implications. Am J Physiol Cell Physiol 1984 Sep 1;247(3):C125–C142. [2] Wowk B, Darwin M. Cryonics: Reaching for Tomorrow. Scottsdale, AZ: Alcor Life Extension Foundation; 1991. p. 29–30. [3] Baker DM. Cryonic Preservation of Human Bodies – A Call for Legislative Action. Dickinson Law Rev 1994;98(4):677–711. [4] Trans Time Inc v. Workman, No HM823400 (D. Md. 1984); Halpert v. Nelson, No 161229 (Cal. LA. County Super. Ct. 1981); Kent v. Carillo, No 191277 (Cal. © 2008, The Triple Helix, Inc. All rights reserved. will be treated whilst frozen. The legally dead patient is not biologically dead and so, it is suggested, should be afforded a certain amount of rights and care [8]. Underneath these questions of regulation are serious ethical issues. There is not enough space to fully discuss the ethical issues surrounding cryonics, however the originally thesis can be found online. The utility argument, in my opinion, provides the best justification. That is that the benefits provided by the technology outweigh the costs to society and so it is ethically acceptable. A cost benefit analysis does demonstrate that the economic, social, and individual benefits ©iStockphoto.com/Marcelo Wain research. This was not deliberate, but the result of legislative inaction and several rounds of litigation between cryonics organisations, individuals and the Department for Health Services [4]. There are several problems with this model. Whilst a patient is suspended they have no legal rights, and there is no professional code of conduct regulating how their body is handled. Upon revival there are more issues. The revived person would regain legal status as a person, but lack ownership to their body. This raises difficult questions over body ownership and rights, and raises the spectre of ‘slavery’ [5]. Wisconsin has adopted a third approach, which essentially follows two Opinions by the Attorney General [6], which regulate mausoleums and cemetery vaults. Unfortunately, the Opinions have not been revised since 1968 and are thus seriously outdated. In the attorney general’s opinions, he states that the legislation requires any person to have a license to diffuse dimethyl sulphoxide solution into a human body. It has become normal practice to use more efficient updated solutions. However, for these solutions a license is not required. Some problems have been noted by Baker. First, the opinions are not binding law, and may be ignored by judiciary if they consider them legally incorrect. It would be far more desirable to have a more certain legal framework and provisions suited to modern cryonic suspension practices. There are also some jurisprudential issues regarding Attorney Generals opinions. Other problems also exist under the US legislation. It is not possible to have a perpetual trust, so putting money aside for maintenance, or to receive upon revival is not possible. Thus, patients may be forced to awaken not only out of social context, but in poverty as well. The United Kingdom’s response has been slower. To date, no time has been allocated for legislating on cryonics, and under the Human Tissue Act 2004 [7]; it appears to be outweigh the limited costs of cryonic suspension. Within this ethical framework it is also important to protect and respect individual autonomy [9], for example by providing a legal environment that protects a patients’ ability to make an informed choice. Now we have reached an ethical and practical crossroads. Cryonic technologies are developing at an increasing rate, and the capacity for misuse increases with these developments. Many States realise the need for some degree of regulation, but to date, none has found a satisfactory legal or ethical structure that provides real protection for individuals and society. Public discussion is urgently needed, before an unchecked technology enters society without sufficient consideration for the ethical or practical issues. Mark Hunting has recently graduated in Law from Robinson College. This article is based upon an undergraduate dissertation for the Law Tripos. Special thanks to Dr Kathy Liddell for her advice and comments before publishing Riverside County Super. Ct. 1988); Henson v. Carillo, No. SAC 90-021JSL (Cal. Riverside County Super. Ct. 1990); Roe v. Mitchell No. C697147 (9 Cal. Rptr. 2d 572 (Cal. Ct. App. 1992)); and Alcor Life Extension Foundation Incorporated v. Mitchell 9 Cal. Rptr. 2d 572 (Cal. Ct. App. 1992). [5] For a further discussion see Bainham A. Body lore and Laws. Oxford: Hart Publishing; 2002. [6] WIS STAT ANN ss157.12 (West 1991)(Quoting Op Att’y Gen. Oct. 15, 1968) and WIS STAT ANN ss157.12 (Quoting Op Att’y Gen. Nov. 1, 1967) [7] Human Tissue Act 2004 s1(1), and Schedule 1. [8] Despite being outside the remit of the Human Rights Act 1998, and relevant European Convention. [9] For a discussion on autonomy: Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 5th ed. Oxford: Oxford University Press; 2008. THE TRIPLE HELIX Michaelmas 2008 27 Physics Education: What’s Wrong? Caroline Sandford The Applied Science curriculum avoids most quantitative calculations in 2006, a new 21st Century Science GCSE was piloted by OCR, completely replacing the old system in 2007 [3–5]. The new suite of examinations comprises a single Science GCSE, Applied Science, worth two GCSEs, and three separate science syllabi [3]. These qualifications were designed to address the declining numbers of post-GCSE scientists, particularly in physics [6,7], where A-level intake has fallen from 46607 in 1985 to only 27466 last year [8]. To this end, the Applied Science curriculum avoids most quantitative calculation, focusing on discussion around more ‘exciting’ topical issues: in physics, for example, nuclear energy [9]. The courses also aim to meet the needs of students who will not continue with sciences at A-level [10,11], preparing them for informed debate on a variety of scientific issues without burdening them with the analytical detail traditionally taught at this level. Unfortunately, the attempt to compromise between these aims and the need adequately to prepare interested students for higher education may create as many problems as it solves. Whilst the new curriculum may provide the qualitative appreciation of science required for everyday life, it does not have the same focus on problem solving that was present in Double Award. The analytical methods that are left out form an integral part of all science at post-GCSE level. Particularly in physics, with its tiered structure and heavy reliance on mathematics, coverage of this basic content at A-level will take time directly from the advanced topics that pave the way for a university education. Ironically, then, in trying to persuade more teenagers to continue with science, we are depriv- 24 THE TRIPLE HELIX Michaelmas 2008 ing them of the very skills they will require to do so. The changes to the curriculum have had a mixed reception. Proponents maintain that it caters much better for the needs of students ending their science education at GCSE, who had previously been considered ‘expendable’ [12]. Whilst many teachers are enthusiastic about the syllabus, saying it has revived interest and enthusiasm among less able students [3], there has been widespread criticism of the course. Sir Richard Sykes of Imperial College, London, has condemned the new syllabus as “dumbed-down” and warned that students with aspirations to study science at university would be unable to do so without more rigorous qualifications [12]. Baroness Mary Warnock, a philosopher and educationalist, warned that such innovations could lead to a situation where “science will be relegated to the An extra year at university would represent significant additional debt position of Latin and Greek and will only be taught in the independent schools” [12]. It is clear that in an effort to satisfy irreconcilable aims, it is those who wish to continue their studies who are being let down. It seems that we are unhealthily busy trying to bring science down to a level where those who do not wish to study it academically are persuaded nonetheless to reach for ‘dumbed-down’ qualifications in order to satisfy government quotas. The knock-on effect of these changes at GCSE may well be felt in universities in the very near future. Regardless of what is taught in schools, ©iStockphoto.com/Andresr S econdary school physics, already condemned by many universities as inadequate preparation for a degree, has recently been further compromised by changes to the GCSE syllabus. Originally three separate subjects, declining interest in sciences prompted the introduction in the early 1990s [1,2] of less rigorous ‘double’ and ‘single’ science GCSEs. Then © 2008, The Triple Helix, Inc. All rights reserved. The attempt to compromise ...may create as many problems as it solves to offer a simplified GCSE, others will follow to compete for the market in schools. In the same way as a product on the retail market will not be withdrawn if it sells well, it will be difficult to convince exam boards to remove an obviously popular qualification; and education authorities are unlikely to be disposed to persuade them, since easier GCSEs mean better government statistics and the illusion of a better schooling system. In conclusion, then, there appear to be only two practical options available. We can allow the quality of secondary physics to deteriorate, transferring the burden of basic education to universities. Or we can stream students at an early age, where they have arguably insufficient information on which to base a like or dislike of science. Streaming would level, putting more pressure on institutions whose primary function is arguably not teaching, but research. The most obvious solution here, from a teaching viewpoint, becomes an increase in the length of an undergraduate degree: a practise that is already in place in Scotland, as Scottish Highers do not cover as much detail as the present A-levels. The difficulty with this, from a student’s viewpoint, is financial. Present tuition fees in Scotland are half of those in England [13,14]; for English students an extra year at university would represent significant additional debt, and would likely discourage science-related applications. The best way to fix the A-level curriculum may be to fix its prerequisites. A C-grade in Double Award science, the previous requirement, could not be replaced by the equivalent in Applied Science given the reduced quantitative content, so separate sciences can be considered as a candidate prerequisite. The disadvantage of this requirement is that students would have to Back to school decide at the age of 14 whether or not they for physics educators? wish to study any science above the compulsory level. Science teaching in primary schools is at best sporadic, giving children a mere three allow potential physics undergraduates to develop the necesyears’ learning on which to base this important decision. sary mathematical and analytical skills, whilst giving less Although previously a problem for Single Award science, interested students the opportunity to obtain a qualitative this choice until now has been the exception rather than understanding and appreciation of science in today’s world. the norm, with ten times as many students taking Double The loss of some candidates at pre-GCSE level would be a Award as Single in 2007 [15]. small price to pay for a generation of school leavers who To avoid closing doors to further study at such an are properly equipped to make a difference. early age, the best option might be to stop offering this GCSE suite altogether. This, however, is made virtually Caroline Sandford is a third year studying Astrophysics at Girton impossible by market forces: if one exam board is cleared College. References: [1] Q&A: Science GCSE controversy. BBC News [document on the Internet] 2006 Oct 11 [cited 2008 Jun]. Available from: news.bbc.co.uk/1/hi/education/6039950.stm [2] Science qualifications. OCR [document on the Internet; cited 2008 Jun]. Available from: www.ocr.org.uk/qualifications/subject/science/ [3] GCSE Science for Teachers. OCR [document on the Internet; cited 2008 Jun]. Available from: www.gcse-science.com/teachers_subpage.php?cat_id=1 [4] Applied GCSEScience (Double Award) (4861) – specification overview. AQA [document on the Internet; cited 2008 Jun]. Available from: www.aqa.org.uk/qual/ appliedgcse/new_sci.php [5] GCSE Science. Edexcel [document on the Internet; cited 2008 Jun]. Available from: www.edexcel.org.uk/quals/gcse/science [6] The number of entries to A-level examinations in sciences and mathematics 1985-2007. AQA [document on the Internet] Institute of Physics: 2007 [cited 2008 Jun]. Available from: www.iop.org/activity/policy/Statistics/file_25677.doc [7] Reiss M. Royal Society response to the “Twenty-First Century Science” GCSE debate. The Royal Society [document on the Internet] 2006 Oct 11 [cited 2008 Jun]. Available from: royalsociety.org/news.asp?year=&id=5339 [8] Physics A-level grades, 2007. BBC News [document on the Internet; cited 2008 Jun]. Available © 2008, The Triple Helix, Inc. All rights reserved. ©iStockphoto.com/Colton Stiffler there is a minimum level that further education students must reach before they are equipped for scientific research. Increasingly this training will have to be done at undergraduate from: news.bbc.co.uk/1/shared/bsp/hi/education/07/exam_results/a_level/html/physics.stm [9] OCR 21st century Science. BBC Bitesize revision [document on the Internet; cited 2008 Jun]. Available from: www.bbc.co.uk/schools/gcsebitesize/science/21c [10] Smith A. New Science GCSE comes under attack. Guardian [newspaper on the Internet] 2006 Oct 11 [cited 2008 Jun]. Available from: www.guardian.co.uk/ education/2006/oct/11/schools.uk1 [11] Science for Life: New 21st-century Science GCSE. Wellcome Trust [document on the Internet] 2003 [cited 2008 Jun]. Available from: www.wellcome.ac.uk/News/ News-archive/Browse-by-date/2003/Features/WTD004637.htm [12] Critics attack new science GCSE. BBC News [document on the Internet] 2006 Oct 11 [cited 2008 Jun]. Available from: news.bbc.co.uk/1/hi/education/6038638.stm [13] Fees for Students on Undergraduate Programmes. University of Edinburgh Registry [document on the Internet] 2008 Aug [cited 2008 Aug]. Available from: www. registry.ed.ac.uk/fees/Ugfees08-09.pdf [14] Tuition fees. University of St Andrews [document on the Internet; cited 2008 Jun]. Available from: www.st-andrews.ac.uk/students/money/Tuitionfees/ [15] All Subjects Full Course GCSE grades, 2007. BBC News [document on the Internet; cited 2008 Jun]. Available from: news.bbc.co.uk/1/shared/bsp/hi/education/07/exam_ results/gcse_fc/html/all_subjects.stm THE TRIPLE HELIX Michaelmas 2008 25