Examples: law, child, reproduction, ...
 Genetic Testing and Screening 

 Human Genetic Research 

 Cloning 

 Stem Cells 

 Genomics and Population Health 

 Pharmacogenomics 

 Children and Genetic Research 

 Research Ethics Boards 

 Consent 

 Confidentiality 

 Genetic Discrimination 

 Insurance and Genetic Information 

 Employment and Genetic Information 

 Intellectual Property 

 Secondary Use of Genetic Data 


  Confidentiality

 What is confidentiality?   
The duty of confidentiality is owed by health professionals to patients and stems from the patient’s right to privacy. When personal information regarding an individual, such as name, address, health status, or genetic information is collected by a health professional, it is held in confidence.



 How is confidentiality protected?   

There are two ways to protect the confidentiality of information or biological samples: coding and anonymizing.

A coded sample (such as blood or tissue) or coded information (such as answers to a questionnaire) is identified by a specific code (for example, a number), rather than using the personal data (such as name or address) of the person who provided the sample. This makes it more difficult to identify the person who provided the information because the link between the code and the individual is protected by various mechanisms.

An anonymized sample or information means that the link between the sample or information and the personal data of the individual from whom it was taken has been destroyed. This makes it impossible to identify the person from whom the sample originated. Anonymisation makes it impossible to return results to participants or to conduct follow-up.




 Why is confidentiality important in the genetic context?   

Like all medical information, the results of genetic tests can potentially reveal personal information such as current health status or susceptibility to an illness.

Protecting the confidentiality of genetic information is necessary to ensure that third parties (individuals, insurers, employers, schools) cannot access personal information without the consent of the individual to whom the information relates.




 What are the key international policy positions addressing confidentiality and genetic information?   



 What is the regulatory framework governing confidentiality and genetic information in Canada?   



 What is the regulatory framework governing confidentiality and genetic information in Quebec?   



What are the ethical and social issues surrounding confidentiality?

  •  Biobanking   
  • Biobanks store biological samples (for example DNA, human tissue, and blood samples) for access by various research groups. The privacy and confidentiality rights of individuals who have had such samples taken and stored must be protected. Genetic information has relevance for the individual, the family and the population, such that ensuring confidentiality is as much in the interests of the individual sampled as it is in the interests of family members and the population. Biobanks raise particular challenges around the conservation and use of stored samples and information following from research, the destruction of samples and information, and future communication with individual participants and populations.



  •  Children   
  • Children’s individualized research results and genetic testing and screening results are disclosed to their legal parents or guardians. However, Article 14 of the Civil Code of Quebec allows minors 14 years of age and older to consent to medical care and so the results of genetic testing and screening carried out for the purpose of medical treatment for children of this age will be disclosed only to the child tested. In contrast, for participation in research, the age of consent is 18 in Quebec (Art. 20 CcQ) and so the research results of adolescent participants will be shared with those exercising parental authority.






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