World Medical Association 50th General Assembly
The following were among the decisions reached at the WMA's five-day
meeting in Ottawa, Canada, which ended at the weekend:
Declaration of Ottawa on the Right of the Child to Health Care
The General Assembly approved a new Declaration aimed at improving
the rights of children throughout the world to health care. The
new initiative, entitled the Declaration of Ottawa, builds on
the 1989 United Nations Convention on the Rights of the Child.
Among other rights, it states that:
- parents whose children are admitted to hospital should, wherever
possible, be provided with appropriate accommodation in or near
the hospital at minimal or no cost. In addition parents should
be allowed time off work without prejudice to their continued
employment;
- parents, guardians or children of sufficient maturity should
be free to change their physician or to seek a second opinion;
- the wishes of children should be taken into account in decisions
involving their care;
- a competent child patient, their parents or guardians should
be entitled to withhold consent to any procedure or therapy;
- the child patient is entitled to be fully informed about
their medical condition.
Dr James Appleyard, chairman of the WMA's medical ethics committee,
said: "This Declaration provides an international bench mark
for children's health care and a bench mark that many governments
fail to reach. This bench mark will empower national medical associations
throughout the world to persuade their governments to value their
children and improve the health of the world's children.
"The rights of children to health care need to be at the
centre of our health policies and investment in the health care
of children is the most cost effective measure for any government
to take."
WMA to Conduct International Survey on Human Cloning
The WMA has decided to conduct an international investigation
into human cloning to prepare comprehensive new guidelines for
physicians. It has called on all its member national medical associations
to participate in the survey and to consult experts and the public
in their respective countries. Meanwhile the meeting reaffirmed
its 1997 Resolution calling on doctors engaged in research to
abstain from participating in the cloning of human beings until
the scientific, ethical and legal issues had been fully considered.
Dr Anders Milton, chairman of the WMA Council, said he hoped
the investigation would be completed in time for the WMA's Council
meeting in April 1999.
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