{"title":"Rumor as ethical vernacular: Ebola and the womb in eastern Congo.","authors":"Myfanwy James","doi":"10.1111/maq.70015","DOIUrl":null,"url":null,"abstract":"<p><p>The position of pregnant women in clinical research remains a topic of international ethical debate. Yet, the reflections of actual and potential trial participants, including pregnant women themselves, often remain absent. Following a policy reversal in 2019, pregnant women were eligible to participate in a second Ebola vaccine trial during an epidemic in the eastern Democratic Republic of the Congo (DRC). This article follows how this decision was perceived in Goma, a city in the DRC, the meanings and functions of the rumors that emerged about reproductive health, and how these rumors influenced pregnant women's experience of the trial. I argue that the womb became a site to discuss broader biopolitical anxieties about collective survival, but that rumors also became a vehicle for ethical debate amid uncertainty. Ethical debates about medical research continue locally through other ethical vernaculars- like rumors- and center on contested ideas of acceptable risk, shaped by collective historical experiences.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":" ","pages":"e70015"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Anthropology Quarterly","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1111/maq.70015","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The position of pregnant women in clinical research remains a topic of international ethical debate. Yet, the reflections of actual and potential trial participants, including pregnant women themselves, often remain absent. Following a policy reversal in 2019, pregnant women were eligible to participate in a second Ebola vaccine trial during an epidemic in the eastern Democratic Republic of the Congo (DRC). This article follows how this decision was perceived in Goma, a city in the DRC, the meanings and functions of the rumors that emerged about reproductive health, and how these rumors influenced pregnant women's experience of the trial. I argue that the womb became a site to discuss broader biopolitical anxieties about collective survival, but that rumors also became a vehicle for ethical debate amid uncertainty. Ethical debates about medical research continue locally through other ethical vernaculars- like rumors- and center on contested ideas of acceptable risk, shaped by collective historical experiences.
期刊介绍:
Medical Anthropology Quarterly: International Journal for the Analysis of Health publishes research and theory in the field of medical anthropology. This broad field views all inquiries into health and disease in human individuals and populations from the holistic and cross-cultural perspective distinctive of anthropology as a discipline -- that is, with an awareness of species" biological, cultural, linguistic, and historical uniformity and variation. It encompasses studies of ethnomedicine, epidemiology, maternal and child health, population, nutrition, human development in relation to health and disease, health-care providers and services, public health, health policy, and the language and speech of health and health care.