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“Let’s say it wears an Ebola Coat, but it’s not Ebola” : The Rhetoric and Politics of Reframing a Vaccine for a Transnational Clinical Trial

Title: “Let’s say it wears an Ebola Coat, but it’s not Ebola” : The Rhetoric and Politics of Reframing a Vaccine for a Transnational Clinical Trial
Authors: Thiongane, Oumy; Bamba, Issiaka; Sawadogo, Noaga Hélène; David, Pierre Marie; Mathiot, Benjamin; Graham, Janice E.
Publisher Information: University of Victoria; Érudit
Publication Year: 2024
Collection: Érudit.org (Université Montréal)
Subject Terms: manufacturing consent; community engagement; vaccine clinical trial; Ebola; HIV; fabrique du consentement; engagement communautaire; essai vaccinal; VIH
Description: Focusing on how disease, health and vaccine research take on different forms, meanings and interpretations in diverse contexts, we examine the use of rhetoric to recruit people living with HIV in sub-Saharan Africa for an Ebola vaccine clinical trial. Conducted after the West African Ebola outbreak in a country that had not been affected by Ebola, the urgency, relevance and materiality of disease, health and biomedical research takes on different shapes, meanings and understandings. The limitations of multilateral initiatives to address inequalities in associated healthcare and access to essential medicines and vaccines highlight the tensions created when neither local researchers nor patient communities have been involved in the design or planning of the trial, and when the pathologies targeted by experimental technologies are either inappropriate for the people they are aimed at, or unfold without the knowledge of a social consensus.By deciphering the metaphorical discourse on an Ebola vaccine candidate and the erasure of a viral ontology from the hybrid technology to which it gives rise, we understand that the discourse of clinic staff makes it possible to establish a scientific truth in the service of instrumental productivity: manufacturing consent and recruiting arms for vaccine shots.In this article, we show that the closure of biomedicine to an esoteric discourse reflects the weakness of science in communicating what it actually does and the techniques it produces. It also addresses the failure of community engagement in the field of emerging infectious diseases. ; En se concentrant sur la façon dont la maladie, la santé et la recherche vaccinale prennent des formes, des significations et des interprétations différentes dans des contextes variés, nous examinons l’utilisation de la rhétorique pour recruter des personnes vivant avec le VIH en Afrique subsaharienne dans le cadre d’un essai clinique d’un vaccin contre Ebola. L’urgence, la pertinence et la matérialité des maladies, de la santé et de la ...
Document Type: text
Language: English
Relation: Anthropologica; vol. 66 no. 1 (2024); http://id.erudit.org/iderudit/1114985ar
DOI: 10.18357/anthropologica66120242643
Availability: http://id.erudit.org/iderudit/1114985ar; https://doi.org/10.18357/anthropologica66120242643
Rights: © OumyThiongane, IssiakaBamba, NoagaHélèneSawadogo, PierreMarieDavid, BenjaminMathiot and JaniceE.Graham, 2024
Accession Number: edsbas.9AE80541
Database: BASE