ABSTRACT
Islam
encourages research to prevent and cure disease and considers it part of ijtihad.
Ethico-legal issues relating to research with no direct textual, nass, guidelines
can be resolved by reference to the higher purposes of the Law, maqasid al shari’at,
and the principles of the Law, qawa’id al fiqh. For research to be ethical
it must be conformity with the 5 purposes of the law: preservation of diin, hifdh al
ddiin; preservation of life, hifdh al nafs; preservation of progeny, hifdh al nasl; preservation of intellect, hifdh al ‘aql; and
preservation of resources, hifdh al maal. Specific guidelines on research procedures
can be derived from the 5 principles of the Law. The principle of intention, qa’idat
al qasd, enjoins good and beneficial intentions of the research. The principle of certainty, qa’idat al yaqeen, enjoins research on empirical evidence and not mere whims. The principle of injury, qa’idat al dharar, enjoins that benefits of research should outweigh the risks.
The principle of hardship, qa’idat al mashaqqat, enjoins research procedures
under the doctrine of necessity, dharurat, that would otherwise be prohibited.
The principle of custom, qa’idat al ‘aadat, enjoins following standard
research procedures.
1.0 RESEARCH IN ISLAM
1.1 Search for knowledge
Islam
puts emphasis on seeking knowledge.. Islam encourages using knowledge. There is no consideration for knowledge not
accompanied by practical application. Tadabbur involves critical observation and
consideration of information. Humans are encouraged to derive empirical knowledge from observation of the earth and their
own bodies. The observation referred to is serious and deliberative, al nadhar bi al
tadabbur. Tadabbir is required even with the holy text of the Qur’an. Thought can be based on empirical observation.
The observation can be of the earth. It can also be by observation of the human body. Islam encourages active intellectual
effort in looking for knowledge.
1.2 Scientific research as a form of ijtihad
The process
of ijtihad is exertion of maximum intellectual effort to discover the truth or
understand the relation between truths. Ijtihad is also used to discover and identify
falsehoods. There are parallels between the tools of ijtihad used by classical Muslim scholars and the processes of reaching
conclusions in modern scientific research. The process of inductive logic used in medical research is the same as qiyaas
usuuli used by scholars of the methodology of the Law. The process of reaching a scientific consensus is similar to the
process of scholarly consensus, ijmaa. The prophet taught that there is a cure
for every disease. There is an injunction to search for cures by processes of medical research.
3.0 RESEARCH ON HUMANS
3.1 Purposes of The Law In Human Experimentation
The Islamic
ethical theory on research is based on the 5 purposes of the Law, maqasid al shari’at, religion, life, progeny,
the mind, and wealth. If any of the 5 necessitiesis at risk permission is given to undertake human experiments that would
otherwise be legally prohibited. Therapeutic research fulfills the purpose of protecting health and life. Infertility research
fulfils the purpose of protecting progeny. Psychiatric research fulfills the purpose of protecting the mind. The search for
cheaper treatments fulfills the purpose of protecting wealth.
3.2 Principles Of The Law In Human Experimentation
The 5
principles of the Law guide research. Research is judged by its underlying and not expressed intentions. Research is prohibited
if certainty exists about beneficial existing treatment. Research is allowed if benefit outweighs the risk or if public interest
outweighs individual interest. If the risk is equal to the benefit, prevention of a harm has priority over pursuit of a benefit
of equal worth. The Law chooses the lesser of the two evils, injury due to disease or risk of experimentation. The principle
of custom is used to define standards of good clinical practice as what the majority of reasonable physicians consider as
reasonable. Under the doctrine of istishaab,
an existing treatment is continued until there is evidence to the contrary. Under the doctrine of istihsaan a physician can ignore results of a new experiment
because of some inclination in his mind. Under the doctrine of istislaah preventing a harm has priority over obtaining a benefit.
3.3 Informed Consent
Informed
consent by a legally competent research subject is mandatory. Informed consent does not legalize risky non-therapeutic research
with no potential benefit. It is illegal to force participation of the weak (prisoners, children, the ignorant, mentally incapacitated,
and the poor) in clinical trials even if they sign informed consent forms.
3.4 Outstanding Ethico-Legal Issues
Research
on fetal human tissues may encourage abortion. Cadaver dissection and post mortem examination are permitted under the necessity,
dharurat, of knowledge and research. Use of human bodies in auto crass experiments
violates human dignity. Genetic experiments may cause diseases hitherto unknown. The Law allows research on ageing as long
as the aim is not prolongation of life or preventing death because those aspects are under Allah’s control. Research
on ageing should be directed at improving the quality of life for the elderly and not seeking immortality for them.
4.0 RESEARCH ON ANIMALS
4.1 Enjoining Kindness To Animals And Prohibition Of Cruelty
The prophet
enjoined kindness to animals. Saving animals from danger is a noble act. There is reward for kindness to animals. Cruelty
and physical abuse of animals are prohibited. There is severe punishment is reserved for cruel treatment if animals. Face
branding, beating, cursing, sexual abuse, sexual abuse, and wanton killing of animals were forbidden by the Prophet.
4.2 Animal Research: Purpose And Relevance
The purpose
of animal research is to spare humans from risk. Findings in animals are relevant to humans because of similarities in physiology
and biochemistry. However findings in animals cannot be directly transferred to humans; research on humans is still necessary
for a definitive conclusion. Animal research is exploratory and is not definitive.
4.3 The Law And Animal Experimentation
The position
of the Law is that animal experiments are allowed if a prima facie case can be established that the result of the research
is a necessity, dharuurat. Dharuurat under the Law is what is necessary for human life. The regulations of necessity
require that no more than the absolute minimum necessary should be done, al dharurat tuqaddar bi qadiriha. Animal research
has definite risks for the animals that are not balanced by any benefits: pain, suffering, permanent injury, inhumane treatment
and operations, and being killed (sacrificed). Thus use of animals in justifiable on the basis of taskhiir and not
any benefits that accrue to the animals. The risks to humans from animal research are minimal in the short term; long-term
effects are difficult to fathom. The purposes and principles of the Law can be used to analyze all legal aspects of animal
experimentation.
4.4 Outstanding Ethico-Legal Issues
There
are limits to taskhiir. Humans were not given a carte blanche to exploit
animals in any way they liked. They have to conform to the Law and moral guidelines. If the results of animal experimentation
will lead to protection of human life, then research is allowed to proceed because then it is a necessity. This is similar
to killing animals for food, a necessity for human life. If research is for general scientific curiosity unrelated to any
tangible human benefit, then it is beyond the authorization of taskhiir.
There
are differences among animals. Animals considered dangerous and must be killed. Use of such animals for research should therefore
raise fewer ethical objections than other animals. All types of animals used in research cannot be subjected to unnecessary
pain and suffering. Animals whose flesh is edible are preferably used in research. Use of animals that are haram like the pig should be avoided as much as possible and should be considered only in cases of dharurat. Animals, like humans, have rights to enjoyment of life and good health. The researcher must therefore
follow Islamic etiquette to minimize animal suffering.
The basmalah is said at the start of an animal experiment, similar to slaughter of animals
for food, in recognition of the fact that the experiment is carried out with the permission of the creator under the requirements
of taskhiir. The animals must be shown kindness and respect. They should not be subjected to the psychological pain
of seeing other animals in pain or being sacrificed. Pain must be minimized both during the experiment and when the animal
is being terminally sacrificed. This is based on the legal requirement of slaughtering animals using a sharp knife and as
quickly as possible to prevent pain and suffering. The long-term effects of the experiment on the animal must be considered
and efforts made to decrease suffering and pain. The nutritional and medical needs of the animal must be taken care of before,
during, and after the research.