Do the laws
relating to design-a-baby differ throughout Europe - or do
all countries think alike?
Find out about the following issues.
Is sex selection legal?
Is selecting an embryo for its genes legal?
Is it legal to select a particular embryo to provide tissue
for another person?
Is it legal to genetically engineer animals?
Who makes and enforces these laws?
Click on a flag to view the answers
for that country. Click
here to view by issue.
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United Kingdom
Is sex selection legal?
British law says
that parents are only able to select the sex of their child
if there is a substantial risk that a gender-related genetic
disease could be passed on. 'Family balancing', where the
reasons for sex selection are social rather than medical,
is not allowed at licensed clinics in the UK. However, private,
unlicensed clinics are not breaking the law by offering sperm
sorting.
Is selecting an embryo for its genes legal?
At the moment
in the UK, it is legal to select an embryo for its genes.
A technique called Pre-implantation Genetic Diagnosis is used
to screen for a handful of genetic diseases. Doctors select
only healthy embryos and implant these into the mother's womb.
Is it legal to select a particular embryo to provide tissue
for another person?
In the UK, the human fertilisation and embryology
authority (HFEA) announced it was prepared to allow a couple
to select their future child's genes to save the life of their
existing sick child. Pre-implantation Genetic Diagnosis was
used to ensure their new baby was not only free from the genetic
disease that affected his sister, but also a tissue match.
This enabled doctors to provide tissue from the placenta to
cure his sister. In the future, the HFEA will review the merits
of each case.
Is it legal to genetically engineer animals?
In
the UK, it is legal to genetically engineer mice, cows, pigs,
sheep and goats.
The Medical
Research Council, which funds most animal experimentation
in British labs, stated that "UK law and animal ethical
codes require researchers to use the least 'advanced' animals
and the minimum number wherever possible. We expect genetically
modified mice will remain the most important species where
animals have to be used to help us understand disease and
improve health." Genetically engineered monkeys such
as ANDI would therefore not find much favour in UK labs.
Who makes and enforces these laws?
The Human Fertilisation
and Embryology Authority (HFEA), which was set up in the UK
in 1991, ensures that all UK treatment clinics offering
In Vitro Fertilisation (IVF) or Donor Insemination (DI),
or storing eggs, sperm or embryos, conform to high medical
and professional standards and are inspected regularly. They
collect comprehensive data about such treatments, and provide
detailed advice and information to the public.
The HFEA also licenses and monitors
all human embryo research, supervising controlled research
for the benefit of humankind. They also consider the ethical
implications of a number of key issues.
As fertility and genetic manipulation
techniques develop, the law needs to review their application
for each new case. The law needs to catch up with the science.
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Denmark
Is sex selection legal?
The national Danish
law on sex selection came into force in June 1997. The law
says, that the sex of the child cannot be chosen, unless it
is done to prevent a serious gender-related hereditary disease.
Is selecting an embryo for its genes legal?
The Danish law about artificial fertilisation
says that genetic investigation (screening) of a fertilized
egg can only be done in those cases where there is a known
and substantial risk that the child will get a serious hereditary
disease (Law of Artificial Fertilisation, 1997).
Furthermore, this law says that genetic
investigation of a fertilized egg can only be done in cases
of IVF treatment of couples unable to have children on their
own. As the egg in those cases is outside the body, it is
legal to screen for a chromosome abnormality.
Is it legal to select a particular embryo to provide tissue
for another person?
There is no specific law about this in Denmark.
But the law on artificial fertilisation states that it is
only legal to select an egg if there is a risk of a known
hereditary disease. Consequently, it is illegal to select
a particular embryo to provide tissue for another person (Law
of Artificial Fertilisation, 1997).
Is it legal to genetically engineer animals?
The national Danish law about protection
of animals came into force in 1991 (Law of Animal Protection,
1991). It does not include any specific rules about genetic
modification of animals but states that animals should be
treated properly and be as well-protected as possible against
pain, suffering, fear, permanent injury and 'essential disadvantage'
(meaning anything that is bad or inconvenient for the animal).
The Danish Minister of Justice can lay down more specific
rules or even ban the use of biotechnology, gene technology
and the like on farming animals. But this has not yet been
the case (Law of Animal Protection, 1991).
Who makes and enforces these laws?
National
Danish laws are written by the relevant ministries. In cases
of artificial fertilisation, the law is in the hands of the
Ministry of Health. In animal welfare cases the Ministry of
Justice enforces the law.
In Denmark, biomedical research on living human
beings, human eggs and sperm, human fertilized eggs, embryos
and foetuses requires the permission of a 'Science-ethical
committee'. There are eight regional cpommittes and one central
committee. The task of the science-ethical committees is to
ensure the protection of the subjects taking part in research
projects whilst making possible the development of new and
valuable knowledge. The national Danish law for a science-ethical
committee system and their trial of biomedical research projects
came into force in 1992 (Law of Biomedical Research, 1992).
The Ethical Council advises the Minister
of Health, the authorities of health etc about general ethical
aspects of new biomedical technology. The ethical council
was established in 1987.
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Finland
Is sex selection legal?
At present, there
are no specific regulations concerning the selection of sex.
A fertility treatment law is being discussed in Parliament
in 2002. The law will include regulations about sex selection
for gender-related hereditary diseases or other medical factors.
Is selecting an embryo for its genes legal?
At present, there are no specific regulations
governing this issue and no such cases are known where embryos
have been selected on the basis of their genes. However, the
issue is continuously under debate due to its controversial
ethical aspects. Generally speaking, Pre-implantation Genetic
Diagnosis (PGD) is used very little in Finland.
Is
it legal to select a particular embryo to provide tissue for
another person?
For now, there have been
no cases in Finland in which embryos have been selected on
the basis of their genes in order to produce a perfect match
to cure an existing disease. However, this issue is continuously
under debate due to its controversial ethical aspects. Generally
speaking, pre-implantation genetic diagnosis (PGD) is used
very little in Finland.
Is it legal to genetically engineer animals?
Genetically engineering
animals is legal in Finland. However, any such action is strictly
regulated and controlled by the Board for Gene Technology.
Who makes and enforces these laws?
Medical research is governed
by the Medical Research Act, which came into force in 1999.
The Act states that in medical research the interest and well-being
of the research subject shall always be put before any benefits
to science or society. Under the law, medical research involving
human subjects, which also covers research involving embryos
and foetuses, always requires authorisation from the ethics
committee of the hospital district.
The Board for Gene Technology is constituted
by the Gene Technology Decree. The Board aims to ensure safe
and ethically acceptable use of gene technology. It issues
instructions and regulations, acts as a registration authority
and monitors the use of gene technology. The Board is appointed
by the Council of State.
The National Advisory Board on Health Care Ethics
(ETENE) is an expert committee concerning ethical issues related
to health care and relevant legislation.
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France
Is sex selection legal?
In France, there
are no explicit regulations concerning the selection of sex.
However, the law does permit a therapeutic
abortion if a couple has a high risk of having a child with
a gender-linked genetic disorder. This would apply to gender-linked
disorders such as haemophilia. Although the gene is carried
by females, the disease only shows in males.
Is selecting an embryo for its genes legal?
If a couple has
a high risk of having a child with a genetic disorder, they
may choose to use the In Vitro Fertilisation process (IVF).
The embryos can be screened and only healthy embryos are implanted
into the mother. This is legal in France.
However, you cannot lawfully choose to
have a blue-eyed child - for example.
Is it legal to select a particular embryo to provide tissue
for another person?
So far, French
law has not made it illegal to use stem cells an embryo to
cure another person's disease. French Parliament debate over
all types of stem cell research is ongoing and strong.
As yet, there have been no cases in France
where an embryo has been selected for its genes, in order
to produce a perfect match to cure a relative's disease.
Is it legal to genetically engineer animals?
Genetically engineering
animals is legal and practiced in France, both for agriculture
and research purposes.
Who makes and enforces these laws?
A National Consultative
Ethics Committee for Health and Life Sciences (CNCE) was created
by law in July, 1994. This committee looks at the donation
and use of components and products from the human body, medically
assisted reproduction, and prenatal diagnosis issues.
The mission of CNCE is to 'give opinions on
ethical problems raised by progress of knowledge in the fields
of biology, medicine and health, and to publish recommendations
on these proposed topics'.
Since 1994, new laws in this area have been
prepared and proposed by the Ethics Committee (CNCE) and made
law by the French Parliament.
Local Ethics Committees have also been
created by a number of hospitals.
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Germany
Is sex selection legal?
In Germany, selecting
an already existing embryo for its gender is prohibited by
the 'Embryonenschutzgesetz' ('Law Protecting the Embryo').
This law applies even if the intention is to prevent a life-threatening
disease.
Selecting the sex of your child by selecting
particular sperm with which to fertilise an egg is also illegal,
except to prevent a few special, very serious gender-related
genetic diseases (e.g. Muscular Dystrophy). This applies whether
sperm are used for IVF or artificial insemination.
Is selecting an embryo for its genes legal?
Generally in Germany,
the 'Embryonenschutzgesetz' ('Law Protecting the Embryo',
which came into force in December 1990) only allows diagnosis
or any analysis of an embryo if the aim is to implant the
individual embryo with the intention of enabling pregnancy
and birth.
But, there is a certain disagreement over
how to interpret the 'Law Protecting the Embryo' regarding
Pre-implantation Genetic Diagnosis (PGD). German law definitely
does not allow PGD just a few days after fertilisation. This
is because, at this stage of the fertilisation process, every
cell of the embryo still has the ability to become a complete
embryo again. Several experts think that this law might allow
PGD later in the development of the embryo, yet still early
enough to allow the embryo to be implanted into the womb.
Is it legal to select a particular embryo to provide tissue
for another person?
In Germany, it
is illegal to investigate an embryo for any reason except
for its own benefit. Therefore, a case like the one in the
UK, where an embryo with particular genes was chosen to save
the life of a sick sibling would definitely be illegal in
Germany.
Is it legal to genetically engineer animals?
Genetically engineering
animals is legal and practised in Germany for research purposes.
Particularly in medical research large numbers of genetically
engineered animals are used, mainly mice and rats. So far,
there are no cases of genetically modified animals being used
in agriculture.
Who makes and enforces these laws?
In Germany, the
legal authority is the Deutsche Bundestag, the German Parliament.
Two boards of experts, the 'Inquiry committee of the Deutsche
Bundestag for Law and Ethics in Modern Medicine' and the 'National
Ethics Committee' situated at the chancellor's office, give
scientific advice.
There is no special commission to control
these laws, but there is discussion on whether such a commission
should be founded within the scope of a revised form of the
'Embryonenschutzgesetz' ('Law Protecting the Embryo').
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Italy
Is sex selection legal?
To avoid a disequilibrium in the number
of babies of a specific gender, sex selection of embryos is
not legal. However, it is allowed if the embryo is at risk
of sex-linked pathologies.
In fact, if the father suffers from a
hereditary pathology linked to his sex, that is linked to
his chromosome Y, the physician has to select healthy spermatozoa
containing only the chromosome X, avoiding those that contain
the chromosome Y.
Is selecting an embryo for its genes legal?
Gene therapy and embryo selection procedures are
allowed only to avoid the transmission of hereditary pathologies.
The article 13 specifically forbids every
form of eugenetic selection of embryos and gametes. In particular,
it forbids the selection, manipulation or artificial change
of embryo or gamete genome, aimed at predetermining their
genetic characteristics. However, it is allowed in diagnosis
and therapy.
Is it legal to select a particular embryo to provide tissue
for another person?
No. In Italy, assisted procreation has the
only aim to solve reproductive problems deriving from human
sterility or infertility.
In fact, assisted procreation aims at ensuring
equal rights to Italian population and, in particular, to
the newborn.
Furthermore, law punishes every kind of
marketing, importing and exporting, of gametes and embryos.
Is it legal to genetically engineer animals?
Besides what is stated into the European
Union set of rules for this subject, genetically modified
plants and animals, excluding microorganisms, can be introduced
in the outer environment only if they cannot spontaneously
reproduce and if they pass all the tests described in the
article 2. These precautions are needed to evaluate possible
future risks.
However, it is considered necessary that plants
and animals be evaluated in specific test fields, be registered
in apposite genealogic records and be permanently certified
for their transgenic origin.
Furthermore, Italian law establishes that
animals that are or were subject to genetic engineering must
not be treated cruelly. Also, transgenic animals cannot be
generated to have diseases generate spontaneously.
Who makes and enforces these laws?
In Italy, a committee, led by the Noble
Prize Renato Dulbecco, evaluates and defines the ethical implications
of any issue in this subject, being as objective as possible.
Furthermore, a ministerial committee,
led by the Minister of Health, is in charge of proposing and
reviewing laws, so that these can catch up with population
needs and European guidelines. Besides, the committeee establishes
the range of applicability of the different techniques, and
licenses and monitors Italian centers where these can be used.
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Is sex selection legal?
In Portugal, the
Convention on Human Rights and Biomedicine (Oviedo Convention)
came into force in December 2001. Article 14 of the Convention
explicitly prohibits the use of medically assisted procreation
techniques for the purpose of choosing a future child's sex,
except where serious hereditary sex-related diseases are to
be avoided.
Is selecting an embryo for its genes
legal?
There is no applicable law in Portugal.
The status of the embryo and its consequent use in research
have been discussed intensely several times. Several proposals
of law have been presented but none of them have been successfull
so far. It should be noted that
this particular topic is very controversial in Portugal, because
every time the use of embryos is discussed the topic of abortion
comes up too and the debate instantly becomes very emotional.
Is it legal to select a particular embryo
to provide tissue for another person?
There is no applicable law in Portugal.
Is it legal to genetically engineer
animals?
There is no law specifically regarding genetic
engineering of animals. However, mice, pigs, dogs, cats, horses,
sheep, cows, goats and (non human) primates are used extensively
for research under EU Directive nº 86/609/CEE. However,
the directive does not refer to genetic engineering and there
is no other law.
Who makes and enforces these laws?
The law is made by the Portuguese Parliament
and enforced by specific committees established ad hoc and
on a case-by-case basis. On general health issues, each hospital
has a specific ethics committee (created by the Decree-Law
nº 97/95). However, the decisions of these committees
only have to be strictly followed in the case of human medical
experiments (e.g. testing new treatments, new pharmaceutical
products, etc.). For all other cases, the committees issue
recommendations and the professional codes of doctors and
researchers apply.
For research on animals, the General-Directorate
of Veterinary Medicine (Ministry of Agriculture) supervises
all procedures, on a case-by-case project evaluation.
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Is sex selection legal?
In Spain, sex selection is only allowed
for therapeutic reasons to avoid a gender-related disease.
The 'Sentencia de Mataró' court case denied a mother
with four sons the legal right to choose to have a baby daughter.
This was one of a few judicial cases that applied to Law 35/
1988 regarding human assisted reproduction techniques. At
its time (1988), this law was innovative on a world scale
and still enjoys wide social consensus. However, 14 years
after its publication, some aspects of the law need revising.
Is selecting
an embryo for its genes legal?
In Spain, Pre-implantation Genetic Diagnosis
to detect genetic diseases and abnormalities is a common and
legal practice. The selection of embryos helps parents to
have healthy children, which is one of the objectives behind
using human assisted reproduction techniques.
Is it legal
to select a particular embryo to provide tissue for another
person?
There is no specific, applicable law nor
have there been test cases on this matter in Spain. However,
it is generally accepted that it is not illegal to select
a particular embryo to provide tissue so long as the rights
of the newborn child are always guaranteed. Like any individual
the newborn would of course have his or her fundamental rights
protected by the state.
Is it legal
to genetically engineer animals?
In Spain, genetic selection of plants and
animals is not only authorised, but commonly used to improve
animal and plants characteristics. However, limits are imposed
by Law 15/1994, which aims to protect biodiversity and consumer
rights.
Nowadays however the well-being of animals
is increasingly considered, and both the central government
and the autonomic (regional) governments are issuing more
restrictive laws on animal research. Ethics Committees for
Animal Experimentation were created at both National and Autonomic
levels.
Who makes
and enforces these laws?
In Spain, legislation regarding medically
assisted procreation dates from 1988 and its basic regulations
are: a) Law 35/1988, concerning human assisted reproduction
techniques and b) Law 42/1988, regulating the donation and
use of human embryos and foetuses. Both are approved by the
State Parliament. Moreover, the Convention on Human Rights
and Biomedicine (Council of Europe) has had the force of law
in Spain since 1 January 2000, and its directives are in accordance
with the legislation already in existance.
Since 1998 Spain has had a National Commission
on Assisted Human Reproduction, which is in charge of issuing
reports and evaluating research projects and improving techniques.
Catalonia also has a Commission for Assisted
Human Reproduction Techniques - which is older than its National
counterpart. They have produced many reports concerning complex
issues, including research on embryos, oocyte donation, and
storing eggs and sperm.
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European
Union
Is sex selection legal?
There is no such
thing as a European law on designing babies. The closest we
can get to a general consensus is the Convention on Human
Rights and Biomedicine of 1997, which forbids sex selection
except for therapeutic reasons (article 14). The same recommendation
is also given by several Ethics Committees at a European level.
However, the Convention must be ratified by national Parliaments
before it has the force of law in member states and this did
not happen. Germany, Ireland and the UK did not sign or ratify
it. Italy signed but did not ratify the Convention.
There are no EU directives concerning
designing babies. However, the directive concerning the legal
protection of biotechnological inventions (directive 98/44/EC,
6 July 1998) is sometimes used as an argument against any
genetic modification.
Is selecting an embryo for its genes legal?
There is no applicable EU law.
The Convention on Human Rights and Biomedicine (1997) states
that designing babies for anything other than therapeutic
reasons is forbidden (article 14). This is also recommended
by several Ethics Committees at European level. However, the
Convention must be ratified by national Parliaments before
it has the force of law in member states and this did not
happen. Germany, Ireland and the UK did not sign or ratify
it. Italy signed but did not ratify the Convention.
Is it legal to select a particular embryo to provide a source
of spare parts for another person?
There is no applicable EU directive.
Is it legal to genetically engineer animals?
There is no applicable EU directive
specifically related to genetic engineering. Mice, pigs, dogs,
cats, horses, sheep, cows, goats and (non human) primates
are used for research in universities and laboratories.
Who makes and enforces these laws?
The EU decision-making process
is complex and there is more than one decision procedure.
For matters of scientific and technological research, the
'co-decision' process applies. To begin with, the technical
work is the responsibility of the European Commission (the
Director Generals and Services), which then makes one proposal.
This proposal is then subject to discussion between the Council
of the European Union (Ministers from the 15 member-states)
and the European Parliament, until an agreement is reached.
Advice can always be asked from advisory groups (for example
the European Group for Ethics in Science and New Technologies.
For more information see http://europa.eu.int/comm/european_group_ethics/index_en.htm.
The final responsibility for approval belongs
both to Council and the Parliament (which is why it's called
a co-decision).
Once the legislation is approved, the member-states
are responsible for its enforcement. A law in the EU can be
called a regulation, directive, decision or recommendation
- for the differences see http://europa.eu.int/eur-lex/en/about/pap/process_and_players2.html#1.
If the law is not followed or wrongly followed, the Commission
can present a complaint to the Court of Justice of the European
Communities. European citizens or persons residing or having
their legal domicile in a Member State can also present a
complaint to the European Ombudsman (http://europa.eu.int/institutions/ombudsman/index_en.htm).
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