-Caveat Lector-

Automatic ID News
May 1999 -- Vol. 15 No. 5

A country-wide DNA database being proposed in Iceland is heating up the
worldwide debate over whether such projects create privacy risks rising to
the level of a "Big Brother" government seeking to keep inappropriate files
on its population.

After nine months of debate, Iceland's parliament has approved a voluntary
DNA data collection endeavor to be conducted by a $200 million partnership
of the Hoffman-La Roche pharmaceutical firm and the Reykjavik-based deCode
Genetics -- a genomics company that researches the connection between genes
and illnesses.

THe plan is to use Icelanders' DNA characteristics to study -- and perhaps
cure -- 12 genetically identifiable ailments.  These include four
cardiovascular diseases, four psychiatric/neurologic conditions and four
metabolic illnesses.  deCode has been granted a 12-year monopoly on data
marketing rights, and any drugs invented in the process are to be provided
free to the island's residents.

"The basic idea is to take advantage of a unique combination of qualities
that the Icelandic population has and use it to shed light on certain
aspects of effective treatments for the future," says Jonathan Knowles,
president of La Roche's worldwide research division.  "A critical component
of this collaboration is the focus on a (specific) population," he explains.
"This focus allows us to apply one and the same initiative in genetics in
the development of diagnostics, therapeutics and pharmacogenomics."

Iceland is unique in that its mainly blond-haired and blue-eyed population
of 275,000 people is genetically homogeneous.  It was settled about 1,100
years ago by a small group coming from Norway, and the inhabitants remained
isolated until World War II.

A court fight looms over the privacy issues involved with the DNA database.
Many residents welcome the economic and medical benefits that may come
about, while others object to the prospect of over-intrusion.

deCode says the people have nothing to fear.

"We have had unencrypted and highly insecurehealth records in all our
healthcare institutions for more than 80 years now, without anyone
complaining, without anyone attempting to make indecent use of them," says
deCode's Arni Sigurjonsson.  "But of course, an effort is now underway to
make the records safer, and the planned database project will increase the
data security considerably."

Sigurjonsson points out that he's been hearing that "some politicians may
worry about personal data leaking out about them, harming them in a
campaign, but this is not a convincing argument in such a small population
where most people know so much about one another anyway."  He notes, "No
health data has ever been known to harm a politician in this country,
[although] an attempt was made in 1930 when some doctors wrote in the
newspapers that a controversial minister was insane."

There are numerous safeguards in place to protect the population's privacy,
Sigurjonsson asserts, stressing that disease data will come from cooperating
doctors.  "Before we receive these samples, the social security numbers on
them are encrypted under supervision of a government institute for data
security (the Data Security Commission), so our staff is never able to
identify the donors; we neither get the names nor the social security
numbers."

Participation is voluntary, and people can decline to be tested.  An
anonymousnational healthcare database being implemented provides additional
protection.  "This information processing will meet much higher security
standards, and the data will be encrypted in three places: first at the
original source (e.g., a hospital), then by the Data Security Commission,
and finally by deCode Genetics.  The encryption keys will be stored in a
safe place, and not where the data is stored," says Sigurjonsson.

It will not be possible for the government or any other entity to track down
people suffering from specific illnesses, he says.  "This will be prevented
by programming the so-called query-layer in such a manner that you can never
look up information about less than 10, or perhaps 20, individuals.  Also, a
mechanism will be installed to prevent repeated queries that could result in
'zeroing in' on a given individual.  Even if a query could return
information about an individual -- which it could not -- the personal ID
(the social security number) would be encrypted thoroughly and thus
unreadable."

Sigurjonsson stresses, "deCode will not be selling information about
individuals.  I strongkly doubt that there would be any market for such
information, even if it was available.  In this population of 275,000
people, you can get a lot of information about people without paying at all.
As for people being denied a job because of genetic makeup, this is not
likely, but sooner or later, the legislature may prohibit this."

The targeting of potential illness victims for the purpose of denying health
insurance is not an issue on Iceland.  "We have a single payor system in
Iceland, meaning essentially, if not literally, that no citizen can be
without health insurance.  The insurance fee is collected via texes.  No
genetic or other information about a person's predisposition to illness can
lead to loss of general insurance rights, under any circumstances,"
Sigurjonsson points out, adding, "If a person has such a disposition, there
is all the more reason to keep him or her insured, isn't there?"

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