Development Ethical and Societal Issues Satyen Baindur PhD
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OPRA Report 4-2006-1<br />
Stewardship in Nanotechnology<br />
<strong>Development</strong>: <strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
<strong>Satyen</strong> <strong>Baindur</strong>, <strong>PhD</strong><br />
Principal Researcher <strong>and</strong> Chief Scientist<br />
Ottawa Policy Research Associates, Inc.<br />
Ottawa Policy Research Associates, Inc.<br />
Report No. OPRA-2006-4-1 Issued April 2006
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
INTRODUCTION<br />
The science of matter at the nanoscale 1 has been rapidly advancing in the past<br />
decade. So also has the set of methods, techniques <strong>and</strong> approaches that enable the design,<br />
characterization <strong>and</strong> assembly of atoms, molecules, structures, devices <strong>and</strong> systems at the<br />
nanometer scale by controlling their shape, size, physico-chemical composition, surface<br />
characteristics, solubility or agglomeration properties. Collectively, these techniques <strong>and</strong><br />
methods constitute nanotechnology; the plural ‘nanotechnologies’ is often cited, to<br />
emphasize that one is dealing here with general-purpose technologies that enhance <strong>and</strong><br />
enable yet other technologies, influencing a very diverse set of application areas.<br />
At the most basic level, nanotechnologies result in new materials <strong>and</strong> device<br />
possibilities that exploit the unique physical <strong>and</strong> chemical properties of matter occurring<br />
at the nanoscale. These materials, generically called ‘nanomaterials’ 2 , come to have<br />
properties extending beyond those of materials found in nature. For example, some of<br />
these materials can have extreme hardness, or high tensile strength, but simultaneously be<br />
significantly lighter in weight than materials with similar properties found in nature.<br />
Other nanomaterials possess novel magnetic, electrical, optical or therapeutic properties<br />
that hold truly fascinating application potential.<br />
The field of nanotechnologies exhibits interdisciplinary convergence, where<br />
knowledge areas that were previously developing at their own pace, become thematically<br />
cohesive, <strong>and</strong> advance synergistically. Thus, one expects that the unprecedented pace at<br />
which nanotechnologies have been recently advancing will only increase in the future.<br />
While much that has happened in nanotechnologies is relatively new, it should not<br />
be assumed that all ‘nanotechnology’ is recent - in fact, there has long been an awareness<br />
of some of the special properties that result at the nanoscale, (though without knowledge<br />
of how they come about). For example, since medieval times, pigments used in stained<br />
glass have contained silver or gold particles in the 100 nm size range. More recently, 19 th<br />
1 The nanoscale has come to be defined as 1-100 nanometers, where a nanometer is one-billionth of a<br />
meter.<br />
2 There are many kinds of nanomaterials, <strong>and</strong> a taxonomy of such materials is now coming into being. A<br />
preliminary taxonomy is presented elsewhere in this document.<br />
2<br />
2
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
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century scientists such as Faraday conducted experiments on gold nano-colloids<br />
(although that is not the term they used). Likewise, conventional industrial processes such<br />
as combustion, welding, friction, ablation, milling <strong>and</strong> pulverization have been producing<br />
nanosized particles unintentionally 3 for the past century or longer. Refinements of these<br />
techniques are now being used consciously to create what are titled ‘nano-alloys’, or<br />
more generically ‘nano-composites’.<br />
Not all nanoscale materials are anthropogenic. They are actually quite widely<br />
found in nature. Not only do proteins <strong>and</strong> enzymes behave as intrinsically nanoscale<br />
structures; but biological fluids such as milk or blood are nanoscale colloids, since they<br />
contain suspensions of nanoparticles, including proteins, lipids <strong>and</strong> fatty acids. Proteins,<br />
lipids <strong>and</strong> fatty acids, normally found in biological materials, are nanoscale molecules.<br />
For example, ferritin is an iron-storage protein occurring in the human body, with a size<br />
about 10 nm. Interestingly, from a clinical perspective, all drugs or pharmaceuticals<br />
(whether injected or ingested) pass through a nanoscale particulate phase before<br />
absorption by the human body. This perspective, which properly views nanoparticles as<br />
naturally occurring within the human body, is invaluable in properly situating the context<br />
within which the implications of nanomaterial interaction with the biotic <strong>and</strong> abiotic<br />
environments can be understood.<br />
Nanotechnology-based products that are now becoming commercially available<br />
involve nanoscale materials either as powders, aerosols, solutions, suspensions or<br />
colloids; or they are solid composite materials having a nanoscale structure. Product<br />
classes in which nanomaterials have been introduced or recognized include paints,<br />
cosmetics, pharmaceuticals, <strong>and</strong> textiles. Other product classes involving nanomaterials<br />
with diagnostic, imaging <strong>and</strong> therapeutic properties are still under active research <strong>and</strong><br />
development. Occasionally, some products will be advertised by manufacturers as<br />
involving nanomaterials or nanotechnology simply to take advantage of the hype that<br />
3<br />
3 Particles with sizes less than 100nm i.e., 0.1 microns, have been traditionally called ‘ultrafine’ in contexts<br />
where production occurs unintentionally. However, ultrafine particles <strong>and</strong> nanoparticles have the same size<br />
range.<br />
3
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
currently surrounds the ‘nano’ idea. For this reason, a careful examination of products<br />
claiming to use nanotechnology becomes necessary 4 .<br />
Not all the properties of nanoscale materials, however, are yet fully understood.<br />
The especially important issue of how nanomaterials will interact with the biotic <strong>and</strong><br />
abiotic environment is still being actively investigated, <strong>and</strong> some preliminary results in<br />
are becoming available. Regulatory <strong>and</strong> policy interest in nanomaterials has, however,<br />
already been engaged in a proactive <strong>and</strong> forward-looking manner.<br />
As well, the possible risks from nanomaterials can be seen in the context of the<br />
known respiratory health risks of ultrafine particles (UFPs), fibres <strong>and</strong> filamentary<br />
materials, where the risk often arises, or is exacerbated, from the size <strong>and</strong> shape of the<br />
particles <strong>and</strong> fibres (especially when the size is in the nano range), <strong>and</strong> does not<br />
necessarily depend on the details of chemical composition. Since UFPs <strong>and</strong> nanoparticles<br />
(NPs) have the same size range, some of the same concerns are likely to apply to both.<br />
Furthermore, experience with materials such as asbestos fibres indicates that risk<br />
management strategies can <strong>and</strong> should be implemented even in the absence of complete<br />
characterization of the material. In this context, nanotechnology could take some lessons<br />
learned about risks <strong>and</strong> risk management strategies.<br />
For these reasons, nanotechnology has engaged the strong interest of policy<br />
makers, regulatory agencies <strong>and</strong> civil society organizations with a health <strong>and</strong><br />
environmental risk emphasis. This interest has heightened in the past couple of years as<br />
investigations on the interaction of nanomaterials with the biotic <strong>and</strong> abiotic environment<br />
have been yielding interpretable results.<br />
In addition to purely health or environmental concerns, ethical precepts such as<br />
the principle of respect for human dignity; the principle of individual autonomy; the<br />
principle of justice <strong>and</strong> beneficence; the principle of freedom of research, belief <strong>and</strong><br />
4<br />
4 On March 10 th 2006, the Woodrow Wilson Center in Washington DC released its nanoproducts inventory<br />
based on a web search. However, almost immediately, some products were discovered that might not<br />
actually belong. A cosmetics product company.<br />
4
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
conscience; the principle of proportionality of response; <strong>and</strong> the precautionary principle,<br />
also deserve explicit acknowledgment in the development of policy in the<br />
nanotechnology context.<br />
<strong>Ethical</strong> <strong>and</strong> societal concerns in the nanotechnology context have been voiced by<br />
a variety of stakeholders such as civil society organizations, NGOs, government officials,<br />
academics, journalists, novelists, scientists, technologists <strong>and</strong> businessmen. These<br />
concerns have taken the form of questioning whether one or other of the traditional<br />
ethical <strong>and</strong> humanistic precepts might be sacrificed as nanotechnology develops, <strong>and</strong><br />
whether sufficient thought has been devoted to the societal impacts that such<br />
development might create (as opposed to the merely health or environmental). Given the<br />
voicing of these concerns on the one h<strong>and</strong>, <strong>and</strong> the vast potential that others see in this<br />
technology on the other, the nanotechnology context today is suffused in an atmosphere<br />
of ‘hope, hype, risk <strong>and</strong> fear’. Hype can be characterized as an extreme manifestation of<br />
hope, <strong>and</strong> similarly, fear arises from an extreme risk perception.<br />
Since nanotechnologies span an extremely broad ambit of potential applications,<br />
it is not easy (or even possible) to fully anticipate the different social <strong>and</strong> ethical concerns<br />
that might arise as different nanotechnologies are developed. Two fundamental points<br />
deserve emphasis. One is that some ethical <strong>and</strong> societal concerns underlie all<br />
technologies, usually throughout the course of their development, <strong>and</strong> sometimes even<br />
after they have reached a ‘mature’ status. Often the societal or ethical concerns that were<br />
articulated when the technology was conceived (or, on occasion while the technologies<br />
are still being developed) are not the ones that are most salient when the technology has<br />
matured. The other is that the actual deployment <strong>and</strong> application of technologies is<br />
strongly influenced by a society’s broader priorities, <strong>and</strong> is not determined solely by what<br />
is feasible technologically – the applications are not automatic or technologically<br />
predetermined.<br />
Therefore, two conclusions follow. First, since ethical <strong>and</strong> societal concerns will<br />
arise throughout the lifetime of a technology, it is more important to have in place a<br />
5<br />
5
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
mechanism that enables such issues <strong>and</strong> concerns to be dealt with on an ongoing basis<br />
than to attempt to address them once <strong>and</strong> for all. Secondly, since social forces strongly<br />
shape a technology’s deployment trajectory, a simple extrapolation of technological<br />
capability or an obsession with the worst-case scenario usually leads to wrong<br />
conclusions. It is important to realize that mere technical feasibility of an application at<br />
this time will not by itself ensure widespread use in the future, while a sustained R&D<br />
effort together with significant cross-sector convergence, can generate technical<br />
breakthroughs that are impossible to predict. Thus what appears as extreme hype <strong>and</strong><br />
extreme fear today could turn out wildly wrong, at either end.<br />
That said, developments in nanotechnology do in fact raise some profound<br />
questions about a number of very basic ethical issues, including: personal identity <strong>and</strong><br />
privacy; security of information <strong>and</strong> safety of health; economic <strong>and</strong> social equity <strong>and</strong><br />
equitable access to the potential benefits of nanotechnology, among many others. A<br />
number of these issues have arisen in the context of other technologies also, <strong>and</strong> the<br />
nanotechnology version of these issues differs only in its scope, the level of urgency <strong>and</strong><br />
in its specific details. However, if someday the full convergence of nanotechnologies<br />
with other technologies does occur, then the nanotechnology version of the issues could<br />
very well subsume the others, because it possesses a greater, more profound scope. For<br />
this reason, an explicit exploration of the nanotechnology versions of the issues is<br />
necessary.<br />
To illustrate the point, consider the fact that issues dealing with (violation of)<br />
privacy, ease of economic access, societal impact, human capacity enhancement - each<br />
also have ‘biotechnology’ <strong>and</strong> Information-Communication-Technology (ICT) versions,<br />
in addition to a nanotechnology version. Each of these technologies has also raised the<br />
possibility of differential access – a ‘biodivide’, a digital divide, or a ‘nanodivide’. What<br />
is different about the nano versions of these issues is the possibility that convergence<br />
between the technologies might create a nano version that severely exacerbates their<br />
effect. What is also different is that, given the present status of nanotechnological<br />
6<br />
6
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
development, there is still time for these issues to be proactively identified <strong>and</strong>, perhaps<br />
even obviated, through anticipatory action. This document is devoted to a detailed<br />
consideration of some of the ethical <strong>and</strong> societal issues that underlie nanotechnology<br />
development.<br />
7<br />
The ‘Nature’ of Nanotechnology<br />
One strongly expressed concern deals with the very nature of nanotechnology<br />
itself, especially when contemplated in conjunction with biotechnology <strong>and</strong> information<br />
technology. It is often caricatured as the ‘gray goo’ scenario, in which a malevolent life<br />
form, developing from a self-assembling nanostructured system, is projected to go ‘wild’.<br />
This actually bears resemblance to some of the more sinister scenarios that had been<br />
imagined in the context of biotechnology <strong>and</strong> genetic engineering beginning about thirty<br />
years ago.<br />
Specific versions of the ‘gray goo’ scenario have been dismissed on the ground<br />
that they violate some physical laws such as conservation of matter <strong>and</strong> energy. However,<br />
at a fundamental level, the concern cannot be completely dismissed 5 . If life as we know it<br />
today is itself an example of ‘nanotechnology that works’ then a nanotechnology that<br />
works slightly differently can also be imagined. If autonomy <strong>and</strong> self-replication,<br />
followed by some form of adaptive behaviour, are considered as prerequisites for life,<br />
then efforts are certainly underway today to endow artificial nanosystems with some or<br />
all of these attributes 6 . In many ways these systems behave as artificial life forms, or at<br />
least, successful bio-nano hybrids. Some of these developments are taking place today<br />
under the rubric of ‘synthetic biology’.<br />
5 Indeed, some highly respected scientists <strong>and</strong> technologists have voiced similar concerns. For example, Joy<br />
(2000), <strong>and</strong> Drexler (1986) have contemplated such scenarios, with Joy (2000) also advocating a<br />
suspension of R&D in this area.<br />
6 Some demonstrations of auto-catalyzed in vitro self-replication, <strong>and</strong> nano-bio combinations that<br />
involve, for example, biological motors powering non-living objects – have also been demonstrated. For<br />
example, Montemagno & Bach<strong>and</strong> (1999), Soong et al (2000). Other attempts to manipulate DNA<br />
molecules with breathtaking precision, creating ‘DNA Origami’ have been described by Seeman (2005)<br />
<strong>and</strong> Rothemund (2006). In fact, DNA has already become the ‘scaffolding of choice’ for a number of nanoself-assembly<br />
applications, based on the ability to create such ‘DNA Origami’.<br />
7
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
A precaution that has been suggested (e.g. in an editorial in Nature 7 ) is to<br />
engineer these new life forms in a way that they become nutritionally dependent on<br />
materials available only in the laboratory, but not in nature. In this way, it is hoped that<br />
the new life form would not be able to survive outside a laboratory. This is a sensible<br />
precaution but cannot be viewed as foolproof.<br />
A line of reasoning that attempts to criticize this concern about runaway nanolife<br />
forms – turns on the definition of ‘nano’ – it is asserted that viruses (the only autonomous<br />
biological entities that are smaller than 100nm in size <strong>and</strong> thus truly exist at the nano<br />
scale) – cannot reproduce without taking over the cellular machinery of another higher<br />
organism. Therefore, it is asserted that ‘not even nature’ has a truly self-reproducing<br />
organism at the nano scale. The subtext seems to be that the nanoscale cannot possibly<br />
embody the full complexity required to sustain self-organized self-reproducing processes.<br />
Yet this can be countered by realizing that a possible new nano life form could also learn<br />
to self-replicate by the same technique as viruses now do 8 , even if one grants that the full<br />
complexity of life processes cannot be reproduced at the nanoscale – though even that is<br />
not fully clear. That is, a new nanoscale life form could be intrinsically parasitic in its<br />
reproductive mechanism. This is not unlike a computer virus that is designed to take over<br />
its host computer’s disk space <strong>and</strong> operating system in order to reproduce.<br />
The other weakness of such an argument is a narrow focus on the definition of the<br />
nano scale – it is quite possible that a new nano-based life form could have a hierarchical<br />
organization. Just as cells are made of molecules in living things today, so a possible new<br />
nano-based life form could be based on nanoscale materials <strong>and</strong> then self-organize itself<br />
into its equivalent of (nano)biological cells. Thus, while an obsession with the worst-case<br />
scenario is not justified, an overly dismissive stance regarding concerns about the very<br />
nature of nanotechnology also does not appear warranted. In this context, even a modest,<br />
8<br />
7 Nature 24 November 2005. Similar precautions were suggested earlier by the Foresight Institute <strong>and</strong> also<br />
by the Center for Responsible Nanotechnology.<br />
8
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
incremental change in technological terms, could lead to quite profound social impacts<br />
with ethical consequences.<br />
9<br />
9
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
Enhancement of Human Capacities<br />
This concern deals with how nanotechnology, in converging with biotechnology,<br />
information technology, <strong>and</strong> cognitive science – will some day transform the nature of<br />
life, <strong>and</strong> perhaps also, what it means to be human 9 . At the simplest level, for example,<br />
retinal or cochlear implants, which are already available today in some versions, enable<br />
significant enhancement to the life possibilities of the visually <strong>and</strong> aurally impaired. As<br />
nanotechnologies develop further, capabilities such as these, along with memory, height,<br />
intelligence, physical performance, <strong>and</strong> similar ‘intrinsic’ human characteristics, could<br />
also be enhanced from some bio-nano convergent product. Two kinds of ethical issues<br />
arise here – one is about the ability to access such interventions, <strong>and</strong> how it would be<br />
rationed when access cannot be equitably ensured. The other is about the desirability of<br />
the enhancement itself.<br />
Also, the dividing line between ‘therapy’ <strong>and</strong> ‘enhancement’ may not always be<br />
clear. Often, it will be the innovations that result from research into therapeutic<br />
possibilities that will provide the knowledge base to enable enhancement. Of course, the<br />
issue of enhancement of human capacities has arisen within the pure biotech context as<br />
well, <strong>and</strong> some kinds of enhancement, such as those in enhancing muscular development<br />
through use of insulin-growth-factor (mIGF-1, the genes for which have been identified<br />
<strong>and</strong> cloned, <strong>and</strong> gene transmission therapies developed <strong>and</strong> tested in mice 10 ) have already<br />
been enabled by the new genetic biotechnology even without an explicit nano<br />
component.<br />
9 Although enhancement has received most attention, it is also possible to envisage similar technologies<br />
which can reduce human capacities, so the concern may be more properly titled ‘human capacity<br />
transformation’.<br />
10 1. Barton-Davis, E., et al., “Viral mediated expression of insulin-like growth factor I blocks the agingrelated<br />
loss of skeletal muscle function,” Proceedings of the National Academy of Sciences 95: 15603-<br />
15607, 1998.<br />
2. Musaro, A., et al., “Localized IGF-1 transgene expression sustains enlargement <strong>and</strong> regeneration in<br />
senescent skeletal muscle,” Nature Genetics 27: 195-200, 2001.<br />
10<br />
10
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
The enhancement to human capacities that may result from nanotechnology will<br />
probably not happen all at once; a steady progress in that direction appears more likely.<br />
However, even incremental technological progress can lead to dramatic social <strong>and</strong> ethical<br />
issues coming to the fore. <strong>Ethical</strong> issues such as how equitable access to these kinds of<br />
interventions will be ensured will then become especially salient. Though similar issues<br />
about access are present in different health care settings today, they largely revolve<br />
around access to therapies. It is likely that when enhancements do become available, they<br />
might initially look a lot like therapeutic advances, introducing another complication. The<br />
other major ethical issue that will arise in the context of enhancements is the definition of<br />
what it means to be human, <strong>and</strong> a significant impediment in resolving this would be<br />
conceptually distinguishing: 1) enhancements that arise from evolutionary forces <strong>and</strong> 2)<br />
enhancements that arise through technology. Since technology is itself a product of the<br />
human mind, some will argue that the two kinds of enhancements lie on a continuum,<br />
while others will see a disjuncture.<br />
As an example, reversal of blindness from age-related macular degeneration (if<br />
successful) may be seen as therapeutic, but a reversal of congenital blindness, although it<br />
may be perceived as ethically correct - could be seen as an enhancement, especially if<br />
carried out in later life. Extending the example, it is conceivable that developments in<br />
nanotechnology would someday allow vision to be extended to the infrared spectrum,<br />
enabling natural night vision. However, since deterioration of night vision is also agerelated,<br />
the initial beneficiaries might be older people, who will likely see it as a<br />
therapeutic advance. A virtually identical product, or even the same product, might,<br />
however, provide an enhancement to younger people with ‘normal’ human night vision.<br />
Such developments will introduce complex new regulatory <strong>and</strong> ethical issues. Some of<br />
these types of issues have begun to come up already in the context of gene therapy,<br />
where the boundary between therapeutic advances <strong>and</strong> enhancement is no longer clearcut.<br />
11<br />
11
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
As a more complex, convergent process, at the socio-econo-bio-info-cogno-nano<br />
level, there is also the possibility that a fundamentally new life form could come into<br />
existence in the future. This could happen through an incremental enhancement of<br />
human capacities (for example, a progressive substitution of prostheses for diseased or<br />
incapacitated organs, or organ regeneration, or a networking of biological instrumentation<br />
with human organs, or an interfacing of human sensory organs with computers). Or it<br />
could happen through an unforeseeable combination of the bio <strong>and</strong> nano components<br />
spontaneously acquiring the attributes of locomotion, autonomy, adaptation, <strong>and</strong> autocatalyzed<br />
self-replication. A version of the latter possibility has been present ever since<br />
recombinant genetic technology came on the scene thirty years ago, but at least any new<br />
life forms were then expected to still be DNA-based. In the years since such concerns<br />
were first voiced, developments in the biotech field have included, among others:<br />
cloning, genetically modified organisms, transgenic organisms <strong>and</strong> even the<br />
possibility of chimeras, but of course, all of these were, or have been, DNA based.<br />
Another possibility, leading logically from the combination of enhancement of<br />
human capacities <strong>and</strong> the possibility of new life forms, is the prospect of eventual<br />
prolongation of life, perhaps in perpetuity 11 . Since mortality is one of the more widely<br />
accepted characteristics of human (<strong>and</strong> all other living) beings, this prospect, combined<br />
with the issue of access to the interventions that might make it achievable, is likely to<br />
raise some of the most profound ethical issues of all.<br />
While it is certainly possible that the scope of nanotechnology in these matters<br />
may turn out to be no greater than that of biotechnology, the possibility also exists for<br />
qualitatively new developments, <strong>and</strong> stakeholders should therefore maintain awareness,<br />
foresight <strong>and</strong> analysis capacities with respect to developments in the field.<br />
12<br />
11 This does not appear imminent at the present time, but is logical to raise in a forward-looking issues<br />
discussion. The possibility is not just that human beings might simply live longer in their own bodies, but<br />
it could also take the form of continual organ regeneration, or humans interfacing with electronic<br />
equipment to form new entities. It could also take the form of downloading one’s experiences into software<br />
life forms, so that life continues in software etc.<br />
12
Stewardship in Nanotechnology <strong>Development</strong>:<br />
<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
OPRA Report 2006-4-1 Issued April 2006<br />
------------------------------------------------------------------------------------------------<br />
Determination of R&D Priorities: A Nanodivide?<br />
Another recurring concern deals with how research & development priorities as<br />
regards nanotechnology will be decided <strong>and</strong> how the benefits from nanotechnology,<br />
especially bionanotechnology (or medical applications of nanotechnology) will be<br />
distributed across people with different needs <strong>and</strong> abilities to pay. (To invent a<br />
hypothetical, but not unrealistic example, consider a tissue regeneration process that<br />
becomes commercialized using bio-nano-genomic convergent technologies, <strong>and</strong> enables,<br />
for example, reversal of blindness caused by macular degeneration. Initially, the cost of<br />
accessing the procedure is likely to be quite high.)<br />
Yet such concerns are already present today , <strong>and</strong> manifest themselves in different<br />
health care settings. They are also present in the concern over the ‘digital divide’ – the<br />
perception <strong>and</strong> reality of differential access to the benefits of information &<br />
communication technologies by social <strong>and</strong> economic class, between, among <strong>and</strong> within<br />
nations. Thus, at its core, this type of concern, when expressed about nanotechnology, is<br />
really a concern about the transparency <strong>and</strong> democracy of funding decisions, <strong>and</strong> not<br />
about the nature of nanotechnology itself. However, the opportunity does exist in the<br />
nanotechnology context today to address some of these concerns in a distinctive way, by<br />
promoting the greatest possible transparency, encouraging inclusive dialogue <strong>and</strong> wideranging<br />
consultations with a variety of stakeholders, <strong>and</strong> using their input in the policymaking<br />
process.<br />
This is true within a country, as well as across the international community as a<br />
whole. To put this in broader context, consider that nanotechnology has been envisaged<br />
to hold the promise of meeting a number of the Millennium <strong>Development</strong> Goals adopted<br />
by the United Nations in the late 1990s. Among these goals include the eradication or<br />
substantial reduction in the incidence of malaria, tuberculosis, blindness, HIV incidence,<br />
child poverty <strong>and</strong> hunger; the provision of safe drinking water; shelter <strong>and</strong> clothing for<br />
the populations of the poorest parts of the developing world, especially in sub-Saharan<br />
Africa.<br />
13<br />
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<strong>Ethical</strong> <strong>and</strong> <strong>Societal</strong> <strong>Issues</strong><br />
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Ottawa Policy Research Associates, Inc.<br />
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It is important to point out that while the ‘digital divide’ <strong>and</strong> the ‘biotechnology<br />
divide’ have had a significant ‘North-South’ component, there are indications that the<br />
‘nanodivide’, if it does come about, may well also have more of a South-South character.<br />
This is to say that some of the major countries of the global South, including India,<br />
China, Brazil <strong>and</strong> South Africa, are moving ahead with broad national initiatives in<br />
nanotechnology, while countries like Korea <strong>and</strong> Singapore may already be on par with<br />
countries of the North in their nanotechnology development. The vast majority of other<br />
countries, however, including most of sub-Saharan Africa, are currently significantly<br />
behind the rest of the world in nanotechnology awareness. Under such conditions, the<br />
divide between countries of the South may be just as large, or even larger than that<br />
between countries of the North <strong>and</strong> some of the advanced countries of the South.<br />
Two aspects of any possible future ‘nanodivide’ deserve mention. First, if the<br />
R&D priorities pursued in the North <strong>and</strong> the South diverge, because of differences in<br />
demographics; consumer tastes; health needs or economic imperatives – then significant<br />
sanitation, public health, water availability, <strong>and</strong> food needs of developing countries may<br />
well go unaddressed, because of a lack of R&D capacity in the South. The second issue is<br />
that a possible future ‘nanodivide’ is likely to exacerbate existing differences in<br />
individual <strong>and</strong> population health attainment between countries of the global North <strong>and</strong> the<br />
South. In an increasingly globalizing world, this will become ethically intolerable, <strong>and</strong><br />
moreover, will increase vulnerability in the global North to catastrophic health care<br />
emergencies that arise from developments in the global South 12 . Thus a proactive stance<br />
will build in foresight <strong>and</strong> policy analysis capacities with respect to such exigencies.<br />
Of course, a possible ‘nanodivide’ could occur within<br />
14<br />
nations too,<br />
disproportionately impacting certain traditionally marginalized communities within the<br />
North.. Analysis of mechanisms to ensure access <strong>and</strong> delivery of health benefits from<br />
12 This is even more the case if human enhancement, discussed in the previous section, were to become<br />
routinely available through nanotechnology, <strong>and</strong> remain restricted to people living in the advanced nations<br />
because of a ‘nanodivide’. Should this happen, it is quite possible that the enhanced <strong>and</strong> natural humans<br />
would have different susceptibilities <strong>and</strong> vulnerabilities to diseases.<br />
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Ottawa Policy Research Associates, Inc.<br />
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nanotechnology to such communities is a significant issue to be borne in mind as the<br />
health benefits of nanotechnology develop.<br />
Intellectual Property Regime<br />
If the benefits of nanotechnology must be more widely dispersed, <strong>and</strong> in an<br />
equitable <strong>and</strong> humane fashion, then one must also examine the intellectual property (IP)<br />
regime, which grants legal rights that result from intellectual activity in the<br />
nanotechnology arena. IP rights take the form of patents, copyrights, industrial designs,<br />
or rights to integrated circuit topographies, <strong>and</strong> which may extend in the future to<br />
nanotechnology as manufacturing process descriptions, pharmaceutical particle size<br />
distributions, alloying procedures <strong>and</strong> the like. Such IP rights underlie the very process of<br />
commercialization of technologies, <strong>and</strong> a vibrant intellectual property regime is<br />
considered a critical part of any innovation process. The exclusivity offered by a patent,<br />
for example, can be decisive in recouping the high level of investment required both for<br />
the foundational research <strong>and</strong> in the commercialization of the resulting product. Also, for<br />
a start-up company, the nature of the IP <strong>and</strong> the patent holdings in particular, validate for<br />
an investor the soundness of the basic technology <strong>and</strong> the business model.<br />
While patent rights are critical to deriving commercial value from technical<br />
innovations, an overly broad interpretation of the possible applications from a given<br />
invention, as might be claimed in a patent, can also serve to restrict other innovations. In<br />
many contemporary industries today, including materials, biotechnology <strong>and</strong> ICT, the IP<br />
regime has tended to create a patent thicket: an overlapping set of patents that forces<br />
innovators seeking to commercialize new technology to obtain licenses from incumbent<br />
multiple patent holders. Some of these patents are held by companies; individuals <strong>and</strong> IP<br />
traders who may never intend to commercialize the idea behind the patent. In many cases,<br />
the intention is precisely to create such a thicket, by filing patent claims in several tightly<br />
related areas (‘predatory inventors’).<br />
Generally, patent granting authorities [in the US, the United States Patent <strong>and</strong><br />
Trademark Office (USPTO)] will weed out patents with overly broad claims. However,<br />
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Ottawa Policy Research Associates, Inc.<br />
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broad patent claims can be granted for “pioneering” inventions, which involve a<br />
breakthrough that opens a whole new field. For example, it may be claimed that the<br />
process for making carbon nanotubes, discovered in the early 1990’s, was one such. On<br />
the other h<strong>and</strong>, “improvement” inventions are usually not granted such broad claims. An<br />
example of an “improvement” invention is a batch of purified nanotubes having a certain<br />
ratio of semiconducting to conducting (i.e., metallic) nanotubes.<br />
The nanotechnology field is also distinctive as far as IP rights are concerned, in<br />
that, given the many different possible applications for a specific nanotechnology<br />
innovation; the claims of patent applications have often tended to be quite broad. There is<br />
therefore a perception in the nanotech community that “patent thickets” may have<br />
developed in some nanotech sectors.<br />
A case in point that is particularly relevant to cancer nanotechnology may derive<br />
from the fact that quantum dot patents are largely held by photonics <strong>and</strong> electronics<br />
companies, while dendrimer patents are held largely by pharmaceutical <strong>and</strong> cosmetics<br />
companies. Thus innovators developing a product involving both might very well have to<br />
negotiate a patent thicket with multiple patent holders. Therefore an important set of<br />
issues in the field of nanotech IP arise from the need to prevent the development of patent<br />
thickets, <strong>and</strong> to factor in the interdisciplinary <strong>and</strong> convergent nature of nanotechnology to<br />
weed out overly broad individual patent claims as well.<br />
Other issues that arise in related areas include those dealing with the definitional<br />
characteristics of nano- <strong>and</strong> nanobiotechnology, both for patent granting purposes <strong>and</strong> for<br />
regulatory purposes. Here the physics-based definition of 1-100nm size range will not<br />
suffice 13 , <strong>and</strong> may even tend to inhibit legitimate patent filings on the one h<strong>and</strong>, as well<br />
as encourage trivial filings on the other. For example, merely bringing a previously<br />
existing product into the nanosize range is considered patentable by some <strong>and</strong> not by<br />
others - this is a relevant issue to settle. The characterization of nanomaterials, both in<br />
general <strong>and</strong> in the context of specific health-related applications is an important step<br />
13 Note that the Greek word ‘nano’ means ‘dwarf’ or ‘very small’, <strong>and</strong> this is the sense in which the term is<br />
likely to be used as a prefix outside the strict physics context.<br />
16<br />
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Ottawa Policy Research Associates, Inc.<br />
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prior to clinical trials <strong>and</strong> subsequent submission for regulatory approval. In the US, the<br />
National Cancer Institute has specifically established a Nanotechnology Characterization<br />
Laboratory tasked with carrying out pre-clinical testing <strong>and</strong> characterization of<br />
nanotechnology-related cancer treatments. Such a characterization facility would<br />
interface with both intellectual property offices <strong>and</strong> with regulatory approval<br />
mechanisms. It would also have to coordinate with st<strong>and</strong>ards setting <strong>and</strong> metrology<br />
institutions 14 .<br />
The academic background of patent examiners, <strong>and</strong> whether it includes sufficient<br />
inter-disciplinary focus, both to recognize <strong>and</strong> discourage overly broad patent claims on<br />
the one h<strong>and</strong>, <strong>and</strong> encourage truly novel applications on the other, is another relevant<br />
issue. A related issue deals with st<strong>and</strong>ards setting, measurement, <strong>and</strong> verification of<br />
nanoparticle <strong>and</strong> nanomaterial related claims. This capacity is critical to patent granting,<br />
regulatory approval, <strong>and</strong> to health <strong>and</strong> safety evaluation. In the health <strong>and</strong> safety context,<br />
moreover, the related issue of dose metrics is relevant in estimating the exposure to<br />
nanomaterials, <strong>and</strong> can be acted on only when there are widely accepted measurement<br />
st<strong>and</strong>ards. The importance of st<strong>and</strong>ards <strong>and</strong> verification is greater in the nanomaterial<br />
context because many of their properties appear strongly dependent on the physicochemical<br />
environment in which they find themselves. This fact has actually impeded<br />
reproducibility <strong>and</strong> verification of research results even in a purely academic context, <strong>and</strong><br />
the issue is likely to be even more critical in the commercialization context.<br />
17<br />
14 Specifically, the Nanotechnology Characterization Laboratory (NCL) at the US National Cancer Institute<br />
is tasked with developing <strong>and</strong> performing ‘an analytical cascade’ that tests the pre-clinical toxicology,<br />
pharmacology <strong>and</strong> efficacy of nanoparticles <strong>and</strong> devices (US NCL Business Plan, 2006), <strong>and</strong> interfaces<br />
with all potential application streams in health, safety <strong>and</strong> manufacturing.<br />
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SATYEN BAINDUR, PHD<br />
Ottawa Policy Research Associates, Inc.<br />
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Privacy <strong>and</strong> Security of Identity<br />
Another significant concern that has been expressed deals with the impact<br />
nanotechnology may have on remote sensing <strong>and</strong> surveillance technologies, <strong>and</strong> whether<br />
these might be able to violate individual privacy, or even to render the concept of privacy<br />
meaningless or severely compromised. This is even more the case when the potential of<br />
nano is seen in the context of bio <strong>and</strong> info technologies, <strong>and</strong> by visualizing their<br />
convergence. To an extent, the fear is driven by the hype about nanotechnology. For<br />
example, it is conjectured that nanosensors could someday come to exist in dimensions<br />
small enough to be obtainable in spray paint used in the walls of a house, a car or<br />
appliances. It is conjectured also that nanosensors could be autonomous, not unlike<br />
viruses or bacteria, <strong>and</strong> swarms of such sensors could form an undetectable monitoring<br />
network.<br />
While the fear is driven by the hype, not all such possibilities can be completely<br />
dismissed. It is in fact quite possible that developments in nanotechnology may enable,<br />
enhance or reinforce trends that are already under way in compromising individual<br />
privacy. For example, nanotechnology may very well enable extremely tiny Radio<br />
Frequency ID (RFID) tags to be attached to consumer products, <strong>and</strong> allow the linking of<br />
personal information to a particular purchased product, which may then allow individuals<br />
to be profiled <strong>and</strong> tracked when they visit a store. This could lead to increased collection<br />
of data on individuals; <strong>and</strong> it may occur without consumers being aware of the sensing<br />
devices. The RFID technology already exists, <strong>and</strong> nanotechnology developments could<br />
make the sensors less detectable, more sensitive, more mobile <strong>and</strong> more autonomous.<br />
The RFID technology can also lead to a subdermally implantable RFID device,<br />
which would unambiguously identify a person, <strong>and</strong> could in addition serve as a sensor for<br />
various health conditions that may well be monitored in real time 15 . It is also not too<br />
difficult to envisage a situation where this RFID device could be implanted without the<br />
explicit consent of the individual, or where informed consent cannot be given because of<br />
18<br />
15 Indeed, experimental demonstrations have already been reported, both in the US <strong>and</strong> in the EU.<br />
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Ottawa Policy Research Associates, Inc.<br />
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the health status of the individual in question 16 , or where it could be programmed to<br />
monitor conditions different from those that were consented to.<br />
This type of technology could also be used to detect <strong>and</strong> store the detailed health<br />
state of an individual – for example, it is not too far-fetched to imagine a mobile (but<br />
passive) nano-biosensor network that detects individuals with specific health conditions,<br />
unbeknown to the individuals themselves. Clearly this would render the concept of<br />
individual health privacy completely meaningless. By only a slightly greater stretch of<br />
imagination, it is possible to envisage an active network of nano-biosensors that can<br />
invasively interrogate the health condition of a person or even a population, again without<br />
the individual or population becoming aware that this is happening.<br />
Of course, this type of innovation, should it come about, can also have beneficial<br />
public health impacts, <strong>and</strong> the violation of privacy must be balanced against the possible<br />
public health benefit. To some extent, this type of dilemma is already faced in the public<br />
health context today. The more significant concern is when the benefit from such a<br />
monitoring <strong>and</strong> surveillance is appropriated for exclusive private or commercial gain. In<br />
such a case, privacy will have been violated without a concomitant public benefit.<br />
A related concern is already being faced in certain biotechnology contexts, where<br />
it is now possible to detect certain heritable conditions or predispositions well in advance<br />
of when they manifest themselves. So long as the condition is not immediately life<br />
threatening, the detection of such tendencies is now considered subject to privacy laws,<br />
<strong>and</strong> even the affected individual may elect not to be informed, under a supposed ‘right<br />
not to know’. Storage of such information, when the individual has elected not to be<br />
informed, raises ethical issues, <strong>and</strong> widely accepted norms have not yet been established.<br />
A similar set of ethical issues underlies the development of such capabilities in the nano<br />
<strong>and</strong> bio-nano contexts, <strong>and</strong> an acceptable set of norms needs to be evolved.<br />
19<br />
16 For example, it has been suggested that such tagging could simplify identification of mentally<br />
incompetent individuals, or those suffering from conditions such as epilepsy, or those who might be unable<br />
to provide a complete health history, etc.<br />
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Ottawa Policy Research Associates, Inc.<br />
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Nanotechnology is therefore not unique in giving rise to concerns regarding<br />
privacy; similar concerns having arisen before in the context of other technologies. Both<br />
biotechnology <strong>and</strong> information & communication technologies gave rise to similar<br />
concerns, <strong>and</strong> that continues to be a concern in respect of how both technologies are<br />
evolving today. The fear is greater when these technologies are foreseen to converge, <strong>and</strong><br />
most of the concerns arise from simple extrapolation of technological possibilities. While<br />
the technological possibilities cannot be dismissed out of h<strong>and</strong>, the actual realization of<br />
the possibilities is a social process. Therefore the appropriate way to address such<br />
concern is also through social processes, including consultation, dialogue, democratic<br />
inclusion <strong>and</strong> transparency in decisionmaking, combined with a forward-looking policy<br />
framework <strong>and</strong> an informed policymaking mechanism.<br />
20<br />
Economic Impact<br />
Another oft-expressed concern deals with the impact nanotechnologies might<br />
have on the economic system, <strong>and</strong> the labour market in particular. This type of concern –<br />
which is finding voice in the context of nanotechnology today, also attended the arrival of<br />
earlier technologies such as the steam engine, electricity <strong>and</strong> atomic energy. Many of<br />
these concerns are also expressed under the assumed premise that technological<br />
development <strong>and</strong> deployment is an unstoppable juggernaut, proceeding with its own<br />
logic, unmediated by social or ethical concerns – a view that may be called ‘technological<br />
determinism’.<br />
The lesson from the past is not that the manner in which technologies such as<br />
atomic energy developed was uniformly benign <strong>and</strong> that there was no reason for concern<br />
whatsoever. Rather, the lesson is that the most significant concerns that did manifest<br />
themselves were not the ones that had been anticipated, <strong>and</strong> that technology <strong>and</strong> society<br />
interacted subsequently in interesting <strong>and</strong> subtle ways both to constrain development of<br />
the technologies <strong>and</strong> to advance them along unforeseen directions. For example, atomic<br />
energy was initially projected as becoming all pervasive, with devices from planes to<br />
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Ottawa Policy Research Associates, Inc.<br />
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trains to automobiles <strong>and</strong> even toasters being atomic-powered. It was also projected to<br />
become so cheap that it would not need to be metered. Some of these possibilities were<br />
not realized because they proved technically infeasible. Others could not be<br />
commercialized because of a variety of reasons.<br />
There are some similarities in the projections made about nanotechnology today,<br />
in the pervasiveness that is held out for nanotechnology, <strong>and</strong> also in the oft-repeated<br />
assertion that the nanoscale is the most basic length scale at which all interesting<br />
phenomena occur, <strong>and</strong> that ‘biology, chemistry <strong>and</strong> physics’ all come together at this<br />
scale. It is further claimed by some that therefore, nanotechnologies will also<br />
revolutionize science education by properly emphasizing the importance of the<br />
nanoscale, doing away with traditional distinctions between scientific disciplines. While<br />
there may be a grain of truth in this, such assertions mostly just add to the hype<br />
surrounding nanotechnology today, since similar things were one said about atomic<br />
science, space science or computer science.<br />
That said, it is undoubtedly true that future development of nanotechnology will<br />
likely lead to a decline in employment in some sectors of the economy, that others might<br />
operate with different raw materials or use them less intensively, <strong>and</strong> some entirely new<br />
sectors will also evolve. This has happened with virtually all technologies. Seen in this<br />
light, nanotechnologies would be different from other technologies only in the details of<br />
which sectors <strong>and</strong> skills are impacted. This assertion is, however, somewhat weakened if<br />
it is realized that nanotechnology is explicitly conceived today as a transformative<br />
technology designed to change the basic dynamics of all economic sectors. By contrast,<br />
the Internet, when conceived, was designed merely as an emergency communication<br />
medium. That it has had a much broader impact today, simply underlines the fact that<br />
long-term techno-socio-economic projections have significant uncertainties. For this<br />
reason, even though the stated aim of nanotechnology is to impact all sectors, it may<br />
prove to be less than that – or it may prove to be far more than even its strongest<br />
supporters envision today.<br />
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Ottawa Policy Research Associates, Inc.<br />
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In the international context, a concern that has been expressed is that<br />
commercialization of nanotechnology might lead to loss of markets for traditional raw<br />
materials, both primary – such as coal or iron ore; <strong>and</strong> agricultural, such as cotton or silk<br />
– that countries of the global South currently rely upon for export revenue. The loss of<br />
such markets may lead to further impoverishment of the global South, <strong>and</strong> thus further<br />
depress health conditions in these countries. Such a situation would further exacerbate<br />
any ‘nanodivide’ that comes to exist, <strong>and</strong> this is an especially grave ethical concern in<br />
sub-Saharan Africa.<br />
Thus in an enlightened stance, one would maintain awareness of such issues. It is<br />
necessary also to keep in mind the time scale over which such issues could arise, if at all.<br />
Significant economic impacts from most technologies are usually seen over a period of<br />
decades. However, there is the view that nanotechnologies might lead to compressed<br />
technological development time (a steeper S-curve), <strong>and</strong> this may well be true, or become<br />
true, for some nanotechnologies.<br />
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Ottawa Policy Research Associates, Inc.<br />
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Bio-Nano Combination Products<br />
While regulatory <strong>and</strong> policy interest exists for applications <strong>and</strong> products involving<br />
nanomaterials across the board, interest is especially high in healthcare <strong>and</strong> biomedical<br />
applications. A particularly salient issue in the context of biomedical nanotechnology is<br />
that some products are turning out to span traditionally defined product classes. The<br />
potential of nanotechnology, in convergence with biotechnology <strong>and</strong> information<br />
technology gives rise to such possibilities.<br />
For example, some nanotechnology-based products can be simultaneously<br />
medical devices, as well as pharmaceuticals, <strong>and</strong> some may in addition include<br />
biologically active species. These have come to be called ‘combination products’, <strong>and</strong><br />
some jurisdictions have begun to address their regulation issues based on the primary<br />
mode of action, defined as the most important therapeutic effect; the combined action of<br />
all modes being necessary for the full impact of the product (US FDA 2005).<br />
Combination products are made of multiple constituents: drug-device, drugbiologic,<br />
device-biologic or drug-device-biologic; that are physically or chemically<br />
combined, co-packaged in a kit, or separately cross-labeled products. All components<br />
work as a system <strong>and</strong> are critical to achieve the desired therapeutic effect.<br />
An example in the context of nano-oncology (‘cancer nanotechnology’) would be<br />
a drug-device-biological combination as follows (this is a hypothetical but realistic<br />
example):<br />
• A nanotube based microfluidic drug delivery device<br />
• A therapeutic agent carried within the nanotube (drug)<br />
• A quantum dot based imaging device<br />
• A low-density-lipoprotein or oligonucleotide-based targeting agent<br />
(biological)<br />
All of these could conceivably be packed into the same drug-biological-device<br />
combination. Should such a device be developed, for example, it could be useful in both<br />
therapy <strong>and</strong> image assisted surgery for a metastasizing tumour. In this case, there are<br />
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actually two devices – the delivery device <strong>and</strong> the imaging device – in the same product.<br />
While the combination requires all of the components to achieve its effect, it is possible<br />
to argue that it be seen primarily as a therapeutic agent (depending, of course, on the<br />
treatment actually being implemented), with the delivery device, the imaging device, <strong>and</strong><br />
the targeting agent being seen as subsidiary. However, in general, determinations of the<br />
primary mode of action are unlikely to be straightforward, <strong>and</strong> will undoubtedly<br />
introduce interesting issues <strong>and</strong> challenges in the future regulatory <strong>and</strong> approval context.<br />
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Ottawa Policy Research Associates, Inc.<br />
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Towards a Definition of Nanotechnology<br />
The definition most often used today in the context of nanotechnology derives<br />
from an earlier definition of nanoparticle or nanostructure, based on a length scale of<br />
between 1-100nm. This, in turn, was derived from a definition that became common in<br />
the context of basic physics research in materials science <strong>and</strong> condensed matter during<br />
the 1990s. However, such a narrowly based definition is unlikely to prove adequate in the<br />
context of regulation of nanotechnology-based products, whether from a health <strong>and</strong> safety<br />
perspective; or a therapeutic, diagnostic, imaging or restorative st<strong>and</strong>point.<br />
Efforts are active at this time, to arrive at a common agreement across<br />
jurisdictions on such a definition, coordinated both by organizations such as the OECD,<br />
ISO 17 <strong>and</strong> nanotechnology-specific organizations such as the International Council on<br />
Nanotechnology.<br />
The regulatory predicament is two-fold. First, there is the issue of analyzing <strong>and</strong><br />
certifying the diagnostic or therapeutic claims of nanotechnology-based health-care<br />
products, <strong>and</strong> coming up with specific regulatory mechanisms <strong>and</strong> testing protocols. The<br />
second issue is the question of analyzing nanotechnology products in general from the<br />
health <strong>and</strong> safety st<strong>and</strong>point. In the first case, manufacturers may well wish to attribute<br />
any therapeutic or beneficial property to a presumed ‘nano’-effect, <strong>and</strong> in the second,<br />
may well understate any ‘nano’-based effect.<br />
Within the therapeutic context, for example, nanotechnology based drug products<br />
are likely to be characterized by some or all of the following attributes, which may need<br />
to be explicitly introduced into regulatory considerations involving nanopharmaceuticals:<br />
a. Average particle size <strong>and</strong> size distribution 18 .<br />
b. Surface characteristics including area per unit mass, the presence of surface structure<br />
– e.g., dendrites on drug particles, <strong>and</strong> surface chemistry in general.<br />
c. For some applications, porosity of the particles may also be a relevant consideration.<br />
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17 International St<strong>and</strong>ards Organization.<br />
18 Abraxane, a breast cancer drug, for example, has a mean particle size of 130nm.<br />
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d. For other applications, the hydrophilicity <strong>and</strong> surface charge density could be<br />
relevant.<br />
e. As for most other drug formulations, the purity, sterility <strong>and</strong> stability will also be a<br />
relevant characteristic of nanoparticle drugs, <strong>and</strong> as with other kinds of drugs, it will be<br />
necessary to determine if the therapeutic action in vitro is also valid in vivo. Since<br />
nanomaterials often display properties that are strongly dependent on their environment,<br />
the last consideration is more significant in the nanomaterial context than for other<br />
pharmaceuticals, whose action may be less sensitive to the details of their physicochemical<br />
environment.<br />
Such considerations thus go beyond mere particle size, <strong>and</strong> moreover, given the<br />
possibility of ‘combination products’ as mentioned above, regulatory considerations <strong>and</strong><br />
definitions are likely to be appropriately more complex <strong>and</strong> nuanced, especially when<br />
they begin to involve biologicals <strong>and</strong> biotechnology products in addition to<br />
nanotechnology.<br />
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Building Regulatory Expertise<br />
Currently, the entire paradigm governing regulatory approval of health-related<br />
products on the one h<strong>and</strong>, as well as the safety <strong>and</strong> environmental health considerations<br />
regarding general consumer products on the other h<strong>and</strong>, is based on a biological <strong>and</strong><br />
chemical disciplinary background. The assays <strong>and</strong> protocols required to secure regulatory<br />
approval are largely determined in terms of chemistry. As biotechnology, <strong>and</strong> in<br />
particular, proteomics <strong>and</strong> genomics have developed, some of the protocols have evolved<br />
beyond mere chemistry, to involve combinatorial <strong>and</strong> computer science oriented issues in<br />
addition.<br />
However, nanotechnology holds the promise of combining materials science with<br />
biology in ways unlikely to have been seen by most regulators before, <strong>and</strong> it will likely<br />
be necessary to require some supplementation of physical science concepts in their<br />
disciplinary backgrounds, as well as in the overall disciplinary orientation of the<br />
regulatory <strong>and</strong> approval regime. The educational backgrounds of the Health Physicists of<br />
today – who primarily deal with safety issues surrounding radioactive materials – has<br />
more of the balance between biology <strong>and</strong> physics, of the type that is likely to be needed<br />
in the case of nanomaterials. However, their training is oriented primarily to the health<br />
effects of radiation, <strong>and</strong> the different types <strong>and</strong> amounts of radioactivity to be expected<br />
from different types of sources 19 . The educational backgrounds of future regulators for<br />
nanotechnology will need to have components of materials science (‘nanoscience’)<br />
where Health Physicists have nuclear science, <strong>and</strong> knowledge of the emerging<br />
nanotoxicology, where Health Physicists have knowledge of radiation effects.<br />
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19 Radioactivity is not a principal concern in the context of nanomaterials – though certain kinds of<br />
radioactive dusts could have particles in the nanoscale range. Some concepts in radio-aerosol science <strong>and</strong><br />
radioactive material safety are likely, however, also to have relevance in Nanomaterial Health & Safety<br />
<strong>Issues</strong>.<br />
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Building Risk Assessment R&D Capacity<br />
Of course, one of the major expressed concerns regarding nanotechnology deals<br />
with their health <strong>and</strong> environmental effects. Such concerns also originate from an ethical<br />
<strong>and</strong> societal perspective, <strong>and</strong> not exclusively from a clinical, medical, or techno-scientific<br />
perspective. This issue can be addressed by initiating multidisciplinary research programs<br />
into the health <strong>and</strong> safety aspects of nanomaterials. Designing such a research program to<br />
have significant <strong>and</strong> ongoing input from social scientists <strong>and</strong> ethicists, <strong>and</strong> creating a<br />
horizontally integrated research agenda – addresses it more fully.<br />
Such a research agenda would have a pharmacological, a toxicological <strong>and</strong> an<br />
ecological component, properly addressing issues that traverse disciplinary boundaries,<br />
<strong>and</strong> balanced by ethical <strong>and</strong> social perspectives. Risk assessment would include<br />
continuing <strong>and</strong> ongoing research into both exposure aspects <strong>and</strong> hazard aspects.<br />
As the pace of nanotechnology product development increases, <strong>and</strong><br />
commercialization becomes a reality for many product classes, the issue of risk<br />
assessment is no longer merely of long-term interest, but can become critical <strong>and</strong><br />
urgent. In Germany, for example, the National Institute of Risk Assessment issued a<br />
health warning in March 2006, against using a cleaning substance made from nanoscale<br />
materials that caused respiratory illnesses among users, particularly those who used the<br />
product in small, enclosed spaces. The product was subsequently recalled by the<br />
manufacturer.<br />
A related issue that arises in situations involving nanoscale materials in products<br />
is whether the earlier classification of products into 1) those that require regulatory<br />
approval prior to use, <strong>and</strong> 2) those that are subject to post-market surveillance – may<br />
need to be revisited as regards nano-products. Since nanomaterials have raised concerns<br />
about health <strong>and</strong> safety (discussed in detail elsewhere in this document), until greater<br />
information becomes available regarding the safety of nano-scale products in everyday<br />
use, one possible policy option is greater scrutiny for all nanoproducts before they reach<br />
the market, even if the product class to which they belong was previously not subject to<br />
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such scrutiny. Such risk assessment <strong>and</strong> precautionary action is made more credible only<br />
in conjunction with simultaneous building up of measurement, st<strong>and</strong>ards <strong>and</strong><br />
characterization capacities, as was discussed earlier in this document. (This is also likely<br />
to have the effect of weeding out products that claim to have nanoscale materials but<br />
actually don’t.)<br />
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CONCLUSION<br />
To distinguish among different types of concerns outlined here, <strong>and</strong> to develop a<br />
coherent conceptual scheme to prioritize them, one could use the time scale over which<br />
the scenario underlying the concern manifests itself. For example, the concern about<br />
potential health <strong>and</strong> safety risks from nanomaterials is an immediate or near-term<br />
concern. It is manifest here <strong>and</strong> now. This is not to say that some health effects from<br />
nanotechnology may not appear a significant time after exposure. It is simply to assert<br />
that the concern is already with us, somewhat independently of the extent to which<br />
product development in nanotechnology advances. Of course, over time, the concern may<br />
change in intensity. Given that it is already present, however, action – in the form of<br />
research into health <strong>and</strong> environmental effects; <strong>and</strong> precaution, in terms of lessons<br />
learned from the past, seem quite warranted.<br />
While technological determinism is not the correct paradigm for thinking about<br />
the future, some real surprizes (both pleasant <strong>and</strong> not so pleasant) probably do await us in<br />
the products <strong>and</strong> services, <strong>and</strong> the economic <strong>and</strong> social changes that nanotechnology<br />
enables, facilitates or causes. There are alternatives to a deterministic view of<br />
technological development: for example, a socio-technological process in which social<br />
goals drive research, with society determining its needs early in the process, while<br />
technologists set technology targets <strong>and</strong> basic science is directed to meet those<br />
technological targets has been suggested. This perspective places the setting of social <strong>and</strong><br />
ethical goals at the beginning of the technological process, not analyzing the impact at the<br />
end of the process. Also, science does not proceed ‘unfettered’ in this view; rather it is<br />
directed toward specific ends that have been determined beforeh<strong>and</strong>. A slight<br />
modification visualizes an iterative process, with social <strong>and</strong> ethical considerations being<br />
determined on a continuous basis, with a stakeholder process being set in place,<br />
collaborations with natural scientists <strong>and</strong> technologists, <strong>and</strong> an ongoing evaluation<br />
process (Gorman 2004). A policy <strong>and</strong> foresight structure for nanotechnology<br />
development could be built around such a framework.<br />
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In addition to having an appropriate policy structure, there is also a need to<br />
initiate <strong>and</strong> promote inclusive dialogues regarding nanotechnology at all levels; to ensure<br />
that all stakeholders are respectfully heard; <strong>and</strong> that all concerns are voiced <strong>and</strong><br />
acknowledged.<br />
In this way, policymaking proceeds with the greatest degree of<br />
awareness, <strong>and</strong> enables the creation of the greatest public good, while stakeholder<br />
interests are also appropriately represented. In addition, the ability to act transparently<br />
when enough evidence is adduced to motivate a particular course of action also enhances<br />
the credibility of the policymaking process across all stakeholder classes.<br />
Finally, but importantly, ethical <strong>and</strong> societal issues can only be dealt with when<br />
the knowledge base necessary to think through the issues is nurtured <strong>and</strong> strengthened.<br />
Just as the concerns over biotechnology gave rise to the academic discipline of bioethics,<br />
which built upon the existing discipline of medical ethics, a new discipline called<br />
‘nanoethics’ may very well need to come into existence. This discipline would build on<br />
traditions in bioethics, among other areas of inquiry, <strong>and</strong> would consider <strong>and</strong> incorporate<br />
basic ethical principles, both into policies regarding nanotechnology development, as well<br />
as in various application contexts for nanotechnology. Such a discipline would thus be<br />
able to address ethical issues that surround both the desirability for certain<br />
nanotechnology applications to move forward in the first place, as well as issues that<br />
arise after certain applications have already developed – such as equitable access <strong>and</strong><br />
socio-economic impact.<br />
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References<br />
32<br />
WHITE PAPERS, DISCUSSION PAPERS & POLICY ISSUES<br />
1. US National Institute for Occupational Safety <strong>and</strong> Health 2005: Approaches to<br />
Safe Nanotechnology October 1 2005.<br />
2. US Environmental Protection Agency 2005: Nanotechnology White Paper<br />
External Review Draft. December 2005.<br />
3. US Food <strong>and</strong> Drug Administration 2005: Nanotechnology: Regulatory<br />
Perspective for Drug <strong>Development</strong>.<br />
4. European Science Foundation 2005: Nanomedicine: A Forward Look<br />
5. European Commission Directorate General of Consumer Health <strong>and</strong> Consumer<br />
Protection (SANCO) 2004: Nanotechnologies: A Preliminary Risk Analysis<br />
6. UK Royal Society <strong>and</strong> Royal Academy for Engineering 2004: Nanoscience <strong>and</strong><br />
Nanotechnologies: Opportunities <strong>and</strong> Uncertainties.<br />
7. UK Health <strong>and</strong> Safety Executive 2004: Nanoparticles: An Occupational<br />
Hygiene Review Research Report 274.<br />
COMMERCIALIZATION AND PATENTING ISSUES<br />
1. Bawa, R.: Will the Nanomedicine “Patent L<strong>and</strong> Grab” Thwart<br />
Commercialization? Nanomedicine: Nanotechnology, Biology <strong>and</strong> Medicine,<br />
1, 346-350 (2005).<br />
2. Law Offices of Foley Lardner LLP: Nanotechnology Resource Center,<br />
http://www.foley.com/news/hottopic_detail.aspx?hottopicid=6. (Accessed 10<br />
April 2006).<br />
3. Koppikar, V. et al.: Current Trends in Nanotech Patents: A View From Inside<br />
the Patent Office, Nanotech. Law & Bus. 1, 4 (2004).<br />
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4. Woodrow Wilson Center 2006: Nanotechnology Product Inventory, available<br />
online http://www.nanotechproject.org/index.php?id=44, Released 10 th<br />
2006.<br />
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March<br />
ETHICAL AND SOCIETAL ISSUES<br />
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nanotechnology: Maximizing human benefit. J Nanoparticle Res 2005, 7:1-13.<br />
2. Roco, M C <strong>and</strong> Bainbridge WS: <strong>Societal</strong> Implications of nanoscience <strong>and</strong><br />
nanotechnology: NSET Workshop Report. 2001.<br />
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IEEE Technology <strong>and</strong> Society 2004, Vol. 23 No. 4 (Special Issue on Nanotechnology)<br />
4. Joy, Bill: Why the future doesn’t need us Wired Magazine April 2000.<br />
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1. Donaldson K, Stone V, Tran CL, Kreyling W, Borm PJ: Nanotoxicology. Occup<br />
Environ Med 2004, 61:727-728.<br />
2. Hardman, R A Toxicologic Review of Quantum Dots: Toxicity Depends on<br />
Physicochemical <strong>and</strong> Environmental Factors Environ Health Perspect 2006,<br />
114:165-172. (February 2006).<br />
3. Hood E: Nanotechnology: looking as we leap. Environ Health Perspect 2004,<br />
112:A740-A749.<br />
4. International Commission on Radiological Protection (ICRP): Human Respiratory<br />
Model for Radiological Protection. Ann ICRP 1994 24: 1-300.<br />
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deposition in porous media. Environ. Sci. Technol. 2004, 38(16), 4377–4382.<br />
6. Maynard AD <strong>and</strong> Kuempel, ED: Airborne nanostructured particles <strong>and</strong><br />
occupational health. J Nanoparticle Res 2005, 7: 587–614<br />
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9. Oberdorster E: Manufactured nanomaterials (fullerenes, C60) induce oxidative<br />
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112:1058-1062.<br />
10. Oberdörster G, Maynard A, Donaldson K, Castranova V, Fitzpatrick V, Ausman K,<br />
Carter J, Karn B, Kreyling W, Lai D, Olin S, Monteiro-Riviere N, Warheit DB, Yang<br />
H, <strong>and</strong> A report from the ILSI Research Foundation/Risk Science Institute<br />
Nanomaterial Toxicity Screening Working Group. Principles for characterizing the<br />
potential human health effects from exposure to nanomaterials: elements of a<br />
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11. Oberdorster G, Oberdorster E, Oberdorster J: Nanotoxicology: an emerging<br />
discipline evolving from studies of ultrafine particles. Environ Health Perspect<br />
2005, 113:823-839.<br />
12. Rothemund PWK: Folding DNA to create nanoscale shapes <strong>and</strong> patterns Nature<br />
2006, 440 297-302. (16 March 2006).<br />
13. Sayes CM, Gobin AM, Ausman KD, Mendez J, West JL, Colvin VL: Nano-C(60)<br />
cytotoxicity is due to lipid peroxidation. Biomaterials 2005, 26:7587-7595.<br />
14. Seeman NC, Lukeman PS: Nucleic Acid Nanostructures: bottom-up control of<br />
geometry on the nanoscale. Rep Prog Phys 2005, 68 237-70.<br />
15. Shvedova AA, Kisin ER, Mercer R, Murray AR, Johnson VJ, Potapovich AI, et al.:<br />
Unusual inflammatory <strong>and</strong> fibrogenic pulmonary responses to single walled<br />
carbon nanotubes in mice. Am J Physiol Lung Cell Mol Physiol 2005.<br />
16. Soong RK, Bach<strong>and</strong> GD, Neves HP, Olkhovets AG, Craighead HG, <strong>and</strong><br />
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motor. Science, 290: 1555-1558.<br />
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17. Tsapis N, Bennett D, Jackson B, Weitz D.A., Edwards D.A.: Trojan particles:<br />
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