Clarifying Misconceptions and Recentring the Debate on Heritable Human Genome Editing in South Africa: A Response to De Vries
DOI:
https://doi.org/10.17159/1727-3781/2025/v28i0a21163Keywords:
health law, genome editing, National Health Act, public engagement, statutory interpretationAbstract
This article responds to recent criticisms by Professor Jantina de Vries regarding my research group's position on the legal status of heritable human genome editing (HHGE) in South Africa. De Vries challenges our interpretation of section 57 of the National Health Act (NHA), questions the methodology of our deliberative public engagement study, and speculates about the broader intentions behind our work. In this response, I clarify our interpretation of section 57 using established principles of statutory interpretation and show that the provision prohibits reproductive cloning but does not ban HHGE outright. I address misconceptions surrounding the scope and structure of the provision, and demonstrate why an interpretation that bans HHGE would result in internal inconsistency. I also defend the methodological soundness and peer-reviewed credibility of our public engagement research, and respond to concerns about our broader strategic intent. Finally, I propose a constructive path forward: a context-sensitive regulatory framework for HHGE grounded in constitutional values, public health priorities and rigorous ethical oversight. The article aims to re-centre the debate on substantive legal and governance issues and invites evidence-based academic engagement on the future of HHGE in South Africa. In doing so it contributes to a more principled and legally coherent foundation for regulating advanced biotechnologies in constitutional democracies.
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Bibliography
Literature
Kamwendo TA Access to Healthcare in the Age of CRISPR: An Analysis of the Right to Heritable Human Genome Editing in the Context of the Tuberculosis Epidemic in South Africa (LLD-thesis University of KwaZulu-Natal 2022)
Kamwendo T and Shozi B "Is South Africa Ready for the Future of Human Germline Genome Editing? Comparing South African Law and Recent Proposals for Global Governance" 2021 S Afr J Bioeth Law 97-100 DOI: https://doi.org/10.7196/SAJBL.2021.v14i3.761
King RC, Stansfield WD and Mulligan PK A Dictionary of Genetics 7th ed (Oxford University Press Oxford 2006) DOI: https://doi.org/10.1093/acref/9780195307610.001.0001
National Health Research Ethics Council South African Ethics in Health Research Guidelines – Principles, Processes and Structures 3rd ed (National Department of Health Pretoria 2024)
Ramsay M et al "Heritable Human Genome Editing in South Africa – Time for a Reality Check" 2025 SAMJ https://doi.org/10.7196/ DOI: https://doi.org/10.7196/SAMJ.2025.v115i1.2872
SAMJ.2025.v115i1.2872
Shozi B An Afrocentric Approach to CRISPR-Cas9: Analysing the Use of Genetic Technologies in Human Reproduction Through the Lens of Human Rights and African Values (LLD-thesis University of KwaZulu-Natal 2021)
Shozi B "Something Old, Something New: Applying Reproductive Rights to New Reproductive Technologies in South Africa" 2020 SAJHR 1-24 DOI: https://doi.org/10.1080/02587203.2020.1776632
Shozi B "Does Human Germline Genome Editing Violate Human Dignity? An African Perspective" 2021 JLB https://doi.org/10.1093/jlb/lsab002 DOI: https://doi.org/10.1093/jlb/lsab002
Shozi B and Thaldar D "Promoting Equality in the Governance of Heritable Human Genome Editing Through Ubuntu: Reflecting on a South African Public Engagement Study" 2023 Am J Bioeth https://doi.org/10.1080/ DOI: https://doi.org/10.1080/15265161.2023.2207524
15265161.2023.2207524
Shozi B et al "The Future of Global Regulation of Human Genome Editing: A South African Perspective on the WHO Draft Governance Framework on Human Genome Editing" 2021 J Med Ethics https://doi.org/ DOI: https://doi.org/10.1136/medethics-2020-106863
10.1136/medethics-2020-106863 DOI: https://doi.org/10.1136/medethics-2020-106863
Thaldar D "Building a Progressive Reproductive Law in South Africa" 2023 Health and Human Rights 43-52
Thaldar D "A Golden Opportunity for South Africa to Legislate on Human Heritable Genome Editing" 2023 S Afr J Bioeth Law 91-94 DOI: https://doi.org/10.7196/SAJBL.2023.v16i3.1568
Thaldar D and Shozi B "Procreative Non-maleficence: A South African Human Rights Perspective on Heritable Human Genome Editing" 2020 CRISPR J 32-36 DOI: https://doi.org/10.1089/crispr.2019.0036
Thaldar D and Shozi B "South Africa's Latest Medically Assisted Reproduction Draft Regulations: Close, But No Cigar" 2022 TSAR 1-24 DOI: https://doi.org/10.47348/TSAR/2022/i1a1
Thaldar D and Shozi B "An Imbalanced Approach to Governance? An Analysis of the WHO's Position on Human Genome Editing" 2023 Bioethics https://doi.org/10.1111/bioe.13193 DOI: https://doi.org/10.1111/bioe.13193
Thaldar D, Shozi B and Kamwendo T "Culture and Context: Why the Global Discourse on Heritable Genome Editing Should Be Broadened from the South African Perspective" 2021 BioLaw Journal 409-416
Thaldar D and Steytler M "Time for Cinderella to Go to the Ball: Reflections on the Right to Freedom of Scientific Research" 2021 SALJ 260-288 DOI: https://doi.org/10.47348/SALJ/v138/i2a2
Thaldar D et al "Human Germline Editing: Legal-Ethical Guidelines for South Africa" 2020 S Afr J Sci 1-8 DOI: https://doi.org/10.17159/sajs.2020/6760
Thaldar D et al "A Virtual Deliberative Public Engagement Study on Heritable Genome Editing Among South Africans: Study Protocol" 2021 PLoS One https://doi.org/10.1371/journal.pone.0256097 DOI: https://doi.org/10.1371/journal.pone.0256097
Thaldar D et al "A Deliberative Public Engagement Study on Heritable Human Genome Editing Among South Africans: Study Results" 2022 PLoS One https://doi.org/10.1371/journal.pone.0275372 DOI: https://doi.org/10.1371/journal.pone.0275372
Thaldar D et al "In Defence of South Africa's National Health Research Ethics Council Guidelines on Heritable Human Genome Editing" 2025 SAMJ https://doi.org/10.7196/SAMJ.2025.v115i1.2942 DOI: https://doi.org/10.7196/SAMJ.2025.v115i1.2942
Townsend BA "Human Genome Editing: How to Prevent Rogue Actors" 2020 BMC Medical Ethics https://doi.org/10.1186/s12910-020-00527-w DOI: https://doi.org/10.1186/s12910-020-00527-w
Townsend B and Shozi B "Altering the Human Genome: Mapping the Genome Editing Regulatory System in South Africa" 2021 PELJ 1-28 DOI: https://doi.org/10.17159/1727-3781/2021/v24i0a9179
Case law
Moyo v Minister of Justice and Constitutional Development 2018 2 SACR 313 (SCA)
Natal Joint Municipal Pension Fund v Endumeni Municipality 2012 4 SA 593 (SCA)
Legislation
Constitution of the Republic of South Africa, 1996
National Health Act 61 of 2003
Internet sources
Cambridge Dictionary date unknown Manipulate https://dictionary.
cambridge.org/dictionary/english/manipulate accessed 7 December 2024
De Vries J 2024 The Legal and Ethical Debate on Human Heritable Genome Editing (HHGE) in South Africa https://health.uct.ac.za/ethics-lab/articles/2024-11-15-legal-and-ethical-debate-human-heritable-genome-editing-hhge-south-africa accessed 28 December 2024
Merriam-Webster Dictionary date unknown Manipulate https://www.merriam-webster.com/dictionary/manipulate accessed 7 December 2024
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