An investigator planning a study in Africa of the prevalence of pulmonary hypertension in
children with severe malaria anticipates that she and her team will encounter significant
unmet health needs during the course of the study. She recognizes that study procedures,
particularly echocardiography, may identify and diagnose conditions that are not treatable
within the local health system due to resource constraints. Aware that some of these needs
may be serious, as well as difficult and costly to treat, she asks the bioethics consultation …