• Medical Response

    Medical Follow-up

    Lancet OncologyAustralia & New Zealand Journal of Obstetrics & Gynaecology LANCET ONCOLOGYIn May 2008 Margaret McCredie, Charlotte Paul and others published a study in Lancet Oncology (Vol. 9 (5) which while acknowledging that the Unfortunate Experiment had been unethical, made ethical use of the data it had generated to extract as much information as possible about the long term efficacy of treating women with precancerous lesions.The study re-examined the original pathological specimens of women diagnosed with cervical intraepithelial neoplasia 3 (CIN3) at National Women’s Hospital between 1955 and 1974. (The diagnosis CIN3 has replaced the category of CIS and is somewhat more inclusive and precise that the older classification.). The…

  • 1984 Paper

    The ‘1984 McIndoe’ Paper

    In 1966, the management of the academic department of Obstetrics and Gynaecology of The University of Auckland located at National Women’s Hospital formalised a proposal for prospective research into the ‘natural history’ of Carcinoma in situ (CIS) of the cervix. The study was to examine whether women diagnosed with CIS of the cervix went on to develop invasive cancer. In 1984, William McIndoe, the colposcopist at the hospital, Malcolm Mclean the pathologist, and gynaecologist Ron Jones published a paper in the prestigious journal Obstetrics and Gynecology with the help of Auckland University statistician Peter Mullins, which provided a retrospective analysis of the results. They reviewed the cases of 948 patients…

  • Cartwright Inquiry,  Pushback from Overseas

    Controversy and Feminist Input into the Inqury (2013)

    2013 marked 25 years since the publication of the Cartwright Report. The role of feminists in the initiation and conduct of the Inquiry remains controversial. In the paper (1), reproduced below, Phillida Bunkle analyses feminist input into the Inquiry and events over the subsequent five years leading to implementation of Cartwright’s reform recommendations. Bunkle’s analysis is based on careful consideration of original documents, particularly the three Submissions she, Sandra Coney, Dr. Forbes Williams and their counsel Dr. Rodney Harrison made to the Inquiry. Bunkle argues that feminists provided the blueprint for comprehensive reform and that the ideas on which it was based were derived from their experience in the Women’s…

  • Implementation,  Research Ethics

    Controversy 2012

    Controversy concerning the Cartwright Report and the reforms that flowed from it continued following the 2010 publication of an international reprint of Professor Linda Bryder’s book. Republished in Britain as Linda Bryder, Women’s bodies and medical science: An inquiry into cervical cancer. London: Palgrave Macmillan (2010) In 2011 the New Zealand Journal of History published a review by John Burrows of the Law Foundation, of The Cartwright Papers: Essays on the Cervical Cancer Inquiry 1987-88 published by Bridget Williams Books, Wellington, with support from the Law Foundation. This volume was edited by an Auckland University Associate Professor of Law, Joanna Manning. One third of the volume consisted of essays critical…

  • Cartwright Inquiry

    The Cartwright Inquiry And The Reform Of Patients Rights & Medical Ethics

    In June 1987 Phillida Bunkle and Sandra Coney published an article ‘An “Unfortunate Experiment” at National Women’s Hospital’, Metro magazine. The article described unethical research conducted at Auckland University’s prestigious Post-Graduate School of Obstetrics and Gynaecology. The School was located at National Women’s Hospital which was New Zealand’s leading teaching hospital in Obstetrics and Gynaecology. The results of this research into the ‘natural history’ of CIS of the cervix had been published in 1984 in the prestigious medical journal Obstetrics and Gynaecology in an article by Mcindoe, Mclean, Jones and Mullins. The authors provided an retrospective anlysis of the results for groups of women who had been addequately treated and…