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ETHICAL DECISION FLOW — GENZYME CASE
Central Ethical Problem:


Delay in disclosing viral contamination to protect corporate reputation and stock value.

Internal Actors and Interests


• QA / Process Engineers → duty to report contamination

• Senior Management → duty to shareholders and profit

• Public / Patients → right to timely, safe treatment

CONFLICT ZONE


Ethical Duty (Safety) Financial Pressure

Outcome:


• Management prioritised revenue and optics over safety.

• QA staff limited by internal hierarchy from disclosure.

• Regulator informed only after significant delay.

Type of Conflict


Actual COI – corporate self-interest directly compromised duty to protect public welfare.

Perceived COI – public viewed concealment as profit-motivated, eroding trust permanently.

Resolution Measures (Ethical Corrective Actions)


• Separate safety authority from financial oversight.

• Mandate immediate disclosure policy to regulators.

• Require engineers’ whistle-blowing protection.

Problem Detected: Viral contamination in biomanufacturing tanks producing life-saving drugs (Cerezyme, Fabrazyme).
Step 1: Identify and Verify the Risk


• Contamination confirmed by QA testing.

• Internal review finds viral presence across equipment.

Step 2: Does the issue threaten public safety or patient welfare?
YES
NO
Step 3a: Report immediately to FDA and halt output.
Step 3b: Continue internal review and production (minimal disruption).
Step 4a: Conduct transparent risk communication; implement cleanup.
Step 4b: Delay disclosure; manage optics; minimise financial damage.
Step 5: Did delay worsen public impact or regulatory trust?
YES
NO
Step 5a: Risk mitigated quickly; production resumes.
Step 5b: Outcome: Reactive ethics; harm amplified; fines, loss of trust.

EG2401

by Palves

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