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Compliance, coercion, and compassion: moral dimensions of the return of tuberculosis

Since 1986, we have seen a rise in the occurrence of tuberculosis in the United States. Long considered defeated in this country, the disease is returning with distressing vigor. Outbreaks of MDR-TB, tuberculosis resistant to more than one medication, have been reported around the country. This arti...

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Published in:	The Journal of medical humanities 1996, Vol.17 (2), p.91-102
Main Author:	Booker, Michael J
Format:	Article
Language:	English
Subjects:	Altruism Bioethics Centers for Disease Control and Prevention (U.S.) Coercion Commitment of Mentally Ill Communicable Disease Control - history Communicable Diseases Federal Government Government History of medicine History, 20th Century Human Rights Humans Jurisprudence Mandatory Programs Patient Care Patient Compliance Pharmaceutical Preparations Public Health Public Policy Quarantine - history Socioeconomic Factors Sociology - history State Government Tuberculosis - history United States
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container_title	The Journal of medical humanities
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creator	Booker, Michael J
description	Since 1986, we have seen a rise in the occurrence of tuberculosis in the United States. Long considered defeated in this country, the disease is returning with distressing vigor. Outbreaks of MDR-TB, tuberculosis resistant to more than one medication, have been reported around the country. This article analyzes the Centers for Disease Control and Prevention's National Action Plan to Combat Multidrug-Resistant Tuberculosis, with particular focus on the moral dimensions of mandatory directly observed treatment (DOT) and involuntary quarantine. It is proposed that a moral response to the control of tuberculosis must be one which is sustainable and which can effectively curtail the spread of the disease at a minimal cost to individual rights.
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subjects	Altruism Bioethics Centers for Disease Control and Prevention (U.S.) Coercion Commitment of Mentally Ill Communicable Disease Control - history Communicable Diseases Federal Government Government History of medicine History, 20th Century Human Rights Humans Jurisprudence Mandatory Programs Patient Care Patient Compliance Pharmaceutical Preparations Public Health Public Policy Quarantine - history Socioeconomic Factors Sociology - history State Government Tuberculosis - history United States
title	Compliance, coercion, and compassion: moral dimensions of the return of tuberculosis
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