Extensively drug-resistant tuberculosis: an isolation order, public health powers, and a global crisis.
نویسندگان
چکیده
CENTURIES AFTER THE FORMAL CREATION OF QUARantine, the practice continues to evoke concern when implemented to halt the spread of dangerous microbes. Witness the controversy generated by US citizen Andrew Speaker, whom the US Centers for Disease Control and Prevention (CDC) detained and isolated because he was diagnosed with pulmonary disease caused by extensively drug-resistant tuberculosis (XDRTB). Speaker’s case made compelling news, but it also raised questions about the emergence of XDR-TB, the adequacy of public health powers in the United States, and the international dimensions of the XDR-TB threat.
منابع مشابه
Through the quarantine looking glass: drug-resistant tuberculosis and public health governance, law, and ethics.
The incident in May-June 2007 involving a U.S. citizen traveling internationally while infected with drug-resistant tuberculosis involved the U.S. federal government's application of its quarantine and isolation powers. The incident and the isolation order raised numerous important issues for public health governance, law, and ethics. This article explores many of these issues by examining how ...
متن کاملControl of Extensively Drug-Resistant Tuberculosis (XDR-TB): A Root Cause Analysis.
The threat of global infectious agents has the potential to cripple national and global economies, as the outbreaks of SARS, Avian Flu, H1N1, and XDR-TB have demonstrated. This article offers a Root Cause Analysis (RCA) of one public health case study - the Speaker case of XDR-TB - pinpointing the underlying causal relationships associated with this global health incident and proposing recommen...
متن کاملThe Involuntary Detention and Isolation of Patients Infected with Extreme Resistant Tuberculosis (xdr-tb): Implications for Public Health, Human Rights and Informed Consent
متن کامل
The emerging crisis of drug-resistant tuberculosis in South Africa: lessons from New York City.
Multidrug-resistant tuberculosis and extensively drug-resistant tuberculosis have emerged as important infections in South Africa among patients infected with human immunodeficiency virus (HIV). In the face of this new epidemic, South Africa must rededicate itself to the task of tuberculosis control and treatment with a rapid, multifaceted approach. Priorities include expansion of second-line t...
متن کاملGlobal Financing and Long-Term Technical Assistance for Multidrug-Resistant Tuberculosis: Scaling Up Access to Treatment
Multidrug-resistant tuberculosis (MDRTB), strains of Mycobacterium tuberculosis resistant to the first-line antituberculosis drugs rifampicin and isoniazid, is a global public health concern and remains a leading cause of mortality and morbidity in lowand middle-income countries [1]. In response, World Health Organization (WHO) member states have called for action to ‘‘achieve universal access ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- JAMA
دوره 298 1 شماره
صفحات -
تاریخ انتشار 2007