Latent tuberculous infection: ethical considerations in formulating public health policy

被引:20
作者
Denholm, J. T. [1 ,2 ]
Matteelli, A. [3 ]
Reis, A. [4 ]
机构
[1] Melbourne Hlth, Victoria TB Program, Parkville, Vic, Australia
[2] Univ Melbourne, Dept Microbiol & Immunol, Parkville, Vic 3052, Australia
[3] WHO, Dept Knowledge Eth & Res, Global Hlth Eth Unit, CH-1211 Geneva, Switzerland
[4] WHO, Global TB Program, TB HIV & Community Engagement Unit, CH-1211 Geneva, Switzerland
关键词
ethics; consent; migration; screening; risk; MULTIDRUG-RESISTANT TUBERCULOSIS; PREVENTIVE THERAPY; CARE WORKERS; AUSTRALIA; CONTACTS;
D O I
10.5588/ijtld.14.0543
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
There is increasing interest in the introduction of public health policies relating to latent tuberculous infection (LTBI). However, there has been little previous systematic engagement with LTBI from an ethical perspective. This article offers a general overview of ethical issues in relation to LTBI, with particular focus on those aspects relevant to the development and implementation of public health policy. Key characteristics of LTBI are discussed from an ethical perspective, with examples of challenging situations for policy makers.
引用
收藏
页码:137 / 140
页数:4
相关论文
共 24 条
[1]   Interferon-γ ELISPOT as a Biomarker of Treatment Efficacy in Latent Tuberculosis Infection A Clinical Trial [J].
Adetifa, Ifedayo M. ;
Ota, Martin O. C. ;
Jeffries, David J. ;
Lugos, Moses D. ;
Hammond, Abdulrahman S. ;
Battersby, Nicholas J. ;
Owiafe, Patrick K. ;
Donkor, Simon D. ;
Antonio, Martin ;
Ibanga, Hannah B. ;
Brookes, Roger H. ;
Aka, Peter ;
Walton, Robert ;
Adegbola, Richard A. ;
Hill, Philip C. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 187 (04) :439-445
[2]  
[Anonymous], 2015, WHO/HTM/TB
[3]  
[Anonymous], 2010, WHOHTMTB201016
[4]   Tuberculosis among Health Care Workers [J].
Baussano, Iacopo ;
Nunn, Paul ;
Williams, Brian ;
Pivetta, Emanuele ;
Bugiani, Massimiliano ;
Scano, Fabio .
EMERGING INFECTIOUS DISEASES, 2011, 17 (03) :488-494
[5]   Public health ethics: Mapping the terrain [J].
Childress, JF ;
Faden, RR ;
Gaare, RD ;
Gostin, LO ;
Kahn, J ;
Bonnie, RJ ;
Kass, NE ;
Mastroianni, AC ;
Moreno, JD ;
Nieburg, P .
JOURNAL OF LAW MEDICINE & ETHICS, 2002, 30 (02) :170-+
[6]   The Spectrum of Tuberculosis Infection: New Perspectives in the Era of Biologics [J].
Delogu, Giovanni ;
Goletti, Delia .
JOURNAL OF RHEUMATOLOGY, 2014, 41 :11-16
[7]   Long-term follow-up of contacts exposed to multidrug-resistant tuberculosis in Victoria, Australia, 1995-2010 [J].
Denholm, J. T. ;
Leslie, D. E. ;
Jenkin, G. A. ;
Darby, J. ;
Johnson, P. D. R. ;
Graham, S. M. ;
Brown, G. V. ;
Sievers, A. ;
Globan, M. ;
Brown, L. K. ;
McBryde, E. S. .
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2012, 16 (10) :1320-1325
[8]   Can Australia eliminate TB? Modelling immigration strategies for reaching MDG targets in a low-transmission setting [J].
Denholm, Justin T. ;
McBryde, Emma S. .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2014, 38 (01) :78-82
[9]   Ethical evaluation of immigration screening policy for latent tuberculosis infection [J].
Denholm, Justin T. ;
McBryde, Emma S. ;
Brown, Graham V. .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2012, 36 (04) :325-328
[10]   Negative and Positive Predictive Value of a Whole-Blood Interferon-γ Release Assay for Developing Active Tuberculosis An Update [J].
Diel, Roland ;
Loddenkemper, Robert ;
Niemann, Stefan ;
Meywald-Walter, Karen ;
Nienhaus, Albert .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2011, 183 (01) :88-95