Catching patients: tuberculosis and detention in the 1990s.

Abstract:

:The resurgence of tuberculosis (TB) in the early 1990s, including multidrug-resistant strains, led health officials to recommend the use of involuntary detention for persistently nonadherent patients. Using a series of recently published articles on the subject, this paper offers some opinions on how detention programs have balanced protection of the public's health with patients' civil liberties. Detained persons are more likely than other TB patients to come from socially disadvantaged groups. Health departments have generally used coercion appropriately, detaining patients as a last resort and providing them with due process. Yet health officials still retain great authority to bypass "least restrictive alternatives" in certain cases and to detain noninfectious patients for months or years. Misbehavior within institutions may inappropriately be used as a marker of future nonadherence with medications. As rates of TB and attention to the disease again decline, forcible confinement of sick patients should be reserved for those persons who truly threaten the public's health.

journal_name

Chest

journal_title

Chest

authors

Lerner BH

doi

10.1378/chest.115.1.236

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

236-41

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)38110-1

journal_volume

115

pub_type

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