Booker Michael J
Department of Humanities, Roane State Community College, Harriman, TN 37748-5011, USA.
J Med Humanit. 1996 Summer;17(2):91-102. doi: 10.1007/BF02276811.
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.
自1986年以来，美国结核病的发病率呈上升趋势。长期以来，这种疾病在美国一直被认为已被攻克，但如今却以令人担忧的势头卷土重来。全国已报告了耐多药结核病（对不止一种药物耐药的结核病）的爆发情况。本文分析了疾病控制与预防中心的《抗击耐多药结核病国家行动计划》，特别关注强制直接观察治疗（DOT）和非自愿隔离的道德层面。有人提出，对结核病控制的道德应对措施必须是可持续的，并且能够以对个人权利造成最小代价的方式有效遏制疾病的传播。
