Coker Richard, Thomas Marianna, Lock Karen, Martin Robyn
Department of Public Health & Policy at the London School of Hygiene and Tropical Medicine.
J Law Med Ethics. 2007 Winter;35(4):609-15, 512. doi: 10.1111/j.1748-720X.2007.00184.x.
The issue of detention as a public health control measure has attracted attention recently. This is because the threat of strains of tuberculosis that are resistant to a wider range of drugs has been identified, and there is renewed concern that public health is threatened. This paper considers whether involuntary detention is justified where voluntary measures have failed or where a patient poses a danger, albeit uncertain, to the public. We discuss the need for strengthening evidence-based assessments of public health risk and suggest that we should reflect more profoundly on the philosophical foundations upon which our policies and practices are grounded.
作为一种公共卫生控制措施的拘留问题近来已引起关注。这是因为已确认存在对更广泛药物具有抗药性的结核菌株构成的威胁，并且人们再次担心公共卫生受到威胁。本文探讨在自愿措施失败或患者对公众构成危险（尽管不确定）的情况下，非自愿拘留是否合理。我们讨论了加强基于证据的公共卫生风险评估的必要性，并建议我们应更深刻地反思我们的政策和做法所依据的哲学基础。
