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透过检疫之镜:耐药结核病与公共卫生治理、法律及伦理

Through the quarantine looking glass: drug-resistant tuberculosis and public health governance, law, and ethics.

作者信息

Fidler David P, Gostin Lawrence O, Markel Howard

机构信息

James Louis Calamaras, USA.

出版信息

J Law Med Ethics. 2007 Winter;35(4):616-28, 512. doi: 10.1111/j.1748-720X.2007.00185.x.

DOI:10.1111/j.1748-720X.2007.00185.x
PMID:18076513
Abstract

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 the exercise of quarantine powers provides a powerful lens through which to understand how societies respond to and attempt to govern threats posed by dangerous, contagious pathogens. The article considers historical aspects of governmental power to quarantine and isolate individuals and groups; analyzes the current state of quarantine and isolation law in the United States in light of the recent incident with drug-resistant tuberculosis; and explores global aspects of public health governance and law highlighted by this incident.

摘要

2007年5月至6月发生的一起事件涉及一名感染耐药结核病的美国公民在国际旅行期间的情况,该事件涉及美国联邦政府行使其检疫和隔离权力。这一事件及隔离令引发了公共卫生治理、法律和伦理等诸多重要问题。本文通过审视检疫权力的行使如何提供一个有力视角,来理解社会如何应对并试图管控由危险的传染性病原体构成的威胁,进而探讨其中的许多问题。本文考量政府对个人和群体进行检疫和隔离的权力的历史方面;根据最近耐药结核病事件分析美国检疫和隔离法的现状;并探讨这一事件所凸显的全球公共卫生治理和法律方面的问题。

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