Demir Müge, Örnek Büken Nüket
Department of History of Medicine and Medical Ethics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Tuberk Toraks. 2015 Sep;63(3):199-206. doi: 10.5578/tt.9268.
Having a history as old as the history of humanity, Tuberculosis (TB) is a serious disease and it is regarded as an important a public health problem not only for its medical aspect but also for its social and ethical aspects. As a result of the discovery of the cure for TB and the improvement of humans' living conditions, the TB problem was believed to be solved and a relaxation in the battle against TB was observed around the world by 1980s. World Health Organization (WHO) declared a state of emergency for the battle against TB in 1993. According to the "Global Tuberculosis Control 2014" which was published by WHO, TB remains one of the world's deadliest communicable diseases. This article argues that tuberculosis is one of the most important neglected topics in medical ethics as regards individual obligations to avoid infecting others, coercive social distancing measures, third-party notification, health workers' duty to treat contagious patients, and justice.The purpose of this article is provide a picture of the current situation of TB treatment in Turkey in terms of medical ethics.
结核病的历史与人类历史一样悠久,它是一种严重的疾病,不仅因其医学层面,还因其社会和伦理层面,被视为一个重要的公共卫生问题。由于结核病治疗方法的发现以及人类生活条件的改善,人们曾认为结核病问题已得到解决,到20世纪80年代,全球范围内针对结核病的防治工作有所松懈。1993年,世界卫生组织(WHO)宣布抗击结核病进入紧急状态。根据WHO发布的《2014年全球结核病报告》,结核病仍然是世界上最致命的传染病之一。本文认为,在避免感染他人的个人义务、强制性社会隔离措施、第三方通报、医护人员治疗传染病患者的职责以及公平性等方面,结核病是医学伦理学中最重要的被忽视话题之一。本文的目的是从医学伦理学角度呈现土耳其结核病治疗的现状。