Mark A. Rothstein is with the Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, Louisville, KY, and is an AJPH associate editor. Christine N. Coughlin is with the Wake Forest University School of Law, Winston-Salem, NC.
Am J Public Health. 2019 Sep;109(9):1179-1183. doi: 10.2105/AJPH.2019.305201. Epub 2019 Jul 18.
A successful quarantine requires a high rate of compliance by individuals with potential exposure to a communicable disease.Many individuals would be reluctant to comply with a quarantine because they fear that contact with government officials will place them in legal, personal, or economic jeopardy. These include undocumented immigrants and individuals with a substance use disorder. For a quarantine to succeed, individuals must be granted temporary immunity from arrest, deportation, or similar adverse consequences, but doing so will be politically unpopular.We argue that public health considerations must take precedence over politics in protecting the health of the public.
成功的隔离需要接触传染病潜在风险的个人高度遵守隔离规定。许多人可能不愿意遵守隔离规定,因为他们担心与政府官员接触会使他们陷入法律、个人或经济风险。这些人包括无证移民和有药物滥用障碍的人。为了使隔离成功,必须给予个人暂时免受逮捕、驱逐出境或类似不利后果的豁免,但这样做在政治上不受欢迎。我们认为,在保护公众健康方面,公共卫生考虑必须优先于政治。