Institute of Ethics, History and Theory of Medicine, Ludwig-Maximilians-University Munich, Munich, Germany.
Treatment Action Group, New York, NY, USA.
Int J Tuberc Lung Dis. 2020 May 1;24(5):32-37. doi: 10.5588/ijtld.17.0882.
We summarise the current ethical guidance on tuberculosis (TB) care and migration, as set out in the WHO "." Among other aspects, the Ethics Guidance states that there should be firm legal principles in place that ensure the enforcement of migration law on the one hand and the protection of human rights, including the right to health, on the other are separated from one another. As a challenge to the Ethics Guidance and its implementation, we describe two cases, each of which typifies particular problems. Case one describes the experience of a migrant worker in the United Arab Emirates who is deported when mandatory medical exams show evidence of current or prior TB. Case two raises the issue of providing more than TB care, which may also be needed for holistic care. The paper concludes with our suggestions for ways in which we could make progress towards ethically optimal TB care for migrants.
我们总结了世卫组织““中关于结核病(TB)护理和移民的当前伦理准则。除其他方面外,该伦理准则指出,应制定明确的法律原则,一方面确保移民法的执行,另一方面将保护人权,包括健康权,彼此分开。作为对该伦理准则及其执行的挑战,我们描述了两个案例,每个案例都典型地存在特定的问题。案例一是描述了一名在阿拉伯联合酋长国的移民工人的经历,当强制性体检显示有当前或以前的结核病证据时,他被驱逐出境。案例二提出了提供不仅仅是结核病护理的问题,这可能也是整体护理所需要的。本文最后提出了我们的建议,以在为移民提供符合伦理道德的最佳结核病护理方面取得进展。