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艾滋病恐惧症、公共卫生警告与诉讼:是在阻止伤害还是在奖赏无知?

AIDS phobia, public health warnings, and lawsuits: deterring harm or rewarding ignorance?

作者信息

Mariner W K

机构信息

School of Public Health, Boston University, MA 02118-2394, USA.

出版信息

Am J Public Health. 1995 Nov;85(11):1562-8. doi: 10.2105/ajph.85.11.1562.

Abstract

Courts in more than a dozen states have decided cases in which a person has claimed money damages for his or her fear of getting acquired immunodeficiency syndrome (AIDS). Although most courts have rejected such claims in the absence of actual exposure to the human immunodeficiency virus (HIV), their reasoning has varied slightly from state to state. This article argues that negligence law should not permit people who are HIV negative to recover damages for an unfounded fear of AIDS. Public health statements intended to educate the public about preventing HIV transmission may have encouraged some fear-of-AIDS lawsuits against health care practitioners. Although well intentioned, such statements have been used to justify inappropriate restrictions on medical practice and disclosure of a practitioner's HIV status. To avoid such misuse, such statements should be revised to make clear that the way in which procedures are performed, not who performs them, determines HIV transmission.

摘要

十几个州的法院已经对一些案件作出了裁决,在这些案件中,有人因担心感染获得性免疫缺陷综合征(艾滋病)而要求获得金钱赔偿。尽管大多数法院在没有实际接触人类免疫缺陷病毒(HIV)的情况下驳回了此类索赔,但各州的推理略有不同。本文认为,过失法不应允许HIV呈阴性的人因毫无根据的艾滋病恐惧而获得损害赔偿。旨在教育公众预防HIV传播的公共卫生声明可能助长了一些针对医疗从业者的艾滋病恐惧诉讼。尽管这些声明是出于善意,但它们被用来为对医疗实践的不当限制和从业者HIV状况的披露提供正当理由。为避免此类滥用,此类声明应进行修订,以明确是操作程序的方式,而非执行者的身份,决定了HIV的传播。

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