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AIDS phobia, public health warnings, and lawsuits: deterring harm or rewarding ignorance?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?
Am J Public Health. 1995 Nov;85(11):1562-8. doi: 10.2105/ajph.85.11.1562.
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本文引用的文献

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Obligations of HIV-infected health professionals to inform patients of their serological status: evolving theories of liability.感染艾滋病毒的医护人员向患者告知其血清学状况的义务:责任理论的演变
John Marshall Law Rev. 1994 Winter;27(2):317-30.
2
Absence of HIV transmission from an infected dentist to his patients. An epidemiologic and DNA sequence analysis.一名受感染牙医未将艾滋病病毒传播给其患者。一项流行病学和DNA序列分析。
JAMA. 1993 Apr 14;269(14):1802-6.
3
A nation of suspects: drug testing and the Fourth Amendment.一个充满嫌疑者的国度:药物检测与第四修正案
Am J Public Health. 1989 Oct;79(10):1427-31. doi: 10.2105/ajph.79.10.1427.
4
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.住院患者不良事件和过失的发生率。哈佛医疗实践研究I的结果。
N Engl J Med. 1991 Feb 7;324(6):370-6. doi: 10.1056/NEJM199102073240604.
5
A look-back investigation of patients of an HIV-infected physician. Public health implications.对一名感染艾滋病毒医生的患者进行的回顾性调查。对公共卫生的影响。
N Engl J Med. 1991 Nov 14;325(20):1406-11. doi: 10.1056/NEJM199111143252003.
6
Risky business: setting public health policy for HIV-infected health care professionals.高风险业务:为感染艾滋病毒的医护人员制定公共卫生政策
Milbank Q. 1992;70(1):43-79.

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.

DOI:10.2105/ajph.85.11.1562
PMID:7485674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1615706/
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。