Repeatedly noncompliant tuberculosis patients (who are often homeless or substance users) are once again being forcibly detained.
Health officials intend that confinement be used only when « less restrictive alternatives » have failed.
Past programs of detention can inform current efforts.
In 1949, Seattle's Firland Sanatorium established a locked ward.
Although initially intended only for active public health threats, the ward was eventually used to maintain order among Firland's alcoholic patients.
That is, the staff detained alcoholics-regardless of their infectivity or compliance with medications-for breaking sanatorium rules.
In this manner, maintaining institutional order became a legitimate reason for invoking public health powers.
Although new detention regulations strive to protect patient's civil liberties, attention must also be paid to the day-to-day implementation of coercive measures.
When public health language is used to justify administrative or institutional requirements, disadvantaged patients may be stigmatized.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Homme, Quarantaine, Observance thérapeutique, Alcoolisme, Réglementation, Etats Unis, Amérique du Nord, Amérique, Sanatorium, Appareil respiratoire pathologie
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Human, Quarantine, Treatment compliance, Alcoholism, Regulation, United States, North America, America, Sanitarium, Respiratory disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0275914
Code Inist : 002B30A09. Création : 199608.