Andrea Boggio, Department of History and Social Sciences, Bryant University, Smithfield, Rhode Island, USA.
Ernesto Jaramillo, Paul Nunn, Mario Raviglione, and Matteo Zignol, Stop TB Department, World Health Organization, Geneva, Switzerland.
Geneviève Pinet, Department of Ethics, Trade, Human Rights, and Health Law, World Health Organization, Geneva, Switzerland
Health and Human Rights - Published by the François-Xavier Bagnoud Center for Health and Human Rights within the Harvard School of Public Health
June 27th, 2008
“…..Tuberculosis, in all its forms, poses a serious, demonstrable threat to the health of countless individuals as well as to health as a public good. MDR-TB and, in particular, the emergence of XDR-TB, have re-opened the debate on the importance, and nature, of treatment supervision for basic TB control and the management of drug-resistant TB. Enforcing compulsory measures regarding TB patients raises questions of respect for human rights. Yet, international law provides for rights-limiting principles, which would justify enforcing compulsory measures against TB patients who refuse to have diagnostic procedures or who refuse to be monitored and treated once disease is confirmed.
This article analyzes under what circumstances compulsory measures for TB patients may be enforced under international law. Compulsory measures for TB patients may, in fact, be justified on legal grounds provided that these measures are foreseen in the law, that they are used as a last resort, and that safeguards are in place to protect affected individuals. The deadly nature of the disease, its epidemiology, the high case fatality rate, and the speed at which the disease leads to death when associated with HIV are proven….”
MDR-TB à Multi-drug resistant tuberculosis
XDR-TB à Extensively drug-resistant tuberculosis (XDR-TB)
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