HIV Antibody Screening
Wolf, Susan M.
JAMA. 1986 Oct 3; 256(13): 1768-1774.
The use of blood tests to identify individuals who have been infected with the human immunodeficiency virus (HIV) challenges us to protect the community from the spread of a fatal disease while preserving the values of individual liberty and equal rights. Acquired immunodeficiency syndrome (AIDS) has prompted calls for mandatory screening of various segments of society--food handlers, military personnel, health workers, prostitutes, and so on. The authors recommend a set of principles and prerequisites for evaluating the ethical acceptability of proposed screening programs. They contend that the voluntary cooperation of those at higher risk is the ideal, and that screening programs must be based on the principles of respect for persons, minimal harm, beneficence, and justice. Health insurance must be available to those who test positive for HIV, confidentiality must be preserved, counseling should be provided, and voluntary testing should be publicly funded. (KIE abstract)
Aids; Aids Serodiagnosis; Autonomy; Acquired Immunodeficiency Syndrome; Behavior Control; Beneficence; Blood; Blood Donation; Coercion; Confidentiality; Costs and Benefits; Counseling; Disclosure; Disease; Drug Abuse; Duty to Warn; Discrimination; Employment; Ethical Review; Food; Harm; Health; Health Facilities; Health Insurance; Health Personnel; Homosexuals; Institutionalized Persons; Insurance; Justice; Mandatory Testing; Mass Screening; Military Personnel; Moral Obligations; Moral Policy; Mandatory Screening; Newborns; Prevalence; Prisoners; Privacy; Psychological Stress; Public Health; Public Policy; Review; Rights; Risk; Sexuality; Social Discrimination; Standards; Values;
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