AIDS: Politics and Science
Osborn, June E.
New England Journal of Medicine. 1988 Feb 18; 318(7): 444-447.
In discussing appropriate policy for the U.S. to pursue to control the AIDS epidemic, Osborn warns against the dangers of overreaction and contends that scientific insights should guide policy making. Given the evidence that the human immunodeficiency virus (HIV) is not spread through casual contact, a sound prevention policy should be based on effective public education and behavior modification. Repressive responses, such as quarantine, widespread mandatory HIV screening programs, and mandatory tracing of sexual partners of persons with AIDS are poor strategies on grounds of both civil liberties and of past experience with the cost effectiveness of such measures. With regard to drug abuse as a risk factor for AIDS, Osborn sees the public debate over free needles as detracting from more basic problems such as the shortage of treatment facilities. (KIE abstract)
Aids; Aids Serodiagnosis; Behavior Modification; Confidentiality; Contact Tracing; Drug Abuse; Duty to Warn; Education; Epidemiology; Health; Health Education; Mandatory Programs; Mass Screening; Policy Making; Politics; Public Health; Quarantine; Rights; Risk; Science; Sexuality; Sexually Transmitted Diseases; Voluntary Programs;
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