The Ethics of Screening for Early Intervention in HIV Disease
American Journal of Public Health. 1989 Dec; 79(12): 1661-1667.
The potential for early medical intervention to slow or prevent the development of AIDS in HIV-positive individuals has led to calls for widespread testing of asymptomatic at-risk persons. Levine and Bayer discuss the ethical aspects of these proposals, distinguishing among the justifications for screening and evaluating each independently. They present current clinical evidence for early intervention and explore its potential risks and benefits. Using the ethical principles of respect for persons, the harm principle, beneficience, and justice, they analyze the justifications for and the limits of screening infants, adolescents, and adults for HIV seropositivity. Levine and Bayer conclude that while there are clinical and ethical grounds for establishing voluntary screening programs, conditions of informed consent and confidentiality must be met, and protection from discrimination and provision of follow-up services for infected individuals are essential. (KIE abstract)
Adolescents; Adults; Aids; Aids Serodiagnosis; Autonomy; Beneficence; Competence; Confidentiality; Consent; Diagnosis; Disease; Drugs; Duty to Warn; Discrimination; Ethical Analysis; Ethics; Harm; HIV Seropositivity; Infants; Informed Consent; Justice; Life; Mandatory Programs; Mass Screening; Medicine; Moral Policy; Newborns; Patient Care; Pregnant Women; Preventive Medicine; Public Policy; Quality of Life; Risk; Risks and Benefits; Stigmatization; Third Party Consent; Voluntary Programs;
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Bayer, Ronald; Levine, Carol; Wolf, Susan M. (1986-10-03)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 ...