David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Public Health Ethics 3 (3):193-198 (2010)
To reduce the spread of the human immunodeficiency virus (HIV), Granich et al. 1 ( 2009 ) have proposed a new strategy for universal voluntary HIV testing immediately followed by antiretroviral therapy. Although this proposal is likely to benefit the partners of those affected and thus promote public health, it is by no means clear that it benefits the infected people themselves and indeed it may be harmful. Since the proposal involves an intervention that is not clinically indicated, it falls foul of the normal ethical standards of clinical medicine, which is to act in the best interests of patients. Neither is it a measure that would be imposed under the protection of public health law on people who are seen as representing such danger to others that significant restrictions in liberty are appropriate. Thus, the proposal represents a third category of public health measure. We argue that a coherent ethical framework including a robust process is appropriate to proposals of this kind and that medical research offers a useful model since some research, like this proposal, is motivated not by the interests of the individual participants but by the common good. We outline some possible elements of such an ethical framework
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References found in this work BETA
M. Parker & S. Bull (2009). Ethics in Collaborative Global Health Research Networks. Clinical Ethics 4 (4):165-168.
Citations of this work BETA
Lisa M. Lee (2012). Public Health Ethics Theory: Review and Path to Convergence. Journal of Law, Medicine & Ethics 40 (1):85-98.
Florian Ostmann & Carla Saenz (2013). Separate Goals, Converging Priorities: On the Ethics of Treatment as Prevention. Developing World Bioethics 13 (2):57-62.
Bridget Haire & John M. Kaldor (2013). Ethics of ARV Based Prevention: Treatment‐as‐Prevention and PrEP. Developing World Bioethics 13 (2):63-69.
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