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Public health ethics and practice$
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Stephen Peckham and Alison Hann

Print publication date: 2009

Print ISBN-13: 9781847421029

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781847421029.001.0001

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PRINTED FROM POLICY PRESS SCHOLARSHIP ONLINE (www.policypress.universitypressscholarship.com). (c) Copyright Policy Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in PPSO for personal use.date: 02 April 2020

What does it mean to ‘know’ a disease? The tragedy of XDR-TB

What does it mean to ‘know’ a disease? The tragedy of XDR-TB

(p.51) FOUR What does it mean to ‘know’ a disease? The tragedy of XDR-TB
Public health ethics and practice

Ross Upshur

Policy Press

This chapter explores the classic dilemma faced by public health policy in the face of attempting to control an outbreak of an infectious disease, focusing on the case of extremely drug-resistant tuberculosis (XDR-TB). It addresses the question of restraint and getting the right balance between individual rights and community protection and argues that understanding the determinants of XDR-TB and the emergence of the HIV/TB syndemic is crucial to applied public health ethics. It examines recent developments in HIV and tuberculosis and discusses strategies for infectious disease containment within both national and international contexts.

Keywords:   public health policy, infectious disease, disease outbreak, XDR-TB, individual rights, community protection, HIV/TB syndemic, public health ethics

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