Free Content Surveillance for MDR-TB: is there an obligation to ensure treatment for individuals identified with MDR-TB? [Unresolved issues]

Authors: Edginton, M.E.; Miller, D.L.; Burney, P.; El Sony, A.I.; Lwilla, F.I.; O'Brien, R.; Roldan, M.B.; Roldan, A.; Srinath, S.

Source: The International Journal of Tuberculosis and Lung Disease, Volume 14, Number 9, September 2010 , pp. 1094-1096(3)

Publisher: International Union Against Tuberculosis and Lung Disease

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Abstract:

This article raises ethical issues that result if individuals, during the course of research to measure the prevalence of drug-resistant tuberculosis, are identified with the disease but are not provided with or referred for appropriate treatment. It draws attention to and applauds recently published World Health Organization guidelines on the subject. Questions posed are: 1) Should treatment be provided for individuals identified through surveillance projects for MDR-TB, whatever their purpose (specific research or `routine' national prevalence studies)? 2) If treatment availability is a problem, who is responsible for assuring this?

Keywords: MDR-TB; surveillance; research; treatment; ethics

Document Type: Regular paper

Affiliations: 1: Ethics Advisory Group, International Union Against Tuberculosis and Lung Disease, Paris, France

Publication date: 2010-09-01

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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