AIDS, a social dilemma: detection of seropositives.
At present, we can observe an evolution in ideas about the detection of HIV seropositivity through a qualitative analysis of specialised literature on the ethical aspects of AIDS. In the case of this disease, systematic screening of the population does not correspond to epidemiological criteria: it is wasteful, troublesome and costly. Whether it is voluntary, and therefore biased, or compulsory, and therefore controversial, systematic screening seems an unlikely option. This situation has prompted many versions of target-group screening, which correspond to two options: systematic screening of known risk-groups, discriminatory, confidential and anonymous; target-group screening linked to particular circumstances: recognised as necessary by blood-donors and well-accepted by pregnant mothers. This method can be institutionalised and applied in the armed forces and in prisons,.... Lastly, we consider measures taken by different countries and organisations.
Enel
P
P
Public Health Department, Faculte de Medecine, Marseille, France.
Manuel
C
C
Charrel
J
J
Larher
M P
MP
Reviron
D
D
San Marco
J L
JL
D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000523:psychology*; D003219:Confidentiality; D004992:Ethics, Medical; D006679:HIV Seropositivity / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D038622:Internationality; D037141:Mandatory Programs; D008403:Mass Screening; D011287:Prejudice; D018570:Risk Assessment; D012307:Risk Factors; D035141:Voluntary Programs