title: [Legal enforcement for non-adherent tuberculosis patients].
abstract: OBJECTIVE
  To investigate the conditions that would allow for coercive measures for persistently non-adherent tuberculosis patients.
  
  
  METHODS
  Literature review of the jurisprudential and medical papers, mainly of the United States.
  
  
  RESULTS
  We found relevant items in the following categories related to conditions allowing for coercive measures: truthful adequate purpose of the coercive measures, scientific evidence or prospects of effectiveness of the measures, individual risk assessment, existence of significant risk, proportionality principle, least restrictive alternative principle, and procedural due process.
  
  
  CONCLUSIONS
  To establish a system of coercive measures for persistently non-adherent tuberculosis patients in Japan, we would first need to accomplish many tasks, including a significant broadening of the support services for tuberculosis patients.
authors.affiliation: Department of Epidemiology and Clinical Research, Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo, Japan. ito@jata.or.jp
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Ito
mesh_terms: D006801:Humans; D007564:Japan; D007603:Jurisprudence; D010349:Patient Compliance; D014376:Tuberculosis / Q000628:therapy*; D014481:United States