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AIDS, a social dilemma: Detection of seropositives

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Abstract

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 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.

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  1. Public Health Departement, Faculte de Medecine, 27, Bd Jean Moulin, 13385, Marseille Cédex 5, France

    P. Enel, C. Manuel, J. Charrel & M. P. Larher

  2. Blood Transfusion Center, CTS, Bd Baille, 13005, Marseille, France

    D. Reviron

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  1. P. Enel
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  2. C. Manuel
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  3. J. Charrel
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  6. J. L. San Marco
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Enel, P., Manuel, C., Charrel, J. et al. AIDS, a social dilemma: Detection of seropositives. Eur J Epidemiol 7, 139–146 (1991). https://doi.org/10.1007/BF00237357

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