Document 0855
 DOCN  M9470855
 TI    Controlling resurgent tuberculosis: public health agencies, public
       policy, and law.
 DT    9409
 AU    Gittler J; University of Iowa.
 SO    J Health Polit Policy Law. 1994 Spring;19(1):107-47. Unique Identifier :
       AIDSLINE MED/94284534
 AB    The reappearance of tuberculosis as a serious public health threat
       points up the fallacy of the widely held assumption that medical science
       had conquered the communicable diseases that were once leading causes of
       morbidity and mortality. In devising a strategy to prevent the spread of
       TB, public policymakers must adapt traditional TB control measures to
       reflect the current problem. Such a strategy can and should include the
       appropriate use of governmental coercion to compel observance of public
       health TB control measures. Public health approaches to control of human
       immunodeficiency virus, with their emphasis on the voluntary cooperation
       of those infected and at high risk for infection, are not a model for
       effective TB control. Additional resources, while needed, will not alone
       enable public health agencies to bring TB and other communicable
       diseases under control. In the present debate over health care reform,
       little attention has been paid to the importance of public health
       agencies in protecting the public health. The resurgence of TB is a
       warning of the consequences of neglecting public health agencies and
       ignoring the socioeconomic problems that underlie it and other
       communicable diseases.
 DE    Antitubercular Agents/THERAPEUTIC USE  Civil Rights  Communicable
       Disease Control/*LEGISLATION & JURISPRUD  Community Health
       Services/ECONOMICS/LEGISLATION & JURISPRUD/  ORGANIZATION & ADMIN
       Demography  Disabled/LEGISLATION & JURISPRUD  Health Policy/*LEGISLATION
       & JURISPRUD  Homeless Persons  Human  HIV
       Infections/EPIDEMIOLOGY/PREVENTION & CONTROL  Incidence  Patient
       Compliance  Policy Making  Population Surveillance  Public
       Health/*LEGISLATION & JURISPRUD  Risk Factors  Substance
       Abuse/EPIDEMIOLOGY  Tuberculosis, Multidrug-Resistant/DRUG
       THERAPY/EPIDEMIOLOGY  Tuberculosis, Pulmonary/DRUG
       THERAPY/EPIDEMIOLOGY/*PREVENTION &  CONTROL/TRANSMISSION  United States
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).