Vol IV, Issue 2 Date of Publication: March 28, 2019
DOI: https://doi.org/10.20529/IJME.2019.013

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The ethics of compulsory notification of tuberculosis

Shaheen Chowwdhury
Gajanan Phutke
Sushil Patil
Yogesh Jain
The Government of India has passed a notification making the non-reporting of tuberculosis (TB) by a clinical establishment a punishable offence. This article examines this move from an ethical standpoint. One of the main ethical concerns relates to the violation of patient confidentiality that may result from this. Also as regards improvement in patient care, there appears to be a poor cost-benefit ratio in terms of the actionable data obtained by this There may be possible adverse consequences by a limiting of access to care due to penalising of non-reporting. In terms of the bigger picture, the notification may lead to an increased tension between the private sector and Government. Moreover, it is the position of the authors that such a step distracts attention from the more important issues that plague TB care in India today.

Copyright and license
©Indian Journal of Medical Ethics 2019: Open Access and Distributed under the Creative Commons license ( CC BY-NC-ND 4.0),
which permits only non-commercial and non-modified sharing in any medium, provided the original author(s) and source are credited.

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