Announcements Talk on ‘How Pharma Companies Fudge Data’ on 23rd September 2019 in Mumbai   |   ESIC Medical College and PGIMSR, Chennai present Wissendurst’19 on 20 September 2019 with networking partner Forum for Medical Ethics Society and FMES’s Institute of Health Sciences   |   Citizenship, Governance and Accountability in Health – Join the COPASAH Conclave of Global Health Accountability and Human Rights Advocates: October 15-18, 2019 New Delhi, India   |   Open Letter: Stop the war on Syria’s hospitals
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Ethics and the tuberculosis programme

Tuberculosis is in the news these days. But there’s nothing new about the bacterium, or even its devastating effect on our society. It’s just that other, newer conditions like HIV/AIDS have made some people wake up to the need for an effective tuberculosis programme.

In this issue we carry three contributions which discuss some ethical issues relating to tuberculosis programmes. Thelma Narayan discusses the relationship between one’s understanding of the probem (focussing either on the medical problem, the underlying causes such as poverty, or more basic causes such as social and economic relationships) and the choice of intervention strategies. John Porter and Jessica Ogden call for a debate on directly-observed therapy, a controversial strategy which is now being promoted by the Indian government and the World Health Organization. Finally, Michael Levy presents the proceedings of a discussion on TB in prisons. This discussion was part of a conference on TB and human rights.

It is hoped that these contributions provoke more discussion on the subject among readers of Issues in Medical Ethics. We look forward to responses.

Cover photograph by Sam Pareth


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M L Kothari, L A Mehta, V M Kothari
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