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From TB to AIDS: value conflicts in reporting disease

Fox, D.M.

Hastings Center Report 16(6): Suppl. 11-6

1986

ISSN/ISBN: 0093-0334
PMID: 3542898
DOI: 10.2307/3562097
Document Number: 345857
Controversies about reporting communicable diseases in both the past and present are viewed as political conflicts rather than as scientific or technological issues. Debates about reporting have been ideological and have reflected different attitudes about physicians' authority and social values. Fox describes the work of Hermann Biggs, public health chief in New York City during the mid 1890s, in implementing a compulsory reporting system that stressed confidentiality, as well as the growth of tensions between public and private medicine from 1920 to 1960. Although there has been increased acceptance of recordkeeping and regulation in the past 20 years, the epidemic of acquired immunodeficiency syndrome (AIDS) has reignited the controversy over the use of case reports and has fueled fears in the homosexual population concerning discrimination.

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