文档介绍：全社会工业经济效益指标Title44
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Contemporary Demographics
Elderly Only Communities
Sun City - the Affluent
Superct for the common good. On any other basis organized society could not exist with safety to its members.” Jacobson v. Massachusetts, 197 . 11 (1905), quoted in Hendricks at 356-367.
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Disease Reporting
"Unquestionably, some individuals' concern for their own privacy may lead them to avoid or to postpone needed medical attention. Nevertheless, disclosures of private medical information to doctors, to hospital personnel, to insurance companies, and to public health agencies are often an essential part of modern medical practice even when the disclosure may reflect unfavorably on the character of the patient. Requiring such disclosures to representatives of the State having responsibility for the health of the community, does not automatically amount to an impermissible invasion of privacy.” Whalen V. Roe, 429 . 589, 602 (1977)
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Case Finding
Contact Tracing/Partner Notification
Voluntary
Most People Want To Help
Works Because Of Core Group Dynamics
Small Subset Accounts For Most Transmission
Contact Networks Are Redundant
Interview Enough People And You Get All The Nodes
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Interventions Newly Identified Contacts
Important Because HIV Is Hard To Catch
Warn That They Have Been Exposed
Counsel About The Disease And Precautions
Help Them Get Tested And Medical Care
Interview Them About Their Contacts
Add To Surveillance Database
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Infected Contacts Who Continue Unsafe Activities
Tuberculosis Is The Best Model
Warn And Counsel
Increasing Restrictions
No Myth Of Self-Protection
What About HIV?
Mental Health Confinement If Demented?
Megan’s Law Approach?
Prosecution For Reckless Endangerment?
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Community Ethics
The Constitution And The United States Supreme Court Support Broad Public Health Powers
How Do We Decide When We Should Use These Powers To Protect The Vulnerable?
Have Individual Rights Undermined Public Health