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  • india a third world country there are mdr tb xdrtb and xxdrtb and now tdr totally drug resistant tb a misery of dots in india.

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  • I was a former TB patient. The disease is the easiest to deal with but it’s the society’s attitude against TB victims that has been excruciatingly unbearable.

    Thank you very much Jonathan.

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  • Well I guess it depends on how you define human rights. Would TB treatment not have higher success rates if infectious patients were detained, by force if necessary, until their treatment was complete?

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    • Human rights are defined by the United Nation’s cheap Clomiphene tablets, and more specifically to TB and human rights can be found in these documents cheap Clomiphene for sale, cheap Clomiphene uk, and cheap Clomiphene and nolvadex. There is little ambiguity in defining these.

      Personal rights should be restricted in cases where the individual puts the population at significant risk – but it must make logical sense. In the U.S. or Canada for instance, forced isolation makes more than perfect sense. But legal frameworks assuming this is the answer in situations overwhelmed with TB are – at their core – a fundamental violation of these rights. South Africa, for example, has a centralized MDR-TB policy and its legislature allows for forced quarantine. Their rates of TB and drug resistant TB have only increased. They have a cheap Clomiphene tablets uk and only cheap Clomiphene to treat patients.

      In the context of the South African constitutional Bill of Rights, Section 36 provides an established framework for determining the legitimacy of restricting any individual’s rights, especially in the discussion of disease. This framework is heavily based on, “human dignity, equality and freedom,” and incorporates the nature of the right itself, the limitation proposed, its importance, and the connection between the limitation and the purpose. Section 36(1)(e) requires that the law address a “less restrictive means to achieve the purpose” if it is illogical to restrict this right. Accompanying that, Section 27 ensures the rights of healthcare, food, water, and social security. It further elaborates that, “The state must take reasonable legislative and other measures, within its available resources, to achieve the progressive realization of each of these rights.” This provides an excellent base of justification in regards to South Africa developing legal frameworks fundamentally centered on a human rights approach to TB.

      Unfortunately South Africa isn’t close to the poverty levels that other high-burden TB countries have. They at least have some infrastructure. If they are unable to establish an appropriate response, then little hope is left for the poorer countries on the list. For poor people, forced quarantine doesn’t make sense – but again, pilots showing that treating these populations with a patient-centered approach has been shown to work. TB treatment is a lengthy, difficult regimen and will take significant time, money, and energy to over come – it will not happen overnight. But we are ignoring that our current trajectory is not near as effective as it should be.

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      • That is a comprehensive answer and leaves me much more informed. Thank you.

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    • In the US, that right (and practice) already exists. Counties sometimes force people to remain in sanitoriums until they are cured, if they don’t adhere to treatment until they are cured. This is very costly to the counties, and could be the one reason that more attention could be given to TB worldwide. Many immigrants who come here (such as refugees) get treatment for their TB. If we don’t find a way to successfully treat it, the cost of only 1 case could bankrupt a county. So the same reasons that Johnathan says are preventing us from really implementing what will work to provide a cure could be the drive to do just that — financial.

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