The stigmatization dilemma in public health policy-the case of MRSA in Denmark

DiscussionThe article describes the phenomenon of stigmatization within the health care area by discussing the concept in relation to AIDS and psychiatric diagnosis. It unfolds the ethical aspects of using stigmatization as a public health instrument to affect unwanted behaviours e.g. smoking. Moreover it discusses stigmatization as an unintended albeit expected side effect of public health instruments potentially used to counter the challenge of multi-resistant bacteria with particular reference to the Danish case of the growing problems with Methicillin-resistant Staphylococcus aureus (MRSA) within pig production.SummaryWe argue that using stigmatization as a direct means to achieve public health outcomes is almost always ethically illegitimate. Autonomy and dignity considerations count against it, and the cost-benefit analysis that might by some be taken to outweigh these considerations will be fundamentally uncertain. We further argue that interventions where stigmatization is a side-effect need to fulfil requirements of proportionality, and that they may fall prey to ‘the stigmatization dilemma’, i.e. the dilemma that arises when all policy options are potentially stigmatizing but stigmatize different groups. When this dilemma obtains the decision-maker should choose the intervention that does not lead to permanent stigmatization and that stigmatizes as few as possible, as briefly as possible, and as little as possible.
Source: BMC Public Health - Category: Consumer Health News Authors: Source Type: research

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CONCLUSION: Despite a significant reduction in paediatric inpatient mortality in Malawi, infectious diseases remain the predominant cause. ABBREVIATIONS: ART: anti-retroviral therapy; Child PIP: Child Healthcare Problem Identification Programme; CCF: congestive cardiac failure; CNS: central nervous system; CoNS: coagulase-negative staphylococci; CSF: cerebrospinal fluid; DNA pcr: deoxyribonucleic acid polymerase chain reaction; ETAT: emergency triage assessment and treatment; LMIC: low- and middle-income countries; MDG: Millennium Development Goals; MRI: magnetic resonance imaging; MRSA: methicillin-resistant Staphyloc...
Source: Paediatrics and international child health - Category: Pediatrics Tags: Paediatr Int Child Health Source Type: research
The purpose of this study is to investigate the prevalence of MRSA among people living with HIV/AIDS (PLHA) being monitored in a tertiary outpatient hospital in the state of Pernambuco, in the Brazilian Northe...
Source: BMC Research Notes - Category: Research Authors: Tags: Research note Source Type: research
At 9:39 a.m. on the morning of February 19th, 2017, NASA Kennedy Space Center’s historic Launch Complex 39A rumbles to life, waking from a six-year slumber. On the platform where men were once launched to the moon, sit a SpaceX Falcon 9 rocket and Dragon capsule loaded with cargo, ready to be catapulted through Earth’s atmosphere to the International Space Station on a resupply mission. Among the payload, tucked inside a protective box under subzero temperatures, something else sleeps: a deadly, antibiotic-resistant superbug. This sounds like the premise for a sci-fi television drama, but truth is often strang...
Source: Science - The Huffington Post - Category: Science Source Type: news
To save the life of a child, a zoo sacrifices a prized, endangered gorilla. In exchange for one nearsighted Israeli soldier captured in Gaza, Israel released 1,000 Palestinian prisoners. (This example from the Middle East may not be surprising. In Judaism, it is commanded that “to save a life is as if one saved the world.”) And there are other examples of extreme bravery to save one life. That’s how much societies value the life of each human being. So how, then, do we explain our national acceptance of approximately 251,000 preventable deaths each year from medical error (according to a recent BMJ study)...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Featured GrantWatch Health Professionals Hospitals Organization and Delivery Payment Policy Quality Consumers Health Care Delivery Health Philanthropy Health Professions insurers Medical Errrors MRSA Nurses outcomes data Pa Source Type: blogs
CONCLUSIONS: ST105-SCCmecII clones that colonized professionals in 2011 and 2012 were already circulating among patients in 2009, but there is no evidence that these clones spread to or between HIV/AIDS patients up to the 7th day of their hospitalization.
Source: Revista da Sociedade Brasileira de Medicina Tropical - Category: Tropical Medicine Source Type: research
The study was conducted to evaluate the prevalence of nasal colonization of Staphylococcus aureus in individuals with HIV infection attending the Integrated Counselling and Testing Centre in a teaching hospital and compare the prevalence with HIV-uninfected individuals. A case–control study was conducted among newly diagnosed HIV-infected individuals and an equal number of age-group and sex-matched HIV-uninfected individuals, and nasal swabs were collected from both the samples. Sociodemographic and clinical data were collected through individual interviews. Ethical aspects were respected. A total of 100 individuals ...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - Category: Infectious Diseases Authors: Tags: HIV Clinical Management Source Type: research
This article documents the first case of TSS associated with the use of a menstrual cup in a 37-year-old woman. The authors also discuss the history of TSS associated with tampon use and the mechanisms by which menstrual cups may also lead to the syndrome. Avian influenza A (H5N1) infection with respiratory failure and meningoencephalitis in a Canadian travellerSince 1997, more than 600 individuals worldwide have been infected with the poultry-originating influenza, H5N1. This report describes the first case of avian influenza A (H5N1) in the Western hemisphere in a 28-year-old woman who had just returned from a trip to Be...
Source: Canadian Journal of Infectious Diseases and Medical Microbiology - Category: Infectious Diseases Source Type: research
Paint Shield™ becomes first EPA-registered paint that kills greater than 99.9 percent of Staph (Staphylococcus aureus), MRSA (Methicillin-resistant Staphylococcus aureus), E. coli (Escherichia coli), VRE (Vancomycin-resistant Enterococcus faecalis), and Enterobacter aerogenes after two hours of exposure on a painted surface
Source: Disabled World - Category: Disability Tags: Household Products and Aids Source Type: news
Conclusions: The Type I pattern pathogens had varied trends in disease incidence in the years following the exponential growth and subsequent decline in the number of citations. Their differing epidemiologic patterns did not correlate with their pattern of citations. We conclude that citation trends on MRSA cannot be used to determine past epidemiologic trends and also that the citation trend for MRSA in 1995–2011 most closely resembled that for HIV in 1981–1998.
Source: BMC Infectious Diseases - Category: Infectious Diseases Authors: Source Type: research
Conclusion How many vaccinations will be considered to be a sensible number? If all of the vaccinations currently under development are deemed a success, how many of them will be added to the schedule? As there is little research to determine which ingredients are in the vaccinations listed as “under development” by the CDC, many parents are concerned about their toxicity and how best to protect their children. I will leave you with the wise words of Robert F, Kennedy Jr: “Vaccine industry money has neutralized virtually all of the checks and balances that once stood between a rapacious pharmaceutical ind...
Source: - Category: Allergy & Immunology Authors: Tags: Top Stories Christina England Logical Centers for Disease Control (CDC) World Health Organization (WHO) PhRMA Robert F. Kennedy Jr. Source Type: blogs
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