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Visit Heidi Ari's column >>

HEIDI ARI

Articles Posted: 3  Links Seeded: 0
Member Since: 1/2007  Last Seen: 10/02/2008

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XDR – TB Challenges Moral Values

Tue Apr 3, 2007 3:58 PM EDT
doctors, ethics, tuberculosis, us-news, morals, isolation, xdr-tb, robert-daniels, health-officals
By Heidi Ari
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The victim of a rare strain of nearly-untreatable tuberculosis, a twenty-seven year old has been living his life in a jail cell since last July. In a room behind the Phoenix county hospital, Robert Daniels receives worse treatment than many criminals sentenced to isolation. As our world continues to globalize, the threat of XDR-TB and other "extensively drug-resistant" diseases is worsening. In cases akin to Daniels', doctors and medical officials feel the responsibility to make the proper decision regarding the sufferer's care. Criticism begins to mount, however, when a patient becomes the recipient of punishment—not for an immoral act, but for simply catching a contagious and incurable illness.

Isolating a victim of XDR-TB from human contact (aside from those who administer medication) is an unethical act in itself. At the very least, a person who is forced to live alone, in a bleak cell, indefinitely, should be allotted visitation by family members. Even prison inmates are granted this basic right. Robert Daniels was placed in isolation not because he did not wish to cooperate with medical officials; he was simply unaware of his disease's severe implications. Now fully aware of the consequences should he choose not to wear a mask, does not Daniels deserve the chance to be released and allowed to take all proper precautions, while attempting to function in society as a living, breathing, respected individual?

Although doctors and health officials are unaware of an alternative to complete isolation, there must be an option for individuals who do not have any intent of endangering their fellow individuals. If, for the time being, wearing a mask is the only way for victims to avoid spreading the disease, so be it; however, a person with the XDR-TB deserves to be told about their disease before he or she is automatically thrown into the category of people who do not wish to cooperate with authority. After being diagnosed with the disease last year, Daniels came to America with the hope of acquiring medical treatment and one day bring his wife and children from Russia to join him. He lived in Russia for fifteen years prior to his big move and was locked up after less than a year in the US.

The knowledge of this case and the continuation of similar occurrences are disheartening. We can only hope for a cure, as we hope for solutions to a number of other diseases presently dubbed untreatable. Until then, a compromise must be reached in order to protect victims from utter alienation, while simultaneously preventing others from being infected.

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  • Public Discussion (4)
Transparent Opal

Hi, Heidi...
To continue the conversation... here is an opinion piece I wrote about the same issue, today.

See ya.

    Reply#1 - Fri Apr 6, 2007 7:13 PM EDT
    Heidi Ari

    Thanks for the link. Interesting take.

      #1.1 - Sat Apr 7, 2007 6:03 PM EDT
      Reply
      raechel

      That so interesting that you wrote about this issue because I recently watched a documentary on "Super-TB" spreading throughout Russian prisons. The bacteria evolves as we find medicines to create immunity in our bodies. The stronger bacteria that was not killed off by the initial antibiotic multiplies and spreads about the prisoners. As they are released they spread it to Russian citizens. If the x-prisoner gets on a bus or plane many people could be affected. Crazy.

        Reply#2 - Sat Apr 7, 2007 5:46 PM EDT
        Heidi Ari

        Wow. That is very sad to hear.
        Thank you for your comment and further insight into this topic.

        It's no wonder Robert Daniels came to the US for a chance at being cured.
        With the rapid spread of this disease, I wonder whether his family will contract XDR-TB before they have the opportunity to come to the United States.

        Thanks again.

          #2.1 - Sat Apr 7, 2007 6:13 PM EDT
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