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ETHICS IN MEDICINE   University of Washington School of Medicine

Public Health Ethics:
Case 2

Forced Treatment for Multidrug-Resistant Tuberculosis
MW is a 33-year-old man with multidrug-resistant tuberculosis (MDR-TB). He is homeless, and has a pattern of missing many of his scheduled clinic visits. Upon starting a multi-drug regimen for his condition, MW initially comes to his scheduled clinic visits, but after a few weeks begins missing them. The provider contacts the social work case manager, who arranges supervised drug administration (also known as “directly observed therapy”). Nevertheless, MW often cannot be found and this approach is deemed to be failing.

Should MW be forced into treatment against his will?
Discussion

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