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Biomedical subjects

L Gostin

Publications and source records attributed to L Gostin.

At least 37 records · Page 2Linked to original sources

Compulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations.

The effectiveness of a mandatory premarital screening program was examined as a means of curtailing the spread of the human immunodeficiency virus (HIV) infection in the United States. The epidemiology of the HIV, the technical characteristics of tests for antibodies to HIV, and the logistic, economic, and legal implications of such a program were considered. In one year, universal premarital screening in the United States currently would detect fewer than one tenth of 1% of HIV-infected individuals at a cost of substantially more than +100 million. More than 100 infected individuals would be told that they were probably not infected, and there would likely be more than 350 false-positive results. Public education, counseling of individuals, and discretionary testing can be important tools in reducing the spread of HIV infection, but mandatory premarital screening in a population with a low prevalence of infection is a relatively ineffective and inefficient use of resources.

Acquired Immunodeficiency Syndrome↗

Acquired immune deficiency syndrome: a review of science, health policy, and law.

Acquired immune deficiency syndrome (AIDS) poses the greatest threat to public health of any communicable disease in contemporary times. Efforts to reduce the spread of this disease have become the United States' top priority on the health scene. The following article examines the current medical data on the etiology, clinical manifestations, testing, and transmission of AIDS as a preliminary exploration of the full range of public policy questions posed by the alarming spread of this disease.

Acquired Immunodeficiency Syndrome↗

A moment in human development: legal protection, ethical standards and social policy on the selective non-treatment of handicapped neonates.

Selective non-treatment decisions involving severely handicapped neonates have recently come under renewed judicial and legislative scrutiny. In this Article, the Author examines the legal, ethical and social considerations attendant to the non-treatment decision. In Part II of this Article the Author discusses the predominant ethical viewpoints relating to this issue and proposes a new moral standard based on personal interests. Part III presents a survey of the jurisprudence relating to selective non-treatment decisions. Parts IV and V of this Article provide a critical examination of the recently enacted Child Abuse Amendments of 1984, a federal legislative initiative designed to regulate treatment decisions relating to handicapped infants. The Author suggests that the ethical standards and treatment criteria proposed in this Article may prove useful to courts seeking to balance the handicapped neonate's constitutional right to privacy with the requirements of the new federal law.

Abnormalities, Multiple↗