ISSUES IN BIOMEDICAL ETHICS General Editors: John Harris, University of Manchester; S(ren Holm, University of Copenhagen. Consulting Editor: Ranaan Gillon, Director, Imperial College Health Service, London. North American Consulting Editor: Bonnie Steinbock, Professor of Philosophy, SUNY, Albany. The late twentieth century has witnessed dramatic technological developments in biomedical science and the delivery of health care, and these developments have brought with them important social changes. All too often ethical analysis has lagged behind these changes. The purpose of this series is to provide lively, up-to-date, and authoritative studies for the increasingly large and diverse readership concerned with issues in biomedical ethics--not just health care trainees and professionals, but also social scientists, philosophers, lawyers, social workers, and legislators. The series will feature both single-author and multi-author books, short and accessible enough to be widely read, each of them focused on an issue of outstanding current importance and interest. Philosophers, doctors, and lawyers from several countries already feature among the contributors to the series. It promises to become the leading channel for the best original work in this burgeoning field. this book: Testing and screening for HIV and AIDS give rise to ethical, legal, and social issues of the most controversial and delicate kind. An international team of eighteen doctors, philosophers, and lawyers present a fresh and thorough discussion of these issues; they aim to show the way to practical advances but also to give an accessible guide to the debates for readers new to them. The contributors pay particular attention to the sensitive nature of the information yielded by a test for HIV antibody. They consider such questions as these: Are we under an obligation to disclose our HIV status if known? Can there be a moral justfication for the breaching of confidentiality in certain circumstances? Should health care professionals be forced to undergo HIV testing? Is there a right to remain in ignorance of one's HIV status? Consideration of such questions illuminates not only public policy and medical practice in connection with HIV and AIDS, but also broader issues about professional ethics and individual rights in other medical and social contexts. The breadth and depth of the research represented and the lucidity of the arguments put forward make this a key resource for academic researchers and healthcare professionals alike.

1. Introduction, Rebecca Bennett and Charles A. Erin 2. HIV Testing and Screening: Current Practicalities and Future Possibilities, Gerald Corbitt 3. Counselling and HIV Testing: Ethical Dilemmas, Lorraine Sher 4. HIV Screening: Benefits and Harms for the Individual and the Community, Catherine Manuel 5. HIV/AIDS Testing, Screening, and Confidentiality: An American Perspective, Edward P. Richards III 6. Compensation and Consent: A Brief Comparative Examination of Liability for HIV-Infected Blood, Dieter Giesen 7. Individual Responsibility for Health, Inez de Beaufort 8. Is Society Responsible for My Health?, Soren Holm 9. HIV/AIDS and the Point and Scope of Medical Confidentiality, Anton Vedder 10. Can Counsellors Care for their Patients and Be Advocates of Third-Party Interests?, Medard T. Hilhorst 11. Screening, Testing, and Health Care Professionals, Calliope C. S. Farsides 12. Fiduciary Relationship: An Ethical Approach and a Legal Concept, Margaret Brazier and Mary Lobjoit 13. Ethical Aspects of the Use of `Sensitive Information' in Health Care Research, Soren Holm and Peter Rossel 14. AIDS and Insurance, Tom Sorell and Heather Draper 15. Should We Routinely Test Pregnant Women for HIV?, Rebecca Bennett 16. Who Should Know About My HIV Positivity and Why?, Heta Hayry 17. Is There a Right to Remain in Ignorance of HIV Status, Charles A. Erin Annexe: AIDS, Ethics, Justice, and European Policy: Summary of Conclusions and Recommendations Bibliography Index

`a timely and important book ... It would be a valuable reference book for libraries.' Anne Russell, Can J Infect Dis, Vol. 11, No. 6, Nov/Dec 2000 |d 14/08/2001