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AJPH First Look, published online ahead of print Apr 1, 2008
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May 2008, Vol 98, No. 5 | American Journal of Public Health 807-813
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.121152


HEALTH POLICY AND ETHICS

New York City’s Initiatives on Diabetes and HIV/AIDS: Implications for Patient Care, Public Health, and Medical Professionalism

Janlori Goldman, JD, Sydney Kinnear, BA, Jeannie Chung, BA and David J. Rothman, PhD

At the time of writing, Janlori Goldman, Sydney Kinnear, and Jeannie Chung were with the Center on Medicine as a Profession (CMAP), the College of Physicians and Surgeons, Columbia University, New York, NY. Janlori Goldman is also with the Health Privacy Project, Washington, DC. David J. Rothman is with the College of Physicians and Surgeons, Columbia University, New York, and with the Institute of Medicine as a Profession, New York.

Correspondence: Requests for reprints should be sent to David Rothman, Center on Medicine as a Profession, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, P&S Box 11, New York, NY 10032 (e-mail: djr5{at}colubmia.edu).

Two recent New York City Department of Health and Mental Hygiene initiatives expanded the mission and scope of public health, with implications for both New York and the nation.

The programs target diabetes and HIV/AIDS for greater systemic and expanded reporting, surveillance, and intervention. These initiatives do not balance heightened surveillance and intervention with the provision of meaningful safeguards or resources for prevention and treatment. The programs intrude on the doctor–patient relationship and may alienate the very patients and health professionals they aim to serve.

Better models are available to achieve their intended goals. These initiatives should be reconsidered so that such an expansion of public health authority in New York City does not become part of a national trend.




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Response to Goldman et al., New York City's Initiatives on Diabetes and HIV/AIDS
Thomas R. Frieden
AJPH Online, 28 Apr 2008 [Full text]



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