HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2007.121152v1 98/5/807    most recent Submit a response View responses View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (5) Citing Articles via Google Scholar Google Scholar Articles by Goldman, J. Articles by Rothman, D. J. Search for Related Content PubMed PubMed Citation Articles by Goldman, J. Articles by Rothman, D. J. Related Collections Diabetes Health Policy HIV/AIDS Public Health Practice

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.

This article has been cited by other articles:

				C. Wing Effects of Written Informed Consent Requirements on HIV Testing Rates: Evidence From a Natural Experiment Am J Public Health, June 1, 2009; 99(6): 1087 - 1092. [Abstract] [Full Text] [PDF]

				B. M. Meier, J. G. Hodge Jr, and K. M. Gebbie Transitions in State Public Health Law: Comparative Analysis of State Public Health Law Reform Following the Turning Point Model State Public Health Act Am J Public Health, March 1, 2009; 99(3): 423 - 430. [Abstract] [Full Text] [PDF]

				A. P. Mahajan, L. Stemple, M. F. Shapiro, J. B. King, and W. E. Cunningham Consistency of State Statutes With the Centers for Disease Control and Prevention HIV Testing Recommendations for Health Care Settings Ann Intern Med, February 17, 2009; 150(4): 263 - 269. [Abstract] [Full Text] [PDF]

				M. Das-Douglas, N. M. Zetola, J. D. Klausner, and G. N. Colfax WRITTEN INFORMED CONSENT AND HIV TESTING RATES: THE SAN FRANCISCO EXPERIENCE Am J Public Health, September 1, 2008; 98(9): 1544 - 1545. [Full Text] [PDF]

eLetters: