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Correspondence
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Volume 329:136-138 July 8, 1993 Number 2
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The Law and Control of Tuberculosis

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 by Frieden, T. R.
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 by Annas, G. J.
To the Editor: In his discussion of the law and tuberculosis control (Feb. 25 issue),1 Annas concludes that interventions short of confinement are preferred and that it is "appropriate to use monetary and other inducements to encourage compliance with outpatient therapy." Although we agree that confinement should be a last resort, we recommend against direct payments to drug abusers (who are at high risk for drug-resistant tuberculosis) because there may be a substantial risk of relapse or overdose when cash is given directly to addicts. Physicians who treat substance abusers are familiar with the detrimental effects of cash on their . . . [Full Text of this Article]

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